Frequently Asked Questions

HomeFrequently Asked Questions

Prepare for your Appointment

For all appointments, government-issued picture I.D. is required. 

  • For DOT appointments, ID must be a valid Driver’s License. 
  • For urine testing, do not void immediately prior to your appointment. 
  • For oral fluid testing, do not eat, drink, or smoke immediately prior to your appointment. 
  • Avoid alcohol consumption the day before your test. 
How do I Prepare for my Medical Health Assessment?
  • Bring your prescription glasses, including over-the-counter or pharmacy-issued reading glasses, if applicable. 
  • Bring a list of your current medications, including the dosage and frequency. 
  • Know the names and telephone numbers of your health care providers. 
  • Avoid caffeinated beverages for at least 2 hours prior to your appointment (e.g., coffee, tea, pop, and energy drinks). 
  • Do not smoke for at least 2 hours prior to your appointment. 
  • Please note:  Urine sample may be required (Do not void immediately prior to appointment). 
  • Please take your medications as prescribed on the day of your appointment. 
  • Wear comfortable, loose-fitting clothing. 
  • Arrive 10 minutes early to complete paperwork. 
How do I prepare for my Audiogram (Hearing Test)?
  • Avoid loud noise for at least 14 hours prior to your hearing test. 
  • If you must be exposed to loud noise, hearing protection should be worn. 
How do I Prepare for my Electrocardiogram (ECG or EKG)?
  • Avoid caffeinated beverages for at least 2 hours prior to your appointment. (e.g., coffee, tea, pop, and energy drinks). 
  • Do not smoke for at least 2 hours prior to your appointment. 
  • Electrodes will be applied to your exposed chest. 
  • All metal items (e.g., jewelry, phones, belt, money, underwire bra) must be removed. 
How do I Prepare for my Blood Collection (Venipuncture) ?
  • Instructions will be provided for individual testing. For fasting specimens, do not eat or drink anything for at least 8 hours. If fasting is not required, drink plenty of water before your appointment
How do I Prepare for my Spirometry (Pulmonary Function Test / PFT)?
  • Bring list of your current medications, including the dosage and frequency. Take medication as prescribed.
  • Avoid caffeinated beverages for at least 2 hours prior to your appointment. (e.g., coffee, tea, pop and energy drinks)
  • Do not smoke for at least 2 hours prior to your appointment
  • Do not use an inhaler 2 hours prior to your appointment, unless medically required
  • Do not eat a heavy meal within 1 hour of your appointment

Drug & Alcohol Testing

How do I know if I am subject to the U.S. Department of Transportation drug and alcohol testing regulations?

The Omnibus Transportation Employee Testing Act of 1991 established drug and alcohol testing regulations to ensure that aircraft, trains, trucks, and buses were operated in a safe and responsible manner. Generally, DOT regulations cover safety-sensitive transportation employers and employees operating in the U.S. The Federal Motor Carrier Safety Administration (FMCSA) has specific drug and alcohol testing regulations. For Further details click here to visit the website for the US DOT Office of Drug & Alcohol Policy & Compliance. 

Will I be tested for cannabis since it's legal?

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What is the Clearinghouse?

The Clearinghouse is a secure online database containing information about CDL drivers’ drug and/or alcohol violations, as well as an effective way to accurately track the progress of return to duty programs that drivers may be following due to prior violations. Use of the Clearinghouse is mandated by FMCSA, which took effect on January 6, 2020. For more information, or to find out if it applies to your company and what your role is as an employer, please visit https://clearinghouse.fmcsa.dot.gov/Learn.

How long does THC stay in your system?

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What do I do if I have to test after hours?

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What options are available for testing in remote locations?

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Medical Services, Health Surveillance & Wellness Programs

What is a Pre-Employment/pre access health assessment?

The Pre-Employment health assessment is a tool to help prevent companies from hiring individuals with past or existing health problems, or to screen current employees who may not be aware of any existing health concerns. A company’s exposure to workman’s compensation and/or short-term/long-term disability claims may be reduced. 

Pre-Access testing may be a requirement prior to the employee having access to a work site, and the employer must receive a fit certificate prior to the employee performing any safety sensitive functions. 

What is Disability Case Management?

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What is a Respiratory Fitness Program?

ECMM’s respiratory fitness program, is a comprehensive initiative designed to ensure that employees who are required to use respiratory protection equipment in the workplace are physically able to use such protection without compromising their health (physically or psychologically). 

The program includes a respiratory user screening form in compliance with the CSA 94.4 standard (Clause 12), a medical assessment focussed on the pulmonary system, a spirometry test, and a respiratory fit certificate. The respiratory fit certificate will indicate if the employee is fit to wear a respirator with no restrictions, fit to wear a respirator with certain limitations or not fit to wear a respirator. 

As a part of ECMM’s health surveillance programs the respiratory fitness program is conducted and monitored annually. 

What is an annual surveillance program?

ECMM’s annual health surveillance program is a systematic and proactive approach to monitoring and assessing the health status of employees over time, with a focus on identifying and preventing occupational illnesses or health issues related to workplace exposures. This program is an essential component of occupational health management, helping to ensure the well-being of employees and compliance with occupational health and safety regulations.  

What is a wellness program?

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Hearing Conservation & On-Site Testing

What is a Hearing Conservation Program?

Hearing conservation is a comprehensive program aimed at preventing hearing loss due to occupational exposure to excessive noise in the workplace. The primary goal of a hearing conservation program is to protect employees’ hearing and ensure compliance with occupational health and safety regulations. ECMM takes into consideration the various provincial regulatory differences and takes pride in approaching each employee as an individual. Our program includes noise assessments, advising on engineering and administrative controls where applicable, counselling employees on the correct use of hearing protective devices, and educating employees about the hazards of noise exposure in and out of the workplace. 

ECMM offers baseline/initial hearing tests to new employees that will be exposed to noise, and annual audiometric testing to detect any significant changes in hearing. 

Finally, ECMM offers an annual hearing conservation report, analyzing the audiometric results and offering insight into significant threshold shifts, early warning changes, possible workman’s compensation referrals, and overall hearing status statistics. This type of report can assist the company with addressing possible patterns or trends in the workplace in a timely manner. 

Does ECMM offer noise-level surveys?

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How many people can be tested per day using the mobile audio trailer?

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Training & More

Where do you offer training courses?

ECMM is happy to offer many course options for Training: In-person, online, or a combination of virtual and in-person. Depending on the volume of attendees, we can also send our trainer to you. Give us a call today to see what options look for you! 

Other Services

What types of paternity tests do you offer?

We offer two types of paternity testing: Curiosity & Court Ready. The laboratory procedures and the accuracy of the results are the same for both options. 

‘Curiosity’ testing is a self-collection kit that can be done from home. The kits and instructions are sent upon request. Once the collection is complete the samples are sent back to ECMM, then forwarded to the lab. The results are accurate and reliable, however since the test is completed in a non-clinical setting and identities of the participants are not confirmed, the results are returned as anonymous and not admissible in court. 

‘Court Ready’ testing is completed at one of ECMM’s collection sites by a trained collector. The testing is completed in a clinical setting and the identity of each party is confirmed prior to collection of the samples. The results are returned from the lab with each participant’s name and are admissible in court. 

I have hired a new driver/employee. How do I add them to the random testing pool?

Under US DOT regulations, all Canadian drivers operating in the U.S. are required to undergo ‘Pre-Employment’ drug testing with a negative result before they are eligible to be added to your company’s random pool. Once the company has received a negative result, the new hire can be added to the pool by either logging into the online Portal, or contacting the Random Program Administrator by email or fax. The new hire must be added to the pool within 30 days of receiving the negative pre-employment result.

For consistency, the same rules are followed for Non-DOT companies, unless their company policy dictates otherwise. Call us for more information!

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