DOT Physicals

A DOT physical, or Department of Transportation 
medical screening, is a comprehensive medical examination required for 
individuals operating commercial motor 
vehicles (CMVs) to ensure they are physically fit to drive 
safely and meet federal standards.

This exam includes a physical examination, vision and hearing tests, blood pressure check, and a urine analysis, and is conducted by a licensed medical examiner listed on the FMCSA National Registry.

Vision and Hearing Tests:These tests assess the driver's ability to see and hear clearly, which are crucial for safe driving. Drivers must meet specific vision and hearing standards. 

Physical Examination: A thorough physical exam is conducted, including:

General Appearance: The CME will observe the driver's overall health, posture, and any signs of illness or injury. 

Extremities: The CME will check the arms, legs, and joints for range of motion, strength, and any abnormalities. 

Lungs and Chest: The CME will listen to the lungs and assess breathing patterns. 

Heart: The CME will listen to the heart for any murmurs or abnormalities. 

Eyes, Ears, Mouth, and Throat: The CME will examine these areas for any signs of infection or other issues. 

Nervous System: The CME will assess reflexes, coordination, and other neurological functions. 

Back and Spine: The CME will check for any limitations in movement or tenderness. 

Urinalysis: A urine sample is collected and tested for signs of potential medical conditions such as diabetes or kidney problems. Note that this urinalysis does not test for drugs. However, separate drug and alcohol testing is required by the FMCSA for CDL drivers. 

Review of Medications and Medical Records: The CME will review the driver's medications and may request additional documentation from other healthcare providers if needed. 

Determining Fitness for Duty: Based on the results of the exam, the CME will determine if the driver meets the health standards to safely operate a commercial vehicle. 

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