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先看懂要求，再查清依据。Understand the rule. Find its source.
部分资料含历史版本或来源限制。收录日期不代表现行性已复核；请先核对每项官方来源、版本和适用范围。Some records contain historical versions or source limitations. Capture dates do not establish a review of current requirements; check each official source, edition and scope before use.
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按中文名称了解每条管什么，再展开查看解读与官方原文。Browse by subject, then expand an entry for available explanations and official text.
司机体检与体检证明§ 391.43 Medical examination; certificate of physical examination.查体检怎么进行，以及体检证明的相关要求。Driver qualifications§ 391.43 Medical examination; certificate of physical examination.司机体检与体检证明
适用于联邦 Part 391 体检资格规则覆盖的商业驾驶员，相关例外须按相应分部查阅。个人疾病或用药是否影响驾驶资格，应由符合要求的体检人员结合适用标准评估；加州州内运输还可能有联邦要求以外的条件。For commercial drivers covered by the federal Part 391 medical qualification rules, subject to applicable exceptions. This guide does not decide individual fitness or medication safety, or treat the federal rules as the complete requirements for every California intrastate operation.
由符合要求的体检人员完成认证Use an eligible medical examiner
- 具体要求What the rule requires
- 商业驾驶资格体检一般应由 National Registry 名录中的体检人员完成。眼科专业人员可检查规定的视力部分，但完整的驾驶资格认证还须完成其余项目。The examination generally must be performed by a medical examiner on the National Registry. An eligible eye specialist may perform the visual portion; an eye examination alone is not the full medical qualification examination.
(a) (a) Except as provided by paragraph (b) of this section, the medical examination must be performed by a medical examiner listed on the National Registry of Certified Medical Examiners under subpart D of part 390 of this chapter.
(b) (b) Exceptions:
(b)(1) (1) A licensed ophthalmologist or licensed optometrist may perform the part of the medical examination that involves visual acuity, field of vision, and the ability to recognize colors as specified in § 391.41(b)(10).
(b)(2) (2) A certified VA medical examiner must only perform medical examinations of veteran operators.
使用固定来源版次；适用日期与例外以原文及历史沿革为准。Uses a fixed source edition; check the original and statutory history for operative dates and exceptions.
法规原文 · 英文REGULATION TEXT · ENGLISH
司机体检与体检证明§ 391.43 Medical examination; certificate of physical examination.
官方来源快照；不代表已核对现行汇编及后续修订。请核对来源版本。Official-source snapshot; current consolidated law and subsequent amendments have not been verified.
展开英文原文Read the English original收起英文原文Hide the English original
49 CFR 391.43 · § 391.43 Medical examination; certificate of physical examination.
§ 391.43 Medical examination; certificate of physical examination.
(a)Except as provided by paragraph (b) of this section, the medical examination must be performed by a medical examiner listed on the National Registry of Certified Medical Examiners under subpart D of part 390 of this chapter.
(b)Exceptions:
(b)(1)A licensed ophthalmologist or licensed optometrist may perform the part of the medical examination that involves visual acuity, field of vision, and the ability to recognize colors as specified in § 391.41(b)(10).
(b)(2)A certified VA medical examiner must only perform medical examinations of veteran operators.
(c) Medical examiners shall:
(1) Be knowledgeable of the specific physical and mental demands associated with operating a commercial motor vehicle and the requirements of this subpart, including the medical advisory criteria prepared by the FMCSA as guidelines to aid the medical examiner in making the qualification determination; and
(2) Be proficient in the use of and use the medical protocols necessary to adequately perform the medical examination required by this section.
(d) Any driver authorized to operate a commercial motor vehicle within an exempt intracity zone pursuant to § 391.62 of this part shall furnish the examining medical examiner with a copy of the medical findings that led to the issuance of the first certificate of medical examination which allowed the driver to operate a commercial motor vehicle wholly within an exempt intracity zone.
(e)[Reserved]
(f)The medical examination shall be performed, and its results shall be recorded on the Medical Examination Report Form, MCSA-5875, set out in this paragraph (f):
(g)Upon completion of the medical examination required by this subpart:
(g)(1)The medical examiner must date and sign the Medical Examination Report and provide his or her full name, office address, and telephone number on the Report.
(2)(i) Before June 23, 2025, if the medical examiner finds that the person examined is physically qualified to operate a commercial motor vehicle in accordance with § 391.41(b), he or she must complete a certificate in the form prescribed in paragraph (h) of this section and furnish the original to the person who was examined. The examiner must provide a copy to a prospective or current employing motor carrier who requests it.
(ii) On or after June 23, 2025, if the medical examiner identifies that the person examined will not be operating a commercial motor vehicle that requires a commercial driver's license or a commercial learner's permit and finds that the driver is physically qualified to operate a commercial motor vehicle in accordance with § 391.41(b), he or she must complete a certificate in the form prescribed in paragraph (h) of this section and furnish the original to the person who was examined. The examiner must provide a copy to a prospective or current employing motor carrier who requests it.
(3) On or after June 23, 2025, if the medical examiner finds that the person examined is not physically qualified to operate a commercial motor vehicle in accordance with § 391.41(b), he or she must inform the person examined that he or she is not physically qualified, and that this information will be reported to FMCSA. All medical examiner's certificates previously issued to the person are not valid and no longer satisfy the requirements of § 391.41(a).
(4) Beginning December 22, 2015, if the medical examiner finds that the determination of whether the person examined is physically qualified to operate a commercial motor vehicle in accordance with § 391.41(b) should be delayed to receive additional information or to conduct further examination in order for the medical examiner to make such determination, he or she must inform the person examined that the additional information must be provided or the further examination completed within 45 days, and that the pending status of the examination will be reported to FMCSA.
(5)(i)(A) Once every calendar month, beginning May 21, 2014 and ending on June 22, 2018, the medical examiner must electronically transmit to FMCSA, via a secure Web account on the National Registry, a completed CMV Driver Medical Examination Results Form, MCSA-5850. The Form must include all information specified for each medical examination conducted during the previous month for any driver who is required to be examined by a medical examiner listed on the National Registry of Certified Medical Examiners.
(B) Beginning June 22, 2018 by midnight (local time) of the next calendar day after the medical examiner completes a medical examination for any driver who is required to be examined by a medical examiner listed on the National Registry of Certified Medical Examiners, the medical examiner must electronically transmit to FMCSA, via a secure FMCSA-designated website, a completed CMV Driver Medical Examination Results Form, MCSA-5850. The Form must include all information specified for each medical examination conducted for each driver who is required to be examined by a medical examiner listed on the National Registry of Certified Medical Examiners in accordance with the provisions of this subpart E, and should also include information for each driver who is required by a State to be examined by a medical examiner listed on the National Registry of Certified Medical Examiners in accordance with the provisions of this subpart and any variances from those provisions adopted by such State.
(ii) Beginning on June 22, 2015, if the medical examiner does not perform a medical examination of any driver who is required to be examined by a medical examiner listed on the National Registry of Certified Medical Examiners during any calendar month, the medical examiner must report that fact to FMCSA, via a secure FMCSA-designated website, by the close of business on the last day of such month.
(h)The medical examiner's certificate shall be completed in accordance with the following Form MCSA-5876, Medical Examiner's Certificate:
(i)Each original (paper or electronic) completed Medical Examination Report and a copy or electronic version of each medical examiner's certificate must be retained on file at the office of the medical examiner for at least 3 years from the date of examination. The medical examiner must make all records and information in these files available to an authorized representative of FMCSA or an authorized Federal, State, or local enforcement agency representative, within 48 hours after the request is made.
[35 FR 6460, Apr. 22, 1970]
Editorial Note:For Federal Register citations affecting § 391.43, see the List of CFR Sections Affected, which appears in the Finding Aids section of the printed volume and at www.govinfo.gov.
依据关联的官方原文及官方项目说明起草。中文和英文解读均为 CTAC AI 辅助工作稿，未经人工审核；教学案例不是实际会员记录。采集日期不是法规生效日期。Drafted from linked official texts and agency guidance. Both language interpretations are CTAC AI-assisted drafts pending human review; examples are illustrative, not member records. Capture dates are not legal effective dates.
相关实务指南Related practical guides
哪些司机需要体检和认证§ 391.45 Persons who must be medically examined and certified.查哪些司机需要体检、哪些情况需要重新体检。Driver qualifications§ 391.45 Persons who must be medically examined and certified.哪些司机需要体检和认证
车队应保存的司机资格档案§ 391.51 General requirements for driver qualification files.§ 391.51 General requirements for driver qualification files.车队应保存的司机资格档案
中文为 CTAC 白话说明，不是官方译文，也不构成个案法律意见。请先核对适用范围、来源版本与最新官方通知。CTAC plain-language explanations are not official translations or case-specific legal advice. Check scope, source editions and current official notices.