Form 649-F - Medical Examination Report - Federal Motor Carrier Safety Administration Page 8
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923, etc. The examiner should not use only
to medically evaluate a driver to ensure that the
from the prohibited drug(s) use. Recertification
sibilants (s sounding materials). The opposite
driver has no medical condition which interferes
may involve a substance abuse evaluation, the
ear should be tested in the same manner. If the
with the safe performance of driving tasks on a
successful completion of a drug rehabilitation
individual fails the whispered voice test, the
public road. If a driver uses an amphetamine, a
program, and a negative drug test result.
audiometric test should be administered.
narcotic or any other habit-forming drug, it may
Additionally, given that the certification period is
If an individual meets the criteria by the use
be cause for the driver to be found medically
normally two years, the examiner has the option
of a hearing aid, the following statement must
unqualified. If a driver uses a Schedule I drug or
to certify for a period of less than 2 years if this
appear on the Medical Examiner's Certificate
substance, it will be cause for the driver to be
examiner determines more frequent monitoring
"Qualified only when wearing a hearing aid."
found medically unqualified. Motor carriers are
is required.
(See Hearing Disorders and Commercial Motor
encouraged to obtain a practitioner's written
(See Conference on Neurological Disorders and
Vehicle Drivers at:
statement about the effects on transportation
Commercial Drivers and Conference on
safety of the use of a particular drug.
Psychiatric Disorders and Commercial Drivers
htm)
A test for controlled substances is not
at:
required as part of this biennial certification
process. The FMCSA or the driver's employer
htm)
Drug Use
should be contacted directly for information on
§391.41(b)(12)
A person is physically qualified to drive a
controlled substances and alcohol testing under
Alcoholism
commercial motor vehicle if that person does
Part 382 of the FMCSRs.
§391.41(b)(13)
not use any drug or substance identified in 21
The term "uses" is designed to encompass
A person is physically qualified to drive a
CFR 1308.11, an amphetamine, a narcotic, or
instances of prohibited drug use determined by
commercial motor vehicle if that person:
other habit-forming drug. A driver may use a
a physician through established medical means.
Has no current clinical diagnosis of alcoholism.
non-Schedule I drug or substance that is
This may or may not involve body fluid testing.
The term "current clinical diagnosis of" is
identified in the other Schedules in 21 part 1308
If body fluid testing takes place, positive test
specifically designed to encompass a current
if the substance or drug is prescribed by a
results should be confirmed by a second test of
alcoholic illness or those instances where the
licensed medical practitioner who: (A) is familiar
greater specificity. The term "habit-forming" is
individual's physical condition has not fully
with the driver’s medical history, and assigned
intended to include any drug or medication
stabilized, regardless of the time element. If an
duties; and (B) has advised the driver that the
generally recognized as capable of becoming
individual shows signs of having an alcohol-use
prescribed substance or drug will not adversely
habitual, and which may impair the user's ability
problem, he or she should be referred to a
affect the driver’s ability to safely operate a
to operate a commercial motor vehicle safely.
specialist. After counseling and/or treatment, he
commercial motor vehicle.
The driver is medically unqualified for the
or she may be considered for certification.
This exception does not apply to methadone.
duration of the prohibited drug(s) use and until a
The intent of the medical certification process is
second examination shows the driver is free
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