If you perform FAA safety-sensitive duties and have a drug or alcohol violation, you can’t return to those duties until you complete the DOT return-to-duty process with a qualified Substance Abuse Professional (SAP). That process includes an initial evaluation, the education or treatment your SAP recommends, a follow-up evaluation, a return-to-duty test and follow-up testing. If you hold an FAA medical certificate, completing the SAP process doesn’t restore it on its own. Proactive Wellness provides DOT SAP evaluations by secure video in New York, New Jersey, Georgia and Massachusetts.
Article summary
- FAA testing rules (14 CFR Part 120) cover flight crew, flight attendants, dispatchers, maintenance and other safety-sensitive aviation work.
- A verified positive drug test, an alcohol result of 0.04 or higher, or a refusal to test is a DOT violation.
- You must complete the SAP process before returning to safety-sensitive duty, and your employer directs the return-to-duty test.
- Completing the SAP process is not the same as FAA medical clearance. Certificate holders may also need FAA medical clearance.
Who the FAA rules cover
FAA drug and alcohol testing rules apply to employees of airlines, charter and air tour operators, repair stations and contract air traffic facilities who perform safety-sensitive functions (14 CFR Part 120). Those functions include:
- Flight crewmember and flight attendant duties
- Flight instruction and aircraft dispatch
- Aircraft maintenance and preventive maintenance
- Ground security coordination and aviation screening
- Air traffic control and operations control
Coverage depends on the duties you perform, not just your job title or employer. Many airport jobs, such as most ramp and baggage roles, are not FAA safety-sensitive.
What counts as a violation
- A verified positive drug test
- An alcohol test result of 0.04 or higher
- A refusal to test, which can include not showing up, leaving early or an adulterated or substituted specimen
After a violation, your employer must remove you from safety-sensitive duties and give you a list of qualified SAPs (49 CFR Part 40). Read more about why a refusal counts as a violation.
The FAA return-to-duty process, step by step
- Removal from duty. You stop all safety-sensitive aviation work.
- FAA reporting. If you hold an FAA medical certificate, the violation is reported to the FAA. Pilot violations are also entered in the Pilot Records Database.
- Initial SAP evaluation. A face-to-face clinical assessment, which we provide by secure video, with recommendations for education, treatment or both. See what happens at a SAP evaluation.
- Education or treatment. You complete every recommendation.
- Follow-up evaluation. You return to the same SAP, who confirms compliance and reports to your employer.
- Return-to-duty test. Your employer directs it. Drug results must be negative and alcohol below 0.02.
- Follow-up testing. At least six unannounced tests in your first 12 months back, and testing can continue for up to five years. Read about follow-up testing after return to duty.
Completing the SAP process is not the same as FAA medical clearance.
Need a DOT SAP evaluation?
Talk with a DOT-qualified SAP by secure live video in New York, New Jersey, Georgia and Massachusetts. Appointments are generally available within 24–48 hours once payment and required paperwork are complete, subject to availability.
Pilots and other medical certificate holders
If you hold an FAA medical certificate, completing the SAP process does not by itself restore it. You may also need FAA medical clearance before you can use your certificate again. Refusals to test by holders of pilot, mechanic and other FAA certificates are also reported to the FAA. Your SAP can explain how the two processes fit together, and our FAA SAP page has more detail.
A SAP evaluation is not therapy
The SAP process is a federal safety requirement with a specific job: deciding what education or treatment you need before returning to safety-sensitive work. It’s separate from voluntary therapy. Many people find counseling helpful during this time for stress, family strain or substance use concerns, and it can be arranged separately. Don’t assume an employee therapy benefit, such as Spring Health, covers a SAP evaluation.
What to do first
- Stop safety-sensitive work and follow your employer’s instructions. Ask your Designated Employer Representative (DER) for the list of qualified SAPs.
- Start your SAP intake promptly. The process can’t begin until your initial evaluation is complete.
- Gather what you have. Your test result notice, your employer contact and any letters from the MRO or your employer.
- If you hold an FAA medical certificate, plan for the medical side too. Ask your AME how FAA medical clearance works in your situation.
- Get support for yourself and your family. A violation is stressful. Voluntary counseling, separate from the SAP process, can help.
Who pays for a SAP evaluation
Payment depends on your situation. Some employers or EAPs pay, and many people pay on their own. Proactive Wellness charges a $500 professional fee plus an $18.15 administrative fee ($518.15 total) for all professional SAP services: the initial evaluation, recommendation and report, the follow-up evaluation, the compliance report and the follow-up testing plan. Outside education or treatment, testing and third-party fees aren’t included. If your employer’s EAP is through Revive (formerly BHS), you might be eligible to have SAP services covered. Coverage is never assumed, so we’ll help you check.
Out of work? You can still complete the SAP process. Read completing the SAP process without an employer.
Keep reading
- FAA SAP evaluations and return-to-duty for aviation employees
- Can you do a DOT SAP evaluation online?
- How long does the DOT SAP process take?
- Pilot Mental Health: Stress, Fatigue and Seeking Confidential Support
Frequently asked questions
Does completing the SAP process restore my FAA medical certificate?
No. The SAP process and FAA medical clearance are separate. If you hold a medical certificate, you may also need FAA medical clearance before using it again.
Can I do my SAP evaluation by video?
Yes. Proactive Wellness provides DOT SAP evaluations by secure video for people in New York, New Jersey, Georgia and Massachusetts.
Who directs my return-to-duty test?
Your employer. After your SAP’s follow-up evaluation confirms you complied, your employer directs the return-to-duty test.
How long does the process take?
It depends mainly on the education or treatment your SAP recommends. Read how long the DOT SAP process takes.
Will Spring Health or my EAP pay for my SAP evaluation?
Don’t assume it will. Therapy benefits are separate from SAP services. Some EAPs, including Revive for eligible members, may cover SAP services. We’ll help you check before you start.
Is the SAP evaluation the same as therapy?
No. The SAP evaluation is a federal safety requirement. Voluntary therapy is separate and can help with stress, family strain or substance use concerns during this time.
References
- Electronic Code of Federal Regulations. 14 CFR Part 120: Drug and Alcohol Testing Program.
- U.S. Department of Transportation. 49 CFR Part 40: Procedures for Transportation Workplace Drug and Alcohol Testing Programs.
- SAMHSA. (2019). TIP 35: Enhancing Motivation for Change in Substance Use Disorder Treatment.
Need a DOT SAP evaluation?
DOT SAP evaluations are separate from EAP therapy. Start our SAP intake and we’ll explain the process and payment options. Employer or EAP payment is not guaranteed.
Learn more: FAA SAP evaluations for aviation employees.

