What are the medical guidelines for a dot card?

The medical guidelines for obtaining a DOT card are established by the Federal Motor Carrier Safety Administration (FMCSA) to ensure the safety and fitness of commercial motor vehicle (CMV) drivers. The medical examination is conducted by a licensed medical professional authorized by the FMCSA. Here are the key guidelines and requirements:

1. Vision:

- Uncorrected distant visual acuity of at least 20/40 (or correctable to 20/40) in each eye.

- Ability to distinguish colors.

- No visual field restriction in the upper 120 degrees.

2. Hearing:

- Must be able to hear a forced whisper in each ear at least 5 feet away.

- No hearing loss in excess of 40 decibels (dB) at 500, 1000, and 2000 hertz (Hz) in the better ear.

3. Physical Examination:

- Blood pressure not exceeding 140/90 mm Hg.

- Pulse rate within the range of 50 to 100 beats per minute (BPM).

- No current heart disease that impairs the driver's ability to safely operate a CMV.

- No respiratory disease or disorder that significantly limits the driver's breathing capacity.

- No current acute or active infection or contagious disease.

- No significant musculoskeletal abnormalities or disorders that would affect the driver's ability to operate a CMV safely.

4. Neurological and Psychiatric Conditions:

- Drivers must not have any neurological or psychiatric conditions that could pose a safety risk while operating a CMV. This may include:

- Epilepsy or any other condition that causes loss of consciousness.

- Substance abuse or dependence.

- Severe mental disorders.

5. Diabetes Mellitus:

- CMV drivers with diabetes may be eligible for a medical certification if their condition is well-controlled and they meet specific criteria, including regular monitoring and management.

6. Urinary System:

- Drivers must be free from uncontrolled urinary incontinence or any condition that would adversely affect their ability to safely operate a CMV.

7. Periodic Medical Exams:

- DOT physical exams are valid for up to 24 months, but the frequency of exams may vary depending on the driver's age and medical conditions.

It is important to note that the medical guidelines are subject to regular updates and revisions. Drivers should consult the FMCSA website or consult with an FMCSA-approved medical examiner for the most current and accurate information.