{"id":61639,"date":"2026-08-25T19:58:34","date_gmt":"2026-08-25T23:58:34","guid":{"rendered":"https:\/\/newssprinters.com\/index.php\/world\/tsb-of-canada-calls-for-increased-oversight-of-medical-fitness-exams-for-train-crews\/25\/08\/2026\/"},"modified":"2026-08-25T19:58:34","modified_gmt":"2026-08-25T23:58:34","slug":"tsb-of-canada-calls-for-increased-oversight-of-medical-fitness-exams-for-train-crews","status":"publish","type":"post","link":"https:\/\/newssprinters.com\/index.php\/world\/tsb-of-canada-calls-for-increased-oversight-of-medical-fitness-exams-for-train-crews\/25\/08\/2026\/","title":{"rendered":"TSB of Canada calls for increased oversight of medical fitness exams for train crews"},"content":{"rendered":"

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EDMONTON, Alberta – The Transportation Safety Board of Canada is calling for increased government oversight of assessment of the medical fitness of railway employees as a result of its investigation into a 2023 collision of two Canadian National Railway trains.<\/p>\n

The Aug. 8, 2023, accident near Wainwright, Alberta, involved an engineer trainee who did not receive guidance from an engineer who was experiencing a “significant decline in cognitive functioning” with symptoms similar to those of hypoglycemia. The engineer involved is treated with insulin for type 1 diabetes, and hypoglycemia – with symptoms including drowsiness, difficulty concentrating, and confusion – is common for those so treated. No medical assessment was conducted following the collision, so the TSB investigation could not definitively determine the cause of the cognitive decline.<\/p>\n

According to the investigation repor<\/a>t, the TSB found that there had been no diabetes assessment for the engineer, as required by the Canadian Railway Medical Rules Handbook, for the years 2011, 2012, 2013, 2017, 2020, 2022, and 2023. Assessments for other years were incomplete but had been accepted by CN. The TSB also determined that Transport Canada had not conducted audits to verify CN compliance with medical rules in the 12 years prior to the incident.<\/p>\n

As a result, the TSB is recommending that Transport Canada establish regular oversight activities to assure compliance with railway medical rules. It also issued a safety concern notification after finding that the guidelines regarding fitness for duty for employees with diabetes, as outlined in the Medical Rules Handbook, are not aligned with the recommendations of Diabetes Canada, or with the medical certification requirements in air and marine transport.<\/p>\n

Collision details<\/h4>\n
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