Federal Register - July 7, 2021
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Source: Federal Register
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Federal Register / Vol. 86, No. 127 / Wednesday, July 7, 2021 / Rules and Regulations
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lnstruCllonSMCSAS875
Medical Examiner:
Section 2: Examination Report
river Health History Review: ReviElW answers provided by the driver in the driver health history section and discuss any yes and "not sure"responses. I11 addition, be sure to compare the medication list to the health history responses ensuring thatthe medication list matches the.medical conditions noted. Explore With the driver any answers thatseem unclear. Record any information that the driver omitted. As the Medical Exam.Iner conducting the! drivers physical examination you are required to comlilete the entire medical examination even if you detect a medical condition that you consider disqualifying, such as deafness. Medical Examiners are expected to determine the drivers physical qualification for operating a commercial vehicle safely. Thus, ifyou find a disqualifying condition for which adriver may receive a Federal Motor Carrier SafetyAdministtati.on medical exemption, please record that on the drivers Medical Examiners Certificate, Form MCSA-5876, as well as on the Medical Examination Report Form, MCSA-5875.
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Pulse rate and rhythm, height, and weight: record these as indicated on the form.
Blood Pressure: record the blood pressuresystolit and diastolic of the driver being examined. A
second reading Is optional and should be recorded iffound to be necessary:
Urinalysis:recordthe numerical readingsfortbe specific gravity, protein; blood.and sugar, Vision: The current vtsion standard is provided on the form. When other than the Snellen chart is used, give test results in Snellen-comparable values. When recording distance vision, use 20 feet as normal. Record the vision acuity results and indicate ifthedrivercan recognize and distinguish among traffic control signalsand devices showing red, green, and amber colors; has monocular vision;.has been referred to an ophthalmologist or optometrist; and if documentation has been received from an ophthalmologist or optometrist Hearing: the current hearing standard is provided on the form. Hearing can be tested using eithera whisper test oraudion,etrictest, Record the test results in.the c:orrespondfng section for the test used.
Phjtslcal ExamlnatlomCheck the body systems for abnormalities.and indicate normal or abnormal ft:,r..eath body system listed. Discussanyabnorrnafanswers in detail in the space provided.and indicatE:?
whether it would affectthe drivers abflfty to safely operate a commercial motor vehftle,
In thlsnmJedJon, iou.wlJlbs either ti Federato,Stated/ttermlntltlon,natbotlt.
Medkal Examiner Deter.mlnatlori Federal: Use this section for examfnations performed in accordance With the FMCSRs 49. CFR 3M .41 c321 .49. Complete the medical examiner determinatiQn ctfon completely. Whendetermining a drivers physical qualification, please note that English langwage proficiency :49CFR part391.11: General qualifications of drivers is nt factored into thatdetermination.
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DoesnQtmeetstandards:Sefec t thfsoption when a driver isdeterminedto benotqualifiedand provide an explanation of why the driver does not meet the standards in 49 CFR 591.41.
Meets standards In 49CFR.391.41; qualifies for 2-year. certification: Select this option when a driver is determined to be qualified and will .be Issued a 2-year Medii:al Examiners.Certificate.
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