FMCSA Physicals

The DOT Physical Exam

A Department of Transportation (DOT) physical examination must be conducted by a licensed "medical examiner" listed on the Federal Motor Carrier Safety Administration (FMCSA) National Registry. The DOT physical is required to help ensure that a person is medically qualified to safely operate a commercial motor vehicle (CMV). In the interest of public safety, CMV drivers are held to higher physical, mental and emotional standards than passenger car drivers.

How Long is a DOT Physical Valid?

A DOT physical exam is valid for up to 24 months. The medical examiner may also issue a medical examiner's certificate for less than 24 months when it is desirable to monitor a condition, such as high blood pressure.

What To Expect at Your DOT Exam


A urine sample is taken: checking for protein, blood and sugar.

Height and Weight

Measure height and weight.

Vision Test

You must have a distant visual acuity of at least 20/40 with or without corrective lenses:

  1. see at least 20/40 with both eyes together
  2. see at least 20/40 with the right eye
  3. see at least 20/40 with the left eye.

Hearing Test

The driver must be able to perceive a forced whisper voice in one ear, at no less than five feet with or without the use of a hearing aid. 

If the driver fails the whisper test, the medical examiner will refer the driver to have an audiometry test. 

Blood Pressure

Blood pressure needs to be under 140/90.

Medical History

Review of your medical history and current medication.