What should you monitor in drivers with a history of seizures before certification?

Monitoring the duration of seizure-free status is crucial in assessing whether a driver with a history of seizures can be safely certified. The Federal Motor Carrier Safety Administration (FMCSA) generally requires that drivers who have experienced seizures meet specific criteria, including a specified period of being seizure-free.

The rationale behind emphasizing the duration of seizure-free status stems from the understanding that recurring seizures significantly impair a driver's ability to operate a commercial vehicle safely. A substantial seizure-free period indicates that the individual may have gained greater control over their condition, thereby reducing the likelihood of experiencing a seizure while driving. Typically, the FMCSA guideline suggests a minimum of 10 years seizure-free for those who have had a history of seizures, or an appropriate period based on individual circumstances.

While monitoring medication history, lifestyle choices, and family medical history can provide additional insights into a driver’s overall health and mitigating factors, the primary focus for certification relates directly to the seizure-free status as it directly impacts the driver’s ability to safely operate a vehicle.