Truck drivers must undergo medical examinations every two years to comply with DOT regulations.
The Department of Transportation, or DOT, requires that commercial drivers pass a medical examination to ensure they're physically healthy enough to operate a motor vehicle as commercial drivers. The Department of Transportation requires drivers to have a physical examination every two years to comply with the law. Employers may require that drivers pass physical examinations more often than that to remain employed. Employers may also require drug testing when hiring commercial drivers.
Eyes, Ears and Throat
The doctor tests the driver's vision and hearing during the DOT examination. In addition, the physician examines the driver for deformities in the throat, which could affect breathing or swallowing. The examination also searches for disease of the ears, eyes or throat, which could affect driving. Drivers who wear corrective lenses can take the vision test while wearing the lenses.
Weight and Height
The examination includes a height and weight check. Examiners must note overweight drivers when conducting the examination.
Heart and Blood Pressure
The physician notes any heart murmurs and arrhythmias during the examination. The driver must disclose medical history of cardiovascular disease or congestive heart failure. The physician may order an electrocardiogram if the examination indicates it's necessary. In addition, drivers with diagnosed hypertension may be required to recertify more frequently than every two years.
Lungs and Abdomen
The DOT physical includes an examination of the driver's respiration rate. The doctor listens to the driver's respiration and orders additional testing if necessary. The examination also includes a physical examination of the abdomen to note an enlarged liver or spleen or hernias, abdominal wall weakness and abnormal masses.
Neurological
During the physical examination, the doctor notes any impairment of coordination, speech, reflexes and neurological responses. Any abnormal results from an assessment of neurological responses require further testing. Further testing determines if the impairment limits the driver's ability to operate a commercial vehicle safely.
Musculoskeletal and the Extremities
The physician examines the driver's range of motion, spine, extremities and musculoskeletal system for abnormalities, limitations and impairments. The assessment determines whether the driver has the ability to operate a motor vehicle. For example, a driver with a foot abnormality may not have the ability to operate the pedals in a motor vehicle.
Lab Tests
Drivers must provide a urine sample for testing during the DOT examination. For example, drivers diagnosed with diabetes controlled with insulin don't qualify to operate a commercial vehicle engaged in interstate commerce. Those who control diabetes through diet and exercise can qualify but must undergo testing and monitoring more frequently. Employers may require a drug test as a preemployment screening as well.
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