NSW Order 43 Coal Mine Workers Medical

BOOK AN NSW ORDER 43 COAL MINE WORKERS MEDICAL

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Coal Services Health Monitoring Requirements for Coal Mine Workers Order No. 43 (Order 43) builds on the processes and systems that were established under Order 41 to protect the health and safety of workers in the New South Wales coal industry.

Order 43 officially replaced Order 41, and any associated schedules, on the 1st of July 2018.

For the purposes of NSW Order 43 Coal Mine Workers Medical the following definitions are applicable:

A coal mine worker means a person who carries out work at a coal mine for a person conducting a business or undertaking. It does not include a person who works in an environment in which they are not exposed to coal dust, unless the person has previously worked in an area of a coal mine in which they were exposed to coal dust.
A worker means a person who is about to commence work at a coal mine for a person conducting a business or undertaking, including a person who has previously worked at a coal mine and is about to commence work at a different coal mine.

MEDICAL ASSESSMENT

Jobfit has approved and appropriately qualified medical practitioners and registered nurses to perform NSW Order 43 Coal Mine Workers medical assessments. Once approved, the Order 43 medical can be released to the requestor.

Jobfit Health Group partners with accredited clinics for completion of Order 43 medicals within Australia.

Order 43 medical examinations are conducted at the following Jobfit locations:

Most important, the employer requesting an Order 43 medical must download and complete the Coal Services Role Requirements form. Furthermore, the completed form must be uploaded at the time of submitting the booking request.

REQUEST AN APPOINTMENT

Please click on the appropriate button below to request:

A Pre-Placement Order 43 Medical,
A Periodic Order 43 Medical, or
An Order 43 Exit Medical.

In addition, you must pay online before we can confirm your appointment. You will need to pay the required fee via the secure payment gateway after you submit your request.

Pre-Placement Order 43
Periodic Order 43
Exit Order 43

PRE-PLACEMENT ORDER 43 MEDICAL

A Pre-Placement Order 43 Medical Assessment should be completed where the worker/candidate has moved to a new company within the NSW Coal Industry. This can be treated like a pre-employment medical for the NSW coal mine site.

A pre-placement Order 43 medical includes:

Medical History Questionnaire
Respiratory Questionnaire
Chest X-ray
Spirometry Test
Cardiovascular System Examination
Musculoskeletal System Examination
Hearing Test
Vision Test
Auditory Canal Examination
Abdomen Examination
Skin Examination
Urinalysis
Respirator Fit Test

Chest X-Rays

Jobfit provides chest x-ray services to International Labour Organisation (ILO) Standards in synergy with accredited imaging providers. This highly complex and validated approach to radiology reporting records disease progression with the utmost accuracy.

Pre-employment chest x-rays

A pre-employment chest x-ray is required for all workers on entry to the NSW mining industry. Existing workers who are changing roles are not required to undergo a chest x-ray, if they can provide an ILO chest x-ray less than three years old.
Respirator Fit Testing

Also known as a Fit Test, Face Fit Test or Dust Mask Fit Test, a Respirator Fit Test measures the effectiveness of the seal between a respirator and its wearer’s face. Every face is different, so there’s no one-size-fits-all solution to dust masks. Thankfully, a Respirator Fit Test ensures an airtight seal that protects employees against hazardous substances in the workplace.

Our highly trained team performs Quantitative Fit Testing at our Jobfit centres located in Newcastle and Parramatta. Please note, if your Order 43 medical examination is conducted at our Liverpool, Mascot, Blacktown, or Brisbane Airport centres, the required Respirator Fit Test will be conducted at our nearest associate provider.

Our Respirator Fit Testing can be used for any type of tight-fitting respirator. This is important, as workers must be fit tested with the specific make, model, style, and size of the respirator that they will be using.

This respirator will have a probe attached to its facepiece, which will be connected to a machine by a hose. The machine, known as a portacount, then measures the amount of leakage into the facepiece.

If workers wear additional PPE or prescription eyewear on the job, it should be worn during this Fit Test. That’s because earmuffs, hardhats, visors, or even heavy clothing can interfere with the way a respirator fits. Likewise, workers are also required to be clean shaven during your fit test and any respirator use.

PERIODIC ORDER 43 MEDICAL

If the worker has previously completed an Order 41 or Order 43 previously, for the same company in the same term of employment, they should complete a Periodic Order 43 Medical Assessment.

Every coal worker must undertake a Periodic Order 43 Medical Assessment:

Every 3 years from the workers Pre-Placement Medical Assessment, or not more than 3 years from when they commenced work (whichever is earlier); and
Not more than every 3 years after that.

A periodic Order 43 medical includes:

Medical History Questionnaire
Respiratory Questionnaire
Chest X-ray
Spirometry Test
Cardiovascular System Examination
Musculoskeletal System Examination
Hearing Test
Vision Test
Auditory Canal Examination
Abdomen Examination
Skin Examination
Urinalysis
Respirator Fit Test
Pathology (non-fasting cholesterol and glucose testing)

Chest X-Rays
Jobfit provides chest x-ray services to International Labour Organisation (ILO) Standards in synergy with accredited imaging providers. This highly complex and validated approach to radiology reporting records disease progression with the utmost accuracy.

Periodic chest x-rays
- Underground coal workers must undergo a chest x-ray every three years or at a shorter interval if indicated in their last medical.
- Open cut worker involved in the production, processing or maintenance of coal must undergo a chest x-ray every three years or at the interval recommended in their last medical.
- Workers with a history of hazardous dust exposure must undergo a chest x-ray every three years.
- Other workers must undergo a chest x-ray every six years.
Respirator Fit Testing

Also known as a Fit Test, Face Fit Test or Dust Mask Fit Test, a Respirator Fit Test measures the effectiveness of the seal between a respirator and its wearer’s face. Every face is different, so there’s no one-size-fits-all solution to dust masks. Thankfully, a Respirator Fit Test ensures an airtight seal that protects employees against hazardous substances in the workplace.

Our highly trained team performs Quantitative Fit Testing at our Jobfit centres located in Newcastle and Parramatta. Please note, if your Order 43 medical examination is conducted at our Liverpool, Mascot, Blacktown, or Brisbane Airport centres, the required Respirator Fit Test will be conducted at our nearest associate provider.

Our Respirator Fit Testing can be used for any type of tight-fitting respirator. This is important, as workers must be fit tested with the specific make, model, style, and size of the respirator that they will be using.

This respirator will have a probe attached to its facepiece, which will be connected to a machine by a hose. The machine, known as a portacount, then measures the amount of leakage into the facepiece.

If workers wear additional PPE or prescription eyewear on the job, it should be worn during this Fit Test. That’s because earmuffs, hardhats, visors, or even heavy clothing can interfere with the way a respirator fits. Likewise, workers are also required to be clean shaven during your fit test and any respirator use.

Order 43 Exit Medical

Employers must ensure that an exit medical assessment is offered to each worker who is retiring or otherwise ceasing work. This is to ensure that any conditions that may impact on the worker’s health in retirement are identified, and an appropriate course of action is implemented.

The exit medical assessment is comprised of the components for a periodic medical assessment, except for respiratory fit testing as follows:

Medical History Questionnaire
Respiratory Questionnaire
Chest X-ray
Spirometry Test
Cardiovascular System Examination
Musculoskeletal System Examination
Hearing Test
Vision Test
Auditory Canal Examination
Abdomen Examination
Skin Examination
Urinalysis
Pathology (non-fasting cholesterol and glucose testing)

Chest X-Rays

Jobfit provides chest x-ray services to International Labour Organisation (ILO) Standards in synergy with accredited imaging providers. This highly complex and validated approach to radiology reporting records disease progression with the utmost accuracy.

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