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Medical.assessment.CBM Functional

Medical.Certificate.NSW Coal Board Functional

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Wilpinjong
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titleDrug and Alcohol

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drugandalcohol
drugandalcohol

Exploration
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titleBurtonAll Sites
title


CompetencyCompetency RequirementsUpload RequirementsExamples

Certificate.Statement of Attainment.Drug and Alcohol Testing

.Test.7 Days Valid

Burton Roles

  • Date of test have been conducted within 7 days of the induction submission
  • Name on test page to match the person registered
  • Both drug and alcohol testing results need to be displayed with a negative result.
  • Must be complete by an accredited testing facility / collector which is checked by ensuring the document was issued by medical practice or pathology
  • Issue date to be recorded
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drugcert
drugcert

  • Name evidence match the person registered (However shortened versions of first names like 'Çhris' for 'Christopher' are also acceptable)

  • Must reference both drug and alcohol testing/screening

  • Acceptable evidence type[s] include:

    • Statement of Attainment

  • Evidence must show completion of:

    • HLTPAT005 - Collect specimens for drugs of abuse testing

  • Issue Date: as per the issued date on the Statement of Attainment
  • Expiry Date: 5 years from the date of training completion




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titleBurton


CompetencyCompetency RequirementsUpload RequirementsExamples
CompetencyCompetency RequirementsUpload RequirementsExamples

Drug and Alcohol Testing.Test.14 7 Days Valid



Exploration Burton Roles

  • Date of test have been conducted within 7 days of the induction submission
  • Name on test page to match the person registered
  • Both drug and alcohol testing results need to be displayed with a negative result.
  • Must be complete by an accredited testing facility / collector* which is checked by ensuring the document was issued by medical practice or pathology
  • Issue date to be recorded

  • Valid for 2 weeks / 14 days from date of issue

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titleMetropolitan

Drug and Alcohol Testing.*If the testing has not been conducted by a health / medical / pathology third-party facility, it can be completed by an authorised tester that is employed through the workers supplier company on the proviso that this tester is registered as a current worker in the system and has an active / current competency assignment of: Certificate.Statement of Attainment.Drug and Alcohol Testing. The accredited tester would need to apply the portal role: Burton - Drug and Alcohol Tester to then be able to provide evidence of this competency.

Pegasus Administrators to CLICK HERE for Additional Business Rule Information regarding this competency

  • Issue date to be recorded



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titleExploration


CompetencyCompetency RequirementsUpload RequirementsExamples

Drug and Alcohol Testing.Test.14 Days Valid


Metropolitan Exploration Roles

  • Name on test page to match the person registered
  • Both drug and alcohol testing results need to be displayed with a negative result.
  • Date of test must have been conducted within 14 days of the induction submission. If the drug and alcohol test was completed as part of the medical it is valid for 3 months from the completion date of the medical.
  • Must be complete by an accredited testing facility / Must be complete by an accredited testing facility / collector which is checked by ensuring the document was issued by medical practice or pathology
  • Issue date to be recorded - Date of Test

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  • Valid for 2 weeks / 14 days from date of issue



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titleMetropolitan


- Exemption
  • Contractor/Induction Approval Request Form to be uploaded
  • Company name listed
  • Contractor name must
  • 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
  • CompetencyCompetency RequirementsUpload RequirementsExamples
    CompetencyCompetency RequirementsUpload RequirementsExamples

    Drug and Alcohol Testing.

    Test.14 Days Valid


    Metropolitan

    Roles

    • Name on test page to match the person registered
    • Issue Date = Not Required
    • Expiry Date = Not Required 
    Expand
    titleNorth Goonyella

    Drug and Alcohol Testing.Test.30 Days Valid 

    North Goonyella Roles

    • Name on test page to match the person registered
    • Both drug and alcohol testing results need to be displayed with a negative result.
    • Date of test must have been conducted within 30 days of the induction submission.Both drug and alcohol testing results need to be displayed with a negative result.
    • Date of test must have been conducted within 14 days of the induction submission. If the drug and alcohol test was completed as part of the medical it is OK to accept as long as it is no older than 3 months from the completion date of the medical. No expiry required
    • Must be complete by an accredited testing facility / collector which is checked by ensuring the document was issued by medical practice or pathology

    NOTE: For North Goonyella roles, Pegasus must check that the North Goonyella Medical Approval Email has been approved before proceeding.  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 to be recorded

    Expand
    titleMillennium
      
    ExamplesTest.7 Days Valid

    Millennium Roles

    Issue date to be recorded

    CompetencyCompetency RequirementsUpload Requirements
    • = Date of Test

    • Expiry Date = 12 months from issue date

    Drug and Alcohol Testing.

    • Date of test have been conducted within 7 days of the induction submission 
    • Name on test page to match the person registered
    • Both drug and alcohol testing results need to be displayed with a negative result.
    • Must be complete by an accredited testing facility / collector which is checked by ensuring the document was issued by medical practice or pathologyv
    Expand
    titleWambo

    -.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)
    • Issue Date = Not Required
    • Expiry Date = 12 months from today's date



    Expand
    titleCenturion


    CompetencyCompetency RequirementsUpload RequirementsExamples

    Drug and Alcohol Testing.Test.14 30 Days Valid 


    Wambo Centurion Roles

    • Date of test have been conducted within 14 days of the induction submission 
    • Name on test page to match the person registered
    • Both drug and alcohol testing results need to be displayed with a negative result.
    • Date of test must have been conducted within 30 days of the induction submission.
    • Must be complete by an accredited testing facility / collector which is checked by ensuring the document was issued by medical practice or pathology

    NOTE: For Centurion roles, Pegasus must check that the Centurion Medical Approval Email has been approved before proceeding.  

    • Issue date to be recorded - Date of test




    Expand
    titleWilpinjongMillennium
    Expand
    titleCoppabella
    CompetencyCompetency RequirementsUpload RequirementsExamples
    Site.Assessment.Coppabella - Functional Assesment - EXEMPT less than 14 daysTBATBATBA
    Site.Assessment.Coppabella - Peabody Functional AssesmentTBATBATBA
    Expand
    titleNorth Goonyella
    CompetencyCompetency RequirementsUpload RequirementsExamples
    • Name on assessment to match the person registered
    • Must state Functional Capacity as the type - "Kinnect Pre-employment functional assessment” is acceptable
    • 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

    NOTE: For North Goonyella roles, Pegasus must check that the North Goonyella Medical Approval Email has been approved before proceeding.  

    • Issue Date = Date of Assessment completion
    • This will not expire (unless otherwise specified)
    Expand
    titleMetropolitan
    • 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)
     
    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 
    Expand
    title


    Wilpinjong Roles

    Drug and Alcohol Testing.Test.7 Days Valid



    Millennium Roles

    CompetencyCompetency RequirementsUpload RequirementsExamples

    Site.Induction.Negative Drug Result PreInduction

    Anchor
    wilpinjongwilpinjong
    • Date of test have been conducted within 7 days of the induction submission 
    • Name on test page to match the person registered
    • Both drug and alcohol testing results need to be displayed with a negative result.Date of test must have been conducted within 30 days of the induction submission.
    • Must be complete by an accredited testing facility / collector which is checked by ensuring the document was issued by medical practice or pathologypathologyv
    • Issue date to be recorded

    - Date of Test
    Certificate.Statement of Attainment.Drug and Alcohol Testing Anchordrugcertdrugcert
    • Must be a Statement of Attainment
    • Must reference both drug and alcohol testing/screening
    • Issue Date: as per the issued date on the Statement of Attainment
    • Expiry Date: N/A
    Expand
    titleFunctional Assessments



    Expand
    titleWambo

      

    CompetencyCompetency RequirementsUpload RequirementsExamples

    Drug and Alcohol Testing.-.Wambo - 14 Days


    Wambo roles

    • Date of test have been conducted within 14 days of the induction submission 
    • Name on test page to match the person registered
    • Both drug and alcohol testing results need to be displayed with a negative result.
    • Testing must be completed by a health / medical / pathology specific organisation or a workers employer company where this company is focused to one of these areas as their primary function**

    ** Generally evident through company name or website check

    • Testing which has been conducted by a workers employer company where the companys primary function is not health / medical / pathology may also be considered acceptable providing the file upload includes not only a copy of the workers drug and alcohol test results but also a copy of the accredited collector / testers training certification which is issued by a Registered Training Organisation (RTO)

    Pegasus staff CLICK HERE for additional business rule information before proceeding with verification

    • Issue date to be recorded - Date of test

    • 2 years from the issue date (to align with the induction validity)



    Expand
    titleWilpinjong


    CompetencyCompetency RequirementsUpload RequirementsExamples

    Site.Induction.Negative Drug Result PreInduction


    Anchor
    wilpinjongdna
    wilpinjongdna

    Wilpinjong Roles

    Pegasus Administrators to CLICK HERE for Additional Business Rule Information regarding this competency

    • Name on test page to match the person registered
    • Both drug and alcohol testing results need to be displayed with a negative result.
    • Date of test must have been conducted within 30 days of the induction submission
    • Must be complete by an accredited testing facility / collector which is checked by ensuring the document was issued by medical practice or pathology
    Issue date to be recorded - Date of Test





    Expand
    titleFunctional Assessments


    Expand
    titleCenturion


    CompetencyCompetency RequirementsUpload RequirementsExamples

    Medical.Certificateassessment.NSW Coal Board CBM Functional 


    • Name on assessment to match the person registered
    • Must state Functional Capacity as the type - "Kinnect Pre-employment functional assessment” is acceptable
    • 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

    NOTE: For Centurion roles, Pegasus must check that the Centurion Medical Approval Email has been approved before proceeding.

    Pegasus click HERE for exemption list 

    • Issue Date = Date of Assessment completion
    • This will not expire (unless otherwise specified)



    Competency Requirements
    Expand
    Expand
    titleCoppabella, Millennium and Moorvale
    Competency Name 
    title
    Medical - Emergency Response
    Metropolitan
    Expand
    titleCoppabella, Millennium, Moorvale and North Goonyella


    CompetencyCompetency RequirementsUpload RequirementsExamples
    QLD - CBM inc Spiro - Emergency Response Team
    • 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 suitable for and has no condition which precludes participation in mines rescue' selected which identifies it as an ERT medical
    • Issue Date: date of examination by the EMO
    • Expiry Date: two (2) years from the date of examination UNLESS the person is over 40 years of age which then becomes a one (1) validity OR there is a review date which then becomes the expiry date
    Expand
    titleMedical - Non Restricted
    Upload

    Competency Name

    Competency Requirements

    Medical.-.Temporary Functional 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.

    • 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
    • South 32 FCE is acceptable for Metropolitan 

    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


    Order 41
  • 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

     

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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.  

    CompetencyCompetency RequirementsUpload RequirementsExamples
    Medical.Certificate.NSW Coal
    • 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
    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
    • 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 (5Board 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
    • South 32 FCE is acceptable for Metropolitan 

    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 = 12 months from issue date
     

    Medical.Certificate.NSW Functional - 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)
    • Issue Date = Not Required
    • Expiry Date = 12 months from today's date



    Expand
    titleWilpinjong


    CompetencyCompetency RequirementsUpload RequirementsExamples

    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)





    Expand
    titleMedical - Emergency Response


    Expand
    titleCoppabella, Millennium and Moorvale


    Competency Name Competency RequirementsUpload RequirementsExamples
    QLD - CBM inc Spiro - Emergency Response Team
    • 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 suitable for and has no condition which precludes participation in mines rescue' selected which identifies it as an ERT medical

    The new health assessment provided by ResHealth is the equivalent to the paper-based Section 4 and will become mandatory from 1 April 2023. This can be accepted before the 1st of April.

    • Issue Date: date of examination (this applies to both section 4 and reshealth assessment)
    • Expiry Date: two (2) years from the date of examination UNLESS there is a review the person is over 40 years of age which then becomes a one (1) validity OR there is a review date which then becomes the end date
    • expiry date




    Expand
    titleMedical - Non Restricted


    Expand
    titleBurton, Coppabella, Exploration, Millennium, Moorvale and Centurion


    Inductee name

    Competency Name

    Competency RequirementsUpload RequirementsExamples

    Medical.Assessment.QLD - CBM inc Spiro -

    Underground

    Non Identified - No

    Restrictions

    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
    • or health assessment provided by Resources Safety & Health (ResHealth)


    NOTE: For Centurion roles, Pegasus must check that the North Goonyella Medical 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

    Competency Name

    Competency RequirementsUpload RequirementsExamples
    Medical.Certificate.NSW Coal Order 41

    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 there is a review date which then becomes the end date
    Expand
    titleMetropolitan
  • Certificate of fitness to be uploaded
  • 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

    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

    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
    Medical.Certificate.NSW Coal Order 43
    • 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



    Expand
    titleMetropolitan


    assessment report and assessment certificate the must be on the assessment report and assessment certificate 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
    CompetencyCompetency RequirementsUpload RequirementsExamples

    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
    • 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 RequirementsUpload RequirementsExamples
    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 listedDetermination – 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 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 sectionsection 
    • 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.

    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

    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 on assessment certificate ad assessment report to match the person registered
    • Date of assessment listed
    • Determination – must be ticked indicating result
    • 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 acceptedFollow 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 medical detailed certificate - CS HealthPeriodic 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 – Site access medical detailed certificate – page - Assessment 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 registeredand 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 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 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 .
    • 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.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 
    Expand
    titleWambo
    Name on medical

    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

  • 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
  • Wambo Accepted Example Document:

    Image Removed

    Image RemovedNSW 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
    Competency Name Competency RequirementsUpload RequirementsExamples
    Medical.Certificate.NSW Coal Order 41 - Wambo
    • (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




    Expand
    titleWambo


    Competency Name Competency RequirementsUpload RequirementsExamples
    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. Electronic signature acceptedEmail 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 CS Health – Orange 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 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 assessment report and assessment certificate to match the person registered
    • Date of assessment listed
    • Determination – must be listed on the assessment report and assessment certificateticked indicating result
    • 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
    • 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
    • Follow up section – if a review time is indicated, this must match the date recommended in the recommendation/restrictions section 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 . 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
    • (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 with full report plus full Periodic Medical Assessment Reportand 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


    Section 4 Queensland Coal Board medicals are NOT accepted

    Pegasus

    Staff: Please reference additional EXEMPTION information HERE before verification of Wambo Medical

    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

    Image Removed

    Image Removed

    Image Removed

    Expand
    titleWilpinjong

    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 | WilpinjongExpiry as per duration listed
  • Approval date and person’s name whom approved to be written in description box.



    CompetencyCompetency RequirementsUpload RequirementsExamples

     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.

    • Issue Date = date of examination

    •  Expiry Date =

    • 3 years from date of examination (unless a review date

    Medical.Certificate.NSW Coal Order 43

    ORDER 43 MEDICAL – refer to type of medical

    Preplacement
    • is listed then enter the expiry as the earliest expiring date)




    Expand
    titleWilpinjong

    Anchor
    medicalwilpinjong
    medicalwilpinjong

    CompetencyCompetency RequirementsUpload RequirementsExamples
    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 - CS Coal Services  - Blue cover page •    Uploaded

    • Uploaded in colour is preferred – not mandatory
    • Full medical not required – only require the 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 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
    • 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
    • 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 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 assessment report and assessment certificate to match the person registered
    • Date of assessment listed
    • Determination – must be listed on the assessment report and assessment certificateticked indicating result
    • 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
    • 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
    •             Full medical not required – only require the traffic light page
    • Pages required 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

    •            
    • - 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
    • Follow up section – if a review time is indicated, this must match the date recommended in the recommendation/restrictions section 
    • Must have Doctors 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.

    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


    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)




    Expand
    titleMedical - Restricted
    Expand
    titleWambo
    CompetencyCompetency RequirementsUpload RequirementsExamples
    Medical.Certificate.NSW Chest X-Ray (Wambo)
    • Name on ILO report to match the person registered in Onsite
    • Applicant DOB to be displayed on report and to match DOB that’s recorded in Onsite
    • Must indicate that it is a Chest Xray (ILO Classification)
    • ILO report result to indicate no abnormalities report (ILO classification)
    • Must be dated
    • Doctors signature and date and stamp mandatory (Electronic Signatures are Accepted)

     NOTE: Pegasus must check that the Medical.-.WAMBO Document Approval Email has been approved before proceeding. 

    • Issue Date = Service Date
    • Expiry Date = 3 years from service date (unless a review date is listed then enter the expiry as the earliest expiring date)
    Expand
    titleNorth Goonyella Medical Approval email
    CompetencyCompetency RequirementsUpload RequirementsExamples
    Medical.-.NGC Medical Approval Email
    • The approval email will be received from Jeff Perks or Paul Griffiths, sent from  NGCInductions@peabodyenergy.com.
    • Inductee name must match registered person
    • Jeff or Paul will indicate “approved” “approved with MMP” or “Not Approved” . If the email is marked "Not Approved" do not proceed.
    Issue date: Date approval was sent from Jeff or Paul
    ExpandtitleWambo Document


    Expand
    titleBurton, Coppabella, Exploration, Millennium, Moorvale and North GoonyellaCenturion


    Must certificate
  •  Must have completed a Millenium Management of Current Medical Restrictions Form. Completed medical management plan form to be included within upload. MMP's from other sites will not be accepted.
    Documents can be viewed and downloaded by clicking HERE
  • Click HERE for a list of authorised approvers
    Competency NameCompetency RequirementsUpload RequirementsExamples
    NSW Coal Order 41 RestrictedInductee name

    Centurion - Coal Board Medical inc Spiro - RESTRICTIONS



    Click HERE to download the template



    •  Inductee name and date of birth to be clearly shown on the medicalCertificate of fitness to be uploaded
    •  Must be stamped and signed by the medical practitioner
    • Must be Issued by any CS Health provider
    • Must have been issued within the last 3 years. 
      NOTE: If restricted, full medical to be uploaded which will be sent to site for approval 
    • Issue Date: date of examination

    • Expiry Date: three (3) years from the date of examination UNLESS there is a review date/stipulation which then becomes the end date

    NGC - Coal Board Medical inc Spiro - 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 completed a North Goonyella  Management of Current Medical Restrictions Form. Completed medical management plan form to be included within upload. MMP's from other sites will not be accepted.
      Documents can be viewed and downloaded by clicking HERE
    • Click HERE for a list of authorised approvers
    NOTE: For North Goonyella roles, Pegasus must check that the North Goonyella
    • a QLD Section 4 or health assessment provided by Resources Safety & Health (ResHealth)
    • Must have completed a Health Management Plan (HMP) - PA-SAH-FRM 0016. Completed medical management plan form to be included within upload. MMP's from other sites will not be accepted. 
    • MMP not required for corrective vision or hearing protection
    • Required signatures for the MMP - must be signed by the Hiring Manager, the H&S Manager/Rehab Co-ordinator and the Candidate.  
    • Click HERE for a list of authorised approvers

    NOTE: For Centurion roles, Pegasus must check that the Centurion Medical Approval Email has been approved before proceeding. 

    Issue Date: date of examination by the EMO (EMO date not the

    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

    CB
    • 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
    • Can accept previous MMP form 

    MIL - Coal Board Medical inc Spiro - RESTRICTIONS

    Click HERE to download Millennium Medical Management Plan template

    Medical Assessment QLD - Restricted Coal Board Medical (For Burton &  Exploration Roles)

    • 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 certificateor health assessment provided by Resources Safety & Health (ResHealth)
    • MMP not required for corrective vision
    •  Must have completed a Coppabella Management of Current Medical Restrictions completed  Millenium Medical Management Plan Form. Completed medical management plan form to be included within upload. MMP's from other sites will not be accepted.Documents can be viewed and downloaded by clicking HERE
    • Click HERE for a list of authorised approvers




    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
    MIL
    • Can accept previous MMP form 





    CB - Coal Board Medical inc Spiro - RESTRICTIONS

    MV - Coal Board Medical inc Spiro - RESTRICTIONS

    CMJV- Coal Board Medical inc Spiro - RESTRICTIONS


    Click here to download CMJV Medical template

    • 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)
    • MMP not required For the below

    The requirement to wear prescription glasses for vision

    The requirement to wear normal PPE hearing protection

    The requirement to wear normal PPE dust mask protection

    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



    Expand
    MV - Coal Board Medical inc Spiro - 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 completed a Moorvale Management of Current Medical Restrictions Form. Completed medical management plan form to be included within upload. MMP's from other sites will not be accepted.
      Documents can be viewed and downloaded by clicking HERE
    • Click HERE for a list of authorised approvers
    • 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

    Medical Assessment QLD - Restricted Coal Board Medical inc Spiro

    For Burton Roles

    • 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 completed a Burton Management of Current Medical Restrictions Form. Completed medical management plan form to be included within upload. MMP's from other sites will not be accepted. Documents can be viewed and downloaded by clicking HERE
    • Click HERE for a list of authorised approvers
    • 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
    Expand
    titleMetropolitan
    Competency NameMetropolitan Competency RequirementsCoppabella, Millennium and Moorvale Competency RequirementsUpload RequirementsExamples
    NSW Coal Order 41 Restricted
    • Inductee name to be clearly shown on the medical
    • Certificate of fitness to be uploaded
    • Must be Issued by any CS Health provider
    • Must have been issued within the last 3 years 
      NOTE: If restricted, full medical to be uploaded which will be sent to site for approval
    • ssue Date: date of examination

    • Expiry Date: three (3) years from the date of examination UNLESS there is a review date/stipulation which then becomes the end date

    Expand
    titleWilpinjong
    Competency NameCompetency RequirementsUpload RequirementsExamples

    Medical.Certificate.

    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.
    Expand
    titleMedical - Xrays
    Expand
    titleCoppabella, Millennium and Moorvale
    Competency NameCompetency RequirementsUpload RequirementsExamplesMedical.Assessment.Xray - Current / Previous Underground Worker
    • Must have the Chest Xray History Declaration form completed
    • Latest coal board medical record must also be attached

    Candidate details - must include applicants full name

    Work History details – either or both surface or underground must be ticked/marked

    Candidate acknowledgment – Must include full name and must be signed and dated by the candidate

    IF the attached medical doesn't have the date of the chest x-ray identified:

    • Issue Date: date of examination
    • Expiry Date: five (5) years from the date of examination (ignore any review dates)

    IF the attached medical does have the date of the chest x-ray identified:

    • Issue Date: date the chest xray was taken
    • Expiry Date: five  (5) years from the date that the x-ray was taken
     Medical.Assessment.Xray - Surface Worker Only  
    •  Must have the Chest Xray History Declaration form completed
    • Latest coal board medical record must also be attached

    Candidate details - must include applicants full name

    Work History details – either or both surface or underground must be ticked/marked

    Candidate acknowledgment – Must include full name and must be signed and dated by the candidate

    IF the attached medical doesn't have the date of the chest x-ray identified:

    • Issue Date: date of examination
    • Expiry Date: five (5) years from the date of examination (ignore any review dates)

    IF the attached medical does have the date of the chest x-ray identified:

    • Issue Date: date the chest xray taken
    • Expiry Date: ten (10) years from the date that the x-ray was taken
    titleWambo


    Competency NameCompetency RequirementsUpload RequirementsExamples
    Medical.Certificate.NSW Coal Order 43 - Wambo

    NOTE: All restricted Medicals are to be sent to site for further review and must have an attached medical management plan addressing the comments on the medical EXCEPT when medicals have only spiro or audio restrictions, these do not need to be sent to site for approval.

    Medical Management Plan

    • Contractor letter head and logo
    • Workers name to match the workers name on the medical.
    • Role title to be included on medical management plan.
    • Information as to health concern/restriction specific to the concerns outlined on the medical
    • Any additional controls to address the health restriction/concern e.g. – additional hearing protection, weight management plan, diabetic plan, colour vision, PPE etc.
    • Name, signature, job title and date from the worker who is listed on the medical management plan.
    • Name, signature, job title and date from a company representative – this should be a project manager, supervisor director of the contracting company.
    • Optional - Name, signature, job title and date from a company HSEC representative


    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 = date of examination
    • Expiry Date = as per duration unless a review date listed



    Expand
    titleMetropolitan


    Competency NameCompetency RequirementsUpload RequirementsExamples
    NSW Coal Order 43 Restricted

    Amber requirements:

    • Section 4 Queensland Coal Board medicals are NOT accepted
    • If the Medical is Amber, a HMP must be provided
    • Also – If a review is recommended in less than the standard 3 years a health management plan is required.
    • The HMP and Medical Assessment will then need to be sent to site for review and approval.
    • HMP can be supplied on company letter head or by using the following template: PA-SAH-FRM-0016 Health Management Plan.docx


    Preplacement Medical Assessment - External medical provider - Coal Services  - Blue cover page

    • Uploaded in colour is preferred – not mandatory
    • Full medical required
    • 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 required
    • 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.
    • MMP not required for corrective vision


    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.
    Pegasus staff CLICK HERE for additional business rule information before proceeding with verification
    • Issue Date = date of examination
    • Expiry Date = as per duration unless a review date listed




    Expand
    titleWilpinjong


    Competency NameCompetency RequirementsClient Review ConditionsUpload RequirementsExamples

    Medical.Certificate.

    or

    Medical.Certificate.Category: AMBER

    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

    MMP not required for corrective vision

    Preplacement Medical Assessment - External medical provider - Coal Services  - Blue cover page

    • Uploaded in colour is preferred – not mandatory
    • Full medical required
    • 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 required
    • 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



    Email Address links - Pegasus Internal Procedures | Peabody | Procedures | Wilpinjong

    Avetta will Escalate to Client Site If restricted/ Amber Medical is supplied.

    Must have a completed HMP on the current template provided in the BR and then both documents will be escalated for client review

    Pegasus staff CLICK HERE for additional business rule information before proceeding with verification

    • Issue Date = date of examination
    • Expiry Date = as per duration unless a review date listed




    Expand
    titleCenturion Medical Approval email


    CompetencyCompetency RequirementsUpload RequirementsExamples
    Medical.-.WAMBO Document Centurion Medical Approval Email
    • The approval email will be received from Kris Scaife or Victoria Hellyer, sent from  wamboinductions@peabodyenergy.comfrom Daniel Proffitt, Ernest Gosk, Neville Impson, Nicholas Oakley, Christopher Schneider sent from  NGCInductions@peabodyenergy.com.
    • Inductee name must match registered person
    • The email Christopher Schneider will indicate “approved” “approved with MMP” or “Not Approved” . If the email is marked "Not Approved or Flagged " do not proceed.
    Click HERE for additional information regarding the process to obtain the approval email
    • .
     
    • Issue date: Date approval was
    sent from  wamboinductions@peabodyenergy.comExpiry date: Use the medical expiry date
    • sent