DOT Physical Exams - Wallington, NJ
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FMCSA | FAA | USCG | FTA | FRA | PHMSAWallington, NJ DOT Physical - What You Need to Know
The Department of Transportation mandates a thorough health check-up for all commercial motor vehicle operators. The DOT physical is a key assessment to confirm that these drivers are safely equipped, both physically and mentally, to handle large vehicles on busy streets. Conducted by a certified medical professional listed in the National Registry, passing this test enables the issuance of a DOT medical certificate, necessary for maintaining a CDL license under FMCSA norms. If other DOT agencies regulate you, call 800-221-4291 for guidance.
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
DOT Testing | DOT Breath Alcohol | DOT Consortium Services | MVR Reports Also Available
What is checked in a DOT Physical?
- Health history evaluation including medications
- Vision test (corrective lenses acceptable per standard)
- Hearing test (using whisper or audiometry)
- Measurement of blood pressure and pulse
- Comprehensive physical exam (system review)
- Urine analysis (checking specific gravity, protein, glucose)
On passing, a Medical Examiner's Certificate (MEC) can be issued for up to 24 months. In Wallington, MA, some conditions may lead to reduced certification period or need for specialist letters.
Who needs a DOT Physical?
You must possess a valid DOT medical certificate (card) if you:
- Hold a commercial driver's license (CDL) - class A, B, or C for cross-state commerce
- Operate a vehicle exceeding 10,001 lbs. GVWR across state lines
- Carry more than 8 passengers (for hire) or over 15 passengers (not for hire)
- Transport hazardous materials requiring DOT-compliant placards
- Work in roles governed by DOT authorities such as FMCSA, FAA, FRA, FTA, or USCG mandating DOT medical qualification, inclusive of Wallington, GA.
What to bring with you to a DOT Physical?
- Government-issued photo ID
- Corrective eyewear & prescription
- List of current medications & dosages
- CPAP compliance data (if relevant)
- Specialist approvals (cardiology, sleep apnea, diabetes, etc.)
- Recent A1C or blood pressure records if under monitoring
What happens if I fail a DOT Physical?
- No medical card issued
- Temporary disqualification
- Referral to your primary care for treatment
- FMCSA exemptions available for select medical issues
- Employer receives notification
- Next steps involve addressing medical concerns before retrying the exam
This is also applicable in Wallington, SD.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: If vision is worse than 20/40 per eye (corrected) or unable to discern traffic lights; hearing cannot detect a forced whisper at 5 feet.
- Blood Pressure & Heart Disease: Unmanaged hypertension (≥180/110 mmHg), a recent heart episode or stroke, uncontrolled angina, or having an unsanctioned defibrillator.
- Diabetes: Unregulated diabetes with frequent hypoglycemia or complications like neuropathy or vision issues that hinder safe driving.
- Sleep Apnea & Respiratory Issues: Untreated obstructive sleep apnea causing drowsiness or severe lung disease impairing oxygen levels.
- Neurological Disorders: Epilepsy/seizure disorders (without exemptions), conditions causing sudden consciousness loss or uncontrolled tremors.
- Substance Abuse: Current use of illegal substances, alcohol dependency, or misuse of prescription drugs that hinder driving abilities.
- Psychiatric & Cognitive Disorders: Severe uncontrolled mental illness (e.g., schizophrenia, bipolar with recent episodes) or cognitive issues affecting reaction time and judgment.
Under FMCSA rules, some issues may result in temporary disqualification while addressing them with medical documentation (e.g., controlled hypertension). Others, like untreated seizures or defibrillators, are considered generally permanently disqualifying.
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