DOT - Commercial Transportation

A DOT medical examiner may require evaluation if risk factors or symptoms suggest obstructive sleep apnea (OSA).

When Evaluation May be Required

• Daytime sleepiness or fatigue
• Loud snoring or breathing pauses
• High blood pressure
• BMI of 40 or higher
• Large neck circumference or other risk factors

If Diagnosed

Most commercial drivers can continue working if OSA is properly treated and documented.

DOT Requirements

• CPAP or approved treatment
• Demonstrated treatment compliance
• Ongoing compliance documentation
• Medical certification may be issued for shorter periods to monitor control

With proper treatment and follow-up, drivers can maintain certification and stay safe on the road.