It is critical to know which exam your employer requires, as the standards are different.
Safety Assurance
To confirm that a candidate can safely perform the essential functions of the job, especially roles involving heavy physical work or transportation.
Injury Reduction
To help reduce the risk of workplace injuries by identifying potential medical concerns before they become workplace problems.
Regulatory Compliance
To meet specific industry or federal requirements such as DOT/FMCSA guidelines that govern specific occupations.
Baseline Documentation
To document any medical restrictions or accommodations that may be appropriate for the job, protecting both parties.
DOT vs. Non-DOT Exams: Key Differences
It is critical to know which exam your employer requires, as the standards are different.
DOT (Department of Transportation) Exam
VS
Non-DOT Pre-Employment Exam
DOT
Strictly mandated by federal FMCSA guidelines.
Non-DOT
Tailored to the specific employer’s needs and job description.
DOT
Must be performed by a Certified Medical Examiner (CME).
Non-DOT
Can be performed by various licensed health professionals.
DOT
Focused on fitness to safely operate a Commercial Motor Vehicle (CMV).
Non-DOT
Focused on general work readiness and functional capacity.
Dr. Ryan McGrann is a certified medical examiner and can perform both types of exams here at Carolina MedWorks.
What's Included in Your Exam
Most pre-employment physicals follow a standard, predictable set of checks. The exact tests may vary based on your employer’s specific forms.
Medical History Review
Discussion of past and current health conditions.
Vital Signs Check
Measuring blood pressure, heart rate, respiration, and temperature.
Basic Screening
Musculoskeletal and neurologic checks to assess physical capability.
Sensory Checks
Vision and hearing checks if required by the specific job.
Job-Specific Tests
Any additional tests requested by your employer, including drug screens or functional capacity assessments.
Documentation & Results
Comprehensive documentation of findings and clearance status for your employer.
What to Bring and How to Prepare
Preparation helps your physical exam go faster and smoother. Please bring the following items with you:
Required Checklist
Valid Photo ID
Your driver’s license or other government-issued photo identification.
Employer's Paperwork
Any specific forms or electronic instructions from your hiring company.
Current Medication List
A complete, updated list of all medications (prescription and over-the-counter), including dosage.
Relevant Medical Records
If you have certain conditions (e.g., diabetes, heart issues), bring relevant medical records, especially if you need to discuss a condition that may affect clearance.
Pro-Tips for Comfort
Wear Comfortable Clothing
Shorts and a loose shirt are ideal to make the physical assessment portion easier.
Get Good Sleep
Rest well the night before your exam to ensure accurate vital signs.
Eat Before You Come
Have breakfast or lunch before your appointment so you don’t feel faint during the exam.
Save Time
When you schedule online, you will be sent an intake form in your email. Filling this form out can save you significant time at your appointment.
Schedule Today
Visit Carolina MedWorks for all your testing needs.