chart of human body

A DOT physical is a health examination mandated by the FMCSA for commercial motor vehicle (CMV) drivers. A DOT physical helps determine if a driver is physically, mentally, and emotionally fit to operate a CMV.

If you are a commercial driver, you are a “safety-sensitive” employee. And for your safety and the public’s safety, FMCSA requires you to complete and pass a DOT physical to maintain a valid commercial driver’s license (CDL).

WHAT TO EXPECT DURING A DOT PHYSICAL

During a DOT physical, a CME will check your vital signs, review your medical history, and perform a required hands-on physical examination that includes (but is not limited to):

  • General appearance
  • Eyes
  • Ears
  • Mouth and throat
  • Heart
  • Lungs and chest
  • Extremities
  • Nervous system
  • Hernias
  • Back and spine

The CME will issue you a medical examiner’s certificate (MEC) – also called a DOT medical card – when you meet the DOT physical requirements. Without a valid DOT medical card, you can lose your CDL.

As of 2023, CMV drivers with insulin treated diabetes mellitus (type 1 or type 2) and/or monocular vision must meet updated standards to be certified. Forms for these exemptions must be completed at least 45 days before the DOT exam is performed.

doctor using sphygmomanometer on a patient's chest

DO I NEED A DOT PHYSICAL?

You are required to complete and pass a DOT physical if you:

  • Operate a motor vehicle for interstate commerce with a gross combination weight rating, gross vehicle weight rating, or gross combination weight of over 10,000 pounds.
  • Operate a motor vehicle designed to carry more than 15 people.
  • Are paid to operate a motor vehicle designed to carry more than eight people.
  • Transport hazardous materials that required your vehicle to be placarded.