Rail Medicals

At Newcastle Health Solutions (NHS), we are accredited and equipped to conduct Rail Category 1, 2 and 3 Medicals as required under the National Standard for Health Assessment of Rail Safety Workers.

As a locally owned and operated Occupational Health Clinic, we understand the operational demands and safety-critical responsibilities of the rail industry. Our team ensures your workforce meets medical and fitness standards efficiently, accurately, and with minimal disruption to your operations.

Category 1
Safety Critical Work

Category 1 workers perform safety-critical tasks where sudden incapacity could cause serious incidents (e.g. drivers, controllers).

These assessments are the most comprehensive and include:

  • Full medical history and physical examination
  • Cardiovascular risk assessment and ECG
  • Vision and hearing tests
  • Urinalysis and drug & alcohol screening
  • Occupational Physician assessment and certification

Category 2
Operational Support Roles

Category 2 applies to workers performing safety-related but non-driving duties (e.g. signalers, maintenance personnel).

The medical ensures health standards align with operational safety and includes:

  • Medical history and examination
  • Vision and hearing assessments
  • Drug & alcohol testing

Category 3
Non-Safety Critical Roles

Category 3 covers administrative or other roles where sudden incapacity would not directly impact rail safety.

The assessment typically includes:

  • Medical history and basic physical examination
  • Vision and hearing screening
  • Drug & alcohol testing

Triggered and Review Medicals

In addition to periodic assessments, NHS also conducts:

  • Triggered Rail Medicals – when a worker’s health changes (e.g. following injury, illness, or medication changes)
  • Fitness for Duty Reviews – at the request of employers or Rail Safety Officers

All assessments are completed in accordance with Rail Industry Worker (RIW) compliance requirements.

Ready to Ensure a Healthy Workforce?

Book your pre-employment medical assessments with Newcastle Health Solutions today and prioritise the health, safety, and productivity of your workforce.