Related: Truckers, Drugs and Safety
Study: Major Split Between Truck Driver Urinalysis and Hair-Testing for Drugs
According to the Trucking Alliance, results of a university study indicated “a major discrepancy between the number of drivers who failed a urinalysis drug screen and those who failed a hair test."

Some 300,000 truck drivers would fail a hair test for drugs, says the Trucking Alliance – but most of those would pass the DOT-required urine test.
Photo: Quest Diagnostics
A university study holds that a survey of the paired pre-employment urine and hair drug screenings of 151,662 truck drivers — of which 12,824 failed the hair test – “can be generalized across the national driver population," meaning statistically, more than 300,000 truck drivers would fail a hair test for illicit drug use.
The study by the University of Central Arkansas was commissioned by the Trucking Alliance, a safety-advocacy group whose carrier members operate some 70,000 over-the-road tractors.
The Trucking Alliance recently conducted a survey of 15 trucking companies that use a pre-employment hair test when hiring commercial driver license holders along with the federally required urine test. To compare the results, the companies submitted paired drug and urine test results of 151,662 truck driver applicants.
According to the Alliance, the results indicated “a major discrepancy between the number of drivers who failed a urinalysis drug screen and those who failed a hair test. While 949 (0.6%) applicants failed the urine test, 12,824 (8.5%) either failed or refused to submit to a hair test.” The group noted in a news release that the Department of Transportation classifies refusals to submit to a drug or alcohol screening as a failure. As a result, a hair test failure rate 14.2 times greater than urine was yielded.
Based on this study and generally accepted employment demographics, 310,250 truck drivers would statistically fail a hair test for illicit drugs and opioids use.
The results showed cocaine was the most prevalent drug, followed by opioids, including heroin. Marijuana was the third most widely detected drug. All of these drugs are prohibited by federal law and automatically disqualify persons with a commercial driver license from operating a commercial truck, noted the safety group.
The Trucking Alliance subsequently asked the UCA College of Business to analyze the survey and determine if the test results could be applied, with accuracy, to the national U.S. truck driver population. The UCA study, entitled “An Examination of the Geographical Correlation Between Commercial Motor Vehicle Drivers,” concluded that:
The Alliance sample is “large enough to draw inferences to the national driver population, with a 99% confidence level and a margin of error of less than 1%”
The Alliance sample is representative of the national truck driver population
The Alliance urine vs. hair test results can be generalized across the national driver population.
“We now have clear evidence that hundreds of thousands of drug-impaired truck drivers are skirting the current drug test system and creating a dangerous public safety risk,” said Lane Kidd, managing director of the Trucking Alliance.
The Omnibus Transportation Employee Testing Act of 1991 requires drug and alcohol testing of “safety-sensitive” transportation workers, including truck drivers. The Department of Transportation administers the law, using drug-test guidelines approved by the Department of Health and Human Services.
DOT currently recognizes just one drug test method – urinalysis. But it allows employers to require additional drug-test methods as part of the employer’s hiring practices. A growing number of trucking company employers, including Trucking Alliance carriers, require a second drug test, a hair analysis, as part of their pre-employment truck driver hiring policies.
Until the Department of Health and Human Services completes hair test guidelines that are currently under development, DOT cannot recognize hair-testing for DOT pre-employment and random drug test protocols.
The Trucking Alliance also pointed out earlier this year that until DOT recognizes hair-analysis testing, no employer will be allowed to submit hair-test failures into the CDL Drug and Alcohol Clearinghouse that becomes operational starting in January.
The clearinghouse is intended to allow employers to know if a person applying for a truck driving job has previously failed a drug test, but without hair-testing results being included, it will miss those drivers who were able to pass a urinalysis but failed a hair test.
More Drivers

Truck Drivers Need More Than Another Alert
Fleets have more visibility into truck health, safety events, and driver activity than ever. The next challenge is turning all that information into useful guidance for the person who has to decide what to do next.
Read More →
FMCSA Removes 110 Truck Driver Training Schools from Certified ELDT List
Federal regulators also are targeting more than 160 additional training providers and launching a nationwide audit of third-party CDL skills testers as part of a broader crackdown on trucking fraud.
Read More →
Hours of Service Pilot Programs: FMCSA Readies for 2027 Rollout
Two pilot programs could eventually reshape hours-of-service rules, giving truck drivers options to pause their 14-hour clock or use longer split sleeper rest periods.
Read More →
Medical Cards, English Proficiency Reshape Roadcheck Violations
Medical-card violations jumped to the top of the driver out-of-service list during CVSA’s 2026 International Roadcheck, while English-language proficiency violations appeared among the leading violations for the first time.
Read More →
Driver Trust Can Make or Break the Success of Fleet Safety Technology
New Teletrac Navman research suggests that onboarding, transparency about driver data, and positive feedback can play a significant role in how commercial drivers respond to safety and coaching technology.
Read More →
EEOC Sues KLLM Over Alleged Sex Discrimination in Driver Training
KLLM is facing a federal sex-discrimination lawsuit over policies the EEOC alleges put female truck driver trainees at a disadvantage.
Read More →
FMCSA Moves to Codify English Language Requirements for Commercial Drivers
By changing regulations on English-language proficiency requirements for commercial drivers, rather than relying on a guidance memo, the FMCSA said future administrations won't be able to walk back the Trump administration's stricter enforcement with just a memo.
Read More →Drivers Put Western Star Trucks to the Test at Star Nation Experience
Watch to get an inside look at the Western Star trucks, technology, and community behind the Star Nation Experience 2026!
Read More →
Trump Administration Looks to Put More Veterans Behind the Wheel
The Freedom Haulers program pulls together existing and expanded programs at several federal agencies to recruit veterans to drive commercial heavy-duty trucks and cut the red tape for them to get a CDL, training, and employment.
Read More →
Putting Mack’s Command Steer to the Test
A test drive of Mack’s Command Steer active steering system evaluates how it can make truck driving easier and less tiring.
Read More →
