Appendix B: Reportable Health Events

The Union Pacific Medical Rules state that Dispatchers and employees in Operating Department field positions (including all Transportation, Engineering Services, and Mechanical employees - agreement and nonagreement), Telecom employees (agreement and nonagreement) and Supply Department field employees (agreement and nonagreement) must report the health events to Health and Medical Services listed at the bottom of the page so that a Fitness-for-Duty evaluation can be done to determine if the employee can safely perform his/her job. If an employee has a "Reportable Health Event", at work or off work, then the employee must:

  • Stay off work (not to report to work or mark up for work) until Health and Medical Services has completed a Fitness-for-Duty evaluation for that particular health event, and has provided the employee's Supervisor with notification that the employee is fit for duty and able to return to his/her job.
  • Notify his/her Supervisor that he/she has had a Reportable Health Event that requires Health and Medical Services to complete a Fitness-for-Duty determination prior to the employee being able to work.
  • Notify Health and Medical Services that he/she has had a Reportable Health Event that requires Health and Medical Services to complete a Fitness-for-Duty evaluation.

Reportable health event is defined as anew diagnosis, recent event, or change in a prior stable condition, for one of the following:

A. Cardiovascular Conditions Including:

  1. Heart attack (myocardial infarction) that is confirmed or was suspected (including any Emergency Room or hospital care for chest pain or other symptoms of possible heart disease).
  2. Cardiac arrest, requiring cardio-pulmonary resuscitation (CPR) or use of a defibrillator.
  3. Serious cardiac arrhythmias (abnormal heart rhythm) requiring medical treatment.
  4. Stroke or Transient Ischemic Attack (TIA).
  5. Bleeding inside the skull (intracranial) or bleeding inside the brain (intracerebral)
  6. Heart surgery or invasive cardiovascular procedures (including coronary bypass graft, cardiac catheterization or angioplasty; or placement of a pacemaker, stent, internal cardiac defibrillator, heart valve or aortic artery graft).

B. Seizure or Loss of Consciousness including:

  1. A seizure of any kind.
  2. Diagnosis of epilepsy (a condition with risk for recurrent seizures).
  3. Treatment with anti-seizure medication to prevent seizures.
  4. Loss of consciousness (of any duration including episode caused by insulin reaction).

C. Significant Vision or Hearing Change including:

  1. Significant vision change in one or both eyes affecting visual acuity (if not correctable to 20/40), color vision or peripheral vision (including visual field loss from retinal disease or treatment).
  2. Eye surgery (including for glaucoma, cataracts, or laser treatment of the cornea or retina).
  3. Significant hearing loss or surgery on the inner ear.
  4. New use of hearing aids.

D. Diabetes Treated with Insulin:

  1. Including Type I and Type II Diabetes Mellitus if insulin is used.
  2. Severe hypoglycemic event (defined as a hypoglycemic event with: (a) loss of consciousness, (b) substantial mental confusion, drowsiness, or weakness, or (c) requiring the assistance of another person).

E. Severe Sleep Apnea:

  1. Diagnosis or treatment of severe obstructive sleep apnea (using CPAP or other treatments).
Issued3/1/2011
Latest2/1/2014
Reviewed2/1/2014