DOT Physical Exams - Breed, WI
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FMCSA | FAA | USCG | FTA | FRA | PHMSABreed, WI 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 Breed, UT, ensure compliance with any additional local requirements.
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. Breed, NJ.
What to bring with you to a DOT Physical?
- Official photo ID issued by government
- Glasses/contact lenses with prescription
- Medication list including doses
- Usage data for CPAP machines if needed
- Clearances from specialists like cardiology, sleep apnea, or diabetes experts
- Recent logs of A1C levels and blood pressure if monitored
State requirements in Breed, SD mandate these items.
What happens if I fail a DOT Physical?
- No Medical card will be issued
- Temporary disqualification
- Referral for treatment to your primary care doctor
- FMCSA exemptions for certain medical conditions
- Employer Notification
- Next Steps (address the medical issues and retake the exam)
In Breed, WV, if you fail, you must address the medical conditions before retaking your DOT physical to obtain certification.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Vision worse than 20/40 in each eye (even with correction), difficulty in recognizing traffic signal colors, or hearing deficiency affecting a forced whisper at a 5-foot distance.
- Blood Pressure & Heart Disease: Hypertension (≥180/110 mmHg) not under control, recent heart attack or stroke, uncontrolled angina, or a defibrillator implant lacking approval.
- Diabetes: Poorly managed diabetes with recurrent low blood sugar or complications disrupting safe driving.
- Sleep Apnea & Respiratory Concerns: Untreated sleep apnea causing daytime sleepiness, or serious lung disease affecting oxygen levels.
- Neurological Disorders: Seizure disorders (exceptions allowed), conditions leading to loss of consciousness, dizziness, or uncontrolled tremors.
- Substance Abuse: Present illegal drug use, alcohol addiction, or misuse of medications affecting driving.
- Psychiatric & Cognitive Disorders: Severe psychiatric disorders not under control (e.g., schizophrenia, recent bipolar episodes) or cognitive decline influencing decision-making and response times.
Some conditions may cause temporary disqualification till medical approval or documentation is provided (e.g., managed blood pressure, diabetes handled well). Others, like untreated seizure disorders or unapproved implanted defibrillators, are typically considered permanently disqualifying under FMCSA standards.
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