Do you know when a same-gender observer is required for DOT drug testing?
The Federal Motor Carrier Administration (FMCSA) recently released its 2021 random drug testing positivity rates, which showed a 1.2 percent increase in positive tests over the previous year. With drug violations among drivers on the rise, it’s increasingly likely that carriers will have one or more drivers who are going through the return-to-duty and follow-up testing process.
Return-to-duty and follow-up tests are unlike other test types because they must always be conducted under direct observation, and tests conducted under direct observation must be observed by a person of the same gender as the driver.
Return-to-duty and follow-up tests aren’t the only testing situations for which monitoring or observation is required — and therefore necessitate a person of the same gender be available at the collection site.
When are same-gender observers required?
There are two types of collections that require a person of the same gender: monitored collections and collections performed under direct observation.
Monitored collections are used when the employee being tested must provide the specimen in a multi-stall restroom that cannot be secured, e.g., the water cannot be shut off or soap dispensers can’t be secured. In these instances, the collection must be monitored, meaning that a person of the same gender as the person providing the specimen must be in the bathroom — but not the stall — while the person provides the specimen. The only exception to the same-gender rule in a monitored collection is if the monitor is a medical professional, i.e., an individual licensed or certified to practice in the jurisdiction in which the collection takes place.
In the instance of a direct observation, the person providing the specimen must be observed by someone of the same gender as the urine specimen is collected. If the collector is not the same gender as the individual being tested, then an observer of the same gender may be used. An observer is not required to be a qualified collector.
Collections are performed under direct observation when:
- The test is a return-to-duty or follow-up test,
- The collector observes materials brought to the collection site,
- The employee’s conduct clearly indicates an attempt to tamper with a specimen,
- The temperature on the original specimen is out of range, and
- The original specimen appears to have been tampered with.
Recollections are performed under direct observation when:
- The laboratory reports to the medical review officer (MRO) that a specimen is invalid, and the MRO cannot identify an adequate medical explanation for the result;
- The MRO reports that the original positive, adulterated, or substituted test result had to be cancelled because the test of the split specimen could not be performed; and
- The lab reports to the MRO that the specimen was negative-dilute with a creatinine concentration outside of the normal range.
It’s up to the motor carrier to comply
It’s important that motor carriers understand the situations in which a person of the same gender must be available to monitor or observe a urine collection for a Department of Transportation (DOT) drug test so that the carrier doesn’t inadvertently violate the regulations.
For example, the motor carrier has a male driver who needs to complete six follow-up tests to resolve a DOT drug violation. The carrier notifies the driver to report immediately to the collection site to take the first of the six follow-up tests. Because this is a follow-up test, the collection must be performed under direct observation, but the entire staff at the collection site that day is female. The driver’s follow-up test cannot be performed that day unless arrangements are made to send the driver as soon as possible to a different facility that has a male observer available. If the test is not completed that day, the carrier will have to send the driver on another day, but now the motor carrier is in violation of 40.309(b) of the Federal Motor Carrier Safety Regulations (FMCSRs), since the driver is now aware of and has advance notice of the follow-up test.
Be proactive
So, what can a carrier do to ensure a collection site has collectors, monitors, and/or observers of both genders available? Part 40 grants employers the right to conduct site visits to ensure that service agents are compliant with the FMCSRs. If this isn’t something you’ve done in a while — or at all — you may want to take some time to visit your collection site. While there, ask whether the site has employees of both genders available during all of the collection site’s business hours. If not, you may want to consider looking for another collection site.
And when the appointment is made for a test requiring direct observation, the employer should confirm that someone of the same gender as the driver is available at the time of the appointment.
Key to remember: There are certain situations in which a collection site must have someone of the same gender as the person being tested in order to conduct a urine collection, and the employer has the responsibility to confirm someone is available.