Why do Rail Industry Workers need to be medically assessed?


The National Standard for Health Assessment of Rail Safety Workers underpins the system for monitoring the health of rail safety workers in Australia. The Standard was developed in consultation with industry, rail unions, rail safety regulators and health professionals to provide practical guidance for rail transport operators for managing the risks posed by the ill health of rail safety workers. 


Rail operators accredit doctors and other health professionals to perform the assessments. Accredited health professionals then carry out the assessments using the Standard.


All health assessments for rail safety workers are conducted in line with the current edition of the National Standard.


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RIW Knowledge Centre Article Link:

https://support.riw.net.au/support/solutions/articles/51000030163






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How does a company upload a medical assessment to a cardholders profile?


Some Authorised Heath Professionals (AHP’s) can directly upload a medical assessment to a cardholders profile in the RIW System.  A list of the AHP’s that offer direct upload can be found on the RIW website here.


If the AHP is not providing this service, companies can submit an Upload Medical Certificate Service Request on the RIW website. Please ensure all information is included, and that a scan of the medical assessment (Part B - Fit Slip Only) is attached. Please do not include the full medical assessment.



Medical assessments are generally processed by the RIW Service Desk within 3 business days via this method.


Companies can also fast track a medical assessment upload within 8 business hours for a fee.  For more information, please refer to the RIW Knowledge Centre article How can a company request a fast track medical assessment?



Article Link:

https://support.riw.net.au/support/solutions/articles/51000030162



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How can a company request a fast track medical assessment?


This article details how to submit a rail health (medical) assessment for fast track processing with the RIW Service Desk.


Generally, rail health (medical) assessments are completed within 3 business days. Should a Rail Industry Worker need to be on site sooner, companies can fast track the medical (including up to 20 competencies) in eight (8) business hours for AUD$55.00+GST.


The RIW Service Desk performs this service on Monday to Friday, 0700-2000hrs (AEST/AEDT).


Note: Do not submit or pay for fast track competencies in the RIW System if a medical that requires fast track is also required.


If you have multiple Rail Industry Worker's that require fast track, complete a seperate service request for each worker.



This instruction applies to the following user roles:

  • Advanced Project Admin
  • Employer Admin
  • Employer Admin - No Payment


1


Go to the Fast track Medicals Service Request page at https://www.riw.net.au/contact-us/request-a-service?fasttrackmedical


2


Fill in the required details, noting that fields marked with an * must be filled in.



Upload the Rail Health (Medical) Assessment certificate(s) by clicking on the Browse button to find the file(s) on your computer and click OK to upload.


If you also have competencies for this cardholder that you would like fast tracked as part of this request, Please tick this box that you have competency verifications also pending. The RIW Service Desk will action any competencies pending verification for the cardholder (limit is 20 including the medical).


To speed up the verifications process, please email competency names that require fast track to medicals@riw.net.au.


NOTE: Do not submit or pay for fast track competencies in the RIW System if you also have a medical that requires fast track.  Use the Service Request form only.


3


Once all the fields are completed and the document has been uploaded, click on the Buy Now button to proceed to the PayPal platform for payment.


4


On arrival at PayPal, you can proceed to log in if you already have an account, or you can continue to process the payment as a PayPal guest by directly paying with a credit card.



If you log in with your own PayPal profile, the following screen should already be populated with your details. If not, then you will have to populate all the required fields with your payment details.


Click on Pay now



5


Once payment is complete, you will receive a PayPal confirmation email and be copied in to an automated email sent to the RIW Service Desk with your request details and a tax invoice.


IMPORTANT! Please note that record of this transaction will NOT be available in the RIW System Payment History function as this Service Request is made outside of the RIW System. 




Article link:

https://support.riw.net.au/support/solutions/articles/51000030058



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How will employers be notified if a cardholder is deemed unfit for duty after a medical assessment?


If a cardholder is deemed unfit for duty or fails a drug and alcohol test after a medical assessment, the Primary Employer will be emailed with the medical update upon the results being loaded into the RIW System. 


Additionally, the outcome of all medicals will be visible to the Employer by viewing the cardholder profile in the system as soon as the data is uploaded by the Authorised Health Professional or RIW Service Desk.



RIW Knowledge Centre Article Link:

https://support.riw.net.au/support/solutions/articles/51000030161


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What happens with the cardholder subscription if the cardholder I want to employ fails their medical assessment?

When a company registers a brand new cardholder, a ‘basic’ profile containing the cardholders core details is created in the RIW System. At this stage, there is no requirement for a cardholder subscription payment to be made.


After the cardholders profile is created, the cardholder can undertake the required medical assessment through an Authorised Health Professional (AHP)


Some Authorised Health Professionals (AHP’s) can directly upload the medical assessment to the RIW System. However, if not using this service, companies can submit an Upload Medical Certificate Service Request on the RIW website. Medical assessments are generally processed by the RIW Service Desk within 3 business days, although a fast track option is available to expedite medical assessment processing in eight (8) business hours (fee payable) if required.


Naturally, if a cardholder fails the medical, the company can choose not to employ the cardholder and simply insert a ‘leave date’ for the cardholders employment. Once this occurs, the cardholders profile will be removed from the employer’s account, and no further cardholder fee is payable.


After the new cardholder has passed the medical, the company can proceed with an ID check and cardholder fee by following the directions in our RIW Knowledge Centre article How does a company add a new cardholder to the RIW System?



RIW Knowledge Centre Article Link:

https://support.riw.net.au/support/solutions/articles/51000030159


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Video - Work restrictions and risk assessments for Employers





RIW Knowledge Centre Article Link:

https://support.riw.net.au/support/solutions/articles/51000077429


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How does a company monitor forthcoming and expired medicals?


This article details how a company can monitor forthcoming and expired rail health (medical) assessments in the RIW System.



This instruction applies to the following user roles:

  • Advanced Project Admin
  • Employer Admin
  • Employer Admin - No Payment
  • Employer Admin - Read Only
  • Helpdesk


1


Go to https://app.riw.net.au and log in using your credentials.

2


Click on Expiries > Medicals.

3


On the Medicals menu on the Expiries screen, all Rail Industry Worker's who have a forthcoming rail health (medical) assessments due will display as amber if forthcoming and red if expired.


NOTE: Only results from the past 90 days and forthcoming 90 days will display.

4


A more refined search can be applied to the list by adding search criteria to the fields and clicking on the Search button. The list can also be filtered by clicking on the Show Forthcoming and Show Expired radio buttons.

5


A Rail Industry Worker's profile can be accessed by highlighting a record in the list and clicking the Edit button. This will take you directly to the profile.



Article link:

https://support.riw.net.au/support/solutions/articles/51000151822




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How do I remove a false positive breathalyser result site block


Occasionally, breathalyser equipment on site can record a false positive breathalyser result and a site block will automatically be applied to the cardholder.  This situation needs to be managed as per the Contractor In Charge's Drug and Alcohol Management Plan (DAMP) and appropriate information and documentation provided to the RIW Service Desk for removal of the site block if appropriate.


It is important that the Contractor In Charge provides evidence and authorisation to the RIW Service Desk that their DAMP has been applied in the decision making process to remove the site block.




This instruction applies to the following RIW System User Roles: 

  • Advanced Project Admin
  • Employer Admin
  • Employer Admin - No Payment
  • Employer Admin - Read Only
  • Helpdesk
  • Network Manager
  • Network Manager - Read Only
  • Project Admin
  • Site Admin


Step 1: Establish the non-negative result

The Contractor In Charge (CIC) needs to be satisfied that the breathalyser result is a non-negative result.


Step 2: Refer to the DAMP for secondary confirmation testing requirements

The CIC is to refer to their DAMP to confirm the procedure on how to conduct a secondary confirmation test to contradict/affirm the primary result.


The DAMP may outline that one of the following conditions are part of the confirmation testing requirements:

  • Testing has to be conducted by a third party company
  • Confirmation of the secondary test is to be documented with the result confirmed
  • Other conditions or protocols


Step 3: Conduct secondary confirmation testing and collect evidence

Conduct the secondary confirmation test and capture the evidence of the test. If the test proves that the primary test was a non-negative, proceed to Step 4.


Step 4: Raise a Service Request

Raise a ticket with the RIW Service Desk by sending an email to info@riw.net.au with the cardholder details, site, and reason for removal of the site block.  This request has to explicitly state that the person providing the request has authorisation to remove the site block as per the CIC's DAMP.  Documentation supporting the authorisation is required to be attached to the email.



Removing site blocks has safety risks and is only performed by the RIW Service Desk once the appropriate authorisations and evidence for the removal have been received.



RIW Knowledge Centre Article Link:

https://support.riw.net.au/support/solutions/articles/51000184908




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How does a company find an Authorised Health Professional


This article provides a link to the list of Authorised Health Professionals that can assess rail workers for the RIW Program.



This instruction applies to the following RIW System User Roles:

  • Employer Admin
  • Employer Admin (Premium Functionality Employer)
  • Employer Admin - No Payment
  • Employer Admin - No Payment (Premium Functionality Employer) 
  • Employer Admin - Read Only
  • Employer Admin - Read Only (Premium Functionality Employer) 
  • Helpdesk
  • Medical Provider User
  • myRIW User (i.e. RIW cardholder)
  • Network Manager
  • Network Manager - Read Only



Step 1: Go to the Locate an AHP webpage

Go to https://www.riw.net.au/authorised-health-professionals/#find-an-ahp. 


Step 2: Enter search criteria

Enter search criteria to narrow down your search.


Step 3: Check Results

Check the results of your search to make sure that the provider can perform the assessment that you need.



Contact the provider to make sure that their details are current.



RIW Knowledge Centre Article Link:

https://support.riw.net.au/support/solutions/articles/51000203568




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What is additional medical information?


In October 2022, we will be introducing additional medical information functionality to the RIW System that will allow the management of a variety of medical information that is not a rail health assessment (medical) or a drug & alcohol assessment (current system functionality).  This new functionality uses the same secure management applied in the RIW System, so cardholders can be assured that their personal information is managed in accordance with the Permission Access Agreement.


Some examples of additional medical information could include:

  • Immunisations
  • Colour blindness tests
  • Lead and silica monitoring
  • Audiometric monitoring


Additional Medical Information can be added to a cardholder's RIW profile directly by an Authorised Health Professional or uploaded and verified by the RIW Service Desk.  This functionality will also allow for items to expire after a set period, allowing companies to manage monitoring reassessments or boosters.


Additional medical information may be included as a job role requirement, contributing to its validity, which could affect a cardholder's access to site.


As this is new functionality, we are currently compiling additional medical information types in the RIW System. To request a new additional medical information type, complete the Request for item to be added to the Additional Medical Information. The relevant State Chief Medical Officer, Chief Medical Officers Council, or National Rail Industry Operations Committee will review and approve requests before they are added to the RIW System. 


Further information will be available closer to release.



Article link:

https://support.riw.net.au/support/solutions/articles/51000309306


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