Canadian Railway Medical Rules Handbook

This handbook was designed to provide Canadian railway companies and medical service providers with the information necessary to implement the Railway Medical Rules for Positions Critical to Safe Railway Operations (Railway Medical Rules and Railway Rules Governing Safety Critical Positions).

The Safety Critical Positions Rules and the Railway Medical Rules were developed pursuant to Section 18(1) (b), Section 20(1) and Section 35 of the Railway Safety Act (RSA), as amended on June 1, 1999. This Act requires persons working in positions that are deemed critical to safe railway operations to undergo periodic medical examinations. These sections of the RSA are included in the Introduction for reference.