Railway medical examination

Service description

One of the most important jobs that exist is related to transportation. People who work in train driving are in charge of transporting both people and cargo. This type of work requires a certain qualification, given its high level of responsibility. This ensures that rail service is provided in a safe and efficient manner.

Railway personnel, in order to be able to work, must meet a series of conditions and requirements to obtain both the license and driving certificates. In this way, they can prove that they have the necessary skills to perform adequately. For this purpose, there are regulations established by the corresponding authorities specifying the requirements that must be met.


For example, there must be approved medical examination centers, where they have the appropriate training to perform the corresponding assessments. That is, related to the psychophysical aptitudes of railway personnel.

This type of measures and regulations apply to traffic personnel, infrastructure personnel and train operations personnel. It also includes driving personnel and also the personnel responsible for machinery maintenance control.

The tasks performed by each of these workers are varied, ranging from maintenance and control to vehicle operation and traffic safety. Each task is important to ensure the movement of trains. But, at the same time, the training, handling and conditioning of the loading or unloading of the trains. All these tasks require a certain qualification.


Whether it is the driver who drives the railway tractor unit or the personnel in charge of maintenance control. Each of them has a fundamental role to play and requires a guarantee that they have the appropriate physical and mental capacities. This requires a specialized medical and psychophysical examination for railway personnel.

This is a series of examinations to establish the ability of each member of the railway staff to perform their work optimally. Whether it is a question of not consuming drugs, alcohol or any other addictive substance. Or to verify the health status of the worker, from his vision, hearing, respiratory and cardiac apparatus.

This will be accompanied by a medical history, as well as the corresponding urine and blood tests.

But it will also include psychological evaluations, interviews, among others, to guarantee their complete state of health to fully perform their daily work.


To achieve the above, given the amount of analysis and tests to be performed, it is essential that railway personnel go to a center approved by the corresponding authorities. In this way, the health and qualification of railway workers is guaranteed and the established law is complied with.

Affidea is a center approved by the Ministry of Development to perform Medical and Psychophysical Examinations for Railway Personnel, in accordance with Royal Decree 810/2007 of 22 June and in accordance with FOM Order 679/2015 of 9 April, which amends the previous FOM Order 2872/2010 of 5 November for driving titles and licenses and the qualifications of:

  • Circulation personnel.

  • Infrastructure personnel.

  • Train operations personnel.

  • Driving personnel.

  • Personnel responsible for maintenance control of railway rolling stock.


Railway certificates for train drivers are the documents issued in accordance with Order FOM/2872/2010 in which both the infrastructures on which the holder is authorized to drive and the type(s) of rolling stock he/she is authorized to use must be recorded.


  • Informed consent according to the RGPD.

  • Health self-declaration.

  • Informed consent to take biological samples for the detection of alcohol consumption, drugs of abuse and/or other psychoactive substances.

  • Medical history, general and locomotor system examination.

  • Vision: visual examination by means of a vision control device. Near, far and intermediate vision. Chromatic vision performed by Ishihara test.

  • Hearing: auditory examination and liminal tonal audiometry in a booth.

  • Respiratory system: pulmonary auscultation and spirometry.

  • Cardiovascular system: cardiac auscultation. Blood pressure measurement. Heart rate and electrocardiogram.

  • Blood analysis: hemogram and 10 biochemical parameters.

  • Urinalysis: sediment and abnormal urine.

  • Blood alcohol level.

  • Drug metabolites in urine (6 drugs: cannabis, cocaine, amphetamines, opiates, barbiturates and benzodiazepines).

  • Psychotechnical examination.

  • Evaluation of cognitive and psychomotor capacity.

  • Personality test.

  • Personal interview.

  • Psychological evaluation.

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