Federal Railroad Administration Railroad Safety Advisory Committee Medical

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Federal Railroad Administration Railroad Safety Advisory Committee Medical Standards for Safety-Critical Employees Working Group Report June 11, 2008 1

Federal Railroad Administration Railroad Safety Advisory Committee Medical Standards Working Group Report – June 11, 2008 Medical Standards for Safety-Critical Employees 10 full Working Group meetings completed n December 12 -13, 2006 n February 20 -21, 2007 n May 30 -31, 2007 n July 24 -25, 2007 n August 29 -30, 2007 n October 31 -November 1, 2007 n December 4 -5, 2007 n February 13 -14, 2008 n March 26 -27, 2008 n April 22 -23, 2008 2

Federal Railroad Administration Railroad Safety Advisory Committee Medical Standards Working Group Report – June 11, 2008 Medical Standards for Safety-Critical Employees Task Force on Medical Issues - Meetings held: n n n n o July 24, 2007 August 20, 2007 September 6 -7, 2007 October 15, 2007 November 14, 2007 January 16, 2008 February 13, 2008 Special Web Meeting on Job Descriptions n April 14, 2008 3

Federal Railroad Administration Railroad Safety Advisory Committee Medical Standards Working Group Report – June 11, 2008 Medical Standards for Safety-Critical Employees All Sections discussed § 2 XX. 1 Purpose and Scope § 2 XX. 3 Application § 2 XX. 5 Definitions § 2 XX. 7 Coverage. § 2 XX. 9 Employer Responsibilities – Medical fitness for duty programs. § 2 XX. 11 Triggering criteria and medical content of fitness for duty assessments. § 2 XX. 12 Fitness for duty assessment. § 2 XX. 13 Fitness for duty classifications § 2 XX. 15 Medical Guidelines 4

Federal Railroad Administration Railroad Safety Advisory Committee Medical Standards Working Group Report – June 11, 2008 Medical Standards for Safety-Critical Employees Sections discussed § 2 XX. 17 Employee Responsibilities § 2 XX. 19 Required Information, Records and Record Keeping. § 2 XX. 25 Management of Therapeutic Drug Use § 2 XX. 27 Dispute Resolution - Appeals of Decisions Regarding Fitness for Duty § 2 XX. 29 Transferability of Medical Certification § 2 XX. 31 Confidentiality § 2 XX. 33 Access to facilities and records. § 2 XX. 35 Effective Dates 5

Federal Railroad Administration Railroad Safety Advisory Committee Medical Standards Working Group Report – June 11, 2008 Medical Standards for Safety-Critical Employees o o Through these meetings the issues have been aired. Consensus has been reached on some language. FRA has indentified the points of departure that continue to exist between the participants. FRA will work on the NPRM language internally with frequent consultation by e-mail to resolve issues. 6

Federal Railroad Administration Railroad Safety Advisory Committee Medical Standards Working Group Report – June 11, 2008 Medical Standards for Safety-Critical Employees o o The Physicians Task Force will continue to work on Guidelines and the guideline development process. The next meeting of the Physicians Task Force is scheduled for June 23 -24, 2008 7

Federal Railroad Administration Railroad Safety Advisory Committee Medical Standards Working Group Report – June 11, 2008 Medical Standards for Safety-Critical Employees o o o One of the most difficult issues to resolve: management of therapuetic drug use. Illustrating importance of issue: recent FDA and FTA actions on Chantix® FRA working within DOT to develop guidance material designed to simplify employee and employer responsibilities 8