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Rail Safety Workers Medical

Rail Safety Workers medical assessmentS ARE conducted to manage potential risks posed by THE ill health OF RAIL INDUSTRY WORKERS

A Rail Safety Workers Medical is required under the National Standard for Health Assessment of Rail Safety Workers.

The Standard underpins a system for monitoring the health of rail safety workers. Importantly, it provides a consistent application of health standards across the Australian rail industry. Moreover, all health assessments conducted by Jobfit are in line with the Standard.

Under the Standard, our authorised health professionals must meet specific selection criteria. These focus on the health professional’s knowledge and understanding of the rail occupational environment.

Under rail safety legislation, rail transport operators must manage the risks posed by the ill health of rail safety workers. In other words, the responsibility is an essential part of an operator’s rail safety management system. For instance, the aim is to minimise risks and protect the safety of the public, rail safety workers and their fellow workers, and the environment.

There are three different types of health assessment based on the work undertaken is safety critical or non-safety critical. Above all, a risk management approach determines which category of health assessment applies to various types of work as follows:

rail medical (Category 1)

This applies to workers who undertake safety critical work and whose ill health may result in sudden incapacity or collapse. Therefore, leading to a serious incident affecting public safety or the rail network.

rail medical (Category 2)

This applies to workers who undertake safety critical work where sudden incapacity will not impact on the safety of the public or the rail network.

Rail Medical (CATEGORY 3)

This applies to workers who undertake non-safety critical work and whose health and fitness does not impact directly on the rail network. However, they need to protect their own safety and that of other workers.


Jobfit doctors undertake Rail Safety Worker Health Assessments and are accredited Authorised Health Professionals under the national accreditation scheme, including a Jobfit Rail Specialist who is also an accredited trainer.

Jobfit provides Chief Medical Officer consultancy services to a number of major rail transport operators including:

In addition, Jobfit has been the preferred medical provider of Rail Safety Worker Health Assessments and Transport for NSW medical assessments for contractors to a number of major rail projects around Australia including:

  • Seaford Rail Extension project (SA);
  • Regional Rail Link project (VIC); and
  • Electrification project (SA).

For more information about Rail Safety Worker Health Assessments, visit the website of the Office of the National Rail Regulator.

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