Focusing on Deterrence and Detection, Not Impairment

April 22, 2025

Ophthalmologist's Department

The Department of Transportation (DOT) is becoming increasingly clear about its approach to drug testing: it’s about deterrence and detection—not identifying impairment. Understanding this distinction is essential for employees, employers, and supervisors in safety-sensitive roles.

The Goal of DOT Drug Testing

DOT’s drug testing program is designed to detect the presence of prohibited substances, not to determine a person’s level of impairment.

  1. Alcohol Testing and Impairment: Alcohol is the only substance with an established DOT impairment standard. A BAC of 0.04% or higher is considered impairing for safety-sensitive duties.
  2. Drug Testing and Presence: For other substances, DOT testing looks for prohibited metabolites or the parent drug itself. A positive result indicates use, regardless of whether the employee is currently impaired.

Prohibited Drug Use at All Times

DOT regulations ban the use of certain drugs at all times for employees in safety-sensitive positions, including off-duty hours.

  1. Off-Duty Use Still Counts: Even if drugs are used outside of work hours, their metabolites may still be detected during testing.
  2. Examples of Detection Windows:
    1. THC (marijuana): Can be detectable for days or weeks depending on use frequency and metabolism.
    2. Cocaine: Usually detectable up to 72 hours after use.

DOT drug testing is focused on presence, not influence.

Why Testing Focuses on Presence

There are no established legal or scientific standards for drug impairment (outside of alcohol). That’s why:

  1. There’s no defined threshold for impairment for substances like marijuana or cocaine.
  2. DOT prohibits drug use entirely to remove ambiguity.
  3. A positive test means a rule violation, regardless of when the drug was used.

The Importance of Education

Supervisors, DERs, and employees should fully understand the difference between detection and impairment.

  1. Clarifying Misunderstandings: Employees may wrongly assume they’re only being tested for being "under the influence."
  2. Promoting Prevention: DOT’s approach is meant to deter drug use altogether to protect safety and ensure compliance.

Final Thoughts

DOT testing is about keeping safety-sensitive workers completely free from prohibited substances—both on and off duty. By focusing on deterrence and detection, the DOT maintains the highest safety standards in transportation industries.

Everyone involved in the testing process plays a role in upholding these standards. Stay informed, stay compliant, and help create a safer workplace for all.

Karishma Sarfani

Karishma is a Qualified Substance Abuse Professional (SAP) with a background in mental health and substance abuse counseling, holding credentials as an MS, LCDC, ICADC, CADC II, CSAC, CASAC II, LPC, and EMDR-trained therapist. Inspired by personal experiences with addiction and mental health challenges in her community, she has dedicated her career to supporting individuals on their journey to recovery and success.