Delaware School Bus Driver Physical Examination Template (Page 2 of 2) in pdf

The following shall be the minimum requirements for passing a school bus driver physical examination:

VISION

20/40 combined vision, corrected and uncorrected, both eyes; however, if the vision can be corrected to 20/20, correction is required.

20/50 vision, minimum of 20/50 vision in the poorer eye.

140 degree field of vision, bilaterally. If there is any suggestion of field defect, the driver shall have the right to be examined by a

qualified eye physician using equipment designed to measure field defects in both the horizontal and vertical meridians.

Sufficient color perception so as not to hinder the driver’s recognition of official traffic control devices, including traffic signals. The

driver shall be able to distinguish among, but not necessarily name, the colors red, yellow, and green.

HEARING

Must be capable of hearing a whispered voice at a distance of 20 feet with or without a hearing aid. Where there is doubt, the applicant shall be

required to have an audiometer-hearing test (capable of hearing 25 dBHL at 500, 1000, 2000, and 4000 Hz).

No established medical history or clinical diagnosis of:

Diabetes mellitus requiring use of insulin or any other hypoglycemia medication.

Myocardial infarction, angina pectoris, coronary insufficiency.

Any other form of cardiovascular disease, including hypertension, with syncope, dyspnea, loss of consciousness, collapse, or

congestive failure.

(A waiver for a, b, and c will be acceptable from the family physician if the individual has been free of symptoms or well-controlled for one year.)

Respiratory dysfunction likely to interfere with the ability to control and safely operate a school bus.

Rheumatic, arthritic, orthopedic, muscular or neuromuscular disease likely to interfere with the ability to control and safely operate a

school bus.

Epilepsy or other condition which may cause momentary lapses in consciousness.

Any other condition which in the opinion of the examining physician could interfere with the ability to drive a school bus safely.

No mental, nervous, organic or emotional problem, which could render the driver irrational in dealing with children or interfere with the ability to

control and safely operate a school bus.

No current diagnosis of alcoholism or drug abuse.

No loss or impairment of use of any foot, leg, arm, hand, fingers or thumb, and no other defect or limitation likely to interfere with the ability of the

person to control and safely operate a school bus. In case of hand deformities, note particularly whether or not sufficient grip is present to enable

driver to secure a grip on the wheel.

No type of tuberculosis in a communicable stage.

THE DUTIES OF A SCHOOL BUS DRIVER

Operate the vehicle in a safe and efficient manner.

Conduct pre-trip and post-trip checks on the vehicle and its special equipment to determine if there is sufficient fuel supply and if equipment such as

steering gear, brakes, tires, etc. are in good working condition.

Meet emergency situations in accordance with standard operating procedures (assist in safe evacuation).

Maintain discipline on the bus and report cases of disobedience or misconduct to the proper school officials.

I certify that I have on this date examined the above named driver in accordance with the State Board of Education Rules and Regulations which relate to the

physical qualifications of School Bus Driver and with knowledge of the duties prescribed. I find the person qualified under said Rules and Regulations.

__________ Qualified only when wearing corrective lenses.

_________ Qualified only when operating with hearing aid.

* Medical Examiner (Print) Last

First

M.I.

License or Certificate No.

Signature of Medical Examiner

Date:

* Doctors of medicine, doctors of osteopathy, physician assistants, and advance practice nurses.

DOCUMENT NO. 95-01/86/04/04

Revised 9/18/00