DOT's Requirements for Positive Drug Test Results

DOT Requires Employers to Remove the Driver from the Road Immediately and give the Driver an SAP Referral (Substance Abuse Professional).

1. Remove the Driver from the Road Immediately
2. Give the Driver an SAP Referral (Substance Abuse Professional)

SAP Referral (Substance Abuse Professional)

DOT Requires Employers to give the Driver an SAP Referral (Substance Abuse Professional).

• Find an SAP Referral (Substance Abuse Professional) - Click Here
• SAPlist.com is a Database to find Substance Abuse Professionals (SAP)
• Document the Driver was given an SAP Referral

FMCSA Clearinghouse

• Express Labs MRO Reports Positive Drug Test Results to the Clearinghouse

Can Drivers be Re-Tested for a Positive Drug Test Results?

• No.  DOT does not allow Drivers to be Re-Tested with a new Collection

Can Drivers Contest Positive Drug Test Results? (Split Specimen Confirmation Test)

• Yes.  The Driver may Request Sample B from the same Collection be sent to another Laboratory for Testing

Split Specimen Confirmation Testing (Contested Results)

When a Driver Requests a Split Specimen Confirmation Test (Testing of Sample B), the Following applies:

1. The Process begins Immediately once the Driver Authorizes and Verbally Requests the Split Specimen Confirmation
2. The MRO Authorizes the Transfer of Bottle B to another SAMHSA-Certified Laboratory
3. Express Labs charges a $200 Fee for Hazmat Shipping of Sample B via FedEx
4. Drivers have the right under DOT Regulations to Contest Positive or Refusal Drug Test Results
5. Only the Driver may Rescind the Request if the Process has not Started, by Contacting the MRO at 800-526-9341
6. Employers may not Delay or Cancel the Process for Financial or Monetary Reasons

Refusal-to-Test Instructions

DOT Requires the DER (Designated Employer Representative) to Determine if a Driver has Refused-to-Test based on Conversations with the Driver, Collector and Notes on the Custody & Control Form.

DOT Requires Employers to Remove the Driver from the Road Immediately and give the Driver an SAP Referral (Substance Abuse Professional) and Report the Refusal-to-Test to the FMCSA Clearinghouse.

1. Remove the Driver from the Road Immediately
2. Give the Driver an SAP Referral (Substance Abuse Professional)

Find an SAP Referral (Substance Abuse Professional) - Click Here

• SAPlist.com is a Database to find Substance Abuse Professionals (SAP)
• Document the Driver was given an SAP Referral

FMCSA Clearinghouse - Click Here

• Employers must Report the Refusal-to-Test to the FMCSA Clearinghouse

Positive Alcohol Test Instructions

DOT Requires Employers to Remove the Driver from the Road Immediately and give the Driver an SAP Referral (Substance Abuse Professional) and Report the Positive Alcohol Test to the FMCSA Clearinghouse

1. Remove the Driver from the Road Immediately
2. Give the Driver an SAP Referral (Substance Abuse Professional)

• Report the Positive Alcohol Test to the FMCSA Clearinghouse within 3 Business Days

Find an SAP Referral (Substance Abuse Professional) - Click Here

• SAPlist.com is a Database to find Substance Abuse Professionals (SAP)
• Document the Driver was given an SAP Referral

FMCSA Clearinghouse - Click Here

• Employers must Report Positive Alcohol Test Results to the FMCSA Clearinghouse

Alcohol Test Results:

• Positive: 0.04% or higher → Report & Remove Driver
• DOT Violation (Not Positive): 0.02%–0.039% → Remove Driver for 24+ hours
• Negative: Less than 0.02%

Refusal-to-Comply Instructions (Specimen Reported As Substituted By Laboratory)

"Refusal-to-Comply" means that the Driver being Tested provided a Sample that was Determined to be Substituted by the Laboratory that is not Consistent with Human Urine (e.g., Abnormal Creatinine and Specific Gravity Levels).  A "Refusal-to-Comply" is treated the same as a Positive Drug Test Result.

DOT Requires Employers to Remove the Driver from the Road Immediately and give the Driver an SAP Referral (Substance Abuse Professional).

1. Remove the Driver from the Road Immediately
2. Give the Driver an SAP Referral (Substance Abuse Professional)

Find an SAP Referral (Substance Abuse Professional) - Click Here

• SAPlist.com is a Database to find a Substance Abuse Professional (SAP).  Document the Driver was given an SAP Referral

FMCSA Clearinghouse

• Express Labs MRO Reports "Refusal-to-Comply" Drug Test Results to the Clearinghouse