# The breath alcohol testing form.

- **operation:** document
- **citation:** 49 CFR 40.59
- **title:** The breath alcohol testing form.
- **source type:** regulation
- **agency:** Pipeline and Hazardous Materials Safety Administration
- **status:** historical
- **official:** true
- **published on:** Not available
- **effective on:** 2000-10-01
- **summary:** (a) Each employer shall use the breath alcohol testing form prescribed under this part. The form is found in appendix A to this subpart. Employers may not modify or revise this form, except that a form directly generated by an EBT may omit the space for affixing a separate printed result to the form
- **machine formats:** - **json:** https://regulus.evalyn.ai/document/49-cfr-40-59.json
- **markdown:** https://regulus.evalyn.ai/document/49-cfr-40-59.md
- **app url:** https://regulus.evalyn.ai/document/49-cfr-40-59
- **source url:** https://www.govinfo.gov/app/details/CFR-2000-title49-vol1/CFR-2000-title49-vol1-sec40-59
**body:**

(a) Each employer shall use the breath alcohol testing form prescribed under this part. The form is found in appendix A to this subpart. Employers may not modify or revise this form, except that a form directly generated by an EBT may omit the space for affixing a separate printed result to the form.

(b) The form shall provide triplicate (or three consecutive identical) copies. Copy 1 (white) shall be transmitted to the employer. Copy 2 (green) shall be provided to the employee. Copy 3 (blue) shall be retained by the BAT. Except for a form generated by an EBT, the form shall be 81/2 by 11 inches in size.

[59 FR 7357, Feb. 15, 1994, as amended at 59 FR 43001, Aug. 19, 1994; 60 FR 19679, Apr. 20, 1995]
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- **body characters:** 711