Understanding DOT Physical vs Non-DOT Physical: A Comprehensive Guide

In the realm of occupational health, the terms “DOT physical” and “non-DOT physical” frequently arise, particularly in industries involving transportation and safety-sensitive positions. It’s crucial to understand the distinctions between a DOT physical vs non-DOT physical exams to ensure compliance with regulations and to promote workplace safety and employee health. This guide delves into the intricacies of DOT physicals and non-DOT physicals, outlining their purposes, requirements, and differences.

What is a DOT Physical?

A DOT physical, mandated by the Department of Transportation (DOT), is a specialized medical examination required for commercial vehicle drivers. The primary purpose of a DOT physical is to ensure that drivers are physically and mentally fit to perform their job duties safely. This examination is essential for maintaining road safety and minimizing potential health risks that could lead to accidents.

Key Components of a DOT Physical

A DOT physical exam includes a thorough review of the driver’s medical history and an assessment of various health parameters. Here are the main elements:

  • Medical History Review: A comprehensive review of the driver’s medical history to identify any underlying medical conditions that may affect their ability to drive safely.
  • Vital Signs: Measurement of vital signs, including blood pressure and heart rate, to assess cardiovascular health.
  • Vision and Hearing Tests: Evaluation of vision and hearing capabilities to ensure the driver meets the required standards for operating a commercial vehicle.
  • Urinalysis: A urinalysis to detect any medical conditions that could impair driving abilities.
  • Physical Examination: A complete physical examination to check for any physical impairments or conditions that may affect the driver’s performance.
  • Neurological Health: Assessment of neurological health to identify any conditions that could impact driving safety.

The DOT physical meaning extends beyond merely passing a test; it’s about ensuring the driver can perform their job safely and effectively.

What is a Non-DOT Physical?

DOT physical vs non DOT physical male examiner

In contrast to DOT physicals, non-DOT physicals are not regulated by the Department of Transportation but are typically conducted by various employers to ensure the health and fitness of their employees. These exams are often required for roles that do not involve commercial driving but still demand a certain level of physical capability and health.

Key Components of a Non-DOT Physical

Non-DOT physical exams can vary significantly depending on the employer and the specific job requirements. However, they generally include the following elements:

  • Medical History: A review of the employee’s medical history to identify any potential health risks.
  • Vital Signs: Measurement of vital signs such as blood pressure, heart rate, and respiratory rate.
  • Physical Examination: A thorough physical examination to assess the overall health and physical fitness of the employee.
  • Hearing and Vision Tests: Evaluation of hearing and vision to ensure they meet the necessary standards for the job.
  • Additional Tests: Depending on the job, additional tests such as drug testing, lung function tests, or assessments for hazardous materials handling may be included.

Differences Between A DOT Physical vs Non-DOT Physical

The primary difference between DOT physicals and non-DOT physicals lies in the regulatory requirements and the specific job duties they address. DOT physicals are strictly regulated by federal guidelines and are required for commercial drivers, whereas non-DOT physicals are employer-specific and cater to a broader range of job roles.

  • Regulatory Requirements: DOT physicals adhere to federal regulations set by the Department of Transportation, while non-DOT physicals follow employer-specific guidelines.
  • Job Duties: DOT physicals are essential for ensuring that commercial drivers can safely perform their job duties. Non-DOT physicals are tailored to meet the specific job requirements of various other roles, such as construction workers, office employees, and more.
  • Scope of Examination: DOT physical exams have a standardized set of tests and criteria, while non-DOT physical exams can be customized based on the employer’s needs.

To schedule your DOT medical card appointment, contact us at 704-544-2494. Visit the Charlotte DOT Exam Center, located at 8415 Pineville-Matthews Road, Charlotte, NC 28226. Our certified medical examiners are available Monday through Friday from 9 AM to 5 PM, and Saturday from 9 AM to 12 PM. For just $70.00, your exam includes the mandatory urinalysis and a durable laminated card upon passing. Call now to secure your spot!

FAQs

What is the difference between a regular physical and a DOT physical?

A regular physical exam assesses overall health and wellness, while a DOT physical specifically evaluates a commercial driver’s fitness to perform job duties safely.

What is a non-DOT examination?

A non-DOT examination is a medical exam conducted by employers for roles that do not involve commercial driving, ensuring employees are fit for their specific job requirements.

How do you get around a DOT physical?

It’s not advisable to “get around” a DOT physical as it is a legal requirement for commercial drivers. Ensuring health and fitness is paramount for safety.

What does DOT stand for in a physical exam?

DOT stands for the Department of Transportation, which mandates physical exams for commercial drivers.

What is the difference between a DOT and a non-DOT physical?

DOT physicals are federally regulated and required for commercial drivers, while non-DOT physicals are employer-specific and cater to various job roles.

What is a non-DOT physical in Texas?

A non-DOT physical in Texas follows the same principles as in other states, focusing on employer-specific health and fitness requirements.

What is the difference between a DOT test and a non-DOT test?

DOT tests are standardized and federally regulated, while non-DOT tests vary based on employer requirements and job-specific needs.

What does a non-DOT test consist of?

A non-DOT test typically includes a medical history review, vital signs measurement, physical examination, and any additional tests required by the employer.

What happens if you fail a non-DOT drug test?

Failing a non-DOT drug test can result in disciplinary action from the employer, including potential job termination.

Can you fail a pre-employment physical for high blood pressure?

Yes, if high blood pressure poses a significant risk to job performance and safety, it can result in failing a pre-employment physical.

What does a physical consist of?

A physical exam includes a medical history review, vital signs measurement, physical examination, vision and hearing tests, and any additional tests required by the specific exam type.

Understanding the Drug Test for DOT Physical: Essential Information for CMV Drivers

The first question to answer is: is a drug test for DOT physical required? The answer is NO. A urinalysis is performed as part of the DOT physical to determine kidney function, specifically looking at the specific gravity, protein, blood and sugar. These can be indications of other more serious health issues. A drug test for a commercial driver is performed upon initial employment with a company and randomly throughout the year.

When it comes to operating a commercial motor vehicle (CMV), maintaining a high standard of health and safety is crucial. For this reason, the Department of Transportation (DOT) mandates that all commercial drivers undergo a DOT physical exam and drug test. Obtaining a DOT medical certificate is essential for maintaining your Commercial Driver’s License (CDL) and continuing to drive. This comprehensive guide will walk you through everything you need to know about these requirements, ensuring you are well-prepared and informed.

What is a DOT Physical Exam?

A DOT physical exam is a medical evaluation required for commercial drivers to ensure they are physically and mentally fit to safely operate a CMV. The DOT physical exam requirements ensure that drivers meet specific health standards, which include a series of tests and assessments conducted by a certified medical examiner to evaluate various health parameters.

Key Components of a DOT Physical Exam:

  • Vision Test: Ensures drivers have adequate vision (at least 20/40) with or without corrective lenses.
  • Hearing Test: A forced whisper test to ensure the driver can hear adequately.
  • Blood Pressure and Pulse Rate: Assesses cardiovascular health. Managing high blood pressure is crucial as it can make a commercial driver a hazard on the road if it becomes unmanageable. It is important to disclose high blood pressure and any prescribed medications during the DOT physical exam to ensure the driver’s ability to safely operate a commercial motor vehicle.
  • Urinalysis: Screens for underlying medical conditions such as diabetes.
  • Physical Examination: A thorough check-up of the body, including the heart, lungs, spine, and other vital organs.

The Role of Drug Test for DOT Physical

A critical part of the DOT physical exam is the drug test. This test ensures that drivers are free from the influence of illegal substances, which could impair their ability to operate a vehicle safely. The medical examiner’s discretion allows for ordering non-DOT drug tests based on the driver’s history of substance abuse, prescribed medications, and findings during the physical exam.

Types of Drug Tests:

  • DOT Drug Test: A standardized test required by the Department of Transportation, typically involving a urine sample.
  • Non-DOT Drug Test: These tests may be required by employers but are not mandated by the DOT.

What to Expect During a DOT Drug Test

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During a DOT physical exam, drivers will undergo a DOT physical urine test, where they provide a urine sample under controlled conditions. The sample is then analyzed for the presence of specific substances.

Substances Tested in a DOT Drug Test:

  • Marijuana
  • Cocaine
  • Amphetamines
  • Opiates
  • Phencyclidine (PCP)

Common Questions About DOT Physicals and Drug Testing

What kind of drug test does DOT use? The DOT uses a urine sample drug test to detect five specific drug categories: marijuana, cocaine, opiates, amphetamines, and phencyclidine (PCP).

What do they check for in urine for a DOT physical? The urinalysis checks for signs of kidney disease, diabetes, and other underlying medical conditions, as well as the presence of drugs.

What’s tested on a 10-panel drug test? A 10-panel drug test screens for additional substances including barbiturates, benzodiazepines, methadone, methaqualone, and propoxyphene, along with the five substances tested in a DOT drug test.

What is a non-DOT drug test? A non-DOT drug test is not regulated by the Department of Transportation and may test for a broader range of substances depending on the employer’s requirements.

What does a DOT urine test check for? A DOT urine test checks for the presence of marijuana, cocaine, opiates, amphetamines, and PCP.

How much is a DOT physical in NC? The cost of a DOT physical in North Carolina is typically around $70.00 at both Tebby Chiropractic and Sports Medicine Clinic and the Charlotte DOT Exam Center.

What does a DOT drug test consist of? A DOT drug test consists of collecting a urine sample and testing it for five specific drug categories: marijuana, cocaine, opiates, amphetamines, and PCP.

What is the sugar level in urine for a DOT physical? The DOT physical may include a urinalysis that checks for elevated sugar levels, which could indicate diabetes.

How to pass a DOT blood pressure test? To pass a DOT blood pressure test, ensure your blood pressure is within the acceptable range, typically under 140/90. Managing stress, maintaining a healthy diet, and regular exercise can help keep blood pressure levels in check.

Can you pass a DOT physical with glucose in urine? Elevated glucose levels in urine can indicate diabetes. If diagnosed, you may need to provide additional medical documentation to demonstrate controlled blood sugar levels.

Can you do a hair follicle drug test for DOT? The DOT currently mandates urine tests, not hair follicle tests, for drug screening.

Does a DOT urine test check for drugs? Yes, the DOT urine test specifically checks for drugs including marijuana, cocaine, opiates, amphetamines, and PCP.

What is a DOT alcohol test? A DOT alcohol test is a breathalyzer test that measures blood alcohol concentration (BAC) to ensure it is below the legal limit.

Does DOT test for Xanax? Xanax is not typically included in the standard DOT drug test panel but may be tested in non-DOT drug tests.

What is a non-DOT drug screen? A non-DOT drug screen is a drug test not regulated by the DOT and can vary in the substances it tests for based on the employer’s requirements.

Can poor vision affect passing the DOT physical? Yes, poor vision can affect passing the DOT physical. Adequate vision is crucial for safe driving, and the DOT physical includes an eye exam to ensure drivers meet the required vision standards.

Can sleep apnea affect passing the DOT physical? Yes, sleep apnea can affect passing the DOT physical. Sleep apnea poses significant risks for commercial drivers, as it can lead to fatigue and reduced alertness, potentially endangering the driver and others on the road.

Is a pre-employment drug test required for a DOT physical exam? While the DOT physical exam itself does not include a drug test, many companies require a pre-employment drug test as part of their hiring process. This drug screening typically tests for substances such as marijuana, cocaine, opiates, phencyclidine, and amphetamines/methamphetamines.

Conclusion

Understanding the requirements and procedures for a DOT physical and drug test is essential for all commercial drivers. Staying informed and prepared helps ensure that you meet the necessary standards to operate a commercial motor vehicle safely and legally.

For an appointment for a DOT medical card, call 704-544-3494 and see one of the certified medical examiners at the Charlotte DOT Exam Center. We are located in South Charlotte, convenient to I-485, I-77, and I-85. We have examiners available Monday through Friday from 9 am to 5 pm and on Saturday from 9 am to 12 noon. The cost is $70.00 and includes the required urinalysis and a laminated card for your wallet upon successful completion.

The Comprehensive Guide to DOT Physical Exam for Commercial Drivers

Introduction

For professional truck drivers, maintaining health and meeting safety standards are paramount. Chiropractors (DCs) are among the certified medical examiners who can perform DOT physicals. A key component of ensuring that truck drivers are fit for the road is the DOT physical exam for commercial drivers. Mandated by the Federal Motor Carrier Safety Administration (FMCSA), the DOT physical is essential for obtaining and maintaining a commercial driver’s license (CDL). This comprehensive health examination mandated by federal regulations ensures that drivers can safely operate a commercial motor vehicle (CMV). At the Charlotte DOT Exam Center, we specialize in providing thorough and efficient DOT physicals to help you

Understanding the DOT Physical Exams For Commercial Drivers

The DOT physical is a health examination mandated by the Department of Transportation (DOT) to ensure that commercial vehicle drivers are physically qualified to operate CMVs safely. Certified medical examiners are responsible for performing DOT physicals according to DOT criteria, making this exam essential for obtaining and renewing a DOT medical card, which is a prerequisite

Key Components of the DOT Physical Exam For Commercial Drivers

  1. Medical History Review: The exam begins with a detailed review of your medical history, including any past or current health conditions, surgeries, medications, and lifestyle factors such as smoking and alcohol consumption. It’s important to be honest and thorough during this part of the exam.
  2. Vital Signs Check: Your blood pressure, pulse rate, and body mass index (BMI) are measured. High blood pressure and irregular heartbeats can be red flags that require further evaluation.
  3. Vision and Hearing Tests:
    • Vision Test: This ensures you meet the required vision standards, either naturally or with corrective lenses. Peripheral vision and the ability to distinguish colors are also tested.
    • Hearing Test: A hearing test checks if you can hear a forced whisper from five feet away, ensuring you can respond to sounds on the road. If you use hearing aids, bring them to the exam.
  4. Physical Examination: This comprehensive physical exam checks your overall health, including heart, lungs, abdomen, and musculoskeletal system. The medical examiner looks for any signs of muscle weakness, neurological issues, or other health concerns that could impair your driving ability.
  5. Urine Sample: A urinalysis is performed to check for underlying conditions such as diabetes and kidney disease. This test is also part of the DOT physical requirements to ensure you are not using controlled substances.
  6. Special Considerations:
    • Sleep Apnea: If you have symptoms or a history of sleep apnea, you may need to undergo a sleep apnea test and possibly use a CPAP machine to manage the condition.
    • Insulin-Treated Diabetes: Drivers with insulin-treated diabetes must meet specific criteria and provide additional documentation to ensure their condition is well-managed.

The Role of the Medical Examiner

Certified medical examiners play a crucial role in conducting DOT physical exams. They are trained to understand the specific health requirements for commercial drivers and ensure that each driver meets the necessary standards. At the Charlotte DOT Exam Center, our certified medical examiners are experienced in performing DOT physicals and providing the necessary documentation, such as the medical examiner’s certificate and the DOT medical card. The medical examiner’s certificate (MEC) is issued upon successful completion of the DOT physical exam and is crucial for maintaining a CDL.

Preparing for Your DOT Physical

To ensure a smooth and successful DOT physical, here are some preparation tips:

  • Bring Necessary Documents: Include your driver’s license, a list of current medications, and your medical history.
  • Stay Hydrated and Eat Healthily: Avoid excessive caffeine and salty foods before your exam to help keep your blood pressure in check.
  • Manage Medications: Take your medications as prescribed, and bring them with you. If you have any medical conditions, such as hypertension or diabetes, ensure they are well-managed and under control.
  • Get a Good Night’s Sleep: Being well-rested can help keep your blood pressure in check and ensure you are at your best for the exam.

Common Health Concerns

Several health conditions can impact your ability to pass the DOT physical. Here are some common concerns and how they are addressed:

  • High Blood Pressure: Regular monitoring and management of your blood pressure are essential. The DOT physical includes multiple readings to ensure an accurate measurement.
  • Vision and Hearing: Ensure your vision and hearing are up to standard. Corrective lenses and hearing aids should be in good condition and used as needed.
  • Sleep Apnea: Proper diagnosis and treatment with a CPAP machine can help manage this condition and keep you fit for driving.
  • Chronic Conditions: Conditions like diabetes and heart disease must be well-managed with regular check-ups and medication.

Conclusion

The DOT physical exam is a vital part of maintaining the safety and health of commercial drivers. At the Charlotte DOT Exam Center, we are committed to providing comprehensive and efficient DOT physicals to help you stay compliant and healthy. For an appointment, call 704-544-3494 and see one of our certified medical examiners. We are located at 8415 Pineville-Matthews Road, Charlotte NC 28226. Our examiners are available Monday through Friday from 9 AM to 5 PM and on Saturday from 9 AM to 12 noon. The cost is $70.00 and includes the required urinalysis and a laminated card for your wallet upon successful completion.

Stay tuned for the next section where we dive deeper into specific DOT physical requirements and answer common FAQs.

Detailed Breakdown of DOT Physical Requirements  DOT Physical Exam for Commercial Drivers

Understanding the specific requirements of a DOT physical exam can help you better prepare and ensure you meet all the necessary criteria. Here’s a detailed look at what to expect during your examination and the standards you need to meet.

Vision Requirements

Good vision is crucial for safe driving. During your DOT physical, your vision will be tested to ensure it meets the following standards:

  • Visual Acuity: You must have at least 20/40 vision in each eye, with or without corrective lenses.
  • Peripheral Vision: Your peripheral vision must be at least 70 degrees in the horizontal meridian in each eye.
  • Color Vision: You must be able to distinguish the colors of traffic signals and devices showing standard red, green, and amber.

Hearing Requirements

Hearing is another critical aspect of safe driving. The hearing test during your DOT physical involves:

  • Forced Whisper Test: You must be able to hear a forced whisper from at least five feet away, with or without a hearing aid.
  • Audiometry Test: Alternatively, your hearing loss must not exceed an average hearing loss of 40 dB or more at 500 Hz, 1000 Hz, and 2000 Hz in your better ear, with or without a hearing aid.

Blood Pressure and Pulse Rate

Your blood pressure and pulse rate are important indicators of your cardiovascular health. The standards include:

  • Blood Pressure: Ideally, your blood pressure should be below 140/90 mmHg. If it’s slightly higher, you might still pass but with a shorter certification period.
  • Pulse Rate: Your pulse rate is checked for any irregularities or signs of cardiovascular disease.

Cardiovascular Health

The DOT physical exam includes a thorough check of your cardiovascular health to ensure you do not have any conditions that could impair your driving. This includes checking for:

  • Heart Disease: Any history of heart disease, heart attack, or other cardiovascular conditions will be reviewed.
  • Irregular Heartbeats: Any irregularities in your heartbeats will be noted and may require further investigation.

Respiratory Health

Your respiratory health is assessed to ensure you do not have any conditions that could affect your breathing while driving:

  • Sleep Apnea: If you have a history of sleep apnea, you must provide proof that it is being managed, typically with a CPAP machine.
  • Respiratory Dysfunction: Any chronic respiratory conditions will be evaluated to ensure they do not impair your ability to drive.

Neurological Health

Your neurological health is another crucial aspect of the DOT physical. The exam includes:

  • Neurological Issues: Any history of seizures, epilepsy, or other neurological disorders will be reviewed.
  • Muscle Weakness: The medical examiner will check for any signs of muscle weakness or conditions that could impair your driving ability.

The Role of Certified Medical Examiners

Certified medical examiners are responsible for performing DOT physicals and ensuring that all commercial drivers meet the required health standards. These professionals are trained to understand the specific needs of commercial drivers and the regulations set by the FMCSA.

At the Charlotte DOT Exam Center, our certified medical examiners provide thorough and compassionate care to help you meet these standards. They are well-versed in the latest DOT physical requirements and committed to ensuring that each driver is physically qualified to operate a commercial vehicle safely.

Common Health Concerns Addressed

During your DOT physical, several common health concerns are addressed to ensure you meet the necessary standards:

  • High Blood Pressure: Regular monitoring and proper management are essential. We provide multiple readings to ensure accurate measurement.
  • Diabetes: Drivers with insulin-treated diabetes must provide documentation to show that their condition is well-managed.
  • Vision and Hearing Issues: Ensure your corrective lenses or hearing aids are in good condition and used as needed.

DOT Medical Card and Certification

Once you pass your DOT physical, you will receive a DOT medical card, also known as a medical examiner’s certificate (MEC). This certificate is essential for maintaining your CDL and must be renewed periodically. If you have any medical conditions that require monitoring, you may receive a certificate with a shorter validity period.

Conclusion

The DOT physical exam is an essential part of ensuring the safety and health of commercial drivers. At the Charlotte DOT Exam Center, we are dedicated to providing comprehensive and efficient DOT physicals to help you stay compliant and healthy on the road. For an appointment, call 704-544-3494 and see one of our certified medical examiners. We are located at 8415 Pineville-Matthews Road, Charlotte NC 28226. Our examiners are available Monday through Friday from 9 AM to 5 PM and on Saturday from 9 AM to 12 noon. The cost is $70.00 and includes the required urinalysis and a laminated card for your wallet upon successful completion.

Frequently Asked Questions

What does a North Carolina DOT physical consist of?
A North Carolina DOT physical includes a review of your medical history, vision and hearing tests, blood pressure and pulse rate checks, and a comprehensive physical examination. A urine sample is also taken to check for underlying health conditions.

How much is a DOT physical in NC?
The cost of a DOT physical in North Carolina typically ranges from $60 to $100. At the Charlotte DOT Exam Center, the cost is $70.00, including the required urinalysis and a laminated DOT medical card.

What does a DOT physical consist of in California?
A DOT physical in California includes similar components to those in other states: a medical history review, vision and hearing tests, blood pressure and pulse rate checks, a physical examination, and a urine sample.

Can I keep my CDL without a medical card in North Carolina?
No, you cannot keep your CDL without a valid DOT medical card in North Carolina. The DOT medical card is a mandatory requirement for maintaining your CDL.

What is required for a DOT physical in North Carolina?
For a DOT physical in North Carolina, you need to provide your driver’s license, a list of current medications, and your medical history. The physical includes vision and hearing tests, blood pressure and pulse rate checks, a physical examination, and a urine sample.

How much does an NC DOT physical cost?
The cost of an NC DOT physical typically ranges from $60 to $100. At the Charlotte DOT Exam Center, the cost is $70.00.

What happens if you let your DOT medical card expire in NC?
If your DOT medical card expires in North Carolina, you may be disqualified from driving a commercial vehicle until you renew your certification. It’s essential to keep your DOT medical card up to date to avoid any interruptions in your driving career.

Where do I send my DOT medical card in NC?
In North Carolina, you need to submit your DOT medical card to the North Carolina Division of Motor Vehicles (NCDMV). You can submit it online, by mail, or in person at a DMV office.

Where can you find the medical standards for CMV operation?
The medical standards for CMV operation are available on the FMCSA website. These standards outline the health requirements that commercial drivers must meet to be physically qualified to drive.

What does a physical consist of?
A physical exam typically includes a review of your medical history, a check of vital signs (such as blood pressure and pulse rate), a vision and hearing test, a physical examination of various body systems, and often a urine sample.

Will I lose my CDL if my medical card expires in NC?
Yes, if your DOT medical card expires in North Carolina, you may lose your CDL until you renew your certification. It’s important to keep your medical card current to maintain your CDL.

What does a DOT urinalysis test for?
A DOT urinalysis tests for underlying health conditions such as diabetes and kidney disease. It is also used to check for controlled substances.

What does a DOT physical consist of in Ohio?
A DOT physical in Ohio includes a medical history review, vision and hearing tests, blood pressure and pulse rate checks, a physical examination, and a urine sample.

What does a DOT physical consist of in Texas?
A DOT physical in Texas includes a medical history review, vision and hearing tests, blood pressure and pulse rate checks, a physical examination, and a urine sample.

Who needs a DOT medical card in PA?
In Pennsylvania, all commercial drivers operating a CMV are required to have a valid DOT medical card.

Who needs a DOT medical card in NJ?
In New Jersey, all commercial drivers operating a CMV are required to have a valid DOT medical card.

Can I keep my CDL without a medical card in PA?
No, you cannot keep your CDL without a valid DOT medical card in Pennsylvania. The DOT medical card is a mandatory requirement for maintaining your CDL.

How to pass a DOT blood pressure test?
To pass a DOT blood pressure test, ensure you maintain a healthy lifestyle, including regular exercise, a balanced diet, and stress management. Avoid excessive caffeine and salt before the exam and take prescribed medications as directed.

How much is a DOT physical in CT?
The cost of a DOT physical in Connecticut typically ranges from $60 to $100, depending on the provider.

What does a DOT physical consist of in Illinois?
A DOT physical in Illinois includes a medical history review, vision and hearing tests, blood pressure and pulse rate checks, a physical examination, and a urine sample.

Blood Pressure and DOT Exam

Blood Pressure and Your DOT Exam

A generally healthy blood pressure is required to pass the DOT physical, and there are different ranges of blood pressure health that may be permitted for certification.

  • Two-year DOT medical certification: A blood pressure reading under 140/90.
  • One-year DOT medical certification: A top number of 140-159 and a bottom number of 90-99.
  • Three-month temporary DOT certification: A top number of 160-179 and a bottom number of 100-109. The attending physician may recommend blood pressure medication, and the driver can be tested again for a one-year certification if blood pressure has gone down.
  • Unable to receive DOT medical certification: A blood pressure reading of 180/110 or higher is considered stage 3 hypertension and DOT medical certification may not be possible. The driver may be given treatment options and can test again at a later time for a re-check, to get a six-month certification.

*If you blood pressure is controlled with medication, and is under 140/90, the maximum certificate will issued is for one year.

blood pressure and your DOT exam