1. AWDTS TESTING DRUGS OF ABUSE Completing Chain of Custody Version xi © AWDTS 2010

2. CHAIN OF CUSTODY

3. Name of donor dob mandatory M/F – only 2 options Leave ID # blank Employment address Note photo ID type and # Otherwise have super- visor verify

4. CHAIN OF CUSTODY Read it out if necessary U18s need consent of Parent or guardian Donor must sign before Test commences Privacy Act requires taking care when collecting medication info

5. CHAIN OF CUSTODY Complete name(s) of collectors Scribe signs, gloved collect- or signs later

6. CHAIN OF CUSTODY Record date & time of collection Record temperature, colour and creatinine (whether normal or abnormal)

7. CHAIN OF CUSTODY Record if Nitrites, Ph, Bleach or Specific Gravity levels are abnormal Record if anything suspicious

8. CHAIN OF CUSTODY Record type of testing device (urine/oral fluids) Record batch/lot # from test kit Record Expiry Date from test kit Record Breath Test serial #

9. CHAIN OF CUSTODY Record: Breath Test Result eg 0.000 N = Negative NN= Non-negative (urine) U = Unconfirmed (oral fluids) Collectors’ names, signatures

10. CHAIN OF CUSTODY Complete name & details of person nominated to receive results from the laboratory Check the box for the laboratory requesting either urine or oral fluids testing

11. CHAIN OF CUSTODY Paste a numbered ID sticker/barcode on each of the three copies

12. CHAIN OF CUSTODY Pathology lab staff or couriers to complete Name Signature Date/time received Mark whether seals intact Mark whether labels match