What to Do If a Truck Driver Fails a Post-Accident DOT Drug Screen

January 31, 2025

Ophthalmologist's Department

Finding out that a truck driver has failed a post-accident DOT drug screen can be a challenging situation. However, understanding the required steps can help both the driver and employer navigate this process with clarity and compliance.

Immediate Steps

1. Remove the Driver from Safety-Sensitive Duties

  1. The first and most critical step is immediate removal from any safety-sensitive duties.
  2. DOT regulations require this to protect public safety and prevent further risks.

2. Inform the Driver

  1. The driver must be clearly notified about the positive drug test result.
  2. Employers should communicate transparently and provide information about the next steps.

Next Steps: The Substance Abuse Professional (SAP) Program

1. Find a Certified SAP

  1. The driver must be referred to a certified SAP (Substance Abuse Professional).
  2. The SAP will assess the driver’s substance use and recommend appropriate education or treatment programs.

2. Complete the SAP Program

  1. The driver must follow all SAP recommendations and complete the required education or treatment program.
  2. Completion of the SAP program is mandatory before returning to duty.

3. Undergo a Follow-Up Evaluation

  1. Once the program is completed, the driver must have a follow-up SAP evaluation to confirm compliance.
  2. The SAP determines whether the driver is ready to return to duty.

4. Pass the Return-to-Duty Drug Test

  1. The driver must take and pass a DOT return-to-duty drug test.
  2. This final clearance confirms that the driver is substance-free and eligible to resume safety-sensitive duties.

Employer Responsibilities

1. Documentation and Reporting

  1. Employers must document all actions taken after a failed drug test.
  2. Employers must report the positive drug test result to the FMCSA Clearinghouse.

2. Follow-Up Testing

  1. Once the driver returns to work, they are subject to follow-up testing, as prescribed by the SAP.
  2. The frequency of follow-up tests is determined by the SAP and can last up to five years.

Supporting the Driver

  1. Employers can help drivers stay on track by offering guidance and resources.
  2. Encouraging drivers to complete their SAP program ensures a smoother return-to-duty process.

Conclusion

Failing a post-accident DOT drug test is a serious issue, but with the right steps, drivers can address their substance use and work toward reinstatement. By following DOT compliance procedures, both drivers and employers can ensure a safe and legal return to work.

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.