DOT Physical Exams - Utah
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FMCSA | FAA | USCG | FTA | FRA | PHMSAUtah DOT Physical - What You Need to Know
A DOT physical is an in-depth health check required by the Department of Transportation for all commercial vehicle operators. The purpose of this exam is to confirm that drivers are in good physical, mental, and emotional health to handle large vehicles safely on public thoroughfares. Certified medical examiners, registered on the National Registry of Certified Medical Examiners, conduct this examination. A successful exam grants drivers a DOT medical certificate, essential for holding a valid CDL license as per FMCSA standards. If your regulation falls under another DOT agency and you need guidance, 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 health history and medication evaluation
- Vision exam (corrective lenses permitted; must meet minimum criteria)
- Hearing test (forced whisper method or audiometry)
- Blood pressure measurement and heart rate check
- General physical check-up (systemic evaluation)
- Urine analysis (checking specific gravity, protein, glucose)
After successfully completing, your Medical Examiner's Certificate (MEC) can be provided for up to 24 months, though certain health conditions might necessitate shorter certification or documentation from specialists. In Utah, ensure compliance with any additional local requirements.
Who needs a DOT Physical?
You must possess a valid DOT medical certificate if you:
- Hold a commercial driver’s license (CDL) for interstate business, whether class A, B, or C
- Operate vehicles over 10,001 pounds GVWR interstate
- Transport 8+ passengers for hire or 15+ non-hire passengers
- Handle hazardous materials needing DOT placarding
- Work with employers governed by DOT agencies—FMCSA, FAA, FRA, FTA or USCG—requiring DOT medical qualification
In Utah, be sure to adhere to specific state guidelines.
What to bring with you to a DOT Physical?
- Valid government-issued photo identification
- Eyeglasses/contact lenses and prescription details
- Comprehensive list of medications and dosages
- Data on CPAP machine usage if applicable
- Clearance from specialists in cardiology, sleep apnea, diabetes, etc.
- Recent logs for A1C levels or blood pressure if monitored
Ensure you have all necessary documents when in Utah to facilitate the DOT physical process.
What happens if I fail a DOT Physical?
- No issuance of Medical card
- Temporary disqualification status
- Recommendation to consult your primary healthcare provider
- Possibility for FMCSA exemptions for specific health conditions
- Notification to employer about your medical status
- Follow-up actions involve addressing medical concerns and taking the exam again
Utah regulations may also apply to your circumstances, affecting your path to requalification.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Visual acuity worse than 20/40 in both eyes with correction or inability to see traffic colors; hearing loss preventing a whispered voice recognition at 5 feet.
- Blood Pressure & Heart Disease: Uncontrolled high blood pressure (≥180/110 mmHg), recent myocardial infarction, stroke, untreated angina, or defibrillator implant without approval.
- Diabetes: Poorly managed diabetes with frequent hypoglycemic episodes or complications like neuropathy affecting driving.
- Sleep Apnea & Respiratory Issues: Untreated sleep apnea causing sleepiness during the day or severe respiratory disorder affecting oxygen supply.
- Neurological Disorders: Epileptic/seizure disorders unless exempt, or conditions triggering loss of consciousness, dizziness, or tremors.
- Substance Use: Current illegal drug use, alcohol dependency, or misuse of prescribed drugs affecting driving.
- Psychiatric & Cognitive Disorders: Severe unmanaged psychiatric conditions (e.g., schizophrenia, bipolar disorder with recent symptoms) or cognitive deficiencies affecting response and decision-making.
Some medical conditions might temporarily disqualify until medical evaluations or documentation are provided, such as managed blood pressure or diabetes control; whereas conditions like untreated seizures or defibrillator implants often lead to a permanent disqualification under FMCSA guidelines.
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