403 - Employees' Health and Well-Being

403 - Employees' Health and Well-Being dawn.gibson.cm… Thu, 06/11/2026 - 10:19

403.01 - Employee Physical Examinations

403.01 - Employee Physical Examinations

The North Tama County Community School District believes good health is important to job performance. School bus drivers will present evidence of good health upon initial hire and every other year in the form of a physical examination report, unless otherwise required by law or medical opinion.

The cost of the initial examination will be paid by the North Tama County Community School District. The form indicating the employee is able to perform the duties, with or without reasonable accommodation, for which the employee was hired, must be returned prior to the performance of duties. The cost of bus driver renewal physicals will be paid by the school district up to a maximum of $175.00. The school district will provide the standard examination form to be completed by the personal physician of the employee or a certified medical examiner for bus drivers.

Employees whose physical or mental health, in the judgment of the administration, may be in doubt will submit to additional examinations to the extent job-related and consistent with business necessity, when requested to do so, at the expense of the school district.

The district will comply with occupational safety and health requirements as applicable to its employees in accordance with law.  

  

 

Legal Reference:  29 C.F.R. § 1910.1030.
                                     49 C.F.R. §§ 391.41 – 391.49.
                                     Iowa Code §§ 20; 279.8; 321.376.
                                     281 I.A.C. 43.15; 43.17.

I.C. Iowa Code                                      Description
 Iowa Code § 20                                     Collective Bargaining
Iowa Code § 279.8                                Directors - General Rules - Bonds of Employees
Iowa Code § 321.376                            Motor Vehicle Laws - License Authorization

I.A.C. Iowa Administrative Code           Description
281 I.A.C. 43.15                                   Transportation - Bus Driver Physical Fitness

281 I.A.C. 43.17                                   Transportation - Insulin Dependent Diabetics  

C.F.R. - Code of Federal Regulations     Description
29 C.F.R. § 1910.1030                           Labor - Bloodborne Pathogens
49 C.F.R. 391                                       Transportation - Driver Qualifications

Cross References:  403.03  Communicable Diseases - Employees
                                         403.03-R(1)  Communicable Diseases - Employees - Regulation
                                         403.03-E(1)  Communicable Diseases - Employees - Hepatitis B Vaccine Information and Record

Approved: 2/15/2016, 8/16/2021, 7/21/2025
Reviewed: 6/16/2025
Revised: 6/16/2025

 

dawn.gibson.cm… Mon, 06/22/2026 - 12:09

403.02 - Employee Injury on the Job

403.02 - Employee Injury on the Job

When an employee becomes seriously injured on the job, the employee’s supervisor will attempt to notify a member of the family, or an individual of close relationship, as soon as the employee’s supervisor becomes aware of the injury.

If possible, an employee may administer emergency or minor first aid. An injured employee will be turned over to the care of the employee's family or qualified medical employees as quickly as possible. The school district is not responsible for medical treatment of an injured employee.

It is the responsibility of the employee injured on the job to inform the superintendent within twenty-four hours of the occurrence. It is the responsibility of the employee's immediate supervisor to file an accident report within twenty-four hours after the employee reported the injury.

It is the responsibility of the board secretary to file worker’s comp claims.

 

 

Legal Reference:  Iowa Code §§ 85; 279.40; 613.17.

I.C. Iowa Code                          Description
Iowa Code § 279.40                  Directors - Powers and Duties-Sick Leave
Iowa Code § 613.17                  Emergency Assistance in an Accident
Iowa Code § 85                         Workers Comp

Cross References:  409.02  Employee Leaves of Absence

Approved: 2/15/2016, 8/16/2021, 7/21/2025
Reviewed: 6/16/2025
Revised: 6/16/2025

 

dawn.gibson.cm… Mon, 06/22/2026 - 13:44

403.03 - Communicable Diseases - Employees

403.03 - Communicable Diseases - Employees

Employees with a communicable disease will be allowed to perform their customary employment duties provided they are able to perform the essential functions of their position and their presence does not create a substantial risk of illness or transmission to students or other employees. The term "communicable disease" will mean an infectious or contagious disease spread from person to person, or animal to person, or as defined by law.

Prevention and control of communicable diseases is included in the school district's bloodborne pathogens exposure control plan. The procedures will include scope and application, definitions, exposure control, methods of compliance, universal precautions, vaccination, post-exposure evaluation, follow-up, communication of hazards to employees and record keeping. This plan is reviewed annually by the superintendent and school nurse.

The health risk to immunodepressed employees is determined by their personal physician. The health risk to others in the school district environment from the presence of an employee with a communicable disease is determined on a case-by-case basis by the employee's personal physician, a physician chosen by the school district or public health officials.

Health data of an employee is confidential and it will not be disclosed to third parties. Employee medical records are kept in a file separate from their personal file.

It is the responsibility of the superintendent, in conjunction with the school nurse, to develop administrative regulations stating the procedures for dealing with employees with a communicable disease.

 

 

Legal Reference:  29 U.S.C. §§ 794, 1910.
                                      42 U.S.C. §§ 12101 et seq.
                                      45 C.F.R. Pt. 84.3.
                                      Iowa Code chs. 139A; 141A.
                                      641 I.A.C. .1, .2, .7.

I.C. Iowa Code                                      Description
Iowa Code § 139A                                Communicable/Infectious Diseases
Iowa Code § 141A                                AIDS

I.A.C. Iowa Administrative Code           Description
641 I.A.C.                                             Public Health Department

U.S.C. - United States Code                   Description
29 U.S.C. §§ 794                                   Labor - Vocation Rehab Rights

42 U.S.C. § 12101                                 Public Health - Equal Opportunity - Disabilities

C.F.R. - Code of Federal Regulations     Description
45 C.F.R. Pt. 84.3                                  Public Welfare - Nondiscrimination on Basis of Handicap/Programs

Cross References:  401.05  Employee Records
                                         401.05-R(1)  Employee Records - Regulation
                                         403.01  Employee Physical Examinations
                                         507.03  Communicable Diseases - Students
                                         907  District Operation During Public Emergencies
                                         907-R(1)  District Operation During Public Emergencies - Regulation

Approved: 2/15/2016, 8/16/2021, 7/21/2025
Reviewed: 6/16/2025
Revised: 6/16/2025

 

dawn.gibson.cm… Thu, 06/11/2026 - 10:19

403.03-E(1) - Communicable Diseases - Employees - Hepatitis B Vaccine Information and Record

403.03-E(1) - Communicable Diseases - Employees - Hepatitis B Vaccine Information and Record

The Disease

Hepatitis B is a viral infection caused by the Hepatitis B virus (HBV) which causes death in 1-2% of  those infected. Most people with HBV recover completely, but approximately 5-10% become chronic  carriers of the virus. Most of these people have no symptoms, but can continue to transmit the disease  to others. Some may develop chronic active hepatitis and cirrhosis. HBV may be a causative factor in  the development of liver cancer. Immunization against HBV can prevent acute hepatitis and its  complications.

 

The Vaccine

The HBV vaccine is produced from yeast cells. It has been extensively tested for safety and  effectiveness in large scale clinical trials.

Approximately 90 percent of healthy people who receive two doses of the vaccine and a third dose as a  booster achieve high levels of surface antibody (anti-HBs) and protection against the virus. The HBV  vaccine is recommended for workers with potential for contact with blood or body fluids. Full  immunization requires three doses of the vaccine over a six-month period, although some persons may  not develop immunity even after three doses.

There is no evidence that the vaccine has ever caused Hepatitis B. However, persons who have been  infected with HBV prior to receiving the vaccine may go on to develop clinical hepatitis in spite of  immunization.

 

Dosage and Administration

The vaccine is given in three intramuscular doses in the deltoid muscle. Two initial doses are given one  month apart and the third dose is given six months after the first.

 

Possible Vaccine Side Effects

The incidence of side effects is very low. No serious side effects have been reported with the vaccine.  Ten to 20 percent of persons experience tenderness and redness at the site of injection and low grade  fever. Rash, nausea, joint pain, and mild fatigue have also been reported. The possibility exists that  other side effects may be identified with more extensive use.

 

 

 

 

HEPATITIS B VACCINE INFORMATION AND RECORD

CONSENT FORM OF HEPATITIS B VACCINATION

 

I have knowledge of Hepatitis B and the Hepatitis B vaccination. I have had an opportunity to ask  questions of a qualified nurse or physician and understand the benefits and risks of Hepatitis B  vaccination. I understand that I must have three doses of the vaccine to obtain immunity. However, as  with all medical treatment, there is no guarantee that I will become immune or that I will not experience  side effects from the vaccine. I give my consent to be vaccinated for Hepatitis B.

 

______________________________________________________________                   _______________________________
Signature of Employee (consent for Hepatitis B vaccination)                                                                               Date

 

______________________________________________________________                   _______________________________
Signature of Witness                                                                                                                                             Date

 

 

 

REFUSAL FORM OF HEPATITIS B VACCINATION

I understand that due to my occupational exposure to blood or other potentially infectious materials I  may be at risk of acquiring the Hepatitis B virus infection. I have been given the opportunity to be  vaccinated with Hepatitis B vaccine at no charge to myself. However, I decline the Hepatitis B  vaccination at this time. I understand that by declining this vaccine, I continue to be at risk of acquiring  Hepatitis B, a serious disease. If in the future I continue to have occupational exposure to blood or other  potentially infectious materials and I want to be vaccinated with the Hepatitis B vaccine, I can receive  the vaccination series at no charge to me.

 

______________________________________________________________                   _______________________________
Signature of Employee (refusal for Hepatitis B vaccination)                                                                                 Date

 

______________________________________________________________                   _______________________________
Signature of Witness                                                                                                                                              Date

 

I refuse because I believe I have (check one)

 

______ started the series                        _______ completed the series

 

 

HEPATITIS B VACCINE INFORMATION AND RECORD

RELEASE FORM FOR HEPATITIS B MEDICAL INFORMATION

 

 

 

I hereby authorize _________________________ (individual or organization holding Hepatitis B records and  address) to release to the _______________________ Community School District, my Hepatitis B vaccination  records for required employee records.

 

I hereby authorize release of my Hepatitis B status to a health care provider, in the event of an exposure  incident.

 

______________________________________________________________                   _______________________________
Signature of Employee                                                                                                                                      Date

 

______________________________________________________________                   _______________________________
Signature of Witness                                                                                                                                          Date

 

 

 

 

HEPATITIS B VACCINE INFORMATION AND RECORD

CONFIDENTIAL RECORD

 

 

______________________________________________________________                   _______________________________
Employee Name (last, first, middle)                                                                                                                 Social Security No.

 

Job Title:  ________________________________________________________________

 

Hepatitis B Vaccination Date                 Lot Number                  Site                              Administered by

1 ______________________                  _______________         ________________            ________________________

2 ______________________                  _______________         ________________            ________________________

3 ______________________                  _______________         ________________            ________________________

 

Additional Hepatitis B status information:

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

 

Post-exposure incident: (Date, time, circumstances, route under which exposure occurred)

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

 

Identification and documentation of source individual:

_______________________________________________________________________________________________________

 

Source blood testing consent:

_______________________________________________________________________________________________________

 

Description of employee's duties as related to the exposure incident:

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

 

Copy of information provided to health care professional evaluating an employee after an exposure  incident:

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

 

Attach a copy of all results of examinations, medical testing, follow-up procedures, and health care  professional's written opinion.

 

Training Record: (date, time, instructor, location of training summary)

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

 

 

I.C. Iowa Code                                      Description
Iowa Code § 139A                                Communicable/Infectious Diseases
Iowa Code § 141A                                AIDS

 

I.A.C. Iowa Administrative Code           Description
641 I.A.C.                                             Public Health Department

U.S.C. - United States Code                   Description
29 U.S.C. §§ 794                                   Labor - Vocation Rehab Rights
42 U.S.C. § 12101                                 Public Health - Equal Opportunity - Disabilities

C.F.R. - Code of Federal Regulations     Description
45 C.F.R. Pt. 84.3                                  Public Welfare - Nondiscrimination on Basis of Handicap/Programs

Cross References:  401.05  Employee Records
                                          401.05-R(1)  Employee Records - Regulation
                                          403.01  Employee Physical Examinations
                                          507.03  Communicable Diseases - Students
                                          907  District Operation During Public Emergencies
                                          907-R(1)  District Operation During Public Emergencies - Regulation

Approved: 8/18/2025
Reviewed: 6/16/2025, 7/21/2025, 8/18/2025
Revised: 8/18/2025

 

dawn.gibson.cm… Thu, 06/11/2026 - 10:20

403.03-R(1) - Communicable Diseases - Employees - Regulation

403.03-R(1) - Communicable Diseases - Employees - Regulation

Universal precautions (UP) are intended to prevent transmission of infection, as well as decrease the risk of exposure for employees and students. It is not currently possible to identify all infected individuals, thus precautions must be used with every individual. UP pertains to blood and other potentially infectious materials (OPIM) containing blood. These precautions do not apply to other body fluids and wastes (OBFW) such as saliva, sputum, feces, tears, nasal secretions, vomitus and urine unless blood is visible in the material. However, these OBFW can be sources of other infections and should be handled as if they are infectious. The single most important step in preventing exposure to and transmission of any infection is anticipating potential contact with infectious materials in routine as well as emergency situations. Based on the type of possible contact, employees and students should be prepared to use the appropriate precautions prior to the contact. Diligent and proper hand washing, the use of barriers, appropriate disposal of waste products and needles, and proper decontamination of spills are essential techniques of infection control. All individuals should respond to situations practicing UP followed by the activation of the school response team plan. Using common sense in the application of these measures will enhance protection of employees and students.

 

Hand Washing

Proper hand washing is crucial to preventing the spread of infection. Textured jewelry on the hands or wrists should be removed prior to washing and kept off until completion of the procedure and the hands are rewashed. Use of running water, lathering with soap and using friction to clean all hand surfaces is key. Rinse well with running water and dry hands with paper towels.

  • Hands should be washed before physical contact with individuals and after contact is completed.
  • Hands should be washed after contact with any used equipment.
  • If hands (or other skin) come into contact with blood or body fluids, hands should be washed immediately before touching anything else.
  • Hands should be washed whether gloves are worn or not and, if gloves are worn, after the gloves are removed.

 

Barriers

Barriers anticipated to be used at school include disposable gloves, absorbent materials and resuscitation devices. Their use is intended to reduce the risk of contact with blood and body fluids as well as to control the spread of infectious agents from individual to individual. Gloves should be worn when in contact with blood, OPIM or OBFW. Gloves should be removed without touching the outside and disposed of after each use.

 

Disposal of Waste

Blood, OPIM, OBFW, used gloves, barriers and absorbent materials should be placed in a plastic bag and disposed of in the usual procedure. When the blood or OPIM is liquid, semi-liquid or caked with dried blood, it is not absorbed in materials, and is capable of releasing the substance if compressed, special disposal as regulated waste is required. A band aid, towel, sanitary napkin or other absorbed waste that does not have the potential of releasing the waste if compressed would not be considered regulated waste. It is anticipated schools would only have regulated waste in the case of a severe incident. Needles, syringes and other sharp disposable objects should be placed in special puncture-proof containers and disposed of as regulated waste. Bodily wastes such as urine, vomitus or feces should be disposed of in the sanitary sewer system.

 

Clean up

Spills of blood and OPIM should be cleaned up immediately. The employee should:

  • Wear gloves.
  • Clean up the spill with paper towels or other absorbent material.
  • Use a solution of one part household bleach to one hundred parts of water (1:100) or other EPA-approved disinfectant and use it to wash the area well.
  • Dispose of gloves, soiled towels and other waste in a plastic bag.
  • Clean and disinfect reusable supplies and equipment.

 

Laundry

Laundry with blood or OPIM should be handled as little as possible with a minimum of agitation. It should be bagged at the location. If it has the potential of releasing the substance when compacted, regulated waste guidelines should be followed. Employees who have contact with this laundry should wear protective barriers.

 

Exposure

An exposure to blood or OPIM through contact with broken skin, mucous membrane or by needle or sharp stick requires immediate washing, reporting and follow-up.

  • Always wash the exposed area immediately with soap and water.
  • If a mucous membrane splash (eye or mouth) or exposure of broken skin occurs, irrigate or wash the area thoroughly.
  • If a cut or needle stick injury occurs, wash the area thoroughly with soap and water.

The exposure should be reported immediately, the parent or guardian is notified, and the person exposed contacts a physician for further health care.

 

 

I.C. Iowa Code                                       Description
 Iowa Code § 139A                                 Communicable/Infectious Diseases

Iowa Code § 141A                                AIDS

I.A.C. Iowa Administrative Code           Description
641 I.A.C.                                             Public Health Department

U.S.C. - United States Code                   Description
29 U.S.C. §§ 794                                   Labor - Vocation Rehab Rights
42 U.S.C. § 12101                                 Public Health - Equal Opportunity - Disabilities

C.F.R. - Code of Federal Regulations     Description
45 C.F.R. Pt. 84.3                                  Public Welfare - Nondiscrimination on Basis of Handicap/Programs

Cross References:  401.05  Employee Records
                                         401.05-R(1)  Employee Records - Regulation
                                         403.01  Employee Physical Examinations
                                         507.03  Communicable Diseases - Students
                                         907  District Operation During Public Emergencies
                                         907-R(1)  District Operation During Public Emergencies - Regulation 
 

Approved: 2/15/2016, 8/16/2021, 9/15/2025
Reviewed: 8/15/2025
Revised: 8/15/2025 

 

dawn.gibson.cm… Thu, 06/11/2026 - 10:19

403.04 - Hazardous Chemical Disclosure

403.04 - Hazardous Chemical Disclosure

The board authorizes the development of a comprehensive hazardous chemical communication program for the school district to disseminate information about hazardous chemicals in the workplace.

Each employee will annually review information about hazardous substances in the workplace. When a new employee is hired or transferred to a new position or work site, the information and training, if necessary, is included in the employee's orientation. When an additional hazardous substance enters the workplace, information about it is distributed to all employees, and training is conducted for the appropriate employees. The superintendent will maintain a file indicating which hazardous substances are present in the workplace and when training and information sessions take place.

Employees who will be instructing or otherwise working with students will disseminate information about the hazardous chemicals with which they will be working as part of the instructional program.

It is the responsibility of the superintendent to develop administrative regulations regarding this program.

 

 

Legal Reference:  29 C.F.R. Pt. 1910; 1200 et seq.
                                      Iowa Code chs. 88; 89B.

I.C. Iowa Code                                      Description
Iowa Code § 88                                     OSHA
Iowa Code § 89B                                  Hazardous Chemicals - Right to Know

C.F.R. - Code of Federal Regulations     Description
29 C.F.R. Pt. 1910                                 Labor - OSHA

29 C.F.R. Pt. 1910.1200                        Labor - Hazard Communication

Cross References:  804.04  Asbestos Containing Material

Approved: 2/15/2016, 8/16/2021, 10/20/2025
Reviewed: 10/20/2025
Revised: 9/15/2025

 

dawn.gibson.cm… Mon, 06/22/2026 - 14:00

403.05 - Substance-Free Workplace

403.05 - Substance-Free Workplace

The board expects the school district and its employees to remain substance free. No employee will unlawfully manufacture, distribute, dispense, possess, use, or be under the influence of, in the workplace, any narcotic drug, hallucinogenic drug, amphetamine, barbiturate, marijuana or any other controlled substance or alcoholic beverage as defined by federal or state law. "Workplace" includes school district facilities, school district premises or school district vehicle, also includes nonschool property if the employee is at any school-sponsored, school-approved or school-related activity, event or function, such as field trips or athletic events where students are under the control of the school district or where the employee is engaged in school business.

If an employee is convicted of a violation of any criminal drug offense committed in the workplace, the employee will notify the employee's supervisor of the conviction within five days of the conviction.

The superintendent will make the determination whether to require the employee to undergo substance abuse treatment or to discipline the employee. An employee who violates the terms of this policy may be subject to discipline up to and including termination. An employee who violates this policy may be required to successfully participate in a substance abuse treatment program approved by the board. If the employee fails to successfully participate in a program, the employee may be subject to discipline up to and including termination.

The superintendent is responsible for publication and dissemination of this policy to each employee. In addition, the superintendent will oversee the establishment of a substance-free awareness program to educate employees about the dangers of substance abuse and notify them of available substance abuse treatment programs.

It is the responsibility of the superintendent to develop administrative regulations to implement this policy.  

 

 

Legal Reference:  41 U.S.C. §§ 81
                                      42 U.S.C. §§ 12101 et seq.
                                      34 C.F.R. Pt. 85
                                      Iowa Code §§ 123.46; 124; 279.8.

I.C. Iowa Code                          Description
 Iowa Code § 123.46                  Consumption/Intoxication in Public
Iowa Code § 124                       Controlled Substances
Iowa Code § 279.8                    Directors - General Rules - Bonds of Employees

U.S.C. - United States Code       Description
41 U.S.C. §§ 81                        Public Contracts - Drug-Free Workplace

42 U.S.C. § 12101                     Public Health - Equal Opportunity - Disabilities

Cross References                      Description
403.06                                      Drug and Alcohol Testing Program

403.06-E(1)                              Drug and Alcohol Testing Program - Notice to Employees

Cross References:  403.06-E(2)  Drug and Alcohol Testing Program - Pre-Employment Testing Acknowledgment Form
                                         403.06-E(3)   Drug and Alcohol Testing Program - Written Consent to Share Information
                                         404  Employee Conduct and Appearance
                                         404-R(1)  Employee Conduct and Appearance - Code of Professional Conduct and Ethics Regulation
                                         404-R(2)  Employee Conduct and Appearance - Code of Rights and Responsibilities Regulation

Approved: 2/15/2016, 8/16/2021, 10/20/2025
Reviewed: 10/20/2025
Revised: 9/15/2025

 

dawn.gibson.cm… Mon, 06/22/2026 - 14:02

403.05E(1) - Substance-Free Workplace Notice to Employees

403.05E(1) - Substance-Free Workplace Notice to Employees

EMPLOYEES ARE HEREBY NOTIFIED it is a violation of the Substance-Free Workplace policy for an  employee to unlawfully manufacture, distribute, dispense, possess, use, or be under the influence of in the  workplace any narcotic drug, hallucinogenic drug, amphetamine, barbiturate, marijuana or any other controlled  substance or alcohol, as defined in Schedules I through V of section 202 of the Controlled Substances Act (21  U.S.C. 812) and as further defined by regulation at 21 C.F.R. 1300.11 through 1300.15 and IOWA CODE Chapter 124.

"Workplace" is defined as the site for the performance of work done in the capacity as an employee. This  includes school district facilities, other school premises or school district vehicles. Workplace also includes  nonschool property if the employee is at any school-sponsored, school-approved or school-related activity,  event or function, such as field trips or athletic events where students are under the control of the school  district or where the employee is engaged in school business.

[Employees who violate the terms of the Substance-Free Workplace policy may be required to successfully  participate in a substance abuse treatment program approved by the board.] The superintendent retains the  discretion to discipline an employee for violation of the Substance-Free Workplace policy. If the employee  fails to successfully participate in such a program the employee is subject to discipline up to and including  termination.

EMPLOYEES ARE FURTHER NOTIFIED it is a condition of their continued employment that they comply  with the above policy of the school district and will notify their supervisor of their conviction of any criminal  drug statute for a violation committed in the workplace, no later than five days after the conviction.

 

 

 

-----------------------------------------------------------------------------------------------------------------------------

 

 

 

SUBSTANCE-FREE WORKPLACE ACKNOWLEDGMENT FORM

I, ___________________________________, have read and understand the Substance-Free Workplace policy. I  understand that if I violate the Substance-Free Workplace policy, I may be subject to discipline up to and  including termination [or I may be required to participate in a substance abuse treatment program]. If I fail  to successfully participate in a substance abuse treatment program, I understand I may be subject to discipline  up to and including termination. I understand that if I am required to participate in a substance abuse treatment  program and I refuse to participate, I may be subject to discipline up to and including termination. I also  understand that if I am convicted of a criminal drug offense committed in the workplace, I must report that  conviction to my supervisor within five days of the conviction.

 

____________________________________________________              _____________________________________________
(Signature of Employee)                                                                                                           (Date)

 

 

I.C. Iowa Code                          Description
Iowa Code § 123.46                  Consumption/Intoxication in Public
Iowa Code § 124                       Controlled Substances
Iowa Code § 279.8                    Directors - General Rules - Bonds of Employees

U.S.C. - United States Code       Description
41 U.S.C. §§ 81                        Public Contracts - Drug-Free Workplace
42 U.S.C. § 12101                     Public Health - Equal Opportunity - Disabilities

Cross References:  403.06  Drug and Alcohol Testing Program
                                         403.06-E(1)  Drug and Alcohol Testing Program - Notice to Employees
                                         403.06-E(2)  Drug and Alcohol Testing Program - Pre-Employment Testing Acknowledgment Form
                                         403.06-E(3)  Drug and Alcohol Testing Program - Written Consent to Share Information
                                         404  Employee Conduct and Appearance
                                         404-R(1)  Employee Conduct and Appearance - Code of Professional Conduct and Ethics Regulation
                                         404-R(2)  Employee Conduct and Appearance - Code of Rights and Responsibilities Regulation

Approved: 2/15/2016, 8/16/2021, 10/20/2025
Reviewed: 10/20/2025
Revised: 9/15/2025

 

dawn.gibson.cm… Mon, 06/22/2026 - 14:05

403.05R1 - Substance-Free Workplace - Regulation

403.05R1 - Substance-Free Workplace - Regulation

A superintendent who suspects an employee has a substance abuse problem will follow these procedures:

1. Identification - the superintendent will document the evidence the superintendent has which leads the superintendent to conclude the employee has violated the Substance-Free Workplace policy. After the superintendent has determined there has been a violation of the Substance-Free Workplace policy, the superintendent will discuss the problem with the employee.

2. Discipline - if, after the discussion with the employee, the superintendent determines there has been a violation of the Substance-Free Workplace policy, the superintendent may recommend discipline up to and including termination [or may recommend the employee seek substance abuse treatment]. Participation in a substance abuse treatment program is voluntary.

3. Failure to participate in referral – if the employee refuses to participate in a substance abuse treatment program or if the employee does not successfully complete a substance abuse treatment program, the employee may be subject to discipline up to and including termination.

4. Conviction - if an employee is convicted of a criminal drug offense committed in the workplace, the employee must notify the employer of the conviction within five days of the conviction.

 

 

I.C. Iowa Code                                      Description
Iowa Code § 123.46                              Consumption/Intoxication in Public
Iowa Code § 124                                   Controlled Substances
Iowa Code § 279.8                                Directors - General Rules - Bonds of Employees

U.S.C. - United States Code                   Description
41 U.S.C. §§ 81                                    Public Contracts - Drug-Free Workplace
42 U.S.C. § 12101                                 Public Health - Equal Opportunity - Disabilities

Cross References:  403.06  Drug and Alcohol Testing Program
                                         403.06-E(1)  Drug and Alcohol Testing Program - Notice to Employees
                                         403.06-E(2)  Drug and Alcohol Testing Program - Pre-Employment Testing Acknowledgment Form
                                         403.06-E(3)  Drug and Alcohol Testing Program - Written Consent to Share Information
                                         404  Employee Conduct and Appearance                                          
                                         404-R(1)  Employee Conduct and Appearance - Code of Professional Conduct and Ethics Regulation
                                         404-R(2)  Employee Conduct and Appearance - Code of Rights and Responsibilities Regulation

Approved: 8/16/2021, 10/20/2025
Reviewed: 10/20/2025
Revised: 9/15/2025

 

dawn.gibson.cm… Mon, 06/22/2026 - 14:09

403.06 - Drug and Alcohol Testing Program

403.06 - Drug and Alcohol Testing Program

Employees who operate school vehicles are subject to drug and alcohol testing if a commercial driver's license is required to operate the school vehicle and the school vehicle transports sixteen or more persons including the driver or the school vehicle weighs twenty-six thousand one pounds or more. For purposes of the drug and alcohol testing program, the term "employees" includes applicants who have been offered a position to operate a school vehicle.

The employees operating a school vehicle as described above are subject to pre-employment drug testing and random, reasonable suspicion and post-accident drug and alcohol testing. Employees operating school vehicles will not perform a safety-sensitive function within four hours of using alcohol. Employees governed by this policy are subject to the drug and alcohol testing program beginning the first day they operate or are offered a position to operate school vehicles and continue to be subject to the drug and alcohol testing program as long as they may be required to perform a safety-sensitive function as it is defined in the administrative regulations. Employees with questions about the drug and alcohol testing program may contact the school district contact person, Superintendent of Schools, at 605 Walnut Street, Traer, IA 50675.

Employees who violate the terms of this policy are subject to discipline, up to and, including termination. The district is required to keep a record of all drug or alcohol violations by employees for a minimum of five years. Employees are put on notice that information related to drug or alcohol violations will be reported to the Federal Motor Carrier Safety Administration (FMCSA) Clearinghouse. Additionally, the district will conduct FMCSA Clearinghouse queries for employees annually. Employees must provide written consent for the district to conduct FMCSA Clearinghouse queries; however, employees who choose to withhold consent will be prohibited from performing any safety sensitive functions

It is the responsibility of the superintendent to develop administrative regulations to implement this policy in compliance with the law. The superintendent will inform applicants of the requirement for drug and alcohol testing in notices or advertisements for employment.

The superintendent will also be responsible for publication and dissemination of this policy and supporting administrative regulations and forms to employees operating school vehicles. The superintendent will also oversee a substance-free awareness program to educate employees about the dangers of substance abuse and notify them of available substance abuse treatment resources and programs.

IASB Drug and Alcohol Testing Program (IDATP) Web site:

https://www.ia-sb.org/Main/Affiliated_Programs/Iowa_Drug_Alcohol_Testing_Program.aspx.

 

 

Legal Reference:  American Trucking Association, Inc., v. Federal Highway Administration, 51 Fed. 3rd
                                       405 Cir. (4th 1995).
                                       49 U.S.C. §§ 5331 et seq.
                                       42 U.S.C. §§ 12101.
                                       41 U.S.C. §§ 81.
                                       49 C.F.R. Pt. 40; 382; 39.
                                       34 C.F.R. Pt. 85.
                                       Local 301, Internat'l Assoc. of Fire Fighters, AFL-CIO, and City of Burlington, PERB No. 3876 (3-26-91).
                                       Iowa Code §§ 124; 279.8; 321.375(2); 730.5.

I.C. Iowa Code                                      Description
Iowa Code § 124                                    Controlled Substances
Iowa Code § 279.8                                Directors - General Rules - Bonds of Employees
Iowa Code § 321.375                            Motor Vehicles - Bus Drivers
Iowa Code § 730.5                                Drug-Free Workplaces

U.S.C. - United States Code                   Description
41 U.S.C. §§ 81                                    Public Contracts - Drug-Free Workplace

42 U.S.C. § 12101                                 Public Health - Equal Opportunity - Disabilities
49 U.S.C. §§ 5331                                 Transportation - Testing /Controlled Substances

C.F.R. - Code of Federal Regulations     Description
49 C.F.R. Pt. 382                                   Transportation - Controlled Substances and Alcohol Use Testing

49 C.F.R. Pt. 390                                   Transportation - Federal Motor Carrier Safety Regulations
49 C.F.R. Pt. 40                                    Transportation - Drug and Alcohol Testing Procedures

Cross References:  403.05  Substance-Free Workplace
                                         403.05-R(1)  Substance-Free Workplace - Regulation
                                         403.05-E(1)  Substance-Free Workplace - Notice to Employees
                                         409.02  Employee Leaves of Absence
 

Approved: 2/15/2016, 8/16/2021, 7/21/2025
Reviewed: 6/16/2025
Revised: 6/16/2025

 

dawn.gibson.cm… Mon, 06/22/2026 - 14:18

403.06E(1) - Drug and Alcohol Testing Program Notice to Employees

403.06E(1) - Drug and Alcohol Testing Program Notice to Employees

EMPLOYEES GOVERNED BY THE DRUG AND ALCOHOL TESTING POLICY ARE HEREBY NOTIFIED they are subject to the school district's drug and alcohol testing program for pre-employment drug testing and random, reasonable suspicion and post-accident drug and alcohol testing as outlined in the Drug and  Alcohol Testing Program policy, its supporting documents and the law.

Employees who operate school vehicles are subject to drug and alcohol testing if a commercial driver's license is  required to operate the school vehicle and the school vehicle transports sixteen or more persons including the  driver or the school vehicle weighs twenty-six thousand, one pounds or more. For purposes of the drug and  alcohol testing program, "employees" also includes applicants who have been offered a position to operate a  school vehicle. The employees operating a school vehicle are subject to the drug and alcohol testing program  beginning the first day they operate or are offered a position to operate a school vehicle and continue to be  subject to the drug and alcohol testing program.

It is the responsibility of the superintendent to inform employees of the drug and alcohol testing program requirements. Employees with questions regarding the drug and alcohol testing requirements will contact the school district contact person.

EMPLOYEES GOVERNED BY THE DRUG AND ALCOHOL TESTING POLICY ARE FURTHER NOTIFIED that employees violating this policy, its supporting documents or the law may be subject to discipline up to and including termination. 

EMPLOYEES GOVERNED BY THE DRUG AND ALCOHOL TESTING POLICY ARE FURTHER NOTIFIED that information related to drug or alcohol violations will be reported to the Federal Motor Carrier Safety Administration (FMCSA) Clearinghouse.

EMPLOYEES GOVERNED BY THE DRUG AND ALCOHOL TESTING POLICY ARE FURTHER  NOTIFIED it is a condition of their continued employment to comply with the Drug and Alcohol Testing  Program policy, its supporting documents and the law. It is a condition of continued employment for employees  operating a school vehicle to notify their supervisor of any prescription medication they are using. Drug and  alcohol testing records about a driver are confidential and are released in accordance with this policy, its  supporting documents or the law.

NOTE: This form also assumes the school district will terminate the driver upon violation of this policy and its supporting documents. Should a school district, after careful consideration, choose to retain the option not to  terminate for violation of this policy, consideration should be given to changing the first and third paragraph to  read: 

EMPLOYEES GOVERNED BY THE DRUG AND ALCOHOL TESTING POLICY ARE HEREBY NOTIFIED they are subject to the school district's drug and alcohol testing program for pre-employment drug testing and random, reasonable suspicion, post-accident, return-to-duty, and follow-up drug and alcohol testing as outlined in the Drug and Alcohol Testing Program policy, its supporting documents and the law.

For school districts choosing to pay for the substance abuse evaluation and rehabilitation, if any:

EMPLOYEES GOVERNED BY THE DRUG AND ALCOHOL TESTING POLICY ARE FURTHER NOTIFIED  that employees violating this policy, its supporting documents or the law may be subject to discipline up to and including termination at the discretion of the school district. As a condition of continued employment,  employees violating this policy, its supporting documents or the law will be required to successfully participate  in a substance abuse evaluation and a substance abuse treatment program recommended by a substance abuse professional. Employees required to participate in and who fail to or refuse to successfully participate in a  substance abuse evaluation or recommended substance abuse treatment program may be subject to discipline  up to and including termination.

For school districts choosing to make the driver bear the personal and financial responsibility for the substance  abuse evaluation and rehabilitation, if any:

EMPLOYEES GOVERNED BY THE DRUG AND ALCOHOL TESTING POLICY ARE FURTHER NOTIFIED  that employees violating this policy, its supporting documents or the law may be subject to discipline up to and  including termination. As a condition of continued employment, employees violating this policy, its supporting  documents or the law bear the personal and financial responsibility, as a condition of continued employment, to successfully participate in a substance abuse evaluation and, a substance abuse treatment program  recommended by the substance abuse professional. Employees required to participate in and who fail to or  refuse to successfully participate in a substance abuse evaluation or recommended substance abuse treatment  program may be subject to discipline up to and including termination.

The format of this notice is not specifically required by the federal regulations. It is designed to provide a  starting point for school districts to develop their own form. However, the federal regulations do require the  drivers have notice of the drug and alcohol testing program. Under the federal regulations, school districts may  require their drivers to notify them of any prescription medications they are using. School districts which do not  want to be informed may delete this language from this notice.

 

 

 

I.C. Iowa Code                                      Description
 Iowa Code § 124                                                Controlled Substances
Iowa Code § 279.8                                            Directors - General Rules - Bonds of Employees
Iowa Code § 321.375                            Motor Vehicles - Bus Drivers
Iowa Code § 730.5                                            Drug-Free Workplaces

U.S.C. - United States Code                   Description
41 U.S.C. §§ 81                                                Public Contracts - Drug-Free Workplace
42 U.S.C. § 12101                                             Public Health - Equal Opportunity - Disabilities
49 U.S.C. §§ 5331                                             Transportation - Testing /Controlled Substances

C.F.R. - Code of Federal Regulations     Description
49 C.F.R. Pt. 382                                               Transportation - Controlled Substances and Alcohol Use Testing
49 C.F.R. Pt. 390                                               Transportation - Federal Motor Carrier Safety Regulations
49 C.F.R. Pt. 40                                                Transportation - Drug and Alcohol Testing Procedures

Cross References:  403.05  Substance-Free Workplace
                                          403.05-R(1)  Substance-Free Workplace - Regulation
                                          403.05-E(1)  Substance-Free Workplace - Notice to Employees
                                          409.02  Employee Leaves of Absence
   

Approved: 2/15/2016, 8/16/2021, 7/21/2025
Reviewed: 6/16/2025
Revised: 6/16/2025

 

dawn.gibson.cm… Mon, 06/22/2026 - 14:21

403.06E(2) - Drug and Alcohol Testing Program Acknowledgment Form

403.06E(2) - Drug and Alcohol Testing Program Acknowledgment Form

I, ( Name of Employee ), have received a copy, read and understand the Drug and Alcohol Testing Program policy of the North Tama County Community School District and its supporting documents. 

I understand that if I violate the Drug and Alcohol Testing Program policy, its supporting documents or the law, I may be subject to discipline up to and including termination.

I also understand that I must inform my supervisor of any prescription medication I use. 

In addition, I have received a copy of the U.S. DOT publication, “What Employees Need to Know about DOT Drug & Alcohol Testing,” and have read and understood its contents.

Furthermore, I know and understand that I am required to submit to a controlled substance (drug) test, the results of  which must be received by this employer before being employed by the school district and before being allowed to  perform a safety-sensitive function. I also understand that if the results of the pre-employment test are positive, that  I will not be considered further for employment with the school district. 

I further understand that drug and alcohol testing records and information about me are confidential, and may be released at my request or in accordance with the district’s drug and alcohol testing program policy, its supporting  documents or the law.

__________________________________________________                ________________________
(Signature of Employee)                                                                                                               (Date)

POLICY NOTE: Under federal regulations, school districts may require their drivers to notify them of any  prescription medications they are using. School districts which do not want to be informed may delete this  language from this notice.

This form assumes the school district will terminate the driver upon violation of this policy and its supporting  documents. Should a school district, after careful consideration, choose to retain the option not to terminate for  violation of this policy, consideration should be given to changing the second paragraph to read: 

I understand that if I violate the Drug and Alcohol Testing Program policy, its supporting documents or the law, I  may be subject to discipline up to and including termination or I may be required to successfully participate in a  substance abuse evaluation and a substance abuse treatment program, if recommended by the substance abuse  professional. If I am required to and fail to or refuse to successfully participate in a substance abuse evaluation or  recommended substance abuse treatment program, I understand I may be subject to discipline up to and including  termination.

 

 

I.C. Iowa Code                                      Description
 Iowa Code § 124                                                Controlled Substances
Iowa Code § 279.8                                            Directors - General Rules - Bonds of Employees
Iowa Code § 321.375                            Motor Vehicles - Bus Drivers
Iowa Code § 730.5                                            Drug-Free Workplaces

U.S.C. - United States Code                   Description
41 U.S.C. §§ 81                                                Public Contracts - Drug-Free Workplace
42 U.S.C. § 12101                                             Public Health - Equal Opportunity - Disabilities
49 U.S.C. §§ 5331                                             Transportation - Testing /Controlled Substances

C.F.R. - Code of Federal Regulations     Description
49 C.F.R. Pt. 382                                               Transportation - Controlled Substances and Alcohol Use Testing
49 C.F.R. Pt. 390                                               Transportation - Federal Motor Carrier Safety Regulations
49 C.F.R. Pt. 40                                                Transportation - Drug and Alcohol Testing Procedures

Cross References:  403.05  Substance-Free Workplace
                                            403.05-R(1)  Substance-Free Workplace - Regulation
                                            403.05-E(1)  Substance-Free Workplace - Notice to Employees
                                            409.02  Employee Leaves of Absence
   

Approved: 7/21/2025
Reviewed: 6/16/2025
Revised: 6/16/2025

 

dawn.gibson.cm… Mon, 06/22/2026 - 14:25

403.06E(3) - Drug & Alcohol Program Pre-Employment Testing Written Consent to Share Information

403.06E(3) - Drug & Alcohol Program Pre-Employment Testing Written Consent to Share Information

I, ( Name of Employee ), understand that as part of my employment in a position that requires a commercial driver’s license in the North Tama County Community School District, I grant consent for the District to conduct queries of the Federal Motor  Carrier Safety Administration (“FMCSA”) Commercial Driver’s License Drug and Alcohol Clearinghouse to  determine whether drug or alcohol violation information about me exists in the Clearinghouse. I further consent to  the District sharing information related to my drug and alcohol testing results with prior, current and future  employers, as well as the FMCSA Clearinghouse in accordance with state and federal laws. 

I understand that the District will check and perform queries of my drug and alcohol testing results prior to my  employment in any position which requires the use of a commercial driver’s license. I further understand the  District will check and perform queries of my testing results annually and is required to report any drug and alcohol  violations of this policy to the FMCSA Clearinghouse. 

I understand that I am not required to consent to the query of the FMCSA Clearinghouse or the District sharing of  drug and alcohol testing information with past, present or future employers or the FMCSA Clearinghouse; but that  without my consent I understand I will be prohibited from performing safety sensitive functions, including driving a  commercial motor vehicle, as required by FMCSA’s drug and alcohol program regulations. 

I hereby give my consent to the District to perform queries of the FMCSA Clearinghouse and share my drug and alcohol testing results with past, present and future employers, as well as the FMCSA Clearinghouse.  

 

__________________________________________________                ________________________
(Signature of Employee)                                                                                                             (Date)

 

 

I.C. Iowa Code                                      Description
Iowa Code § 124                                                Controlled Substances
Iowa Code § 279.8                                            Directors - General Rules - Bonds of Employees
Iowa Code § 321.375                            Motor Vehicles - Bus Drivers
Iowa Code § 730.5                                            Drug-Free Workplaces
 

U.S.C. - United States Code                   Description
41 U.S.C. §§ 81                                                Public Contracts - Drug-Free Workplace
42 U.S.C. § 12101                                             Public Health - Equal Opportunity - Disabilities
49 U.S.C. §§ 5331                                             Transportation - Testing /Controlled Substances

C.F.R. - Code of Federal Regulations     Description
49 C.F.R. Pt. 382                                               Transportation - Controlled Substances and Alcohol Use Testing
49 C.F.R. Pt. 390                                               Transportation - Federal Motor Carrier Safety Regulations
49 C.F.R. Pt. 40                                                Transportation - Drug and Alcohol Testing Procedures

Cross References:  403.05  Substance-Free Workplace
                                          403.05-R(1)  Substance-Free Workplace - Regulation
                                          403.05-E(1)  Substance-Free Workplace - Notice to Employees

                                          409.02  Employee Leaves of Absence

Approved: 7/21/2025
Reviewed: 6/16/2025
Revised: 6/16/2025

 

dawn.gibson.cm… Mon, 06/22/2026 - 14:29