IOH Health’s Wollongong Clinic is approved to complete NSW Coal Mine Worker Medicals under Order 45 (which has replaced Order 43 beginning January 2026).
Order 45 now requires that coal mine workers have a health assessment completed in the last 3 years that matches the coal mine worker’s position and risk category (or a higher risk category) before commencing work at a new coal mine or coal handling preparation plant.
IOH Health will refer the coal mine worker for an approved chest x-ray (ILO Standard) if required. Please note that only specific radiologists can be used for this procedure as ceritified B-Readers must review the x-rays.
A Respirator Fit Test is an optional service that can also be completed as part of a health assessment at our Wollongong Clinic to support the WHS needs of the mine site.
The Order 45 Medical.
- Medical History Questionnaire
- Vision Test
- Spirometry Test
- Respiratory Questionnaire
- Urinalysis
- Hearing Test
- Auditory Canal Examination
- Cardiovascular System Examination
- Musculoskeletal System Examination
- Abdomen Examination
- Skin Examination