A Guide To NSW Order 43 Medical

Before contractors and workers can work within a coal mine site in Australia, they are required to have an NSW order 43 medical assessment. Previously known as Order 41, this medical requirement protects and ensure the safety and health of coal miners by providing compulsory periodic health assessments.

nsw order 43 medical

What Happens In A NSW Order 43 Medical?

Prior to an NSW Order 43 medical, an employee or an employer will be required to complete a form titled “Role Requirements”. This will detail the position, mine site and specific exposure group of the worker.

During the appointment, the worker will be asked to fill up a consent form and provide a medical history during the medical assessment.

There will be an in-depth questionnaire regarding the lung health and questions will be asked about previous injuries, conditions or illnesses that can impact the worker’s ability to work.

Here are the physical assessments to be completed:

  • Vision Tests (Distance, Near and Color)
  • Anthropometrics (Taking height, BMI, and weight records)
  • Audiogram (Screening)
  • Cardiovascular examinations (Blood pressure, heart check, and pulse)
  • Spirometry Assessment (Lung functioning)
  • Chest X-Ray
  • Brief musculoskeletal assessment
  • Respirator Fit Testing Perth offers
  • Urinalysis (Checking for diabetes and other internal organ disorders)

After the physical examination, an approved occupation physician will review the assessment and write an Order 43 Report or Certificate of Fitness, proving that the worker has the ability and the capacity to work at the specific role.

What Is An Occupational Physician?

An occupational physician is a medical practitioner that specialized in identifying specific risks for the safety and health of workers. Thus, they are the ones called for when in need of an order 43 medical.

They’re in-depth knowledge and experience in the field should provide more valuable insights into the overseeing of such crucial health assessments, ensuring the safety and health of your employees.

In general, an occupational physician must:

  • Help prevent work-related injuries and ill-health
  • Have knowledge of worksite operations
  • Be familiar with toxic properties, hazards, and stressors of the industry
  • Knowledge of rehabilitation methods
  • Diagnose and treat occupational injuries and diseases
  • Have knowledge of worker compensation laws
  • Determine a worker’s emotional and physical abilities for work

Do You Need Additional Assessments?

An Order 43 Medical can be tailored depending on the work location and the nature of the position. In addition to the mandatory physical tests mentioned above, here are some common additional medical assessment for coal mine workers:

  • Fitness testing
  • Manual handling
  • Functional strength
  • For Mines Rescue Staff, a sub-maximal aerobic capacity will be required
  • Drug and Alcohol assessment

Frequency Of Undergoing Order 43 Medical

Once employed, a worker is mandated to undergo periodic or routine assessments every 3 years in order to ensure that the worker is fit to work within the coal mining industry.

During the assessment, additional medical tests shall be performed including blood pathology and ECG.

Your employee’s health and safety are crucial. So, if you need any help with Order 43 medical assessments, medical management or its injury classifications, visit https://resile.com.au/order-43/.