What happens if a pilot fails a drug test?

The employer is required to immediately remove the pilot from safety sensitive duties, provide a list of Substance Abuse Professionals (SAP), and report the failed test to the FAA within 2 working days. Unfortunately, the employer can also terminate the pilot's job at this time.



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How many pilots fail drug tests? The FAA has found that about 0.06 percent of pilots and air traffic controllers have a confirmed positive drug test, which works out to a cost of about $45,000 per positive result.

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Drug testing is grouped on pre-employment, random, post-accident, and reasonable cause bases. For random tests, employers must (usually) test 50 percent of the required employees annually. The actual rate, however, fluctuates based on industry data and is set by the FAA.

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And because drug tests can't tell the difference between THC and CBD, pilots who are suspected of using THC, accidentally through CBD or otherwise, can be subject to certificate revocation while a positive drug test following an accident could even jeopardize insurance coverage.

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According to CFR Part 40.85, the standard urine samples are tested for marijuana metabolites, cocaine metabolites, amphetamines, opioids, and phencyclidine (PCP).

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In 2021, FAA data showed that 78% of all PPL pilots passed on their first attempt. In that same year, 79.5% of pilots passed their commercial pilot checkride, and the pass rate for CFI checkrides was 77.9%. Although these numbers are high, it is evident that many pilots failed on the first try.

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These medical conditions include a personality disorder manifested by overt acts, a psychosis, alcoholism, drug dependence, epilepsy, an unexplained disturbance of consciousness, myocardial infarction, angina pectoris, and diabetes requiring medication for its control.

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The details are in CFR Part 40. According to CFR Part 40.85, the standard urine samples are tested for marijuana metabolites, cocaine metabolites, amphetamines, opioids, and phencyclidine (PCP).

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While cigarette smoking is not prohibited by the FAA, it has several hazardous side effects and many health conditions caused by smoking are medically disqualifying. A smoker typically carries a carbon monoxide blood level of about five percent.

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A hair test performed by a lab does not qualify as a DOT/FAA drug test. Like everything else in the FAA, the paperwork matters. The lab must be a National Institute on Drug Abuse (NIDA) lab. The form used must be the FAA form.

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DOT required pre-employment drug test.

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Pilots should be aware that FAA required drug tests routinely test for the presence of THC. Therefore, pilots utilizing commercially available CBD oil are at risk of testing positive for THC (or other prohibited substances) and may be putting their medical and airmen certificates at risk.

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For pilots, avoidance is recommended when it comes to any CBD products. It's helpful to become aware of other common CBD terminology like “full or broad spectrum” and read product labels carefully, including the ingredients.

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According to The May 2021 Occupational Outlook Handbook, the Bureau of Labor Statistics, the salary for commercial pilots is $99,640 per year. The median annual wage for airline pilots, copilots and flight engineers is $202,180.

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