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D.4.16 Blood Samples shall be transported in accordance with Article 9 and WADA’s Guidelines for Sample Collection.
The transport procedure is the responsibility of the DCO .
Blood Samples shall be transported in a device that maintains the integrity of Samples over time, in a cool and constant environment, measured by a temperature data logger notwithstandi ng changes in external temperature.
The transport device shall be transported by secure means using a method authorized by the Testing Authority or Sample Collection Authority .
ISTI – Effective 1 January 2023 Page 71 of 92 ANNEX E - URINE SAMPLES - INSUFFICIENT VOLUME E.1 Objective To ensure that where a Suitable Volume of Urine for Analysis is not provided, appropriate procedures are followed.
E.2 Scope The procedure begins with informing the Athlete that the Sample that they have provided is not of Suitable Volume of Urine for Analysis and ends with the Athlete’s provision of a Sample of sufficient volume.
E.3 Responsibility The DCO has the responsibility for declaring the Sample volume insufficient and for collecting the additional Sample(s) to obtain a combined Sample of sufficient volume.
E.4 Requirements E.4.1 If the Sample collected is of insufficient volume, the DCO shall inform the Athlete that a further Sample shall be collected to meet the Suitable Volume of Urine for Analysis requirements.
E.4.2 The DCO shall instruct the Athlete to select partial Sample Collection Equipment in accordance with Annex C.4.3.
E.4.3 The DCO shall then instruct the Athlete to open the relevant equipment, pour the insufficient Sample into the new container (unless the Sample Collection Authority’s procedures permit retention of the insufficient Sample in the original collection vessel) and seal it using a partial Sample sealing system, as directed by the DCO .
The DCO shall check, in full view of the Athlete, that the container (or original collection vessel, if applicable) has been properly sealed.
E.4.4 The DCO shall record the partial Sample number and the volume of the insufficient Sample on the Doping Control form and confirm its accuracy with the Athlete.
The DCO shall retain control of the sealed partial Sample.
E.4.5 While waiting to provide an additional Sample, the Athlete shall remain under continuous observation and be given the opportunity to hydrate in accordance with Article 7.3.3.
E.4.6 When the Athlete is able to provide an additional Sample, the procedures for collection of the Sample shall be repeated as prescribed in Annex C - Collection of Urine Samples , until a sufficient volume of urine will be provided by combining the initial and additional Sample(s) .
E.4.7 Following each Sample provided, the DCO and Athlete shall check the integrity of the seal(s) on the container(s) containing the previously provided partial Sample(s).
Any irregularity with the integrity of the seal(s) will be recorded by the DCO and investigated according to Annex A - Review of a P ossible Failure to Comply of the International Standard for Results Management .
The DCO may request that an additional Sample is ISTI – Effective 1 January 2023 Page 72 of 92 collected from the Athlete.
A refusal to provide a further Sample if requested, where the minimum requirements for Sample collection volume are not met , shall be recorded by the DCO and dealt with as a potential Failure to Comply in accordance with the International Standard for Results Management .
E.4.8 The DCO shall then direct the Athlete to break the seal(s) and combine the Samples , ensuring that additional Samples are added in the order they were collected to the original partial Sample until, as a minimum, the requirement for Suitable Volume of Urine for Analysis is met.
E.4.9 The DCO and the Athlete shall then continue with Annex C.4.12 or Annex C.4.14 as appropriate.
ISTI – Effective 1 January 2023 Page 73 of 92 ANNEX F - URINE SAMPLES THAT DO NOT MEET THE REQUIREMENT FOR SUITABLE SPECIFIC GRAVITY FOR ANALYSIS F.1 Objective To ensure that when the urine Sample does not meet the requirement for Suitable Specific Gravity for Analysis , appropriate procedures are followed.
F.2 Scope The procedure begins with the DCO informing the Athlete that a further Sample is required and ends with the collection of a Sample that meets the requirements for Suitable Specific Gravity for Analysis , or appropriate follow- up action by the Testing Authority if required.
F.3 Responsibility F.3.1 The Sample Collection Authority is responsible for establishing procedures to ensure that a suitable Sample is collected, if the original Sample collected does not meet the requirement for Suitable Specific Gravity for Analysis .
F.3.2 The DCO is responsible for collecting additional Samples until a suitable Sample is obtained.
F.4 Requirements F.4.1 The DCO shall determine that the requirements for Suitable Specific Gravity for Analysis have not been met.
F.4.2 The DCO shall inform the Athlete that they are required to provide a further Sample .
F.4.3 While waiting to provide a further Sample, the Athlete shall remain under continuous observation and shall be advised not to hydrate, since this may delay the production of a suitable Sample .
In appropriate circumstances, further hydration after the provision of an unsuitable Sample may be pursued as a violation of Code Article 2.5.
[Comme nt to F.4.3: It is the responsibility of the Athlete to provide a Sample with a Suitable Specific Gravity for Analysis .
Sample Collection Personnel shall advise the Athlete and Athlete Support Personnel as appropriate of this requirement at the time of not ification in order to discourage excessive hydration prior to the provision of the Athlete’s first Sample.
If the Athlete’s first Sample does not have a Suitable Specific Gravity for Analysis , they shall be advised to not hydrate any further until a Sample with a Suitable Specific Gravity for Analysis is provided.]
F.4.4 When the Athlete is able to provide an additional Sample, the DCO shall repeat the procedures for Sample collection set out in Annex C - Collection of Urine Samples.
F.4.5 The DCO shall continue to collect additional Samples until the requirement for Suitable Specific Gravity for Analysis is met, or until the DCO determines that there are exceptional circumstances which mean it is impossible to continue with the Sample Collection Session.
Such exceptional circumstances shall be documented accordingly by the DCO .
ISTI – Effective 1 January 2023 Page 74 of 92 [Comment to F.4.5: Sample Collection Authorities and DCOs should ensure they have adequate equipment to comply with the requirements of Annex F. The DCO should wait as long as necessary to collect such additional Sample(s) with a Suitable Specific Gravity for Analysis .
The Testing Authority may specify procedures to be followed by the DCO in determining whether exceptional circumstances exist that make it impossible to continue with the Sample Collection Session.]
F.4.6 The DCO shall record that the Samples collected belong to a single Athlete and the order in which the Samples were provided.
F.4.7 The DCO shall then continue with the Sample Collection Session in accordance with Annex C.4.17.
F.4.8 The DCO shall send to the Laboratory for analysis all Samples which were collected, irrespective of whether or not they meet the requirement for Suitable Specific Gravity for Analysis .
F.4.9 When two (2) Samples are collected from an Athlete, during the same Sample Collection Session, both Samples shall be analyzed by the Laboratory .
In cases where three (3) or more Samples are collected during the same Sample Collection Session, the Laboratory shall prioritize and analyze the first and the subsequent collected Sample with the highest specific gravi ty, as recorded on the Doping Control form.
The Laboratory , in conjunction with the Testing Authority , may determine if the other Samples need to be analyzed.
ISTI – Effective 1 January 2023 Page 75 of 92 ANNEX G - SAMPLE COLLECTION PERSONNEL REQUIREMENTS G.1 Objective To ensure that Sample Collection Personnel have no conflict of interest and have adequate qualifications and experience to conduct Sample Collection Sessions .
G.2 Scope Sample Collection Personnel requirements start with the development of the necessary competencies for Sample Collection Personnel and end with the provision of identifiable accreditation.
G.3 Responsibility The Sample Collection Authority has the responsibility for all activities defined in this Annex.
G.4 Requirements - Qualifications and Training G.4.1 The Sample Collection Authority shall: a) Determine the necessary competence, eligibility and qualification requirements for the positions of DCO , Chaperone and BCO ; and b) Develop duty statements for all Sample Collection Personnel that outline their respective responsibilities.
As a minimum: i) Sampl e Collection Personnel shall not be Minors ; and ii) BCOs shall have adequate qualifications and practical skills required to perform blood collection from a vein.
G.4.2 The Sample Collection Authority shall ensure that Sample Collection Personnel sign an agreement dealing with conflicts of interest, confidentiality and code of conduct.
G.4.3 Sample Collection Personnel shall not be appointed to a Sample Collection Session where they have an interest in the outcome of a Sample Collection Session.
A t a minimum, Sample Collection Personnel are deemed to have such an interest if they are: a) Involved in the participation or administration of the sport at the level for which Testing is being conducted; b) Related to, or involved in the personal affairs of, any Athlete who might provide a Sample at that Sample Collection Session; c) Have family members actively involved in the daily activities of the sport at the level for which Testing is being conducted (e.g., administration, coaching, training, officiating, competitor, medical); d) Are engaged in business with, have a financial interest in or personal stake in a sport that has Athletes who are subject to Testing ; ISTI – Effective 1 January 2023 Page 76 of 92 e) Are d rawing or likely to draw personal and/or professional gain or advantage directly or indirectly from a third party due to their own decisions taken in the fulfillment of their official functions; and/or f) Appear to have private or personal interests that detract from their ability to perform their duties with integrity in an independent and purposeful manner.
G.4.4 The Sample Collection Authority shall establish a system that ensures that Sample Collection Personnel are adequately trained to carry out their duties.
G.4.4.1 The training program for BCOs shall include, as a minimum, studies of all relevant requirements of the Testing process and familiarization with relevant standard precautions in healthcare settings.
G.4.4.2 The training program for DCOs shall include, as a minimum: a) Comprehensive theoretical training in those Doping Control activities relevant to the DCO position; b) Observation of all Sample Collection Session activities that are the responsibility of the DCO as set out in this International Standard for Testing and Investigations, preferably on -site; and c) The satisfactory performance of one complete Sample Collection Session on-site under observation by a qualified DCO or similar.
The requirement related to the actual passing of a urine Sample shall not be included in the on -site observations.
G.4.4.3 The training program for Chaperones shall include all relevant requirements of the Sample Collection Session including but not limited to situations dealing with Failure to Comply , Athletes who are Minors and/or Athletes with impairments.
G.4.4.4 A Sample Collection Authority that collects Samples from Athletes who are of a different nationality to its Sample Collection Personnel (e.g., at an International Event or in an Out -of-Competition context) should ensure t hat such Sample Collection Personnel are adequately trained to carry out their duties in respect of such Athletes .
G.4.4.5 The Sample Collection Authority shall maintain records of education, training, skills and experience of all Sample Collection Personnel .
G.5 Requirements - Accreditation, Re-Accreditation and Delegation G.5.1 The Sample Collection Authority shall establish a system for accrediting and re- accrediting Sample Collection Personnel .
G.5.2 The Sample Collection Authority shall ensure that Sample Collection Personnel have completed the training program and are familiar with the requirements of this International Standard for Testing and Investigations (including, where G.4.4.4 applies, in relation to ISTI – Effective 1 January 2023 Page 77 of 92 the collection of Samples from Athletes who are of a different nationality than the Sample Collection Personnel ) before granting accreditation.
G.5.3 Accreditation shall only be valid for a maximum of two (2) years.
Sample Collection Personnel shall be subject to an assessment (theoretical and/or practical) before being re -accredited and shall be required to repeat a full training program if they have not participated in Sample collection activities within the year prior to re- accreditation.
G.5.4 Only Sample Collection Personnel who have an accreditation recognized by the Sample Collection Authority shall be authorized to conduct Sample collection activ ities on behalf of the Sample Collection Authority .
G.5.5 The Sample Collection Authority shall develop a system to monitor the performance of Sample Collection Personnel during the period of accreditation, including defining and implementing criteria for revoking accreditation.
G.5.6 DCOs may personally perform any activities involved in the Sample Collection Session, with the exception of blood collection unless particularly qualified, or they may direct a Chaperone to perform specified activities that fa ll within the scope of the Chaperone’s authorized duties as determined by the Sample Collection Authority .
[Comment to G.5.6: Due to the absence of venipuncture during d ried blood spot collection, in many jurisdictions, d ried blood spot Samples may be collected by a DCO without the need for a specialized BCO if standard precautions in healthcare settings are followed and the DCO is suitably trained in accordance with Annex J .3.]
ISTI – Effective 1 January 2023 Page 78 of 92 ANNEX H - EVENT TESTING H.1 Objective To ensure there is a procedure to follow when a request is made by an Anti -Doping Organization for permission to conduct Testing at an Event where they have been unable to reach agreement on such Testing with the ruling body of the Event.
WADA’s objective in considering such requests is to: a) Encourage collaboration and coordination between different Anti-Doping Organizations to optimize the effectiveness of their respective Testing programs; b) Ensure that each Anti-Doping Organization’s responsibilities are pr operly managed; and c) Avoid creating operational disturbance and harassment for Athletes.
H.2 Scope The procedure starts with the Anti -Doping Organization that is not responsible for initiating or directing Testing at an Event contacting the ruling body of the E vent in writing to seek permission to conduct Testing and ends with WADA issuing a decision as to who shall be responsible to conduct Testing at the Event .
H.3 Responsibility Both Anti-Doping Organizations seeking permission to conduct Testing at an Event and the ruling body of the Event should collaborate and where possible coordinate Testing at the Event.
However, if this is not possible, then both Anti-Doping Organizations are required to submit their reasonings to WADA within the timeframes outlined.
W ADA then has the responsibility of reviewing the circumstances and issuing a decision in accordance with the procedures set out in this Annex.
H.4 Requirements Any Anti-Doping Organization that is not responsible for initiating and directing Testing at an Even t in accordance with Code Article 5.3.2, but which nevertheless desires to conduct Testing at such Event shall, prior to contacting WADA , request such permission from the ruling body of the Event in written form with full supporting reasons.
H.4.1 Such request shall be sent to the ruling body at least thirty -five (35) days prior to the beginning of the Event (i.e., thirty -five (35) days prior to the beginning of the In-Competition period as defined by the rules of the International Federation in charge o f that sport).
H.4.2 If the ruling body refuses or does not respond within seven (7) days from receipt of the request, the requesting Anti -Doping Organization may send to WADA (with a copy to the ruling body) a written request with full supporting reasons, a clear description of the situation, and all the relevant correspondence between the ruling body and the requesting Anti-Doping Organization.
Such request must be received by WADA no later than twenty -one (21) days prior to the beginning of the Event .
ISTI – Effective 1 January 2023 Page 79 of 92 H.4.3 Upon receipt of such request, WADA will immediately ask the ruling body for its position on the request and the grounds for its refusal.
The ruling body shall send WADA an answer within seven (7) days of receipt of WADA’s request.
H.4.4 Upon receipt by WADA of the ruling body’s answer, or if no answer is provided by the ruling body within the seven (7) days, WADA will render a reasoned decision within the next seven (7) days.
In making its decision, WADA will consider, amongst others, the following: a) The Test Distribution Plan for the Event , including the number and type of Testing planned for the Event ; b) The menu of Prohibited Substances for which the Samples collected will be analyzed; c) The overall anti -doping program applied in the sport; d) The logistical issues that would be created by allowing the requesting Anti-Doping Organization to conduct Testing at the Event ; e) Any other grounds submitted by the requesting Anti-Doping Organization and/or the ruling body refusing such Testing; and f) Any other available information that WADA considers relevant.
H.4.5 If an Anti -Doping Organization who is not the ruling body for an Event in the country in which the Event is being hosted, has or receives intelligence regarding potential doping by an Athlete (s) who is due to compete at the Event , the Anti -Doping Organization shall share the intelligence with the ruling body of the Event as soon as possible.
If no Testing is planned by the ruling body for the Event and the Anti -Doping Organization is in a positi on to conduct Testing itself, the ruling body for the Event shall assess whether it or the Anti-Doping Organization can conduct Testing regardless of whether the intelligence is provided by the Anti-Doping Organization within the thirty -five (35) day period preceding the Event .
If the ruling body of the Event fails to engage with the Anti -Doping Organization that provided the intelligence or decides it is not able to conduct Testing itself or does not authorize the Anti-Doping Organization to conduct Testin g at the Event , then the Anti-Doping Organization shall notify WADA immediately.
H.4.6 If WADA decides that permission for Testing at the Event should be granted, either as requested by the requesting Anti-Doping Organization or as proposed by WADA , WADA may giv e the ruling body the possibility of conducting such Testing , unless WADA judges that this is not realistic and/or appropriate in the circumstances.
ISTI – Effective 1 January 2023 Page 80 of 92 ANNEX I - COLLECTION, STORAGE AND TRANSPORT OF BLOOD ATHLETE BIOLOGICAL PASSPORT SAMPLES I.1 Objective To collect an Athlete’s blood Sample by venipuncture, intended for use in connection with the measurement of individual Athlete blood variables within the framework of the hematological module of the Athlete Biological Passport program, in a mann er appropriate for such use.
The requirements of this Annex are additional requirements to those contained in Annex D - Collection of Venous Blood Samples .
I.2 Requirements I.2.1 Planning shall consider the Athlete’ s whereabouts information to ensure Sample collection does not occur within two (2) hours of the Athlete’ s training, participation in Competition or other similar physical activity.
If the Athlete has trained or competed less than two (2) hours before the time the Athlete has been notified of their selection, the DCO or other designated Sample Collection Personnel shall chaperone the Athlete until this two -hour period has elapsed.
I.2.2 If the Sampl e was collected within two (2) hours of training or Competition , the nature, duration and intensity of the exertion shall be recorded by the DCO to make this information available to the APMU .
I.2.3 Although a single blood Sample is sufficient within the f ramework of the hematological module of the Athlete Biological Passport , it is recommended to collect an additional (B) Sample for a possible subsequent analysis of Prohibited Substances and Prohibited Methods in whole blood (e.g., detection of homologous blood transfusion (HBT) and/or erythropoietin receptor agonists (ERAs) ).
I.2.4 For Out-of-Competition Testing, A and B urine Samples should be collected together with the blood Athlete Biological Passport Sample(s ) in order to permit Analytical Testing for ERAs unless otherwise justified by a specific intelligent Testing strategy .
[Comment to I.2.4: WADA’s Guidelines for Sample Collection reflect these protocols and include practical information on the integration of Athlete Biological Passport Testing into “traditional” Testing activities.
A table has been included within WADA’s Guidelines for Sample Collection that identifies which particular timelines for delivery are appropriate when combining particular types of analysis (e.g, blood Athlete Biological Passport and growth hormone (GH), blood Athlete Biological Passport and HBT , etc.
), and which types of Samples may be suited for simultaneous transport.]
I.2.5 The Sample shall be refrigerated from its collection until its analysis with the exception of when the Sample is analyzed immediately following collection.
The storage procedure is the DCO ’s responsibility.
I.2.6 The storage and transport device shall be capable of maintaining blood Athlete Biological Passport Samples at a cool temperature during storage.
Whole blood Samples shall not be allowed to freeze at any time.
In choosing the storage and transport device, the DCO shall take into account the time of stor age, the number of Samples to be stored in the ISTI – Effective 1 January 2023 Page 81 of 92 device and the prevailing environmental conditions (hot or cold temperatures).
The storage device shall be one of the following: a) Refrigerator; b) Insulated cool box; c) Isotherm bag; or d) Any other device that possesses the capabilities mentioned above.