Federal motor carrier safety administration fmcsa skill. I understand that the medical records and information that will be disclosed by the agency may include specific health information related to the medical conditions or illnesses, injuries, diagnosis, prognosis and medical treatment provided to me. Medical examination report and a copy or electronic version of each medical examiners certificate must be retained on file at the office of the medical examiner for at least 3 years from the date of examination. Medical certification requirements as part of the commercial.
Also, an interstate motor carrier that employs cdl holders would continue to maintain a copy of the cdl holders medical examiners certificate in its driver qualification files, as specified at 49 cfr 391. Failure to return this form to the alabama law enforcement. The registrar may issue an intrastate waiver for a vision impairment if the applicant. Am exempt from the physical provisions of 49 cfr, part 391 390 as i will operate a commercial motor vehicle only in the capacities i have checked below. Subpart e physical qualifications and examinations 391. I understand and agree that any false statements made to obtain this intrastate waiver may cause the cancellation of my waiver. Iii 10198 edition d subpart f relating to maintenance of files and records. No established medical history or clinical diagnosis of any of the following that may interfere with a. Information on the legal status, authenticity, and schema of the code of federal regulations xml renditions can be found in the user guide document code of federal register xml rendition. Applicant information last name first name date of birth mmddyyyy driver license number. B on or after june 22, 2021, a driver required to have a commercial drivers license or a commercial learners permit under 49 cfr part 383, and who has a current medical examiners certificate documenting that he or she meets the physical qualification requirements of this part, no longer needs to carry on his or her person the medical. A large part of the monitoring process is your evaluation to determine if the individuals condition remains stable. Return to medical examiners office for follow up on wearing corrective lense. Colorado intrastate cdl medical waiver programs applicant.
I further certify that i am exempt from the physical provisions of 49 cfr, part 391 390, and will operate a commercial motor vehicle only in the following capacity. An employer must keep a drivers qualification files throughout the entirety of the. The code of federal regulations cfr annual edition is the codification of the general and permanent rules published in the federal register by the departments and agencies of the federal government produced by the office of the federal register ofr and the government publishing office. Response notes received from investigations see 49 cfr 391. Licensingagency sdlas via the commercial drivers license information system cdlis for commercial drivers licensing cdl and commercial learners permit clp holders. Medical examiners are required to complete the medical examination report form for every driver physical examination performed in accordance with 49 cfr 391. No mandatory evaluation by an optometrist or ophthalmologist. I further agree to abide by the restrictions, conditions, and requirements of the. Departmentof transportation privacy impact assessment. Thelegalbasisofthe2015finalrule,setoutat80fr2279122792,alsoserves asthelegalbasisforthisinterimfinalrule. Missouri department of transportation motor carrier.
Part 391 federal motor carrier safety administration. A medical examiner who believes a driver has a condition not specified in 391. For specific regulations please refer to title 49, code of federal regulations. The information you must submit, which is listed below, will enable us to evaluate the safety impact of any exemption.
Title 49 transportation part 391 qualifications of drivers and longer combination vehicle lcv driver instructors subpart e. All files related to the employees safety performance history and inquiries to prior employers must be retained for the length of employment and for three years thereafter. Failure to complete required areas can place both the applicant and carrier in violation of federal law. The federal motor carrier safety regulations 49 cfr 391. An employer must keep a drivers qualification files throughout the entirety of the drivers employment and an extra 3 years. Department of transportation dot form that complies with 49 cfr 391. Bulk data downloads of code of federal regulations xml files are available to the general public via data. The application must be addressed to the applicable field service center, fmcsa, for the state in the applicant is licensed, or where the coapplicant motor carriers. To obtain a cdl, the applicant must provide a valid medical examination report for commercial driver fitness determination. All individuals with itdm must meet the vision standard in the rules or. Pdf view link permanent link bookmark this location view toggle go to top of document.
An exemption will only be issued if granting it is likely to achieve a level of highway safety equivalent to, or greater than, the level if none were granted. Compliance with the following regulations is required if a driver operates a tractortrailer or other commercial motor vehicle that weighs more than 10,000 pounds, carries 16 or more passengers, or transports an amount of hazardous materials that requires the vehicle to be placarded. A person who is not physically qualified to operate a commercial motor vehicle under fmcsr 391. Do you have a written process to identify drivers that should be disqualified, and a process for reinstatement. Federal laws and regulations that are in effect as of the date of the publication pertaining to all forms of surface transportation and transportation security, including.
All information on this application must be in ink. Therefore, the performance evaluation certification program pursuant collapse, or congestive cardiac failure. Introduction this handbook provides information and guidance to the medical examiner who performs the commercial driver medical examination. Samuel sherman needs your help with fmcsa federal motor carrier safety administration. The code of federal regulations title 49 contains the codified u. If there is any evidence of diabetic retinopathy, provide annual documentation by an ophthalmologist that the individual does not have unstable proliferative diabetic retinopathy. Medical examination report form federal motor carrier. Pdf view link permanent link bookmark this location view toggle. Responsibilities, work schedules, physical and emotional demands, and lifestyles among commercial drivers vary by the type of driving that they do.
Determining driver medical fitness for duty is a critical element of the fmcsa. The rules in part 391, subpart e physical qualifications and examinationsdo not apply to drivers of covered farm vehicles, as defined in 49. In consideration of the above, fmcsa has determined that regulatory guidance should be issued to make clear that, for drivers exempted from the hearing standard in 49 cfr 391. In consideration of the foregoing, fmcsa amends title 49 cfr part 391 as follows. A driver s qualification file may be combined with hisher personnel file. General requirements for driver qualification files. The authority citation for part 391 continues to read as follows. This waiver permits operation of a cdlrequired commercial motor vehicle large truck or bus in intrastate commerce while managing their condition with insulin therapy. Information provided will be verified by carrier as required under various parts of 49 cfr, including part 382 and part 391.
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