DOT PHYSICAL

The objective of a DOT physical examination is to evaluate the health and well-being of a commercial motor vehicle driver. A driver who has health issues which may include sleep apnea, diabetes, poor vision, failed hearing or high blood pressure, could be cause serious harm in the event they were effected while driving. The DOT physical aims to keep unsafe CMV drivers off the road, and ensure the roads stay safe.

A DOT physical is used to evaluate the driver’s vision, blood pressure, general health, heart, and any relevant medical history. The goal of the physical is to ensure the driver does not have any health conditions or issues which could negatively impact their ability to safely operate a commercial motor vehicle.

The following are typically included in a DOT physical examination:

1. Blood pressure and pulse check

2. Check for hernia or any abdomen abnormalities

3. Evaluation for any spine deformities

4. Hearing test, drivers must be able to hear a “forced whisper” from at least 5 feet away with one ear; a hearing aid can be used in the other ear

5. Heart and lung evaluation for murmurs or impaired respiratory functions

6. Mouth and throat evaluation to detect any issues with breathing or swallowing

7. Neurological exam, ensure the driver has good coordination and reflexes

8. Urinalysis to detect any underlying medical conditions or the use of drugs

9. Vision test, at least 20/40 is required and corrective lenses are allowed; patients with monovision may be disqualified

DOT DRUG TEST

DOT drug tests require laboratory testing (49 CFR Part 40 Subpart F) for the following five classes of drugs:

• Marijuana

• Cocaine

• Opiates – opium and codeine derivatives

• Amphetamines and methamphetamines

• Phencyclidine – PCP

Important information

A DOT physical exam is valid for up to 24 months. The Nurse Practitioner may issue a medical examiner's certificate for less than 24 months when it is desirable to monitor a condition, such as high blood pressure.