DOT's Requirements for Positive Results & Refusal-to-Test

Positive Results Instructions

DOT Requires Employers to Remove the Driver from the Road Immediately and give the Driver an SAP Referral (Substance Abuse Professional) who Test Positive.  Refusal-to-Comply means the Laboratory Determined the Sample was Substituted by the Driver - this is the same as a Positive Result.

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

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

SAP Referral (Substance Abuse Professional)

• Find an SAP Referral - Click Here
• Document the Driver was given an SAP Referral

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

Refusal-to-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 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)
3. Employers must Report the Refusal-to-Test to the FMCSA Clearinghouse

• DOT Requires the Employer 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 Report Refusal-to-Tests within 3 Business Day to the FMCSA Clearinghouse.

SAP Referral (Substance Abuse Professional)

• Find an SAP Referral - Click Here
• Document the Driver was given an SAP Referral

FMCSA Clearinghouse Reporting - 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)
3. Employers must Report the Positive Alcohol Test Results of 0.04% or higher to the FMCSA Clearinghouse

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 Positive Alcohol Test Results of 0.04% or higher 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%