Page Comparison

• Applicant name on Medical Must match Cardholder name in the system (No shortened versions of the name will be accepted)

• Date of Birth (DOB) for applicant must be shown on the medical (any page)

  Types of Acceptable Medicals:
  Pre-Employment / Pre-Placement Medical
  Cobar Mine Medical
  Coal Services Order 43

  Medicals must consist of:
  Medical Assessment
  Functional Assessment
  Chest X-ray
  Blood Lead Test Results

NOTE: Blood Lead test results NOT required for Hera/Federation or Dargues sites

• There must be an Overall ‘Impression’, ‘Assessment’ or ‘Determination’ page included within the uploaded file which indicates the applicant is: Fit for duty / Suitable to carry our duties of proposed employment without restrictions

• PGM Surface worker medicals that are Medical must have been completed within the previous twelve (12) months can be accepted. For others: The medical must be completed within the last 6 months

NOTE: Medical recommendations which may be included in this result are not necessarily restrictions

• Drug and alcohol results must be displayed - Minimum of ‘0’ or ‘negative’ recorded for alcohol testing result and ‘negative’ for drug result
• Chest x-ray report attached to the ILO report must be included within the uploaded file: Acceptable results for chest x-ray include an indication that lungs are clear / results are normal (heart not enlarged / normal) or only mild conditions

All restricted medicals will be escalated by Avetta for Client Review.

Avetta verifier click here for additional business rule prior to verification of this competency

Issue Date = Date of Assessment completion
Expiry Date = 2 years from date of assessment

Click HERE for the template. Once completed the HMP must be uploaded with the medical.All restricted medical requirements match those of medical.certificate.role relevant and must also include the following:

Health Management Plan (HMP) must be completed and uploaded with restricted medical. Click HERE for the template

Pegasus will send the amber medical and HMP for approval – medical will not be approved without site approval

• HMP not required for corrective visionPre-Employment Medical
  Cobar Mine Medical
  Coal Services Order 43
• 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
• Follow up section – if a review time is indicated, this must match the date recommended in the recommendation/restrictions section
• Must be completed by a medical practitioner
• Must have either Doctors signature or Registered Nurse signature, must have name, ARN/AMP number and date.

Click here Group Medical Declaration Form.pdf for the template:

• Form must be completed in full
• Name on medical declaration to match the person registered
• Date of birth to match person registered
• Date of arrival to site access listedmust be listed

NOTE: Medical exemption only grants 14 days site access, this must be calculated precisely in the expiry date, based off date of arrival to site

Expiry = Strictly 14 days from date signedof arrival to site