Compliance Roundup: April 2026
2 regulatory updates across OSHA, DOT Physicals — here is what changed and what employers need to know.

April 2026 at a Glance
This month brought 2 regulatory updates across 2 compliance areas, affecting employers nationwide.
| Metric | Count |
|---|---|
| Total updates | 2 |
| High impact | 2 |
| Medium impact | 0 |
| Topics covered | 2 |
| Jurisdictions | 1 |
2 updates are rated high impact — these require prompt review and may necessitate policy or program changes.
Month in Trends
OSHA was the most active area this month with 1 update. Federal-level changes this month affect employers in all 50 states regardless of their primary operating location.
Employers should use this roundup to prioritize their compliance review. We recommend starting with the high-impact updates and working through the full list based on your industry and operating states.
All Updates This Month
| Update | Scope | Impact | Topic |
|---|---|---|---|
| OSHA Updates National Emphasis Program on Indoor and Ou... | Federal | High | OSHA |
| FMCSA Temporary Exemption for Paper Medical Examiner Ce... | Federal | High | DOT Physicals |
1. OSHA Updates National Emphasis Program on Indoor and Outdoor Heat-Related Hazards 🔴
OSHA revised its National Emphasis Program targeting heat-related workplace hazards, using 2022–2025 injury data to prioritize inspections across 55 high-risk industries. The update introduces reorganized appendices for evaluating heat programs and citation guidance, removes outdated numerical inspection goals, and directs compliance officers to conduct random inspections in high-risk industries on days when the National Weather Service issues heat advisories or warnings. Effective immediately for five years.
Impact: High · Scope: Federal · Topic: OSHA
2. FMCSA Temporary Exemption for Paper Medical Examiner Certificates During NRII Transition 🔴
FMCSA issued a temporary exemption allowing interstate CDL and CLP holders and motor carriers to rely on paper copies of medical examiner certificates as proof of medical certification for up to 60 days after issuance while State Driver Licensing Agencies transition to the National Registry II (NRII) electronic system. The exemption runs April 11 through October 11, 2026. FMCSA does not anticipate granting additional nationwide NRII waivers after this period.
Impact: High · Scope: Federal · Topic: DOT Physicals
What Should Employers Do This Month?
Based on the updates above, here are the top priorities for April 2026:
- Review high-impact updates immediately — 2 updates this month require prompt attention. Click through to the full analysis for detailed action items.
- Check your compliance calendar — Review effective dates and deadlines for any updates that affect your operations.
- Brief your team — Share relevant updates with your HR, safety, and compliance teams. Each full article includes specific action items.
- Document your review — Note which updates you've reviewed, any actions taken, and follow-up items. This documentation supports your compliance posture during inspections.
Stay Informed
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