• Onsite drug tests >

    The goals of onsite drug tests are to expedite hiring and reduce the costs and risks of drug use in the workplace.

    Checkr partners with Premier Biotech to offer onsite drug tests. You administer the OralTox rapid drug test where you choose, instead of at a third-party clinic. 

    Note

    Some states and localities have specific laws or guidelines for oral fluid and instant testing. Before using this process, work with your legal counsel to ensure that you're meeting these requirements.

    Initial setup

    To add onsite drug testing to your account, contact Checkr. You can order your first test about 10-12 business days after you add onsite drug tests to your account.

    1. Confirm that you have received the OralTox drug test collection kits. Each kit contains 25 tests.
    2. On your phone or device, download the OT Scan app from the Google Play store or the Apple App Store.
    3. Contact Customer Support to add users to the OT Scan app.

    Before the end of each day, log in to the OT Scan app and check for pending results in Menu > Results. 

    Substances tested

    Checkr offers panels that can test between four and all ten of the substances below:

    • Amphetamines
    • Barbiturates
    • Benzodiazepines
    • Cocaine
    • Marijuana 
    • Methadone
    • Methamphetamine
    • Opiates 
    • Oxycodone
    • Phencyclidine (PCP)

    Collection process

    Premier Biotech's website has a video overview of the collection and test process.

    The sample collection process follows the sequence below:

    1. You send an invitation to the candidate.
    2. The candidate submits their personally identifiable information (PII).
    3. The candidate travels to your chosen location.
    4. On your phone or device, sign in to the OT Scan app. Open the order for the candidate. Collect the candidate's signature, and scan the collection kit.
      The app calls the candidate the donor
    5. Give the collection kit to the candidate to swab their mouth. Then, seal the collection kit and wait 10 minutes for the test to complete.
    6. You scan the results, and the OT Scan app shows a result of "inconclusive," "invalid," or "negative." Proceed based on the test result:
      • Inconclusive: Inconclusive results require additional review. Use the steps below:
          1. Scan the barcode for the FedEx package.
          2. Ask the candidate to initial the security seal.
          3. In the OT Scan app, complete the chain of custody form.
          4. Prepare the collection kit for shipping. 
          5. In the OT Scan app, enter the candidate's phone number.
          6. Ship the collection kit to the lab using FedEx. After the lab tests the sample and a medical review officer (MRO) reviews it, Checkr shows the result.
      • Invalid: Invalid results can happen if there were errors in the collection. Use the steps below:
          1. Tap Done to return to the home screen.
          2. Retrieve the order for the same candidate.
          3. Collect a new sample with a new collection kit.
      • Negative: Negative results mean that the sample contains none of the tested substances. You can discard the specimen. Checkr immediately shows negative results on the candidate’s report.
    Note

    Log out of the OT Scan app and log back in if Checkr doesn't show results as expected.

    The OT Scan app might not promptly send the result to Checkr for a reason below:

    • Delay between logging in to the app and starting a test
    • Delay between tests
    • Network connection issue

    Medical review officer (MRO) process for onsite drug tests

    When the lab can't verify inconclusive results, a medical review officer must review the results. Inconclusive results appear after the lab tests the sample and an MRO reviews it. MRO review extends the average turnaround time up to 10 business days.

    Checkr partners with Premier Biotech’s MRO, Dr. Khella, for this review. The process includes the steps below:  

    1. The MRO reviews the inconclusive result with the candidate. 
    2. The MRO determines whether the candidate takes prescription medication that would show evidence of the tested substance. If needed, the MRO verifies the prescription with the pharmacy.
    3. If the MRO needs to contact the candidate, they make three attempts within one business day.
      If the MRO can't contact the candidate during this time, results remain pending for an additional 72 business hours to give the candidate time to call back.
      If the candidate doesn't respond, the result appears in the final report as “Positive-UTCD” (Unable To Contact Donor).

    If you need to contact Dr. Khella at Industrial Medical Testing, LLC, call 888-808-4676.

    Results

    To find the results of a drug test, open the candidate’s report and select "Health test." For more details, you can download the Health test PDF from the "Report information" section of the candidate's report.

    Checkr receives results as "negative" or "positive":

    • Negative indicates that the test showed no evidence of the tested substance.
    • Positive indicates that the test showed evidence of one or more of tested substances.

    Checkr can't expedite reports for onsite drug tests. Checkr also can't change a test's result. If a candidate wants to dispute drug test results, they can contact the MRO directly at 888-808-4676.

    Contact Checkr about the topics below:

    • Report status questions
    • OT Scan app questions, including adding and deleting users
    • OralTox collection kit orders using this form that you email Checkr
    • Technical issues

    California and Washington prohibit employers from taking action against an employee for the reasons below:

    • Off-the-job cannabis (marijuana) use
    • Non-psychoactive cannabis metabolites in their system

    Checkr offers a variety of clinic-based urine drug testing panels that exclude testing for cannabis (marijuana). Checkr also offers an employer-administered instant oral fluid test, which tests for the psychoactive cannabis metabolite.

    Consult your legal counsel about your compliance with these regulations.

    Candidate experience

    After receiving the invitation, the candidate does the steps below:

    1. Enter personal information.
    2. Acknowledge receipt of applicable forms and notifications, including those below:
      • Summary of Your Rights Under the Fair Credit Reporting Act (FCRA)
      • Acknowledgment and authorization for a background check
      • Other state and required disclosures as applicable
    3. Travel to the test location.
    4. In the OT Scan app, sign the consent form.
    5. Use the collection kit to provide a sample.
    6. Sign in to the Checkr Candidate Portal to find the test result.
  • Clinic-based drug tests >

    For some organizations, pre-employment drug testing helps maintain a safer, more productive work environment. Checkr's partners offer clinic-based drug tests for the substances below:

    Substances tested

    The most common panels include the tests below:

      5-panel 7-panel 9-panel 10-panel
    Tests
    • Amphetamines
    • Cocaine
    • Marijuana
    • Opiates (Basic)
    • Phencyclidine (PCP)
    • Amphetamines
    • Cocaine
    • Marijuana
    • Opiates (Basic)
    • Phencyclidine (PCP)
    • Barbiturates
    • Benzodiazepines
    • Amphetamines
    • Cocaine
    • Marijuana
    • Opiates (Basic)
    • Phencyclidine (PCP)
    • Barbiturates
    • Benzodiazepines
    • Propoxyphene
    • Methadone
    • Amphetamines
    • Cocaine
    • Marijuana
    • Opiates (Basic)
    • Phencyclidine (PCP)
    • Barbiturates
    • Benzodiazepines
    • Propoxyphene
    • Methadone
    • Methaqualone

    If you need a more specific panel, contact Checkr.

    Testing methods

    Common drug screening methods include those below:

    • Urinalysis (urine testing): The most common drug test for employment and the approved method of federally mandated drug testing
    • Hair testing: Among the most reliable drug screening methods and can detect substances up to 90 days after use
    • Oral fluid testing: A quick and cost-effective method performed by swabbing the inside of the cheek
    • Breath alcohol testing: A method for identifying an intoxicated person that uses a breathalyzer to detect alcohol up to 12 hours after drinking

    Ordering

    To add drug tests to your account, contact Checkr. You can order your first test seven to ten business days after you add drug tests to your account.

    When you order a test, you can specify that clinic staff observe the collection.

    Customers subject to Department of Transportation (DOT) FMCSA regulations, should order Checkr's DOT drug and alcohol tests.

    Sample collection process

    Sample collection follows the process below:

    1. You send an invitation to the candidate.
    2. The candidate prints their test pass.
      Checkr doesn't send an email at this step, but some user roles can download the pass from the Checkr Dashboard.
    3. The candidate contacts a clinic to schedule their appointment.
    4. The candidate completes their appointment before the pass expires. If you need to, you can update the clinic location for the candidate or send an updated pass from their report in the Checkr Dashboard.
    5. After the test, the clinic submits a sample to a lab. The lab tests the sample and submits the results to eScreen. A certified medical review officer (MRO) reviews the results.
    6. Results appear in the Checkr Dashboard for your review.
      If a collection issue happens, the MRO notes or drug test disposition section of the completed report explains it.

    Clinics that keep electronic records complete assessments faster than those that keep paper records.

    If the clinic offers an instant 5-panel test, 5-panel tests automatically become instant tests.

    Sample collection steps appear as timeline events in the Checkr Dashboard.

    Medical review officer (MRO) process for non-DOT drug tests

    An eScreen MRO reviews drug test results. For non-negative results, such as pending results or inconclusive results, the MRO follows the steps below:

    1. The MRO reviews the result with the candidate.
    2. The MRO determines whether the candidate uses prescription medication that would show evidence of the tested substance.
      • If necessary, the MRO verifies the prescription with the candidate's pharmacy.
    3. If the MRO needs to contact the candidate, they make three attempts within one business day.
      • If the MRO can't contact the candidate during this time, the candidate has an additional 72 business hours to respond before the results change.
      • If the candidate doesn't respond, the result appears in the candidate's report as “Positive-UTCD” (Unable To Contact Donor).

    MROs explain "refusal to test" results in their notes. For more information, contact Checkr.

    Medical marijuana

    If the candidate tests positive for marijuana, the MRO doesn't update the results because the candidate has a medical marijuana card.

    Review test results

    Turnaround time

    The Checkr Dashboard usually has test results within three days of the candidate completing the appointment. MRO review extends the average turnaround time up to ten business days. 

    To prevent delays, advise your candidate to complete ​the steps below:

    • Call the clinic to confirm the appointment. 
    • Print the test pass and bring it to the appointment. The clinic won't complete the test without the pass. The clinic can't help with lost or misplaced passes. 

    Results in the Checkr Dashboard

    You can review test results from the Health Screening section of the candidate’s report. For more details, you can also download the health test PDF from the "Report information" section of the candidate's report.

    Clinic-based drug test results are either negative or positive:

    • Negative: The test didn't find evidence of the tested substance.
    • Positive: The test found evidence of at least one of the tested substances.

    Requests to expedite results

    Checkr can't expedite reports for drug tests. Checkr also can't change a test's result. If a candidate wants to discuss or dispute drug test results, they can contact the MRO directly at 1-888-382-2084.

    California and Washington prohibit employers from taking action against an employee for the reasons below:

    • Off-the-job cannabis (marijuana) use
    • Non-psychoactive cannabis metabolites in their system

    Checkr offers a variety of clinic-based urine drug testing panels that exclude testing for cannabis (marijuana). Checkr also offers an employer-administered instant oral fluid test, which tests for the psychoactive cannabis metabolite.

    Consult your legal counsel about your compliance with these regulations.

    Candidate experience

    The candidate provides the relevant personally identifying information (PII) below:

    • Birth date
    • Email address
    • Full name
    • Phone number
    • Social Security number (SSN)

    The candidate then reads and acknowledges receipt of applicable forms and authorizations:

    • A Summary of Your Rights Under the Fair Credit Reporting Act (FCRA)
    • Disclosure Regarding Background Investigation
    • Other state and required disclosures as applicable
    • Authorization for a background check

    After the candidate signs the authorization form, the candidate completes the steps below:

    1. Consent to the test.
    2. Select a test location.
    3. Confirm the appointment with the clinic, and schedule the test before the listed date.
    4. Download and print the pass.
    5. Bring the pass to the clinic for the test.

    If you applied for a job and want to know your background check’s status, log in to the Checkr Candidate Portal.

  • Occupational health assessments >

    Occupational health assessments help you evaluate candidates' fitness for certain jobs. Checkr’s partner, eScreen, offers assessments in the categories below.

    • Hearing & vision
    • Immunizations
    • Physical evaluations
    • Respiratory and pulmonary function
    • Tuberculosis (TB)
    • X-rays
    Note

    Some locations have laws about occupational health screenings and employment. Consult your legal counsel about your compliance obligations.

    Ordering

    To add occupational health assessments to your account, contact Checkr. You can order your first occupational health assessment seven to ten business days after Checkr adds them to your account. You can order drug tests and occupational health assessments separately or together.

    Occupational health assessments are available as standalone searches and as add-ons. To add an occupational health assessment as a standalone search, contact Checkr.

    Customers subject to Department of Transportation (DOT) FMCSA regulations, should order Checkr's DOT physical evaluation.

    Assessment process

    Most occupational health assessments follow the process below: 

    1. Checkr emails the candidate, inviting them to complete the assessment.
    2. The candidate selects a clinic and prints the pass for their appointment.
    3. The candidate contacts the clinic to schedule their appointment.
    4. The candidate completes their assessment before the pass expires. 
      • If necessary, you can update the clinic for the candidate. You can also send the candidate an updated pass from “Pending reports” in the Checkr Dashboard.
    5. The clinic sends the results to Checkr’s vendor, eScreen. eScreen does an administrative review of the occupational health assessments to ensure that they’re complete. If results are incomplete, eScreen contacts the clinic for corrections.
    6. The assessment results appear in the Checkr Dashboard.

    If an assessment has a delay because of missing paperwork, Checkr contacts the candidate to request the necessary documents.

    Review assessment results

    To review results, open the candidate’s report and select Health Assessment. You can also download a more detailed assessment report from the "Report information" section of the candidate's report.

    Turnaround time 

    After the candidate completes their screening, the average turnaround time to receive the result is less than 3 days. To prevent delays, ensure that your candidate calls the screening location to verify availability and has their screening pass.

    Process

    Standard turnaround time

    Most occupational health assessments Two to three business days
    Assessments requiring blood work Four to seven business days
    Tuberculosis tests Four to seven business days

    Clinics that keep electronic records complete assessments faster than those that keep paper records.

    Candidate experience

    The candidate provides the relevant personally identifying information (PII) below:

    • Birth date
    • Email address
    • Full name
    • Phone number
    • Social Security number (SSN)

    The candidate then reads and acknowledges receipt of applicable forms and authorizations:

    • A Summary of Your Rights Under the Fair Credit Reporting Act (FCRA)
    • Disclosure Regarding Background Investigation
    • Other state and required disclosures as applicable
    • Authorization for a background check

    After the candidate signs the authorization form, they download and print their pass. Candidates must have their pass when they report to the clinic for their assessment.

    If you applied for a job and want to know your background check’s status, log in to the Checkr Candidate Portal.

  • Order random drug & alcohol tests >

    A random drug & alcohol testing program can help ensure a drug-free workplace. Employers can test employees randomly but should adhere to applicable federal, state, and local laws. Employers should also ensure that the employee selection process doesn't have unlawful bias or discrimination.

    Create pools

    Before you order your first random test, your account must have at least one drug test, and you must enroll employees in a pool of potential employees to test. To create a pool of employees for random testing, complete the steps below:

    1. In the Checkr Dashboard, select "Random testing program."
    2. Select "New pool."
    3. Name the new pool.
    4. If the Department of Transportation (DOT) regulates your new pool, select yes and then select the regulating agency. Otherwise, select no.
    5. Select Continue.
    6. If the DOT doesn't regulate your new pool, choose the type of drug test to administer to the employees in the pool.
    7. Download the CSV template.
    8. Complete the CSV template with information about employees for your new pool. You must complete all the fields below to create employee records in the pool. To add an existing employee record to the pool, use the employee's email address and birth date from the Checkr Dashboard. 
      • First name
      • Last name
      • Middle name (can be blank)
      • Email address
      • Postal code
      • Birth date (this format only: YYYY-MM-DD)
      • Phone number (this format only: XXX-XXX-XXXX)
    9. Upload the completed CSV.
    10. Select Continue.

    You can now order tests for the employees in the pool. Repeat the steps to create additional pools.

    Order tests

    To show a random selection of employees to test, complete the steps below:

    1. In the Checkr Dashboard, select "Random testing program."
    2. Select the pool with the employees you want to select from.
    3. Select "New random selection."
    4. Select the testing rate (quantity or percentage of employees to test). To skip the alcohol test for your pool, select zero for the testing rate.
    5. Select Submit.
    6. Select the employees you want to test.
    7. Select Schedule.
    8. Select Yes to choose a clinic for your employees. If you select No, Checkr emails your employees an invitation to choose their own clinics.
    9. If you accept the terms and conditions, select the checkbox.
    10. Select Submit.
  • Update a candidate's screening pass >

    In the Checkr Dashboard, you can update a candidate's screening pass for a drug test or occupational health screening. 

    Select the candidate's situation.

    1. In the Checkr Dashboard, open the candidate's report. 
    2. In the "Health appointment" section, select "Add more time." 
      You can add unlimited time to an active pass and update passes as often as you need to. 

    1. In the Checkr Dashboard, open the candidate's report. 
    2. In the "Health appointment" section, select Email Candidate > Re-send invitation.

    The candidate can update the appointment location in the Candidate Portal. In the "Health information" section, the candidate can select Change Location. 
    Available locations are based only on test turnaround time and cost savings for you. Checkr can't specify which locations have appointments available.

    1. In the Checkr Dashboard, open the candidate's report.  
    2. In the "Health appoinment" section, select Email Candidate > Send updated pass. 

      The updated pass keeps the original clinic location, and its expiration changes based on your account or package setting. Updating the pass changes the report status from Suspended to Pending.
  • Interpret MRO-reviewed drug test results >

    Checkr’s partner eScreen works with a certified medical review officer (MRO) who reviews drug tests. The MRO is a licensed physician with special certification to receive, review, and evaluate drug test results. 

    MRO-reviewed result

    Description

    Next steps

    Abnormal pH "Abnormal" indicates a urine pH outside the normal range. Send another invitation to the candidate. The candidate must go to a clinic and provide another sample.
    GC/MS (Immunoassay) Interference

    Interference at the first testing stage prevents a result. Causes include the ones below:

    • Attempt to adulterate 
    • Medication
    • Something else
    Send another invitation to the candidate. The candidate must go to a clinic and provide another sample.
    Negative-dilute

    The sample is dilute for a reason below:

    • The candidate drank excessive water.
    • Water was added to the sample to dilute it.
    Send another invitation to the candidate. The candidate must go to a clinic and provide another sample. 

    Refer to the attachment at the bottom of this article.
    Positive The sample tested positive for a substance. The MRO confirmed that the candidate has no prescription for the substance. Accept the result as accurate.
    Positive UTCD (unable to contact donor) The sample tested positive for a substance. The MRO couldn't confirm whether the candidate has a prescription for the substance. Accept the result as accurate, or send another invitation to the candidate. If you send another invitation, the candidate must go to a clinic and provide another sample.
    Substituted The candidate provided a sample that was either not urine or not their own urine at the time of collection. Send another invitation to the candidate. The candidate must go to a clinic and provide another sample.
    Test Canceled Results can't be determined. Read the notes for details.

    If a testing or lab-handling error happens, Checkr doesn't charge you for the test.

    Checkr charges you for tests when the candidate provides an abnormal sample, such as a specimen with an unacceptable temperature. These tests cause a Review report status.  

    If you send another invitation to the candidate, they must go to a clinic and provide another sample.