Leo, no, it doesn't account for clearances at all. What is needed is to be able to plug in your truck type, and height, and then have it automatically route you based on that information. Truck height and trailer length can both be important, as there are some routes where a long trailer cannot go, but a straight truck or pup trailer can.
It's pretty good, for the most part, about not sending trucks over routes that are specifically "No-Trucks!" roads, but I honestly don't know how accurate that is.
One time there was an accident in the middle of the construction in Chicago, Joliet or Bolingbrook, somewhere around there. It happened right in front of me, couple of miles ahead, and the Interstate was shut down. I just pulled off the Interstate at the exit that I was right next to, and the Garmin routed me around down to the next exit.
Well, it first tried to route me to get right back on the Interstate at the same exit number, but I manually pushed the Detour button and it routed me around it all, down to the next exit 3 miles down the road. (The accident had just happened so the Nav Traffic didn't know about it yet).
I had it set on "Truck" and the routing was like 8 or 9 miles to go those 3 miles down to the next entrance ramp. I had me going waaaay out and around everything. I changed it to "Car" and it re-routed me on a route that took just 4 miles to get down to where I needed to go.
The difference was, the "Car" route took me through a residential subdivision, a winding little shortcut only a local could possibly know about, and one that had "No Trucks" signs all the way.
I did a delivery in downtown Boston, and with the Garmin set on "Truck," it would not take me on the roads that parallel the river through the Cambridge University area there downtown. On "Car" it would. There are overpasses on that road that are 9 feet and change, one maybe less (looked like I was about to smack my forehead). I think the Garmin just knew "No Trucks" more than the 9 feet thing.
I scraped my CB antenna pretty good on the underside of a couple of those overpasses, and on one of them, I was absolutely sure I'd pop out the other end with no QC bubble on this Sprinter. hehe
Slow and steady, even in expediting, wins the race - Aesop