Who must be notified of any medical condition not already on record? When must they be notified?

• A. Supervisor. Within 24 hours
• B. Company Medical Officer. Immediately upon knowledge of the condition
• C. Family physician. Immediately
• D. Safety Officer. On discovery

Answer: (B)

Medical information must be escalated to the railroad’s medical authority right away. The Company Medical Officer is the designated person who maintains medical records and makes fitness-for-duty determinations, coordinates accommodations, and ensures safety. Notifying them immediately upon learning of a new medical condition allows prompt assessment of any impact on duties and prevents unsafe situations, while keeping records accurate and up to date. The supervisor isn’t the medical decision-maker, a family physician is outside the railroad’s internal process, and the Safety Officer isn’t the designated medical authority for these determinations.