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  • Home
  • Health
  • Order 43
  • Medical Reviews

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Health

Medical reviews

Do you have questions about medical reviews?

See below for answers to commonly-asked questions.

We are here to help, so if you have any further questions or concerns, please don’t hesitate to contact us. You can reach us Monday to Friday, 8.00am to 5.00pm on 1800 274 633 (select option 4)

Frequently asked questions - workers

As part of Order 43 health surveillance, the Approved Medical Practitioner (Order 43 Doctor) has identified a medical condition that requires further investigation and/or occupational exposure that requires monitoring.

As a result, they have asked you to complete a medical review to clarify and gather further information about this condition.

You may be asked to visit your own treating doctor for further assessment or investigation related to your medical condition. In most cases, the results or information from this follow-up should be provided back to the Order 43 Doctor. However, you may receive a referral that is made as a duty of care. In these cases, the referral is for your personal health and wellbeing, and you are not required to report the outcome back to the Order 43 Doctor.

The Order 43 Doctor has requested a medical review because they are concerned that you may have a medical condition which, if left unmonitored, could have a negative impact on your health and safety, or the safety of your workmates.

While Order 43 mandates pre-employment and periodic medical assessments, it does not specifically require medical reviews and/or other follow-up investigations.

However, you should complete a medical review if requested to help identify and prevent any potential workplace health and safety issues.

CS Health encourages both coal mine workers and employers to treat the medical review as an extension of the Order 43 medical assessment and to view it as necessary for protecting ongoing health and safety.

CS Health will send reminders to both you and your employer about upcoming medical reviews at the following intervals:

  • First reminder: Eight (8) weeks before the review’s scheduled due date
  • Second (final) reminder: Four (4) weeks after the review’s scheduled due date.

You are responsible for organising your medical review appointment and/or follow-up. However, some employers may choose to facilitate this on behalf of their workforce. Please check with your employer if this is a service they offer.

Note: Your employer will not be notified of the nature of your medical condition; only that you require a medical review.

If you do not complete the medical review after the final reminder, a note will be added to your medical file indicating that the review was not completed as requested.
Your workplace may have its own process for managing outstanding medical reviews, and they will discuss this process with you separately.

Medical reviews - information for coal mine workers
Health
PDF (50 KB)

Frequently asked questions – employers

As part of Order 43 health surveillance, the Approved Medical Practitioner (Order 43 Doctor) may determine that a coal mine worker has a medical condition that requires further investigation and/or occupational exposure that requires monitoring.

As a result, they will ask the coal mine worker to complete a medical review to clarify and gather further information about their condition.

A worker may be referred to their own treating doctor for further assessment or investigation related to a medical condition. In most cases, the worker will be asked to provide the relevant information back to the Order 43 Doctor to support completion of the medical review. However, there may be instances where a referral is made as a duty of care. In these cases, the referral is for the worker’s personal health and wellbeing, and they are not required to return any information to the Order 43 Doctor.

Depending on the medical review type, the Order 43 Doctor will set the timeframe for the medical review (e.g. 6 months, 12 months).

The Order 43 Doctor will request a medical review if they are concerned that a coal mine worker has a medical condition which, if left unmonitored, could have a negative impact on their health and safety, or the safety of others in the workplace.

While Order 43 mandates pre-employment and periodic medical assessments, it does not specifically require medical reviews and/or other follow-up investigations.
Employers should encourage a coal mine worker to complete a medical review if requested to help identify and prevent any potential workplace health and safety issues.

CS Health encourages both coal mine workers (existing and those commencing employment) and employers to treat the medical review as an extension of the Order 43 medical assessment and to view it as necessary for protecting ongoing health and safety.

CS Health will send reminders about upcoming medical reviews to both the coal mine worker and their employer at the following intervals:

  • First reminder: Eight (8) weeks before the review’s scheduled due date
  • Second (final) reminder: Four (4) weeks after the review’s scheduled due date.

CS Health does not send reminders following pre-employment medicals unless specifically requested by the employer upon confirmed employment of the coal mine worker.
The coal mine worker is responsible for organising their medical review appointment and/or follow-up. However, some employers may choose to facilitate this on behalf of their workforce.

Employers will not be notified of the nature of the coal mine worker’s condition; only that a medical review is required.

If a coal mine worker does not complete the medical review after the final reminder, a note will be added to their medical file indicating that the review was not completed as requested.

No further reminders will be issued.

Medical reviews - information for employers
Health
PDF (47 KB)

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Health

  • Order 43
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      • Employer medical transfer request
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Page last updated: 16 May 2025

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  • Health
    • Order 43
      • For Employers
        • Employer medical transfer request
      • For Providers
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      • Approved Medical Practitioners Directory
      • Health surveillance in the NSW coal industry
      • Medical Reviews
    • Preparing for the replacement Order
      • Preparing for the replacement Order
      • Introducing risk categories
    • Workplace Health Services
      • Medicals
      • Chest x-rays
      • Drug and alcohol screening
      • Hearing and PPE Fit Tests
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      • Personal Exposure Monitoring
      • Noise and Vibration Monitoring
      • Lighting Surveys
      • Diesel particulate matter
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      • Gas Analysis Of Mine Atmospheres
      • General Atmospheric Analysis
      • Diesel Particulate Matter
      • Respirable Crystalline Silica
    • Order 40
      • Order 40: Abatement of dust on longwalls
    • Order 42
      • Order 42: Airborne dust monitoring
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      • Non-Metallic Materials
      • Breathing Apparatus
      • Coal Mine Roadway Dusts
      • Gas Monitor Performance
    • Standing Dust Committee
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        • Respirable Crystalline Silica
        • Diesel Particulate Matter (DPM)
        • Welding Fume
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