Activity Summary sample.pdf
PDF 224 KB Posted
- Attached to
- Employee Drug and Alcohol Testing
- Solicitation number
- 99SWC-S4004
- Issued by
- Nevada
About this file
This Activity Summary document is a template used by the State of Nevada Department of Transportation for tracking drug and alcohol testing activities across multiple departments. The document provides a standardized reporting format for six categories of testing: DOT alcohol tests, DOT drug tests, non-DOT alcohol tests, non-DOT drug tests, client drug tests, and client alcohol tests. Each category contains subsections for different testing scenarios including pre-employment, post-accident, random selection, return to duty, follow-up, reasonable cause, and other classifications. The template is organized by department with columns for positions and totals, designed to capture testing volumes across Department 1, Department 2, and Department 3, with grand totals calculated for each testing category. All current values in the sample are zero, indicating this is a blank template awaiting data entry for specified date ranges.
This document serves as an administrative tracking tool supporting the State of Nevada's statewide employee drug and alcohol testing program outlined in the concurrent Request for Qualifications. The template enables state agencies to maintain organized records of testing activities across multiple departments and testing types, facilitating compliance monitoring and reporting under Federal Motor Carrier Safety Administration and U.S. Department of Transportation requirements. The standardized format allows for consistent data collection and analysis across the state's designated testing locations and vendor network, supporting the state's management of contracted collection and analysis services through the two-year contract period with renewal options.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Standard-form-contract~7.docx | DOCX document | |
| Vendor_Qualifications_Response_RFQ_99SWC-S4004.xlsx | XLSX spreadsheet | |
| Terms-and-conditions-for-services~9.pdf | ||
| Historical Testing Volumes.pdf | ||
| 99SWC-S4004 Bid_Answers.xlsx | XLSX spreadsheet | |
| INSURANCE REQUIREMENTS.docx | DOCX document | |
| RFQ_99SWC-S4004~1.docx | DOCX document | |
| Cost Schedule 99SWC-S4004.xlsx | XLSX spreadsheet | |
| Service Locations RFQ 99SWC-S4004.xlsx | XLSX spreadsheet | |
| Scope_of_Work_99SWC-S4004.docx | DOCX document | |
| Certification-regarding-lobbying~5.pdf | ||
| Quote Instructions.pdf | ||
| RFQ_99SWC-S4004 Revised.pdf |
Show all 13
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Activity Summary by Department
DOT Alcohol Tests From: [Date] to [Date]
Department/Account Pos Total Pos Total Pos Total Pos Total Pos Total Pos Total Pos Total Pos Total
Department 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Department 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Department 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Grand Totals: 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTALOtherReasonable CauseFollow-upPre-Employment Post-Accident Random Selection Return to Duty
DOT Drug Tests From: [Date] to [Date]
Department/Account Pos Total Pos Total Pos Total Pos Total Pos Total Pos Total Pos Total Pos Total
Department 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Department 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Department 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTALOtherPre-Employment Post-Accident Random Selection Return to Duty Follow-up Reasonable Cause
Activity Summary by Department
Non-DOT Alcohol Tests From: [Date] to [Date]
Department/Account Pos Total Pos Total Pos Total Pos Total Pos Total Pos Total
Department 1 0 0 0 0 0 0 0 0 0 0 0 0 Department 2 0 0 0 0 0 0 0 0 0 0 0 0 Department 3 0 0 0 0 0 0 0 0 0 0 0 0
Grand Totals: 0 0 0 0 0 0 0 0 0 0 0 0
TOTALPre-Employment Post-Accident Follow-up Reasonable Cause Other
Activity Summary by Department
Non-DOT Drug Tests From: [Date] to [Date]
Department/Account Pos Total Pos Total Pos Total Pos Total Pos Total Pos Total
Department 1 0 0 0 0 0 0 0 0 0 0 0 0 Department 2 0 0 0 0 0 0 0 0 0 0 0 0 Department 3 0 0 0 0 0 0 0 0 0 0 0 0
Grand Totals: 0 0 0 0 0 0 0 0 0 0 0 0
TOTALPre-Employment Post-Accident Follow-up Reasonable Cause Other
Client Drug Tests From: [Date] to [Date]
Department/Account Pos Total Pos Total Pos Total Pos Total Pos Total Pos Total Pos Total Pos Total
Department 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Department 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Department 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Other TOTALPre-Employment Post-Accident Random Selection Return to Duty Follow-up Reasonable Cause
Client Alcohol Tests From: [Date] to [Date]
Department/Account Pos Total Pos Total Pos Total Pos Total Pos Total Pos Total Pos Total Pos Total
Department 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Department 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Department 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Other TOTALPre-Employment Post-Accident Random Selection Return to Duty Follow-up Reasonable Cause
| DOT Alcohol Tests |
| DOT Drug Tests |
| Non-DOT Alcohol Tests |
| Non-DOT Drug Tests |
| Client Drug Tests |
| Client Alcohol Tests |
File details come from the government source that posted it. Updated .