DOT physical exam

DOT Physical Exams

The Department of Transportation requires all Commercial Drivers License (CDL) holders to receive periodic physical examinations, officially called a “Department of Transportation Medical Examination,” to ensure the ability of the driver to safely operate a commercial vehicle.


Who Needs a DOT Physical?

You are required to have a physical exam and carry a U.S. Department of Transportation (DOT) medical certificate if:

  • You operate a motor vehicle with a gross vehicle weight rating (GVWR) or gross combination weight rating (GCWR) or gross vehicle weight (GVW) or gross combination weight (GCW) of 4,536 kilograms (10,001 pounds) or more in interstate commerce.
  • You operate a motor vehicle designed or used to transport more than 15 passengers, including the driver, in interstate commerce.
  • You operate a motor vehicle designed or used to transport between nine and 15 passengers, for direct compensation, beyond 75 air miles from your regular work-reporting location, in interstate commerce.
  • You transport hazardous materials in quantities requiring placards, in interstate commerce.

The US Department of Transportation sets the following guidelines:

  • CDL holders (Drivers) must have 20/40 correctable vision in each eye. Glasses or contact lenses are permitted.
  • Drivers cannot be a diabetic on needle-injected insulin; diabetes controlled through a diet or oral medication is permitted.
  • A driver’s blood pressure must be under 160/100. Prescription medication to control blood pressure is permitted.
  • Use of a Schedule 1 drug, amphetamine, narcotic or any other habit forming drug is not permitted.

If a driver has a current diagnosis of cardiac insufficiency, collapse, congestive cardiac failure or any other cardiovascular disease, he/she will be required to provide the Medical Examiner with a stress test (performed within the last 12 months) along with a release from the driver’s physician stating that he/she can drive a commercial motor vehicle without restrictions.

The Department of Transportation also requires clearance for drivers that have been diagnosed with the following conditions: sleep apnea, recent back injury, recent major surgery, a current hernia, or have had recent workers’ compensation claims.