Tuesday, March 18, 2014

DOT/CDL Physical Qualification For Drivers

 DOT/CDL Physical Examination
        391.41 Physical Qualification For Drivers   


  • No loss of foot, leg or other extremity unless accompanied by a Skill Performance Evaluation (SPE) Certificate.   (see SPE Certificate Program- new and renewal)
  • No impairment of hand or finger which interferes with prehension or power grasping or other extremity impairment which interferes with the ability to operate a Commercial Motor Vehicle (CMV) unless driver has a SPE certificate.
  • No history or diagnosis of diabetes mellitus requiring the use of insulin (unless has a diabetes exemption; see Federal Diabetes Exemption  Program).
  • No cardiac disease (heart attack, chest pain etc) that may cause loss of consciousness, collapse or affect ability to operate a CMV.
  • No respiratory dysfunction that may interfere with ability to operate a CMV.
  • No current diagnosis of high blood pressure likely to interfere with ability to operate a CMV.
  • No rheumatic, arthritic, orthopedic, muscular, neuromuscular, or vascular disease likely to interfere with ability to operate a CMV.
  • No epilepsy or other medical condition likely to cause loss of consciousness or affect ability to operate a CMV.  See (dotmedicalexaminerblog.com on the FMCSA Seizure Exemption).
  • No mental nervous or psychiatric disorder that may interfere with operation of a CMV.
  • Distant visual acuity of at least 20/40 or better in each eye with or without corrective lenses (Snellen chart), field of vision of at least 70 degrees in the horizontal meridian in each eye, and ability to recognize colors showing standard red, green and amber.  see (Federal Vision Exemption Package).
  • First perceives forced whispered voice in better ear at not less than 5 feet.  If audiometric testing used no average hearing loss in better ear of more than 40 decibels at 500hz, 1000hz, and 2000 Hz with or without a hearing device.  See   (FMCSA Hearing Exemption).
Standards or Federal Motor Carrier Safety Regulations (FMCSRs) are laws.  Four of the standards (vision, insulin use, hearing, and epilepsy) are non-discretionary, and do not rely on the medical examiner's interpretation.  A driver who does not meet any of the non-discretionary standards is disqualified.  If the driver wishes, he must then submit an application to the FMCSA to be considered for an exemption from any of the standards (provided he or she would have been otherwise qualified as determined by a medical examiner).  The FMCSA has two Driver Exemption Programs:  The Federal Vision program started in 1998 and the Diabetes Exemption Program in 2003.  The other two non-discretionary standards (hearing and epilepsy) do not have a formal program in place.  Nevertheless, as of now, exemptions have been granted to all four non-discretionary standards.  These exemptions provide a temporary relief from the regulatory standards.  They are good for 2 years and may be renewed.

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