Provides accredited rail organisations with practical guidance for implementing systems to monitor rail safety worker health and fitness. It is intended for use by those responsible in rail organisations for managing the health assessment program. It outlines the responsibilities of rail organisations, workers and health professionals and describes the management systems for health risk management including scheduling, communication, records management and the appointment of authorised health professionals.

Also contains provisions for a risk management approach to monitoring rail safety worker health and fitness. This includes a framework for analysing and categorising the risks associated with rail safety tasks and assigning workers to a level of health assessment commensurate with the risks.