Rail Safety Worker Medical (2023)

Manage safety risks posed by the ill health of your team with a CAT 1, CAT 2 or CAT 3 Rail Medical and wellness management program.

A Rail Safety Worker Medical is a legal requirement under the National Standard for Health Assessment of Rail Safety Workers. At Humanomics, our Approved Health Professionals are skilled and accredited in conducting every type of Rail Safety Medical in accordance with this Standard.

Together, our specialist team can ensure that your rail safety workers have the physical and mental health to perform their roles carefully and effectively.

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CAT 1 Rail Medical

The highest medical certification, a Category 1 Rail Medical applies to workers who perform safety critical work and whose sudden incapacity may lead to a serious incident that affects public safety or the rail network.

It includes:

  • Audiometry
  • Vision testing
  • Musculoskeletal assessment
  • Cardiovascular assessment
  • K10 Questionnaire for Psychological Health
  • Epworth Sleepiness Scale
  • General medical examination
  • Drug and alcohol screening

CAT 2 Rail Medical

A Category 2 Rail Medical applies to rail workers who perform safety critical work where sudden incapacity will not jeopardise public safety or the rail network.

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It includes:

  • Audiometry
  • Vision testing
  • Musculoskeletal assessment
  • General medical examination
  • Drug and alcohol screening

CAT 3 Rail Medical

A Category 3 Rail Medical applies to workers who perform non-safety critical work and whose health and fitness will not directly impact commuters or colleagues.

This medical assesses a workers ability to move through the rail corridor, function under supervision and reach a safe place in the event of an emergency.

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It includes:

  • Vision testing
  • Audiometry
  • Musculoskeletal assessment
  • Drug and alcohol screening

Frequently asked questions

Who is defined as a rail safety worker?

The Rail Safety National Law (NSW) views any employee performing the below duties as a rail safety worker:

  • Train operation
  • Infrastructure construction and maintenance
  • Any other tasks that the transport agency deems as rail safety work

Does a contractor need a CAT 3 Rail Medical?

Yes, if relevant to their role.

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Rail industry contractors must meet the same health requirements outlined in the National Standard for Health Assessment of rail safety workers as in-house employees.

Can a Rail Medical be performed as part of a pre-employment health assessment?


Humanomics’ Approved Health Professionals have extensive experience in performing Rail Workers Safety Medicals and Pre-Employment Medicals in one visit. We can carry out any combination of health assessments your business requires.

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How long is a rail medical valid for?

While it is a legal requirement for a rail safety worker to undertake periodic medicals, the frequency of these assessments varies depending on the relevant category.

CAT 1 & 2

  • Before entering employment
  • Every five years until age 50
  • Every two years from age 50 to age 60
  • Ever year from age 60 onwards


  • Before entering employment
  • At age 40
  • Every five years from age 40 onwards


What does a railway medical involve? ›

The Network Rail Medical assesses an individual's general health, body mass index, visual acuity (sight), colour perception, visual field, mobility, coordination, and hearing. The results of these tests are combined to give an indication of fitness for work, and a suitable medical level is given.

What happens if you fail a PTS medical? ›

Safety Critical

A fail on these tests may result in the employee's PTS certificate being cancelled. The drug and alcohol aspect of the medical is repeated annually. Drug Test – completed from a sample of urine.

How much is a PTS medical? ›

How much does a PTS Medical cost? A PTS Medical only at our Birmingham site costs £70 per candidate.

How often do you have a medical on the railway? ›

How often must a train driver have a medical examination? 1.1 Train drivers must pass the initial medical examination to get a licence and then have a periodic medical examination at least every 3 years up to the age of 55.

What is a 3 medical standard in railway? ›

A-3: Physically fit in all respects. Visual Standards – Distant Vision: 6/9, 6/9 with or without glasses. Near Vision: Sn: 0.6,0.6 with or without glasses. Colour Vision, Binocular Vision, Field of Vision & Night Vision must be present.

What medical conditions stop you being a train driver? ›

You must have no history of blackouts, epilepsy (since the age of five), sudden loss of balance, co-ordination or any significant limitation of mobility etc. You will be subject to diabetes (urine), Electroencardiogram (heart) and blood pressure tests.

How long does a PTS medical Last? ›

How long does a PTS Medical last? If no drug and alcohol test is required, the PTS medical lasts around 30 minutes. However, if a drug and alcohol test is required, then the medical can take up to 45 minutes. In addition, if any issues are detected during the medical, then this time can run over.

How long is a PTS medical valid for? ›

Medical Certificate (usually lasts 10 years, but dependent on age) Drug & Alcohol Results. PTS (AC or DCCR) (expiry 2 years)


The PTS Card is a qualification that you get through Network Rail as an employee of a rail engineering company with an allocated sponsor. The card is issued by Network Rail's chosen identity card scheme called Sentinel and is valid for 5 years.

How much does PTS training cost? ›

Who Is The Course Suitable For?
Duration:1 day
Maximum candidates:6

Do you get drug tested on railway? ›

As drug & alcohol testing is mandatory. The railway industry sets the standard for best practice in regards to its drug and alcohol testing for its workers. The Transport and Works Act (1992) stated that those who are found to be impaired by drugs or alcohol are guilty of a criminal offense.

What drugs do the railway test for? ›

The drug groups being tested for are:
  • Amphetamines (incl. Methamphetamines)
  • Benzodiazepines.
  • Cannabis.
  • Cocaine.
  • MDMA.
  • EDDP (Methadone metabolite)
  • Opiates.
  • Propoxyphene.

What perks do rail workers get? ›

Work perks and benefits
  • Family-friendly. ...
  • Holiday purchase scheme. ...
  • Railway pension scheme. ...
  • Employee discounts. ...
  • Learning and development opportunities. ...
  • Health and wellbeing. ...
  • Employee Assistance Programme (EAP) ...
  • Uniforms and safety.

What is a Category 2 rail medical? ›

A Category 2 Rail Medical applies to rail workers who perform safety critical work where sudden incapacity will not jeopardise public safety or the rail network. It includes: Audiometry. Vision testing.

How do I add a medical to Riw? ›

If the AHP is not providing this service, companies can submit an Upload Medical Certificate Service Request on the RIW website. Please ensure all information is included, and that a scan of the medical assessment (Part B - Fit Slip) only is attached. Please do not include the full medical assessment.

What is b1 medical in railway? ›

B-1 Physically fit in all respects. Visual Standards — Distance Vision: 6/9,6/12 with or without glasses (power of lenses not to exceed 4D). Near Vision: Sn: 0.6, 0.6 with or without glasses when reading or close work is required and must pass test for Colour Vision, Binocular Vision, Field of Vision & Night Vision.

How long does a Class 3 medical last? ›

A Third class medical certificate is appropriate for student pilots, recreational pilots, and private pilots who fly for pleasure or personal business (but not for hire). A third class medical is valid for 60 months for pilots under age 40, and 24 months for applicants who are age 40 or older.

What is a category one medical? ›

This is the highest level of rail medical available and is for rail workers or contractors undertaking a safety critical role requiring a high level of attentiveness to their tasks and where sudden incapacity may result in a serious incident affecting the public or the rail network.

What are medical reasons for not driving? ›

They can include:
  • diabetes or taking insulin.
  • syncope (fainting)
  • heart conditions (including atrial fibrillation and pacemakers)
  • sleep apnoea.
  • epilepsy.
  • strokes.
  • glaucoma.

What mental health conditions can stop you from driving? ›

Things that might affect your ability to drive safely include suicidal thoughts, poor concentration and feeling agitated or irritable a lot of the time. If you're not sure if your illness affects your ability to drive you must speak to your doctor.

Can you be a train driver with diabetes? ›

The employee, if they have type 1 diabetes, must have been stable on insulin for at least six months. If the employee has type 2 diabetes requiring insulin, he/she should have had a stable regimen for at least three months.

Is PTS test multiple choice? ›

This test is 50 questions made up of true/false, multiple choice, and multiple select questions.

Can you do the PTS course online? ›

Personal Track Safety - Initial - E-learning Course

The E-Learning programme takes up to three and a half hours to complete and concludes with a short online exam that needs to be completed by the individual.

What card do you need to work on the railways? ›

Sentinel card is a simple and secure way to check that everyone working on the railway has completed the relevant training and qualifications.

How do I get a sponsor for my PTS card? ›

Personal Track Safety (PTS)
  1. Ask the rail company that you work for to sponsor you. Your sponsor would normally be your current employer.
  2. Ask the railway company you want to work for. ...
  3. Contact rail recruitment agencies to see if they will sponsor you. ...
  4. Contact rail training companies for sponsorship.

How much does a sentinel card cost? ›

This increase is caused by the continuing rise in costs to operate and simultaneously develop the Sentinel system. has now increased to £33 per user per year. This excludes the additional £7 per year contribution for the National Skills Academy for Rail.

What do I need to work on the railway? ›

You will also need to meet the medical standards set by Network Rail Standard NR/ L2/ OHS/ 00124 Competence Specific Fitness Medical Requirements, as well as the requirement of Network Rail Standard NR/ L1/ OHS/ 051 (Drugs and Alcohol testing). You will also need accreditation for a variety of competencies.

How do I renew my PTS? ›

For pre-course revision we recommend you purchase the PTS handbook or download it free from our site. In the case of being more than eight weeks from expiry, you will need to attend a 2 day PTS Initial training course.

How long does Sentinel card last? ›

Your Sentinel smartcard is your passport to work. Carry this with you at all times. The smartcard must be presented at the start of shifts, training events and medicals. Your smartcard will last up to 5 years, and you only need the one single card.

How long is a COSS course? ›

The COSS qualification lasts for two years, within 4 months you must complete a minimum of 4 shifts during the mentoring period.

What happens if I lose my Sentinel card? ›

If your card has been lost or stolen, please report this immediately to your Sponsor. A Sentinel Sponsor Administrator will need to record the loss of the card in the database and order a replacement for you. If the card is cancelled when a replacement is ordered, the card can no longer be used.

Is smoking allowed in railway? ›

Section 167 of the Railways Act specifies that anyone found smoking in a compartment despite prohibition or objection from a co-passenger is liable for a fine of up to ₹100.

Can we smoke in railway? ›

No. You cannot smoke cigarettes or cigars, pipes in trains - in the compartments, toilets or the vestibule separating two coaches. You cannot smoke on railway stations or, in fact, anywhere on railway property. It is a punishable offence.

Can you be sacked for failing a drug test? ›

Depending on your company's policy, failing a drug test could lead to disciplinary action or you being dismissed. If your company has a zero tolerance policy to drugs, just the positive test could be seen as 'gross misconduct' and you could be dismissed immediately or suspended while there is an investigation.

What are the 5 drugs on a drug test? ›

5 Panel Drug Tests

A 5 panel drug test typically tests for commonly abused substances, including THC, Opiates, PCP, Cocaine, and Amphetamines.

What do 7 panel drug tests test for? ›

What Does a 7 Panel Drug Test Consist Of? The 7 panel includes these five drug families — marijuana, cocaine, basic opiates (heroin, codeine and morphine), phencyclidine (PCP, angel dust) and amphetamines (Adderall, Ritalin).

What are the three types of drug tests? ›

  • Urine Testing.
  • Oral Fluid Testing.
  • Synthetics Testing.

Do railway employees get free family? ›

If family members are only included in the privilege pass there is no restriction in regard to the number of persons to be included. Passes on transfer account can be issued for self, family, dependent relatives including father who are wholly dependant on the Railway Servant and residing with him.

Do railway workers get free travel? ›

A Staff Travel Card (STC) gives you unlimited free travel on most National Rail services for one day (restrictions apply). These travel cards have replaced the system of free tickets.

Is working on the railroad a blue collar job? ›

The phenomenal leap from farms to industries was built on the shoulders of the working class, the blue collar labor whose hands built America's factories, railroads, cities, oil rigs, mines, and industry machines.

What is a Category 1 rail safety worker? ›

Category 1: Applies to rail safety workers who perform safety critical work and whose ill health may result in sudden incapacity or collapse leading to a serious incident affecting public safety or the rail network.

Can you fail a cat 1 medical? ›

Contact Darryl. If you fail the test, you will either need to wear glasses or will deemed unfit for for duty. From the sounds of it however, you should be fine. Read the link above that skipdaddyo posted for details on the health standard and how it is assessed.

What is railway medical test? ›

The RRB NTPC Medical Test will be conducted by the Railway Board in the upcoming days. The candidates must check the following points on which they are examined in the medical test. Measurement of height, weight and chest girth will be recorded. The condition of heart and lungs will be recorded.

How much does a Riw card cost? ›

The cost for an RIW card application is $250.00 (+GST), which includes your first year's annual cardholder subscription, a mandatory ID check, a physical RIW card posted to your nominated address, a virtual RIW card issued to your smart device, and access to myRIW, your online RIW portal.

How long does it take to get Riw card? ›

Rail Industry Worker (RIW) cards can only be ordered by an RIW Employer Administrator. This can take approximately 7 days to be manufactured and dispatched from Melbourne, Victoria via Australia Post. Please allow up to 14 days for delivery, depending on your location.

Can I upload a medical certificate to Centrelink? ›

If your doctor gives you the completed medical certificate, you can submit it online using either: your Centrelink online account through myGov. the Express Plus Centrelink mobile app.

What does a seafarers medical consist of? ›

This is a basic medical exam conducted by a Transport Canada approved doctors to ensure you are fit for duties at sea. This assessment includes but is not limited to, testing eyesight, colour perception and hearing.

What do they check in HGV medical? ›

A HGV medical exam is made up of two parts; an interview about your physical health and your mental health with a physical examination, and a look at your medical history. You will also be required to provide your completed D4 HGV medical form. These requirements are essential for any HGV driving job.

What is involved in a cat 1 rail medical? ›

CAT 1 Rail Medical

Vision testing. Musculoskeletal assessment. Cardiovascular assessment. K10 Questionnaire for Psychological Health.

What do they check in an aviation medical? ›

During the medical evaluation, you will get a full health examination including vision test, hearing test, heart functioning, blood/urine samples, and a general health exam.

How do I pass the medical exam for seafarers? ›

Do not drink coffee or alcohol in the hours prior the exam, as they cause hypertension. Drink more water in the days prior PEME, to help your body get rid of the toxins you have consumed. Take care of your mouth hygiene before the exam. Go to a dentist for a provisional check and teeth cleaning.

How can you fail an eng1 medical? ›

Common Reasons Why People Fail ENG 1 Medical Exams
  1. Fit with restrictions, which would limit the work you can carry out, or enable you to work only at certain locations and certain jobs.
  2. Be considered as being temporarily unfit.
  3. Be considered as being permanently unfit.
1 Jun 2022

Why do seafarers quit? ›

Erratic sleeping schedule, excessive working stress, unfriendly environment, unavailability of fresh food, and inadequate medical facilities drastically affect seafarers' health.

What can fail a HGV medical? ›

But one of the things every HGV driver has to go through is a medical exam.
You Can Fail
  • Mental disorders.
  • Visual impairment.
  • Risk of seizures/epilepsy.
  • Heart disorders.
  • Recent history of blackouts or unconscious episodes.
  • Any history of drug or alcohol abuse.
9 Nov 2019

How do you pass medicals? ›

7 Tips for a Successful Medical Exam
  1. 1) Get a good night's sleep. Try to get eight hours the night before your exam so your blood pressure is as low as possible.
  2. 2) Avoid salty or fatty foods. ...
  3. 3) Avoid exercise. ...
  4. 4) Don't drink coffee or any caffeinated products. ...
  5. 5) Fast. ...
  6. 6) Drink water. ...
  7. 7) Know your meds.

Can you be a HGV driver with depression? ›

Mental Health

Psychological issues such as severe chronic anxiety, severe depression, and mental conditions such as schizophrenia need to be treated before the driver can pass HGV Medicals examinations.

What is a Category 2 medical? ›

Triage category 2

People who need to have treatment within 10 minutes are categorised as having an imminently life-threatening condition. People in this category are suffering from a critical illness or in very severe pain.

How long does a cat 1 medical Last? ›

Category 1 Rail medicals are valid from the time of commencement to: Every 5 years up until the age of 50, then. Every 2 years from age 50 up until the age of 60, then. Every year form age 60 onwards.

What things are checked in medical test? ›

These tests are usually performed in a consulting room by any doctor and require no advanced equipment.
  • general. Temperature measurement, with a thermometer. Patient's Respiratory rate measurement. Blood oxygen concentration measurement. ...
  • specific: abdominal palpation. cardiac ausculation. HEENT examination.

Can you fail a cabin crew medical? ›

You will then also have to provide a urine sample as part of the cabin crew medicals to check for diabetes as well as drug/ alcohol substances. Whilst being a part of the cabin crew you can be randomly urine tested at any time, if you fail then you may well lose your job.

What is Category 3 medical exam? ›

MEDICAL CATEGORY 3: This category applies to the issue or revalidation of Student Pilot Permit, Helicopters, Gyroplane, Balloon, Pilot Permit, Gyroplane, Private Pilot Licence – Aeroplane, Helicopter Pilot Licence, Flight Instructor Rating, Glider, Ultra-light Aeroplanes.


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