Hernia & Your DOT Physical

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Dr. Michael Tigges's Comment
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Hernia & Your DOT Physical

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Dr. Michael Tigges DC, CME

The Medical Examination Report form physical examination section includes checking for hernia for both the abdomen and viscera body system and the genitourinary system.

If a hernia causes discomfort or the diagnosis suggests that the condition might interfere with the control and safe operation of a commercial motor vehicle (CMV), further testing and evaluation may be required to determine driver certification status.

Certification/Recertification — Hernia

Waiting period

No recommended time frame

You should not certify the driver until the etiology is confirmed, and treatment has been shown to be adequate/effective, safe, and stable.

Decision

Maximum certification — 2 years

Recommend to certify if: As the medical examiner, you believe that the nature and severity of the medical condition of the driver does not endanger the safety and health of the driver and the public.

Recommend not to certify if: As the medical examiner, you believe that the nature and severity of the medical condition of the driver endangers the safety and health of the driver and the public.

Monitoring/Testing: You may, on a case-by-case basis, obtain additional tests and/or consultation to adequately assess driver medical fitness for duty.

Follow-up

The driver must have at least biennial medical examinations.

Guidance/Advisory Criteria — Conditions HERNIA

Commercial Motor Vehicle:

A commercial motor vehicle is any vehicle used in commerce to transport passengers or property with either:

  • A gross vehicle weight rating of 26,001 pounds or more
  • A gross combination weight rating of 26,001 pounds or more which includes a towed unit with a gross vehicle weight rating of more than 10,000 pounds

    • CSA:

    Compliance, Safety, Accountability (CSA)

    The CSA is a Federal Motor Carrier Safety Administration (FMCSA) initiative to improve large truck and bus safety and ultimately reduce crashes, injuries, and fatalities that are related to commercial motor vehicle

    FMCSA:

    Federal Motor Carrier Safety Administration

    The FMCSA was established within the Department of Transportation on January 1, 2000. Their primary mission is to prevent commercial motor vehicle-related fatalities and injuries.

    What Does The FMCSA Do?

    • Commercial Drivers' Licenses
    • Data and Analysis
    • Regulatory Compliance and Enforcement
    • Research and Technology
    • Safety Assistance
    • Support and Information Sharing

    DOT:

    Department Of Transportation

    A department of the federal executive branch responsible for the national highways and for railroad and airline safety. It also manages Amtrak, the national railroad system, and the Coast Guard.

    State and Federal DOT Officers are responsible for commercial vehicle enforcement. "The truck police" you could call them.

    CMV:

    Commercial Motor Vehicle

    A CMV is a vehicle that is used as part of a business, is involved in interstate commerce, and may fit any of these descriptions:

    • Weighs 10,001 pounds or more
    • Has a gross vehicle weight rating or gross combination weight rating of 10,001 pounds or more
    • Is designed or used to transport 16 or more passengers (including the driver) not for compensation
    • Is designed or used to transport 9 or more passengers (including the driver) for compensation
    • Is transporting hazardous materials in a quantity requiring placards

    Fm:

    Dispatcher, Fleet Manager, Driver Manager

    The primary person a driver communicates with at his/her company. A dispatcher can play many roles, depending on the company's structure. Dispatchers may assign freight, file requests for home time, relay messages between the driver and management, inform customer service of any delays, change appointment times, and report information to the load planners.
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