Company-Ordered Medical Examinations

Hoey Farina Team
  • Hoey & Farina, P.C.
  • FELA Lawyers / Railroad Injury Attorneys
  • 1-888-425-1212


This Straight Track article will discuss when and why the railroad may order an employee to attend a medical examination, and when an employee may decline a company ordered medical examination.


Prior to hiring, the railroad generally requires an applicant to undergo a physical examination. The dictionary of job titles lists every job in the economy with, among other things, the degree of physical exertion required for the job. That is, if a job requires a very heavy level of exertion, the railroad may want to ensure that an applicant is physically able to perform the job requirements.

The pre-employment medical examination is required if you want the job. There are, however, some things that cannot be tested at a pre-employment physical, such as genetic predisposition to certain medical conditions.

The pre-employment medical examination can be an important tool for the employee, as well as for the railroad, as it sets the employee’s baseline physical condition. In an FELA case, often times the railroad will claim the injured employee suffered from a pre-existing condition. A finding of normal in a pre-employment medical examination would refute such a claim and show that a condition was caused by the railroad employment and not a pre-existing condition.


The same is true for periodic medical examinations. Some railroads require employees to undergo annual or bi-annual physicals. The employee must attend these examinations. The report of these examinations also may be used to show, despite any contrary claim by the railroad, that the employee’s physical condition was normal prior to an on-duty accident.

The philosophy behind the rule that gives the railroad the right to require an employee to undergo periodic medical examinations is that the railroad needs to maintain an adequate workforce to ensure railroad operations. When an employee is unable to perform service for medical reasons, the railroad may require an examination to ensure it has enough personnel to operate the railroad.


A few exceptions to the rule are:

  • if an employee has an FELA case pending in court, medical examinations desired by the railroad are governed by court’s discovery rules, and
  • once an employee is adjudicated occupationally disabled by the Railroad Retirement Board (RRB), the railroad no longer can order medical examinations.

If an employee has a pending FELA case, there is an important exception to the general rule that the railroad has the right to require an employee to undergo periodic medical examinations.

A common litigation tactic of the railroad is to order an injured railroad employee to see a company doctor or undergo a functional capacity evaluation. The railroad does this to create evidence for use in the FELA case.

During an FELA case, however, the railroad is prohibited from ordering the employee to undergo a medical examination outside the court discovery rules. Federal Rules of Civil Procedure and state procedural rules both provide that a Defendant (railroad) can request the court issue an order that a Plaintiff (injured employee) undergo a medical examination for litigation purposes. The rules generally provide, however, that the railroad is entitled to only one medical examination and the examination must follow all the requirements of the rule.

Another important exception to the right of the railroad to order an employee to undergo a periodic medical examination is that after an employee is adjudicated occupationally disabled by the Railroad Retirement Board, the railroad cannot require a medical examination.


There may be other specific circumstances where an employee can contest a medical examination ordered by the railroad. Under other circumstances, a case-by-case analysis is warranted.

If you or a loved one have suffered a work injury or wrongful death on the railroad, call an experienced FELA lawyer / railroad injury attorney at Hoey & Farina, P.C. at 1-888-425-1212, or complete this form, for your FREE CONSULTATION. Hoey & Farina represents clients throughout the United States.


542 South Dearborn Street
Suite 200
Chicago, Illinois 60605
Main: (312) 939-1212
Toll Free: (888) 425-1212
Fax: (312) 939-7842
Representing clients throughout the United States.


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