EXAMPLE 3 – Statement of Company Policy

We are pleased that you are a part of (Company Name). It is our desire that we establish a sound working relationship based on trust and cooperation. To accomplish this, it is important for you to know, understand, and follow established rules and policies that affect you and help keep (Company Name) strong.

Accident prevention and safety are high priority items with (Company Name). You will be expected to read and become knowledgeable about the following Company safety policies and work rules.

Should it be necessary for you to drive a Company vehicle, you will be required to be an approved driver. The approval process includes review of your motor vehicle record, obtained from the Texas Department of Public Safety. If a record shows serious violations (driving while intoxicated or under influence of drugs or repeated violations) you could be prohibited from becoming an approved driver. You are expected to observe all traffic laws, use your seatbelt, drive your vehicle only on Company authorized business, and not drive if you are in a mental or physical condition that impairs your driving judgement or ability.

(Company Name) prohibits the illegal use, possession, transportation, or sale of drugs and the unauthorized use of alcoholic beverages, firearms, or explosives during work hours. Company employees must not report for duty under the influence of any drug, alcoholic beverage, intoxicant, or other substance, including legally prescribed drugs and medicines, which will in any way affect work ability, alertness, coordination, response, or risk the safety of fellow workers or the general public.


If a Drug Screening and Search and Seizure Program is to be used, use the following three paragraphs:During the course of your employment, you are subject to inspection for possession or use of unauthorized materials such as alcohol, drugs, or firearms as required by our policies or those of companies with which we do business. Your entry into or presence on Company work sites, vehicles, or owned property is conditioned on the Company’s right to search any employee’s property, including lunch boxes, lockers, bags, and private vehicles (including trunks, glove compartments, etc.). By entering into or being present on Company controlled or provided work sites, vehicles or owned property, any person is deemed to have consented to such searches which may include periodic and unannounced searches of anyone while on, entering, or leaving such facilities. This is a condition of employment.

These searches may include the use of electric or electronic detection devices, scent-trained animals, or the taking of blood or urine samples for testing to determine the presence of substances prohibited by this policy. The Company will pay for the full cost of any tests and transportation to and from such tests.

If you chose not to consent to the search or medical testing, you are subject to discipline up to and including suspension or termination based upon observable symptoms or any other information. All searches will be conducted in the presence of (Company Name) representatives.

If Drug Screening and Search and Seizure Program is not used use this paragraph:

As a part of (Company Name) you are expected to maintain your internal and external work relationships in a professional manner. Good faith compliance with applicable laws, rules and regulations is expected.


(Company Name) is committed to compliance with laws and regulations designed to prevent discrimination against any individual because of sex, race, color, creed, or age. This includes maintaining an environment which promotes equal employment opportunity and maintaining a work atmosphere free of behavior that is or may be viewed as offensive to any other employee or group of employees. It also includes the right of an employee to be free from sexual harassment and to have the ability to report such incidents without fear of reprisal.

This summary does not and is not intended to cover all applicable policies. It is only a guide to give employees management opinions on several areas.

Even though this may seem like a large amount of information, it is important that this information does not go unsaid. We believe it is your right to have these rules expressed to you, to know what is expected of you, and to know how (Company Name) manages its business. These policies represent good business and personal ethics that form the foundation of this organization.

Signature of Company President or Operating Officer


I hereby acknowledge receiving, reading and understanding (Company Name) policy and work rules. I fully understand the provisions of the policies and rules and hereby consent to them, (for drug program add this: and to searches and/or testing for detection of drugs, intoxicating beverages, firearms, and unauthorized explosives). I will perform my job in the safest manner possible in order to prevent injury to myself, my fellow employees, and the general public.

Signature of Employee Date

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