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When to Call a Substance Abuse Professional: A Guide for DOT Covered Employers


Abby Willroth is a NAADAC-qualified Substance Abuse Professional located in Central Arkansas. "If you have questions pertaining to DOT Alcohol & Drug Testing Regulation, the Role of an SAP or the Return-To-Duty process, ASK A SAP!"
Abby Willroth is a NAADAC-qualified Substance Abuse Professional located in Central Arkansas. "If you have questions pertaining to DOT Alcohol & Drug Testing Regulation, the Role of an SAP or the Return-To-Duty process, ASK A SAP!"

DOT regulated employers often ask the same question after a drug or alcohol violation occurs:


When do we call a Substance Abuse Professional?

The answer is clear. A Substance Abuse Professional, commonly referred to as a SAP, is required after a DOT drug or alcohol violation before a safety sensitive employee may return to regulated duties. What is less understood is that employers and Designated Employer Representatives also have specific regulatory responsibilities at this stage of the process.


This guide explains when a SAP is required, what the SAP role includes and excludes, and what employers are required to do under federal regulation to remain compliant.


When a SAP Is Required?

Under 49 CFR Part 40, a SAP is required after a DOT drug or alcohol violation. Violations include, but are not limited to:

  • A verified positive DOT drug test

  • A DOT alcohol test result of 0.04 or higher

  • A refusal to submit to testing (including by adulterating or substituting a specimen)

  • Or any other violation of the prohibition on the use of alcohol or drugs under a DOT agency regulation constitutes a DOT drug and alcohol regulation violation.


Once a violation occurs, the employee must be immediately removed from safety sensitive functions. The employee may not return to regulated duties until the Return to Duty process is completed in full.


Employers do not determine Return to Duty eligibility. That determination occurs through a federally required process that begins with a SAP evaluation.


Employer Responsibility to Provide a List of Qualified SAPs

DOT regulations place a specific obligation on employers once a violation occurs.

49 CFR Part 40 §40.287 states:

“As an employer, you must provide employees with a list of SAPs qualified under §40.281.”

This requirement is mandatory. Employers are responsible for providing the employee with a list of qualified SAPs so the federally required process can begin without delay.


This responsibility exists even if:

  • The employee says they already have a SAP

  • A treatment provider recommends someone

  • The employer believes the employee can locate a SAP independently


What §40.281 Means for Employers

Under 49 CFR Part 40 §40.281, a qualified SAP must meet specific requirements, including:

  • Holding appropriate credentials or licensure

  • Completing DOT required SAP training

  • Maintaining required continuing education

  • Practicing within the scope of their professional license


Not every counselor, therapist, or treatment provider meets these requirements. Employers are responsible for ensuring that the SAPs on their list are actually qualified under federal regulation.


Compliance Risk for Failure to Provide a SAP List

DOT regulations are explicit about employer accountability.

49 CFR Part 40 §40.287 further provides:

“Your failure to provide such a list could result in sanctions issued by the DOT Modal Administration with jurisdiction over you.”

Failure to provide a list of qualified SAPs can expose an employer to enforcement action, regardless of intent. Documentation and timely action matter.


What a SAP Does


A SAP is responsible for:

  • Conducting a face to face or remote face to face evaluation

  • Determining appropriate education or treatment recommendations

  • Providing a written SAP report that meets DOT requirements

  • Conducting a follow up evaluation after recommendations are completed

  • Developing a follow up testing plan


SAPs represent the major decision point an employer may have in choosing whether or not to return an employee to a safety-sensitive position, such as behind the steering wheel of a school bus, in the cockpit of a plane, behind the steering wheel of an semi-truck, at the helm of an oil tanker, at the throttle of a train, in the engineer compartment of a subway car, or at the emergency control valves of a natural gas pipeline.


What a SAP Does Not Do

A SAP is not:

  • A treatment provider

  • A program or bundled service

  • An advocate for the employer or the employee

  • A decision maker regarding hiring, termination, or reinstatement


Clear boundaries protect compliance and reduce confusion.


Common Employer and DER Missteps

Delays and compliance issues often occur when:

  • A SAP is selected without verifying qualification under §40.281

  • A treatment provider is mistakenly used as a SAP

  • The employer fails to provide a SAP list as required by §40.287

  • SAP reports are incomplete or misunderstood

  • Informal advice replaces regulatory guidance


Most issues are preventable with early action and documentation.


DER Compliance Checklist

49 CFR Part 40 §§40.281 and 40.287

DERs should be able to answer yes to each of the following:

  1. Did the employer provide the employee with a list of SAPs qualified under §40.281?

  2. Was the SAP list provided promptly after the violation occurred?

  3. Have the SAP credentials on the list been verified?

  4. Is documentation maintained showing when and how the SAP list was provided?

  5. Are unqualified counselors or treatment providers excluded from the list?


If any answer is no, corrective action should be taken immediately.


Why This Matters

Improper handling of SAP related responsibilities can result in:

  • Extended employee downtime

  • Operational disruptions

  • Increased administrative burden

  • Regulatory exposure

  • Audit findings

  • Formal complaints submitted to the appropriate DOT Modal Administration


Understanding both when to call a SAP and what employers are required to do supports compliance and protects operations.


Key Takeaway

A Substance Abuse Professional is a required part of the DOT Return to Duty process. Employers also carry clear responsibilities under 49 CFR Part 40 §§40.281 and 40.287. Early engagement, proper documentation, and use of qualified SAPs support compliance and prevent unnecessary delays.


Employer support

Employers with questions about SAP requirements, DER responsibilities, or the Return to Duty process may contact Willroth Consulting for compliance education and SAP services.


Important Links


What is a Substance Abuse Professional (SAP): Substance Abuse Professionals (SAP) | US Department of Transportation



What information is an employer required to provide concerning SAP services to an employee who has a DOT drug and alcohol regulation violation? DOT Rule 49 CFR Part 40 Section 40.287 | US Department of Transportation


Procedures for Transportation Workplace Drug and Alcohol Testing Programs: Procedures for Transportation Workplace Drug and Alcohol Testing Programs | US Department of Transportation



What Employers Need to Know About DOT Drug and Alcohol Testing: What Employers Need to Know About DOT Drug and Alcohol Testing | US Department of Transportation


What Safety-Sensitive Employers Need to Know About DOT Drug and Alcohol Testing: What Employees Need to Know About DOT Drug & Alcohol Testing (English) | US Department of Transportation











 
 
 

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Office Hours: Monday-Thursday 10am-5pm Central 

Email: contactus@willrothconsulting.com

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