Who should be notified immediately about a medical condition not on record?

• A. Safety Officer
• B. Company Medical Officer
• C. Supervisor
• D. Human Resources

Answer: (B)

When a medical condition appears that isn’t already on file, the immediate step is to notify the Company Medical Officer. This person is the medical authority within the railroad company who handles fitness-for-duty evaluations and medical guidance. They can quickly assess whether the new condition could affect safety-critical duties, determine if any restrictions are needed, and decide whether the employee should continue working, be placed on limited duty, or be cleared after further evaluation. Getting this medical input right away protects both the employee’s health and the safety of everyone on the job.

The Safety Officer focuses on safety policies and hazards, not medical determinations. A Supervisor should be informed to manage duties and safety on site, but the prompt, authoritative medical assessment should come from the Company Medical Officer. Human Resources maintains records and benefits matters, not the immediate medical advisement needed for duties.