CSA
FMCSA CSA BASIC

Driver Fitness

CDL, medical certification, and driver qualification

By Yurii Chornous · Updated June 2026

The Driver Fitness BASIC captures violations related to medical certification, CDL validity, endorsements, and driver qualification files under 49 CFR Parts 383 and 391. Driver Fitness violations often signal carrier qualification-file gaps.

Codes

83

OOS-eligible

0

Inspections

988,637

Common examples

  • No valid medical certificate
  • Operating without proper CDL class or endorsement
  • CDL suspended, revoked, or expired
  • No driver qualification file

All Driver Fitness violation codes

Ranked by national citation volume · 83 codes

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CodeDescriptionPtsOOS
383.23(a)(2)Operating a CMV without a CDL8Non-OOSView →
391.41A1-NPHOperating a property-carrying vehicle without possessing a valid medical certificate - no previous history.1Non-OOSView →
391.41(a)Operating a property-carrying vehicle without a valid medical certificate in possession or on file with the state drivers licensing agency. History of either failing to produce a medical certificate or having an expired medical certificate.1Non-OOSView →
383.23A2-LCDLNLicense (CDL) - Operate a CMV and does not possess a valid CDL.8Non-OOSView →
391.41APCMedical (Certificate) - Operating a property-carrying vehicle without a valid medical certificate in possession or on file with the state drivers licensing agency when medical certification is required.1Non-OOSView →
391.41A-MCPCMedical (Certificate) - Operating a property-carrying vehicle without possessing a valid medical certificate.1Non-OOSView →
391.11B2-ZBorder Zone - Driver cannot satisfy the English language proficiency requirements of 391.11(b)(2) as per FMCSA Enforcement Guidance Memo MC-SEE-2025-0001.4Non-OOSView →
391.11B2-QDriver cannot satisfy the English language proficiency requirements of 391.11(b)(2) as per FMCSA Enforcement Guidance Memo MC-SEE-2025-0001. Driver failed the Interview.4Non-OOSView →
391.45(b)Expired medical examiner's certificate1Non-OOSView →
391.11(b)(2)Driver cannot read or speak the English language sufficiently to respond to official inquiries.4Non-OOSView →
391.11B5-DNLDriver does not have a valid operator's license for the CMV being operated.8Non-OOSView →
391.41A-FOperating a property-carrying vehicle without possessing a valid medical certificate.1Non-OOSView →
391.41A1-FPCOperating a property-carrying vehicle without possessing a valid medical certificate. Previously Cited on [DATE]1Non-OOSView →
391.11(b)(4)Medical (Certificate) - Operating a CDL (passenger or property carrying) vehicle that is non-excepted and the driver has self-certified as excepted interstate or excepted intrastate with the state driver's licensing agency.2Non-OOSView →
391.11B4-DENDriver operating a CMV without proper endorsements or in violation of restrictions.8Non-OOSView →
383.51A-SINDriving a CMV while CDL is suspended for a safety-related or unknown reason and in state of driver's license issuance.8Non-OOSView →
383.71HFailing to submit medical certification documentation as required.1Non-OOSView →
391.11B5-LNCDLNVLLicense (Non-CDL) - Operate a CMV without a valid operators license, issued by one State or jurisdiction.8Non-OOSView →
391.41B10-MCMedical (Certificate) - Operating a commercial vehicle without corrective lenses or hearing aid as indicated on the driver's medical certificate.2Non-OOSView →
391.15A-SINDriving a CMV while disqualified. Suspended for safety-related or unknown reason and in the state of drivers license issuance.8Non-OOSView →
391.15A-LNCDLNSRWOperating a non-CDL required commercial motor vehicle with driving privileges revoked, suspended, cancelled or otherwise disqualified. (391.15(a))8Non-OOSView →
383.51A-NSINDriving a CMV while CDL is suspended for a non-safety-related reason and in the state of driver's license issuance.5Non-OOSView →
383.91(a)Operating a CMV with improper CDL group8Non-OOSView →
383.95A-LCDLRestriction - (CDL) - Operate a CMV in violation of a restriction.8Non-OOSView →
391.11B5-LNCDLNVELicense (Non-CDL) - Endorsement - Operate a CMV without proper endorsement or in violation of restriction. NOTE: Other than a 391.41 violation.8Non-OOSView →
391.15A-NSINDriving a CMV while disqualified. Suspended for non-safety-related reason and in the state of driver's license issuance.5Non-OOSView →
383.51A-SOUTDriving a CMV while CDL is suspended for safety-related or unknown reason and outside the state of driver's license issuance5Non-OOSView →
383.23A2-LCDLNPLicense (CDL) - Operate a CMV while not in possession of a CDL on person.8Non-OOSView →
383.51A-LCDLRSWDLicense (CDL) - A person required to have a CLP or CDL who is disqualified must not drive a CMV.8Non-OOSView →
391.41A-FPCOperating a property-carrying vehicle without possessing a valid medical certificate. Previously Cited on [DATE]1Non-OOSView →
391.41A-MCPVIMedical (Certificate) - Operating a passenger-carrying vehicle without a valid medical certificate in possession or on file with the state driver’s licensing agency when medical certification is required.1Non-OOSView →
391.11B2SDriver cannot satisfy the English language proficiency requirements of 391.11(b)(2) as per FMCSA Enforcement Guidance Memo MC-SEE-2025-0001. Driver failed the Highway Traffic Sign Assessment.4Non-OOSView →
391.11(b)(1)Age - Operate a CMV while not at least 21 years of age in interstate commerce.4Non-OOSView →
383.91A-LCDLLicense (CDL) - Operate a CMV without proper CDL class.8Non-OOSView →
383.25A1Learner's Permit (CLP) - Is not accompanied by the holder of a valid CDL that is fully qualified.8Non-OOSView →
383.51A-NSOUTDriving a CMV while CDL is suspended for a non-safety-related reason and outside the state of driver's license issuance.1Non-OOSView →
391.15A-SOUTDriving a CMV while disqualified. Suspended for a safety-related or unknown reason and outside the driver's license state of issuance5Non-OOSView →
391.49(j)No valid medical waiver in drivers possession1Non-OOSView →
391.41A1-POperating a passenger-carrying vehicle without possessing a valid medical certificate.1Non-OOSView →
391.45BMCEMDriver who has not been medically examined and certified as qualified to operate a commercial motor vehicle during the preceding 24 months1Non-OOSView →
383.23A2-LCDLEndorsements - (CDL) - Operate a CMV without proper endorsements on operators license.8Non-OOSView →
391.45A-MCEMMedical (Certificate) - Operating a CMV with an expired medical certificate.1Non-OOSView →
383.95LCDLRestriction - (CDL) - Operate a CMV in violation of a restriction.8Non-OOSView →
391.11B5-DENDriver operating a CMV without proper endorsements or in violation of restrictions.8Non-OOSView →
391.15A-NSOUTDriving a CMV while disqualified. Suspended for a non-safety-related reason and outside the state of driver's license issuance.1Non-OOSView →
391.11B1-AAge - Operate a CMV while not at least 21 years of age in interstate commerce.4Non-OOSView →
391.11A-QMCQualifications - Having operated or authorized a person to operate a CMV without being qualified.8Non-OOSView →
383.21Operating a CMV with more than 1 driver license8Non-OOSView →
392.2-MCSRMedical (Certificate) - Operating a CMV while in violation of state medical certification regulations.1Non-OOSView →
391.45A-MCMCMedical (Certificate) - Operating a CMV without being medically certified.1Non-OOSView →
383.23A2-ROperating a CMV without a valid CDL: Violation of air brake restriction8Non-OOSView →
391.41A1-LOCNo medical certificate in driver''s possession - vision, hearing, insulin using, epilepsy or any condition causing loss of consciousness1Non-OOSView →
391.11(b)(5)Driver lacking valid license for type vehicle being operated8Non-OOSView →
383.25A2Learner's Permit (CLP) - Operate a CMV without a valid state driver's license.8Non-OOSView →
383.23A2-HOperating a CMV without a valid CDL: No hazardous materials / dangerous goods endorsement8Non-OOSView →
383.93(b)(4)No hazardous materials endorsement on CDL8Non-OOSView →
391.41A1-MCOOSMedical (Certificate) - Operating a commercial motor vehicle while not medically certified as physically qualified to do so.1Non-OOSView →
391.49J-MDPMedical (Driver Physical) - Operating a CMV without a valid skill performance evaluation certificate in possession when required.1Non-OOSView →
383.23A2-TOperating a CMV without a valid CDL: No Tank Vehicle endorsement8Non-OOSView →
383.95(a)Violating airbrake restriction8Non-OOSView →
383.93(b)(3)No tank vehicle endorsement on CDL8Non-OOSView →
391.43(h)Improper medical examiner's certificate form1Non-OOSView →
390.35B-MEDOperating a CMV while possessing a fraudulent medical certificate10Non-OOSView →
391.41A-POperating a passenger-carrying vehicle without possessing a valid medical certificate.1Non-OOSView →
383.23A2-POperating a CMV without a valid CDL: No passenger vehicle endorsement8Non-OOSView →
391.11B3-QQualifications - Operating a CMV without proper training/experience.8Non-OOSView →
383.93(b)(2)No passenger vehicle endorsement on CDL8Non-OOSView →
383.23A2-DTOperating a CMV without a valid CDL: No double- or triple-trailer endorsement8Non-OOSView →
391.11(b)(7)Driver disqualified from operating CMV8Non-OOSView →
391.49JCOMPLYOperating a commercial motor vehicle without complying with the requirements indicated on the skill performance evaluation1Non-OOSView →
383.93(b)(1)No double or triple trailer endorsement on CDL8Non-OOSView →
383.51(a)Driving a CMV while disqualified from holding a CDL8Non-OOSView →
391.15(a)Driving a CMV while disqualified8Non-OOSView →
398.3B8-MWMigrant Workers - No doctors certificate of qualification in possession.1Non-OOSView →
383.23A2-SOperating a CMV (School Bus) without a valid CDL: No school bus endorsement as described in 383.93(b)(5).8Non-OOSView →
383.25A6Learner's Permit (CLP) - Operate a CMV transporting HM requiring placards on a learners permit.8Non-OOSView →
383.25A5ILearner's Permit (CLP) - Failing to have a passenger endorcement.8Non-OOSView →
383.93(b)(5)Operating a School Bus without a school bus endorsement as described in 383.93(b)(5)8Non-OOSView →
391.45FMedical (Certificate) - Operating a commercial motor vehicle when impaired by a physical or mental injury or disease discovered after current medical certification date.2Non-OOSView →
398.3(b)(8)No doctors certificate of qualification in possession - drivers of Migrant Workers1Non-OOSView →
398.3B-MWMigrant Workers - Driver qualification (physical) for transportation of migrant workers.2Non-OOSView →
383.25A5IILearner's Permit (CLP) - Failing to have a school bus endorsement.8Non-OOSView →
398.3(b)Driver Qualifications (Physical) for Transportation of Migrant Workers2Non-OOSView →

Frequently asked questions

Are Driver Fitness OOS violations common?

Operating with an expired or improper-class CDL or no medical card is typically OOS until the issue is resolved.

How do I keep Driver Fitness scores low?

Audit driver qualification files quarterly: medical cards, CDL class and endorsements, MVR pulls, and Clearinghouse queries.

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