DOT Drug Test

Negative urine drug tests typically come back the next business day, but in some cases can take longer. If the drug screening is not negative, further testing is required. Our lab will run a GC/MS confirmation test on all non-negatives, which provides an official, quantitative measurement of the level of drugs in the system. Confirmation testing takes approximately 3-5 days.

All transportation industry modalities require DOT drug screening for various purposes. For example, trucking companies must ensure safety-sensitive staff such as drivers are tested on a pre-employment and random basis, as well as for post-accident, reasonable suspicion, return-to-duty, and follow-up testing when indicated.

DOT regulations are silent about who is responsible for paying for drug testing. Typically, the company pays for pre-employment and random DOT drug tests, but not always. However, if a driver fails a test, smaller companies are much less likely to pay for a driver's return-to-duty and follow-up testing, putting the onus on the driver to pay for the tests.

Large fleets, on the other hand, often pay for all tests, including return-to-duty and follow-up testing, especially if the drivers are unionized.

Return to duty tests are only required if a person has failed a test, sought out the counsel of a Substance Abuse Professional, and was subsequently cleared to return to duty by the SAP. DOT regulations require trucking firms to ensure that drivers who are subject to the return-to-duty and follow up testing are complying with those testing protocols, including passing all tests as outlined by the Substance Abuse Professional.

DOT drug tests are reviewed by Medical Review Officers (MRO). An MRO signature is required on all valid DOT drug tests, whether positive or negative.

To schedule a drug test with Health Street, we will ask for the following information during the registration process:

If you fail a DOT drug test, please review the information provided by the FMCSA (Federal Motor Carrier Safety Administration) to learn more about the next steps. Health Street is available to assist you in scheduling DOT drug tests as required.

A DOT physical is a medical exam required for certain workers, like truck drivers, to ensure they meet health and safety standards. It includes vision and hearing tests, a blood test, and a urinalysis. Some packages also combine the DOT physical with a DOT drug test.