Drug use has been shown to have a negative affect on both job safety and productivity. Due to the high accident rates in the construction industry it is vital for management to take necessary steps to implement programs and procedures that will increase construction safety and worker productivity. While the effects of a drug-related jobsite accident can be catastrophic for individuals and companies, management should realize that drug use among employees can be damaging to moral, productivity, and quality even if it does not result in accidents. The level of teamwork required for excellent work is harder to achieve and efforts to improve project management by team building are hurt by the absenteeism and short-term employment typical of the employee that abuses drugs. Other areas where the project management of a construction company is compromised by worker drug use are recruitment and retention of human resources, career growth management, and safety. Drug testing construction workers is an effective method for reducing the number of impaired workers on a project site, increasing overall project safety, worker morale, productivity, and profits. There are ethical and legal questions on both sides of the issue and any such management initiative must be balanced with worker rights.