What is a DOT physical? 

What will make you fail a DOT physical? 

Get the answers to these and other popular DOT physical questions so you can prepare for yours.


If you want to drive large commercial vehicles for a living you’ll need a CDL (commercial driver’s license) and a valid DOT medical card. This card can only be obtained once you have successfully passed a DOT physical, which you’ll need to have again every 1-2 years for the duration of your career.

Finally, A Better Way to Manage DOT Physicals 
While the process of getting your DOT physical and medical card is straightforward, many people feel confused about the requirements they have to meet to pass. Below, we’ll talk you through each aspect of the physical, what standard you need to meet to pass, and links to further resources where you can find out more about the requirements for each element of the DOT medical exam.


What is a DOT physical?
The DOT (Department of Transportation) physical is a medical examination you must undergo before being permitted to drive commercial vehicles for a living. This physical ensures you are fit enough to meet the demands of your job and can operate large vehicles or vehicles with passengers without putting yourself or anyone else at risk.


Do I need a DOT physical?
You are required to have a DOT physical exam if:

You transport hazardous materials You operate a vehicle that carries more than 15 people You are paid to operate a vehicle that carries more than 8 people You operate a vehicle with a gross combined weight of more than 10,000lbs


What does the physical exam consist of?


The DOT exam will include the following:

Physical examination - The doctor will check your eyes, ears, mouth, throat, heart, lungs, abdomen, spine, extremities, and neurological system for signs of any potential problems, impairments, or injuries. Vision test - While you don't need perfect 20/20 vision to pass a DOT physical, you will need to have a minimum 20/40 visual acuity in both of your eyes, even with contact lenses or glasses. You will also need a minimum peripheral vision of 70" in both of your eyes. Hearing test - You must be able to hear a "forced whisper" from five feet away, with or without hearing aids. Blood pressure check - Many people wonder, "Can you pass a DOT physical with high blood pressure?" The answer is yes, but only if it is below a certain limit. You can find out the current limitations in this Foley blog article. Urine test - While many assume the urine test in a DOT physical is a drug test, it doesn't check for drug use. The DOT physical urine test is simply to look for underlying conditions, such as diabetes. Sleep apnea test - If you report having symptoms such as drowsiness during the day, headaches in the morning, gasping while sleeping, or heavy snoring, you may need to undergo a sleep apnea test.
As well as a range of other health indicators that can indicate that there is a problem that may put you at risk while operating a commercial vehicle.

How do I prepare for a DOT physical?
If you’re fit and in good health, there’s very little you need to do to prepare. The DOT exam is simply a check-up by a doctor to ensure you are fit enough to operate such a large vehicle.

If you’re overweight, are recovering from a bigger health issue, or are having a serious health issue managed by a doctor, you may want to make additional preparations. Whether or not you need to make any changes before your CDL DOT physical or bring anything with you will depend on your circumstances and current level of health.

If you are currently managing any health issues, make sure your prescriptions and medications are up to date, you’ve recently had a vision test and have the right corrective eyewear, and the same for your hearing if you suffer from hearing loss.

It’s good practice for anyone getting ready for their DOT physical to cut back on processed foods, alcohol, and smoking to ensure they’re in good health at the time of their physical.NEW CSA Score Webinar - Reserve Your Spot Now!


What do I need to bring?
You need to bring:

Your medical records, if your exam is being carried out by a new doctor Medical records from any specialists you see, such as a sleep apnea specialist Your most recent laboratory reports if you have diabetes or a similar condition Your glasses, contact lenses, or hearing aids if you require them to drive A list of any prescription medication you take, including what dose you take and when
You may also want to bring the DOT physical medical examination report form with you so you can fill it out ahead of time at home. You can find that form here and in the forms section at the end of this article.


What are the DOT physical requirements?
Vision Requirements
To pass the vision test, you need to have 20/40 vision in each eye either with or without glasses, a field of vision of 70 degrees or more in each eye, and be able to differentiate between red, green, and amber.

If you do not meet these standards but meet all other standards of the DOT Physical, you may be able to apply for an exemption.

To find out more about the DOT physical eye exam, see our guide here. 


Hearing Requirements
To pass your hearing test, you must be able to hear a harsh whisper in your best ear, at no less than 5 feet, with or without a hearing aid. If you fail this basic hearing test, you’ll be referred for an audiometry test which will further determine if you are safe to drive.

In most cases, you’ll be able to get a hearing correction device and then pass your DOT physical. If you need a hearing aid, you must wear it at all times while driving.

You’ll only fail the hearing test if you are completely deaf and cannot pass the whisper test even with hearing aids.


Blood Pressure Requirements
High blood pressure is an extremely common health problem, and the DOT medical exam uses it as a key health indicator.

If your blood pressure is 140/90 or below, you’ll pass the DOT physical blood pressure requirements with flying colors. Between 140/90 and 179/109, you may need to have a medical exam more frequently or be given a temporary medical card and be asked to reduce your blood pressure within a 3-month period.


What medical conditions can impact your ability to pass a DOT physical?
There are a handful of health issues that are DOT physical disqualifying conditions, meaning that if they are out of control or too severe for you to operate a large commercial vehicle safely, you will not be able to pass the DOT physical.

These conditions are:

Diabetes Hernias High BMI (Obesity) Sleep Apnea
Find out more about how to pass the DOT physical with a medical condition here, or click the links above to learn more about the individual conditions and their physical requirements.


What do they do in a DOT physical?
Your medical examiner will first talk through your medical history with you and any ongoing treatment you have. They’ll then take your height and weight, so they can calculate your BMI, and check your blood pressure, vision, and hearing.

They’ll do a general assessment of your physical health, look at your skin, check your reflexes, and examine you for hernias.

You’ll also submit a urine sample that will be analyzed to calculate your blood sugar levels and a few other health markers.

In most cases, the DOT exam will end there and you’ll get your medical certificate. However, if your medical examiner found something they believe warrants further testing, or if the requirements of the physical demand it, you may be referred on for another test before you can get your certificate.


How much does a DOT physical cost?
The DOT physical price varies depending on where you get it, and if you are fronting the cost, or if the company you work for will cover part or all of the cost. 

We value our hard working CDL drivers and have set our fee lower than our local competitors at $100


Do DOT physicals include a drug test?
The DOT physical does not specifically test for drugs. The urine sample you give as a part of your DOT physical checks your blood sugar levels. Some employers will require you to submit a urine sample for a DOT drug test, but the DOT physical itself will not look for legal or illegal substances.


What will make you fail a DOT physical?
If you have extremely high blood pressure, high blood sugar, an untreated hernia, or uncorrected vision or hearing, you may fail the DOT physical.

What happens if you fail the DOT physical?
Failing your medical exam is never good news, but it’s also rarely the end of your driving career. In most cases, failing your physical simply means you need to make some lifestyle changes and improve your health so you can safely get back on the open road.

Remember that the DOT physical isn’t trying to catch you out – it looks at your overall well-being and considers if you may have a major health episode in the near future that would jeopardize the safety of yourself and others. If you fail a DOT physical, work with your doctor to get your health back on track so you can get back on the road.


Where can I find the DOT physical forms?
You need to fill out a medical examination report before or when you start your physical.


Generally, the DOT physical is straightforward and nothing to worry about. The medical examiner merely needs to ensure you are fit and healthy enough to operate a large commercial vehicle. We have plenty of information for each medical condition and how they affect your ability to pass the DOT physical, so if you have any concerns, make sure you read those guides to put your mind at ease. 

Stress

image of heavy traffic
Modern life is full of pressure, stress and frustration. Worrying about your job security, being overworked, driving in rush-hour traffic, arguing with your spouse - all these create stress. According to a recent survey by the American Psychology Association, fifty-four percent of Americans are concerned about the level of stress in their everyday lives and two-thirds of Americans say they are likely to seek help for stress.

You may feel physical stress as the result of too much to do, not enough sleep, a poor diet or the effects of an illness. Stress can also be mental: when you worry about money, a loved one's illness, retirement, or experience an emotionally devastating event, such as the death of a spouse or being fired from work.

However, much of our stress comes from less dramatic everyday responsibilities. Obligations and pressures which are both physical and mental are not always obvious to us. In response to these daily strains your body automatically increases blood pressure, heart rate, respiration, metabolism, and blood flow to your muscles. This response is intended to help your body react quickly and effectively to a high-pressure situation.

The Stress Response

Often referred to as the "fight-or-flight" reaction, the stress response occurs automatically when you feel threatened. Your body's fight-or-flight reaction has strong biological roots. It's there for self-preservation. This reaction gave early humans the energy to fight aggressors or run from predators and was important to help the human species survive. But today, instead of protecting you, it may have the opposite effect. If you are constantly stressed you may actually be more vulnerable to life-threatening health problems.

Any sort of change in life can make you feel stressed, even good change. It's not just the change or event itself, but also how you react to it that matters. What may be stressful is different for each person. For example, one person may not feel stressed by retiring from work, while another may feel stressed.

How Stress Affects Your Body

When you experience stress, your pituitary gland responds by increasing the release of a hormone called adrenocorticotropic hormone (ACTH). When the pituitary sends out this burst of ACTH, it's like an alarm system going off deep inside your brain. This alarm tells your adrenal glands, situated atop your kidneys, to release a flood of stress hormones into your bloodstream, including cortisol and adrenaline. These stress hormones cause a whole series of physiological changes in your body, such as increasing your heart rate and blood pressure, shutting down your digestive system, and altering your immune system. Once the perceived threat is gone, the levels of cortisol and adrenaline in your bloodstream decline, and your heart rate and blood pressure and all of your other body functions return to normal.

In response to stress your body automatically increases blood pressure, heart rate, respiration, metabolism, and blood flow to your muscles. This response is intended to help your body react quickly and effectively to a high-pressure situation.

If stressful situations pile up one after another, your body has no chance to recover. This long-term activation of the stress-response system can disrupt almost all your body's processes. Some of the most common physical responses to chronic stress are experienced in the digestive system. For example, stomach aches or diarrhea are very common when you're stressed. This happens because stress hormones slow the release of stomach acid and the emptying of the stomach. The same hormones also stimulate the colon, which speeds the passage of its contents.

Chronic stress tends to dampen your immune system as well, making you more susceptible to colds and other infections. Typically, your immune system responds to infection by releasing several substances that cause inflammation. Chronic systemic inflammation contributes to the development of many degenerative diseases.

Stress has been linked with the nervous system as well, since it can lead to depression, anxiety, panic attacks and dementia. Over time, the chronic release of cortisol can cause damage to several structures in the brain. Excessive amounts of cortisol can also cause sleep disturbances and a loss of sex drive. The cardiovascular system is also affected by stress because there may be an increase in both heart rate and blood pressure, which may lead to heart attacks or strokes.

    Exactly how you react to a specific stressor may be completely different from anyone else. Some people are naturally laid-back about almost everything, while others react strongly at the slightest hint of stress. If you have had any of the following conditions, it may be a sign that you are suffering from stress: Anxiety, Insomnia, back pain, relationship problems, constipation, shortness of breath, depression, stiff neck, fatigue, upset stomach, and weight gain or loss.

      After decades of research, it is clear that the negative effects associated with stress are real. Although you may not always be able to avoid stressful situations, there are a number of things that you can do to reduce the effect that stress has on your body. The first is relaxation. Learning to relax doesn't have to be difficult. Here are some simple techniques to help get you started on your way to tranquility.

      Relaxed Breathing

      Have you ever noticed how you breathe when you're stressed? Stress typically causes rapid, shallow breathing. This kind of breathing sustains other aspects of the stress response, such as rapid heart rate and perspiration. If you can get control of your breathing, the spiraling effects of acute stress will automatically become less intense. Relaxed breathing, also called diaphragmatic breathing, can help you.

      Practice this basic technique twice a day, every day, and whenever you feel tense. Follow these steps:

      • Inhale. With your mouth closed and your shoulders relaxed, inhale as slowly and deeply as you can to the count of six. As you do that, push your stomach out. Allow the air to fill your diaphragm.
      • Hold. Keep the air in your lungs as you slowly count to four.
      • Exhale. Release the air through your mouth as you slowly count to six.
      • Repeat. Complete the inhale-hold-exhale cycle three to five times.

      Progressive Muscle Relaxation

      The goal of progressive muscle relaxation is to reduce the tension in your muscles. First, find a quiet place where you'll be free from interruption. Loosen tight clothing and remove your glasses or contacts if you'd like.

      Tense each muscle group for at least five seconds and then relax for at least 30 seconds. Repeat before moving to the next muscle group.

      • Upper part of your face. Lift your eyebrows toward the ceiling, feeling the tension in your forehead and scalp. Relax. Repeat.
      • Central part of your face. Squint your eyes tightly and wrinkle your nose and mouth, feeling the tension in the center of your face. Relax. Repeat.
      • Lower part of your face. Clench your teeth and pull back the corners of your mouth toward your ears. Show your teeth like a snarling dog. Relax. Repeat.
      • Neck. Gently touch your chin to your chest. Feel the pull in the back of your neck as it spreads into your head. Relax. Repeat.
      • Shoulders. Pull your shoulders up toward your ears, feeling the tension in your shoulders, head, neck and upper back. Relax. Repeat.
      • Upper arms. Pull your arms back and press your elbows in toward the sides of your body. Try not to tense your lower arms. Feel the tension in your arms, shoulders and into your back. Relax. Repeat.
      • Hands and lower arms. Make a tight fist and pull up your wrists. Feel the tension in your hands, knuckles and lower arms. Relax. Repeat.
      • Chest, shoulders and upper back. Pull your shoulders back as if you're trying to make your shoulder blades touch. Relax. Repeat.
      • Stomach. Pull your stomach in toward your spine, tightening your abdominal muscles. Relax. Repeat.
      • Upper legs. Squeeze your knees together and lift your legs up off the chair or from wherever you're relaxing. Feel the tension in your thighs. Relax. Repeat.
      • Lower legs. Raise your feet toward the ceiling while flexing them toward your body. Feel the tension in your calves. Relax. Repeat.
      • Feet. Turn your feet inward and curl your toes up and out. Relax. Repeat.

      Perform progressive muscle relaxation at least once or twice each day to get the maximum benefit. Each session should last about 10 minutes.

      Listen to Soothing Sounds

      If you have about 10 minutes and a quiet room, you can take a mental vacation almost anytime. Consider these two types of relaxation CDs or tapes to help you unwind, rest your mind or take a visual journey to a peaceful place.

      • Spoken word. These CDs use spoken suggestions to guide your meditation, educate you on stress reduction or take you on an imaginary visual journey to a peaceful place.
      • Soothing music or nature sounds. Music has the power to affect your thoughts and feelings. Soft, soothing music can help you relax and lower your stress level.

      No one CD works for everyone, so try several CDs to find which works best for you. When possible, listen to samples in the store. Consider asking your friends or a trusted professional for recommendations.

      Exercise

      Exercise is a good way to deal with stress because it is a healthy way to relieve your pent-up energy and tension. It also helps you get in better shape, which makes you feel better overall. By getting physically active, you can decrease your levels of anxiety and stress and elevate your moods. Numerous studies have shown that people who begin exercise programs, either at home or at work, demonstrate a marked improvement in their ability to concentrate, are able to sleep better, suffer from fewer illnesses, suffer from less pain and report a much higher quality of life than those who do not exercise. This is even true of people who had not begun an exercise program until they were in their 40s, 50s, 60s or even 70s. So if you want to feel better and improve your quality of life, get active!

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