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FMCSA OVERVIEWOVERVIEW. GENERAL INFORMATION/INTRODUCTION. FEDERAL MOTOR CARRIER SAFETY ADMINISTRATION . NOTE: All the information in today’s Power Point presentations is taken from the online FMCSA medical examiner handbook. You can access a copy of the handbook through this link:
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FMCSA OVERVIEWOVERVIEW GENERAL INFORMATION/INTRODUCTION
NOTE: All the information in today’s Power Point presentations is taken from the online FMCSA medical examiner handbook. You can access a copy of the handbook through this link: http://nrcme.fmcsa.dot.gov/mehandbook/MEhandbook.aspx
In 1999 President Clinton signed into law the Motor Carrier Safety Improvement Act of 1999. • Out of this came the establishment of the FMCSA which is one of nine U.S. DOT administrations. • FMCSA’s focus is to reduce: • Crashes • Injuries • Fatalities
FMCSA needs TRAINED & CERTIFIED Medical examiners. Certification has been required since May 20, 2014.
Please note the Federal Register (49 CFR Parts 350, 383, 390, et al) is in the rear of your manual.
https://nationalregistry.fmcsa.dot.gov/NRPublicUI/home.seam If you have not done so already, go to the website and follow instructions to get registered.
Commercial Driving The who, what, when, and how
Terminology: O: A “long relay” requires driving 9-11 hours (must be followed by a 10 hour off-duty period) In “straight through haul” or “cross country routes,” drivers may spend a month on the road, sleep in their truck, and only be home for 4-5 days before going out again.
https://www.fmcsa.dot.gov/documents/facts-research/CMV-Facts.pdfhttps://www.fmcsa.dot.gov/documents/facts-research/CMV-Facts.pdf
INTERESTING NUMBERS: 6-7 million commercial motor vehicle drivers. 125,063 crashes in 2012 involving large trucks and buses* * Motor Carrier Safety Progress Report March 2013
Profile of an average CMV driver:MaleMore than 40 years of ageSedentaryOverweightSmokerPoor eating habitsMedical profile:Less healthy than the average personMore than two medical conditionsCardiovascular disease prevalent* Motor Carrier Safety Progress Report March 2013
http://www.nytimes.com/interactive/2011/11/22/health/20111122_trucker-health.html?ref=healthhttp://www.nytimes.com/interactive/2011/11/22/health/20111122_trucker-health.html?ref=health
Key to remember: Tight pickup/deliver schedules with both day/night driving causes FATIGUE.
Key to remember: Failure to meet the schedules may lead to FINANCIAL LOSS for the driver so they are very motivated to STAY OF SCHEDULE.
Key to remember: Being away from family & friends can cause SOCIAL ISOLATION, STRESS, & EMOTIONAL CONCERNS.
Key to remember: They run into ADVERSE WEATHER of all types and TRAFFIC DELAYS that can complicate driving.
Key to remember: It is hard to EAT HEALTHY and EXERCISE while on the road.
CMV drivers must be able to: • Stay alert while driving • Use side mirrors • Control the steering wheel (oversized/24 inch) • Manipulate dashboard switches and controls • Shift gears (sometimes more than 20) • Enter and exit a large vehicle using hand holds and steps • Couple and uncouple the trailers • Load, secure, and unload cargo - greater than 6.0 METS (metabolic equivalents)* • Perform vehicle checks • *per CDC table “General Physical Activities Defined by Level of Intensity” information on “loading and unloading a truck”
WHAT DO THEY DO DAILY? TASK: PHYSICAL/MENTAL ABILITY NECESSARY TO COMPLETE: Stay alert-> Problem solving Communication Judgment Appropriate behavior in normal/emergent situations Side mirrors-> Sufficient lateral cervical mobility Control wheel-> Grip strength Range of motion
TASK: PHYSICAL/MENTAL ABILITY NECESSARY TO COMPLETE: Dashboard-> Reach Prehension Touch sensation in hands/fingers Gears-> Reciprocal movements of both legs Coordinate legs with right arm/hand Enter/Exit-> Maintain three point contact for safety Full overhead extension/reach Hip and knee flexion to exceed 90◦
TASK: PHYSICAL/MENTAL ABILITY NECESSARY TO COMPLETE: Coupling/uncoupling-> Grip strength Upper body strength Range of motion Balance Flexibility Load, secure, unload-> 6.0 METS Perform vehicle check-> Grip strength Upper and lower body strength Range of motion Balance Flexibility Vision Hearing
Poor Health Leads to Increased Risk SNOWBALL AFFECT: Too tired to exercise gain weight high blood pressure and sleep apnea then even more tired less exercise more fatigue. Eat unhealthy because of time restraint and lack of healthy option gain weight feel more hungry eat more less motivation to eat healthy. Stress emotional eating feel tired gain weight more stress.
http://www.nytimes.com/2011/11/22/health/a-hard-turn-truck-drivers-try-steering-from-bad-diets.html?pagewanted=all&_r=0http://www.nytimes.com/2011/11/22/health/a-hard-turn-truck-drivers-try-steering-from-bad-diets.html?pagewanted=all&_r=0
A SAD EQUATION: A loaded semi-truck weighs roughly 80,000 pounds.A crash of a vehicle with 2x the mass of the lighter vehicle = 6x the risk of death to those in the lighter vehicle.An SUV weighs approx. 4,000 pounds. Loaded semi is 20x the mass of the SUV THEREFORE, 60X THE RISK OF DEATH