DOT Physical Checklist for Truck Drivers
The DOT physical exam is a requirement for commercial truck drivers who operate vehicles regulated by Federal Motor Carrier Safety Administration (FMCSA). Passing this ensures that drivers are physically and mentally fit for the safe operation of a commercial motor vehicles (CMVs). Some knowledge of the DOT physical checklist will allow truck drivers to prepare in advance, thereby avoiding disqualifications or delays in CDL certification.
👉 Official FMCSA medical requirements:
https://www.fmcsa.dot.gov/medical/driver-medical-requirements
This guide gives all truck drivers some insight into what to do before setting up a DOT medical exam.
What Is a DOT Physical Exam?
A DOT physical is a medical exam performed by an FMCSA-certified medical examiner listed on the National Registry. The exam evaluates whether the driver meets DOT medical requirements for interstate or intrastate commercial driving. Drivers who pass the exam receive a Medical Examiner’s Certificate (MEC), typically valid for a period of 24 months, depending on the underlying medical conditions.
👉 Find a certified DOT medical examiner:
https://nationalregistry.fmcsa.dot.gov/home
DOT Physical Checklist: What Truck Drivers Must Bring
Before going to a DOT exam, drivers need to have with them the following:
- A valid CDL or driver’s license
- A medical history form (MCSA-5875) completely filled up and accurately
- A full list of present medications and their dosages
- Any needed corrective lenses or hearing aids
- Medical records concerning chronic conditions (like diabetes or heart disease)
- A compliance report regarding sleep apnea (if applicable)
👉 Download the official DOT Medical Examination Report (MCSA-5875):
https://www.fmcsa.dot.gov/regulations/medical/medical-examination-report-form-commercial-driver-medical-certification
Bringing complete documentation reduces exam delays and improves pass outcomes.
Key Medical Tests Included in a DOT Physical
A large number of the health conditions are assessed during the physical:
Vision Test
Drivers should meet DOT vision standards by having:
- 20/40 vision (with or without corrections)
- Adequate peripheral vision
- Able to distinguish traffic signal colors
Hearing Test
The drivers should pass a DOT hearing test, either through audiometry testing or using a whisper test, to confirm communications awareness on safety matters.
Blood Pressure and Heart Health
Blood pressure levels are closely monitored. Elevated readings may result in:
- Temporary certification
- Shorter medical card validity
- Required follow-up on exams
Urinalysis
A DOT urinalysis checks for kidney function, diabetes indicators, and overall health—not drug use.
Physical Examination
The examiner evaluates:
- Mental alertness and coordination
- Neurological health
- Musculoskeletal strength
- Respiratory and cardiovascular function
Common Medical Conditions That May Affect DOT Certification
Certain medical conditions require additional documentation or monitoring, including:
- High blood pressure
- Diabetes (insulin-dependent or non-insulin)
- Sleep apnea
- Heart conditions
- Seizure disorders
Drivers may still qualify with proper treatment and compliance documentation.
How to Prepare for a DOT Physical Exam
Truck drivers can enhance their possibilities of passing:
- Controlling BP before examination
- Getting enough rest prior to the evaluation
- Avoiding both caffeine and nicotine on the date of the evaluation
- Taking their prescribed medications as instructed
- Wearing glasses or hearing aids if necessary
Preparation ensures fewer hassles for certification and retesting.
DOT Physical Validity and Renewal Timeline
DOT medical cards are valid for 2 years or, in the case of drivers with medical conditions, they may be issued:
- 1-year certification
- Temporary certifications for 3 or 6 months
Drivers should make their appointments for renewal exams as soon as possible to avoid the suspension of their CDL or being put out of service.
Why the DOT Physical Checklist Matters
Not meeting DOT medical certification standards delays employment, suspends driving privileges, and affects transit fleet operations. As either an owner-operator or company driver, understanding the DOT physical checklist will help assure FMCSA medical regulation compliance for the long-term sustainability of the profession.
Final Thoughts
DOT physical examination is no mere formality; it is an important safety requirement. Truck drivers, using a structured DOT physical checklist, can come forth with confidence that their medical exam has been completed, their CDL is still valid, and they are ready for action on the road without unnecessary interruption.