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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.

If you have not had a Coal Board Medical before, you will require both a Coal Board Medical + ILO Chest X-ray (option 1 below). Instant Drug and Alcohol tests are not a mandatory part of the Coal Board Medical, however some mine sites may require you also have this performed in order to access their mine site. Instant Drug and Alcohol tests can be ordered with a Coal Board Medical (option 2 below), however incur additional charges. Please refer to our Pricing section below for a detailed breakdown of options you can order.


You log your referral online via Carelever


Carelever will request Section 1 details.


Applicant instantly contacted via text message, requesting their availability.


Appointment Scheduled

Once applicant confirms their location and availability an appointment will be booked within 8 business hours. This appointment is booked with a DNRME Approved Medical Provider. An ILO Chest X-ray is also scheduled with an approved provider.


Appointment Reminder

Applicant receives appointment time reminder via text message 24 hours prior to their appointment.



CMWHS Medical and Chest X-ray takes place.


Upload of Chest X-ray

ILO Chest X-ray results are uploaded to the Lungscreen portal. Lungscreen will then perform the second read, adjudication and issue the final ILO report. This process can take 2-4 weeks.



Once the final ILO report is received from Lungscreen, this report along with the CMWHS Medical Results are reviewed by the AMA. The Section 4 is then issued once all examinations, including the ILO outcome and dual-B-read process is complete. Results are sent and can also be accessed in Carelever. Please note that Interim Section 4’s are no longer available.

  • Vision Test
  • Spirometry Test
  • Respiratory Questionnaire
  • Urinalysis
  • Hearing Test
  • Auditory Canal Examination
  • Cardiovascular System Examination
  • Musculoskeletal System Examination
  • Abdomen Examination
  • Skin Examination
  • Medical History Questionnaire
  • Chest x-ray (ILO Standard) – Only required first time or every 5 years.

Please note that an instant drug and alcohol test is not a mandatory part of the Coal Board Medical, however some mine sites may require you to have one prior to accessing their mine site. An instant drug and alcohol test can be ordered with a Coal Board Medical, however additional charges are incurred. Please refer to our Pricing section below for a detailed list of options.

Once the Coal Board Medical has been completed, the Appointed Medical Advisor (AMA) reviews and completes a fitness summary report, called a ‘Section 4’.

The Section 4 of the Queensland Coal Mine Workers’ Health Scheme 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, Mines and Energy (DNRME). 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 Queensland 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.

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.

Standard 11 Mining Inductions

KINNECT Training provides Mining Induction courses that align with the Resources Training Council (formerly the Resource Industry Skills Association – RISA) and meet the Standard 11 requirements for new and experienced mine workers.

Mining Induction – Surface (Standard 11)

The program introduces the underpinning principles behind understanding risk and working safely in the mine environment.

This is a highly interactive program where participants will be required to undertake classroom activities like observations and written and group assessments.

Note: It is recommended that you check you specific site induction requirements to confirm all the activities needed to access site. 

  • 2 day course (face to face)
  • 7.30am – 4.30 pm
  • Brisbane, Gold Coast, Rockhampton, Mackay

View Course Dates

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Contact KINNECT to discuss our QLD Coal Board Medical Services further.

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