
DOT Compliance: A Complete Guide for Fleet Managers
Everything you need to know about DOT physicals, drug testing requirements, and keeping your fleet compliant.
Discover how transportation companies are revolutionizing health management with BlueHive
See how BlueHive delivers real results for companies in your industry
DOT-Certified Locations
States Covered
Testing Availability
HRIS Integrations
See how BlueHive addresses the most common pain points in your industry
Same-day DOT physical appointments at 20,000+ certified medical examiner locations. Get drivers on the road faster without compliance gaps.
Automated MEC expiration tracking alerts you and drivers before certificates expire. Never have a driver sidelined at a weigh station for an expired certificate.
Automated random selection at the required 50% testing rate. System notifies selected drivers, tracks completion, and maintains audit-ready documentation.
24/7 booking and nationwide coverage means you can arrange post-accident testing anywhere an incident occurs, meeting DOT's time-sensitive requirements.
All driver files, test results, and certifications centralized in one audit-ready system. Generate compliance reports instantly for DOT inspections.
Ready to solve these transportation challenges?
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Your full-time workforce across all locations
= 105 new hires per year
Jobs requiring drug tests, physicals, or certifications = 270 employees
Fully-loaded cost of staff managing compliance
Cost when workers wait for clearance (wages + lost productivity)
Based on your inputs, you'll process approximately 645 occupational health events per year.
Your Estimated Annual Savings
That's 80% savings vs your current process
403h
admin hours/year
2.4
days faster avg.
80%
compliance exposure
645
managed events
Top Cost Drivers in Transportation
* Estimates based on transportation averages. Your actual savings may vary.
See how BlueHive eliminates common challenges and streamlines your processes
Without BlueHive
Days waiting for appointments
With BlueHive
Same-day DOT physicals
Without BlueHive
Expired MECs discovered at weigh stations
With BlueHive
Automated renewal alerts
Without BlueHive
Manual pool management
With BlueHive
Automated selection and notification
Without BlueHive
Scrambling for records
With BlueHive
Audit-ready reports instantly
Without BlueHive
Gaps in driver locations
With BlueHive
20,000+ DOT-certified locations
FMCSA-compliant medical examinations for commercial drivers at certified locations nationwide.
Learn moreComplete DOT testing programs including random, pre-employment, post-accident, and reasonable suspicion.
Learn moreIdentify and manage sleep disorders that affect driver safety with home sleep testing options.
Learn moreStreamlined MEC issuance with direct FMCSA National Registry reporting.
Learn moreManaged random testing pool meeting DOT's 50% annual testing rate requirement.
Learn moreTrack medical certification expiration and streamline the renewal process.
Learn moreTell us about your needs and we'll show you how BlueHive can help
BlueHive helps you meet all the regulatory requirements specific to your industry.
Access 20,000+ locations across all 50 states
Find providers near you
Enter your ZIP code above to see available locations.
Ensure your fleet meets DOT, FMCSA, and workplace safety requirements
0 of 11 items verified
Track your compliance readiness
Federal Motor Carrier Safety Administration requirements for commercial drivers
BlueHive's suite of features is designed to simplify your workflow and keep you ahead.
Find the right occupational health provider near you with our intelligent search and filtering.
Learn moreGet notified instantly when test results come in or when compliance items need attention.
Learn moreAccess all your health records and compliance documents in one secure location.
Learn moreTransparent pricing with consolidated invoicing-no more chasing down individual receipts.
Learn moreBlueHive integrates with 250+ HRIS and payroll providers through our Finch partnership
Already using an HR or payroll system? Connect it to BlueHive in minutes.
See Integration DemoSee how companies are streamlining occupational health with BlueHive
Common questions about occupational health for transportation

Everything you need to know about DOT physicals, drug testing requirements, and keeping your fleet compliant.

Independent contractors, delivery drivers, rideshare workers - who's responsible for their health screening?

Occupational health sits at a high-value intersection: medical data, employee identifiers, employer workflows. Here's how to protect it.
FMCSA(Federal Motor Carrier Safety Administration)
Agency within the US Department of Transportation that regulates the trucking and bus industries.
DOT(Department of Transportation)
Federal department overseeing all transportation modes in the United States, including regulations for commercial driver health and drug/alcohol testing.
FAA(Federal Aviation Administration)
Agency that regulates civil aviation, including medical certification requirements for pilots and flight crew.
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.
DOT Drug Test
A federally regulated urine drug test following strict 49 CFR Part 40 procedures, required for safety-sensitive employees in DOT-regulated industries.
Hair Follicle Drug Test
A drug screening method that analyzes a small sample of hair to detect drug use over approximately 90 days.
Oral Fluid Drug Test
A drug test using a saliva sample, offering a shorter detection window but convenient observed collection.
BAT(Breath Alcohol Test)
An alcohol screening using an evidential breath testing device (EBT) to measure blood alcohol concentration from a breath sample.
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