CSA
Violation code

391.41A-MCPC

Medical (Certificate) - Operating a property-carrying vehicle without possessing a valid medical certificate.

Driver Fitness1Non-OOS· SMS Appendix A v3.20

391.41A-MCPC is a Medical Certificate violation under 49 CFR §391.41A-MCPC. It falls in the Driver Fitness BASIC with a severity weight of 1/10. Nationally it was cited 64,965 times in the last five years, with an OOS rate of 13.0%.

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National roadside inspection stats

as of 9/20/2026

Inspections

64,826

that found this code

Violations

64,965

total written

OOS rate

13.0%

8,417 OOS

Source: FMCSA roadside inspection data (last 5 years). The OOS rate is the share of these violations that led the officer to mark the driver or vehicle out of service.

Violation group
Medical Certificate
Regulation §
391.41A-MCPC
Severity weight
1
Used in SMS
Yes
Status
Active
Updated
9/20/2026

Last updated September 2026

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Notes

DSMS: Y | Comment: Added in 3.15 | Footnote: As of February 1, 2023, the violations in this table are included in SMS. Only violations cited on or after February 1 are included in SMS calculations. This update aligns SMS with how violations are being cited in a new software used for roadside inspections.

What 391.41A-MCPC means — and how to avoid it

In plain English

In plain terms, 391.41A-MCPC is cited for medical (Certificate) - Operating a property-carrying vehicle without possessing a valid medical certificate. It falls under the FMCSA rules on driver qualifications.

What the inspector checks

  • Valid CDL of the right class with required endorsements
  • Current medical examiner’s certificate
  • Driver not disqualified and carrying required documents

How to prevent it

  • Track CDL, medical card, and endorsement expirations ahead of time
  • Keep the DQ file complete and the medical card on the driver
  • Renew before, not on, the expiration date

How it affects your CSA

up to 3 pts (fresh)

Severity 1/10. A fresh citation counts at the 3× time weight — up to 3 points toward the Driver Fitness BASIC — then tapers to 2× after 6 months and 1× after a year, dropping off the score at 24 months.

General guidance from the violation’s FMCSA classification — not legal advice, and not a substitute for the inspector’s findings or 49 CFR.

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Challenging 391.41A-MCPC through FMCSA DataQs

If this violation was written incorrectly, here are the angles trucking-safety managers use to contest it. Playbook: Driver Fitness.

Relevant 49 CFR49 CFR § 391.41

Physical qualifications for drivers

A person shall not drive a commercial motor vehicle unless he/she is physically qualified to do so and, except as provided in §391.67, has on his/her person the original, or a copy, of a medical examiner's certificate that he/she is physically qualified to drive a commercial motor vehicle.

Common ways to challenge this code

  • Medical certificate was valid and on file

    A valid medical examiner's certificate was in the driver's qualification file and was either not produced at roadside or not properly recognized.

    Evidence that wins

    • Copy of the valid medical examiner's certificate
    • Driver qualification file index
    • National Registry verification printout
  • CDL class / endorsement was correct for the operation

    The driver's CDL class and endorsements were correct for the vehicle and cargo being operated.

    Evidence that wins

    • Copy of the valid CDL with endorsements
    • Vehicle registration showing GVWR/configuration
    • Bill of lading or shipping papers showing cargo

Common pitfalls — avoid these

  • A medical certificate that expired the DAY of inspection still fails — there is no grace period

More codes in Driver Fitness

Same BASIC category — ranked by national citation volume

View all Driver Fitness codes

Other Medical Certificate codes

Codes under the same FMCSA violation group

Frequently asked questions about 391.41A-MCPC

What does violation 391.41A-MCPC mean?

391.41A-MCPC is the FMCSA roadside-inspection violation code for "Medical (Certificate) - Operating a property-carrying vehicle without possessing a valid medical certificate.", part of the Medical Certificate group, cited under 49 CFR §391.41A-MCPC.

What BASIC does 391.41A-MCPC affect?

391.41A-MCPC falls under the Driver Fitness BASIC in the FMCSA Safety Measurement System (SMS).

What is the CSA severity weight of 391.41A-MCPC?

391.41A-MCPC carries a severity weight of 1 out of 10. Higher weights indicate violations more closely tied to crash risk, and they count more toward a carrier's Driver Fitness score.

Is 391.41A-MCPC an out-of-service (OOS) violation?

No. 391.41A-MCPC is not an out-of-service violation, so on its own it does not trigger an out-of-service order at the roadside.

How many CSA points does 391.41A-MCPC add to a carrier's score?

The point contribution of 391.41A-MCPC depends on its severity weight (1/10) multiplied by a time weight of 3, 2, or 1 based on how recent the inspection is. You can calculate the exact contribution with the CSA points calculator.

How can a driver prevent 391.41A-MCPC?

Track CDL, medical card, and endorsement expirations ahead of time; Keep the DQ file complete and the medical card on the driver; Renew before, not on, the expiration date.

Can 391.41A-MCPC be challenged through DataQs?

Yes. If you believe 391.41A-MCPC was recorded in error, you can file a Request for Data Review (RDR) through the FMCSA DataQs system with supporting evidence. A successful challenge can remove or correct the violation on your record.

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Statistics

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