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Matt Holden
No abstract text is available yet for this article.
June 2016: Occupational Health & Safety
Loretta J Colvin, Nancy A Collop
No regulatory mandate exists in the United States (U.S.) for comprehensive obstructive sleep apnea (OSA) risk assessment and stratification for commercial motor vehicle (CMV) drivers. Current Federal Motor Carrier Safety Administration (FMCSA) requirements are outdated and depend largely on subjective report, a less reliable strategy in an occupational setting. Without FMCSA standards, sleep specialists, occupational medical examiners and employers rely on a collection of medical consensus recommendations to establish standards of care...
January 2016: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
Arlene Guzik
On April 18, 2012, the Federal Motor Carrier Safety Administration (FMCSA) announced plans to develop a National Registry of Certified Medical Examiners. The new plan requires all medical examiners who conduct physical examinations for interstate commercial motor vehicle (CMV) drivers to meet the following criteria: (1) complete specific training about FMCSA's physical qualification standards; (2) pass a test to verify understanding of those standards; and (3) maintain and demonstrate competence through periodic training and testing...
November 2013: Workplace Health & Safety
Elisa R Braver, Robert S Dodd, Ivan Cheung, Lindsay O Long
Interstate motorcoach travel has been the fastest-growing transportation mode in recent years. To identify challenges to monitoring compliance with motorcoach safety regulations and to examine factors affecting safety, four focus groups with a total of 32 participants were conducted during 2011, one with federal safety investigators, one with state motor carrier inspectors, and two with motorcoach drivers. Investigators and inspectors expressed concern about falsified logbooks, inadequate sleep among motorcoach drivers, hazards from speeding motorcoaches, practices by motorcoach carriers to mask ownership and avoid oversight, and difficulties keeping up with rapid motorcoach industry growth...
2012: Annals of Advances in Automotive Medicine
Ivan Cheung, Elisa R Braver
Widely-publicized fatal motorcoach crashes have caused public concern about their safety. This study estimated crash and violation rates among interstate motorcoach carriers based on 2005-2011 data obtained from the Federal Motor Carrier Safety Administration (FMCSA). Motorcoach carriers with relatively high crash and violation rates were compared with those with better safety records. The principal component analysis produced three orthogonal factors that captured the majority (63 percent) of the total variance in the data set...
2012: Annals of Advances in Automotive Medicine
Ryan Barnett
No abstract text is available yet for this article.
July 2012: Occupational Health & Safety
Kurt T Hegmann, Gunnar B J Andersson, Michael I Greenberg, Barbara Phillips, Matthew Rizzo
OBJECTIVE: To revise and update guidance recommendations to the Federal Motor Carrier Safety Administration for evaluating commercial drivers. METHODS: The Federal Motor Carrier Safety Administration's medical review board has addressed guidance for commercial drivers for the past 5 years. The processes for most topics involve comprehensive literature searches, evidence reports, medical expert panel reports, critique of the literature, testimony, and decision making...
April 2012: Journal of Occupational and Environmental Medicine
David Hiestand, Barbara Phillips
PURPOSE OF REVIEW: Obstructive sleep apnea (OSA) is a common condition that can significantly affect daytime functioning, leading to excessive daytime sleepiness and fatigue. Motor vehicle crashes are common, resulting in financial burden, property loss, injury, and death. Motor vehicle operators are at increased risk for crash in the context of excessive daytime sleepiness and fatigue, largely due to inattention. The physician caring for individuals with risk of or diagnosed OSA must be aware of the potentially increased risk for motor vehicle crashes, especially in professional drivers...
November 2011: Current Opinion in Pulmonary Medicine
Ben Smith, Barbara A Phillips
BACKGROUND: Commercial motor vehicle drivers are at an increased risk for obstructive sleep apnea (OSA). The Federal Motor Carrier Safety Administration (FMCSA) Medical Review Board has recommended that commercial motor vehicle drivers undergo testing for OSA if they have a positive Berlin Questionnaire or a BMI ≥ 30 kg/m(2). We developed an online screening tool based on the Berlin Questionnaire for anonymous use by commercial drivers to assess their risk of OSA prior to their required FMCSA physicals...
June 15, 2011: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
F Dennis Thomas, Richard D Blomberg, Raymond C Peck, Linda A Cosgrove, Philip M Salzberg
INTRODUCTION: In 2004, Washington State applied NHTSA's High Visibility Enforcement model used in the Click It or Ticket seat belt campaign in an attempt to reduce unsafe driving behaviors around commercial motor vehicles (CMVs). The program was called Ticketing Aggressive Cars and Trucks (TACT). This paper details the methods used to evaluate the program's effectiveness and the results of the evaluation. METHOD: Four high-crash interstate highway corridors, each approximately 25 miles in length, were selected...
2008: Journal of Safety Research
(no author information available yet)
This document updates and simplifies the medical examination form that is currently used to determine the physical qualification of commercial motor vehicle (CMV) drivers operating in interstate commerce. The FMCSA takes this action in response to numerous requests from medical examiners to update and simplify the medical examination form that is currently used. This action is intended to reduce the incidence of errors on such forms and to provide more uniform medical examinations of CMV drivers engaged in interstate commerce...
October 5, 2000: Federal Register
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