fitness-for-work assessment of train drivers of yazd railway, central iran

background: national transport commission (ntc) classifies train driving as a high-level safety critical job. objective: to assess fitness-for-work among train drivers in yazd, central iran. methods: we evaluated 152 train drivers for their fitness for duty. the results were then compared with ntc guidelines. results: 63.8% of subjects were fit for duty, 34.2% fit subject to review, and 2.0% were temporarily unfit. the most common reason for fit subject to review was a kessler score >19. the prevalence of overweight and obesity was 48.0% and 15.0%, respectively. the prevalence of dyslipidemia was 69.7%, diabetes 10.0%, impaired fasting glucose 36.0%, and hypertension was 19.0%, respectively. conclusion: most studied train drivers can continue their work safely. the prevalence of some risk factors such as overweight and dyslipidemia were high among train drivers. this warrants further evaluation and establishment of control programs.