391.41A-MCPVI — Medical (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.

FMCSA violation code under Driver Fitness. 3,247 events recorded in roadside inspections. Severity weight: 1. Out-of-service eligible.

OOS Eligible

Violation code 391.41A-MCPVI is a Federal Motor Carrier Safety Regulations citation issued under 49 CFR 391.41. It tracks a specific compliance failure recorded against motor carriers and drivers during FMCSA roadside inspections. The code rolls up into the FMCSA Safety Measurement System (SMS) Driver Fitness BASIC, which feeds the carrier's percentile ranking and prioritization for FMCSA interventions. It applies to interstate motor carriers, drivers, and the commercial motor vehicles they operate; intrastate operators are subject when their state has adopted Part 350 of the FMCSR by reference. It carries a severity weight of 1, an inspection citing it can trigger an Out-of-Service order at the roadside, 3,247 citations have been recorded against this code in the FMCSA inspection record.

Severity Weight
1
OOS Eligible
Yes
BASIC Category
Driver Fitness
Total Events
3,247
Code:
391.41A-MCPVI
Code System:
FMCSR
BASIC Category:
Driver Fitness
OOS Eligible:
Yes
Severity Weight:
1
Violation Group:
Medical Certificate
Total Events:
3,247
Carriers Cited:
2,378

Ranks #447 of 3,146 FMCSR codes by citation frequency • OOS rate of 94.3% is above the FMCSR-wide average of 33.3%.

What 391.41A-MCPVI means

Medical (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.

This is a specific FMCSA dictionary variant of section 391.41; it is not interchangeable with the bare 391.41 catch-all code.

CSA/SMS severity weight 1 on FMCSA's 1–10 scale in the Driver Fitness BASIC.

Out-of-service eligible — an inspector can place the driver or vehicle out of service until the condition is corrected. Observed OOS rate in our mirror: 94.3% (3,063 of 3,247 citations).

3,247 citations recorded in the FMCSA inspection mirror across 2,378 carriers.

Ranks #447 of 3,146 FMCSR codes by citation frequency.

Most cited recently in New Jersey (117 events in the last 180 days).

How to use this code

CSA weight, OOS trigger, inspector focus, fix path, and DataQs — from published FMCSA fields and citation counts on this page

CSA / SMS weight

Severity weight 1 (1–10). Higher weights correlate more strongly with crash risk in FMCSA's published table. Rolls into the Driver Fitness BASIC. SMS applies time weights (3× / 2× / 1×) over a 24-month window before ranking carriers by percentile.

All Driver Fitness codes →

OOS trigger

This code is OOS-eligible under CVSA Out-of-Service Criteria. A roadside finding can stop the trip until the defect or condition is corrected. In our mirror, 94.3% of 391.41A-MCPVI citations (3,063 of 3,247) carried an OOS flag.

What inspectors typically check

FMCSR violations for operating without a valid CDL, missing medical certificates, lacking endorsements, or failing physical qualifications.

  • Valid CDL class and required endorsements for the load
  • Current medical certificate and physical qualification
  • Driver qualification file items the carrier must maintain

Driver Fitness category →

Fix and prevent

  • Correct the underlying condition before the next trip — an OOS-eligible finding can park the truck or driver immediately.
  • Re-check CDL, medical card, and endorsements against the load before the driver leaves the yard.
  • Keep the correction in the compliance file — undocumented fixes look the same as non-compliance in a review.

DataQs challenge grounds

Carriers and drivers can file a Request for Data Review within 24 months when the record itself looks wrong. Common accepted grounds:

  • Wrong violation code for the condition the inspector described
  • Citation attributed to the wrong USDOT, driver, or unit
  • Condition was already corrected / not present when the report was finalized
  • Supporting evidence (photos, receipts, calibration, ELD extract) contradicts the citation

For brokers and shippers

Severity 1/10 — weigh frequency and recency on the carrier's inspection history, not a single old citation. OOS-eligible: a fresh citation can mean the load was interrupted at roadside until repaired. Most-cited carrier in our table: TPS PARKING MANAGEMENT LLC (8 citations). 2,378 carriers have at least one 391.41A-MCPVI citation in the mirror — open a carrier's inspection list to see whether this code is a pattern or a one-off.

Violation Description

Medical (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.

Regulatory Reference

Federal Motor Carrier Safety Regulations

This violation references 49 CFR 391.41A in the Federal Motor Carrier Safety Regulations.

Events (all time)
3,247
OOS Events
3,063
OOS Rate
94.3%
Top State (180d)
New Jersey
117 events

Top Enforcing States

Where 391.41A-MCPVI is most commonly cited (last 180 days)

1. New Jersey
117
OOS 99.1%
2. Michigan
99
OOS 100.0%
3. Pennsylvania
95
OOS 97.9%
4. California
69
OOS 97.1%
5. Nevada
62
OOS 87.1%
6. Massachusetts
55
OOS 100.0%
7. Connecticut
53
OOS 98.1%
8. Oklahoma
41
OOS 87.8%
9. Kentucky
29
OOS 89.7%
10. Wyoming
28
OOS 96.4%
11. New Hampshire
24
OOS 91.7%
12. Kansas
17
OOS 100.0%
13. Mississippi
16
OOS 100.0%
14. Vermont
16
OOS 87.5%
15. Maine
10
OOS 100.0%

Click a state to see roadside inspection activity, top stations, and carrier profiles in that jurisdiction.

Citation Trend (12 months)

Monthly count of 391.41A-MCPVI citations. Red bars mark months with OOS-triggering citations.

128
2025-09
212
2025-10
174
2025-11
180
2025-12
165
2026-01
141
2026-02
162
2026-03
18
2026-04
167
2026-05
151
2026-06
178
2026-07
162
2026-08
52
2026-09

Most Active Stations

Inspection stations citing 391.41A-MCPVI most often (last 180 days)

1. GARSON CHECKSITE
42
OOS 83.3%
2. PISCATAWAY SCALE
22
OOS 100.0%
3. NJ
18
OOS 100.0%
4. CHOWCHILLA RIVER IF
8
OOS 100.0%
5. GILROY IF
7
OOS 100.0%
6. SLOAN CHECKSITE
7
OOS 100.0%
7. ROADSIDE
6
OOS 100.0%
8. DESERT HILLS IF
6
OOS 100.0%
9. GRAPEVINE IF
6
OOS 100.0%
10. FARMINGTON
6
OOS 100.0%

Often Cited Together

Other violations commonly found on the same inspection (last 90 days)

Citation patterns suggest related root causes (e.g., HOS violations paired with logbook errors).

Top Carriers Cited

Ranked by frequency • 2,378 carriers total • Page 1 of 96

# Carrier USDOT # Violations
#1 TPS PARKING MANAGEMENT LLC 918843 8
#2 YUBUCAO BUS LINE INC 3979013 8
#3 SAKARA LLC 4429530 6
#4 FEDERAL EXPRESS CORPORATION 86876 5
#5 APPLE COMMUTER INC 1561799 5
#6 FREDMORE INC 3808712 4
#7 SP PLUS LLC 665732 4
#8 ATLANTA AIRPORT SHUTTLE LLC 2100943 3
#9 WORLDWIDE TECH INC 4136046 3
#10 IIAN TRANS LLC 2926103 3
#11 ENCORE TEXTILE SERVICES LLC 3773585 3
#12 HERITAGE CHRISTIAN SERVICES INC 1539108 3
#13 BUDGET RENT A CAR SYSTEM INC 371886 3
#14 TSU GLOBAL SERVICES INC 2465772 3
#15 THE HERTZ CORPORATION 25197 3
#16 EVERGREEN CONSOLIDATED LLC 3161972 3
#17 FRANSUA R CORP 3805517 3
#18 OMNI COLLECTIVE LLC 2537118 3
#19 NEW TEAM CARPORTS LLC 3327893 3
#20 ALEXANDER TRUCKING CORP 4143876 3
#21 VIP TRANS INC 1637019 3
#22 JOSEPH'S LANDSCAPING & LAWN CARE INC 3086339 2
#23 FORMAL TRANS LLC 3767743 2
#24 MICHAEL DIGREGORIO 995568 2
#25 SNAP PARKING LLC 4036686 2

Recent Inspections

Latest inspections where 391.41A-MCPVI was cited • 3,247 total events • Page 1 of 130

Date Report # State Level OOS
88969860 CT Level 3 Yes
88969802 NJ Level 1 Yes
88969494 MA Level 1 Yes
88969297 WY Level 1 Yes
88968806 MI Level 2 Yes
88968280 NE Level 1 Yes
88968072 OK Level 2 Yes
88967849 MS Level 2 Yes
88964696 CA Level 2 Yes
88961883 PA Level 1 Yes
88960299 MA Level 3 Yes
88959762 MI Level 3 Yes
88957941 WY Level 3 Yes
88956450 MI Level 1 Yes
88956201 NJ Level 2 Yes
88953219 KS Level 2 Yes
88948128 NJ Level 1 Yes
88947935 MA Level 1 Yes
88947523 CT Level 2 Yes
88946664 WY Level 1 Yes
88943827 MA Level 1 Yes
88943506 OK Level 1 Yes
88942411 VT Level 2 Yes
88946861 DC Level 1 Yes
88940346 NV Level 1 Yes

How to comply with violation code 391.41A-MCPVI

  1. Locate the regulation in the eCFR. Open https://www.ecfr.gov/current/title-49/section-391.41 on eCFR.gov to read the legal text the citation is written against. The eCFR is the National Archives' continuously updated electronic Code of Federal Regulations and is the canonical reference for any FMCSR section.
  2. Determine if your operation is subject. Confirm whether your operation is interstate (always subject to the FMCSR) or intrastate (subject when your state has adopted 49 CFR Part 350 by reference; most have). Intrastate operators in non-adopting states may be subject to a state analog instead of the federal rule.
  3. Identify the documented requirement. Read the requirement carefully: "Medical (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." Map it to the specific equipment, driver document, or operational practice it covers.
  4. Inspect or maintain to standard. Build a recurring inspection or training routine that catches this defect before a roadside inspector does. Because 391.41A-MCPVI is OOS-eligible, a single citation can park the truck or driver until the condition is corrected — pre-trip checks, scheduled PMs, and supervisor reviews are the cheap places to find it.
  5. Document compliance to demonstrate it on review. Keep a dated, signed record of each inspection, repair, training session, or filing tied to 391.41A-MCPVI. During an FMCSA compliance review or a customer onboarding audit, the documentation is what proves the program runs — undocumented compliance is indistinguishable from non-compliance to the auditor.

Frequently asked questions about 391.41A-MCPVI

What is FMCSA violation code 391.41A-MCPVI?
Medical (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. The citation appears as code 391.41A-MCPVI on roadside inspection reports issued by the Federal Motor Carrier Safety Administration and rolls up into the Driver Fitness BASIC.
Is 391.41A-MCPVI an out-of-service violation?
Yes. Code 391.41A-MCPVI is Out-of-Service eligible. When this violation is found at a roadside inspection, the inspector can place the driver or vehicle out of service immediately under the CVSA Out-of-Service Criteria, blocking continued operation until the condition is corrected.
What's the severity weight of 391.41A-MCPVI?
391.41A-MCPVI carries a severity weight of 1 on FMCSA's 1–10 scale. Higher weights indicate violations more strongly correlated with crash risk; FMCSA multiplies the weight by a time factor (3× for citations 0–6 months old, 2× for 6–12 months, 1× for 12–24 months) when computing the carrier's Safety Measurement System percentile.
How many inspections have cited 391.41A-MCPVI?
3,247 inspections in our FMCSA mirror cite 391.41A-MCPVI, of which 3,063 (94.3%) resulted in Out-of-Service orders. The Recent Inspections table on this page lists the most recent citations with date, state, level, and OOS flag — click any row to see the full inspection report.
Which BASIC category is 391.41A-MCPVI in?
391.41A-MCPVI rolls up into the Driver Fitness BASIC of FMCSA's Safety Measurement System. The BASIC determines how the citation feeds the carrier's percentile ranking — carriers with high percentiles in a BASIC are prioritized for FMCSA interventions including warning letters, focused investigations, and full compliance reviews.
What does a carrier do to fix 391.41A-MCPVI?
Resolving a 391.41A-MCPVI citation has two parts: (1) correct the underlying condition immediately — repair the equipment defect, retrain the driver, file the missing form, or update the maintenance record — and (2) document the correction in the carrier's compliance file, ideally with date, time, and the name of the person who performed the work. Carriers that believe the citation was recorded in error can file a Request for Data Review through the FMCSA DataQs system within 24 months of the inspection date.
Where can I find related violation codes?
The "Often Cited Together" panel on this page lists violations frequently appearing on the same inspection as 391.41A-MCPVI — these usually share a root cause (for example, an HOS violation paired with a logbook error). The All Violation Codes index links to every code in the system, and the BASIC category page lists every code in Driver Fitness.
Where can I find the full text of 391.41A-MCPVI?
The full regulatory text is published on eCFR.gov at 49 CFR 391.41. The eCFR is the official, continuously updated electronic Code of Federal Regulations maintained by the National Archives. The TruckCodex page mirrors enforcement data; the eCFR has the legal text the citation is written against.

About FMCSA violation codes

Every violation found during an FMCSA roadside inspection is recorded under a code drawn from the Federal Motor Carrier Safety Regulations — the codified safety rules motor carriers, drivers, and commercial motor vehicles must comply with in interstate commerce. Codes roll up into one of seven Behavior Analysis and Safety Improvement Categories (BASICs): Unsafe Driving, Hours-of-Service, Driver Fitness, Controlled Substances/Alcohol, Vehicle Maintenance, Hazardous Materials Compliance, and Crash Indicator. Each code carries a published severity weight (1–10) and an Out-of-Service eligibility flag.

Citations counted in the FMCSA Safety Measurement System (SMS) feed a 24-month rolling percentile rank for every motor carrier. Recent citations weigh more heavily than older ones — FMCSA applies a 3× multiplier to events 0–6 months old, 2× for 6–12 months, and 1× for 12–24 months. Carriers above the published intervention threshold for a given BASIC are prioritized for warning letters, focused investigations, and full compliance reviews.

TruckCodex mirrors the FMCSA Motor Carrier Management Information System (MCMIS) and the published violation dictionary on a daily refresh cycle. We do not author or modify violation records — every count, severity weight, and OOS flag on this page reflects what the FMCSA has on file. For real-time confirmation immediately before an enforcement decision, click through to the FMCSA Violations Search link above. Carriers who believe a citation was recorded in error can file a Request for Data Review through the FMCSA DataQs system.