FMCSA Proposes To Delay Four Medical Examiner Final Rule Provisions To 2025

DOT Physical Exams | DOT Compliance | CNS

In what looks to be a ten-year delay, part of which first took effect in January 2015, the rule will require FMCSA to electronically transmit exam results of drivers’ medical certifications to state licensing agencies.

The FMCSA’s latest supplemental notice proposes to extend the compliance date again for several provisions of its 2015 medical examiner’s certification integration final rule by another four years, until June 23, 2025, extending from the previous date of June 22, 2021.

In December 2017, the registry experienced an outage that lasted seven months. During that time, FMCSA suspended medical examiners’ uploading of driver examinations until that functionality was restored.

According to the new notice, “this action is being taken to provide FMCSA time to complete certain information technology system development tasks for its National Registry of Certified Medical Examiners and to provide the state driver’s licensing agencies sufficient time to make the necessary IT programming changes after the new national registry system is available.”

Since the hacking outage, the FMCSA says it has experienced additional setbacks in its efforts to launch the national registry replacement system that require an additional delay.

What Is Being Delayed

FMCSA looks to postpone four provisions having to do with the electronic transmission of certain records from the agency’s national registry website to state licensing agencies, and from state licensing agencies to the Commercial Driver’s License Information System.

These are:

  • FMCSA to electronically transmit, from the national registry to the state licensing agencies driver identification information, examination results and restriction information from examinations performed for holders of commercial learner’s permits or commercial driver’s licenses (interstate and intrastate).
  • FMCSA to electronically transmit to the state licensing agency medical variance information for all commercial motor vehicle drivers.
  • State licensing agencies to post on the Commercial Driver’s License Information System driver record the driver identification, examination results, and restriction information received electronically from FMCSA.
  • Motor carriers to no longer be required to verify that commercial learner’s permit/CDL drivers were certified by a certified medical examiner listed on the national registry.

Ultimately, once the rule is fully implemented, motor carriers will no longer be required to verify that CDL/CLP drivers were certified by a certified medical examiner listed on the National Registry.

A 30-day comment period is expected to follow.

For more information, contact us at 888.260.9448 or info@cnsprotects.com.

CDL Driver Preparation for a DOT Physical Exam and Possible Disqualifications

What to bring for a DOT Physical Exam?

The entire process for getting a DOT physical goes much smoother for both the examiner and the driver when drivers are prepared for the physical exam. 

Department of Transportation (DOT) physical exams ensure that drivers are in good health to do their job safely. The federal regulations require all drivers of commercial motor vehicles (CMVs) to pass a physical to obtain a DOT medical card.

A DOT physical, also called a CDL physical, is a test of your general health, mental and emotional well-being and are required for drivers at trucking, construction, local delivery, waste and recycling, moving, passenger transportation, distribution, and other companies.

If you are scheduled for a DOT Physical Exam you will need to bring your current driver’s license, updated address card (if applicable), and your current medical card.

In addition, if you are being treated by a medical provider for any of the below conditions, additional information may be needed for qualification and we recommend that it be brought along with you.

 

What can you expect during the DOT physical exam?

Once you arrive to the exam location, paperwork will need to be completed for the exam.

A urine sample will be collected that will check for blood, protein, and sugar in your urine. This sample is not for a drug screen.

A nurse will see you and the following will be performed: 

  • height and weight
  • eye exam
  • hearing exam
  • blood pressure and pulse
  • oxygen saturation
  • temperature
  • body mass index, and
  • neck circumference

Next you will see the medical examiner for your physical and determination. If any additional information is needed, you will be given instructions and will have 45 days to have the documentation faxed or brought in for review.

 

Are there automatic health disqualifications for a CDL driver?

Yes, there are five main automatic disqualifications for specific medical conditions. According to federal regulations under 49 CFR 391.4, the five conditions are:

  1. hearing loss,
  2. vision loss,
  3. epilepsy,
  4. insulin use to treat diabetes, and
  5. use of any habit-forming drugs, including narcotics and amphetamines.

Regarding vision loss, if you do not have a correctable 20/40 vision in both your eyes, then you will be disqualified medically. Correctable vision are glasses or contacts and will be noted during the exam.

Drivers can receive diabetes and vision exemptions to drive a CMV safely.

The vision exemption is issued for a maximum of two years and is renewable but requires an annual medical and eye exam by an ophthalmologist or optometrist. The motor carrier is responsible for ensuring that the driver has the required documents before driving a CMV and the driver is responsible for carrying both the current vision exemption and current medical certificate while driving.

Some other temporary disqualifications include cardiovascular issues and psychological disorders.

Cardiovascular disqualification requires the CMV driver “to exhibit higher than acceptable likelihood of acute incapacitation from a cardia event, resulting in increased risk to the safety and health of the driver and the public.” Examiners will explain why you might be temporarily or permanently disqualified from getting a medical certificate.

Some psychological or personality disorders can directly affect memory, reasoning, attention, and judgement. “Disorders of a periodically incapacitating nature, even in the early stages of development, may warrant disqualification.”

When disqualification is made, the driver may be given steps to help fix the condition and possibly be restored to medical fitness of duty.

The examiner may also include a recommended waiting period before the examiner can authorize qualification. The driver will be disqualified from driving a CMV until the required steps and additional exam authorizes qualification.

Drivers who take any prescribed medications:

Drivers need to bring a complete list of prescribed medications, doses, and the providers contact information.

 

Additional information to bring to a DOT physical exam

Drivers who have diabetes:

Drivers need to bring a copy of their last lab work which includes fasting blood sugar and HGA1C. Results should be from within the last 4 months. If they have a journal of your finger sticks, have that available for the exam. Those who are using insulin, please call into the office for further instructions.

Drivers who have high blood pressure:

Drivers who are being treated for high blood pressure should have the last visit note from their provider regarding their high blood pressure and blood pressure readings. Drivers should have blood work not older than 6 months (routine blood work done on High blood pressure patients, creatinine, BUN, fasting glucose, Electrolytes and ECG if 1 year or less old).

A complete list of medications used to control high blood pressure and any at home readings should be available for review during the exam.

Drivers who are required to wear eyeglasses, contact lenses, or hearing devices:

Drivers should be sure to have their glasses with them or contact lenses in place, and hearing devices for the exam.

Drivers who have heart related issues, past or current:

Drivers will need to bring documentation from their cardiologist that reviews medical history, lab work and cardiac testing. In some cases, the driver may need to bring the results of a recent ECHO cardiogram, stress test or any other required testing that has been completed within the past 1-2 years. Please call the office for further instructions and the cardiac clearance form that your provider will need to complete.

Drivers with sleep apnea:

Drivers that are currently using a CPAP machine for sleep apnea will need to bring in a printout of their usage for the last 365 days that shows usage compliance greater than 4 hours; at least 70% of the time, per night. If you have questions regarding this, please call the office for further instructions.

Drivers who are under mental health treatment:

Some mental health treatment requires medications that need to be reviewed by the medical examiner.  A special form may need to be completed by the treating provider before determination can be made on the safety of operating a CMV. Please call the office for further instructions and to obtain the proper forms to have completed.

Drivers who have recently completed a SAP program:

Drivers who have completed a SAP Program need to bring their clearance forms and any documentation that shows verification of completion. For additional questions, please contact the office.

 

Why choose CNS for my DOT physical?

CNS offers DOT physical exams at our location in Lititz, PA with our Certified Medical Examiner (CME), and we also have mobile DOT physicals available. We know your time and money is valuable, which is why we have flexible availability during the week and the weekend.

We are efficient in scheduling appointments and respect your time, preventing you from having long wait times in crowded waiting rooms. We also have competitive rates, and we understand your budget and operating costs as a driver and/or company.

The CNS Occupational Medicine staff is experienced and friendly, and our CMEs are professionals that will effectively evaluate your status.

For more information, contact us at 888.260.9448 or info@cnsprotects.com.

How Nurse Triage Phone Lines Keep Drivers Safe And Injury Claim Costs Down

nurse triage phone lines

Nurse triage phone lines are quickly becoming the best solution for fleets and drivers to be treated quickly and safely if feeling sick or after a workplace accident.

Each year, millions of truck drivers spend thousands of hours behind the wheel keeping the economy moving.

These drivers not only face the chance of being injured if involved in one of the 116,000 annual crashes, but also face the unrecorded number of workplace injuries that occur as they do their job. 

These fears are compounded with the prevalence of COVID-19 and the approaching flu season leading to increased concern about sending drivers to a hospital for an illness or workplace injury.

Too often, truck drivers are pushing on through illnesses concerning themselves with their work schedules and loads instead of their health.

How do drivers know if what they have is a seasonal allergy, a cold or COVID-19? How can they get treated or checked out?

Nurse triage phone lines are quickly becoming the best solution for fleets and drivers to be treated quickly and safely if feeling sick or after a workplace accident.

 

What is a nurse triage?

A triage nurse is the first point of clinical contact for patients visiting an ER and is a registered nurse positioned in an emergency room or other facility that is responsible for assessing patients calling in and determining their level of need for medical assistance.

The criteria used to evaluate a patient include:

  • the type of injury, illness or cause for concern
  • severity
  • symptoms
  • patient explanation of emergency, and
  • vital signs

Responsibilities of a triage nurse include:

  • performing patient assessment
  • reassessing patients who are waiting
  • initiating emergency treatment (if necessary)
  • sorting patients into priority groups according to guidelines
  • communicating status of patients to doctors and nurses

 

How Nurse Triage Can Lower Your Claim Cost

The cost of an injury claim directly impacts the cost of worker’s compensation insurance. The faster an injury claim can be completed, the lower the costs of the claim will be.

To reduce lost time of reporting the injury claim, encourage your drivers to get the injury claim process going immediately by utilizing a nurse triage.

When an injury occurs, your driver calls the nurse triage phone number to speak with a trained nurse. From there, the nurse can direct the driver to self-administer first aid or recommend a designated medical care facility. 

At the conclusion of the call, the claim is immediately reported to the motor carrier, insurance company, and treating medical facility. 

Check out our industry library resources of 15 videos, 2 ebooks, industry links, and CNS In The News content.

Additionally, we recommend creating a strict guideline where injuries are required to be reported immediately as this can keep claim costs low.

Additional benefits of a nurse triage, include:

  • cutting down on reporting time to the insurer 
  • organizing evidence and documentation to prevent fraud
  • providing employers with a simple and affordable way to report injuries that occur from or during work
  • putting employees in insured networks and helping them avoid expensive ER visits
  • helping the carrier gather information and data regarding injuries and accidents

 

Have an illness and want to avoid busy Doctor’s offices or medical facilities?

Start your customized health plan to meet your business needs and keep your employees healthy and safe.

You can call the CNS’ Occupational Medicine team with questions about nurse triage phone lines and telemedicine or to schedule a CNS Telemedicine appointment at 888.260.9448.

Our goal is to get you or your employees well quickly and safely so you or they can return to work fully recovered.


PennDOT Extends Physical Exam Waiver for Bus Drivers

school bus driver physical exam waiver

School bus drivers who need a new physical have until July 31, 2020 to complete one

In response to the request submitted by the Pennsylvania School Bus Association, Pennsylvania Department of Transportation granted the extension to waive the annual physical exam requirement for school bus drivers under 67 Pa. Code §71.3.

The waiver applies to any school bus driver with proof of a valid physical exam that expired on or after March 13, 2020.

School bus drivers who need a new physical exam have until July 31, 2020 to complete one.

According to PennDOT, this waiver does not apply to:

  • drivers who cannot provide proof of physical exam expiring after March 13, 2020;
  • new drivers who have never competed a physical exam;
  • drivers who have been diagnosed with a medical condition that would disqualify the driver from operating a school bus, since their last physical exam;
  • drivers who have developed a condition that requires a medical waiver, since their last physical exam; and
  • drivers required to undergo additional 3-month examinations under 67 Pa. Code §71.3(b)(4)(B)(I) unless the driver has completed the required 3-month exam.

A school bus driver should be able to satisfactorily perform the following activities demonstrating the school bus driver meets the intent of this section:

  • Walk around a school bus
    • Pennsylvania school buses have a maximum length of 45 feet and width of 102 inches. Drivers should be able to satisfactory walk at least 107 feet without problem.
  • Bend to check underneath the bus unassisted by any medical apparatus
    • The bottom of a school bus chassis is typically three (3) feet off the ground.
  • Climb and descend the school bus steps—normally 3 steps—which are each 12-16 inches high.
  • While using the right foot only, alternate between the service brake and accelerator
    • Necessary strength and flexibility to operate all controls with hands and feet.
  • Hold the service brake—the main brake on the bus—with the right foot with 40-60 lbs. of force for 60 seconds.
  • Move quickly and easily from the driver’s seat, through the aisle, and exit the rear emergency exit of the school bus.
    • School bus aisles have a minimum clearance of 11 and 3/4 inches wide, with a typical clearance of 15 inches.

School bus drivers are responsible for the safe transportation of our most precious cargo, our children. It is imperative that every school bus driver is physically capable of not only safely operating the school bus, but also performing critical safety functions in the event of an emergency while operating that school bus.

For more information, contact us at 888.260.9448 or info@cnsprotects.com.


OSHA Required Medical Tests: Audiometric and Respiratory

Audiometric and Respiratory Testing: OSHA Required Medical Tests

Audiometric and respiratory testing may be required for employment under OSHA 29 CFR

Occupational Safety and Health Administration (OSHA) and Mine Safety and Health Administration (MSHA) require pre-employment and annual medical testing for workers in various industries, including oil and gas, trucking, manufacturing, and more to ensure safe and healthy working conditions.

When it comes to employment, there are many different types of exams and testing that may be required under OSHA rules. The most common physical exams include:

  • work fitness assessment
  • fitness-for-duty exam
  • pre-employment physicals

Beyond exams, there are important occupational health tests that may be required for employment under OSHA 29 CFR, which include:

  • audiometric testing and
  • pulmonary function testing or respiratory testing

What is Audiometric Testing?

Audiometric testing is a test of a person’s ability to hear sounds and assists in monitoring an employee’s hearing over time and is OSHA required if the work environment provided by the employer meets certain guidelines.

An audiometric testing follow-up program should indicate whether the employer’s hearing conservation program is preventing hearing loss and needs to be managed by a licensed or certified audiologist, otolaryngologist, or other physician. Both professionals and trained technicians may conduct audiometric testing.

There are two types of audiograms required in the hearing conservation program, which include, baseline and annual audiograms.

Baseline audiograms

The employer must retain the original baseline audiogram for the length of the employee’s employment. The professional may decide to revise the baseline audiogram if the employee’s hearing improves. This will ensure that the baseline reflects actual hearing thresholds to the extent possible.

Annual audiograms

Annual audiograms must be provided within 1 year of the baseline. It is important to test workers’ hearing annually to identify deterioration in their hearing ability as early as possible. This enables employers to initiate protective follow-up measures before hearing loss progresses.

Employers must compare annual audiograms to baseline audiograms to determine whether the audiogram is valid and whether the employee has lost hearing ability or experienced a standard threshold shift (STS). An STS is an average shift in either ear of 10 dB or more at 2,000, 3,000, and 4,000 hertz.

What are employer OSHA requirements?

Under the OSH law, employers are required to maintain a safe workplace for all employees. Failure to do so can lead to serious fines and penalties.

Employers must:

  1. make audiometric testing available to all employees exposed to an action level of 85dB (decibels) or above, measured as an 8-hr time weighted average (TWA).
  2. maintain a Hearing Conservation Program to include monitoring, testing, follow-up, training and recordkeeping (regardless of the number of employees).document and keep noise exposure measurement records for 2 years and maintain records of audiometric test results for the duration of the affected employee’s employment.
    • Audiometric test records must include:
      • the employee’s name
      • job classification,
      • date
      • examiner’s name
      • date of the last acoustic or exhaustive calibration
      • measurements of the background sound pressure levels in audiometric test rooms, and
      • the employee’s most recent noise exposure measurement.

We provide baseline, periodic, and exit audiograms, as well as any follow-up testing and training at the employer’s request. Testing will be performed by trained technicians and the program will be overseen by an Audiologist or Physician.


Occupational Medicine: Free Company Analysis

Our Occupational Medicine Specialists can provide a free health analysis of your company. We will help determine what tests are necessary for your company.

What is Pulmonary Function Testing (PFT) or Respiratory Testing?

A pulmonary function test or respiratory test is OSHA-mandated to determine if an employee can safely and effectively wear a respirator to protect the health of the employee against breathing airborne contaminants.

Before your employees use a respirator or are fit-tested, they must be medically evaluated and cleared by a licensed healthcare professional using a “Respirator Medical Evaluation Questionnaire.”

Employers must select a physician or other licensed healthcare professional (PLHCP), such as a registered nurse or physician’s assistant, to perform the medical evaluation and evaluate your health, specific job description, respirator type, and workplace conditions.

Some conditions that could prevent you from using a respirator include:

  • heart conditions
  • lung disease, and
  • psychological conditions, such as claustrophobia

An employees responses to the medical questionnaire are confidential and may not be shared with your employer.

When required by the PLHCP, additional follow-up testing may include a medical exam, additional questionnaire, PFT, EKG, chest x-ray, blood draw and urine sample.

What is Spirometry Testing?

Some occupational and personal exposures can accelerate this loss of function over time. Beyond the respirator medical evaluation, a spirometry breathing test shows how well you can move air in and out of your lungs. Periodic spirometry testing can be used to detect such accelerated losses.

Under OSHA 29 CFR PFT, spirometry testing is required in conjunction with the respirator fit test under certain circumstances to measure respiratory function.

Spirometry testing may be performed on workers who perform jobs that may cause exposure to possible lung hazards, are physically demanding, or require wearing a respirator. Spirometry is used to diagnose asthma, chronic obstructive pulmonary disease (COPD) and other conditions that affect breathing and is required for some workers by OSHA standards.

Before conducting spirometry testing, technician should interview the worker, review medical records, and possibly consult with the PLHCP to identify health conditions that may prevent the worker from safely performing maximal efforts in a spirometry test.

All respiratory testing will be performed by a PLHCP and/or trained technician and will provide you and your employer with a written recommendation (with no confidential information) that includes:

  • If you are medically able to wear the respirator and any medical limitations for using one;
  • If any follow-up medical evaluations are needed; and
  • A statement that the doctor or licensed healthcare professional has provided you with a copy of their written recommendation.

You must be re-evaluated when:

  • Reported medical signs or symptoms, such as a heart condition, lung disease, or claustrophobia;
  • A physician or licensed healthcare professional, supervisor, or the respirator program administrator informs your employer that you need to be re-evaluated;
  • The respiratory protection program indicates a need for you to be re-evaluated; or
  • A change occurs in workplace conditions that increases the burden on you while using the respirator.

>>> Learn more about Occupational Medicine <<<


Occupational Medicine Services

Employer OSHA and Occupational Medicine testing

We are able to assist with your OSHA and Occupational Medicine needs, no matter your company size.

Individual and combined services are available:

  • Audiograms, respiratory and hazwoper physicals
  • DOT and non-DOT drug and alcohol consortiums
  • Drug and alcohol testing programs
  • Exposure testing and medical surveillance
  • Mobile Health Clinic available for on-site services
  • OSHA compliant physicals and exams
  • Pre-hire screenings
  • Pre-employment and DOT physicals
  • School bus driver physical exams
  • Vaccinations and flu shots
  • Workplace injury treatment and management

The goal of our best-in-class medical examiners is to keep workers safe and healthy on the job, creating long term health and wellness, allowing you to continue the production that keeps your business running.

For more information, contact us at 888.260.9448 or info@cnsprotects.com.


Related News


FMCSA Extends Expiring CDL and Medical Card Waiver

FMCSA has extended a temporary CDL and medical card waiver if expiring after March 1, 2020

CDL and Medical Card Waiver Extended Until May 31, 2021, Due To COVID-19

The Federal Motor Carrier Safety Administration (FMCSA) has extended a temporary waiver that deals with expired commercial drivers licenses (CDLs) and medical cards after March 1st, 2020, due to the COVID-19 health emergency.

The extended waiver now gives drivers until September 30, 2020 to renew their commercial driver’s licenses, commercial learner’s permits and medical cards. This extension only applies to drivers whose CDL, CLP or medical card expired on or after March 1.

Additionally, drivers with an expired medical card are required to carry a paper copy of the expired medical card until it is renewed and drivers with DOT medical cards, issued for at least 90 days, that expire after March 1, 2020 may continue to operate without a new DOT physical exam.

The original temporary FMCSA waiver was set to expire June 30. However, the government recognized that state licensing facilities and medical offices performing DOT physicals may be closed or have restricted hours or staffing.

The FMCSA also issued an Enforcement Notice, explaining that it will “exercise its enforcement discretion to not take enforcement action” against drivers and motor carriers that fall under the terms of the waiver. However, we have seen some roadside enforcement still give violations out when drivers are meeting the waiver guidelines.

Compliance Navigation Specialists can help with DataQ’s, Call 888.260.9448 to talk to a specialist.

These incorrect violations can be challenged with the DataQ process and CNS can help. Our consultants are well-versed in the FMCSA rules and regulations, as well as what an officer is required to note on their report. Whether you would like our consultants to challenge one Data-Q, or review all roadside inspections monthly to report which violations are able to be challenged – we have a cost effect solution for your company.

Regarding accident reporting, each employer must notify FMCSA within 5 business days of an accident involving any driver operating under the terms of this waiver. For more information on accident reporting during the waiver, go to the FMCSA press release.

CNS collection sites and network of collection sites are open for DOT physicals and required drug and alcohol testing. Schedule a DOT physical or drug test by calling CNS today at 888.260.9448.


DOT Compliance Services

Simplify the entire physical, drug consortium and DQF process

Our complete Proactive Safety Management (PSM) program has been organized to get you through an FMCSA audit by managing your driver qualification files, drug consortium, Electronic Logging Devices (ELD), vehicle maintenance and more.

Whether you are a large trucking company that is onboarding drivers quickly or a construction outfit with multiple trucks in your fleet, you need to stay aware of FMCSA regulations.

For more information, contact us at 888.260.9448 or info@cnsprotects.com.

FMCSA Extends Waiver for Pre-Employment Testing

FMCSA extends waiver for pre-employment testing

COVID-19 Pre-Employment Testing

As more businesses are opening back up from the COVID-19 health emergency, the FMCSA earlier this month extended a waiver for pre-employment testing that would reduce drug-testing costs as they rehire drivers.

Current regulations require that new-hire drivers must pass a pre-employment drug and alcohol test for controlled substances before they can perform safety-sensitive functions. These pre-employment drug tests are waived if the new-hire driver was part of a drug testing program within the previous 30 days and was either tested for controlled substances within the past six months or participated in the random controlled substances testing program for the previous 12 months.

This waiver has been extended from 30 days to 90 days and only valid when hiring drivers on or before September 30, 2020. This is basically extending the length of time a driver can be out of a random testing pool from 30 days to 90 days and be exempt from pre-employment testing if all criteria are met as stated in 382.301(b).

This is in response to the COVID-19 public health emergency where many employers have laid off, furloughed, or temporarily removed employees from safety-sensitive functions and removed from the random pool for controlled substances and alcohol testing for a period greater than 30 days.

According to the FMCSA, “As employers begin to recall drivers who were furloughed, laid off, or otherwise not working for the company for more than 30 days, the cost and logistical barriers of testing a large influx of drivers in a short timeframe are significant, at a time when the commercial trucking and motor coach industry is facing unprecedented economic challenges. This problem is further compounded by the reduced availability of controlled substance testing resources due to continued facility closures or other testing impediments caused by the COVID-19 public health emergency.”

CNS Collection Sites And Network Are Open For Drug Testing, Call 888.260.9448 to Schedule A Test Today

Employers must verify that the driver participated in the controlled substances testing specified and had no recorded violations of another DOT agency’s controlled substances use regulations within the previous 6 months. This requires a CDL Drug and Alcohol Clearinghouse detailed query.

Also, each employer must notify FMCSA within 5 business days of an involving any driver operating under the terms of this waiver. For more information on accident reporting during the waiver, go to the FMCSA press release.


DOT Compliance Services

Simplify the entire physical, drug consortium and DQF process

Our complete Proactive Safety Management (PSM) program has been organized to get you through an FMCSA audit by managing your driver qualification files, drug consortium, Electronic Logging Devices (ELD), vehicle maintenance and more.

Whether you are a large trucking company that is onboarding drivers quickly or a construction outfit with multiple trucks in your fleet, you need to stay aware of FMCSA regulations.

For more information, contact us at 888.260.9448 or info@cnsprotects.com.

DOT physical exams and DOT medical cards: Common questions and issues

DOT Physical Exams | DOT Compliance | CNS

DOT physicals explained

Before a driver can get on the road, the Federal Motor Carrier Safety Administration (FMCSA) requires all drivers of commercial motor vehicles (CMVs) to pass a DOT physical exam.

A DOT physical, or CDL physical, is a test performed by a Certified Medical Examiner (CME) reviewing your general health, mental and emotional well-being and is a required by federal law for anyone driving a CMV.

DOT physicals are required to obtain a DOT medical card, which must be renewed at least every two years, showing that the driver has consistently been medically qualified to drive.

Passing a DOT physical exam ensures that CMV drivers are fully equipped to handle the physical demands of operating a commercial vehicle, such as the long driving hours, stress and exhausting schedules that go along with the job.

After passing you will receive a DOT medical card, which must be placed in the Driver Qualification File (DQF) and kept there for at least three years.

For CDL drivers, the federal medical card is temporary proof in the DQ file until a Motor Vehicle Record (MVR) is received, reflecting the newest exam. The MVR must be on file within 15 days of the exam, along with a note that you checked the NRCME database for the exam and both must be kept on file for three years.

For questions regarding driver files,
contact a DOT Compliance Specialist about Driver File Management.

What do examiners test during a DOT physical exam?

Before any testing is done, a CME must be chosen using the National Registry of CMEs online database. All examiners listed have been verified as fully qualified and having the required medical credentials  and complete knowledge of FMCSA regulations and the transportation industry.

Drivers must fill out a form—on-site or before-hand—detailing their current health, health history and a list of current medications.

Check out our industry library resources of 15 videos, 2 ebooks, industry links, and CNS In The News content.

Below are DOT physical exam requirements that are tested:

  1. Urinalysis
  2. Blood pressure/pulse rate
  3. Vision
  4. Hearing
  5. Physical exam (check body for abnormalities in over a dozen areas)

A DOT medical card is considered relevant and valid for up to 24 months, however, if the CME has concerns about the driver’s health, a medical card certificate could be issued for 3 months, 6 months, or however long they see fit to come back for their next required physical exam.

Automatic disqualifications if found during a DOT physical exam

According to federal regulation 49 CFR 391.41, there are specific medical disqualifications that will prevent the examiner from passing your DOT physical exam. These include:

  • Hearing loss
  • Vision loss (if not correctable 20/40 vision in both left or right eye)
  • Epilepsy
  • Insulin use to treat diabetes
  • If any habit-forming drugs are being taken, including narcotics and amphetamines

However, a driver can obtain an exemption for some of the automatic disqualifications.

For example, the FMCSA vision exemption program is for monocular vision and can be issued for a maximum of two years, to be renewed. To obtain this exemption, an ophthalmologist or optometrist must provide an annual medical and eye exam.

It is important to note that marijuana is still a schedule 1 drug federally. All safety-sensitive positions should not consume marijuana products or unregulated CBD oil products.

Non-CDL drivers of a CMV are not required to have a DOT drug test and many companies and drivers assume it is okay to consume marijuana in states where it is legal. However, the federal DOT health history form can cause an automatic disqualification when it comes to marijuana history.

There are two questions asking if the driver has used an illicit substance within that last two years, or if they have ever failed a drug test or been dependent on an illegal substance. Marking “yes” warrants either a federal drug test or an automatic disqualification. This can affect non-CDL drivers for construction, landscaping, local delivery, moving companies and more.

Some red flags leading to temporary disqualification include, but are not limited to:

  • Cardiovascular issues
    •  i.e. – Drivers having higher than acceptable likelihood of acute incapacitation from a cardiac event.
  • Psychological disorder
    •  i.e. – Drivers are experiencing a psychological or personality disorder (even in early stages) that can affect memory, reasoning, attention, or judgement.

What should I bring to my DOT physical exam?

In order for your DOT physical exam to go as smoothly as possible, arrive early and be prepared with any personal documents and information you might need, such as:

  • Medical Examination Report (also available on-site)
  • Driver’s license
  • DOT medical card (if applicable)
  • Medication list
  • Corrective lenses or hearing aids
  • Medical records, including recent lab results for Diabetes maintenance within the last year, cardiovascular testing results for heart conditions of any kind, and recent CPAP machine printout, if applicable

Where to get a DOT physical exam?

CNS offers DOT physical exams at our location in Lititz, PA with our Certified Medical Examiner (CME), and we also have mobile DOT physicals available in certain states.

Learn more about mobile DOT physicals
(Group volume discounts and mobile options available)

If you are a part of our Drug and Alcohol Consortium, we can assist in finding a location to obtain a DOT physical or drug test nationwide.

What to do after receiving a new DOT medical card

After receiving a DOT medical card—depending on state rules—the driver needs to take the certified document to the DMV within 15 to 30 days to update the medical expiration date or if the driver is applying for a CDL.

If we performed your DOT physical, our licensing team will attach the new medical card to your CDL license through PennDOT.

If any information on the medical card certificate in ineligible, inaccurate, or missing, the driver will receive a letter requiring the medical card to be corrected and faxed or emailed back to the DMV.

Employers must pull a Motor Vehicle Record (MVR) within 15 days of completing the certified driver physical exam. The DOT requires the medical card information at the DMV to be added to the MVR and is why an MVR must be pulled after each updated medical card.

The updated MVR is required to be placed in the driver qualification file and can be audited by the DOT. A non-CDL driver does not need an updated MVR after a new medical card is received. Instead, a copy of the medical card certificate needs to be on file for three years.

For questions about audits, contact a DOT Compliance Specialist about our DOT Audit services.


DOT Compliance Services

Simplify the entire physical, drug consortium and DQF process

Our complete Proactive Safety Management (PSM) program has been organized to get you through an FMCSA audit by managing your driver qualification files, drug consortium, Electronic Logging Devices (ELD), vehicle maintenance and more.

Whether you are a large trucking company that is onboarding drivers quickly or a construction outfit with multiple trucks in your fleet, you need to stay aware of FMCSA regulations.

For more information, contact us at 888.260.9448 or info@cnsprotects.com.

FMCSA waives CDL, medical certification renewal regs


Waived through June 30

Due to the effects of COVID-19, the US Department of Transportation will not enforce certain licensing and medical certification renewal regulations for drivers whose credentials expired on or after March 1, 2020.

The Federal Motor Carrier Safety Administration issued a waiver Tuesday extending commercial driver’s license and commercial learner’s permit validity until June 30 for those that expire on or after March 1. CLP holders will not be required to retake the general and endorsement knowledge tests if utilizing the waiver.

The notice also waives the requirement for drivers to have a medical exam or certification, as long as the drivers have proof of a valid medical certification that was issued for at least 90 days and expired on or after March 1.

The waiver follows President Trump’s national emergency declaration on March 13 in response to the COVID-19 pandemic. FMCSA says a number of states have more employee absences than normal or closed offices, making it difficult for commercial drivers to renew their licenses. Additionally, FMCSA notes many medical service providers have canceled regularly scheduled appointments, not allowing drivers to get appointments for DOT physicals with medical examiners.

In addition to the above waivers, the notice also:

  • Waives the requirement that CLP holders wait 14 days to take the CDL skills test.
  • Waives the requirement that truckers provide states with a medical examiner’s certificate, as long as they have proof of a valid med cert that expired on or after March 1.
  • Waives the requirement that states change drivers’ med cert status to “not certified” upon the expiration of the certificate if it expires after March 1.
  • Allows FMCSA to continue to recognize the validity of Canadian and Mexican commercial licenses when those jurisdictions issue similar notices extending license validity

For more information, contact us at 888.260.9448 or info@cnsprotects.com.

Now Offering DOT CDL Physical Exams

CNS is now offering appointments for DOT medical card exams. The service will be provided at CNS headquarters, located at 38 Copperfield Circle, Lititz PA 17543 as well as onsite exams across PA for fleets. The service will also extend to PA School Bus medical exams.

Exam appointments can be scheduled Tuesdays and Thursdays as well as the 1st and 3rd Saturdays of each Month.

CNS has hired, John Reel, PA-C, MPAS, as our new Certified DOT Medical Examiner.     DOT CDL Physical Exams

John has 35 years of experience in emergency medicine, general surgery, family practice, pulmonary medicine, internal medicine, occupational medicine and urgent care. John was named one of 50 Physician Assistants Who Make A Difference Today by the National Commission of Certified Physician Assistants Health Foundation in 2017.

 

Schedule an exam today! Exams@cnsprotects.com or by calling 717.625.0280 Option 2