OPAM Workshop: DOT FMCSA NRCME Course-263074

263074 - Article 29

Pdf Summary

The document provided is Form MCSA-5875, used for medical examinations required for commercial driver medical certification by the U.S. Department of Transportation’s Federal Motor Carrier Safety Administration (FMCSA). The form includes several sections designed to gather information necessary for certifying the health and fitness of commercial vehicle drivers. 

<strong>Key Components:</strong>

1. <strong>Driver Information:</strong> This section requires personal details such as name, address, date of birth, and driver’s license information. Drivers must also indicate whether they hold or are applying for a Commercial Driver's License (CDL) or Commercial Learner’s Permit (CLP).

2. <strong>Driver Health History:</strong> Drivers must respond to a comprehensive list of medical conditions and history, including surgeries, medication use, and existing health issues like heart disease or diabetes. The drivers must provide additional information on any affirmative responses.

3. <strong>Driver Signature:</strong> Drivers certify the accuracy of the information provided and acknowledge legal implications for inaccurate or false information.

4. <strong>Medical Examiner’s Section:</strong> The medical examiner reviews health history responses and performs physical evaluations involving pulse, blood pressure, vision, and hearing tests. Specific standards for vision and hearing necessary to pass the examination are outlined.

5. <strong>Medical Examiner Determination:</strong> This section is split into federal and state determinations, noting whether the driver meets health standards and if any conditions require periodic monitoring. It records decisions on the qualification period for certification and lists any specific conditions or aids needed (e.g., corrective lenses).

6. <strong>Instructions for Completion:</strong> Detailed guidance is provided for both drivers and medical examiners to ensure correct form completion and procedures for federal and state regulations.

The form highlights the critical role of medical assessments in promoting safe commercial driving and navigating the regulatory compliance landscape for commercial driver certification.

Keywords

MCSA-5875

medical examination

commercial driver certification

FMCSA

driver health history

medical examiner

vision and hearing tests

driver information

regulatory compliance

commercial driver's license