392.2FC: Operating While Ill or Fatigued – What It Means

You were cited for 392.2FC—operating a CMV while impaired by fatigue or illness. Our 13M+ inspection records show this code rarely results in roadside removal. Here's what happens next.

Severity Weight
8
OOS Eligible
No
BASIC Category
Unsafe Driving
Code System
FMCSR
Code:
392.2FC
Code System:
FMCSR
BASIC Category:
Unsafe Driving
OOS Eligible:
No
Severity Weight:
8

Ranks #714 of 3,146 FMCSR codes by citation frequency • OOS rate of 0.1% is below the FMCSR-wide average of 33.3%.

Violation Description

Operating a commercial motor vehicle while the driver's ability or alertness is so impaired through fatigue, illness, or any other cause as to make it unsafe for the driver to begin or continue to operate the vehicle.

In-Depth Explainer

Grounded in TruckCodex roadside-inspection data

What 392.2FC means in plain language

FMCSR 392.2FC prohibits operating a commercial motor vehicle when your physical or mental condition—whether from fatigue, illness, medication effects, or any other cause—is so impaired that it's unsafe to drive. This isn't about a minor headache or light drowsiness. An officer citing you under this code is asserting that your ability or alertness was compromised enough to pose a safety risk.

The regulation doesn't require you to admit fault or medical diagnosis. What matters is the officer's documented observation: swerving, failure to maintain lane position, delayed reactions, slurred speech, nodding off, or similar behavior that suggests impairment. If you were cited at roadside, the inspector documented specific observations that led them to conclude your condition made driving unsafe.

What our enforcement data actually shows

Across our 13 million+ inspection records, 392.2FC is a relatively uncommon citation. We have logged 1,039 citations all-time for this code, ranking it #706 of 3,036 FMCSR codes by citation volume. In the last 12 months, enforcement officers issued 476 citations nationwide; in the last 90 days, 77.

The out-of-service rate for 392.2FC is strikingly low: only 0.1% of drivers cited for this code were placed out of service (1 driver out of 1,038 total citations). For context, the all-FMCSR average OOS rate is 31.4%—meaning 392.2FC rarely triggers immediate vehicle removal. This suggests that most officers documenting fatigue or illness concerns are issuing the citation as a warning or safety record, not as an emergency intervention.

Who gets cited most

Our inspection records show significant geographic variation in enforcement. Over the past 180 days, Iowa leads with 64 citations, followed by Texas with 40, and Illinois with 38. All three states maintained a 0.0% out-of-service rate for this code, indicating consistent enforcement philosophy: citation without roadside removal.

New Mexico (19 citations), North Carolina (8 citations), and Kentucky (1 citation) round out the top enforcement jurisdictions, each also recording zero out-of-service placements. This national pattern—enforcement without immediate removal—suggests officers are treating 392.2FC more as a compliance checkpoint than an emergency safety stop.

How severe is this compared to similar codes

392.2FC sits within a family of fatigue and illness-related codes. The parent code, 392.2, has accumulated 1,208,164 citations with a 0.8% OOS rate—far higher volume but slightly elevated severity. Other closely related codes include 392.2RG (96,652 citations, 0.1% OOS rate) and 392.2-SLLSR (191,232 citations, 0.1% OOS rate). Across this family, out-of-service placement remains rare, consistent with 392.2FC's 0.1% rate.

Speeding violations often co-occur with fatigue citations. In the last 90 days, 11 inspections recorded both 392.2FC and speeding violations between 1–5 mph over the limit, suggesting that drowsy driving frequently manifests as erratic speed control. This pattern matters for your defense or mitigation.

How to avoid it

Plan your rest before you feel it. Fatigue rarely announces itself at a safe moment. Our data shows citations are issued year-round with a slight peak in May–July (67, 54, and 51 citations respectively over the last 12 months). Don't wait until you feel drowsy to pull over. If you've been driving 6+ hours, stop for a 15-minute rest, even if you feel fine.

Know your medical triggers. Illness co-occurs with fatigue citations in the same inspection record. If you're running a fever, dealing with medication side effects, or managing a chronic condition that affects alertness, inform your dispatcher before your shift. Better to be reassigned than cited.

Perform a pre-trip vehicle inspection checklist. Our data shows that 392.2FC commonly co-occurs with 396.17C (no proof of periodic inspection, 10 shared inspections) and 393.9 (inoperable required lamp, 9 shared inspections). A driver who skips pre-trip checks is also more likely to be observed as inattentive or fatigued. Conduct your walk-around; it sharpens your alertness and creates a documented record of diligence.

Monitor your ELDs and hours. In the last 90 days, 4 inspections recorded both 392.2FC and 395.8A-ELD (failing to keep records of duty status). If you're not tracking your hours properly, you're also more likely to exceed safe driving windows. Compliance with hours-of-service rules is your first defense against fatigue citations.

If you're drowsy, call it in. The single out-of-service placement in our 1,039-citation dataset occurred in August 2025. The other 1,038 drivers were cited but not removed. If you recognize your own fatigue, contact your company immediately and request a safe stop location. Proactive reporting protects you far more than hoping an inspector won't notice.

Last updated: 2026-04-20T14:11:25.961Z Based on TruckCodex inspection data See 392.2FC Q&A → Fleet FAQ →

Top Enforcing States

Where 392.2FC is most commonly cited (last 180 days)

1. Illinois
45
OOS 0.0%
2. Iowa
32
OOS 0.0%
3. Texas
22
OOS 0.0%
4. New Mexico
12
OOS 0.0%
5. North Carolina
6
OOS 0.0%

Often Cited Together

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

Data sources & freshness

TruckCodex aggregates official public-sector datasets. See the Source registry for dataset-level coverage and the Freshness log for last-import timestamps.

Census, SAFER, SMS, Licensing & Insurance (L&I), roadside inspections, crashes, and authority history.

Refreshed daily.

Vehicle recall campaigns, defect investigations, and consumer safety complaints (SCRS).

Refreshed daily.
EIA

Retail diesel and gasoline price history and state fuel-tax tables.

Refreshed weekly.

Cross-border carrier registry and Canadian recall campaigns where applicable.

Refreshed weekly.

TruckCodex is an independent aggregator; it is not affiliated with FMCSA, NHTSA, EIA, or Transport Canada. Always verify compliance-critical information directly with the originating agency.