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General Content

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What Are Consortium/Third-Party Administrators?

Consortium/Third-Party Administrators (C/TPAs) manage all, or part, of an employer's DOT drug and alcohol testing program, sometimes including maintaining required testing records. They perform tasks as agreed to by the employer to assist in implementing the drug and alcohol testing program and...

Screening Test Technicians and Breath Alcohol Technicians

Screening test technicians (STTs) and breath alcohol technicians (BATs) are professionals trained to conduct alcohol screening tests and confirmation tests, respectively, and transmit the results to the employer in a timely and confidential manner. Alcohol screening tests can be either a breath...

Substance Abuse Professionals

Substance Abuse Professionals (SAPs) are licensed or certified professionals that have knowledge not only of the diagnosis and treatment of alcohol and controlled substances related disorders, but also of DOT drug and alcohol testing and return-to-duty processes as required by §40.281. A DOT-...

Drug Testing Laboratories

Drug testing laboratories must be certified by the Department of Health and Human Services. These laboratories receive, analyze and report laboratory confirmed results only to MROs. Regulations concerning drug testing laboratories are found in 49 CFR Part 40 Subpart F, Subpart Q and Subpart R...

Medical Review Officer

Medical Review Officers (MRO) are licensed physicians who have been trained and certified to review the lab results and to validate whether a test is positive. MROs receive laboratory confirmed urine drug test results; determine whether there is a legitimate medical explanation for a laboratory...

Urine Collectors

Urine collectors collect specimens using Part 40 procedures, ship the specimens to Department of Health and Human Services (HHS) certified laboratories for analysis, and distribute copies of the Federal Drug Testing Custody and Control Form (CCF) to thelaboratory, medical review officer,...

Active Research Projects

/fastact/working-group-consider-new-post-accident-crash-data-elements-tow-away-crashes-fast-act/research-and-analysis/technology/work-zone-safety-technology-researchNatural Gas Systems; Large Truck Crash Causation Study; Safety Culture—Developing and Evaluating Blended Training for New Entrant...

Medical Examiner Responsibilities

Responsibilities of Medical Examiners are outlined in CFR Title 49, Chapter II Subpart E §391.43 Medical examination; certificate of physical examination.

Medical Expert Panel Topics

Medical Topics: Traumatic Brain Injury; Diabetes Mellitus (Endocrine Disease; Schedule II Licit Medications; Cardiovascular Disease; Seizure Disorders; Sleep Disorders; Renal Disease; Musculoskeletal Disease; Hearing; Psychiatric Disease; Stroke; Multiple Sclerosis and Parkinson's Disease;...