📋 Key Takeaways About Fleet DOT Compliance Programs
- What it is: A systematic approach ensuring all fleet drivers meet FMCSA medical certification requirements under 49 CFR Part 391
- Cost: $70 per DOT physical exam at Charlotte DOT Exam Center
- Frequency: Most drivers need recertification every 24 months (some conditions require 12-month or shorter certificates)
- Penalty: Non-compliance fines up to $16,864 per violation, plus out-of-service orders
- Benefits: Priority scheduling, expiration tracking, same-day certification, and DQ file documentation
What Is a Fleet DOT Compliance Program?
A fleet DOT compliance program is a systematic approach that ensures all commercial drivers in your Charlotte-area fleet meet Federal Motor Carrier Safety Administration (FMCSA) medical certification requirements [1]. Under 49 CFR Part 391, motor carriers must verify that every driver operating commercial motor vehicles (CMVs) maintains a valid DOT medical certificate issued by a certified medical examiner listed on the National Registry [2].
At Charlotte DOT Exam Center, we partner with fleet managers across Mecklenburg County, Gaston County, and the greater Charlotte metro area to provide comprehensive DOT compliance services. Our FMCSA-certified examiners, Dr. Lemuel P. Byrd, Jr. and Dr. Alan M. Tebby, have performed thousands of DOT physical examinations since 1991.
FMCSA Requirements for Fleet Medical Compliance
The FMCSA mandates specific requirements for motor carriers regarding driver medical certification. Failure to maintain compliance can result in out-of-service orders, fines up to $16,864 per violation, and potential loss of operating authority [3].
| Requirement | FMCSA Regulation | Penalty for Non-Compliance |
|---|---|---|
| Valid Medical Certificate | 49 CFR 391.41 | Driver out-of-service + $16,864 fine |
| Medical Examiner on National Registry | 49 CFR 391.43 | Invalid certification |
| Driver Qualification File | 49 CFR 391.51 | $1,270–$16,864 per violation |
| Self-Certification to State DMV | 49 CFR 383.71 | CDL downgrade |
| Electronic Submission (effective June 2025) | 49 CFR 391.43 | Certification not recorded |
Benefits of a Fleet DOT Compliance Partnership
Charlotte-area fleet operators who establish a dedicated compliance partnership with Charlotte DOT Exam Center receive:
- Priority Scheduling — Dedicated appointment blocks for your drivers
- Consistent Examiners — Same certified medical examiners understand your fleet’s needs
- Expiration Tracking — Proactive notifications before medical cards expire
- Bulk Pricing — Volume discounts for fleets with 5+ drivers
- Compliance Documentation — Proper records for your Driver Qualification Files
- Same-Day Certification — Minimize driver downtime
- Electronic Registry Submission — Immediate upload to FMCSA National Registry
Fleet Compliance Services We Provide
| Service | Description | Cost |
|---|---|---|
| DOT Physical Examination | Complete FMCSA-mandated physical exam | $70 |
| DOT Drug Testing (5-panel) | Pre-employment, random, post-accident | $90 |
| Non-DOT Physical Exam | For drivers not subject to FMCSA | $70 |
| Recertification Exam | For drivers with expired cards | $70 |
| Return-to-Duty Exam | After medical clearance obtained | $70 |
How to Establish a Fleet Account
Setting up a fleet compliance program with Charlotte DOT Exam Center is straightforward:
- Contact Us — Call 704-544-3494 or email appt@tebbyclinic.com
- Provide Fleet Information — Number of drivers, vehicle types, service areas
- Establish Billing — Direct billing available for qualified accounts
- Schedule Initial Exams — We accommodate your operational schedule
- Receive Documentation — All records formatted for DQ file compliance
Frequently Asked Questions
How often do fleet drivers need DOT physicals?
Most drivers require recertification every 24 months. However, drivers with certain medical conditions such as high blood pressure (Stage 1 hypertension) receive 12-month certificates, and those with Stage 2 hypertension receive 3-month temporary certificates until their condition is controlled [4].
Can we schedule multiple drivers on the same day?
Yes. Fleet accounts receive priority scheduling and can book multiple drivers in consecutive appointment slots. We recommend scheduling during our lower-volume periods (Tuesday-Thursday mornings) for fastest processing.
Do you provide documentation for our Driver Qualification Files?
Absolutely. Every examination includes a copy of the Medical Examination Report (MCSA-5875) and Medical Examiner’s Certificate (MCSA-5876), properly formatted for 49 CFR 391.51 compliance.
What happens if a driver fails the DOT physical?
Our examiners work with drivers to identify correctable conditions. Many drivers who initially fail can pass within 2-4 weeks after addressing underlying medical issues. We provide specific guidance on what documentation is needed for recertification.
Do you handle DOT drug testing for fleets?
Yes. We provide DOT-compliant 5-panel drug testing for pre-employment, random, reasonable suspicion, post-accident, return-to-duty, and follow-up testing per 49 CFR Part 40.
Charlotte Areas We Serve
Charlotte DOT Exam Center serves fleet operators throughout the Charlotte metropolitan area, including: Pineville, Matthews, Ballantyne, South Charlotte, SouthPark, University City, Mint Hill, Huntersville, Concord, Gastonia, Rock Hill SC, and Fort Mill SC.
Contact Charlotte DOT Exam Center
Charlotte DOT Exam Center
8415 Pineville-Matthews Road, Suite 102
Charlotte, NC 28226
Phone: 704-544-3494
Email: appt@tebbyclinic.com
Hours: Monday-Friday 8:30am-5:00pm, Saturday 8:30am-12:00pm
References
- [1] Federal Motor Carrier Safety Administration. Physical Qualifications for Drivers. https://www.fmcsa.dot.gov/regulations/medical
- [2] 49 CFR § 391.43 – Medical examination; certificate of physical examination. eCFR.gov
- [3] FMCSA Penalty Schedule. https://www.fmcsa.dot.gov/regulations/enforcement
- [4] 49 CFR § 391.41(b)(6) – Blood pressure and hypertension requirements. eCFR.gov
- [5] NC Division of Motor Vehicles – Commercial Driver License. NCDOT.gov

