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Metrolink peer review report - Ventura County Star

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METROLINK COMMUTER RAIL SAFETY PEER REVIEW PANEL<br />

Final Report – January 5, 2009<br />

e. Annual Medical and Psychological Evaluations for Train Crews<br />

Issue Papers<br />

Observations<br />

SCRRA Board of Directors, in a motion on October 10, 2008, requested information regarding SCRRA’s authority<br />

to require train crews to undergo annual health and psychological evaluations.<br />

The Panel <strong>review</strong>ed the FRA’s 2005 Final Report on Medical Standards for Railroad Workers, the Railroad Safety<br />

Advisory Committee (RSAC) website, and information related to the RSAC Task No 06-03: Medical Standards for<br />

Safety-Critical Personnel. The Panel also conducted a high-level <strong>review</strong> of related academic literature in the<br />

ABI/Inform Global database.<br />

Recommendation<br />

a. The Panel recommends that SCRRA implement medical evaluations prior to placement of contractor<br />

employees in safety critical positions and at a minimum of every three years, with more frequent<br />

evaluation in specific circumstances. This recommendation is consistent with the preliminary studies by<br />

the FRA RSAC.<br />

b. The Panel did not find any evidence that psychological6 evaluations for train crews would reduce<br />

exposure to risk for <strong>Metrolink</strong>. However the Panel does recommend that SCRRA perform research in this<br />

area to determine if psychological exams would increase safety on its <strong>Metrolink</strong> system.<br />

Background<br />

This issue of annual medical and psychological evaluations for train crews raises two questions:<br />

1. Does SCRRA have the authority to require them of contractors; and<br />

2. Would such a requirement improve safety at <strong>Metrolink</strong>?<br />

SCRRA has the right to negotiate changes to its contractors’ provisions; however, depending on the requested<br />

contractual change, it may create potential labor issues with the contractor and the contractor's employees.<br />

SCRRA can also change its SSPP and create a safety requirement of medical and psychological evaluation of train<br />

crews. It's also important to consider that in contemplating changes to the contract or the SSPP, that the changes<br />

reflect the need for contractors, not <strong>Metrolink</strong>, to maintain a direct relationship with the contractor’s own<br />

employees, so that an independent contractor relationship is maintained.<br />

The Panel considered the efficacy of annual medical evaluations separately from annual psychological evaluations.<br />

Regarding medical evaluations, the FRA’s 2005 Final Report on Medical Standards for Railroad Workers clearly<br />

establishes the medical condition of crew members as an exposure to fatal and non-fatal accidents. The FRA has<br />

tasked the RSAC with developing recommendations for medical standards for safety-critical personnel. The<br />

RSAC is currently engaged in a collaborative study of the efficacy, feasibility, and the myriad legal issues<br />

surrounding medical evaluations for railroad workers.<br />

Although the RSAC recommendations have not been published, the Panel has not seen any indication that they<br />

will include annual evaluations. Much more likely are recommendations to require medical evaluations prior to<br />

6 By psychological evaluation, it refers to psychological or psychiatric screening that could result in a diagnosis from the American<br />

Psychological Association’s Diagnostic and Statistical Manual (DSM-IV-TR).<br />

59

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