What are the rail health (medical) assessment and drug & alcohol result outcomes?

This article details the RIW System behaviour that results from a rail health (medical) assessment or drug & alcohol assessment result submitted by an Authorised Health Professional (AHP).

This instruction applies to the following user roles:

  • Helpdesk
  • Medical Provider User (AHP)

Medical Result

Rail Health (Medical) Assessment result submitted 

Pass/Fail Outcome 

Fit for Duty Unconditional 

Fit for Duty 

Fit for Duty Conditional 

Fit for Duty 

Fit for Duty Subject to Job Modification 

Fit for Duty 

Fit for Duty Subject to Review 

Fit for Duty

Temporarily Unfit 

Not Fit for Duty

Permanently Unfit 

Not Fit for Duty 

A rail health (medical) assessment result recorded as either Temporarily Unfit or Permanently Unfit may change the validity of certain competencies and/or job roles the Rail Industry Worker holds, which may impact their authority to work.

Drug & Alcohol Result

Where a drug and/or alcohol assessment is required as part of the Rail Industry Worker's rail health (medical) assessment, that is, a new assessment, change of medical category etc., the AHP can record the outcome. 

The following table shows the RIW System outcome for the result submitted by the AHP. 

Drug & Alcohol Test result submittedPass / Fail Outcome
Confirmed PositiveFail
Test RefusalFail
No Test RequiredPass

If either of the separate drug and/or alcohol test results are recorded as Fail, it will affect the Rail Industry Worker's authority to work as an immediate and an automatic National Block will be imposed. 

This means the cardholder will not be able work on participating RIW Program rail networks. 

However, each network can decide independently whether the block can be lifted for their network alone. 

Random, post-incident and show cause D&A tests
These types of D&A tests are not managed via a Medical Provider (AHP) login.  Where a Network Operator conducts D&A testing under their Drug and Alcohol Management Program, any confirmed positives or failures will be managed via the RIW Program Blocks and Suspension Rules.

Breathalyser Results
For more information about how breathalyser results are treated in the RIW System, refer to How are breathalyser tests recorded in the RIW System?

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