The Occupational Health Center at Chester County Hospital provides Department of Transportation (DOT) physical examinations in accordance with federal regulations.

Drivers might have specific health concerns that need addressed before being considered medically fit to drive. The Occupational Health Center (OHC) at Chester County Hospital can offer the following services to get new hires on the road and keep existing employees behind the wheel.

  1. DOT Physicals: Drivers whose vehicles are covered by federal Department of Transportation (DOT) regulations must undergo and pass a comprehensive physical exam at least every two years. The physical exams are conducted by certified medical examiners – physicians, nurse practitioners, or physician assistants. Drivers who pass the physical exam will be issued a Medical Examiner'S Certificate – also known as a DOT card – that says they are medically qualified to drive. The OHC staff of certified examiners provides these physical exams and ensures that drivers are meeting the necessary requirements.
  2. Sleep Apnea Testing: The DOT requires certified examiners to screen for sleep apnea, since it is a common condition among truck drivers and can lead to dangerous drowsiness on the road. If sleep apnea is suspected or diagnosed, the OHC can refer the driver to a sleep apnea specialist for testing and treatment options, and then monitor the driver to be sure they meet the DOT'Ss definition of adequate treatment.
  3. Drug and Alcohol Testing: Vehicle operators that require commercial drivers’ licenses are subject to strict regulations around drug and alcohol use. The OHC can provide testing, random pool management, and the required Medical Review Officer (MRO) review to ensure that drivers comply with these regulations.
  4. Injury Care and Physical Therapy: Truck drivers may experience pain or injury from vibration, sitting for long periods of time, and loading/unloading duties. When injuries occur, the OHC can evaluate and prescribe treatment to address these issues and prevent further injury. This care may include recommendations for modified work duties or physical therapy, which is conveniently available in each of the two OHC clinic locations and other parts of our network.
  5. Preventative Care: Regular checkups such as the DOT physical can also serve as a preventive care exam to help drivers maintain their health and catch health-related issues early on. The OHC can provide these services and help drivers stay healthy and on the road.

Truck drivers and other regulated vehicle drivers can rely on OHC to provide a range of services to support their health and wellness at work. 

If you are an owner, operator, or business with multiple drivers interested in learning more about the DOT services at The Occupational Health Center at Chester County Hospital, please complete the information request form here.

Frequently Asked Questions:

What happens to a driver who is not compliant with DOT regulations?

Drivers who are not compliant with DOT regulations may face serious consequences, including:

  • Fines: Violating DOT regulations can result in significant fines, which can vary depending on the severity of the violation.
  • Suspension or Revocation of Commercial Driver’s License (CDL): Drivers who violate DOT regulations may have their CDL suspended or revoked. This means that they will not be able to operate a commercial vehicle until they regain their CDL.
  • Legal Action: In some cases, violations of DOT regulations can lead to legal action, such as lawsuits or criminal charges.
  • Loss of Employment: Employers may terminate the employment of drivers who are not compliant with DOT regulations. This can result in a loss of income and may make it more difficult to find future employment in the trucking industry. For example, drug screen violations reported to a national database, where other employers can see what occurred at a previous job.
  • Increased Risk of Accidents: Drivers who are not compliant with DOT regulations may be at a higher risk of accidents, which can result in injury or death, as well as property damage.

It is important for truck drivers to take DOT regulations seriously and to comply with them to ensure their own safety on the road and the safety of everyone around them.

If I have a medical marijuana card, can I use marijuana and still be DOT compliant?

No, if you have a state-issued medical marijuana card and use marijuana, you are not compliant with DOT regulations. The Department of Transportation (DOT) considers marijuana to be a Schedule I drug under the Controlled Substances Act. Despite being legal in some states, marijuana use is prohibited for safety-sensitive employees, including commercial truck drivers.

Even if you have a valid medical marijuana card, you may not use marijuana and operate a commercial motor vehicle. The DOT requires drug testing for CDL drivers, and marijuana is one of the substances tested for during these tests. If a driver tests positive for marijuana, they will be considered out of compliance with DOT regulations and automatically disqualified for driving until they have undergone a specific substance abuse counseling program and test negative before returning to work, which can result in fines, suspension, or revocation of their CDL, and potentially legal action.

What are some other ways I can prioritize my health?

As a driver, it is important to prioritize your health so you can continue to do your job effectively and safely. Here are some tips that can help you stay healthy:

  • Get enough sleep: Adequate sleep is essential for staying alert and focused on the road. Aim for 7-8 hours of sleep each night, and try to maintain a regular sleep schedule, always adhering to DOT rules for how many hours you can drive each day.
  • Eat a balanced diet: Eating a balanced diet that includes plenty of fruits, vegetables, whole grains, and lean protein can help you maintain your energy levels and support your overall health, while also making it more likely that you will pass your DOT physical by maintaining a healthy weight, blood pressure, blood sugar, and other health measures.
  • Exercise regularly: Regular exercise supports the same goals as a healthy diet, in addition to helping you stay physically fit and mentally sharp. Drivers often believe that their physically demanding jobs are enough to keep them fit and healthy, but the doctor’s office scale and blood pressure cuff might suggest otherwise. Consider incorporating exercises that can be done without any equipment, like stretching or bodyweight exercises (such as pushups and sit-ups), as these can be done even while on the road.
  • Take breaks: Sitting for long periods can be hard on your body, so be sure to take breaks to stretch your legs and get some fresh air.
  • Practice stress management: Driving can be a stressful job, so it is important to find ways to manage stress. Deep breathing, meditation, or other relaxation techniques can be helpful.
  • Stay hydrated: Drinking enough water can help you stay alert and avoid fatigue. Be sure to carry a water bottle with you and take sips regularly throughout the day.
  • Get regular check-ups: Schedule regular check-ups with your doctor to stay on top of your health and identify any potential health issues early.

By prioritizing your health and taking steps to stay healthy, you can help ensure that you are able to continue driving safely and effectively.

What is the fastest way for me to stay in DOT compliance?

Staying in DOT (Department of Transportation) compliance is important to ensure the safety of drivers, passengers, and other individuals on the road. Whether you are a company that employs drivers or an individual owner-operator, here are some tips to help you stay in DOT compliance:

  • Familiarize yourself with the regulations: Make sure you understand what applies to your specific type of operation. The DOT has different regulations for different vehicles and different modes of transportation (e.g., trucking, aviation, maritime, railroad), so it is essential to understand which regulations apply to your business.
  • Keep accurate records: Maintain accurate and up-to-date records of driver qualifications, vehicle maintenance, and other required documentation. This can help you stay organized and quickly produce the required documents during a DOT audit.
  • Conduct regular training: Employers must provide regular training to their drivers and other employees to ensure that they are aware of the DOT regulations and best practices for staying in compliance. This can include topics like safe driving practices, vehicle maintenance, and record keeping.
  • Conduct regular inspections: Regularly inspect your vehicles to ensure that they are in good working condition and comply with DOT regulations. This can help you identify and fix any issues before they become a problem.
  • Use technology: There are many technology solutions available that can help you stay in DOT compliance, such as electronic logging devices (ELDs) and GPS tracking systems. These tools can help you keep track of driver hours, vehicle maintenance, and other important data.
  • Have a trusted medical provider: Time in a doctor’s office or urgent care clinic for unexpected, unscheduled visits is time you could have been on the road. Having a one-stop shop for your DOT biennial physical, random drug testing and your registered consortium (if applicable) saves time and money.  At the OHC, we only provide work-related healthcare so we can prioritize your care and get you back on the road.

By following these tips, you can help ensure that your business stays in DOT compliance and operates safely and efficiently on the road.

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