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Alcohol dependence and safety-critical work — DOccMed MCQ

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ModerateMental Health and WorkAlcohol dependence and safety-critical workDOccMed

A bus depot mechanic returns after treatment for alcohol dependence. He is abstinent for six weeks, attends recovery support and has normal liver tests; his role includes road-testing buses after repairs. What is the most appropriate advice regarding fitness for work?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Restrict road-testing temporarily and review recovery stability with consented evidence

Alcohol dependence can affect safety-critical driving risk, but recovery should be assessed proportionately. Normal liver tests do not establish relapse risk or fitness for road-testing. Temporary restriction while obtaining consented treatment information and reviewing workplace policy is reasonable. Random testing requires a lawful, policy-based and proportionate framework.

Reference: FOM Fitness for Work guidance; DVLA Assessing Fitness to Drive