Drug Screen Chain of Custody Log

Document specimen identification, collection conditions, seal placement, temperature checks, and chain-of-custody handoffs for drug screening with an audit trail.

Collection Record

• Specimen ID
  Enter the unique specimen identifier used for the audit trail.
• Collection Date
  Select the date the specimen was collected.
• Collection Time
  Enter the time the specimen was collected.
• Collection Site
  Optional location or site identifier for the collection event.
• Collector Name
  Name of the authorized collector completing the log.

Collection Conditions

• Collection Type
  Choose the collection method used.
• Collection Notes
  Document any relevant observations, exceptions, or events during collection.
• Was there any collection irregularity?
  Check if any issue occurred that should be documented in the audit trail.
• Irregularity Details
  Describe the irregularity only if one occurred.

Specimen Integrity Checks

• Temperature Checked
  Confirm whether the specimen temperature was checked immediately after collection.
• Temperature Within Acceptable Range
  Select the result of the temperature check if performed.
• Seal Placed
  Confirm that the specimen was sealed after collection.
• Seal Number
  Enter the seal identifier or tamper-evident seal number.

Chain of Custody Transfer

• Released To
  Name or role of the person receiving custody of the specimen.
• Transfer Date and Time
  Record when custody was transferred.
• Transfer Method
  Select how the specimen was transferred.
• Received By
  Name or role of the person who received the specimen at the next custody point.
• Custody Transfer Notes
  Add any notes about packaging, handoff conditions, or exceptions.

Results and Final Sign-Off

• Result Status
  Select the current status of the specimen result if known.
• Result Received Date
  Date the result was received, if applicable.
• Final Verification Complete
  Confirm the record has been reviewed for completeness.
• Verifier Name
  Name of the person completing final verification.