SAP Process:

What to Expect & How I Can Help

If you've failed or refused a DOT drug or alcohol test, you're federally prohibited from performing any safety-sensitive duties (like operating a commercial vehicle or working as a flight attendant) until you complete the Substance Abuse Professional (SAP) process.

As a DOT-qualified SAP, I am here to guide you through every step of this process—ensuring your return to work is safe, compliant, and supported by professional care.

The Process:

The SAP process is regulated by the U.S. Department of Transportation (DOT) under 49 CFR Part 40 and applies to all DOT agencies including:

  • FMCSA (commercial truck/bus drivers)

  • FAA (pilots, flight attendants, mechanics)

  • FRA, FTA, PHMSA, USCG (other safety-sensitive roles)

This process is mandatory for returning to a safety-sensitive position.

Step-by-Step: What You Can Expect:

1. Immediate Removal From Duty

After a DOT violation (positive test or refusal), you must be immediately removed from any safety-sensitive role. You cannot resume duties until you complete the SAP process.

2. Initial SAP Evaluation (That’s Me)

As your SAP, I will:

  • Conduct a confidential, clinical evaluation (in person or via telehealth)

  • Assess your substance use history and risks

  • Make Recommendations: treatment or education plan based on your needs and DOT requirements

3. Treatment or Education

You’ll follow the plan I recommend, which may include:

  • Substance abuse education classes

  • Outpatient or inpatient treatment

  • Individual or group counseling

  • Medication management/medical intervention

I’ll stay in contact with your provider to monitor progress.

4. Follow-Up SAP Evaluation

After you’ve completed treatment or education:

  • We’ll meet again for a final evaluation

  • Once you've successfully completed recommendations, you will be return-to-duty test eligible.

5. Return-to-Duty Test

  • Your employer (or C/TPA) will schedule a DOT return-to-duty test

  • You must test negative to resume safety-sensitive duties

6. Follow-Up Testing Plan

I will create a personalized follow-up testing schedule, which is within these perimeters:

  • At least 6 unannounced tests over 12 months

  • Testing may continue for up to 5 years, depending on your case

Your employer (or C/TPA) is responsible for carrying out this testing plan.

Helpful Links:

Get a visual breakdown of what to expect in this quick, clear video:
▶️ Watch on YouTube

For More Information:

I work with both employees and employers across DOT-regulated industries to help ensure a smooth, respectful, and compliant return-to-duty experience.

Whether you’re with FMCSA, FAA, or another DOT agency, I’m ready to walk you through this process from beginning to end.