Source: https://www.law.cornell.edu/cfr/text/49/appendix-C_to_part_219
Timestamp: 2017-10-23 19:28:25
Document Index: 139800094

Matched Legal Cases: ['art 219', 'art 219', 'art_219', 'art 219', 'art 219', 'art 219', 'art 219', 'art 219', 'art 219']

49 CFR Appendix C to Part 219, Post-Accident Testing Specimen Collection | US Law | LII / Legal Information Institute
CFR › Title 49 › Subtitle B › Chapter II › Part 219 › Subpart K › Appendix C_to_part_219
49 CFR Appendix C to Part 219, Post-Accident Testing Specimen Collection
2.1.1 Responsibility of the Railroad Representative.
b. The railroad representative shall undertake the following additional responsibilities -
1. Complete Form FRA 6180.73 (revised), Accident Information Required for Post-Accident Toxicological Testing ( 49 CFR part 219), describing the testing event and identifying the employees whose specimens are to be deposited in the shipping box.
4. Certify the statement in Step 4 of the Post-Accident Testing Blood/Urine Custody and Control Form ( 49 CFR part 219) (Form FRA F 6180.74 (revised)).
a. The railroad is responsible for arranging overnight transportation of the sealed shipping box containing the specimens. When possible without incurring delay, the box should be delivered directly from the collection personnel providing the specimens to an overnight express service courier. If it becomes necessary for the railroad to transport the box from point of collection to point of shipment, then -
Exhibit C-1 - Instructions for Collection of Blood and Urine Specimens: Mandatory Post-Accident Toxicological Testing
a. Railroad employees have consented to provision of specimens for analysis by the Federal Railroad Administration as a condition of employment ( 49 CFR 219.11). A private, controlled area should be designated for collection of specimens and completion of paperwork.
d. Once both tubes are filled and the site of venipuncture is protected, immediately -
Action: The employee should remain at the collection facility until as much as possible of the required amount can be given (up to 4 hours). The employee should be offered moderate quantities of liquids to aid urination. The first bottle, if it contains any quantity of urine, should be sealed and securely stored with the blood tubes and Control Form pending shipment. A second bottle should then be used for the subsequent void (using a second Control Form with the words “SECOND VOID - FIRST Specimen INSUFFICIENT” in the remarks block and labels from that form). However, if after 4 hours the donor's second void is also insufficient or contains no more than the first insufficient void, discard the second void and send the first void to the laboratory.
Exhibit C-2 - Instructions for Collection of Post Mortem Specimens: Employee Killed in a Railroad Accident/Incident
a. In compliance with Federal safety regulations ( 49 CFR Part 219), a railroad representative has requested that you obtain specimens for toxicology from the remains of a railroad employee who was killed in a railroad accident or incident. The deceased consented to the taking of such specimens, as a matter of Federal law, by performing service on the railroad ( 49 CFR 219.11(f)).
a. Blood - 20 milliliters or more. Preferred sites: intact femoral vein or artery or peripheral vessels (up to 10 ml, as available) and intact heart (20 ml). Deposit blood in gray-stopper tubes individually by site and shake to mix specimen and preservative.
b. Urine - as much as 100 milliliters, if available. Deposit into plastic bottles provided.
c. Vitreous fluid - all available, deposited into smallest available tube (e.g., 3 ml) with 1% sodium fluoride, or gray-stopper tube (provided). Shake to mix specimen and preservative.
d. If available at autopsy, organs - 50 to 100 grams each of two or more of the following in order preference, as available: liver, bile, brain, kidney, spleen, and/or lung. Specimens should be individually deposited into zip-lock bags or other clean, single use containers suitable for forensic specimens.
e. If vitreous or urine is not available, please provide -
1. Spinal fluid - all available, in 8 ml container (if available) with sodium fluoride or in gray-stopper tube; or, if spinal fluid cannot be obtained,
2. Gastric content - up to 100 milliliters, as available, into plastic bottle.
a. As each specimen is collected, seal each blood tube and each urine bottle using the respective blood tube or urine bottle using the identifier labels from the set provided with the Post-Accident Testing Blood/Urine Custody and Control Form ( 49 CFR part 219) (Form FRA F 6180.74 (revised)). Make sure the unique identification number on the labels match the pre-printed number on the Control Form. Please label other specimens with name and specimen set identification numbers. You may use labels and seals from any of the extra forms, but annotate them accordingly.
b. The railroad representative will also provide Accident Information Required for Post-Accident Toxicological Testing ( 49 CFR part 219), Form FRA 6180.73 (revised). Both forms should be placed in the shipping box when completed; but you may retain the designated medical facility copy of each form for your records.