In Accordance with AR 600-85

Tape Signs Gloves Cups Labels DD2624 Unit ledger Alpha roster Observer

Statements

Have the Soldier remove their ACU top

Make sure the Soldier has an ID card If there is no ID card, verify the ID of

a soldier in another way

Have the soldier look at their personal information on the DD 2624, unit roster, and bottle label

If the information is incorrect, draw a line through the incorrect information, write the correct information, initial, and date

Makes sure the cap is tight Makes sure the specimen has 30ml Makes sure the specimen is not

adulterated If adulteration is suspected, have the

Soldier stand fast and notify the commander.

Puts tape on the bottle Initials the bottle

The Observer signs the ledger The Donor signs the ledger The UPL Returns the ID Card to the

donor.

It is good to go through the box at the end of the process to verify that all the bottles have been taped, are in the correct slot, and that all have been initialed by the donor and UPL

ACTION YES NO

Has Materials

Briefs Observers

Checks Personal Info

Soldier Initials Label

Specimin Returned

30ml/no adulturation

UPL Initials Bottle

UPL Puts tape on bottle

Observer and Donor Sign in proper order

• The Donor

The Observer never touches the bottle.

Donor Initials Bottle LabelUPL Initials Bottle Label

Observer signs the Unit Roster Donor Signs the Unit Roster

Put the following in order: Donor signs unit roster, UPL initials bottle label, observer signs unit roster, donor initials bottle label.

How do you make a correction?

Use one line to cross out incorrect information and initial

Cross out incorrect information and type a correction statement

Use white out

Black out the incorrect information

Use one line to cross out the incorrect information, initial, and date