NSW Coal Order 43 allows employers to utilise an existing pre-placement medical assessment for a new employee for the purpose of Order 43 compliance, provided the pre-placement medical assessment* was undertaken within the 12 months prior to the commencement date with the new employer.

If you are an employer wishing to utilise an existing preplacement medical assessment for a new employee, please complete the form below and submit to CS Health.

Upon receipt of the completed form, CS Health will review the details of the nominated medical assessment to ensure compliance with Order 43, and will update the employment details of the worker.

If the previous preplacement medical assessment is not compliant, or was undertaken more than 12 months prior to the commencement date with the new employer, the new employer will be advised to arrange a new preplacement medical assessment.

* The existing assessment must be Order 43 compliant and registered on CS Health’s database to be utilised by another company.

Order 43

Order 43

Employee Details
Medical Details

I declare that above information is correct and understand that the information provided will be used to assist my company to comply with NSW Coal Order 43.

Employer Details
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