- Expiry Date = 3 months from issue date
- Only PDF format is accepted
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Competency Name | Competency Requirements | Upload Requirements | Examples |
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| Medical.Certificate.NSW Coal Order 43 | Preplacement Medical Assessment - External medical provider - Coal Services - Blue cover page - Uploaded in colour is preferred – not mandatory
- Full medical not required – only traffic light page and follow up 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
- 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 traffic light page and follow up page to be uploaded
- 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.
Periodic Medical Assessment - CS Health - Orange cover page - with site access or site induction medical assessment page (traffic light page) - Uploaded in colour is preferred - not mandatory
- Pages required to be uploaded - Assessment page 1 & 2 and the medical assessment certificate and traffic light page from Site Access or Site Induction Medical
- Determination – must be ticked indicating result
- Chest X-ray must be ticked yes or no
- Employer listed 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.
- Follow up section must be completed (if no has been indicated, expiry is 3 years from assessment date)
- Must have Doctors signature, must have name and date (digital signatures accepted)
Periodic Medical Assessment - Blue cover page - with site access or site induction medical page (traffic light page) - Uploaded in colour is preferred - not mandatory
- Pages required to be uploaded - Assessment page 1 & 2 and the medical assessment certificate and traffic light page from Site Access or Site Induction Medical
- Determination – must be ticked indicating result
- Chest X-ray must be ticked yes or no
- Employer listed 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 must be completed (if no has been indicated, expiry is 3 years from assessment date)
- Must be completed by an approved medical practitioner on the list
- Must have Doctors signature, must have name and date (digital signatures accepted)
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.
Section 4 Queensland Coal Board medicals are NOT accepted | Pegasus staff CLICK HERE for site escalation / approver details (if escalation is deemed required) Pegasus staff CLICK HERE for additional business rule information before proceeding with verification
- Expiry Date = 3 years (unless the medical has a specified review date, as this date would then become the expiry date)
- Issue date to be recorded (Assessment date)
- Only PDF format is accepted
| | Medical.Certificate.Metropolitan Exemption
- Click HERE for the approval form
| - 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 Authorised Approver
| Pegasus staff CLICK HERE for site escalation / approver details (if escalation is deemed required) Pegasus staff CLICK HERE for additional business rule information before proceeding with verification - Issue Date = Not Required
- Expiry Date = 3 years from today's date
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| Medical.Certificate.NSW Coal Order 43 - Wambo | Medicals completed on or after 1st July 2018 must be Order 43 compliant.
Preplacement Medical Assessment - External medical provider - Coal Services - Blue cover page - Uploaded in colour is preferred – not mandatory
- Full medical not required – only traffic light page and follow up 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
- 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 traffic light page and follow up page to be uploaded
- 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.
Periodic Medical Assessment - CS Health - Orange cover page - with site access or site induction medical assessment page (traffic light page) - Uploaded in colour is preferred - not mandatory
- Pages required to be uploaded - Assessment page 1 & 2 and the medical assessment certificate and traffic light page from Site Access or Site Induction Medical
- Determination – must be ticked indicating result
- Chest X-ray must be ticked yes or no
- Employer listed 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.
- Follow up section must be completed (if no has been indicated, expiry is 3 years from assessment date)
- Must have Doctors signature, must have name and date (digital signatures accepted)
Periodic Medical Assessment - Blue cover page - with site access or site induction medical page (traffic light page) - Uploaded in colour is preferred - not mandatory
- Pages required to be uploaded - Assessment page 1 & 2 and the medical assessment certificate and traffic light page from Site Access or Site Induction Medical
- Determination – must be ticked indicating result
- Chest X-ray must be ticked yes or no
- Employer listed 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 must be completed (if no has been indicated, expiry is 3 years from assessment date)
- Must be completed by an approved medical practitioner on the list
- Must have Doctors signature, must have name and date (digital signatures accepted)
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
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a confirmation of registration with the medical.Must have a SEG numberFollow up section – if a review time is indicated, this must match the date recommended in the recommendation/restrictions sectionMust be completed by an approved medical practitioner on the list belowhttps://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 - a confirmation of registration with the medical.
- Must have Doctors signature, must have name and date.
Section 4 Queensland Coal Board medicals are NOT accepted | Pegasus staff CLICK HERE for additional business rule information before proceeding with verification - Expiry Date = 3 years (unless the medical has a specified review date, as this date would then become the expiry date)
- Issue date to be recorded (Assessment date)
- Only PDF format is accepted
| | Medical.Certificate.NSW Chest X-Ray
| Must indicate that it is an ILO Chest X-ray report (must be full report If the Chest X-ray report does not read ‘No evidence of pneumoconiosis, OR ILO Classification 0/0’ the contractor is required to send the report to CS Health to verify there are no concerns that require follow up. If the Chest X-ray report recommends a HRCT scan, the HRCT report must also be attached QLD Coal Mine Worker Health Scheme B-Read X-ray reports are acceptable.
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- - – not mandatory
- Full medical not required – only
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require the - traffic light page and follow up page to be uploaded
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and the cover page- Name on medical to match the person registered
- Date of birth to match person registered
- Date of assessment listed
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Determination – must be ticked indicating result- Chest X-ray must be ticked
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yes or no- 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
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sectionName on site access plus periodic medical assessment detailed certificate Site access plus periodic medical assessment detailed certificate - CS Health Pages required to be uploaded – site access plus periodic medical assessment detailed certificate.Preplacement Medical Assessment – CS Health – Orange cover page - Uploaded in colour is preferred - not mandatory
- Full medical not required – only traffic light page and follow up page to be uploaded
- Name on medical to match the person registered
- Date
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of birth on assessment certificate ad assessment report the Section 4 Queensland Coal Board medicals are NOT accepted- person registered
- Date of assessment listed
- Determination – must be ticked indicating result
- Chest X-ray must be ticked yes or no
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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- 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.
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Site access medical detailed certificate - CS Health
Periodic Medical Assessment - CS Health - Orange cover page - with site access or site induction medical assessment page (traffic light page) - Uploaded in colour is preferred - not mandatory
- Pages required to be uploaded
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– Site access medical detailed certificate – .Name on Site access medical detailed certificate to match the person registeredDate of birth on assessment certificate ad assessment report to match the person registered- and the medical assessment certificate and traffic light page from Site Access or Site Induction Medical
- Determination – must be ticked indicating result
- Chest X-ray must be ticked yes or no
- Employer
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must be – Employer Must be uploaded as a PDF- 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.
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This document is only mandatory for specific sites (NSW)- Follow up section must be completed (if no has been indicated, expiry is 3 years from assessment date)
- Must have Doctors signature, must have name and date
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.- 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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Image Removed Image Removed | 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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Medical.Certificate.NSW Coal Order 41 - Wambo | Name on medical Pegasus Staff: Please reference additional EXEMPTION information HERE before verification of Wambo MedicalIssue Date = Date of examination- (digital signatures accepted)
Periodic Medical Assessment - Blue cover page - with site access or site induction medical page (traffic light page) - Uploaded in colour is preferred - not mandatory
- Pages required to be uploaded - Assessment page 1 & 2 and the medical assessment certificate and traffic light page from Site Access or Site Induction Medical
- Determination – must be ticked indicating result
- Chest X-ray must be ticked yes or no
- Employer listed 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 must be completed (if no has been indicated, expiry is 3 years from assessment date)
- Must be completed by an approved medical practitioner on the list
- Must have Doctors signature, must have name and date (digital signatures accepted)
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
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Date of assessment listedDoctors 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- 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.
Section 4 Queensland Coal Board medicals are NOT accepted | Pegasus staff CLICK HERE for additional business rule information before proceeding with verification - Issue Date = Examination date
- Expiry Date = 3 years from date of examination (unless
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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:  Image Removed
Image Removed | Medical.Certificate.NSW Coal Order 43 - Wambo | Medicals completed on or after 1st July 2018 must be Order 43 compliant. 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 MedicalExpiry Date = 3 years (unless the medical has a specified review date, as this date would then become the expiry date)Only PDF format is acceptedImage Removed Image Removed Image Removed | | Expand |
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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 – - review date listed in comments)
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