DOT Physical Examination

A medical examination required by the Department of Transportation for commercial motor vehicle (CMV) operators to ensure physical fitness for safe driving.

Key Facts

  • Valid for up to 2 years (1 year with certain conditions)
  • Must be performed by NRCME-listed medical examiner
  • Tests vision, hearing, blood pressure, and urinalysis
  • Required for all CDL holders and CMV operators
  • Results reported electronically to FMCSA

A DOT physical is a comprehensive medical exam conducted by a certified medical examiner listed on the FMCSA National Registry. The exam evaluates vision (20/40 acuity, 70° peripheral), hearing (forced whisper at 5 feet), blood pressure, urinalysis, and overall physical condition. Valid for up to 24 months; 12 months for drivers with certain conditions like treated hypertension or insulin-treated diabetes. Drivers must carry the Medical Examiner's Certificate (MEC) form MCSA-5876.

Occupational Medical Exams Compared

Comparison of common workplace medical evaluations and their purposes.

TypePurposeRegulationFrequencyOrdered By
DOT PhysicalCMV driver clearanceFMCSA (49 CFR 391)Every 1–2 yearsEmployer / FMCSA
Preventive ExamGeneral wellness screeningEmployer policyAnnual or periodicEmployer
Fitness for DutySafe to perform job dutiesADA-guidedAs neededEmployer
FCEMeasure functional capacityNone specificAfter injury/claimInsurance / employer
IMEIndependent medical opinionWorkers' comp / legalAs neededInsurance / legal

50

States Covered

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