Dot Compliance Help

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DOT Sleep Evaluation Program

Employers of safety-sensitive transportation employees such commercial truck drivers, play a fundamental role in ensuring the safety of their employees and the traveling public. Drowsiness and insufficient sleep can put commercial drivers and all others on the road in great danger, potentially causing substantial injury and disability each year. A sleep evaluation can help maximize public safety, carrier compliance, and risk mitigation for all stakeholders. Concentra's DOT Sleep Evaluation Program (CoSEP) provides processes and tools that help our clinicians objectively and consistently evaluate commercial truck drivers at high crash risk due to excessive sleepiness. We apply the latest in sleep research, technological advancements, and a standard of medical care to our existing DOT examination process. Sleep apnea is a breathing-related sleep disorder that causes brief interruptions of breathing during sleep. This serious, potentially life-threatening condition often goes undiagnosed, but can cause an individual to suffer from insufficient sleep. According to the Federal Motor Carrier Safety Administration (FMCSA), as many 28 percent of commercial driver's license (CDL) holders have sleep apnea. Individuals with sleep apnea may experience symptoms such as excessive daytime sleepiness, resulting from commonly interrupted sleep, as well as loud snoring, morning headaches, and lack of concentration. How does Concentra's DOT sleep evaluation program work? If the provider believes an individual may be at risk of crashing due to excessive sleepiness, he or she will conduct an evaluation with Concentra's Sleep Evaluation questionnaire. Insufficient sleep is associated with a number of chronic diseases and conditions—such as diabetes, cardiovascular disease, obesity, so this questionnaire records any medical conditions the employee may have such as diabetes or high blood pressure. It also evaluates his or her level of sleepiness, and measures body mass index (BMI), neck circumference, and airway anatomy. If the doctor determines that the employee is at a moderate or high risk after conducting the sleep evaluation, he or she will be referred for a sleep evaluation such as an in-home sleep test or in-lab test. If treatment is prescribed by the sleep specialist, the testing facility will arrange for any necessary equipment and documentation. Whether the employee is able to continue driving is at the discretion of the provider. How Concentra can help The sleep evaluation program helps employers improve safety records and can reduce liability for crash-related damages. Our goal is to identify drivers at the greatest risk of crashing due to excessive sleepiness.

Concentra DOT policy and procedures

In addition to our full suite of preventive and treatment services, Concentra helps employers develop written drug and alcohol policies adhering to Department of Transportation (DOT) regulations. Concentra can customize DOT policies to meet the specific needs of companies' DOT drug testing needs and procedures. In addition to employees covered under DOT regulations, all employers working with the Department of Transportation, U.S. Pipeline Industry, U.S. Coast Guard, Federal Transit, Research and Special Projects, Federal Aviation, and Federal Railroad Administrations are required to have a written drug and alcohol policy in place. This includes employees in positions such as public transportation drivers (e.g., bus drivers), shuttle services, hotel shuttle services, truck driver schools, warehouse distribution centers (e.g., truck drivers), railroad conductors, and heavy equipment operator as well as other roles in the airline, transportation, and associated industries. Benefits of DOT testing with Concentra Concentra strives to maintain the highest standards in the collection process. All DOT testing is conducted in full compliance with DOT regulations. Concentra's DOT testing and DOT physical programs help employers coordinate the scheduling of required periodic monitoring for employees in accordance with the appropriate regulatory agency (DOT, ADA, FAA, OSHA, etc). DOT exams keep employers in compliance and ensure that their employees meet the requirements to perform their jobs safely and effectively.

Dot Policy Development

Employers are responsible for developing and implementing successful DOT workplace drug and alcohol programs that contain clear DOT policies, requirements for education and training, drug and alcohol testing, and when needed, referral for evaluation and treatment. Because drug testing is a key component of many companies' risk control programs, a DOT policy should be in place for employees performing safety-sensitive functions and who will be receiving any type of DOT physical. Concentra provides education and training for DOT-regulated employees. We also offer a full range of on-site assessments to identify areas of improvement in areas of worker health, safety, and dot compliance help to reduce workplace injuries, illnesses, and their associated costs. DOT policy development services cover random drug and alcohol testing, and pre-employment testing.

Dot Services

Keeping employers compliant The U.S. Department of Transportation (DOT) requires that companies implement training initiatives, testing standards, and regulations for drivers of commercial motor vehicles, as well as personnel in other safety-sensitive roles. Concentra makes it easy by offering a wide variety of DOT Compliance Help to support employers in their compliance efforts. These include DOT drug and alcohol testing, sleep evaluations, supervisory training, and DOT compliance policies. Some of Concentra's DOT compliance services include: • DOT Testing: DOT drug screenings test for the presence of illegal drugs, alcohol, and other substances, helping to create a safer work environment. • DOT Policy Development: In addition to our preventive DOT compliance services, Concentra helps employers develop written drug and alcohol policies in accordance with Department of Transportation (DOT) regulations. • DOT Supervisory Training: Concentra offers a comprehensive DOT supervisor training program covering topics such as DOT testing procedures, effects of alcohol and drug use, and reasonable-suspicion training. • Concentra's Sleep Evaluation Program:

CoSEP objectively and consistently evaluates drivers who are at a risk of a collision due to excessive sleepiness.

What is Dot Testing?

DOT testing includes physicals, DOT drug screens, DOT alcohol testing

, pre-employment and post-accident testing. A DOT physical examination is conducted by a licensed medical examiner. Certain DOT tests include screening for the presence of alcohol and illegal substances, and may be conducted randomly by employers. DOT regulations state that prior to the first time an individual performs safety-sensitive functions for an employer, the individual shall undergo testing for controlled substances. DOT physicals include a review of the employee's medical history, blood pressure and diabetes testing, and a general physical exam to look for conditions that may impact a CMV driver's ability to safely operate a vehicle.