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Washington - Unreported Seizures, Heart Attacks Cause Severe Accidents, It's so easy to fabricate the medical certificates required to operate commercial trucks on the nation's highways that there's almost no incentive for truckers to obtain a legitimate document, according to a congressional study.

The House Transportation and Infrastructure Committee's study -- expected to be released at a hearing Thursday -- found that there are so few controls over how drivers obtain medical certificates that it's "relatively easy for a motivated commercial driver to circumvent the physical examination requirement." Nor is there any database or central repository which would allow state inspectors to verify the legitimacy of a medical certificate.

"Because so few attempts are made to authenticate a certificate, there is little risk that a driver will be caught if he or she forges or adulterates a certificate," according to the report, which was obtained by The Associated Press.

The committee called officials of the Federal Motor Carrier Safety Administration to explain at the hearing why the agency hasn't fully implemented recommendations made nearly seven years ago on how to keep medically unfit truck drivers off the road.