Rail Medicals Sydney

The Three Rail Medical Categories

Category 1 Rail Medical

This classification applies to rail safety workers whose health conditions might lead to sudden incapacity, potentially causing serious incidents that could impact public safety or disrupt the rail network (e.g. drivers).

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Category 2 Rail Medical

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.

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Category 3 Rail Medical

These workers are engaged in non-safety critical tasks. While their roles do not directly impact the rail network's operations, they must maintain their health and fitness to ensure their own safety and that of their colleagues.

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CAT 3 Medical - Sydney and Parramatta

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Cat 1, 2 and 3 Rail Medical Comparison

Component/Test	Category 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 assessment	Full assessment	Basic screen (may be self-reported)
Hearing (Audiometry)	Full audiometry	Full audiometry	Basic check (whisper test)
Cardiovascular – Resting ECG	Mandatory	Not routinely – only if indicated	Not required
Cardiovascular – Stress ECG	If indicated (risk factors, abnormal ECG)	If indicated	Not required
Diabetes Screening	Fasting BGL or HbA1c	Fasting BGL or HbA1c	Not required
Fasting Lipids / Blood Tests	Required	Required if indicated by history	Not required
Urine Drug Screen (Lab)	Mandatory	Mandatory	Mandatory (initial only)
Alcohol Breath Test	Mandatory	Mandatory	Mandatory (initial only)
Sleep Apnoea Screening	STOP-BANG or equivalent	STOP-BANG if risk factors	Not required
Mental Health / Cognitive Screen	Comprehensive	Comprehensive	Not required
Specialist Referrals	As indicated (cardiology, psych, etc.)	As indicated	Rarely required
Frequency	5-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

At Persona Health, we understand the critical importance of safety and compliance in the rail industry. Our 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.

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 1, Cat 2 and Cat 3 rail medical examinations to help you work confidently and safely.

Contact us today to schedule your rail medical in Sydney.

Rail 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:

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.

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.

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.

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.

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.

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.

CAT 3 Medical - Sydney and Parramatta

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High-Level Safety Critical Workers

Category 1 Rail Medical

Scope: This category covers roles where sudden incapacity could lead to a significant safety risk, not only to the worker but also to the public and co-workers.

Examples: Train drivers, guards, and controllers.

Assessments: Comprehensive medical evaluation including vision, hearing, cardiovascular, respiratory, and musculoskeletal assessments, as well as a thorough examination of neurological and psychological health. Drug and alcohol testing is also included.

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.

Non-Safety Critical Workers

Category 3 Rail Medical

Scope: These are positions where sudden incapacity or collapse is unlikely to affect the safety of the public or the rail network.

Examples: Administrative staff, cleaners, and other non-operational roles.

Assessments: Focuses on the ability of the worker to move safely in a rail environment, which includes good hearing and eyesight, but does not require the extensive testing of Categories 1 and 2. Basic health checks are usually sufficient.

Cat 1, 2 and 3 Rail Medical Comparison

Component/Test	Category 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 assessment	Full assessment	Basic screen (may be self-reported)
Hearing (Audiometry)	Full audiometry	Full audiometry	Basic check (whisper test)
Cardiovascular – Resting ECG	Mandatory	Not routinely – only if indicated	Not required
Cardiovascular – Stress ECG	If indicated (risk factors, abnormal ECG)	If indicated	Not required
Diabetes Screening	Fasting BGL or HbA1c	Fasting BGL or HbA1c	Not required
Fasting Lipids / Blood Tests	Required	Required if indicated by history	Not required
Urine Drug Screen (Lab)	Mandatory	Mandatory	Mandatory (initial only)
Alcohol Breath Test	Mandatory	Mandatory	Mandatory (initial only)
Sleep Apnoea Screening	STOP-BANG or equivalent	STOP-BANG if risk factors	Not required
Mental Health / Cognitive Screen	Comprehensive	Comprehensive	Not required
Specialist Referrals	As indicated (cardiology, psych, etc.)	As indicated	Rarely required
Frequency	5-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

Cat 1, 2 and 3 Rail Medicals in Sydney

Cat 1, 2 and 3 Rail Medicals to ensure the safety of rail workers. All our Rail Medicals are carried out by RIW-Approved Medical Professionals.

The Three Rail Medical Categories

Category 1 Rail Medical

Category 2 Rail Medical

Category 3 Rail Medical

CAT 3 Medical - Sydney and Parramatta

Cat 1, 2 and 3 Rail Medical Comparison

Book Your CAT 3 Medical in Sydney

Rail Medicals from Persona Health

Medical History Review

Physical Examination

Vision and Hearing Tests

Functional Assessment:

Urinalysis and Blood Tests

Mental Health Assessment

CAT 3 Medical - Sydney and Parramatta

Category 1 Rail Medical

Category 2 Rail Medical

Category 3 Rail Medical

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Cat 1, 2 and 3 Rail Medical Comparison