Vision Screening
49 CFR § 391.41(b)(10)49 CFR § 391.44
Vision screening for both DOT medical certification and employer-defined non-DOT job requirements. The DOT standard is fixed and administered without variance. Non-DOT screening is shaped by the specific job description and constrained by ADA considerations, which is why we require your thresholds in writing before we screen against them.
What it costs
Vision Screening
Prices are indicative per-test rates for a scheduled event at a mobilized site. Final rates are set with your scope — headcount, test mix, travel, and event frequency all move the number. Your scoped quote is free.
What it is
What the service actually covers.
- DOT distance acuity of at least 20/40 in each eye individually and 20/40 binocularly, with or without corrective lenses.
- DOT field of vision — a minimum 70 degrees of horizontal peripheral vision in each eye.
- DOT color recognition of red, green, and amber traffic signal colors. A perfect Ishihara score is not required.
- Non-DOT distance and near (Jaeger) acuity, depth perception for heavy machinery and crane operators, and full Ishihara plates for electricians, wire-mappers, and quality control inspectors.
- Non-DOT thresholds tuned to the role: typically 20/40 for driving-adjacent work, tightened to 20/30 or 20/20 for microscope and precision laboratory work.
How we run it
The standards we hold, including where they exceed the rule.
- We record the fraction, never the verdict. Charting 'pass' or 'fail' without the measured visual fraction is a documentation failure. The exact fraction goes on every encounter.
- We screen; we do not diagnose. A failure triggers referral to an optometrist or ophthalmologist. Our staff do not prescribe, diagnose, or advise on correction.
- Employer criteria must be written. Non-DOT thresholds are accepted only in writing from you and are filed with the account, so that a failure is defensible against an ADA challenge.
- Where corrective lenses are required to pass, we flag the 'qualified only when wearing corrective lenses' restriction for the Medical Examiner's Certificate.
- Where a driver fails in one eye, the Alternative Vision Standard under § 391.44 may still qualify them — this needs a Vision Evaluation Report (Form MCSA-5871) from an ophthalmologist or optometrist before a medical examiner can certify.
- The screener is factory calibrated and certified every 12 months to stay compliant for OSHA and DOT medical audit, and staff hold an annual competency sign-off on the specific model in use.
At your site
What standing this up on a new site takes.
Sorted out during site survey, before anything is scheduled.
- Your non-DOT vision thresholds, in writing, per job classification — this is the document that defends a failure.
- Clarity on which employees are DOT-regulated and which are not, since the two are screened against entirely different standards.
- A referral relationship with a local optometrist for failures. We can coordinate it, but the employee has to be able to get seen.
- Screening pairs naturally with onboarding physicals and mass screening events, where the per-employee setup cost is already absorbed.
Results live in the Occupational Health Record, separate from the personnel file. Supervisors receive fitness-for-duty and restriction information only — never underlying results or diagnoses. Employee medical records are retained for the duration of employment plus 30 years, per 29 CFR 1910.1020.
More services
Most sites bundle these into one event.
Setup and travel are already absorbed once we are on site, so stacking service lines into a single visit is materially cheaper per employee than scheduling them separately.
A licensed paramedic on screen the moment your crew needs one, guiding care hands-on through your certified team.
Non-DOT urine and oral fluid collection, run to DOT-equivalent protocol.
Qualitative and quantitative fit testing under the OSHA respiratory protection standard.
Baseline and annual audiograms for hearing conservation programs, run in a mobile setting.
Occupational spirometry to ATS/ERS standards, with NIOSH-trained operators.
CLIA-waived point-of-care testing, with send-out to reference laboratories where needed.
Get covered
Ready to get vision screening running at your site?
Send us your headcount, your location, and which service lines you need. We will come back with a real rate card for your scope and what it takes to stand it up. No obligation.