DOT physical requirements

 A Comprehensive Guide to DOT Physical Requirements: What You Need to Know

DOT physical requirements


As a commercial driver, you know that safety is paramount. To ensure that all drivers on the road are physically capable of safely operating a commercial vehicle, the Federal Motor Carrier Safety Administration (FMCSA) requires all commercial drivers to pass a DOT physical exam.

The DOT physical is a thorough exam that evaluates a driver’s overall physical health, including vision, hearing, blood pressure, and more. In this comprehensive guide to DOT physical requirements, we’ll explore everything you need to know to prepare for and pass your DOT physical exam.

What is a DOT Physical?

A DOT physical is a medical examination that evaluates a driver’s physical and mental fitness to operate a commercial motor vehicle (CMV). The exam is required by the FMCSA and is designed to ensure that all commercial drivers meet specific health and safety standards.

During the exam, a licensed medical examiner will assess various aspects of your physical health, including:

The results of your DOT physical will determine whether you’re fit to operate a commercial vehicle. If you pass the exam, you’ll receive a medical examiner’s certificate, which is required to legally operate a CMV.

Who Needs a DOT Physical?

Any commercial driver who operates a vehicle that meets one or more of the following criteria is required to have a DOT physical exam:

  • Has a gross vehicle weight rating (GVWR) or gross combination weight rating (GCWR) of 10,001 pounds or more
  • Is designed or used to transport more than eight passengers (including the driver) for compensation
  • Is designed or used to transport more than 15 passengers (including the driver) and is not used to transport passengers for compensation
  • Is used in transporting hazardous materials and requires placarding

If you’re unsure whether you need a DOT physical, check with your employer or the FMCSA to confirm.

How to Prepare for a DOT Physical

Preparing for your DOT physical exam is essential to ensure that you’re physically and mentally ready for the exam. Here are some things to keep in mind as you prepare:

  1. Bring documentation: You’ll need to bring various documents to your exam, including your driver’s license, medical history, and list of current medications. Check with your medical examiner to confirm the specific documentation requirements.
  2. Get a good night’s sleep: Make sure you get plenty of rest the night before your exam. Being well-rested will help you feel more alert and focused during the exam.
  3. Stay hydrated: Drinking plenty of water in the days leading up to your exam can help ensure that your urine test results are accurate.
  4. Avoid caffeine and nicotine: Both caffeine and nicotine can raise your blood pressure and heart rate, which could affect the results of your exam. Try to avoid both in the hours leading up to your exam.

What to Expect During the DOT Physical

During your DOT physical exam, you’ll meet with a licensed medical examiner who will evaluate your physical and mental health. Here’s what you can expect during the exam:

  1. Medical history: Your medical examiner will review your medical history to identify any potential health issues that could affect your ability to operate a commercial vehicle.
  2. Physical exam: Your medical examiner will perform a physical exam, including checking your vision and hearing, assessing your blood pressure and heart rate, and evaluating your lung function, neurological function, and musculoskeletal health.
  1. Urine test: You’ll be required to provide a urine sample, which will be tested for drugs and alcohol. Make sure you’re honest about any medications you’re taking and any drugs or alcohol you’ve consumed, as failing the drug test can disqualify you from passing the exam.
  2. Paperwork: You’ll need to fill out paperwork and provide documentation, including your driver’s license, medical history, and list of current medications.
  3. medical examiner’s certificate: If you pass the exam, you’ll receive a medical examiner’s certificate, which is valid for up to two years.

Common Issues That Can Affect Your DOT Physical

While many drivers pass their DOT physical with no issues, there are some common issues that can affect your ability to pass. Here are a few things to keep in mind:

  1. High blood pressure: If your blood pressure is too high, you may be required to get it under control before you can pass the exam.
  2. Vision issues: If you have vision issues, such as poor depth perception or limited peripheral vision, you may need to get corrective lenses or surgery before you can pass the exam.
  3. Hearing issues: If you have hearing issues, you may need to get a hearing aid before you can pass the exam.
  4. Obesity: If you’re severely overweight, you may be required to lose weight before you can pass the exam.
  5. Sleep apnea: If you have sleep apnea, you may be required to use a continuous positive airway pressure (CPAP) machine to treat it before you can pass the exam.

Frequently Asked Questions (FAQs)

  1. How often do I need to take a DOT physical?

You’re required to take a DOT physical exam every two years.

  1. How long does the DOT physical take?

The exam typically takes around 30 minutes, but it can take longer if you have any health issues that need to be addressed.

  1. How much does the DOT physical cost?

The cost of the exam varies depending on where you live and the medical examiner you choose. It typically costs between $50 and $200. Tebby Clinic charges $65.00 😉

  1. What happens if I fail the DOT physical?

If you fail the DOT physical, you’ll need to address the health issues that caused you to fail before you can retake the exam.


Passing your DOT physical exam is essential for maintaining your commercial driver’s license and ensuring that you’re physically capable of safely operating a commercial vehicle. By understanding the DOT physical requirements and taking the necessary steps to prepare for the exam, you can increase your chances of passing and continue to drive safely on the road. Remember to always prioritize your health and safety, both for yourself and for others on the road.

If you’re in need of a DOT physical exam, don’t hesitate to call Tebby Chiropractic and Sports Medicine Clinic at 704-541-7111. Our clinic is conveniently located near I-77, I-85, and I-485, making it easy for you to get to us. Plus, we have ample parking to accommodate commercial vehicles.

Our licensed medical examiners are experienced in conducting DOT physical exams and will work with you to ensure that you’re prepared and comfortable during the exam. We understand the importance of passing the exam and maintaining your commercial driver’s license, which is why we’re dedicated to providing high-quality care and thorough evaluations.

So, if you’re ready to schedule your DOT physical exam, give us a call at 704-541-7111. We’re here to help you stay safe and healthy on the road.

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