What reasons do commercial drivers fail the DOT physical?

The DOT physical exam ensures drivers won’t endanger themselves or anyone else’s safety while driving a commercial motor vehicle. If you have a medical condition such as epilepsy or significantly impaired vision, the risk may be too significant to be medically cleared to drive. These safe-driving enthusiasts highlight health conditions that may keep you from driving commercially.

Rodney Yo

Rodney Yo

Many Medical Conditions

There are several reasons why a commercial truck driver may fail the Department of Transportation (DOT) physical exam. These reasons can include:

    1. Vision or hearing impairments: Commercial truck drivers are required to have good vision and hearing [for operating] their vehicles safely. If a driver has difficulty seeing or hearing, they may fail the physical exam.

    2. High blood pressure: Drivers with high blood pressure may be considered medically unfit to drive a commercial vehicle. They may need to get their blood pressure under control and provide medical documentation to prove their fitness to drive.

    3. Sleep apnea: Sleep apnea is a sleep disorder that can cause drivers to feel fatigued during the day. If a driver is diagnosed with sleep apnea, they may be required to use a continuous positive airway pressure (CPAP) machine to treat the condition before being cleared to drive.

    4. Diabetes: Drivers with diabetes may be required to demonstrate that their condition is under control with medication and monitoring before being cleared to drive.

    5. Substance abuse: Commercial truck drivers are subject to drug and alcohol testing as part of the DOT physical exam. If a driver tests positive for drugs or alcohol, they will be deemed medically unfit to drive.

    6. Other medical conditions: There are a variety of other medical conditions that may cause a driver to fail the DOT physical exam, including heart disease, epilepsy, and neurological disorders.

It is important for commercial truck drivers to take their physical health seriously and work with their doctors to manage any medical conditions that may impact their ability to drive safely.

Kyle MacDonald

Kyle MacDonald

Director of Operations at .

High Blood Pressure or Hypertension

One reason a commercial truck driver might fail the physical DOT exam is high blood pressure. If a driver’s blood pressure is consistently above the recommended levels, they may be disqualified from driving commercially until their blood pressure is under control. Vision and hearing problems can also cause a driver to fail, as drivers with significant vision or hearing loss may not be able to operate their vehicles safely.

Henry Purchase

Henry Purchase

Lead Organic growth of .

Conditions Affecting Safe Driving

Commercial truck drivers can fail the DOT physical exam for various reasons such as high blood pressure, vision or hearing problems, sleep apnea, substance abuse, heart disease, diabetes, and other medical conditions that may affect their ability to operate a commercial vehicle safely.

Shawn Stack

Shawn Stack

Business Owner And CEO of .

Sleep Apnea or Substance Use

Commercial truck drivers may fail the DOT physical test for a variety of reasons, such as high blood pressure, visual or hearing issues, sleep apnea, drug or alcohol usage, and certain medical disorders. Failure to pass the exam does not always imply that the driver must cease driving, although safety is the priority.

This is a crowdsourced article. Contributors’ statements do not necessarily reflect the opinion of this website, other people, businesses, or other contributors.

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