NSW Coal Mine Workers Order 43
- Make a Booking
- Respirator Fit Testing
What’s the difference between Order 41 Medical and Order 43 Medical?
Requirement of a Respiratory FIT-test
Formalisation of reporting standards
An approved and appropriately qualified medical practitioner and registered nurse must perform Order 43 medical assessments.
Increased frequency of chest x-rays to every three years for underground, open cut coal mine workers, including coal workers with a history of dust exposure.
What are the new requirements for chest X-rays?
An order 43 medical increases the frequency of chest x-rays for coal workers as follows:
Pre-employment chest x-rays
- A pre-employment chest x-ray is required for all workers on entry to the NSW mining industry. Existing workers who are changing roles are not required to undergo a chest x-ray, as long as they can provide an ILO chest x-ray less than three years old.
Periodic chest x-rays
- Underground coal workers must undergo a chest x-ray every three years or at a shorter interval if indicated in their last medical;
- Open cut worker involved in the production, processing or maintenance of coal must undergo a chest x-ray every three years or at the interval recommended in their last medical;
- Workers with a history of hazardous dust exposure must undergo a chest x-ray every three years;
- Other workers must undergo a chest x-ray every six years.
Have you completed the Employer Role Requirements Form?
This must be completed by the EMPLOYER and emailed to firstname.lastname@example.org prior to the medical assessment. The NSW coal board medical cannot be submitted to Coal Services without this information.
Similar exposure group selections must be made by the employer/ prospective employer only. The CS Health Similar Exposure Groups (SEGs) Reference document will assist when completing the Role Requirements form.
Has the respirator been provided for the assessment?
Where candidates are required to perform a Respirator Fit test the EMPLOYER must provider the respirator the worker will be using in their role for the assessment.
The candidate/employee must remove ALL facial hair, piercings and makeup for the assessment. If a candidate fails to bring a respirator to their assessment the medical will not be completed and will need to be rebooked. Cancellation fees will apply.
What are my obligations as an EMPLOYER?
Order 43 requires that coal mine workers who undertake tasks relating to production, processing or maintenance must complete a Respirator Fit as a component of their medical assessment at the following times:
- At pre-placement medical assessment, prior to commencing work in a coal operation – IF this is their first time working in a NSW coal mine.
- At their periodic medical every three years.
As the employer YOU MUST PROVIDE THE RESPIRATOR they will be using for the assessment.
Why do I need to provide the respirator?
There are a multitude of respirator devices being used across the coal mining industry. It is not feasible for a medical provider to maintain a store of all these devises. However it is necessary for the worker to be assessed with the device they will be using.
Respirator Fit testing assesses whether the respirator assigned to a person forms an adequate seal around their face and verifies whether the wearer is provided the required level of protection against exposure to hazardous atmospheric contaminants.
What are my obligations as an EMPLOYEE?
You must bring to your appointment the RESPIRATOR PROVIDED BY YOUR EMPLOYER (or future employer).
You must remove ALL facial hair. Facial hair will interfere with the respirator fit. The complete sealing surface of the respirator must be in contact with the wearer’s skin.
You must remove any piercings and makeup. All forms of jewellery that may interfere with the facial seal must not be worn. Facial make-up and creams applied to the face should not be worn as they may interfere with the face seal.
Which respirators and dust masks need to be tested? Bring to your appointment the type of mask you would wear at work. Any tight fitting mask must be tested. This includes:
- All disposable masks known as either P2 or N95 masks
- Half-face masks
- Full-face masks
- Full-face self-contained breathing apparatus (SCBA) masks
- Full-face powered air purifying (PAPR) masks