What Happens If You Fail a DOT Return-to-Duty Drug Test?

March 18, 2025

Ophthalmologist's Department

Failing a DOT Return-to-Duty (RTD) drug test can be a setback for safety-sensitive employees such as truckers, as well as for employers working to maintain a compliant and safe workforce. If you fail this crucial test after completing the SAP process, you must start over from step one.

The Consequences of Failing the Return-to-Duty Drug Test

The RTD drug test is a mandatory step for safety-sensitive employees to demonstrate they are substance-free and ready to resume their duties. If an employee fails this test, DOT regulations require:

  1. Restarting the SAP Process: You’ll have to go back to the beginning of the Substance Abuse Professional (SAP) program, which includes a new initial evaluation and any recommendations the SAP makes.
  2. Paying the SAP Fee Again: The cost of the SAP process will apply again, which can include fees for evaluations and compliance tracking.
  3. Complying with New Requirements: The SAP will reassess your situation and may assign additional treatment, counseling, or education based on the new circumstances.

Unfortunately, failing the RTD test means a longer road back to duty, but it’s not the end of the journey. By committing to the process and working with experienced professionals, you can take the steps needed to resolve the issue.

What is the SAP Process?

If you have to restart the SAP program, here’s a quick refresher on what it involves:

  1. Initial Evaluation - A DOT-qualified SAP will meet with you to assess your substance use history and determine what steps are required for your return-to-duty eligibility.

  2. Completing Recommendations - Based on the evaluation, the SAP will recommend treatment, counseling, or education. These steps must be completed before proceeding.

  3. Follow-Up Evaluation - After completing the recommendations, you’ll return to the SAP for a follow-up evaluation to confirm compliance.

  4. Follow-Up Testing Plan - The SAP will outline a follow-up testing plan, which includes unannounced tests for up to five years after you return to duty.

  5. Return-to-Duty Drug Test - You’ll need to pass another RTD drug test to demonstrate you’re substance-free and ready to return to work.

How Resilient Return Can Help

At Resilient Return, we’re here to support you through every step of the SAP process, whether it’s your first time or you’re starting over after failing an RTD test.

  • Expert SAPs: Our DOT-qualified Substance Abuse Professionals are experienced in handling evaluations and providing personalized recommendations.
  • Simple and Convenient: Book your SAP evaluation online for $499 or start with a $250 down payment using our flexible payment options, including Klarna’s buy now, pay later option.
  • Comprehensive Support: We guide you through the SAP process and ensure you understand each step, from evaluation to follow-up testing.

Don’t Let a Setback Stop You

Failing a Return-to-Duty drug test may feel like a major hurdle, but with the right resources and determination, you can complete the SAP process again and get back to work. Whether you’re an employer looking to assist your workforce or an employee ready to take the next step, Resilient Return is here to help.

Book your evaluation today and let us guide you back to compliance and safety-sensitive duties.

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.