Ask X3What does 49 CFR 391.43 require for the DOT medical examination?
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49 CFR 391.43 requires that the medical examination be performed by a medical examiner listed on the National Registry of Certified Medical Examiners.
"Except as provided by paragraph (b) of this section, the medical examination must be performed by a medical examiner listed on the National Registry of Certified Medical Examiners under subpart D of part 390 of this chapter." (49 CFR 391.43(a))
In practice, this means that motor carriers must ensure their drivers are examined by a certified medical examiner, and that the examiner follows the guidelines set forth in the Medical Examiner's Handbook and Medical Advisory Criteria. The medical examiner's certificate, Form MCSA-5876, must be completed in accordance with the regulation and retained on file for at least 3 years.
- Ensure all drivers are examined by a certified medical examiner listed on the National Registry.
- Verify the medical examiner's certificate is properly completed and retained in the driver's qualification file.
- Schedule periodic medical examinations for drivers as required by 49 CFR 391.45.
- Review driver qualification files to ensure compliance with 49 CFR 391.51.