DOT Physical Requirements 2024 for Truckers

Being a commercial motor vehicle (CMV) driver is a significant task, requiring a level of fitness and alertness beyond regular driving. The Driver Physical Qualification examination, represented by the Medical Examiner’s Certificate (Form MCSA-5876), is the check to confirm if you’re fit and healthy to handle the challenges of driving a large truck. Whether it’s understanding stopping distances, dealing with blind spots, or maneuvering a big vehicle, a CMV driver’s role is vital for road safety. FMCSA sets the rules for these exams, ensuring that aspiring truck drivers undergo a thorough DOT physical, meeting the DOT physical requirements in 2024.

Curious about what specific changes and updates drivers need to know about the DOT physical in 2024 for truckers? – Read the article!

What Is a DOT Physical?

A DOT physical is a detailed examination mandated by the Federal Motor Carrier Safety Administration (FMCSA) for individuals holding commercial driver’s licenses (CDLs). CDL drivers are required to undergo this examination every 24 months to ensure their physical and mental fitness for driving, contributing to overall public safety.

Who Needs a DOT Physical?

Certain categories of drivers are obligated to undergo DOT physicals, including those transporting hazardous materials, operating large passenger vehicles, and managing vehicles with a gross weight exceeding 10,000 pounds. This ensures that individuals responsible for high-risk or sizable vehicles are in optimal health for the task at hand.

What Does a DOT Physical Consist of?

Vision Test

CDL drivers must maintain a minimum 20/40 visual acuity in both eyes, corrected if necessary. Peripheral vision is also examined to ensure a safe field of view..

Hearing Test

Drivers undergo a hearing test, with or without aids, to detect any auditory impairments that could impact their ability to drive safely.

Blood Pressure and Pulse Checks

Blood pressure, pulse rate, and potential irregularities are assessed to identify cardiovascular health concerns.

Urine Test

CDL drivers must undergo a urine test, to screen for underlying health conditions, including diabetes.

Sleep Apnea Test

Drivers reporting symptoms such as fatigue, headaches, or snoring may undergo sleep apnea testing to address potential sleep-related issues.

Physical Examination

A thorough physical examination covers various aspects, from the driver’s overall appearance to neurological assessments and muscular checks.

DOT Disqualifying Conditions

Certain physical and mental health conditions may disqualify drivers from commercial driving. However, exemptions may be possible with a statement from a doctor affirming the driver’s safety to operate a commercial vehicle, offering a pathway for individuals with manageable conditions.

New DOT Physical Requirements 2024 for Truckers

The Federal Motor Carrier Safety Administration (FMCSA) has introduced updated medical qualifications for commercial drivers in 2024. These revisions reflect an ongoing commitment to enhancing the safety and well-being of both drivers and the general public on the nation’s roads. CDL drivers and employers alike must understand these new requirements to ensure compliance and maintain a high standard of health and safety in the industry.

A.  FMCSA Medical Qualifications

Under 49 CFR, part 391 § 391.41, the updated medical qualifications outline specific criteria that CDL drivers must meet to receive certification. Key components include:

Visual Acuity

CDL drivers must maintain a visual acuity of at least 20/40 in each eye, with or without corrective lenses. Peripheral vision of at least 70″ in both eyes is also a crucial factor. In cases where a driver fails one aspect of the visual acuity test but passes other qualifying conditions, a skills performance assessment may be considered.


Drivers must be able to hear a forced whisper from five feet or less away, with or without a hearing aid in the better ear. If a hearing aid is used, it must be worn whenever the driver operates a commercial vehicle.

Blood Pressure

Blood pressure readings play a significant role in determining a driver’s fitness. Drivers with a blood pressure reading of less than 140/90, without a hypertension diagnosis, can be certified for two years. Those diagnosed with hypertension and undergoing treatment must be certified annually.

Proposed Rule Change for Seizures

While not yet official, the FMCSA has proposed a rule change concerning drivers with a history of epilepsy or seizures. Under the proposed rule, a driver who has had a seizure but has been seizure-free for three or more years, certified by a treating neurologist, may not be disqualified. Anticipated to take effect in July 2024, this potential change underscores a more nuanced approach to evaluating drivers with a history of seizures.

B. Vision and Hearing Exceptions

The new regulations acknowledge that certain drivers may experience challenges in meeting the standard visual and hearing requirements. However, the FMCSA allows for flexibility in these cases. Drivers who fail the visual or hearing test in one eye but pass the other qualifying conditions, and/or pass a skills performance assessment, may still be qualified to drive.

C. Blood Pressure Monitoring

For drivers with elevated blood pressure, the FMCSA outlines different certification periods based on the stage of hypertension:

Stage 1:

Blood pressure of 140/90 to 159/99.

Certification for one year.

Stage 2:

Blood pressure of 160/100 to 179/109.

Certification for three months; if testing at three months shows a blood pressure of 140/90, certification may extend to one year.

Stage 3:

Blood pressure of 180/110 or above.

Driver is disqualified but can be retested for certification every six months.

FAQs for Employers and Job Applicants:

Where can you get a DOT physical?

Employers can locate certified medical examiners through the FMCSA’s National Registry.

Who can perform a DOT Physical?

Certified medical examiners, including medical doctors, osteopaths, chiropractors, advanced practice nurses, and physician’s assistants, are authorized to conduct DOT physicals.

What to expect during the exam?

A detailed examination covering various health aspects, including vision, hearing, cardiovascular health, and more.

How much does a DOT physical cost?

Costs vary, and some employers or health insurance plans may cover the expenses.

How long is a DOT physical good for?

Generally, a DOT physical is valid for 24 months, but certain medical conditions may warrant more frequent examinations.

How long does a DOT physical take?

Typically, a DOT physical lasts approximately 30 to 45 minutes on average.

What happens if you fail a DOT physical?

Failing a DOT physical may lead to a change in license status, with drivers potentially needing to operate non-commercial vehicles.

How soon can you  retake a DOT physical?

CDL drivers failing a DOT physical can seek a second opinion, provided the disqualification seems unreasonable. The conflict resolution process involves presenting a complete medical history to the FMCSA.

What forms are needed for a DOT physical?

Essential forms for a DOT physical include:
Medical examiner report form listing the medical examiner’s findings
Medical examiner’s certificate for truck drivers who successfully complete the DOT physical examination
Insulin-treated diabetes mellitus assessment for drivers with insulin-treated diabetes mellitus regarding their eligibility for driving.


The 2024 DOT physical requirements underscore a commitment to enhancing safety standards. CDL drivers and employers must stay informed and adapt to the updated regulations, emphasizing the importance of regular health check-ups. The proposed rule changes, especially regarding seizures, highlight a balanced approach between individual health considerations and public safety. By embracing these changes, the industry can ensure the well-being of drivers and the communities they serve, maintaining a steadfast commitment to road safety.