Course Details:

The Network Rail Medical assesses an individual's general health, body mass index, visual acuity (sight), colour perception, visual field, mobility, coordination, and hearing. The results of these tests are combined to give an indication of fitness for work, and a suitable medical level is given. All results of our Network Rail Medical Assessments are uploaded within 24 hours unless there is a need for referral. Referrals may happen if there are any health issues identified throughout the Medical Assessment.

For the Network Rail Drug and Alcohol Screening, individuals need to provide a urine sample for analysis. The sample is sent to our RISQS approved UKAS Accredited Laboratory for testing. The laboratory tests the sample for traces of:

  • Amphetamines (incl. Methamphetamines)
  • Benzodiazepines
  • Cannabis
  • Cocaine
  • MDMA
  • EDDP (Methadone metabolite)
  • Opiates
  • Propoxyphene

Results can take up to 3 days to come through, and longer if there are any contraindications. Positive samples will lead to a 5-year suspension, notified on your Sentinel profile.

Alcohol is assessed using an intoximeter (breath test), and results are immediate.

Duration: Up to an Hour

What's assessed on my Combined Network Rail Drug & Alcohol Screening and Medical Assessment?

During your Network Rail Drug & Alcohol Screening and Medical Assessment, you will undergo a range of tests, assessing;

  • General Health
  • Mobility and Coordination
  • Visual Acuity (eyesight)
  • Visual Field
  • Colour Perception
  • Hearing

You will also be required to provide a breath sample to test for alcohol consumption as well as a urine sample to test for illicit drug use.

Meddoa 1 443
Meddoa 2 443

How to Pass your Combined Network Rail Drug & Alcohol Screening and Medical Assessment?

The Network Rail Drug & Alcohol Screening and Medical Assessment consist of two separate tests, one based on physical and mental health, the other on alcohol consumption and illicit drug use.

For the Network Rail Medical Assessment, you need to be in reasonable health, have your blood pressure under control and bring glasses if needed to see long distances. If you're taking any medication, over the counter or prescribed, then please bring along your prescription, or details of what you've been taken (specifically, its name and dosage).

With regard to the Network Rail Drug & Alcohol Screening, a urine sample will need to be provided for assessment. The drug groups listed above will be tested for and candidates need to ensure that they do not, and have not, taken drugs as any positive result will lead to a 5-year suspension. Alcohol consumption will be tested on the day using a Home Office approved intoximeter.

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