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Form mcsa5871 PDF Document [PDF]Download: PDF | bomb No.: 21260006 Expiration Date: Form MCSA5871 U.S. Department of Transportation Federal Motor Carrier Safety Administration A Federal agency may
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How to fill out dot physical visual evaluation
01
Start by reviewing the driver's medical history and any previous visual issues.
02
Administer a visual acuity test, checking for 20/40 vision in each eye with or without corrective lenses.
03
Conduct a color vision test to ensure the driver can differentiate between red, green, and amber colors.
04
Measure the driver's peripheral vision to confirm they have a field of vision of at least 70 degrees in each eye.
05
Record all results on the DOT physical examination form for documentation.
Who needs dot physical visual evaluation?
01
Commercial truck drivers
02
Bus drivers
03
Emergency vehicle drivers
04
Delivery drivers
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What is dot physical visual evaluation?
Dot physical visual evaluation is a medical examination required by the Department of Transportation (DOT) to assess a person's visual acuity and overall eye health to ensure they meet the standards for driving commercial vehicles.
Who is required to file dot physical visual evaluation?
Commercial drivers who operate vehicles that require a commercial driver's license (CDL) are required to file dot physical visual evaluation.
How to fill out dot physical visual evaluation?
Dot physical visual evaluation can be filled out by a certified medical examiner who will conduct the examination and provide the necessary paperwork.
What is the purpose of dot physical visual evaluation?
The purpose of dot physical visual evaluation is to ensure that commercial drivers have adequate vision to safely operate commercial vehicles.
What information must be reported on dot physical visual evaluation?
Information such as visual acuity, color vision, depth perception, and any corrective lenses required must be reported on dot physical visual evaluation.
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