Medical Standards Review Response Template (where practicable by RyanWinterswyk

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									                      Medical Standards Review Response Template
(where practicable, complete the following template for each issue that you would like to see
                             addressed as part of the review).

Stakeholder details:
Organisation: Australian Narrow Gauge Railway Museum Society (Accredited in Qld)
Name: Mr Terry Olsson (President)
Email: terryolsson@bigpond.com                              Phone: (M) 0429100911

Standard to which feedback applies (tick):
       Assessing Fitness to Drive
    X National Standard for health Assessment of Rail safety Workers
Section of standard:



What is the issue?
The issue is portability of medicals.
Vol 1 (Management Systems) Page 27 Section 13.7 Paragraph 1 states “If a rail safety
worker has undertaken a health assessment for an accredited rail organisation, the health
Assessment Report (Blue or Mauve Form) maybe transferable to another rail organisation”.
The issue we have is we are a two foot gauge accredited railway which is 100% volunteer.
We do not want to see safety compromised but have an issue with the fact that only medicals
from another accredited railway can be transferred. We use ex sugar cane railway locos and
we get workers from the sugar cane industry (which runs many kilometres of 2ft gauge
railways hauling huge tonnages) but because the sugar industry railways are exempt from
rail accreditation, we cannot get our doctor to look at their medicals. Similarly, because we
are a volunteer group, we get a lot of prospective members who do not work in the rail
industry as an occupation (T & H railways would not survive if they only used volunteers from
full time railway occupations). For example, we just had an enquiry from a person in charge
of steam engines on a ship who does their Cat 1 medical but again we cannot transfer their
medical.
It is hard enough getting volunteers nowdays, and making these volunteers do another
medical causes problems recruiting such people. It needs to be remembered that most T & H
railways (a) cannot afford to pay for the medical so the cost is borne by the member
personally, and (b) because they are volunteer railways, and only certain doctors can be
used for the assessment who usually only work office hours Monday to Friday , it causes
problems with members who have full time employment elsewhere, in getting time off to
attend the medical.



What is the proposed course of action?
Section 13.7 (and any other relevant sections) be reviewed with the objective of permitting
the portability of medicals other than from another accredited railway. Obviously it would be
up to the assessing doctor to decide if the medical done by the other person is suitable but at
least they should have the ability to contact the other persons doctor to discuss what the
other medical involved if they do not know.
                     Medical Standards Review Response Template
(where practicable, complete the following template for each issue that you would like to see
                             addressed as part of the review).

Stakeholder details:
Organisation: Australian Narrow Gauge Railway Museum Society (Accredited in Qld)
Name: Mr Terry Olsson (President)
Email: terryolsson@bigpond.com                             Phone: (M) 0429100911

Standard to which feedback applies (tick):
       Assessing Fitness to Drive
    X National Standard for health Assessment of Rail safety Workers
Section of standard:



What is the issue?
We have an issue with Volume 1 (Management Systems) Page 27 Section 13.6.2 and
Volume 2 (Assessment Proceedures and Medical Criteria) page 21 Section 10.5.
Our issue only relates to a person doing a health assessment for a second or subsequent
time.
Section 10.5 of Vol 2 states that the health professional should immediately notify the
employer if the person is assessed as unfit for duty either temporarily or permanently.
There is presently confusion out there as to what the situation is regarding someone who is
fit for duty but with a limitation (ie must start wearing glasses)..



What is the proposed course of action?
Sections 13.6.2 of Vol 1 and Section 10.5 of Vol 2 need to be amended to clarify situation
regarding notifying employer immediately if someone is still fit for duty but their status
changes (ie need to start wearing glasses or can now only be Cat 2 when previously Cat 1).
                      Medical Standards Review Response Template
(where practicable, complete the following template for each issue that you would like to see
                             addressed as part of the review).

Stakeholder details:
Organisation: Australian Narrow Gauge Railway Museum Society (Accredited in Qld)
Name: Mr Terry Olsson (President)
Email: terryolsson@bigpond.com                              Phone: (M) 0429100911

Standard to which feedback applies (tick):
       Assessing Fitness to Drive
    X National Standard for health Assessment of Rail safety Workers
Section of standard:


What is the issue?
We have an issue with Volume 1 (Management Systems) Page 27 Section 13.6.2 and
Volume 2 (Assessment Proceedures and Medical Criteria) page 21 Section 10.5.
Our issue only relates to a person doing a health assessment for a second or subsequent time.
Section 10.5 of Vol 2 states that the health professional should immediately notify the
employer if the person is assessed as unfit for duty either temporarily or permanently.
There is presently confusion out there as to what the situation is during the period when they
have been assessed and the actual confirmation paperwork is received from the doctor.
Some railways are interoperating it as that person is ok to continue because the doctor did
not ring to say unfit for duty as per Section 10.5 of Vol 2 while others say that person cannot
be used until paperwork physically received (as there may be a change in requirements or
some other reason).
This is causing problems and impacts on volunteer groups who wait for paperwork, while the
directors of those who do not wait could be at risk legally if anything went wrong during the
interium period. We have several volunteers in our society who are over 60 and therefore require
a medical every year. However, because the doctor can often take over a month to send out the
paperwork, and the paperwork is dated from the day of the test, they are having to book in for a
medical more than a month prior to expiry. This means they are really only getting 10 to 11
months out of a medical instead of the intended 12 months. This is causing us problems with
rostering, and with retaining volunteers because in the case of our society, we cannot afford to
pay for the medicals and the volunteers have to pay for it themselves. Volunteers accept the
need for medicals, but not the need to do it more often than specified (having said that they
would accept the need for more frequent medicals if required by the doctor).


What is the proposed course of action?
To make this situation clearer, we propose that a similar process be used to that used by
CASA (sample attached on the following page). Surely if it is good enough for a plane pilot, it
is good enough for a rail worker.

One of our members is a light plane pilot and a copy of his CASA form is attached. This form
includes a section which the doctor signs at the time of the test temporarily extending the
previous medical for a period which would allow the paperwork to be processed and received
by the employer (our member says he usually gets 2 to 3 months).

The relevant form (Blue?) would need to be amended, along at least Sections 13.6.2 of Vol 1
and Section 10.5 of Vol 2.
                                                                                                     Additional Requirements for Flight in ICAO Signatory
                                                                                                     States Other than Australia
                                                                                                     Medical                    Class     1                 Class 2
                                                                                                     Last   Examination:        N/A                         15 June 2007
                                                                                                     Audiogram
                                                                                                     Last                       N/A                         N/A
                                                                                                     ECG
                                                                                                     Last                       N/A                         N/A
                                                                                                     Ophthalmic

                         Australian Government                                                                                  N/A                         7 July 2003
                                                                                                     (No IGAO requirement for a recurrent ophthalmic examination)
                    Civil Aviation SafetyAuthority                                                  Certificate Re-Validation (DAME Use Only)


                                                                                                    R+Validated by:

                                                                                                    on:
             CIVIL AVATIoN MEDIcAL
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                                                                                               '   maximum validiiy period is presaibed in CASR 67.220 and67225

CASA ARN:    '
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lan Hosegood                                                                                       CASAARN:
Principal Medical Officer,, Aviation Medicine
CASA
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                                                                                                   Amount Paid:             excluding GST


                                                                                                   Date Payment Received:
                                                                                                   Receipt Nr:



                                                                                                   Paymentfor: 15.4 RENEWAL                   Medical Certificate (Class 2)
                                                                                                   (Paid by Third Party   Ref: *      )
                     Medical Standards Review Response Template
(where practicable, complete the following template for each issue that you would like to see
                             addressed as part of the review).

Stakeholder details:
Organisation: Australian Narrow Gauge Railway Museum Society (Accredited in Qld)
Name: Mr Terry Olsson (President)
Email: terryolsson@bigpond.com                              Phone: (M) 0429100911

Standard to which feedback applies (tick):
       Assessing Fitness to Drive
    X National Standard for health Assessment of Rail safety Workers
Section of standard:



What is the issue?
Volunteer non profit groups (majority of T &H ) are different to commercial operators in the in
some cases the volunteer (employee) has to pay for the medical themselves. Because in
most cases they are volunteers, the costs of the medical are not tax deductable. Even if the
society pays, as most T & H are non profit groups, any expenses such as medicals are not
tax deductable for the organisation.



What is the proposed course of action?
Not sure if this falls under the review, but it would be of benefit in recruiting and retaining
volunteers (the more volunteers the less shifts they have to work hence helping the fatique
management issue, plus more shifts means more money in which can be spent on things to
help improve safety).
Therefore, we would like to see all medicals become claimable under Medicare or as a
minimum alternatively tax deductable.

								
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