Maintaining a Safe and Compliant Workforce with Department of Transportation (DOT) Alcohol Test Services

Protect your workers and your business with our comprehensive DOT alcohol test services

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Why Choose Acuity DOT Alcohol Test Services?

DOT alcohol test services ensure that employees in the transportation industry who perform safety-sensitive jobs are screened for alcohol misuse.

Acuity’s occupational health services include DOT alcohol testing in accordance with the DOT Office of Drug and Alcohol Testing Guidance and the Federal Motor Carrier Safety Administration (FMCSA).

We provide responsive, flexible, and scalable programs that are tailor-made for an employer’s unique needs and risks. Our cost-effective solutions are backed by robust, centralized health analytics for ease of case management, including real-time test tracking and reporting, data management and transmission, physician medical review services, and more.

We use an extensive network of medical clinics, lab service centers, our Mobile Medical Unit, and 24/7 on-site collection services to successfully execute compliant and high-quality alcohol testing services for a wide variety of clients and employee populations.

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What We Do

  • DOT alcohol testing
  • Pre-employment, pre-placement, return-to-duty, follow-up, post-accident, and random alcohol testing
  • Surveillance screenings and monitoring
  • Rapidly report verified results
  • Direct and secure link to all certified labs
  • Subject matter expertise, guidance, and program management to ensure alignment with federal, state, and local requirements
  • Training on implementing random alcohol testing programs, identifying donors for reasonable suspicion, collector training

Customized to meet the specific needs of your company

Adaptable, flexible, and scalable programs for employers’ unique needs, job descriptions, and risks.

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Qualified and certified testers

A network of more than 11,000 healthcare providers, including certified testers in 50 states and U.S. territories.

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Convenient and efficient scheduling

A seamless, integrated process backed by 24/7 customer service, from exam scheduling to real-time tracking.

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What is DOT Alcohol Testing?

DOT alcohol testing ensures an alcohol-free transportation industry.

DOT alcohol rules require that employers implement a testing program based on certain employees’ job functions. Non-compliance with DOT rules can result in a company failing a DOT audit and stiff financial penalties.

The rules apply to DOT-regulated agencies, including the Federal Motor Carrier Safety Administration for Commercial Driver’s License (CDL) holders, Federal Aviation Administration (FAA), Federal Transit Authority (FTA), Pipeline and Hazardous Materials Safety Administration (PHMSA), U.S. Coast Guard, and the Federal Railroad Administration (FRA).

If the test returns a positive (0.02% BAC or higher) a confirmatory test is conducted. A CDL driver who tests within this range must be removed from service for 24 hours. Employees who test 0.04% BAC or higher must be evaluated by a substance abuse professional.

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Benefits of DOT Alcohol Testing

DOT alcohol tests save lives and prevent workplace injuries.

When a DOT alcohol test identifies an employee with a substance abuse issue, employers can help facilitate treatment, reduce employer liability, and increase productivity by limiting employee absences. Pre-employment screening also ensures employers in the transportation industry can be sure they’re making the right hire.

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Our Services

Acuity is one of the nation’s leading providers of DOT alcohol testing services to federal, commercial, and international clients.

For more than 48 years, our experienced occupational health team of Medical Review Officers (MROs) and Medical Review Officer Assistants (MROAs) have provided centralized DOT alcohol test reviews and results for verification for U.S. government and commercial clients.
This team provides more than 1,500 MRO services annually for both regulated (including DOT) and non-regulated testing.

From DOT alcohol test scheduling through real-time tracking to physician medical review and determination reporting, our centralized data-driven process is seamless, integrated, and backed by 24/7 customer care.

Plus, our nationwide medical provider network of 11,000 healthcare providers is well-established, assuring a higher start-up value, better cost control, and reduced operational risk for our clients.

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Frequently Asked Questions

Does the DOT test for alcohol?

The DOT requires that DOT-regulated employers must randomly test safety-sensitive employees for alcohol under the following circumstances:

  • Pre-employment
  • Reasonable suspicion
  • Random
  • Return-to-duty
  • Follow-up
  • Post-accident

Who can perform a DOT alcohol test?

A DOT alcohol test must be performed by a certified breathalyzer technician. Test results are reviewed by an MRO.

Acuity’s extensive network of medical providers, collectors, and MROs and MROAs are trained and certified to conduct DOT breathalyzer and saliva tests.

What testing devices can be used for a DOT alcohol test?

A DOT alcohol test screens an employee to determine if alcohol is in the bloodstream. The following devices may be used:

• Evidential breath testing device
• Non-evidential breath testing device
• Saliva test

DOT Alcohol Testing Services – Partner with Acuity International


DOT alcohol tests help employers maintain occupational health and workplace safety, comply with strict DOT regulations, and protect the public.

At Acuity, we combine our DOT alcohol testing services with advanced technology and a widespread provider network to give organizations 24/7 access to scheduling, test status notifications, case management reporting, and more.

Contact us to learn how our alcohol testing team can help you maintain a safe and healthy workforce.