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title | Coppabella, Millennium, Moorvale and North Goonyella |
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| Competency Name | Competency Requirements | Upload Requirements | Examples |
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Medical.Certificate.NSW Coal Order 41 | - Inductee name to be clearly shown on the medical
- Certificate of fitness to be uploaded
- Must be Issued by any CS Health provider. Examples of CS Health independant providers:
Coal Health Services (Preferred provider) IOH, Hunter Industrial medicine, Humanomics, Rehab Co - Part D – certificate of fitness can be accepted however it must be accompanied by the compliance confirmation email from CS Health and must say “Order 41 Compliance status – compliant”.
- Must have been issued within the last 3 years
| Issue Date = Date of examination Expiry Date = 3 years (unless the medical has a specified review date, as this date would then become the expiry date) Only PDF format is accepted
| | Medical.Certificate.NSW Coal Order 43 | | - Expiry Date = 3 years (unless the medical has a specified review date, as this date would then become the expiry date)
- Only PDF format is accepted
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| Medical.Assessment.QLD - CBM inc Spiro - Non Identified - No Restrictions
Business rule last updated 6.6.17 | - Inductee name and date of birth to be clearly shown on the medical
- Must be stamped and signed by the medical practitioner
- Must be a QLD Section 4 certificate
NOTE: For North Goonyella roles, Pegasus must check that the North Goonyella Medical Approval Email has been approved before proceeding. | - Issue Date: date of examination by the EMO (EMO date not the NMA sign off date)
- Expiry Date: five (5) years from the date of examination UNLESS there is a review date which then becomes the end date
IGNORE the 'recommended date of next health assessment' NOTE: This competency should be the competency selected in Onsite (rather than selecting the ‘surface’ or ‘underground’ specific variations of this competency when the new QLD section 4 medical template (Issued from late 2016) has been used, as the new template does not specify ‘Surface’ or ‘Underground’ | | QLD - CBM inc Spiro - Surface - No Restrictions | - Inductee name and date of birth to be clearly shown on the medical
- Must be stamped and signed by the medical practitioner
- Must be a QLD Section 4 certificate
NOTE: For North Goonyella roles, Pegasus must check that the North Goonyella Medical Approval Email has been approved before proceeding. | - Issue Date: date of examination by the EMO (EMO date not the NMA sign off date)
- Expiry Date: five (5) years from the date of examination UNLESS there is a review date which then becomes the end date
| | QLD - CBM inc Spiro - Underground - No Restrictions | - Inductee name and date of birth to be clearly shown on the medical
- Must be stamped and signed by the medical practitioner
- Must be a QLD Section 4 certificate
- Must have 'is this assessment for undergound work' ticked as yes
NOTE: For North Goonyella roles, Pegasus must check that the North Goonyella Medical Approval Email has been approved before proceeding. | - Issue Date: date of examination by the EMO (EMO date not the NMA sign off date)
- Expiry Date: five (5) years from the date of examination UNLESS there is a review date which then becomes the end date
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| Competency Name | Competency Requirements | Upload Requirements | Examples |
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| | | | Medical.Certificate.NSW Coal Order 41 | - Inductee name to be clearly shown on the medical
- Certificate of fitness to be uploaded
- Must be Issued by any CS Health provider. Examples of CS Health independant providers:
Coal Health Services (Preferred provider) IOH, Hunter Industrial medicine, Humanomics, Rehab Co - Part D – certificate of fitness can be accepted however it must be accompanied by the compliance confirmation email from CS Health and must say “Order 41 Compliance status – compliant”.
- Must have been issued within the last 3 years
| Issue Date = Date of examination Expiry Date = 3 years (unless the medical has a specified review date, as this date would then become the expiry date) Only PDF format is accepted
| | Medical.Certificate.NSW Coal Order 43 | ORDER 43 MEDICAL Preplacement Medical Assessment - External medical provider - CS Services - Blue cover page
- Uploaded in colour is preferred – not mandatory
- Full medical not required – only require the traffic light page to be uploaded
- Name on medical to match the person registered
- Date of birth to match person registered
- Date of assessment listed
- Chest X-ray must be ticked yes or no
- Employer must be listed – Employer must be the current employer. If the employee has changed companies than the current employer must submit the medical to CS Heath and provide a confirmation of registration with the medical.
- Must have a SEG number
- Follow up section – if a review time is indicated, this must match the date recommended in the recommendation/restrictions section
- Must be completed by an approved medical practitioner on the list below
- https://www.coalservices.com.au/mining/workplace-safety-and-compliance/regulation-and-compliance/order-41-3/medical-practitioners-and-provider-training/
- Must have either Doctors signature or Registered Nurse signature, must have name, ARN/AMP number and date.
Periodic Medical Assessment – External medical provider – CS Services - Blue cover page
- Uploaded in colour is preferred - not mandatory
- Pages required to be uploaded - cover page, overview, assessment
- Name on assessment report and assessment certificate to match the person registered
- Date of birth assessment report and assessment certificate to match the person registered
- Date of assessment must be listed on the assessment report and assessment certificate
- Chest X-ray must be ticked yes or no
- Employer must be listed – Employer must be the current employer. If the employee has changed companies than the current employer must submit the medical to CS Heath and provide a confirmation of registration with the medical.
- Must have a SEG number on the assessment report
- Follow up section – if a review time is indicated, this must match the date recommended in the recommendation/restrictions section on the assessment certificate
- Must be completed by an approved medical practitioner on the list below
https://www.coalservices.com.au/mining/workplace-safety-and-compliance/regulation-and-compliance/order-41-3/medical-practitioners-and-provider-training/ - Must have either Doctors signature or Registered Nurse signature, must have name, ARN/AMP number and date.
- Preplacement Medical Assessment – CS Health – Orange cover page
- Uploaded in colour is preferred - not mandatory
- Full medical not required – only require the traffic light page to be uploaded and the cover page
- Name on medical to match the person registered
- Date of birth to match person registered
- Date of assessment listed
- Determination – must be ticked indicating result
- Chest X-ray must be ticked yes or no
- Follow up section – if a review time is indicated, this must match the date recommended in the recommendation/restrictions section
- Must have Doctors signature, must have name and date.
Site access plus periodic medical assessment detailed certificate - CS Health - Pages required to be uploaded – site access plus periodic medical assessment detailed certificate.
- Name on site access plus periodic medical assessment detailed certificate to match the person registered
- Date of birth on assessment certificate ad assessment report to match the person registered
- Chest X-ray must be ticked yes or no
- Employer must be listed – Employer must be the current employer. If the employee has changed companies than the current employer must submit the medical to CS Heath and provide a confirmation of registration with the medical.
- This document is only mandatory for specific sites (NSW)
- Must be uploaded as a PDF
- Section 4 Queensland Coal Board medicals are NOT accepted
- Must have Doctors signature, must have name and date.
Site access medical detailed certificate - CS Health - Pages required to be uploaded – Site access medical detailed certificate – page 1 & 2.
- Name on Site access medical detailed certificate to match the person registered
- Date of birth on assessment certificate ad assessment report to match the person registered
- Chest X-ray must be ticked yes or no
- Employer must be listed – Employer must be the current employer. If the employee has changed companies than the current employer must submit the medical to CS Heath and provide a confirmation of registration with the medical.
- This document is only mandatory for specific sites (NSW)
- Must be uploaded as a PDF
- Must have Doctors signature, must have name and date.
| - Expiry Date = 3 years (unless the medical has a specified review date, as this date would then become the expiry date)
- Only PDF format is accepted
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| Medical.Certificate.Metropolitan Exemption | - Contractor/Induction Approval Request Form to be uploaded
- Company name listed
- Contractor name must match the person registered
- Exemption ticked MUST match selected exemption competency
- Must be signed by Metropolitan Department Manager
- Click HERE for the list of approvers
- Click HERE for the approval form
| - Issue Date = Not Required
- Expiry Date = Not Required
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| Competency Name | Competency Requirements | Upload Requirements | Examples |
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Medical.Certificate.NSW Coal Order 41 - Wambo | - Name on medical to match the person registered
- Date of birth to match person registered
- Date of assessment listed
- Doctors signature and date and stamp mandatory (Electronic Signatures are Accepted)
- The full Order 41 medical report is to be uploaded to Onsite for all contractors (Not just cover page or Part D)
- If the medical has NOT been conducted by Coal Services Health it must be accompanied by the confirmation of order 41 compliance certificate from CS Health or confirmation email
NOTE: Pegasus must check that the Medical.-.WAMBO Document Approval Email has been approved before proceeding. | - Pegasus Staff: Please reference additional EXEMPTION information HERE before verification of Wambo Medical
Issue Date = Date of examination Expiry Date = 3 years (unless the medical has a specified review date, as this date would then become the expiry date) Only PDF format is accepted
| Wambo Accepted Example Document:
| Medical.Certificate.NSW Coal Order 43 - Wambo | Medicals completed on or after 1st July 2018 must be Order 43 compliant. NOTE: Pegasus must check that the Medical.-.WAMBO Document Approval Email has been approved before proceeding. Preplacement Medical Assessment - External medical provider - CS Services - Blue cover page • Uploaded in colour is preferred – not mandatory - Must be the FULL medical – including the cover page
- Name on medical to match the person registered
- Date of birth to match person registered
- Date of assessment listed
- Chest X-ray must be ticked yes or no
- Employer must be listed – Employer must be the current employer. If the employee has changed companies than the current employer must submit the medical to CS Heath and provide a confirmation of registration with the medical.
- Must have a SEG number - SEG number acceptable if listed on the Role Requirements page or on the Determination page.
- Follow up section – if a review time is indicated, this must match the date recommended in the recommendation/restrictions section
- Must be completed by an approved medical practitioner on the list below
https://www.coalservices.com.au/mining/workplace-safety-and-compliance/regulation-and-compliance/order-41-3/medical-practitioners-and-provider-training/ - Must have either Doctors signature or Registered Nurse signature, must have name, ARN/AMP number and date. Electronic signature accepted
- Email format is acceptable providing the Order 43 Preplacement Medical Assessment Report (2 pages) is included within the uploaded file
Periodic Medical Assessment – External medical provider – CS Services - Blue cover page - Uploaded in colour is preferred – not mandatory
- Pages required to be uploaded - cover page, overview, assessment page 1 & 2 and the full site induction medical assessment which includes the site induction medical assessment certificate (traffic light page)
- Name on assessment report and assessment certificate to match the person registered
- Date of birth assessment report and assessment certificate to match the person registered
- Date of assessment must be listed on the assessment report and assessment certificate
- Chest X-ray must be ticked yes or no
- Employer must be listed – Employer must be the current employer. If the employee has changed companies than the current employer must submit the medical to CS Heath and provide a confirmation of registration with the medical.
- Must have a SEG number on the assessment report
- Follow up section – if a review time is indicated, this must match the date recommended in the recommendation/restrictions section on the assessment certificate
- Must be completed by an approved medical practitioner on the list below
- https://www.coalservices.com.au/mining/workplace-safety-and-compliance/regulation-and-compliance/order-41-3/medical-practitioners-and-provider-training/
- Must have either Doctors signature or Registered Nurse signature, must have name, ARN/AMP number and date. Electronic signature accepted
Preplacement Medical Assessment – CS Health – Orange cover page - Uploaded in colour is preferred – not mandatory
- Must be the full medical – including the cover page
- Name on medical to match the person registered
- Date of birth to match person registered
- Date of assessment listed
- Determination – must be ticked indicating result
- Chest X-ray must be ticked yes or no
- Follow up section – if a review time is indicated, this must match the date recommended in the recommendation/restrictions section
- Must have Doctors signature, must have name and date. Electronic signature accepted
- Email format is acceptable providing the Order 43 Preplacement Medical Assessment Report (2 pages) is included within the uploaded file
Site access plus periodic medical assessment detailed certificate - CS Health - Pages required to be uploaded – site access plus periodic medical assessment detailed certificate with full report plus full Periodic Medical Assessment Report.
- Name on site access plus periodic medical assessment detailed certificate to match the person registered
- Date of birth on assessment certificate ad assessment report to match the person registered
- Chest X-ray must be ticked yes or no
- Employer must be listed – Employer must be the current employer. If the employee has changed companies than the current employer must submit the medical to CS Heath and provide a confirmation of registration with the medical.
- Must have Doctors signature, must have name and date. Electronic signature accepted
| - Pegasus Staff: Please reference additional EXEMPTION information HERE before verification of Wambo Medical
- Expiry Date = 3 years (unless the medical has a specified review date, as this date would then become the expiry date)
- Only PDF format is accepted
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| Competency | Competency Requirements | Upload Requirements | Examples |
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Medical.Certificate.Order 41 or Medical.Certificate.Category: AMBER | - Name to match
- Issued by any CS Health provider within the last 3 years
- Duration = 3 years
- Certificate of fitness to be uploaded - If restricted, full medical to be uploaded which will be sent to site for approval
If the medical is AMBER a medical management plan will need to be completed - Click HERE for the template. Once completed the MMP must be uploaded with the medical. Pegasus will send the medical and MMP for approval and the amber medical procedure followed – medical will not be approved without site approval Email Address links - Pegasus Internal Procedures | Peabody | Procedures | Wilpinjong | - Issue Date = date of examination
- Expiry Date = as per duration unless a review date listed
- Approval date and person’s name whom approved to be written in description box.
| | Medical.Certificate.NSW Coal Order 43 | ORDER 43 MEDICAL – refer to type of medical Preplacement Medical Assessment - External medical provider - CS Services - Blue cover page • Uploaded in colour is preferred – not mandatory - Full medical not required – only require the traffic light page to be uploaded
- Name on medical to match the person registered
- Date of birth to match person registered
- Date of assessment listed
- Chest X-ray must be ticked yes or no
- Employer must be listed – Employer must be the current employer. If the employee has changed companies than the current employer must submit the medical to CS Heath and provide a confirmation of registration with the medical.
- Must have a SEG number
- Follow up section – if a review time is indicated, this must match the date recommended in the recommendation/restrictions section
- Must be completed by an approved medical practitioner on the list below
https://www.coalservices.com.au/mining/workplace-safety-and-compliance/regulation-and-compliance/order-41-3/medical-practitioners-and-provider-training/ • Must have either Doctors signature or Registered Nurse signature, must have name, ARN/AMP number and date. Periodic Medical Assessment – External medical provider – CS Services - Blue cover page - Uploaded in colour is preferred - not mandatory
- Pages required to be uploaded - cover page, overview, assessment page 1 & 2 and the medical assessment certificate (traffic light page)
- Name on assessment report and assessment certificate to match the person registered
- Date of birth assessment report and assessment certificate to match the person registered
- Date of assessment must be listed on the assessment report and assessment certificate
- Chest X-ray must be ticked yes or no
- Employer must be listed – Employer must be the current employer. If the employee has changed companies than the current employer must submit the medical to CS Heath and provide a confirmation of registration with the medical.
- Must have a SEG number on the assessment report
- Follow up section – if a review time is indicated, this must match the date recommended in the recommendation/restrictions section on the assessment certificate
- Must be completed by an approved medical practitioner on the list below
- https://www.coalservices.com.au/mining/workplace-safety-and-compliance/regulation-and-compliance/order-41-3/medical-practitioners-and-provider-training/
- Must have either Doctors signature or Registered Nurse signature, must have name, ARN/AMP number and date.
Preplacement Medical Assessment – CS Health – Orange cover page - Uploaded in colour is preferred - not mandatory
• Full medical not required – only require the traffic light page to be uploaded and the cover page • Name on medical to match the person registered • Date of birth to match person registered • Date of assessment listed • Determination – must be ticked indicating result • Chest X-ray must be ticked yes or no - Follow up section – if a review time is indicated, this must match the date recommended in the recommendation/restrictions section
- Must have Doctors signature, must have name and date.
Site access plus periodic medical assessment detailed certificate - CS Health - Pages required to be uploaded – site access plus periodic medical assessment detailed certificate and periodic medical assessment report.
- Name on site access plus periodic medical assessment detailed certificate to match the person registered
- Date of birth on assessment certificate ad assessment report to match the person registered
- Chest X-ray must be ticked yes or no
- Employer must be listed – Employer must be the current employer. If the employee has changed companies than the current employer must submit the medical to CS Heath and provide a confirmation of registration with the medical.
- Must have Doctors signature, must have name and date.
IF AMBER PROCEDURE If the medical is AMBER a medical management plan will need to be completed - Click HERE for the template. Once completed the MMP must be uploaded with the medical. Pegasus will send the medical and MMP for approval and the amber medical procedure followed – medical will not be approved without site approval Email Address links - Pegasus Internal Procedures | Peabody | Procedures | Wilpinjong
- This document is only mandatory for specific sites (NSW)
- Must be uploaded as a PDF
Section 4 Queensland Coal Board medicals are NOT accepted | - Issue Date = Examination date
- Expiry Date = 3 years from date of examination (unless review date listed in comments)
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