Department of Transportation Physical Exams

A Department of Transportation (DOT) physical exam is a mandatory, FMCSA-regulated health check for commercial motor vehicle (CMV) drivers to ensure they are physically fit to operate safely.

• Purpose: Determines if a driver has medical conditions that could cause incapacitation while operating a vehicle.
• Components: Includes vision (20/40 acuity), hearing (forced whisper test), blood pressure/pulse check, and a physical exam of various body systems.
• Urinalysis: A required urine test checks for underlying conditions like diabetes; it is not a drug test, though a separate DOT drug test may be required.

• Documents: Bring a valid driver’s license, a list of current medications (including dosages), and, if applicable, CPAP machine records, vision/hearing aids, or clearance letters for medical conditions (e.g., diabetes or heart conditions).
• Preparation: Avoid excessive caffeine and nicotine beforehand.