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CompetencyCompetency RequirementsUpload RequirementsExamples

Coal Board Medical

·         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

·         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)” - Do not process as 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)

·         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

·         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



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