One Strike Is Enough: Why Continuing Care Matters After a DOT Violation

September 2, 2025

Ophthalmologist's Department

If you’re a safety-sensitive employee who’s made it through a DOT violation and been given a second chance, don’t take it for granted. As a Substance Abuse Professional (SAP), I’ve seen what happens when people don’t take that first violation seriously. And I’ve also seen what it takes to make sure it never happens again.

This is about turning that warning shot into a wake-up call and why continuing care isn’t just a recommendation, it’s your roadmap.

One Violation Is a Warning. Two Could Be the End.

If you’ve had one DOT violation, you’re already on thin ice. You may be fortunate enough to have an employer willing to take you back—but a second violation can close the door for good.

With driverless trucks on the horizon, stricter regulations, and increased scrutiny, the pressure is on to maintain a clean, reliable record. One violation is already a mark. Another could end your career.

Build Your Support System from the Inside Out

Most treatment programs include a relapse prevention plan—a written strategy that outlines:

  1. Triggers and high-risk situations
  2. Coping skills and support networks
  3. Mutual support groups like AA, NA, or SMART Recovery

These tools aren’t meant to sit in a folder. They’re the foundation for staying prepared in real-world situations.

Put the Responsibility Where It Belongs

At the end of the day, you’re the one responsible for staying clean. Not your employer. Not your SAP. Not your treatment provider.

That’s why I emphasize three points:

  1. You’ve been given a second chance—don’t waste it.
  2. You need to take ownership of your recovery.
  3. You need to follow through on your continuing care plan, even when no one is watching.

Because often, no one is watching. Unless your employer uses a formal return-to-work agreement, your continuing care recommendations may not be monitored. That means accountability falls on you.

Final Thought: Stay Ready, Stay Employed

The DOT return-to-duty process is about more than passing a test. It’s about proving you’re ready to return to safety-sensitive work and stay there. Continuing care is your best defense against relapse, and your best shot at keeping your job.

Take it seriously. Build your support system. Stay accountable. Because you only get so many chances.

Karishma Sarfani

Karishma is a Qualified Substance Abuse Professional (SAP) with a background in mental health and substance abuse counseling, holding credentials as an MS, LCDC, ICADC, CADC II, CSAC, CASAC II, LPC, and EMDR-trained therapist. Inspired by personal experiences with addiction and mental health challenges in her community, she has dedicated her career to supporting individuals on their journey to recovery and success.