Coal Board Medicals

A Coal Board Medical is a standard occupational medical examination required for all coal mine workers currently working in Queensland.

The Coal Board Medical forms are part of the Coal Mine Workers’ Health Scheme; a scheme under The Department of Natural Resources and Mines – Queensland Government. The Coal Mine Workers’ Health Scheme protects the health and safety of Queensland coal mine workers by ensuring they undergo periodic health assessments. The Coal Mine Workers’ Health scheme is regulated under Chapter 2, Part 6, Division 2 of the Coal Mining Safety and Health Regulation 2001.


Important Changes to QLD Coal Mine Workers’ Health Scheme

1st January 2017
Learn more about the changes to the QLD Coal Mine Workers’ Health Scheme.

  • Vision Test
  • Spirometry Test
  • Respiratory Questionnaire
  • Urinalysis
  • Hearing Test
  • Auditory Canal Examination
  • Cardiovascular System Examination
  • Musculoskeletal System Examination
  • Abdomen Examination
  • Skin Examination
  • Chest x-ray (ILO Standard)
  • Medical History Questionnaire

Once the Coal Board Medical has been completed, a Nominated Medical Advisor (NMA) who completes a summary report called a “Section 4” for QLD Scheme or “Section D” for NSW Scheme.

The Section 4 or Section D of the Coal Board Medical is the only information from the Coal Board Medical that the employer is privy to.

The medical results and information contained within the Coal Board Medical are submitted to the Department of Natural Resources and Mines (DNRM) or Coal Services in NSW. The confidentiality of the information contained within the Coal Board Medical is protected by law and the results of a Coal Board Medical can only be released to the worker or a representative, appointed in writing, by the worker.

As part of the Coal Mine Workers’ Health Scheme, employers must ensure that coal board medicals are completed on every new employee and each worker must be retested at least once every five years. If a coal mine worker changes employers, a new coal board medical exam may be required.

Workers, who are currently recovering from an injury, should not undergo the periodic health assessment required under the Coal Mine Workers’ Health Scheme until their condition is stable and unlikely to improve.

Select the State or Territory to see all Locations

Map Regions

KINNECT provides coal board medicals in the following Queensland cities:

  • Brisbane, QLD
  • Sydney, NSW
  • Perth, WA
  • Melbourne, VIC
  • Darwin, NT
  • Adelaide, SA
  • Hobart, TAS
  • Mackay, QLD
  • Townsville, QLD
  • Gladstone, QLD
  • Rockhampton, QLD
  • Sunshine Coast, QLD
  • Gold Coast, QLD
  • Cairns, QLD
  • Emerald, QLD
  • Moranbah, QLD
  • Roma, QLD
  • Mount Isa, QLD
  • Maryborough, QLD
  • Bundaberg, QLD
  • Kingaroy, QLD
  • Glenden, QLD
  • Cannonvale, QLD
  • Gympie, QLD
  • Toowoomba, QLD
  • Airlie Beach, QLD
  • Weipa, QLD

What is Coal Mine Workers’ Pneumoconiosis

Pneumoconiosis is a series of diseases caused by the inhalation of organic or inorganic dusts or chemical irritants. Typically the disease occurs from exposure over a prolonged period of time. The type and severity of the disease depends on the composition of the dust; small quantities of some substances, notably silica and asbestos, produce grave reaction, while milder irritants produce symptoms of lung disease only with massive exposure.

Coal Workers’ Pneumoconiosis (CWP) is a chronic occupational lung disease caused by long-term inhalation of coal dust. CWP causes inflammation of the alveoli. Alveoli are tiny sacs within our lungs that allow oxygen and carbon dioxide to move between the lungs and bloodstream. Inflammation of the alveoli will eventually result in irreversible damage to the lungs. CWP ranges in severity from simple to advanced; the most severe form is progressive massive fibrosis (PMF). Advanced CWP is debilitating and often fatal.

Coal Workers’ Pneumoconiosis is commonly known as ‘black lung‘.

Pneumoconiosis Screening

Coal mine workers are required to undergo a Coal Mine Workers’ Health Scheme medical assessment prior to commencing employment at a coal mine. Furthermore coal mine workers are also required to undergo a coal mine workers health scheme medical assessment at least once every 5 years during their employment.

Employers can appoint one or more registered medical practitioners as their nominated medical advisor (NMA) to conduct these medical assessments performed under the scheme.

The medical assessment includes a wide range of tests, including lung function tests (spirometry) and, where there is a risk of coal dust exposure, a chest X-ray. The goal is to ensure that miners get an early diagnosis for any lung disease, including CWP.

Specialist Radiology Assessments: Chest X-Ray’s

Specialist radiologists in Queensland are qualified to competently read chest X-rays to the required international standards for determining pneumoconiosis (International Labour Organisation Standard  International Classification of Radiographs of Pneumoconioses).

The Royal Australian and New Zealand College of Radiologists (RANZCR) recommends that for screening purposes, mining companies and their employees ensure that chest X-rays are reported by a clinical radiologist who is experienced in detecting coal workers’ pneumoconiosis. RANZCR has compiled a register of clinical radiologists who are available, competent and commit to using the ILO classification.

KINNECT ensures all chest x-rays performed for Coal Mine Workers are reviewed and reported on by a clinical radiologist who is experienced in detecting coal workers’ pneumoconiosis and as such meet ILO Standard.


KINNECT Coal Board Medical testing Brisbane Gladstone Mackay Townsville Cairns Perth Emerald Rockhampton Australia

Frequently Asked Questions

Who will get a copy of the Coal Board Medical Results?

Your employer will get a copy of part of your Coal Board Medical. This part is called the “Section 4”. The Section 4 is a summary report written by the Nominated Medical Advisor (NMA) who reviews your Coal Board Medical. Your employer is not privy to the medical information you provided and collected during the Coal Board Medical. The complete Coal Board Medical is submitted to The Department of Natural Resources and Mines – Queensland Government, where it is stored.

How do I get a copy of my Coal Board Medical Results?

Your Coal Board Medical results are kept on file at the medical provider that conducted or coordinated your Coal Board Medical. A full copy of your Coal Board Medical can be accessed by contacting the medical provider and requesting it.

How long does a Coal Board Medical take?

A Coal Board Medical will take between 1 – 2 hours to complete.

Does a Coal Board Medical include a Drug and Alcohol Test?

No. The Coal Board Medical does not include a drug and alcohol test, however sometimes your employer may request you complete a drug and alcohol test at the time of your Coal Board Medical. The results of your drug and alcohol test will not be reviewed or commented on by the Nominated Medical Advisor when they complete the Section 4 summary.