1. Traffic Operation and Management 1 Rail Medical Fitness Standards - Moving Forward - John Pullinger Technical Specialist RSSB

2. Traffic Operation and Management 2 Original Job Specific Medical Fitness Standards Drivers Conductors / train working OTM drivers Signallers and crossing keepers PTS

3. Traffic Operation and Management Changes to UK rail medical fitness standards 1993 – July 2008 GO/OTC102(1) Oct92 Medical Fitness Drivers GO/RT3251(1) Sep 94 Train Driving GO/RT3251(2) Oct 98 Train Driving GO/RT3251(3) Dec 99 Train Driving GO/RT3251(4) Oct 02 Train Driving GO/RT3251(5) ~Jun08 Train Driving GO/RT3451(1) ~Jun08 Train Movement.. GO/OTC302(1) Jan 93 Medical Fitness Conductors GO/RT3255(1) Nov 95 Train Working GO/RT3255(2) Oct 00 Train Working GO/RT3451(1) ~Jun08 Train Movement.. GO/OTC202(1) Jan 94 Medical Fitness OTM Drivers GM/RT1403(1) Aug 98 Use of Plant and Work Equip Withdrawn Jul 07 Briefing note 019 RIS-1700- PLT(1) Apr 07 Safe Use of Plant GO/RT3259(1) Feb 96 Signallers and Crossing Keepers GO/RT3259(2) Jun 01 Signallers and Crossing Keepers Withdrawn Feb 06 (possible future NR document) GH/TZ0005(1) Mar 93 Medical Fitness PTS GO/RT3353(1) Apr 95 PTS GO/RT3353(2) Feb 98 PTS GE/RT8067(1) Oct 02 PTS Withdrawn Feb 07 Briefing note 035 *(NR/SP/CTM/ 021) GE/GN8511(1) Oct 07 Guidance …. on Track Safety GH/ZT0004(1) Jan 93 Drugs and Alcohol GH/RT4000(1) Aug 96 Drugs and Alcohol GE/RT8070(1) Oct 03 Drugs and Alcohol GE/RT8070(2) ~Jun 09 Drugs and Alcohol

4. Traffic Operation and Management 4 Current RSSB MFS GO/RT3451 and GO/RC3561 contain requirements and guidance for: –Train dispatch staff –Drivers –Shunters –Competent persons

5. Traffic Operation and Management 5 Questions Are the changes well understood? Do duty holders define additional fitness requirements when needed? Is any additional guidance needed? Would appendices to 3561 be better in a separate guidance document that can develop over time?