DOT Physical Exams - New Jersey
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New Jersey DOT Physical - What You Need to Know
A DOT physical is an all-encompassing health check mandated
by the Department of Transportation (DOT) for every commercial motor vehicle (CMV) driver. This examination checks if drivers are physically, mentally, and emotionally capable of handling large vehicles safely on public roads. Conducted by a certified medical examiner (CME) from the National Registry of Certified Medical Examiners (NRCME), passing the test grants a DOT medical certificate, necessary for maintaining a valid CDL license under FMCSA rules. If another DOT agency oversees your activities and you need help determining the required DOT physical, call us at 800-221-4291.
During your exam, the medical examiner will complete a thorough health assessment to determine if you meet the Federal Motor Carrier Safety Administration (FMCSA) medical standards. The process typically includes:
What Does a DOT Physical Include?
Vision Test
Urinalysis
Physical Examination
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What is checked in a DOT Physical?
- Review of health history and medication check
- Vision test (corrective lenses acceptable; must meet minimum vision standards)
- Hearing check (by forced whisper or audio test)
- Examination of blood pressure and pulse
- Comprehensive physical check-up (general systems review)
- Urinalysis (specific gravity, protein, glucose levels)
Once completed successfully, the Medical Examiner's Certificate (MEC) might be issued for a maximum of 24 months. Some conditions may need periodic certification or special documentation. New Jersey.
Who needs a DOT Physical?
A valid DOT medical certificate is needed if you:
- Possess a commercial driver's license (CDL) - A, B, or C for interstate trade
- Operate a vehicle exceeding 10,001 lbs. GVWR in interstate trade
- Carry more than 8 passengers (for a fee) or over 15 passengers (not for a fee)
- Transport hazardous items requiring DOT-regulated placarding
- Are employed by DOT-regulated organizations such as FMCSA, FAA, FRA, FTA, or USCG where a DOT medical qualification is obligatory. New Jersey.
What to bring with you to a DOT Physical?
- Government-issued photo identification
- Eyeglasses/contact lenses & prescription
- Medication list & dosages
- CPAP use records (if applicable)
- Specialist medical clearances (cardiology, sleep apnea, diabetes, etc.)
- Recent A1C/blood pressure records if under monitoring. New Jersey.
What happens if I fail a DOT Physical?
- No issuance of Medical card
- Temporary disqualification activated
- Doctor referral for healthcare
- FMCSA exemptions applicable for some medical conditions
- Informing employer
- Subsequent actions: address health concerns and retry exam. New Jersey.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Less than 20/40 vision in both eyes, inability to distinguish traffic light colors, or inability to hear a forced whisper from 5 feet away.
- Blood Pressure & Heart Disease: Hypertension uncontrolled (≥180/110 mmHg), recent heart attack, uncontrolled angina, stroke, or an uncleared defibrillator.
- Diabetes: Uncontrolled diabetes resulting in low blood sugar episodes frequently or complications like neuropathy or impaired vision that hinder safe driving.
- Sleep Apnea & Respiratory Conditions: Untreated sleep apnea causing drowsiness during the day or severe lung conditions obstructing oxygenation.
- Neurological Conditions: Epilepsy or seizure disorders (unless exempt), or conditions leading to unconsciousness, dizziness, or uncontrolled shaking.
- Substance Misuse: Current illicit drug use, alcohol dependency, or abuse of prescription drugs impacting driving.
- Mental & Cognitive Disorders: Serious uncontrolled psychiatric conditions or cognitive impairments affecting judgment or reaction time.
Some matters might cause a temporary disqualification until medical documentation is supplied (controlled blood pressure, diabetes management). Others, like untreated seizures or defibrillators, are seen as permanently disqualifying by FMCSA.
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