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ORDER 43 MEDICAL

Preplacement Medical Assessment - External medical provider - Coal Services - Blue cover page
• If the medical is submitted for the following sites: Austar, Abel/Donaldson: 

• Full medical required - Cover page not required

• For all other sites:

• Full medical not required – only require the traffic light page and follow up page to be uploaded

• Uploaded in colour is preferred – not mandatory

• 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 Doctors signature, must have name and date.

Periodic Medical Assessment - with the site access medical (traffic light page) 

• If the medical is submitted for the following sites: Austar, Abel/Donaldson: 
  • Full medical required- Cover page not required
•  For all other sites:
  • Full medical not required – only require the traffic light page and follow up page to be uploaded
• Uploaded in colour is preferred - not mandatory
• Pages required to be uploaded -

• assessment page 1 & 2 and the medical assessment certificate (Site access medical - traffic light page)
• 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 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
• Must have Doctors signature, must have name and date.

Site Access Plus Periodic Medical Assessment Detailed Certificate - CS Health

• If the medical is submitted for the following sites: Austar, Abel/Donaldson: 
  • Full medical required- Cover page not required
•  For all other sites:
  • Full medical not required – only require the traffic light page and follow up page to be uploaded
• Pages required to be uploaded – site access plus periodic medical assessment detailed certificate.

• 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.
  
  
  

Preplacement Medical Assessment – CS Health – Orange cover page

• If the medical is submitted for the following sites: Austar, Abel/Donaldson: 
  • Full medical required- Cover page not required
•  For all other sites:
  • Full medical not required – only require the traffic light page and follow up page to be uploaded

• Uploaded in colour is preferred - not mandatory
• Full medical not required – only require the traffic light page and the 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.

Preplacement Medical Assessment Review report – CS Health – Orange cover page

• If the medical is submitted for the following sites: Austar, Abel/Donaldson: 
  • Full medical required- Cover page not required
•  For all other sites:
  • Full medical not required – only require the traffic light page and follow up page to be uploaded

• Uploaded in colour is preferred - not mandatory
• Full medical not required – only require the traffic light page (Order 43 Preplacement Medical Review Report) and the 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
• Revised 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.

• Issue Date = Examination date
• Expiry Date = 3 years from date of examination (unless review date listed in comments)
• AMBER MEDICALS - Approval date and person’s name whom approved to be written in description box

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