Employees' Cheat Sheet: Federal Drug & Alcohol Testing

Understanding federal drug and alcohol testing can feel like a game of Twister—one wrong move, and you could be facing federal sanctions! This cheat sheet helps you understand all the dos and don'ts of federal drug and alcohol testing.

Diana Vaculova
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Dos and Don'ts

To ensure compliance with DOT and FRA testing regulations (49 CFR Parts 40 and 219), here are some dos and don'ts for regulated employees, especially those in safety-sensitive positions:

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Always maintain a business-like demeanor during the collection process.
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Pay close attention to the specimen collector's instructions. Compliance is key, whether removing your coat or emptying your pockets.
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Be attentive throughout the collection process and keep copies of any forms provided.
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The testing paperwork will indicate if the test is under federal or company authority and the reason for the test. Familiarize yourself with these details.
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If you believe you've been wrongfully charged with a federal violation, you're entitled to a hearing per 219.104 (c).
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Only specific results trigger federal sanctions, including decertification for engineers and conductors. Take these outcomes seriously!
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If you're unsure about any part of the testing process or your rights, don't be shy—ask for clarification!

Drug and Alcohol Prohibitions

If you're working in a safety-sensitive position, you can't have alcohol or illegal drugs while on duty. Using alcohol while on duty, or even within four hours before reporting for service, is against federal regulations.

Alcohol Concentration Levels

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Below 0.02: If you're tested and come in below 0.02, congratulations! That's considered negative, and no federal action can be taken. Think of it as a "get out of jail free" card!
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0.02 to 0.039: If you find yourself with a result between 0.02 and 0.039, it's considered a "positive" result for alcohol. You'll need to take an eight-hour break.
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0.04 or More: Testing positive for alcohol at 0.04 or higher is where things get serious. You'll be removed from regulated service and must jump through some hoops to return. First, complete the return-to-duty process, including a Substance Abuse Professional evaluation.

Return to Duty

Prepare for some follow-up testing if you're on the mend and looking to return to work. You might have up to 60 months of regular checks ahead of you—a minimum of six tests in the first year.

The Drugs They Test For

When it comes to the substances they're checking, you'll be tested for the usual suspects: marijuana, cocaine, opioids, amphetamines, and PCP.

Non-Negative Test Results

If the lab sends back a non-negative result (that's positive, adulterated, invalid, or substituted), don't panic! The Medical Review Officer (MRO) will chat with you to see if there's a legitimate medical reason behind it—like a prescription medication. If you want a second opinion, you can request a test of your "split specimen." Just keep in mind: you only have 72 hours to make that request, and if it comes back positive, you might have to cover the testing costs yourself.

Prescriptions and Over-the-Counter Medications

Employees in safety-sensitive positions are responsible for understanding how their medications affect their ability to perform safely. First, be sure to let your treating physician know about all the medications you're taking. Always stick to the doctor's prescribed dosage and know that your employer might ask for prior approval for any medications you take. And remember: only use medications prescribed specifically for you. Borrowing your spouse's or kid's meds can lead to unexpected consequences, like a positive federal test result.

Urine Collection

It might sound awkward, but direct observation urine collection can be part of keeping things compliant with federal regulations. So, when do you need a collector or observer watching you like a hawk while you provide your urine specimen? Here are the key scenarios:

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If your last urine sample came in a bit too chilly or warm.
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If the collector caught you trying to pull a fast one or tamper with a specimen in the past.
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If your last test was declared invalid because of some interference and you didn't have a solid medical reason for it.
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If your split specimen couldn't be tested after a non-negative result.
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If you're undergoing a return-to-duty or follow-up test after a previous positive or refusal.

Shy Bladder? No Problem!

If you're having trouble providing a specimen, you can give it another shot for up to three hours. You can drink up to 40 ounces of fluid to help things along—just remember, no combining samples! If you still can't provide a specimen, you might see a physician for a medical evaluation. If they determine no medical reason for the hold-up, it could count as a refusal.

Refusal to Test

Refusing to take a federal test can lead to even harsher penalties than testing positive. If unsure, just take the test and handle any concerns afterward. A refusal includes things like:

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Not showing up for the test or leaving the testing site early.
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Not cooperating with the testing process.
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Failing to provide enough breath or urine without a valid medical explanation.
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Trying to tamper with or substitute your specimen.
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Not allowing any part of the direct observation procedures to happen.

Fatal Flaws

Fatal flaws are serious procedural errors that can cancel a federal drug or alcohol test. An example? If the specimen ID numbers on your bottle don't match those on your test form, you have a fatal flaw!

Voluntary Referral and Co-Worker Report Policies

Voluntary referral and co-worker report policies are here to help if you or someone you know is facing a substance abuse issue. Here's how they work:

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Every regulated employer must have these programs in place.
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If you ask for help or a co-worker refers you, your employer is committed to keeping your job safe and your situation private. You could be granted a leave of absence for treatment, as advised by a Drug and Alcohol Counselor (DAC).

Citations

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Federal Railroad Administration. (n.d.). What you need to know about federal drug and alcohol testing. What You Need to Know About Federal Drug and Alcohol Testing | FRA. https://railroads.dot.gov/elibrary/what-you-need-know-about-federal-drug-and-alcohol-testing
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Drug and alcohol. Drug and Alcohol | FRA. (n.d.). https://railroads.dot.gov/railroad-safety/divisions/drug-and-alcohol/drug-and-alcohol
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Procedures for transportation workplace drug and alcohol testing programs. U.S. Department of Transportation. (n.d.-b). https://www.transportation.gov/odapc/part40
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The Federal Register. Federal Register :: Request Access. (n.d.). https://www.ecfr.gov/current/title-49/subtitle-B/chapter-II/part-219/subpart-B/section-219.104
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Frequently asked questions about federal workplace drug testing. SAMHSA. (n.d.). https://www.samhsa.gov/workplace/faqs-federal-drug-testing
Diana Vaculova
WRITTEN BY

Diana is a dedicated content editor at Health Street, focusing on content creation, SEO, and various other content-related responsibilities. Diana has more than seven years of experience working as a journalist and editor, and also possesses a strong background in sales and marketing, having contributed to impactful health-focused educational campaigns. Diana's expertise in these areas complements her ability to deliver compelling content for Health Street's trusted drug and DNA tests.

Diana Vaculova
WRITTEN BY

Diana is a dedicated content editor at Health Street, focusing on content creation, SEO, and various other content-related responsibilities. Diana has more than seven years of experience working as a journalist and editor, and also possesses a strong background in sales and marketing, having contributed to impactful health-focused educational campaigns. Diana's expertise in these areas complements her ability to deliver compelling content for Health Street's trusted drug and DNA tests.

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