coal mining

NSW Order 45 Coal Mine Worker Health Assessment

Jobfit is an approved medical provider for the NSW Order 45 Coal Mine Worker Medical and has a network of highly qualified and approved medical practitioners and registered nurses to perform the assessments.

onsite health checks 1
coal miningWhat is an Order 45 Health Assessment?
The Order 45 Health Assessment is a single, standardised health assessment for all NSW coal mine workers. It confirms a workers fitness for coal mine work and monitors health over time in relation to occupational exposures to dust, noise, chemicals, and other workplace hazards.
Unlike previous frameworks where pre-placement and periodic medicals were separate, Order 45 uses a one-assessment model that is valid for up to three years, even if a worker changes roles (subject to role and risk category alignment).

coal miningNSW Order 45 Coal Mine Worker Medical Process
Employer Process: First Time Medical Appointment
  1. Employers must download and complete the Coal Services Role Requirements form
  2. Upload the completed Coal Services Role Requirements form at the time of submitting the booking request
  3. Payment is required at the time of booking
  4. Workers’ assessment is provided at the confirmed Jobfit site
  5. Once approved, the Order 45 is released to the requestor
Workers Process
  1. Complete any required online questionnaires prior to attending
  2. Attend scheduled pathology/radiology appointments as instructed
  3. Follow pre-testing criteria
  4. Attend your clinical assessment appointment
Order 45 medical examinations are conducted at the following Jobfit locations:
Newcastle
Parramatta
coal miningWhat the Order 45 Health Assessment Includes
1. Workers are required to complete an online medical history questionnaire prior to their appointment (approx. 15 minutes).

2. The assessment may include:
Medical and occupational history review
Clinical face-to-face assessment by an Approved Medical Practitioner
Vision assessment
Audiometry assessment
Spirometry assessment
Respirator Face Fit Testing (optional)
Chest X-Ray (ILO Standard) (Dual NIOSH B-Read)
Escalation to HRCT where clinically required
Cardiovascular risk assessment including pathology
Schedule 14 assessments (optional)
Health Assessment Reviews
If follow-up is required after the initial assessment, a health assessment review may be issued with a defined timeframe (e.g., 3, 6 or 12 months). Reviews must be completed within the specified timeframe, or the health certificate will expire.

Standardised Reporting
All Order 45 assessments result in a standardised health certificate presented in a Red-Amber-Green (RAG) format. This single certificate replaces separate pre-employment, periodic, or site access medicals.

Examinations can be conducted at our Parramatta and Newcastle Jobfit centres.

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