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Competency Name | Competency Requirements | Upload Requirements | Examples |
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Medical.Assessment.QLD - CBM inc Spiro - Non Identified - 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
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certificateMust have 'is this assessment for undergound work' ticked as yes- or health assessment provided by Resources Safety & Health (ResHealth)
NOTE: For |
North Goonyella rolesCenturion roles, Pegasus must check that |
the North Goonyella Medical the Centurion Medical Approval Email has been approved before proceeding. |
Issue Date: date of examination by the EMO NOTE: Peabody Centurion direct employees will also need an FCE uploaded against the competency name, Medical.assessment.CBM Functional | Avetta verifiers click here for additional business rule information prior to verification of this competency - 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
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there - there is a review date which then becomes the end date
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| Medical.Certificate.NSW Coal Board Functional | - Name on assessment to match the person registered
- Must state Functional Capacity as the type
- Must be current – within 12 months
- Must be completed correctly including the name of the person, the date, the doctor’s signature and medical centre
- Doctors signature and date
| - Issue Date = Date of Assessment completion
- This will not expire (unless otherwise specified)
| Image Removed | | Medical.Certificate.NSW Functional - 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
| | | 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 pageIGNORE 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 or health assessment provided by Resources Safety & Health (ResHealth)
NOTE: For Centurion roles, Pegasus must check that the Centurion Medical Approval Email has been approved before proceeding. NOTE: Peabody Centurion direct employees will also need an FCE uploaded against the competency name, Medical.assessment.CBM Functional | Avetta verifiers click here for additional business rule information prior to verification of this competency - 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 or health assessment provided by Resources Safety & Health (ResHealth)
- Must have 'is this assessment for undergound work' ticked as yes
NOTE: For Centurion roles, Pegasus must check that the Centurion Medical Approval Email has been approved before proceeding. NOTE: Peabody Centurion direct employees will also need an FCE uploaded against the competency name, Medical.assessment.CBM Functional | Avetta verifiers click here for additional business rule information prior to verification of this competency - 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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Medical.-.Temporary Medical Metropolitan
Business Rule Added 31/3/20 | In light of the current global COVID-19 pandemic we will temporarily be accepting medicals from Kinnect. When Coal Services Health re-opens you will be required to meet the Order 43 requirements.
- 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
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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 pageUploaded in colour is preferred - not mandatoryPages required to be uploaded - cover page, overview, assessmentName on assessment report and assessment certificate - either Doctors signature or Registered Nurse signature, must have name, ARN/AMP number and date.
| 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 = Date of Assessment completion
- 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
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assessment report and assessment certificate the - person registered
- Date of assessment
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must be 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
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number on the assessment report- number
- Follow up section – if a review time is indicated, this must match the date recommended in the recommendation/restrictions
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section on the assessment certificate 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.
Preplacement Medical Assessment – CS Health – Orange cover page - Uploaded in colour is preferred - 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
- 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
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section- section
- Must have Doctors signature, must have name and date.
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Site access plus periodic medical assessment 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 plus periodic - - Assessment page 1 & 2 and the medical assessment
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detailed certificate.Name on site access plus periodic medical assessment detailed certificate to match the person registeredDate of birth on assessment certificate ad assessment report to match the person registered- 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
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listed – Employer must be Section 4 Queensland Coal Board medicals are NOT accepted- 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)Must be uploaded as a PDF- 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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.Site access medical detailed certificate - CS Health- (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
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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 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) be uploaded as a PDFMust 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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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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| | 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 MedicalIssue 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: Image Removed Image Removed- 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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| Competency Name | Competency Requirements | Upload Requirements | Examples |
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| 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. compliant.
Preplacement Medical Assessment - External medical provider - |
CS Services Coal Services - Blue cover page |
• - Uploaded in colour is preferred – not mandatory
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Must be the FULL medical – including the cover page- 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
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number - SEG number acceptable if listed on the Role Requirements page or on the Determination page. 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
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- name, ARN/AMP number and date.
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Electronic signature acceptedEmail format is acceptable providing the Order 43 Medical Assessment Report (2 pages) is included within the uploaded file Periodic External medical provider – CS Services - Blue CS Health – Orange cover page - Uploaded in colour is preferred
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– Name on assessment report and assessment certificate 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)- 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
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assessment report and assessment certificate the - person registered
- Date of assessment listed
- Determination – must be
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listed on the assessment report and assessment certificate| 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 - 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.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 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. 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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| - 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 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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| Medical.Certificate.NSW Coal Order 43 | Pegasus Administrators to CLICK HERE for Additional Business Rule Information regarding this competency
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 additional business rule information before proceeding with verification - Issue Date = Examination date
- Expiry Date = 3 years from date of examination (unless review date listed in comments)
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