The legal landscape surrounding cannabis has shifted dramatically over the last several years. Across North America, what was once a strictly prohibited substance is now widely accessible for both medical and recreational use. Along with legalization has come an explosion of consumer wellness products, particularly those highlighting the therapeutic benefits of cannabinoids like cannabidiol (CBD) and tetrahydrocannabinol (THC).

However, as public accessibility has grown, so too has the volume of misinformation. For employers, safety managers, and employees operating in safety-sensitive industries—such as construction, transportation, manufacturing, mining, and energy—navigating the realities of cannabis use can be challenging. Misconceptions about how these compounds interact with the human body, how they affect job performance, and how they impact workplace screening can lead to serious compliance failures and safety hazards.

To help organizations maintain safe, healthy, and productive work environments, we are breaking down the science, addressing the regulatory realities, and busting the four biggest myths regarding CBD vs THC.

Need guidance on cannabis and workplace testing? Connect with our team of experts!

Myth 1: CBD and THC Affect the Body the Same Way

Because both compounds are derived from the Cannabis plant, a common misconception is that CBD and THC produce identical effects on human physiology and cognitive function. This misunderstanding often causes people to treat all cannabis-derived products with the same level of caution—or conversely, the same level of casualness. In reality, the molecular distinction between the two leads to radically different real-world outcomes.

The Chemical Divide: How Cannabinoids Interact with the Body

At a microscopic level, CBD and THC share an identical chemical formula: 21 carbon atoms, 30 hydrogen atoms, and 2 oxygen atoms. However, a slight difference in how those atoms are arranged completely changes their chemical properties and how they bind to the body’s internal systems.

Human physiology relies on a vast regulatory network known as the Endocannabinoid System (ECS). The ECS is responsible for maintaining homeostasis (balance) across various bodily functions, including mood, sleep, pain perception, and immune response.

It does this primarily through two types of receptors:

  • CB1 Receptors: Located predominantly in the central nervous system and the brain.
  • CB2 Receptors: Found mostly in the peripheral nervous system and immune cells.

THC has a strong binding affinity for CB1 receptors. When THC locks into these receptors in the brain, it directly stimulates the release of dopamine and alters neurotransmitter signaling. This reaction produces the classic psychoactive “high”—resulting in altered sensory perception, euphoria, slowed reaction times, and cognitive impairment.

Conversely, CBD is a non-homologous compound that does not fit neatly into CB1 receptors. Instead, it acts as an antagonist or modulator. It interferes with the binding of other cannabinoids and stimulates non-cannabinoid receptors (like serotonin receptors).  Because it does not directly activate CB1 receptors in the brain, CBD is generally considered non-intoxicating. It does not cause cognitive impairment, spatial disorientation, or psychomotor deficits.

The Gray Area of Marketing and Product Composition

Understanding the standalone properties of CBD vs THC is only half the battle. In the consumer marketplace, product labeling can be highly misleading. The cannabis industry divides products into three primary categories based on extract types:

  1. Full-Spectrum: Contains all naturally occurring compounds from the cannabis plant, including terpenes, flavonoids, and legal thresholds of THC.
  2. Broad-Spectrum: Contains a wide range of cannabinoids, but undergoes an extraction process designed to isolate and remove the THC entirely.
  3. CBD Isolate: Pure CBD that has been completely isolated from all other plant matter, yielding a product that is 99% pure cannabidiol.

The confusion arises because many over-the-counter products marketed heavily as “Pure CBD” or “Hemp-Derived CBD Wellness Oils” actually utilize full-spectrum extracts. Under current regulations, industrial hemp-derived products can legally contain up to 0.3% THC by dry weight. While this concentration may seem negligible, it means consumers are frequently ingesting small amounts of THC without realizing it, blurring the lines between an intoxicating and non-intoxicating product experience.

Myth 2: CBD Products Can’t Impact Workplace Drug Testing

Perhaps one of the riskiest assumptions an employee in a safety-sensitive role can make is that using a CBD product guarantees a clean workplace drug test. Because CBD itself is non-intoxicating, many assume it remains invisible during an occupational health screening. This is a costly misconception.

The Presence of Trace THC

As established, full-spectrum CBD oils, capsules, and edibles contain trace amounts of THC. Although a single dose of a high-quality, third-party-tested CBD product is unlikely to trigger a positive result on a standard workplace drug screen, real-world usage patterns are rarely limited to a single dose.

The Compounding Effect of Accumulation

THC is highly lipophilic, meaning it is fat-soluble. When a person ingests even trace amounts of THC regularly, the compound is absorbed by the body’s adipose (fat) tissue rather than being immediately flushed out through the renal system. Over days, weeks, or months of repeated use, these minute amounts accumulate within the body.

As fat cells naturally metabolize, they gradually release the stored THC back into the bloodstream, where it is broken down into various metabolites. If an employee uses an improperly filtered CBD product daily to manage sleep or inflammation, the cumulative concentration of THC metabolites can easily cross the established screening cutoff thresholds utilized in workplace laboratory testing.

Furthermore, the supplement industry remains imperfectly regulated. Independent laboratory audits frequently reveal that products labeled as “THC-Free” actually contain concentrations far exceeding legal limits due to cross-contamination or poor manufacturing standards. For an employee, relying solely on product packaging without reviewing a verifiable Certificate of Analysis (COA) introduces a significant liability risk to their employment and professional standing.

Myth 3: If Cannabis Is Legal, Workplace Impairment Is No Longer a Concern

Since the legalization of recreational cannabis across Canada and various US jurisdictions, there has been a noticeable cultural shift. Some individuals believe that legal status erases the restrictions surrounding its use, viewing it similarly to off-duty tobacco or caffeine consumption. However, public legalization does not alter an employer’s foundational safety mandates.

Legality vs. Workplace Safety Mandates

The law makes a clear distinction between an individual’s right to consume a legal substance in their private life and their authorization to be under its influence while performing professional duties. Legalization did not repeal occupational health and safety acts, which strictly require employers to maintain a safe worksite and mitigate recognizable hazards.

ConceptPublic JurisdictionWorkplace Environment
Cannabis StatusDecriminalized / Regulated Legal SaleSubject to Corporate Safety Policies & Prohibitions
EnforcementPublic Law Enforcement / Traffic SafetyInternal Health & Safety Management / Fit-for-Duty Policies
Primary MetricAge Verification & Public Possession LimitsFunctional Fit-for-Duty Status & Cognitive Competence

In safety-sensitive industries—such as construction projects, long-haul transportation, heavy equipment operations, and oil and gas extraction—the presence of cognitive or motor impairment can have catastrophic, life-threatening consequences. An incident caused by sluggish reflexes or poor spatial judgment puts the impaired worker, their colleagues, and the public at severe risk.

The Employer’s Responsibility

Employers have a legal and ethical obligation to ensure that every individual on a job site is fit for duty. This responsibility means companies must develop comprehensive, legally defensible drug and alcohol policies that explicitly address both CBD vs THC and broader cannabis usage.

Just as the legality of alcohol does not permit an employee to operate a crane while under the influence, the legality of cannabis does not permit altered cognitive states on the job. A robust policy outlines clear expectations, defines what constitutes a safety-sensitive role, and provides a clear framework for proactive testing protocols.

Myth 4: Drug Tests Measure Real-Time Impairment

When an incident occurs or a random test is administered, there is often an expectation that the testing technology mirrors a breathalyzer used for alcohol, providing an immediate snapshot of current intoxication. This expectation is a fundamental misunderstanding of standard occupational drug testing mechanics.

Detecting Compounds vs. Measuring Intoxication

Standard workplace drug testing matrices—such as urine testing and oral fluid (saliva) screening—do not measure an individual’s real-time functional impairment. Instead, they detect the physical presence of the parent drug molecule or its subsequent metabolic byproducts.

For example, when looking at cannabis, tests frequently look for THC-COOH, a secondary metabolite produced long after the psychoactive effects of THC have faded. Because of this, an employee could consume cannabis on a Saturday, experience a complete return to baseline cognitive function by Sunday, and still test positive during a random screening on Tuesday afternoon. The test confirms past exposure and the presence of the metabolite within the biological window, but it cannot definitively prove that the employee was actively high while on shift.

The Complexities of Biological Windows

Interpreting cannabis test results is uniquely complex due to the wide variance in human metabolism, body composition, frequency of use, and delivery methods.

  • Inhalation (Smoking/Vaping): Spikes active THC levels in the blood and oral fluid almost instantly, with levels dropping rapidly over several hours, though metabolites persist in urine for days or weeks depending on frequency and length of use among other factors..
  • Ingestion (Edibles/Oils): Delays the onset of effects as the compound passes through the digestive tract and liver, creating a prolonged window of impairment and a completely altered metabolic timeline.

Because cannabis behaves differently in the body compared to water-soluble substances, determining exact timelines is challenging.

Utilizing verified testing methods, Medical Review Officers (MROs), and standardized laboratory cutoffs ensures that test results are interpreted accurately, fairly, and in full compliance with relevant human rights and labour laws.

Building a Culture of Workplace Safety

Dispelling the myths surrounding CBD vs THC is vital to maintaining a safe work environment. Relying on casual assumptions about product ingredients, testing parameters, or legal rights can compromise workplace safety and lead to failed drug screenings.

For employers, the key to success lies in proactive education, clear policy communication, and partnering with verified testing providers. By ensuring workers understand the science behind cannabinoids and the realities of occupational testing, companies can protect their teams, reduce workplace incidents, and build a reliable culture of safety.

Learn how SureHire helps employers navigate evolving cannabis testing challenges with confidence. Explore SureHire’s Comprehensive Drug & Alcohol Testing Solutions today to keep your workforce safe, compliant, and productive.

In the high-stakes world of safety-sensitive industries—from the oil fields of Alberta to the construction sites of Ontario—the methodology used to ensure a drug-free workplace is as critical as the safety equipment workers wear. As the landscape of substance use and legal regulations evolves, many Canadian employers are transitioning toward oral fluid (saliva) testing.

The Canadian Model for Providing a Safe Workplace, currently in its 6th iteration, serves as the industry’s “gold standard” for alcohol and drug policies. Developed by the Construction Owners Association of Alberta (COAA) and Energy Safety Canada, this model provides a comprehensive framework that balances worker rights with the employer’s duty to maintain a safe environment.

Below, we explore the specific benefits of oral fluid testing and why it has become a cornerstone of the Canadian Model for modern workplace safety.

1. Detection of Recent Use (The Impairment Window)

Perhaps the most significant advantage of oral fluid testing over traditional urine testing is its ability to detect recent substance use.

While urine testing is an excellent tool for identifying lifestyle use (substances consumed days or even weeks prior), it often fails to detect use within the first few hours after consumption. In contrast, substances appear in oral fluid almost immediately after use.

  • Urine Testing: Highlights history (48–72+ hours for many substances. Weeks for THC depending on frequency & length of use).
  • Oral Fluid Testing: Highlights the “immediate past” (typically 12–24 hours).

For safety-sensitive industries, the goal isn’t necessarily to police what an employee does on their two-week vacation, but rather to ensure they are fit for duty the moment they step onto the site. Because oral fluid levels correlate more closely with the presence of active drugs in the bloodstream, it is a superior tool for identifying potential impairment during work hours, post-incident, or for reasonable suspicion.

2. Alignment with the Canadian Model Version 6

The Canadian Model Version 6 has specifically highlighted oral fluid lab-based testing as a viable and preferred method for certain testing scenarios. By adopting oral fluid testing, companies align themselves with best practices recognized by major industry owners and labor providers across Canada.

The model emphasizes that testing should be a “risk assessment tool.” Using oral fluid testing reduces the “reach-back” effect of urine testing—where an employee might test positive for a joint smoked 10 days ago—and focuses on the safety risk presented by more recent use. Oral fluid testing is lab-based only. This alignment helps employers navigate the delicate legal balance of human rights and workplace safety.

3. Minimized Risk of Tampering and Adulteration

One of the greatest challenges in occupational testing is “specimen integrity.” Urine collections require private stalls, which creates an opportunity for donors to attempt to switch or adulterate their samples using synthetic urine or “cleansing” agents.

Oral fluid testing virtually eliminates this risk through 100% observed collection.

  • The donor remains in full view of the technician at all times.
  • The collection process involves a simple swab of the cheek or tongue.
  • There is no need for private washrooms, which are often difficult to secure on remote job sites.

This level of transparency ensures that the results are a true reflection of the employee’s status, providing employers with greater peace of mind and reducing the need for costly “shy bladder” protocols or re-tests.

4. Non-Invasive and Respectful for Employees

A significant pillar of the Canadian Model is the fair and respectful treatment of workers. Urine collection can be perceived as invasive or embarrassing for some employees, and the requirement to provide a sample on demand can sometimes lead to delays or medical complications (paruresis).

Oral fluid testing is:

  • Quick: Most collections take less than five minutes.
  • Dignified: It can be performed in a common office or a mobile testing unit without the donor needing to disrobe or enter a washroom.
  • Accessible: It is easier to administer for individuals with certain medical conditions that make urine collection difficult.

By choosing a less invasive method, employers can foster a more positive safety culture where testing is viewed as a standard safety check rather than a punitive or intrusive ordeal.

Oral fluid testing is permitted for Reasonable Suspicion/Cause, Post Incident/Accident, Random and Pre-Access. 

5. Efficiency and Versatility in Remote Locations

For companies operating in remote regions—such as mining operations in Saskatchewan or forestry in BC—logistics are everything. Setting up a “secure” washroom facility for urine collection on a temporary site or a mobile unit is a logistical hurdle.

Oral fluid testing kits are highly portable. Because they do not require plumbing or specialized privacy partitions, SureHire can deploy Mobile Testing Units to virtually any location. This ensures that post-incident or reasonable suspicion testing happens immediately, reducing the time a worker is away from their post and getting results into the hands of decision-makers faster.

6. Legal Defensibility and Accuracy

In the Canadian legal landscape, particularly following the legalization of cannabis, the “current impairment” vs. “past use” debate is central to many labour disputes. Oral fluid testing is widely considered more legally defensible in cases where an employer must justify a “for cause” or “post-incident” test.

SureHire utilizes lab-based oral fluid testing that meets rigorous standards. When a screening test (Point of Collection) returns a non-negative result, the sample is sent to an accredited laboratory for confirmation testing using Gold Standard LC-MS/MS (Liquid Chromatography-Mass Spectrometry) technology. This ensures that every result is backed by scientific certainty and is compliant with the Canadian Model’s requirements for accuracy and confidentiality.

A Safer Path Forward

Transitioning to oral fluid testing is more than just a technical change; it is a strategic move toward a more effective safety program. By focusing on recent use, reducing tampering risks, and respecting employee privacy, oral fluid testing fulfills the core mission of the Canadian Model: to provide a safe workplace for everyone.

At SureHire, we specialize in helping companies navigate these transitions. Whether you are updating your corporate drug and alcohol policy to align with Version 6 of the Canadian Model or looking to implement mobile oral fluid testing at your remote sites, our team is here to ensure your workforce is safe, healthy, and productive.

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Ready to modernize your testing program?

Contact SureHire today to learn more about our Oral Fluid Testing solutions and how we can help you stay compliant with the Canadian Model.

In the world of safety-sensitive industries, the “Return-to-Duty” (RTD) process is the final line of defense. It is the gatekeeper that ensures an individual who has previously violated drug or alcohol regulations is clinically evaluated, treated, and deemed safe to return to the workplace.

But what happens when the gatekeeper is an impostor?

A recent investigative report by FreightWaves uncovered a staggering breach of trust within the FMCSA Drug and Alcohol Clearinghouse. A truck driver from North Carolina—who had himself tested positive for cocaine—successfully posed as a certified Substance Abuse Professional (SAP). Over the course of his “practice,” he allegedly cleared approximately 1,000 drivers of their drug violations, allowing them back behind the wheel of 80,000-pound vehicles without a single legitimate clinical assessment. 

This story is a wake-up call for every employer, safety officer, and HR professional. It highlights why “checking a box” is never enough when it comes to occupational health and safety.

The Cost of a “Quick Fix”: The 1-in-85 Reality

The FreightWaves investigation revealed that Brandon Blackburn, a 34-year-old with no medical or clinical credentials, exploited a lack of verification in the federal Clearinghouse system. By simply self-attesting that he met the qualifications of a SAP, he gained access to the national pool of drivers in the “prohibited” status.

The scale of the fraud is difficult to overstate:

  • The Frequency: Estimates suggest that 1 in every 85 CDL drivers who completed the RTD process in recent years may have been cleared by this single fraudulent actor.
  • The Process: Instead of months of evaluation and treatment, drivers paid as little as $100 via Zelle for a “clearance” that took minutes.
  • The Risk: Blackburn himself was caught with cocaine in his cab and was falsifying his own logs while “clearing” other drivers.

For employers, this isn’t just a regulatory failure; it is a massive liability. If a driver cleared by a fraudulent SAP is involved in a fatal accident, the legal and financial fallout for the carrier can be catastrophic.

What Is a Real Substance Abuse Professional (SAP)?

Under DOT regulations (49 CFR Part 40), a SAP is not just a title; it is a highly regulated role that requires specific professional credentials and ongoing training. A legitimate SAP must be one of the following:

  1. A licensed physician (Doctor of Medicine or Osteopathy).
  2. A licensed or certified social worker.
  3. A licensed or certified psychologist.
  4. A licensed or certified employee assistance professional.
  5. A state-licensed or certified marriage and family therapist.
  6. A drug and alcohol counselor certified by an organization approved by the DOT.

Beyond these base credentials, a real SAP must complete a 12-hour DOT qualification training program, pass a national exam, and complete 12 hours of continuing education every three years. Their job is to protect the public by ensuring that the driver has successfully completed the required education and/or treatment before being considered for a return to safety-sensitive duties.

Why Verification Matters: The SureHire Difference

The Blackburn case happened because the system relied on “self-certification.” At SureHire, we believe that trust must be verified. When you manage your Substance Abuse Services through a professional occupational testing partner, you are adding a layer of protection that DIY management lacks.

1. Rigorous Credential Vetting

We don’t take a “box-check” at face value. A professional testing provider verifies the underlying licenses and certifications of the SAPs in their network. We ensure that the professional performing the assessment actually holds the credentials required by law.

2. Standardized, High-Quality Protocols

Fraud thrives in the shadows—on Facebook groups and private messaging apps. By using an established network like SureHire’s, the RTD process follows a standardized, transparent protocol. Every assessment, referral, and follow-up testing plan is documented and defensible.

3. Comprehensive Oversight

When a driver is in the RTD process, it isn’t just about one test; it’s about a sequence of events. A professional partner tracks the progress from the initial evaluation through the completion of treatment to the final follow-up testing schedule. This ensures nothing falls through the cracks and no “shortcuts” are taken.

Protecting Your Workforce and Your Business

The FreightWaves report serves as a stark reminder that as long as there are regulations, there will be those who try to circumvent them for a profit. However, in safety-sensitive industries like trucking, oil and gas, and construction, the “profit” of a fast clearance is never worth the risk of a workplace tragedy.

To ensure your organization is protected:

  • Audit Your Clearances: If you have drivers who have recently returned to duty, ensure their SAP was a verified professional.
  • Avoid “Online-Only” Quick Fixes: If a SAP process seems too fast or too cheap, it probably is. A legitimate clinical evaluation takes time.
  • Partner with Experts: Don’t leave your compliance to a system that might lack a verification layer.
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At SureHire, our mission is to create safer, healthier, and more productive workplaces. We provide a one-stop-shop for occupational testing, including verified Substance Abuse Professional Services, so you can be confident that the people you put to work are truly fit for duty.

Don’t let your safety program be undermined by a pretend professional. Work with a partner that values accuracy and integrity as much as you do.

As cannabis legalization and use continue to evolve, employers in safety-sensitive industries—such as oil and gas, construction, and transportation—face the ongoing challenge of maintaining workplace safety while navigating shifting regulations. Managing cannabis use in the workplace requires a clear understanding of the testing methods available, their detection windows, and how they align with organizational safety policies.

Effective risk management depends on choosing the right test for the right situation. Here are a breakdown of the primary testing methods and the timelines associated with cannabis detection.

Understanding Detection Windows

A “detection window” refers to the period during which a substance or its metabolites can be identified in a person’s system. For cannabis, this window varies significantly depending on the type of test used and the individual’s frequency of use.

Urine Testing: Detecting Past Use

Urine testing remains the standard for many workplace drug programs, including those following the Canadian Model. It does not measure current impairment but instead detects the presence of THC metabolites, which are produced after the body processes cannabis.

  • Casual Use (Once per week): Typically, detectable for 1-2 weeks.
  • Chronic Use (Daily): Can be detectable for several weeks, up to 30 days or more.
  • Purpose: Best suited for pre-employment/post-offer, return-to-duty, and follow-up testing where identifying a history of use is the primary goal.

Oral Fluid (Saliva) Testing: Identifying Recent Use

Oral fluid testing has become a preferred method for situations where recent use or potential impairment is a concern. Unlike urine, oral fluid tests for the parent THC molecule, which only stays in the saliva for a short time after consumption.

  • Detection Window: Generally, 12 to 24 hours (sometimes up to 48 hours for heavy users).
  • Purpose: Ideal for post-incident and reasonable cause testing, as it provides a much closer link to recent consumption than urine testing.

Testing Methods and Cut-off Levels

To ensure consistency and legal defensibility, testing programs utilize “cut-off levels”—the specific concentration of a substance required to trigger a positive result.

Test TypeScreening Cut-offConfirmation Cut-off
Urine (THC Metabolite)50 ng/mL15 ng/mL
Oral Fluid (THC)4 ng/mL2 ng/mL

POCT vs. Lab-Based Testing

  • Point of Care Testing (POCT): Also known as express testing, these provide results within minutes. They are convenient for on-site management but should be followed by laboratory confirmation to ensure accuracy and defensibility.
  • Lab-Based Testing: Samples are sent to an accredited laboratory for analysis. While this process takes longer (2-5 days), it is the most reliable method and is often required for high-stakes safety decisions.

Managing Cannabis in a Safety-Sensitive Environment

For employers, the goal of cannabis testing is not necessarily to police an employee’s lifestyle, but to mitigate the risk of impairment on the job. A robust workplace policy should clearly define:

  1. Safety-Sensitive Positions: Identify roles where impairment poses a direct threat to the individual, their colleagues, or the public.
  2. Testing Triggers: Specify when testing will occur (e.g., pre-employment/post -offer, random, post-incident, or reasonable suspicion).
  3. Consequences of a Positive Test: Outline the steps following a confirmed positive result, including referral to a Substance Abuse Professional (SAP)/Substance Use Expert or potential disciplinary action.

Testing for cannabis is a critical component of a comprehensive workplace health and safety program. By utilizing oral fluid testing for recent use and urine testing for historical patterns, employers can create a balanced approach that respects the workforce while prioritizing a safe, incident-free environment. Contact us for help supporting your testing program

Session Details: May 5, 2026, at 1:00 PM (MST)

 

Many employers focus their efforts solely on drug and alcohol testing and overlook the importance of educating their employees about substance abuse in the workplace. SureHire’s Reasonable Suspicion Training programs offer a simple, cost-effective solution.

Reasonable suspicion training is also known as RST, reasonable cause training, or drug and alcohol awareness training. These programs are designed to educate supervisors and employees about the adverse effects of drugs and alcohol on workplace safety.

Our interactive course includes:

  • A workbook
  • Case study review
  • A live instructor available for questions
  • 2 knowledge assessment sections, and
  • A certificate of completion for each individual.

Session Details: April 15, 2026, at 1:00 PM (MST)

 

Many employers focus their efforts solely on drug and alcohol testing and overlook the importance of educating their employees about substance abuse in the workplace. SureHire’s Reasonable Suspicion Training programs offer a simple, cost-effective solution.

Reasonable suspicion training is also known as RST, reasonable cause training, or drug and alcohol awareness training. These programs are designed to educate supervisors and employees about the adverse effects of drugs and alcohol on workplace safety.

Our interactive course includes:

  • A workbook
  • Case study review
  • A live instructor available for questions
  • 2 knowledge assessment sections, and
  • A certificate of completion for each individual.

Canadians are facing increased stresses, pressures, and health challenges, leading some individuals to turn to alcohol and drugs as a coping mechanism. Recent data from the Canadian Centre on Substance Use and Addiction highlights growing concerns around mental health and substance use. As a result, the risk of workplace substance abuse has escalated, prompting employers to take proactive measures. One key step is ensuring supervisors are equipped with reasonable suspicion training to help identify and address potential issues, ultimately supporting a safe and healthy work environment.

Alcohol and drugs are known to have harmful effects on the health, safety, and overall well-being of individuals, colleagues, and the public. In workplaces, it can result in:

  1. Increases in employee injuries,
  2. Increases in property or equipment damage,
  3. Increases in absenteeism and/or sick leave,
  4. Increases in conflict and violence,
  5. Increases in turnover,
  6. Reduced productivity,
  7. Increases in theft, and
  8. Decreased employee morale.

Employers cannot initiate reasonable suspicion testing without first going through the 5-step process. Reasonable suspicion training provides critical information about how to initiate reasonable suspicion training, including the 5-step process and other tools employers can use to help manage the misuse of alcohol and drugs in the workplace.

What is reasonable suspicion?

Reasonable suspicion is a term used to describe circumstances that usually indicate a reason to complete an investigation or assessment of an employee’s fitness for duty or to explore possible explanations for an employee’s unusual conduct, actions, or appearance. The findings of this assessment may conclude that an individual is either under the influence of a prohibited substance or facing other physical/mental strains. If the assessment points toward possible substance impairment, reasonable suspicion testing may be required.

What is included in the 5 Step Reasonable Suspicion Process?

To properly complete an investigation or assessment of an employee’s fitness for duty, it’s important for supervisors to fully understand each step of the process to ensure:

  • The observed behaviours correlate with possible alcohol and/or drug use
  • The necessary documentation is collected and reported
  • The appropriate conversation is had with the employee
  • The alcohol and drug screens are completed only when necessary

The 5-Step Reasonable Suspicion Process includes:

  1. Observation. There are 4 main indicators that will help you determine if someone may be under the influence.
  2. Confirmation. Get a second opinion.
  3. Documentation. All companies should have a reasonable suspicion checklist in their drug and alcohol policies that is readily available for all supervisors and managers.
  4. Confrontation. You must effectively communicate your findings with the employee.
  5. Testing. Check your policy – understand what testing is required.
RST Checklist

Important Considerations

Consistency. there must be a consistent process followed to ensure that there is no bias involved. Ensuring that a consistent checklist is used, and the same process is followed for each case will assist the employer. If there are inconsistencies in the process, it can have a negative effect on the employer in the case that a complaint is filed.

Confidentiality. The reasonable suspicion process is extremely confidential and is not to be taken lightly. The entire process is not to be shared with any individual who is not privy to this information.

SureHire’s Reasonable Suspicion Training Programs

Reasonable suspicion training is an important tool that employers can use to help manage the misuse of alcohol and drugs in the workplace. Properly trained and educated supervisors will be able to contribute to a healthy and safe workforce by having the ability to recognize the signs and symptoms of potential substance impairment and take the appropriate actions to manage reasonable suspicion circumstances, thereby preventing safety incidents from occurring.

SureHire offers a variety of interactive and self-study Reasonable Suspicion Training programs for employees and supervisors. Our courses have been completed by hundreds of individuals across North America and have been rated 5 stars.

Learn more about Reasonable Suspicion Training and get your workers certified today!

TAKEAWAY: Workplace addiction is a real issue that can impact employees in several ways. It adversely affects workplace safety and productivity, proving costly for business owners. Fortunately, employers can use several tools, programs, and resources to help curb addiction in the workplace.

Many employers may not realize technology can help improve addiction among workers. Therefore, this article highlights the benefits of using technology for addiction and explores the options available to employers. Read on to discover the best tips for using technology to help with addiction treatment.


By Elly McGuinness

What impact does addiction have on the workplace?

According to Dr. Kelly, a professor in addiction medicine at Harvard Medical School, more than 70 percent of individuals with drug and alcohol problems continue to maintain employment because they remain “functioning.”

However, “functioning” employees affected by drugs or alcohol are costly to businesses. Decreased productivity, increased turnover, high absenteeism, increased workplace injuries, decreased morale, and reduced work quality are all potential consequences of addiction in the workplace that ultimately affect the company’s bottom line. 

Addiction impacts individuals on a cognitive, emotional, and behavioural level and has far-reaching effects across organizations. The American Addiction Centers explains that alcohol and substance use disorders are prevalent in construction, mining, manufacturing, agriculture, and transportation, often among workers in safety-sensitive roles. 

They also highlight concerning statistics around addiction in the workplace. For example, a national survey of the U.S. workforce found that 15 percent of employers admitted working while under the influence of alcohol, and three percent reported being under the influence of illicit drugs.

Luckily, employers can take several action steps to help curb addiction problems in the workplace.

What can employers do to improve addiction in the workplace?

Employers can ensure they have robust drug and alcohol policies to help address the problem of workplace addiction. Drug and alcohol testing and reasonable suspicion training are strategies that can form part of the plan to reduce and eliminate workplace addictions.

female construction worker smiling - workplace health and safety

Book Impairment Awareness Training Today!

SureHire offers impairment awareness training to help supervisors and employees understand how to identify signs of drug abuse and when to carry out reasonable suspicion testing. We offer private sessions both virtually and in-person as well as self-study sessions through our online learning centre iNTELLECT.

Learn More and Register Online!

 

Substance Abuse Professionals (SAPs) are also crucial to the equation. SAPs help employers by assessing workers with a disclosed substance abuse problem or those who tested positive on a drug or alcohol test. The assessment results enable the SAP to explain legal obligations to employers, help everyone chart a path forward, and highlight ways to accommodate a substance problem safely.

Employers can also tackle the root causes of addiction by addressing mental health and wellness in the workplace. Emotional Intelligence, also known as Emotional Quotient or EQ, is a vital piece of the puzzle when recovering from addictions. It consists of five essential areas in addiction recovery: self-awareness, self-regulation, motivation, empathy, and social skills.

Benefits of using technology to improve addiction

Digital technology has expanded the scope of addiction interventions and offers several benefits:

  • It enables evidence-based treatments to reach a broad audience
  • Tailored support is crucial in addiction intervention, and digital technology can achieve this via interactive responses and face-to-face support.
  • It ensures timely treatment options so individuals can receive the help they need when needed, rather than waiting weeks or months for an in-person appointment.
  • Digital technology is more cost-effective, making treatments available to more people.

For these reasons, digital technology is an essential consideration for employers seeking practical solutions for combating addiction. Several options are available so employers can choose the technology that will best meet their organization’s and its individuals’ needs.

What type of technology is available for improving addiction?

Digital technology for addiction is available in various formats. For example:

  1. Web-based self-help interventions

Web-based self-help interventions vary in features and offerings. Some are designed to inform and educate but do not provide therapy. Others go a step further and offer personalized feedback following an assessment. 

Web-based self-help interventions can also include a human element, with support from peers or mental health professionals. Others consist of a step-by-step program the user can work through at their own pace.

  1. Online counselling and therapy

Online counselling involves communication with a therapist via an online channel, such as video calls. It enables one-to-one interaction that surpasses the distance barrier and eliminates travelling time. It may not be suitable for all types of addiction treatment or clients, but it will benefit many.

  1. Artificial intelligence (AI) and virtual reality (VR) software

AI is an emerging technology used in addiction treatment. Once limited to text only, the technology has evolved to voice communication and applications which can detect the user’s emotional needs. 

Some technology uses gamification or virtual reality to help with addiction recovery. Certain games can help retrain the brain in those with addiction, whereas VR uses virtual avatars to navigate pathways to addiction recovery and participate in online forums.

What specific technology is available for improving addiction?

Employers and employees have a wide range of digital options for tackling workplace addictions. A few are as follows:

  • The Therapeutic Education System (TES) is an interactive web-based intervention for substance use disorders. It focuses on the Community Reinforcement Approach, Contingency Management Behavior Therapy, and HIV Prevention. Research shows that TES has the potential to improve addiction treatment outcomes.
  • The Addiction-Comprehensive Health Enhancement Support System (A-CHESS) is a smartphone app that can help support recovery from alcoholism. Other addiction recovery apps include Nomo, Sober Grid, and Pear reSET.

In conclusion, when chosen well, digital technology can help improve addiction among workers and form part of an overall plan for a safer and healthier workforce.

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TAKEAWAY: Prescription medications can be a significant problem for workers in safety-sensitive positions. Here is what employers need to know.



By Jennifer Crump

In a recent National Safety Council survey, 86% of employers reported concerns that prescription drug use negatively impacted their workplace. They may have a good reason. According to Statistics Canada, 23% of Canadians aged 15 years and older use psychoactive pharmaceuticals, and in the United States, over 16 million Americans admit to abusing prescription drugs. 

Prescription medications can be an even more significant problem for workers in safety-sensitive positions. Here is what employers need to know. 

What is a safety-sensitive workplace?

A safety-sensitive workplace is one in which an employee is responsible for their safety or the safety of others. The term also refers to jobs in which a worker impaired by drugs or alcohol could put themselves or others at risk of injury. 

In a safety-sensitive job, drug or alcohol impairment could result in significant injury to the employee and others in the area. Lack of attention in a safety-sensitive position can result in an incident that adversely affects the health or safety of employees, contractors, customers, the public, or the environment. These types of incidents can negatively impact a company’s financial position or reputation. Examples of safety-sensitive jobs include operating heavy machinery, driving on public roads or handling dangerous chemicals. 

What are the dangers of taking prescription medication while working in a safety-sensitive position?

The legality of prescription drugs makes them more challenging to deal with in the workplace than illegal drugs. However, they can be equally dangerous. Even if used legitimately, prescription drugs can have serious side effects that may induce dizziness, nausea, hallucinations, or an inability to remain alert. These effects can decrease productivity and increase errors. However, these same side effects in safety-sensitive positions also dramatically increase the risk of injury or death.

What is the duty to accommodate employees with disabilities under human rights legislation?

The duty to accommodate exists under Canadian and provincial human rights legislation and U.S. legislation, including the Americans with Disabilities Act (ADA). However, these laws vary widely with respect to what and how employers must accommodate disabilities in the workplace. Essentially, this legislation is a guideline that ensures employers provide job prospects and employees with any additional support they may need to allow them to participate fully in the workplace to the extent that it does not impose an undue hardship on the employer.

Under Canadian human rights laws, employers may be required to accommodate an employee taking prescription medications or developing an addiction. Prescription drugs can adversely affect a worker in a safety-sensitive job and put the worker and others at risk. In these situations, the employer, employee, and potentially union all have an obligation to address the issue. Possible accommodations could include a transfer to a non-safety sensitive position, reduced work hours or even short and long-term medical leaves.

However, it is essential to note that these accommodations must work for everyone. The employer’s duty to accommodate under all existing legislation is limited if it causes undue hardship to the employer. Changes to a policy, practice, by-law or physical space that would cost too much or create health or safety risks, for example, could negate the employer’s duty to accommodate.

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Fitness-to-Work Testing & Accommodation: How it Works

SureHire’s fitness-to-work testing program helps employers make important determinations around employee accommodation on the job. Results are reviewed by a team of SureHire’s trained healthcare professionals, including physiotherapists, chiropractors, athletic therapists, and physicians. 

All results are issued using a level 1-5 assessment scale. Depending on the result issued, SureHire may recommend work accommodations and/or restrictions related to the findings noted during testing.

Want to learn more? Contact us today and speak with a member of our team!

How can employers create a policy that accommodates employees with disabilities while maintaining a safe work environment?

Employers should have a medical disclosure policy in place for safety-sensitive positions if they believe using certain prescription drugs could threaten safety. This policy should not be too broad and should be limited to employees in specific safety-sensitive positions. It should also include only those prescription medications that pose a safety risk.

In addition to the medical disclosure policy, employers should create an accommodation policy and educate employees with respect to both the policy and the procedures for requesting accommodation. This open approach ensures employees understand how a request for accommodation is made but also encourages employees to disclose suspected safety risks.

The workplace accommodation policy should include procedures that identify the following:

  • Who informs employees and job applicants about their accommodation rights
  • Who can employees approach to request accommodations
  • How requests are processed, including who has the authority to implement accommodations and who is responsible for financial decisions related to accommodation
  • Who has responsibility for decisions concerning questions of undue hardship?
  • How an appeal process works when an employee or job candidate is refused accommodation
  • Training requirements for staff that are responsible for workplace accommodation policy and procedures
  • Review procedures for accommodation policies and procedures, including responsibilities for review and a timeline

What to do if you are an employee who needs accommodation in the workplace?

Employees are responsible for working safely and understanding that using prescription medications can pose health and safety risks to themselves or others. Additionally, employees are responsible for reporting any circumstance that could pose a safety risk to themselves or others.

Although employers can and should offer accommodation to workers who need it, the employee also must request accommodations if needed. The employee is also obliged to participate in the accommodation process, which means providing the employer with enough information to make an accommodation possible. This request is best made in writing and should include (as necessary) the following:

  • The provision of the Code on which the employee is requesting accommodation
  • Reason for requesting accommodation
  • Information to confirm the existence of a need for accommodation.
  • Suggestions of possible accommodation measures

Employees can also provide additional documentation to support their request to expedite the accommodation. This documentation might include, for example, medical notes from a physician. 

Are there resources for employers and employees on prescription medication and the workplace?

Here are a few of our favourites: 

1.A Guide to Accommodating Substance Dependence

2. Substance Use in the Workplace – CCOHS Guide 

3. SAMHSA Drug Testing Resources 

4. CMHA Impairment in the Workplace

5. Ontario Human Rights – The Duty to Accommodate

6. Contact SureHire

Additional SureHire Resources:

Accommodating Chronic Illness

Duty to Accommodate

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TAKEAWAY:  What is fentanyl, why is it used, and why are employers adding it to their drug detection program? Get answers to these frequently asked questions and more!



By Jennifer Crump

The opioid crisis continues to grow across North America, much of it driven by fentanyl and fentanyl derivatives. In many workplaces, testing for fentanyl abuse has become crucial to ensuring worker health and safety. Here are the answers to your questions about fentanyl testing.

What type of drug is fentanyl? 

Fentanyl is a prescription drug often prescribed as a treatment for severe or chronic pain following surgery or as a substitute for other opioids if patients have become tolerant of them. Prescription forms of this synthetic opioid analgesic include Actiq®, Duragesic®, and Sublimaze®. Fentanyl is often compared to morphine but is 50 to 100 times more potent. This makes also makes it more dangerous. 

In addition to its prescription form, fentanyl is produced in illicit labs and sold illegally. This is the fentanyl that is most often associated with overdoses. 

How is fentanyl used? 

Prescription fentanyl can be administered as a shot, skin patch, or lozenge. Fentanyl that is illegally produced generally comes in the form of a powder or liquid or is made into pills that look like prescription opioids. Illegal synthetic fentanyl can be delivered as a powder or liquid or made into pills that look like other prescription opioids. It is sold illegally on blotter paper, in nasal sprays, eye drops, or even candies. Street names for illegal fentanyl include apache, dance fever, friend, goodfellas, jackpot, murder8, tango, & cash. 

Because it is cheap to produce and requires relatively small amounts to create a high, drug dealers will frequently mix fentanyl with other drugs, including heroin, cocaine, MDMA and methamphetamine

What are the effects of fentanyl use? 

Like other opioids, fentanyl binds to the body’s opioid receptors in parts of the brain that control pain and emotions. This is what allows it to be used to manage chronic or severe pain. Illegal fentanyl produces an intense, short-term high and feelings of euphoria. However, over time, the brain can become less sensitive to fentanyl while failing to react to normal stimuli, leading to addiction and overdose. Additional effects of fentanyl can include: 

  • Sedation
  • Confusion
  • Drowsiness
  • Dizziness
  • Nausea and vomiting
  • Urinary retention
  • Pupillary constriction
  • Respiratory depression
  • Reduced blood pressure
  • Fainting
  • Seizures
  • Death

How long after use can fentanyl be detected? 

The timeline for detection of fentanyl differs for every person based on their metabolism, body mass, the amount ingested, the potency of dose(s), physical activity, health conditions and other factors, making it difficult to determine an exact timeline for detection. The estimated detection window for fentanyl in urine is 8–72 hours; in oral fluid, the detection window is generally 12 hours.

Will fentanyl be detected as an opioid on a standard drug test? 

Unfortunately, standard instant drug tests will not detect fentanyl, nor most other standard drug tests. This is because these tests are typically set up to detect opiates which metabolize into morphine. Fentanyl, unlike many opiates, does not metabolize into morphine. However, a targeted drug test can easily detect it in urine, hair and oral fluid tests. Fentanyl testing can be added to many standard drug tests. 

What type of fentanyl testing does SureHire offer? 

Fentanyl can be tested for as an add-on to any of the following SureHire tests:

  • Urine Express Panel 5, 8 or 13
  • Urine Lab Based 5, 8 or 13
  • Oral Fluid Lab Based 8 or 13
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Want to add Fentanyl to your drug testing program?

Contact us today and speak with a member of our team!

How is fentanyl detected through lab-based urine testing?

Laboratory urine testing for fentanyl involves immunoassay testing with a cut-off threshold of 2ng/mL. The test seeks to detect Fentanyl metabolites, including norfentanyl, hydroxyfentanyl and hydroxynorfentanyl. 

What is the cut-off level for fentanyl drug testing?

Cut-off levels for fentanyl drug testing vary depending on the type of test that is ordered: 

  • Urine Express – 10ng/ml
  • Urine Lab – 2ng/ml screening and 1ng/ml confirmation
  • Oral Fluid – 1ng/ml

What is SureHire’s process for determining if a positive result for fentanyl is due to recreational or prescription use? 

As with any result confirmed as positive through GC/MS testing, the results will be forwarded to our MRO (Medical Review Officer), who will attempt to contact the individual within 48 hours. Once contact is successful, the MRO will ask the individual if there is any reason for fentanyl to be detected in their sample.

 If the individual discloses the use of fentanyl as being directed by their physician, the MRO will request proof of the prescription or evidence that the drug was administered at the direction of a physician, such as a letter from the physician. If the MRO receives these documents, they may overturn the test result and release it as negative. 

However, if the individual cannot provide proof of legitimate use of fentanyl or the MRO is unable to contact the donor within 48 hours, the result may be released as positive. Because of its potency and the long list of side effects, the use of prescribed fentanyl may still be deemed as “Negative – Safety Sensitive” by the MRO.

What is the turn-around time for receiving lab-based fentanyl test results? 

The turn-around time to receive lab-based fentanyl test results is between 2 to 5 business days.

What is the cost of adding fentanyl to a drug test? 

Contact us to request a quote today!

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Want to add Fentanyl to your drug testing program?

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