JJ KELLER part description

  • Designed for use when testing employees not regulated by DOT; based on the form used for regulated employees
  • Snap-out format
  • Three plies
  • Carbonless
  • Measures 8-1/2" W x 11-3/4" L
  • Imprinting available. Call toll-free for pricing.
Please note:
As of 3/13 this form no longer features a Random Alcohol Testing section. Under the Americans with Disabilities Act, as amended (ADA), alcohol tests are considered medical exams. The ADA restricts when employers may require employees to undergo medical exams. To do so must be job related and consistent with business necessity. To meet this "job related…" provision, the request must, in part, be made to a particular employee. Since random tests do not focus on a particular employee, they do not meet this provision. Therefore, they risk violating the ADA.

To help avoid confusion and to help employers from inadvertently violating ADA, we have removed that section from this form.

JJ Keller® is an industry expert in safety and compliance. It provides organizations of all sizes with the right tools and expert advice to create productive, safe, and compliant workplaces. While it does offer managed and consulting services regarding safety and compliance for DOT regulations, it also supplies a wide range of training materials and tools and a comprehensive list of digital and printed publications, forms, and supplies. DOT compliance for fleets has never been easy with JJ Keller. Its wide assortment of decals, placards, and flags helps keep employees and drivers safe and in compliance while on the job.

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