Page History

• 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

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

Drug and Alcohol Testing.Test.14 Days Valid

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.
• 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

Drug and Alcohol Testing.Test.14 Days Valid

Metropolitan 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 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

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 - Date of Test

• Expiry Date = Not Required 

Drug and Alcohol Testing.-.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

• Issue Date = Not Required
• Expiry Date = Not Required 

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.
• 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.  

• Issue date to be recorded

  
  

Drug and Alcohol Testing.Test.7 Days Valid

Millennium 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 pathologyv

• Issue date to be recorded

  
  

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.
• 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

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

• 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

Medical.assessment.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

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

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

• 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
• This will not expire (unless otherwise specified)

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

• Issue Date = Not Required
• Expiry Date = Not Required 

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)

• 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

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.  

• 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’

• 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 (5) years from the date of examination UNLESS there is a review date which then becomes the end date

• 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, 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 (5) years from the date of examination UNLESS there is a review date which then becomes the end date

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

• 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 independent 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

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 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

  
  

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 - cover page, overview, 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 - cover page, overview, 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)

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)
• 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 = Not Required 

• Name on medical to match the person registered
• Date of birth to match person registered
• Date of assessment listed
• Doctors signature and date and stamp mandatory (Electronic Signatures are Accepted)
• The full Order 41 medical report is to be uploaded to Onsite for all contractors (Not just cover page or Part D)
• If the medical has NOT been conducted by Coal Services Health it must be accompanied by the confirmation of order 41 compliance certificate from CS Health or confirmation email

NOTE: Pegasus must check that the Medical.-.WAMBO Document Approval Email has been approved before proceeding. In the case where an Amber medical is uploaded, it is OK to approve as long as the Medical.-.WAMBO Document Approval Email is approved and uploaded

• 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

  
  

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. In the case where an Amber medical is uploaded, it is OK to approve as long as the Medical.-.WAMBO Document Approval Email is approved and uploaded

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 - cover page, overview, 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 - cover page, overview, 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)

• 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.Order 41

or

Medical.Certificate.Category: AMBER

• Name to match
• Issued by any CS Health provider within the last 3 years
• Duration = 3 years
• Certificate of fitness to be uploaded - If restricted, full medical to be uploaded which will be sent to site for approval

If the medical is AMBER a medical management plan will need to be completed  - Click HERE for the template. Once completed the MMP must be uploaded with the medical. Pegasus will send the medical and MMP for approval and the amber medical procedure followed – medical will not be approved without site approval

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

• Issue Date = date of examination
• Expiry Date = as per duration unless a review date listed
• Approval date and person’s name whom approved to be written in description box.

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 - cover page, overview, 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 - cover page, overview, 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)

• Issue Date = Examination date
• Expiry Date = 3 years from date of examination (unless review date listed in comments)

NGC - Coal Board Medical inc Spiro - RESTRICTIONS

Click HERE to download the 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 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. 
• 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 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 (5) years from the date of examination UNLESS there is a review date which then becomes the end date

CB - Coal Board Medical inc Spiro - RESTRICTIONS

Click HERE to download Coppabella - Management of Current Medical Restrictions template

MIL - Coal Board Medical inc Spiro - RESTRICTIONS

Click HERE to download Millennium Medical Management Plan template

MV - Coal Board Medical inc Spiro - RESTRICTIONS

Click HERE to download Moorvale -Management of Current Medical Restrictions 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 certificate
•  Must have a completed Coppabella  / Millenium / Moorvale Management of Current Medical Restrictions / Medical Management Plan Form. Completed medical management plan form to be included within upload. MMP's from other sites will not be accepted.
• 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.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

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 - cover page, overview, 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 - cover page, overview, 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)

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