Order 43 (Employment Medicals)

Pre-employment medical examinations, also known as pre-employment medicals, are assessments conducted by employers to ensure that job candidates are physically and mentally fit to perform the inherent requirements of their role.

NSW Order 43 medical is an occupational examination required for all NSW coal mine workers. The Order 43 forms part of the NSW Coal Mining Health and Safety Scheme; a scheme managed by Coal Services. Order 43 Medicals include Pre employment medicals prior to employment in the coal industry and periodic medicals which are completed every 3 years whilst employed in the coal industry.

Order 43 incorporates:

  • Statutory requirements for monitoring for hazardous substances;
  • Statutory requirements for monitoring for health effects from noise exposure;
  • Attention to priority health issues;
  • General Health and well being components;
  • Identification of health issues important in a safety critical workplace.

With many years of experience and all staff certified with Coal Services Health, Singleton Medical Centre provides a comprehensive range of pre-employment medicals including Order 43 Pre employment, Periodic and Site Access for the Coal Industry.

Order 43 (Employment Medicals) Frequently Asked Questions

Employers conduct pre-employment medicals to ensure that job candidates can safely and effectively perform the duties of the job, reduce workplace accidents, and comply with legal and safety requirements.

Yes, an Order 43 medical is required for all employees and contractors working in the coal industry.

The specific tests and evaluations can vary depending on the job and industry, but a typical pre-employment medical may include physical examinations, vision and hearing tests, lung function screening, drug and alcohol screening, and mental health assessments.

No, the requirement for a pre-employment medical examination depends on the nature of the role. High-risk and safety-sensitive positions are more likely to require such exams.

Generally, the employer covers the cost of pre-employment medicals. Some employers may require the candidate to pay but typically reimburse them if they are hired.

Yes, many job offers are contingent on the successful completion of a pre-employment medical examination. If a candidate fails the examination, they may not receive a job offer.

Medical information collected during the pre-employment examination should be kept confidential and not disclosed to unauthorised individuals and should be in compliance with relevant privacy laws.

A candidate can refuse to undergo a pre-employment medical examination, but the employer may choose not to hire them as a result.

Employers cannot discriminate against candidates based on protected characteristics like age, gender, disability, or other legally protected attributes. If a medical examination reveals a disability, employers must provide reasonable accommodations, if possible, to enable the candidate to perform the job.

The frequency of pre-employment medical examinations for the same job can vary but is often conducted once before employment. However, some employers may require periodic medical examinations, especially for high-risk jobs.

It’s essential both employers and job candidates understand the purpose and legal implications of pre-employment medical examinations, and to ensure that the process complies with relevant laws and regulations.