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Introduction

Changes to Medical Standards for Safety Critical Staff Dr David Shackleton RSSB Medical Standards Adviser. Introduction. Origin of medical fitness standards How mfs have evolved Current influences DDA, SfSM, EU Issues Questions. History. BR Group Standards Railtrack RSSB

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Introduction

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  1. Changes to Medical Standards for Safety Critical StaffDr David ShackletonRSSB Medical Standards Adviser

  2. Introduction • Origin of medical fitness standards • How mfs have evolved • Current influences • DDA, SfSM, EU • Issues • Questions

  3. History • BR • Group Standards • Railtrack • RSSB • Individual Duty Holder

  4. Ideal MFS • Job or task specific • Justified by the H+S requirements • Enable compliance and interoperability • Apply simply, consistently, economically • Balance prescriptive vs non-prescriptive

  5. MFS format • Competency of medical assessor • Frequency / age • Vision / colour vision • Hearing • General health • Discretion clause / safe system of work • Assessment after illness/injury/event

  6. Strategy for Standards Management • Approved October 2005 • Convergence with EU standards • Mandatory = control of interface risks • No change in overall safety

  7. Strategy for Standards ManagementEffect on MFS • Complete withdrawal • Partial withdrawal • No more “whole of job” MFS from RSSB • A few “partial” MFS to remain

  8. Disability - DDA 1995 • Cannot treat DP less favourably unless justified • “Direct” or “indirect” discrimination • Need for individual assessment • Lawful if complying with statutory requirement • Prescriptive MFS still possible?

  9. Europe • TSI’s • Driver licensing • Common format MFS • Cross border / interoperability • Universal in the long term

  10. Safety Critical Workers • Drivers • Conductors • Shunters • Signallers +CK • OTM Drivers • Track Workers (PTS)

  11. GO/OTC102(1) Oct92Medical Fitness Drivers GO/RT3251(1)Sep 94Train Driving GO/RT3251(2)Oct 98Train Driving GO/RT3251(3)Dec 99Train Driving GO/RT3251(4)Oct 02Train Driving GO/RT3251(5)~Jun08Train Driving GO/RT3451(1)~Jun08Train Movement.. GO/OTC302(1) Jan 93Medical Fitness Conductors GO/RT3255(1)Nov 95Train Working GO/RT3255(2)Oct 00Train Working GO/RT3451(1)~Jun08Train Movement.. GO/OTC202(1) Jan 94Medical Fitness OTM Drivers GM/RT1403(1)Aug 98Use of Plant and Work Equip Withdrawn Jul 07Briefing note 019 RIS-1700-PLT(1)Apr 07Safe Use of Plant GO/RT3259(1)Feb 96Signallers and Crossing Keepers GO/RT3259(2)Jun 01Signallers and Crossing Keepers Withdrawn Feb 06 (possible future NR document) GH/TZ0005(1)Mar 93Medical Fitness PTS GO/RT3353(1)Apr 95PTS GO/RT3353(2)Feb 98PTS GE/RT8067(1)Oct 02PTS Withdrawn Feb 07Briefing note 035*(NR/SP/CTM/021) GE/GN8511(1)Oct 07Guidance ….on Track Safety GH/ZT0004(1)Jan 93Drugs and Alcohol GH/RT4000(1)Aug 96Drugs and Alcohol GE/RT8070(1)Oct 03Drugs and Alcohol GE/RT8070(2)~Jun 09Drugs and Alcohol Changes to UK rail medical fitness standards 1993 – July 2008

  12. New standard and RACOP

  13. Issues • Loss of “whole of job” standards • Changes to mandatory audiometric hearing standard • Ongoing need for MFS • Fragmentation and change within rail OH • Need for more detailed medical guidance

  14. Summary • Key turning point for MFS • EU driving change • SfSM and DDA having significant impact

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