- Chain of Custody
- A documented sequence of possession and handling of a biological specimen from collection through laboratory analysis, used to prevent tampering and ensure test validity.
- Medical Review Officer (MRO)
- A licensed physician responsible for reviewing laboratory drug test results, evaluating legitimate medical explanations for positive findings, and reporting results to the employer.
- Specimen
- The biological sample collected for testing — most commonly urine, but also breath, oral fluid, hair, or blood, depending on the testing protocol.
- Confirmed Positive
- A drug test result that has been verified by a second confirmatory test (typically GC-MS) and reviewed by a Medical Review Officer, distinguishing it from an initial screen.
- Reasonable Suspicion Testing
- Drug or alcohol testing initiated when a supervisor has documented, articulable observations — such as slurred speech, erratic behavior, or odor — suggesting impairment.
- DOT Testing
- Drug and alcohol testing required by the U.S. Department of Transportation for safety-sensitive employees in transportation industries, governed by 49 CFR Part 40.
- Refusal to Test
- An employee's failure to appear, provide a specimen, or cooperate with the testing process — treated in most programs as equivalent to a positive test result.
- Split Sample
- A second portion of the same specimen retained by the testing laboratory that the employee may request be sent to a second certified lab for independent analysis.
- EAP (Employee Assistance Program)
- An employer-sponsored confidential counseling and referral service that employees may be directed to following a positive drug test or as a condition of continued employment.
- Drug-Free Workplace Program
- A formal employer policy establishing testing protocols, prohibited substance lists, employee education, and consequences — often required for federal contractors under the Drug-Free Workplace Act of 1988.