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The Inquiry into the Waterfall train crash: implications for medical examinations of safety‐critical workers
Author(s) -
Hocking Bruce
Publication year - 2006
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.2006.tb00151.x
Subject(s) - documentation , audit , crash , duty , referral , psychology , occupational safety and health , process (computing) , medicine , medical education , medical emergency , nursing , business , computer science , political science , accounting , pathology , programming language , operating system , law
The implications arising from the Inquiry into the Waterfall train crash for medical examinations of safety‐critical workers are discussed. Examinations need to be appropriate for the level of risk in the job and apply current medical thinking. A careful balance is required between the various legal obligations, including duty of care, disability discrimination and privacy. The frequency of examinations depends on a combination of medical, economic and logistical factors. Health professionals who conduct examinations should be familiar with the occupation of the person being examined. Ethical relationships with the worker's general practitioner or specialist(s) must be observed. The procedures associated with the examinations are as important in achieving safety as the actual examinations. These include complying with relevant standards; providing all relevant documentation with a referral for an examination; acting on the doctor's report appropriately; and auditing the process.