US Federal Motor Carrier Safety Regulations (49 CFR Parts 350 to 399)
Part 391: Qualification of drivers – US Federal Motor Carrier Safety Regulations (49 CFR Parts 350 to 399)

US Federal Motor Carrier Safety Regulations (49 CFR Parts 350 to 399) 391.41-49: Physical qualification: examination by a National Registry certified medical examiner at least every 24 months, the 391.41 standards, the medical examiner's certificate, and the vision, hearing, diabetes and skill performance evaluation alternatives (391.41 to 391.49)

What does 391.41-49 require?

A driver must be medically examined and certified as physically qualified by a medical examiner listed on the National Registry of Certified Medical Examiners, at least every 24 months or more frequently where the examiner so certifies, and must carry (non-CDL) or have on the State record (CDL) a current medical examiner's certificate (391.41, 391.43, 391.45). The 391.41(b) standards address loss of limbs, impairments of extremities, insulin-treated diabetes (now permitted under the 391.46 treating clinician assessment), cardiovascular, respiratory and neurological conditions, epilepsy, mental disorders, vision (20/40 in each eye with or without correction and 70-degree fields, or the 391.44 alternative vision standard), hearing (forced whisper at five feet or audiometric standard), use of Schedule I drugs or non-prescribed habit-forming drugs, and alcoholism. Drivers who do not meet the extremity standards may qualify with a skill performance evaluation certificate (391.49). The examiner uses the Medical Examination Report Form MCS-5875 and certificate MCS-5876, and the employer keeps the certificate (or the MVR showing certification for CDL drivers) in the qualification file (391.51).

Maintained by Gerard Blokdyk

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