Cat 2 Rail Medicals in Sydney

Cat 2 Rail Medicals to ensure the safety of rail workers. All our Rail Medicals are carried out by RIW-Approved Medical Professionals.

Cat 2 Rail Medicals at Persona Health

CAT 2 Medical - Sydney and Parramatta

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At Persona Health, we understand the critical importance of safety and compliance in the rail industry. Our Cat 1 Rail Medicals are designed to meet the specific health standards required for rail safety workers, ensuring they are fit to perform their duties effectively and safely.

What Are Rail Medicals?

Rail Medicals are comprehensive health assessments specifically tailored for individuals working in the rail industry. These medicals assess the physical and mental fitness of rail safety workers, helping to prevent accidents and ensure that all personnel can safely carry out their roles.

Who Needs a Rail Medical?

Anyone working in roles classified as Rail Safety Workers under the National Standard for Health Assessment of Rail Safety Workers in Australia is required to undergo a Rail Medical. This includes roles such as train drivers, maintenance workers, and other safety-critical positions.

Rail Category 2: Workers in this category are involved in roles where sudden incapacity does not pose a risk to public safety or the overall integrity of the rail network.

Components of a Cat 2 Rail Medical

Our Cat 2 Rail Medicals typically include:

Vision and Hearing Tests:
Ensuring that workers meet the necessary sensory standards.

Cardiovascular and Respiratory Assessments:
Evaluating heart and lung function to detect any potential health risks.

Musculoskeletal Assessments:
Checking for any conditions that may impair physical ability.

Mental Health Evaluation:
Ensuring psychological fitness for the demanding nature of rail work.

Drug and Alcohol Screening:
To comply with industry requirements all drug tests must be completed by a NATA-certified laboratory.

Why Choose Persona Health?

With clinics conveniently located in Parramatta, Rosebery, and Gregory Hills, Persona Health offers flexible scheduling and comprehensive assessments conducted by experienced occupational health professionals. Our team is fully accredited to provide these critical evaluations, and we ensure that all our procedures adhere to the highest standards of privacy and confidentiality.

Book Your Rail Medical Today

Ensure your team is compliant and fit for duty with Persona Health's Rail Medicals. Contact us today to schedule an appointment or to learn more about our services.

At Persona Health, we prioritise your health and safety, providing comprehensive Cat 2 rail medical examinations to help you work confidently and safely.

Contact us today to schedule your rail medical in Sydney.

Book Your CAT 2 Medical in Sydney

You can book and pay for your CAT 2 Rail Medical in Sydney.

Take your medical at a clinic in Parramatta, Rosebery or Gregory Hills.

CAT 2 Medical includes Laboratory Drug and Alcohol Screening just $385 inc GST, 

All major credit cards accepted.

Drug Testing in Sydney

Cat 2 Medicals from Persona Health

Our medicals take approximately 30-60 minutes to complete in one of our clinics.

A rail medical assessment is conducted to ensure that rail safety workers are physically and mentally fit to perform their duties safely. The medical typically includes the following components:

Rail Medical  Medical Review
Medical History Review

The worker's medical history is assessed, including any previous illnesses, surgeries, medications, and family medical history. This helps to identify any conditions that might impact their ability to work safely.

Rail Medical Exam
Physical Examination


This includes checking vital signs such as blood pressure, heart rate, and respiratory rate. A general physical examination is performed to assess overall health.

Rail Medical Sydney
Vision and Hearing Tests

These are crucial for safety-critical roles. Vision tests may include checking for visual acuity, color vision, and depth perception. Hearing tests assess the worker's ability to hear instructions and warnings.

Rail Medical  Medical Review
Functional Assessment:

A functional assessment might be conducted to ensure the worker can perform their duties without risk to themselves or others. This may include tests of strength, flexibility, and cardiovascular fitness.

Rail Medical Sydney
Urinalysis and Blood Tests

These tests can detect medical conditions such as diabetes, infections, or other health issues. Drug and alcohol screening ensures the worker is not under the influence of substances that could impair their ability to work safely.

Rail Medical Sydney
Mental Health Assessment

The worker's mental health may be evaluated to ensure they are not experiencing conditions such as severe anxiety or depression, which could affect their ability to perform their duties safely.

Additional Rail Medical Tests


Depending on the specific requirements of the role and the category of the medical, additional tests such as electrocardiograms (ECGs) or respiratory function tests may be conducted.

After the assessment, the worker receives a report indicating whether they are fit for duty, fit with restrictions, or unfit for duty. This helps ensure that rail safety workers can perform their roles without risking their own safety or that of others.

Rail Medical tests in Sydney

CAT 2 Medical - Sydney and Parramatta

Book now! Fast turnaround.

Category 2 Rail Medical - Cat 2 Rail Medical Sydney

Safety Critical Workers

Category 2 Rail Medical


Scope: For workers who are not directly responsible for the control of trains but whose health status could indirectly affect safety.

Examples: Track workers, signal maintainers, and other roles that do not control trains but are involved in operations that could impact safety.

Assessments: Includes most of the tests from Category 1 but typically does not require the same depth of psychological or neurological evaluation. However, vision, hearing, and general health checks remain critical components.

Cat 1, 2 and 3 Rail Medical Comparison

Component/TestCategory 1
Safety Critical – High Risk

Category 2
Safety Critical – Low Risk

Category 3
Non-Safety Critical)

Medical History & Physical Exam
Yes – comprehensive
Yes – comprehensive
Basic health questionnaire
Vision (Acuity, Fields, Colour)
Full assessmentFull assessmentBasic screen (may be self-reported)
Hearing (Audiometry)Full audiometryFull audiometryBasic check (whisper test)
Cardiovascular – Resting ECGMandatoryNot routinely – only if indicatedNot required
Cardiovascular – Stress ECGIf indicated (risk factors, abnormal ECG)If indicatedNot required
Diabetes ScreeningFasting BGL or HbA1cFasting BGL or HbA1c
Not required
Fasting Lipids / Blood TestsRequiredRequired if indicated by historyNot required
Urine Drug Screen (Lab)MandatoryMandatoryMandatory (initial only)
Alcohol Breath TestMandatoryMandatoryMandatory (initial only)
Sleep Apnoea ScreeningSTOP-BANG or equivalentSTOP-BANG if risk factors
Not required
Mental Health / Cognitive ScreenComprehensiveComprehensiveNot required
Specialist ReferralsAs indicated (cardiology, psych, etc.)As indicated
Rarely required
Frequency5-yearly to age 50;
2-yearly to 60;
annually 60+
5-yearly to age 50;
2-yearly 50+
One-off at start unless health triggers re-assessment

Hiring new staff to work in the Rail Industry? 

What's the Difference Between Cat 1, Cat 2 and Cat 3 Medicals?

Key Differences:-

Level of Risk
: Category 1 involves the highest risk, where medical issues can directly impact safety. Category 2 involves moderate risk, with workers who are in critical but not directly hazardous roles. Category 3 involves the lowest risk. The Cat 3 medical is therefore the most popular medical requested.

Scope of Assessment: The higher the category, the more comprehensive the medical assessment required, particularly regarding cardiovascular and neurological evaluations.

Frequency: The frequency of these assessments can vary, with Category 1 workers often needing more regular checks compared to Category 3.

Understanding these differences is crucial for ensuring that all rail workers are appropriately assessed according to the safety criticality of their roles. This ensures not only the safety of the workers but also the safety of the rail operations and the public.

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