DOT Drug Test Compliance & Supplies — 49 CFR Part 40

What is a DOT drug test?

A DOT drug test is a urine drug screening regulated by the U.S. Department of Transportation under 49 CFR Part 40. It applies to "safety-sensitive" employees of DOT-regulated transportation industries, including:

  • FMCSA — Federal Motor Carrier Safety Administration (commercial truck drivers, CDL holders)
  • FAA — Federal Aviation Administration (pilots, mechanics, flight crew)
  • FRA — Federal Railroad Administration
  • FTA — Federal Transit Administration (transit operators)
  • PHMSA — Pipeline and Hazardous Materials Safety Administration
  • USCG — U.S. Coast Guard (commercial vessel crew)

What does a DOT drug test screen for?

DOT testing uses the federally-mandated SAMHSA-5 panel with expanded opiate coverage:

  • Marijuana (THC)
  • Cocaine
  • Opiates — including codeine, morphine, heroin metabolites, plus oxycodone, oxymorphone, hydrocodone, hydromorphone (since 2018)
  • Amphetamines (including methamphetamine and MDMA)
  • Phencyclidine (PCP)

Breath alcohol testing is a separate requirement, conducted with FDA-cleared Evidential Breath Testing (EBT) devices. Browse breath alcohol testing supplies.

When is DOT testing required?

  • Pre-employment — before performing safety-sensitive duties
  • Random — 50% of safety-sensitive employees annually (FMCSA: 50% drug, 10% alcohol)
  • Post-accident — following qualifying incidents
  • Reasonable suspicion — based on documented supervisor observations
  • Return-to-duty — after a violation, before resuming safety-sensitive functions
  • Follow-up — ongoing monitoring after violations (minimum 6 tests in 12 months)

DOT-compliant supplies from American Screening Corp

DOT testing process — the legal flow

  1. Collection — by a DOT-trained collector using a chain-of-custody-compliant specimen cup
  2. Laboratory testing — specimen sent to an HHS-certified laboratory for GC-MS or LC-MS/MS analysis
  3. Medical Review Officer (MRO) verification — a licensed physician reviews any positive lab result and interviews the donor to rule out legitimate medical explanations
  4. Verified result — MRO reports a verified negative, positive, or refusal-to-test to the employer
  5. Employer action — based on the verified result and the company's written policy

Bypassing the MRO step or acting on a screening result alone is a violation of 49 CFR Part 40 and a frequent source of wrongful-termination litigation.

DOT drug test FAQ

How long does a DOT drug test stay on record?

DOT employers are required to maintain testing records for a minimum of 5 years. Positive results, refusals, and SAP referrals are reported to the FMCSA Drug & Alcohol Clearinghouse (for commercial driver license holders) and remain queryable for at least 5 years.

Can a CDL driver use medical marijuana?

No. Under 49 CFR Part 40, marijuana use — including state-legal medical marijuana — remains a federal disqualifier for safety-sensitive DOT positions. State medical marijuana cards do not provide a DOT exemption.

What happens after a DOT positive?

The employee is immediately removed from safety-sensitive duties. They must complete a Substance Abuse Professional (SAP) evaluation, follow the prescribed treatment plan, pass a return-to-duty test, and complete a minimum 6 follow-up tests in 12 months before returning to safety-sensitive work.


Setting up a DOT program? Browse DOT supplies, learn about ASC's DOT compliance software, or call 318-798-3306 for program guidance.