DOT Drug & Alcohol Testing & the Clearinghouse

Drivers who need a CDL for their job are covered by federal drug and alcohol testing rules. A positive test or a refusal takes you off the road immediately, goes into a national database that every future employer checks, and can lead to your CDL being downgraded until you complete a return-to-duty process.

Photo: collection site sign for DOT drug testing

When you can be tested

TestWhen
Pre-employmentBefore you first drive for a new employer (drug test required)
RandomUnannounced, throughout the year; you must go right away when notified
Post-accidentAfter crashes involving a death, or an injury needing treatment away from the scene or a disabling tow when you got a citation
Reasonable suspicionWhen a trained supervisor sees specific signs of use
Return-to-duty and follow-upAfter a violation, before you can drive again and for a period afterward

Drugs tested

DOT tests look for marijuana (THC), cocaine, amphetamines and methamphetamine, opioids (including oxycodone and similar prescription drugs), and PCP. A medical review officer contacts you to check for a valid prescription before reporting a positive for a prescription drug.

Marijuana: Even where marijuana is legal under state law, including for medical use, CDL drivers may not use it. CBD products can also contain enough THC to cause a positive test. DOT does not accept “it was CBD” as a defense.

Alcohol

Refusals

Refusing a test counts the same as a positive. Refusals include not showing up in time, leaving the collection site, not providing a sample without a medical reason, and tampering with or substituting a sample.

The Clearinghouse

Return to duty

  1. Evaluation by a DOT-qualified substance abuse professional (SAP)
  2. Completing the education or treatment the SAP requires
  3. A follow-up SAP evaluation
  4. A negative return-to-duty test
  5. At least 6 unannounced follow-up tests in the first 12 months back (and possibly more, for up to 5 years)

If you’re struggling

If you have a problem with alcohol or drugs, getting help before a violation is far better than after. Many employers have employee assistance programs. The SAMHSA helpline (1-800-662-4357) is free and confidential. See Mental Health & Suicide Prevention and Overdose & Naloxone.

Standards & references

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