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Run: Drug Screen Chain of Custody Log

Track every drug screen handoff, seal check, and result sign-off in one audit-ready log. This template helps you document specimen integrity and custody chan...

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Collection Record

Specimen ID (required)

Enter the unique specimen identifier used for the audit trail.

Collection Date (required)

Select the date the specimen was collected.

Collection Time (required)

Enter the time the specimen was collected.

Collection Site

Optional location or site identifier for the collection event.

Collector Name (required)

Name of the authorized collector completing the log.

Collection Conditions

Collection Type (required)

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.

Yes No N/A

Irregularity Details

Describe the irregularity only if one occurred.

Specimen Integrity Checks

Temperature Checked (required)

Confirm whether the specimen temperature was checked immediately after collection.

Yes No N/A

Temperature Within Acceptable Range

Select the result of the temperature check if performed.

Seal Placed (required)

Confirm that the specimen was sealed after collection.

Yes No N/A

Seal Number

Enter the seal identifier or tamper-evident seal number.

Chain of Custody Transfer

Released To (required)

Name or role of the person receiving custody of the specimen.

Transfer Date and Time (required)

Record when custody was transferred.

Transfer Method (required)

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 (required)

Confirm the record has been reviewed for completeness.

Yes No N/A

Verifier Name

Name of the person completing final verification.

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