Rail Safety Worker Medical (Category 1, 2, 3)
Our accredited Authorised Health Professional (AHP) conducts Rail Safety Worker Medicals for all risk categories in accordance with the National Standard for Health Assessment of Rail Safety Workers (2024). We can also upload results directly to the RIW (Rail Industry Worker) portal for fast and seamless compliance.
Why Are Railway Medicals Required?
What Does the Assessment Include?
How to Prepare for Your Railway Medical?
Getting Started
Railway medicals are mandatory under the Rail Safety National Law (RSNL), which establishes a national framework for rail safety regulation across all Australian states and territories. The National Standard for Health Assessment of Rail Safety Workers (2024) sets out the detailed health assessment criteria to ensure all rail safety workers (including train drivers, track workers, and signal operators) are medically fit for their roles.​
Category 1 (High Risk, e.g., Train Drivers):
Medical History Review - Identifying past and current health conditions.
Physical Examination - Focusing on cardiovascular, neurological, and general health.
Cardiovascular screening including electrocardiogram (ECG)
Diabetes Screening
Audiometry (Hearing Test) - Ensuring compliance with workplace safety standards..
Vision Test - Evaluating eyesight, including visual acuity and peripheral vision, to meet driving and industry standards.
Drug and alcohol screening
Cognitive, mental health and sleep assessment where applicable.
Category 2 (Moderate Risk, e.g., Signaller):
Medical history and physical exam
Vision and hearing testing
Drug and alcohol screening
Cardiovascular risk assessment if clinically indicated
Category 3 (Low Risk, e.g., Administrative Staff):
Basic health screening with focus on vision, hearing, and mobility
To ensure a smooth assessment process, please follow these preparation guidelines:
Bring Photo Identification – Please bring a valid photo ID (e.g. driver’s licence, passport) to confirm your identity, along with any referral paperwork from your employer.
If you take any medications or puffers, bring the details including name and dose.
If you are treated by a specialist, bring any recent letters or reports from them.
Wear appropriate clothing – Loose-fitting attire and comfortable shoes suitable for squatting and other physical movements.
Avoid stimulants (coffee, energy drinks) on the morning of your appointment, as they can increase blood pressure and cause arrhythmias.
If you use hearing aids / prescription glasses, bring them with you.
Be prepared to provide a urine sample by staying hydrated before the appointment.
Booking your Rail Safety Worker Medical with us is simple:
Call Now (0475 468 310) to speak with our team.
Book online on behalf of your employee, and we will contact you to discuss the details.
Use the Contact Form below, and we will reach out to you as soon as possible.
