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• Applicant name on medical to match the name registered in the system
• Applicant date of birth (DOB) must be displayed on medical and match the DOB on system
• Must be stamped and signed by the medical practitioner
• Must include QLD Section 4 certificate
• Must include accurate Job role (This does not need to match Onsite role)

If  “If the fitness for duty section is ticked - “Is fit to undertake the proposed/current position subject to the following restriction(s)” OR “Is not fit to undertake the proposed/current position because of the following restriction(s)” - The chest x-ray evidence should be left pending until the processes relating to Medical.Certificate.Queensland Coal Board and Induction Medical Declaration form have been completed and approvedDo not process the medical- refer to HSR”

• Must include Respiratory function & chest Xray summary 
• Company name must match Contractor portal name
• Name of mine must be either Various or Fitzroy entities eg. Carborough Downs, Ironbark No.1, Broadlea, Exploration (if unsure refer to HSR)

·         Applicant name on medical to match the name registered in the system

·         Applicant date of birth (DOB) must be displayed on medical and match the DOB in onsite

·         Must be stamped and signed by the medical practitioner

·         Must be a QLD Section 4 certificate

·         Must include accurate Job role (This does not need to match Onsite role)

·         If the fitness for duty section is ticked - “Is fit to undertake the proposed/current position subject to the following restriction(s)” OR “Is not fit to undertake the proposed/current position because of the following restriction(s)” - The Induction Medical Declaration Form (which meets below business rule criteria) must be provided within this file upload. If it has not been provided, the application will be returned to request a copy of this. The medical documentation will then be escalated to the HSR team.” 

·         Must include Respiratory function & chest Xray summary 

·         Company name must match Contractor portal name

·         Name of mine must be either Various or Fitzroy entities eg. Carborough Downs, Ironbark No.1, Broadlea, Exploration (if unsure refer to HSR)

·         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

Induction Medical Declaration form

·         CDCMC-FRM-0021-7* Induction Medical Declaration form Employee section & physical assessment section must be completed in full excluding HST Superintendent Name & signature

*If older versions of the form are supplied, these will be rejected requesting that the version 7 form is completed and submitted.

·         Employee name on form must be the same as name registered in the system

·         DOB on form must match the DOB in onsite

·         Where a medication is declared form must be referred to HSR team

·         Where employee ticks yes for any condition in physical assessment section or lists other- refer form to HSR team