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ANNEX IIU.K.MEDICAL REQUIREMENTS

1.GENERAL REQUIREMENTSU.K.

1.1.Drivers must not be suffering from any medical conditions or be taking any medication, drugs or substances which are likely to cause:U.K.

1.2.VisionU.K.

The following requirements as regards vision must be complied with:

1.3.Hearing and speaking requirementsU.K.

Sufficient hearing confirmed by an audiogram, i.e.:

The following values should be taken as guidelines:

1.4.PregnancyU.K.

In the event of poor tolerance or a pathological condition, pregnancy must be considered to be a reason for the temporary exclusion of drivers. Legal provisions protecting pregnant drivers must be applied.

2.MINIMUM CONTENT OF THE EXAMINATION BEFORE APPOINTMENTU.K.

2.1.Medical examinations:U.K.

2.2.Occupational psychological examinationsU.K.

The purpose of the occupational psychological examinations is to assist in the appointment and management of staff. In determining the content of the psychological evaluation, the examination must assess that the applicant driver has no established occupational psychological deficiencies, particularly in operational aptitudes or any relevant personality factor, which are likely to interfere with the safe exercise of the duties.

3.PERIODIC EXAMINATIONS AFTER APPOINTMENTU.K.

3.1.FrequencyU.K.

Medical examinations (physical fitness) must be taken at least every three years up to the age of 55, thereafter every year.

In addition to this frequency, the medical doctor accredited or recognised under Article 20 must increase the frequency of examinations if the health of the member of staff so requires.

Without prejudice to Article 16(1) an appropriate medical examination must be carried out when there is a reason to doubt that a holder of the licence or certificate no longer fulfils the medical requirements set out in section 1 of Annex II.

Physical fitness must be checked regularly and after any occupational accident or any period of absence following an accident involving persons. The medical doctor accredited or recognised under Article 20 can decide to carry out an additional appropriate medical examination, particularly after a period of at least 30 days’ sick leave. The employer must ask the medical doctor accredited or recognised under Article 20 to check the physical fitness of the driver if the employer had to withdraw the driver from service for safety reasons.

3.2.Minimum content of the periodic medical examinationU.K.

If the driver complies with the criteria required for the examination which is carried out before appointment, the periodic examinations must include as a minimum:

In addition, an ECG at rest is also required for train drivers over 40 years of age.