Rapid Site Access Program Training for Signatory Unions

1. Rapid Site Access ProgramTraining for Signatory Unions Presented by: Orgranizational Health Inc. RSAP Third Party Case Administrators

2. Questions that will be answered….. • What is RSAP and how does it work? • What are the benefits and key elements of RSAP? • Who are the key service providers and what role does each provider play? • How does www.rsap.ca work with the dispatch process? • What does TPA Case Management look like? • What are union responsibilities under RSAP? • Who else is participating in the program?

3. What is RSAP? An alternative to site access testing… …with perks Workers agree to be random tested while at work Those workers do not have to submit to site access tests to get on participating sites while in compliance with RSAP

4. Elements of the program Opting into the program Dispatch Random testing and follow-up testing Notification of Inactive/Active Status Case management and aftercare

5. Opting into the program… Voluntary Pre-enrollment test, with exceptions Available to travel cards/permit workers Meaningful limitations on opting out

6. Members Opt-in Consent An excerpt from voluntary RSAP application…. “I understand the use of my SIN number shall be for the sole purpose of assigning each RSAP applicant/participant a unique RSAP ID Number, and my SIN number shall not be disclosed to any party thereafter.” “I agree to the release and use of my personal information that is reasonably necessary for RSAP administration as between my union, the third party case administration, service providers, third party auditors, participant employers and testing facilities.”

7. Random testing for RSAP MEMBERS ONLY! 50% per year of employed participants 12 draws of 4.17% per month All employed workers are in one random pool Sample collections performed on work time on the site with the use of mobile units Worker returns to work following successful completion of the collection Oral fluid testing vs. urine testing

8. Maintaining Active Status A participant work who is not employed with any participant contractor for a period of six consecutive months or more shall become inactive and must submit to a re-qualification test prior to becoming active again

9. Opting out of RSAP • Only participant workers currently in compliance with RSAP and who are not currently employed by a participant contractor may opt out – request to opt out must be made in writing • Participant workers shall not be permitted to opt out if not in compliance, if currently working with participating contractor or who have a signed return to work agreement with the third party administrator

10. Some program benefits…. Based on premise random testing is more effective in meeting safety objectives than site access testing Continuity of multi-employer aftercare Expedites dispatch Managed by expert professionals Privacy

11. Dispatch benefits… Proceed directly to the site Active status confirmed at point of dispatch Those with inactive status are barred from dispatch

12. RSAP Member or Member Referred for Third Party Case Mgmt. ORGANIZATIONAL HEALTH INC. Mobile Industrial Health Services Human Solutions Unions Participant Owners Construction Industry Contractors Maxxam Lab and Community Addiction Resources

13. Roles and Responsibilities – OHI Privacy Commitment Role to house and disseminate information Ensure the integrity of RSAP processes Privacy officer Electronic files with multi-level data security Educate stakeholders regarding information that will and will not be shared Sharing information based on “need to know” to ensure program integrity and contribute to workplace safety in the AB Construction Industry

14. Case management focus – for all people with non-negative results… Safety and Corrective Focus Based on Substance Abuse Expert recommendations Managed for full term of aftercare on behalf of entire trade division Note: non-negatives include refusal to test, no-shows, sample tampering, failed integrity checks

15. Continuum of Services Active Random Pool Inactive Refer to SAE SAE Report to OHI Case Management Return to Active Status Fitness for Work Follow Up Testing Active Status (Negative) Inactive Status (Non-negative) T E S T R E S U L T S

16. Case management tools… Tools include: Return to work testing Follow-up testing Education, treatment, detoxification, counseling Twelve step meetings, confirmation of attendance Requirement to check in Dispatch restrictions Medical Assessments if necessary Current contact information required

17. OHI - TPA Testing • Test requests sent to Testing Administrator for: • new participants • monthly random draw • initial return to work and • fitness to work follow-ups • Testing administrator notifies contractor and OHI of any member who has been tested on site and deemed unsafe to RTW for that shift.

18. Mobile Industrial Health Services Confidentiality▪Accountability▪Respect Integrity▪Dedication to People

19. Worker Responsibilities • Cooperate with testing process as directed by collector • Removing bulky outerwear • Emptying pockets • Fluids as directed • Patience during shy bladder protocol

20. Collection Procedure Breath alcohol test will be completed first Drug collection completed last -- lab-based (no instant result)

21. Positive Alcohol Confirmation • The collector will inform the company contact that the employee • Requires safe transportation back to his or her lodging • Is not to return to duty until contacted by OHI • The collector will inform OHI as soon as is reasonably practicable

22. Oral Fluid Drug Collection Simple collection process Observed Integrity assured

23. Refusal to Test • Failure to cooperate with the testing process • Leaving the collection facility before completion of the testing process • Refusal to provide a sample • Adulterated or substituted sample, or no medical reason for providing insufficient quantity (MRO will determine)

24. Laboratory Testing • Maxxam Analytics • HHS certified • Follows strict chain-of-custody procedures • Non-negative results are verified and quantified using mass spectrometry • Result is reported to Medical Review Officer (MRO)

25. SAE Process What Can I Expect? A qualified expert in addictions A competent standardized assessment based on current clinical & ethical tools & practices, current human rights, privacy legislation, & employer substance abuse policies for example: MAST/DAST/SASSI-3 Medical & Public Health models, DSM-IV-TR Diagnostics, Clinical Interview Standardized Reporting

26. Possible Diagnosis Three possibilities for both alcohol and/or drug diagnoses from an SAE: Insufficient evidence Harmful Use Abuse Dependence Each diagnostic category will have specific recommendations

27. Main dispatch players OHI DATABASE www.rsap.ca CONTRACTOR UNION www.rsap.ca/selfregistration.asp

28. Information must be current • Program integrity • Stakeholder confidence • Meet safety objectives • Program effectiveness • Minimize costs (direct and indirect) • Develop and maintain good working relationships • In order for program to work as it should, OHI must have good information and know where workers are at any given time

29. Information Sharing with Unions OHI to Union Hall: • Active status confirmations • Inactive status confirmations • Contact information changes Union to OHI: • Electronic dispatch information including contractor and site information • Daily additions to ‘out of work’ list • Contact information changes

30. Commitments and promises Individuals: No bidding on any union job for those who are out of compliance with RSAP Unions: No dispatch for those who are out of compliance with RSAP to any union contractor Contractors: No hiring of those who are out of compliance with the program Owners: No site access for those out of compliance with the program

31. RSAP Procedural Rules – Agreed upon Union responsibilities… • Agree to comply with the terms and conditions of RSAP • Assist any interested members in registration • Refer any members looking for self- help to OHI who will provide further resources.

32. Agreed upon Union responsibilities… • Register and update any changes to contact information • Upload the RSAP dispatches of the day to the RSAP Data Base for confirmation of active status • Upload the daily additions to RSAP out of work lists

33. Agreed upon Union responsibilities… • Article 5.5 The union shall not knowingly dispatch an inactive participant worker to any contractor or site.

34. Contact for RSAP data base • For providing union dispatch information • Sheldon Pereira-Database Creator • Phone: 1-403-275-5266 • Email:sheldon@aquanode.com • https://www.rsap.ca (Jan 2010)

35. Opti Nexen Petro Canada Shell Construction Suncor Syncrude Participating owner sites Alberta Envirofuels Inc. CNRL Dow Construction Epcor Keephills (Cap Power Corp) KBR Mod Yard Keephills Long Lake Northwest Upgrader Positive discussions with others

36. Unions prepared to participate Cement Mason- once data base flowing Boilermakers- once data base flowing Electricians Insulators Ironworkers Reinforcing Ironworkers Structural Millwrights (subject to ratification) Operating Engineers - once data base flowing Plasterers Plumbers & Pipefitters- once data base flowing Sheet Metal Sheeters, Deckers & Cladders General Labourers-once data base flowing Carpenters- once data base flowing

37. Scenario -Tom Sends in signed RSAP registration form Provides negative testing results (90 days) Now Active Participant & Dispatch eligible Is entered in random pool for testing

38. Tom cont’d… Random test done 6 mths after sign up MRO reports non-negative for cocaine Inactive RSAP Status OHI contacts Tom and referral made to SAE Diagnostic category on SAE report “abuse “ SAE recommendations followed up by OHI

39. Tom cont’d… Attends required educational sessions & compliant with recommendations Return to work testing results negative Signed Return to Work Plan with OHI RSAP Status updated to Active Follow up testing required 8 tests over one year

40. Tom cont’d… Contractor refers to OHI due to Non-Negative Results for pre-access test on non- participating site RSAP status changed to Inactive, union notified OHI refers member to SAE although Tom disagrees with test results SAE report received- alcohol dependence and requires residential treatment

41. Tom cont’d… Disagrees with SAE report and does not comply with recommendations Appeals test results and SAE findings and application made to Umpire for file review Remains RSAP inactive member

42. Tom cont’d… Disagrees with SAE report and does not comply to recommendations Appeals test results and SAE findings and application made to Umpire for file review Remains RSAP inactive member

43. Ways to sign up for RSAP… • By mail –to union hall or OHI • By Fax – 1-877-423-0313 • www.rsap.ca/selfregistration.asp (in near future)

44. OHI contacts… • www.orghealthinc.com • rsap@ohisystems.com • Toll free phone 1-888-493-0725 • Edmonton phone 780-493-0725 • Toll free fax 1-877-423-0313 • Edmonton fax 780-423-0313 • On line registrations in very near future https://www.rsap.ca/selfregistration.asp

45. Thank you. Questions?