Engineering Structures Jobs in Warminster Pennsylvania

Avo Photonics is a dynamic contract engineering services company that designs, develops, and manufactures custom opto-electronic products for a large customer base. Members of our staff can design, prototype, and produce next generation products for a diverse range of markets including environmental, medical, automotive, military, industrial, aerospace, and communications.

We seek a diligent, dedicated and meticulous Payroll Manager who will help to further our success and reputation in the industry through world-class service.

Specifically:

• Oversee and manage payroll operations, ensuring accurate and timely payroll processing and compliance with laws and regulations, and company policies.
• Provide strong leadership and mentorship to the payroll staff, fostering a culture of excellence and continuous improvement.
• Develop, document, and implement policies and procedures for payroll operations.
• Administer and maintain payroll systems, ensure data integrity, and lead implementation of system upgrades and enhancements as required.
• Ensure department procedures and systems maintain confidentiality and protection of payroll information (payrates, personal information, etc.) per company policy and data privacy regulations.
• Collaborate with HR, finance, and other departments to gather and validate payroll information, such as new hires, terminations, promotions, and salary changes.
• Assist with internal & external audits, ensuring adherence to deadlines and compliance with audit requirements.
• Address employee inquiries and concerns related to payroll, providing exceptional customer service and support.
• Stay updated on payroll regulations, tax laws, and industry trends, implementing necessary changes to ensure compliance and best practices.

Requirements:

• Bachelor's degree in accounting, finance, business administration, or related field required.
• Payroll accreditation (Certified Payroll Professional (CPP)) is preferred.
• 5–7+ years of progressive experience processing payroll in a high volume, multi-state/international environment to include at least 2 years of supervisory experience.
• Advanced proficiency in Excel, and payroll systems (Workday preferred).
• In-depth knowledge of payroll tax regulations, wage and hour laws, and compliance requirements.
• Ability to exercise discretion, judgment, and confidentiality.
• Excellent verbal and written communication skills.
• Strong attention to detail, along with excellent organizational skills.
• Excellent customer service skills.

Apply: Avo Photonics offers competitive salaries and a comprehensive benefits package. Apply today!

Equal Opportunity Employer: Avo Photonics is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee of Avo Photonics by any method without a valid written contract in place with Avo Photonics will be deemed the sole property of Avo Photonics. No fee will be paid in the event the candidate is hired by Avo Photonics as a result of the referral or through any other means.

• Utilizing CNC Manual Grinding Equipment per related Engineering Drawings and Work Instructions in a State of the Art ISO 9002:2015 Certified Facility.
• Must be capable of operating Manual and CNC grinders safely and efficiently.
• Must be proficient with related measuring equipment to ensure accuracy of work and customer satisfaction.
• Strong interpersonal and communication skills are required in this Effective Team Environment.
  

• Minimum of 3-5 years of experience operating listed equipment
  

• Lifting, carrying, and bending frequently with parts varying from 2 to 50 pounds with average weight of 5 to 10 pounds
• Forward bending required while operating manual machines
  

Pengate Handling Systems is a full-service provider of material handling equipment and solutions, helping businesses move, store, and manage products more efficiently. We design, build, and install conveyors, automation systems, and custom storage solutions tailored to each client’s operational needs. Our projects improve workflow, boost productivity, and enhance safety, delivering real, measurable results. With expertise across industries, we combine engineering know-how with hands-on experience to create systems that solve complex challenges and keep businesses running smoothly.

We are seeking a results-driven Optimization Specialist to drive operational excellence across our field operations. This role champions Lean methodologies, streamlines processes, and improves cross-functional performance while delivering measurable business impact.

What You’ll Do

• Lead Lean initiatives using tools such as Kaizen, 5 Why analysis, Process Mapping, 5S, Gemba walks, PDCA, Value Stream Mapping, A3, and Root Cause Analysis.
• Conduct process assessments, identify opportunities for improvement, and implement sustainable solutions.
• Partner with leaders across Service, Dispatch, Parts, Rental, and Logistics to streamline workflows and eliminate bottlenecks.
• Standardize processes, develop staffing and resource forecasts, and optimize utilization.
• Analyze operational data to uncover trends, measure performance, and drive continuous improvement initiatives.
• Lead root cause analyses to resolve operational challenges and prevent recurrence.
• Sponsor and oversee optimization projects with defined metrics, measurable ROI, and clear success criteria.
• Strengthen cross-functional communication and collaboration to improve alignment and workflow integration.
• Implement best practices for workflow efficiency, resource allocation, and process standardization.
• Develop dashboards, KPIs, and reporting frameworks to monitor performance and guide strategic decisions.
• Mentor and influence teams to adopt Lean thinking, operational discipline, and problem-solving mindset.
• Support change management initiatives and promote a culture of continuous learning and improvement.

What We’re Looking For

• Bachelor’s degree in Business, Operations, Logistics, or a related field.
• 3+ years of operational experience, preferably in service-based or field operations.
• Proven success improving fleet utilization and driving cross-department collaboration.
• Experience with dispatch systems, fleet tracking tools, and operational metrics.
• Strong analytical skills with the ability to interpret data, identify trends, and develop actionable insights.
• Excellent problem-solving and decision-making abilities, including root cause analysis.
• Expertise in Lean methodologies, continuous improvement, and process optimization.
• Strong project management skills with the ability to prioritize and manage multiple initiatives simultaneously.
• Exceptional organizational skills and attention to detail.
• Effective communicator capable of presenting ideas clearly to both technical and non-technical audiences.

Why Work at Pengate

• Join a team that values innovation, collaboration, and continuous improvement.
• Work in an environment where your ideas are heard and make an impact.
• Lead meaningful projects and contribute to operational excellence across the organization.
• Grow your skills through opportunities in Lean practices, data-driven decision making, and process optimization.
• Be part of a company that recognizes and celebrates success, both individually and as a team.
• Thrive in a culture that fosters professional development and continuous learning.

Benefits

• Competitive salary and performance-based incentives.
• Comprehensive medical, dental, and vision insurance.
• 401(k) plan with company match.
• Paid time off and company holidays.
• Opportunities for professional development, training, and certifications.
• Supportive and collaborative work environment.

Pengate Handling Systems is dedicated to being an Equal Opportunity Employer. We promote and celebrate a diverse workforce and do not tolerate any discrimination. All human relations decisions will not be based on persons’ race, color, religion, sex, national original, marital status, disability, genetic information, age, veteran status, or citizenship. All potential hires are subject to pre-employment checks which include but are not limited to background checks and drug screenings. In addition, we will provide reasonable accommodations for individuals with disabilities. Should you require an accommodation in completing an application, interview, or pre-employment requirement, please reach out to our Talent Acquisition team at

The Trade Compliance Sr. Analyst is responsible for ensuring compliant and efficient import operations for Kulicke & Soffa. This position focuses heavily on customs clearance, reviewing CBP Form 7501, validating import documentation, and supporting duty classification and regulatory compliance. The role also includes performing Restricted Party Screening (RPS) to prevent unauthorized transactions and ensure alignment with U.S. export control regulations. Assuring a compliant audit trail exists for all Customs entries cleared under Kulicke & Soffa. Assuring that imports and exports of the company are compliant with US Customs and Foreign Local import regulations such as HTS (Harmonized Tariff Schedule) classification, valuation, country of origin, assists, record keeping, ADD/CVD, special trade programs and other government agency requirements, EAR and ITAR regulations.

Duties & Responsibilities:

• Ensure day-to-day tracking and monitoring of all shipments.
• Review Customs Form 7501 for accuracy (HTS, duty rates, declared value, COO, PGA requirements).
• Verify that broker‑submitted entries align with internal compliance standards, coordinate corrections.
• Review supporting documents: commercial invoices, packing lists, airway bills, bills of lading, COO certificates
• Work closely with brokers and logistics teams to ensure timely customs clearance.
• Track and apply Section 301/232 tariffs and other custom-related duties.
• Maintain accurate and compliant CBP recordkeeping per 19 CFR §163.
• Interact effectively with multiple functional areas including management, supply chain, distribution, engineering, finance, IT and legal.
• Ensure that proposed customers are screened for Denied Person and Entities, restricted end-uses, and diversion and releases orders as appropriate or refer them to the appropriate personnel for further review and discussion.
• Identify whether other Government agency requirements are applicable to product imports and exports (e.g. DDTC, FCC, FDA, etc.).
• Evaluate all new Government agency requirements to ensure import and export compliance with changes and incorporate into day-to-day operations and standard operating procedures.
• Ascertain that up-to-date profiles and SOPs are provided to all endorsed service providers to ensure proper import and export clearance.
• Communicate with affiliated business units overseas to streamline export and import processes.
• Ensure that a trained back-up is available to assist with compliance functions.
• Perform Restricted Party Screening (RPS) for customers, vendors, and end‑users.
• Document and escalate matches, red flags, or concerns based on internal escalation procedures.
• Support due‑diligence workflows (EUS, CPP, Red Flag questionnaires) as needed.
• Track shipment status, delays, exams, and entry issues.
• Recommend process improvements to strengthen import compliance controls.

Qualifications

• A minimum of 3-5 years’ experience with international trade compliance regulations
• Strong working knowledge of HTS classification, import documentation
• Hands-on experience processing Customs Entries (Customs Brokerage experience)
• Proficient in Microsoft Office applications (e.g. Access, Word, Outlook)
• Advanced Excel Skills
• Licensed Customs Broker (preferred)
• Oracle experience is a plus.
• The successful candidate must be a self-starter, detail oriented, and able to follow procedures.
• Must possess excellent written and verbal communication skills.

Faculty Urologist

Jefferson Abington Hospital | Abington, Pennsylvania

Sign-On Bonus Available

Jefferson Abington Hospital is seeking a Board-Certified or Board-Eligible Urologist to join our highly respected and growing Urology Program. This is a unique opportunity to practice in a technologically advanced community hospital while enjoying the academic resources, reputation, and stability of Jefferson Health, one of the nation’s premier academic health systems.

You’ll join a collegial, collaborative team committed to delivering exceptional urologic care across a diverse patient population — with the support, innovation, and academic engagement that make Jefferson a national leader.

Position Highlights

• Full-time faculty appointment within the Jefferson Einstein Urology Residency Program (3 residents per year)
• Active involvement in resident and medical student education, mentorship, and clinical research
• Mix of clinic, procedural, and surgical care
• Perform in-office procedures including cystoscopy, vasectomy, and urodynamics
• Inpatient rounding responsibilities
• Dedicated OR block time
• Access to robotic surgery technology

This role offers an ideal balance of academic engagement, surgical volume, and clinical autonomy in a supportive, team-based environment.

Compensation & Benefits

Jefferson offers a highly competitive and comprehensive package designed to support both your career and personal wellbeing:

• Competitive base salary with performance incentives and RVU-based bonus
• Sign-on bonus
• Comprehensive medical, dental, and vision insurance
• Multiple retirement plans, including Pension, 403(b), and 457
• Generous Paid Time Off
• CME time and financial allowance
• Malpractice insurance with tail coverage
• Short- and long-term disability and life insurance

Why Abington?

Located just north of Philadelphia, Abington, PA offers the charm and comfort of suburban living with easy access to the culture, dining, arts, and professional opportunities of a major metropolitan city. Top-rated schools, beautiful neighborhoods, and convenient transportation make this an ideal place to live and work.

Jefferson Abington Hospital blends community-centered care with the innovation and academic excellence of Jefferson Health, a nationally ranked, not-for-profit health system serving Pennsylvania and New Jersey.

About Jefferson

Nationally ranked Jefferson Health is a leading not-for-profit academic health system headquartered in the Greater Philadelphia region, with a broad presence across Pennsylvania, New Jersey, and the Lehigh Valley. With a workforce of more than 65,000 team members, Jefferson is dedicated to delivering high-quality, compassionate patient care; strengthening the communities it serves; educating the next generation of healthcare leaders; and advancing innovation through clinical and applied research.

Thomas Jefferson University, founded in 1824, is home to Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce. Today, the University encompasses 10 colleges and three schools, offering more than 200 undergraduate and graduate programs to over 8,300 students.

Jefferson Health is consistently recognized as one of the top 15 not-for-profit healthcare systems in the United States, serving millions of patient encounters annually across 32 hospital campuses and more than 700 outpatient and urgent care locations. Jefferson Health Plans further extends Jefferson’s mission as a not-for-profit managed care organization serving Pennsylvania and New Jersey for more than 35 years.

Equal Opportunity Statement

Jefferson is committed to providing equal educational and employment opportunities for all individuals and does not discriminate based on age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military or veteran status, disability, or any other legally protected status.

Join a team where your expertise is valued, your voice is heard, and your work truly makes a difference.

Confidential inquiries are welcome.

Interested candidates should end their CV and brief statement of academic and clinical interests to:

Jason Kendall

Talent Acquisition Partner, Physician Recruitment

Thomas Jefferson University and Jefferson Health

T (314) 327-4574 cell/text |

| |

Duration: 12 months

Description:

QA Shop Floor - 3rd shift

Must be able to work four 10 hour days, Sun to Wed 9:30pmEST to 8:00AMEST or

Wed to Sat: 9:30pmEST to 8:00AMEST

Responsible for maintaining quality records, assisting with corrective action plans, and supporting quality system improvements. You will collect and organize data, prepare reports, and ensure inspection readiness while addressing routine quality inquiries.

Key Responsibilities

• Collaborate with cross-functional teams to implement innovative quality assurance protocols on the shop floor, ensuring seamless production flow and minimal defects.
• Utilize data-driven insights to proactively identify potential quality issues and develop creative solutions to enhance product reliability.
• Engage in hands-on inspection of products, applying a keen eye for detail to uphold stringent quality standards.
• Performs batch records review and cleaning records review to ensure product availability.
• Support work orders review and confirm area cleanliness after maintenance interventions.
• Performs area walkthroughs to ensure audit readiness at all times.
• Contribute to continuous improvement initiatives by suggesting and piloting novel QA methodologies tailored to dynamic manufacturing environments.
• Document and communicate quality findings through clear, concise reports that facilitate swift decision-making and process optimization.
• Maintain accurate and timely quality records related to product inspections, nonconformance, and project outcomes.
• Assist in documenting, monitoring, and following up on corrective and preventive action plans to ensure their effective implementation and closure.
• Respond to routine inquiries regarding technology transfer and improvements in manufacturing processes.
• Collect, organize, and analyze data to prepare detailed reports for assigned quality processes.
• Document and implement improvements to quality systems and standard operating procedures, including maintaining SOPs for interactions with contract manufacturers.
• Gather and maintain documentation required for audits and inspections to ensure inspection readiness.
• Support special quality projects and contribute to continuous quality improvement initiatives.

Required Qualifications

• Bachelor’s degree or equivalent qualification in Engineering, Quality Management, Science or a related field demonstrating foundational technical knowledge.
• 2 years of practical experience or internships in quality assurance, manufacturing, or related operational environments.
• Strong attention to detail and ability to maintain accurate documentation.
• Basic understanding of investigations and automation processes.
• Ability to collect, organize, and analyze data effectively.
• Good communication skills to respond to routine technical inquiries.
• Ability to work independently.
• Ability to work night shifts and weekends.

Desired Qualifications

• Strong analytical mindset with the ability to interpret complex data and translate it into actionable quality improvements.
• Excellent communication skills to effectively collaborate with diverse teams and articulate quality concerns innovatively.
• Familiarity with quality systems, audits, and inspection readiness.
• Proactive learner with a passion for adopting emerging QA technologies and methodologies to drive shop floor excellence.
• Proactive approach to supporting special quality projects and continuous improvement.

About US Tech Solutions:

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Recruiter Details:

Name: Azhar

Email:

Internal Id: 26-04931

Immediate need for a talented Specialist 2, Quality Assurance. This is a 12+ Months Contract opportunity with long-term potential and is located in Fort Washington, PA (Onsite). Please review the job description below and contact me ASAP if you are interested.

Job ID:26-07042

Pay Range: $22 - $32/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

• Responsible for maintaining quality records, assisting with corrective action plans, and supporting quality system improvements.
• Support work orders review and confirm area cleanliness after maintenance interventions.
• Collaborate with cross-functional teams to implement innovative quality assurance protocols on the shop floor, ensuring seamless production flow and minimal defects.
• Utilize data-driven insights to proactively identify potential quality issues and develop creative solutions to enhance product reliability.
• Engage in hands-on inspection of products, applying a keen eye for detail to uphold stringent quality standards.
• Performs batch records review and cleaning records review to ensure product availability.
• Support work orders review and confirm area cleanliness after maintenance interventions.
• Performs area walkthroughs to ensure audit readiness at all times.
• Contribute to continuous improvement initiatives by suggesting and piloting novel QA methodologies tailored to dynamic manufacturing environments.
• Document and communicate quality findings through clear, concise reports that facilitate swift decision-making and process optimization.
• Maintain accurate and timely quality records related to product inspections, nonconformance, and project outcomes.
• Assist in documenting, monitoring, and following up on corrective and preventive action plans to ensure their effective implementation and closure.
• Respond to routine inquiries regarding technology transfer and improvements in manufacturing processes.
• Collect, organize, and analyze data to prepare detailed reports for assigned quality processes.
• Document and implement improvements to quality systems and standard operating procedures, including maintaining SOPs for interactions with contract manufacturers.
• Gather and maintain documentation required for audits and inspections to ensure inspection readiness.
• Support special quality projects and contribute to continuous quality improvement initiatives.

Key Requirements and Technology Experience:

• Skills-Bachelor’s degree or equivalent qualification in Engineering, Quality Management, Science or a related field demonstrating foundational technical knowledge.
• 2 years of practical experience or internships in quality assurance, manufacturing, or related operational environments.
• Strong attention to detail and ability to maintain accurate documentation.
• Basic understanding of investigations and automation processes.
• Ability to collect, organize, and analyze data effectively.
• Good communication skills to respond to routine technical inquiries.
• Ability to work independently.
• Ability to work night shifts and weekends.
• Strong analytical mindset with the ability to interpret complex data and translate it into actionable quality improvements.
• Excellent communication skills to effectively collaborate with diverse teams and articulate quality concerns innovatively.
• Familiarity with quality systems, audits, and inspection readiness.
• Proactive learner with a passion for adopting emerging QA technologies and methodologies to drive shop floor excellence.
• Proactive approach to supporting special quality projects and continuous improvement.

Our client is a leading Pharmaceutical Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here.

Job Title: Product Content Manager

Department: Sales Operations

Reports To: VP, Sales Operations

Direct Reports: Product Content Specialists

Position Summary

The Product Content Manager is responsible for leading the product content team responsible for onboarding and maintaining product data across key home improvement retail partners including Lowe’s, Home Depot, Menards, and other omnichannel platforms.

This role ensures accurate, timely, and complete product setup across retailer systems by managing SKU onboarding workflows, monitoring performance KPIs, resolving onboarding issues, and driving cross-functional coordination between departments.

The Product Content Manager owns the execution and continuous improvement of product content processes to ensure products are launched on time, meet retailer requirements, and support revenue growth and operational efficiency.

Key Responsibilities

Team Leadership & Management

• Lead, coach, and develop a team of Product Content Specialists responsible for SKU setup and maintenance.
• Establish clear roles, priorities, and workload allocation to support onboarding timelines and retailer initiatives.
• Provide performance management, training, and process guidance to improve team efficiency and accuracy.
• Create accountability through KPI tracking and regular performance reviews.

Product Onboarding & Content Management

• Manage end-to-end SKU onboarding process across retail partner platforms and onboarding systems.
• Ensure product data accuracy including attributes, imagery, descriptions, dimensions, compliance documentation, and packaging details.
• Coordinate new product launches, assortment changes, and product updates with internal stakeholders.
• Maintain product content standards aligned with retailer requirements and internal brand guidelines.
• Ensure timely completion of onboarding milestones to support reset schedules, promotions, and launches.

KPI Tracking & Performance Management

• Establish and monitor KPIs including:
• On-time SKU onboarding
• Content completeness and accuracy
• Retailer rejection or resubmission rates
• Time-to-live metrics
• Issue resolution timelines
• Develop dashboards and reporting to track onboarding performance and identify bottlenecks.
• Drive continuous improvement initiatives based on performance data.

Troubleshooting & Issue Resolution

• Serve as escalation point for onboarding issues including data errors, retailer system rejections, and content discrepancies.
• Identify root causes and implement process improvements to prevent recurring issues.

Project Management

• Manage onboarding timelines associated with retail resets, assortment expansions, and new product launches.
• Prioritize workstreams based on retailer deadlines and business impact.
• Lead cross-functional project meetings to ensure alignment and execution.
• Maintain documentation and SOPs for onboarding processes.

Qualifications

• Bachelor’s degree in Business, Marketing or related field preferred.
• 5+ years of experience in product content management, sales operations, ecommerce operations, or retail onboarding.
• Experience working with major home improvement retailers (Lowe’s, Home Depot, Menards, Amazon).
• Strong understanding of product data structures, retailer onboarding requirements, and item setup processes.
• Experience managing direct reports and cross-functional projects.
• Strong analytical skills with experience using dashboards and KPI tracking.
• Proficiency in Excel and product content or PIM systems; experience with retailer portals preferred.

Company Overview

American Bath Group (ABG) is a manufacturing, e-commerce, assembly, and distribution leader specializing in bathware products. With seventeen divisions across 37 facilities in North America, ABG’s 5,000-member workforce produces high-quality, long-lasting products that improve the lives of customers every day.

ABG’s portfolio includes some of the industry’s most recognized brands—Bootz, DreamLine, Vintage, and Mr. Steam—offering showers, bathtubs, bases, doors, wall panels, vanities, whirlpools, and more. ABG products are sold through commercial, wholesale, e-commerce, and retail channels to a diverse customer base of builders, plumbers, contractors, and end-users.

ABG is an equal opportunity employer committed to providing an inclusive, respectful, and diverse workplace where every employee is valued and empowered to contribute to our success.

The Materials Management Coordinator oversees and optimizes supply chain and materials management operations across all hospitals, ensuring compliance, efficiency, and cost-effectiveness. This role maintains the system Item Master, leads product evaluations, monitors purchasing and inventory accuracy, and collaborates with hospital Materials Management teams to standardize processes and resolve challenges. The position provides training, conducts site visits to ensure adherence to policies, assists with new hospital setups, and partners with Finance and Accounts Payable to address discrepancies and implement system improvements. Through strong leadership and communication, the Coordinator supports operational excellence and ensures reliable delivery of supplies to enhance patient care.

Works within Group Purchasing Organization (GPO) framework to seek the highest quality products within the best available cost structures. Assist with evaluating supplies negotiating contracts and reviewing quality product as assigned. Additionally serves as a GPO vendor and contract resource. This position may also assist with expense reports and contracted service vendors.

Required Skills:

• A minimum of associate degree in business administration, or a healthcare related field required.
• A minimum of five (5) years hospital purchasing experience, contracts, compliance systems and standards required.
• Current, valid, and active driver’s license required.

Additional Qualifications/Skills:

• Bachelor’s degree in a healthcare related field preferred.
• Experience with database management systems preferred.
• Strong verbal and written communication skills preferred.
• Clinical experience preferred.
• Exemplifies Standards of Behavior.
• Ability to project a professional image.
• Knowledge of regulatory standards and compliance requirements.
• Strong organizational, prioritizing and analytical skills.
• Ability to make independent decisions when circumstances warrant.
• Working knowledge of computer and software applications used in job functions.
• Freedom from illegal use of and effects of use of drugs and alcohol in the workplace.