Burton, Coppabella, Exploration, Millennium, Moorvale and Centurion
| Competency Name | Competency Requirements | Upload Requirements | Examples |
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Centurion - 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 or health assessment provided by Resources Safety & Health (ResHealth)
- Must have completed a Health Management Plan (HMP) - PA-SAH-FRM 0016. 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 Centurion roles, Pegasus must check that the Centurion Medical Approval Email has been approved before proceeding. NOTE: Peabody Centurion direct employees will also need an FCE uploaded against the competency name, Medical.assessment.CBM Functional | Avetta verifiers click here for additional business rule information prior to verification of this competency - 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
- Can accept previous MMP form
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MIL - Coal Board Medical inc Spiro - RESTRICTIONS Click HERE to download Millennium Medical Management Plan 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 or health assessment provided by Resources Safety & Health (ResHealth)
- MMP not required for corrective vision
- Must have a completed Millenium 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
| Avetta verifiers click here for additional business rule information prior to verification of this competency - 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
- Can accept previous MMP form
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CB - Coal Board Medical inc Spiro - RESTRICTIONS MV - Coal Board Medical inc Spiro - RESTRICTIONS CMJV- Coal Board Medical inc Spiro - RESTRICTIONS
Click here to download CMJV Medical 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 or health assessment provided by Resources Safety & Health (ResHealth)
- MMP not required For the below
The requirement to wear prescription glasses for vision The requirement to wear normal PPE hearing protection The requirement to wear normal PPE dust mask protection | Avetta verifiers click here for additional business rule information prior to verification of this competency - 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
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Wambo
| Competency Name | Competency Requirements | Upload Requirements | Examples |
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| Medical.Certificate.NSW Coal Order 43 - Wambo | NOTE: All restricted Medicals are to be sent to site for further review and must have an attached medical management plan addressing the comments on the medical EXCEPT when medicals have only spiro or audio restrictions, these do not need to be sent to site for approval. Medical Management Plan - Contractor letter head and logo
- Workers name to match the workers name on the medical.
- Role title to be included on medical management plan.
- Information as to health concern/restriction specific to the concerns outlined on the medical
- Any additional controls to address the health restriction/concern e.g. – additional hearing protection, weight management plan, diabetic plan, colour vision, PPE etc.
- Name, signature, job title and date from the worker who is listed on the medical management plan.
- Name, signature, job title and date from a company representative – this should be a project manager, supervisor director of the contracting company.
- Optional - Name, signature, job title and date from a company HSEC representative
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 - 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 - 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)
Site access plus periodic medical assessment detailed certificate - CS Health - Pages required to be uploaded – site access plus periodic medical assessment detailed certificate and periodic medical assessment report.
- 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.
Section 4 Queensland Coal Board medicals are NOT accepted | Pegasus staff CLICK HERE for additional business rule information before proceeding with verification
- Issue Date = date of examination
- Expiry Date = as per duration unless a review date listed
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Metropolitan
| Competency Name | Competency Requirements | Upload Requirements | Examples |
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| NSW Coal Order 43 Restricted | Amber requirements: - Section 4 Queensland Coal Board medicals are NOT accepted
- If the Medical is Amber, a HMP must be provided
- Also – If a review is recommended in less than the standard 3 years a health management plan is required.
- The HMP and Medical Assessment will then need to be sent to site for review and approval.
- HMP can be supplied on company letter head or by using the following template: PA-SAH-FRM-0016 Health Management Plan.docx
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.
- MMP not required for corrective vision
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 - 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 - 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)
Site access plus periodic medical assessment detailed certificate - CS Health - Pages required to be uploaded – site access plus periodic medical assessment detailed certificate and periodic medical assessment report.
- 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.
| Pegasus staff CLICK HERE for additional business rule information before proceeding with verification
- Issue Date = date of examination
- Expiry Date = as per duration unless a review date listed
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Wilpinjong
| Competency Name | Competency Requirements | Client Review Conditions | Upload Requirements | Examples |
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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 MMP not required for corrective vision 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 - 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 - 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)
Site access plus periodic medical assessment detailed certificate - CS Health - Pages required to be uploaded – site access plus periodic medical assessment detailed certificate and periodic medical assessment report.
- 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.
Section 4 Queensland Coal Board medicals are NOT accepted
Email Address links - Pegasus Internal Procedures | Peabody | Procedures | Wilpinjong | Avetta will Escalate to Client Site If restricted/ Amber Medical is supplied. Must have a completed HMP on the current template provided in the BR and then both documents will be escalated for client review | Pegasus staff CLICK HERE for additional business rule information before proceeding with verification - Issue Date = date of examination
- Expiry Date = as per duration unless a review date listed
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