Decree of the Ministry of Transport No. 101 / 1995 Coll.
Decree of the Ministry of Transport issuing the Order of Health of Persons in the Operation of Railways and Railway Transport
Valid
Order
Effective from 23.06.1995
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101
DECLARATION
Ministry of Transport
of 27 May 1995
to be issued Regulation on the medical fitness of persons in the operation of railway and rail transport
The Ministry of Transport provides pursuant to § 66 (1) for the implementation of § 45 (3), § 46d (2) and § 46f (3) and in agreement with the Ministry of Health pursuant to § 66 (2) of Act No. 266 / 1994 Coll., on Railways, as amended by Act No. 23 / 2000 Coll., Act No. 103 / 2004 Coll., Act No. 181 / 2006 Coll., Act No. 191 / 2006 Coll., Act No. 194 / 2010 Coll., Act No. 134 / 2011 Coll., Act No. 64 / 2014 Coll. and Act No. 319 / 2016 Coll.:
(1) The conditions of medical fitness and the way in which assessment activities are carried out in the assessment of medical fitness apply to:
(a) the applicant for the licence of the driver and the driver of the railway vehicle on the national and regional track (19);
(b) applicants for the issue of a licence to drive a railway vehicle and natural persons driving a railway vehicle on a tram, trolleybus, special, cableway, local and tug track; and
(c) natural persons performing other activities in the operation of railway and rail transport and applicants for such activities.
(2) A medical assessment shall not be required for persons referred to in paragraph 1 (a). (c) carrying out activities which are necessary to avert a natural event, accident or exceptional operational situation or to mitigate their immediate consequences in connection with the operation of the runway and rail transport, if the activities carried out are carried out for a maximum period of 10 days. Such activities may only be carried out under the supervision of a person with disabilities.
Persons referred to in Article 1 (1) (c) shall be classified in the following categories for medical assessment purposes:
(a) persons carrying out railway and rail traffic operations which directly provide for the operation of the runway, provide or organise railway services and are subject to the shape, light and audible signs and signs or give them;
(b) persons who:
1. enter the road operated without supervision and do not participate directly in the operation of the runway, nor in the provision or organisation of railway transport;
2. carry out revisions, inspections and tests of designated technical equipment.
(1) Preventive examinations are
(a) entry checks to assess medical fitness
1. applicants for a driver's licence or train vehicle licence; in the case of applicants for a train train licence, the inspection shall be carried out before the start of training to obtain competence to drive a train train on a tram, trolleybus, special, cable, local and tug track;
2. applicants for railway and rail transport activities;
(b) periodic examinations to assess the medical fitness of persons performing railway and railway traffic activities;
(c) emergency medical examinations.
(2) Emergency preventive inspection shall be carried out at the request of the railway operator or railway transport4) for persons referred to in § 1 (1) (b) and (c)
(a) on the basis of the regulations of the railway administration, 3)
(b) if their activity has shown shortcomings in the health situation which may jeopardise the safety of the runway or railway transport,
(c) in circumstances where there is evidence of a change in medical fitness for the activity carried out, in particular at the initiative of any treating physician, or prior to the start of the activity after a disease for which a change in medical fitness cannot be excluded or for more than eight weeks;
(d) upon direct participation in an emergency, if requested by the authority responsible for the emergency investigation pursuant to special regulations, 5)
(e) prior to the taking up of an activity for which a medical assessment has been carried out, after the cessation of work lasting more than six months.
(3) In carrying out preventive inspections, the type of inspection required, the type of work and the working conditions for which medical fitness is assessed shall be communicated to the assessor by the railway operator or railway operator. 6)
(1) The content of preventive medical examinations, including the technical examinations provided for in this Decree, may be supplemented by additional examinations by the assessor, based on knowledge of the working conditions and on the health status of the person under assessment.
(2) The necessary part of each inspection is:
(a) a history with a targeted focus, a comprehensive physical examination (including hearing, vision, colour assessment with tables and indicative field of vision and balance);
(b) urinalysis, glycemia, indicative testing for psychoactive substances, possibly other laboratory tests according to history and physical examination.
(3) The initial examination will be extended
(a) an electrocardiographic examination, a neurological examination, including an electroencephalographic, an ear, nasal and cervical examination, including an audiometric examination, an eye examination, including an eye background examination, a spatial vision and a grey-blindness examination, and a psychiatric examination, if the persons referred to in Article 1 (1) (a) and (b) are involved;
(b) an electrocardiographic examination, an ear, nasal and cervical examination, and an eye examination, if any, in accordance with § 2 (a);
(c) an eye examination where the persons referred to in Article 2 (b) (1) are concerned.
(4) An electrocardiographic examination is part of the regular examination of persons under Section 1 (1) (a) over 40 years of age.
(5) Further additional examinations shall be requested by the assessor where defects or conditions or diseases (hereinafter referred to as "diseases') have been identified in the person under assessment, which significantly restrict the further safe performance of the activity or could result in a significant deterioration of the health status of the person under assessment. These diseases are listed in Annexes 1, 2 and 3 which are part of this Decree. Expert examinations shall be requested by the assessor with the relevant specialist or psychologist.
(1) The medical assessor gives a medical opinion
(a) in entry checks on the basis of a comprehensive assessment of the candidate's ability to carry out a specified activity in the long term;
(b) at regular examinations and emergency examinations, on the basis of an assessment of whether the person concerned is not suffering from diseases which would permanently or until the next periodical examination reduce medical fitness and lead to occupational injury during the course of the activity.
(2) The report must be clear and must not contain a diagnosis.
(3) The opinion in the medical opinion includes an evaluation of:
(a) fit for the proposed activity;
(b) ineligible for the proposed action;
(c) fit for the proposed activity only under certain conditions, in the opinion clearly expressed.
(4) If the opinion does not specify the period of validity shorter, the period of validity of the medical opinion shall be:
(a) for persons driving a railway vehicle under the age of 50, two years and over the age of 50, one year;
(b) in the case of other persons engaged in rail and rail transport activities:
1. one year for all activities aged under 18;
2. over 50 years of age for activities under § 2 (a) one year and for activities under § 2 (b) two years;
3. between 18 and 50 years of age, carrying out other activities under § 2 (a), three years,
4. at the age of 18 to 50 years, carrying out other activities under § 2 (b) (1), four years,
5. at the age of 18 to 50 years, carrying out activities under § 2 (b) (2), unless covered by § 2 (b) (1) (5).
(1) In particular, the assessment of persons referred to in Article 1 (1) (a) is part of the transport psychological examination.
(a) anamnistic data;
(b) intellectual competences,
(c) perceptive and psychomotor abilities,
(d) personality characteristics; and
(e) social-psychological assumptions.
(2) The transport psychological examination referred to in paragraph 1 shall be carried out by means of a set of psychodiagnostic methods consisting of at least:
(a) a standardised intelligence test;
(b) a standardised attention test;
(c) a standardised personality questionnaire; and
(d) a semi-structured conversation.
(3) The judgment on the transport psychological examination must be clear. The opinion shall not contain specific data identified by the transport psychological examination referred to in paragraph 1. The opinion shall include an evaluation of:
(a) mentally fit for the proposed activity;
(b) mentally unfit for the proposed activity.
(4) The validity of the report on the transport psychological examination shall be 1 year from the date of its issue.
Provisions common, transitional and final
(1) Persons who are fit for health under the current rules shall be deemed to be fit for health from the date of application of this decree until the next periodical examination under this decree.
(2) This Decree is without prejudice to the assessment of medical fitness, adapted under specific regulations. 18)
The medical assessment of applicants for a licence to drive a railway vehicle and persons driving a railway vehicle on a tram or trolleybus track is not covered by the Directives of the Ministry of Health of the Czech Socialist Republic of 27 November 1985 No LP / 3-265-8.10.85 / Pa for the assessment of medical fitness to drive motor vehicles, trolleybuses and trams, published in the amount of 5-6 / 1986 Session. MZd ČSR, registered in the amount of 7 / 1986 Coll.
(1) The certificate of proficiency for the revision techniques, valid on the date of application of this decree, remains valid until the next test, the date of the last test being the decisive one.
(2) A person eligible for the activities of an inspector before the date of application of this Order is entitled to continue this activity until the issue of a certificate of professional competence for carrying out inspections and tests of designated technical equipment under this Order. This certificate issued by the Ministry of Transport shall be received within three months of the date of application of this Order.
This decree shall take effect on the day of its publication.
Minister:
PhDr.
Příloha č. 1
Annex No 1 to Decree No. 101 / 1995 Coll.
Conditions of medical fitness of applicants for the issue of a driver's licence or a train vehicle licence and driver's licence holders or persons driving a railway vehicle
A. Conditions of medical fitness of applicants for the issue of a driver's licence or railway track track driving licence
1. Defects, conditions and diseases that make medical incapacity conditional on
(a) all types of infectious and parasitic diseases at the activity stage;
(b) malignant neoplasms;
(c) diabetes mellitus if it causes such health complications which are dangerous to traffic on the runway, in particular:
1. a second and other hypoglycaemia which occurs within 12 months of the first hypoglycaemia and which must be managed by another person, or
2. a second and other hypoglycaemia which occurs within 12 months of the first hypoglycaemia and which the applicant is unable to recognise ("non-recognition syndrome"),
(d) organic mental disorders;
(e) schizophrenia and schizophrenia disorders and delusions,
(f) mental retardation;
(g) abuzz and dependence on alcohol or other addictive substances;
h) epilepsy and other seizure conditions with impaired consciousness,
(i) systemic atrophy primarily affecting the central nervous system;
(j) extrapyramidal and movement disorders,
(k) demyelinating central nervous system diseases,
(l) degenerative disorders of the nervous system,
(m) disturbances of balance, dizziness,
(n) WHO stage II and III hypertension disease,
(o) ischaemic heart and vascular disease with complicated course or severe arrhythmias,
(p) conditions following administration of a pacemaker,
q) cor pulmonale,
(r) vascular diseases of the brain with subsequent functional disorders;
s) repeated embolization from the venous system,
(t) discoloration,
u) a smaller range of visual field than in the horizontal of 80 degrees, inside 50 degrees, in the vertical up 40 degrees, down 60 degrees, spatial visual disturbances, nystagmus, hemoralopia,
(v) visual acuity in a better eye of less than 1,0 and in a worse eye of less than 0,5, even using corrective lenses;
(w) intolerance to corrective lenses if necessary to achieve visual acuity;
(x) achieving the minimum visual acuity referred to in (v) using glasses with a force exceeding the spherical equivalent + 5 / -8 dioptrii;
(y) hearing disturbances which prevent speech from communicating at a distance of less than 5 m by each ear separately or at an audiometric examination, the total hearing loss exceeding 15% (according to Fowler).
2. Defects, conditions and illnesses which require expert assessment and for which the positive assessment conclusion is subject to expert judgement
(a) chronic conditions of infectious and parasitic diseases;
(b) neoplasm, if by size or location it causes organ function disturbances or makes body movement difficult:
1. benign neoplasms,
2. neoplasms of uncertain or unknown behaviour,
3. compensated conditions after treatment with malignant neoplasms,
(c) chronic diseases of blood, haematopoietic organs and disorders related to the mechanism of immunity, diseases associated with bleeding conditions, severe allergies,
(d) endocrine diseases, nutrition and transformation of substances requiring continuous control and treatment or reducing the physical fitness or resistance of the organism;
(e) mental and behavioural disorders:
1. personality disorders affecting adaptation or coexistence,
2. mental and behavioural disorders caused by the consumption of psychoactive substances; an assessment of the potential fitness requires at least three years of abstinence from the end of treatment,
3. affective disorders,
4. severe neurotic, stress and somatoform disorders,
5. severe behavioural syndromes associated with physiological disorders and somatic factors,
6. speech, writing and reading disorders, if they make normal communication impossible,
(f) diseases of the nervous system, not including those that are not progressing and not associated with movement disorders, permanent impairment or persistent pain:
1. conditions after inflammatory diseases of the nervous system,
2. diseases of nerves, nerve roots and knitting,
3. polyneuropathy,
4. myonural disorders of any etiology,
(g) eye and eye adnex diseases, if they cause severe visual disturbances, reduce vision or alter the visual field:
1. inflammatory and degenerative diseases of the blood vessel and retina,
2. conjunctival disease, sclers, corneas, iris and mascara, pupil reaction disorder,
3. Lens disease,
4. glaucoma,
5. Influenza and eyeball diseases,
6. visual nerve disease,
7th Scots inside the field of vision,
8. lower field of view than in the horizontal 90 degrees, inside 60 degrees, in the vertical 60 degrees, down 70 degrees,
(h) diseases of the middle ear and nipple point, if they restrict the ability to perform the proposed activity;
(i) diseases in the circulatory system:
1. post-rheumatic fever with attacks and conditions with irreversible heart disease,
2. chronic rheumatic heart disease,
3. Hypertensive disease at stage Even according to the WHO,
4. ischemic heart disease without significant functional disorders,
5. cardiopulmonary or pulmonary disease, except in stages with minimal reduction in performance and fitness;
6. cardiac arrhythmias except respiratory,
7. diseases of arteries, veins, lymph vessels and lymph nodes, leading to reduced performance and fitness,
(j) respiratory disease:
all diseases resulting in a permanent restriction of cardiopulmonary function or requiring continuous treatment,
(k) digestive disease requiring continuous health control and treatment:
1. stomach or duodenum ulcer disease, except for stabilised form without complications,
2nd hernia,
3. bowel disease,
4. peritonitis,
5. liver disease,
6. gallbladder, biliary tract and pancreas diseases,
(l) skin and subcutaneous tissue diseases:
1. dermatitis or eczema, extensive, chronic or recurrent forms of resistant treatment, affecting mainly exposed areas of the face or upper extremities, or resulting in severe impairment of the function of the movement apparatus,
2. skin adnex disease,
(m) Musculoskeletal and connective tissue diseases:
arthropathy and other chronic, degenerative and other identified diseases leading to a restriction of the function of the motion and support apparatus by limiting the safe performance of work activities, which recur vertebrogenic difficulties,
(n) urinary and genital disorders, including pregnancy, requiring continuous care and treatment;
o) congenital defects, deformations and abnormalities, if not surgically corrected and the condition cannot be considered cured,
(p) post-injury, poisoning and other sequelae of external causes, unless healing has occurred and the condition cannot be considered cured, post-limb or partial, with or without a prosthetic replacement,
q) conditions related to diabetes mellitus disease, namely:
1. condition within 12 months of the first hypoglycaemia requiring the help of the other person,
2. Severe organ complications,
3. Treatment of medicines that carry the risk of causing hypoglycaemia and there has been no hypoglycaemia requiring the assistance of another person in the previous 12 months, there are no medical complications associated with diabetes mellitus and the applicant
is aware of the hypoglycaemia or its warning symptoms,
ii. is able to demonstrate regular measurement of glycemia, which is performed at least twice daily at the time of driving; and
iii. proves that it understands the risks posed by hypoglycaemia; the method of demonstration shall be recorded by the doctor in the medical file kept on the person under assessment,
(r) other diseases not mentioned above where they reduce performance and fitness.
B. Conditions of medical fitness of driver's licence holders or persons driving a railway vehicle on railway tracks at regular and exceptional preventive inspections
1. Defects, conditions and diseases that make medical incapacity conditional on
(a) all types of infectious and parasitic diseases at the activity stage;
(b) malignant neoplasms, except compensated conditions after treatment of neoplasms;
(c) diabetes mellitus unless compensated by diet or oral antidiabetic agents,
(d) organic mental disorders;
(e) schizophrenia and schizophrenia disorders and delusions,
(f) mental retardation;
(g) abuzz and dependence on alcohol or other addictive substances;
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Regulation Information
| Citation | Decree of the Ministry of Transport No. 101 / 1995 Coll., which is issued by the Order on the Health of Persons in the Operation of Railways and Railway Transport |
|---|---|
| Regulation Type | Order |
| Author | - |
| Collection | Code of Laws |
| Date of Promulgation | 23.06.1995 |
|---|---|
| Effective from | 23.06.1995 |
| Effective until | - |
| Status | Valid |
The regulation text is for informational purposes only.
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