Coal mining businesses in New South Wales operate in one of Australia’s most highly regulated and high-risk environments. Ensuring your workforce meets health surveillance and fitness-for-work requirements under NSW Order 45 is paramount to compliance, operational continuity, and risk management.
4cRisk provides NSW Order 45 Coal Mining Medicals and Appointed Medical Advisor (AMA) services led by experienced Consultant Occupational Physicians, with a proven ability to deliver high-quality outcomes without the delays common across the industry.CTA buttons to add to bottom of paragraph
From 1 January 2026, Order 45 replaces the former Order 43 as the health surveillance framework for NSW coal mine workers. The updated Order reflects a more contemporary approach to occupational health, with clearer requirements for employers and a strong emphasis on appropriate medical oversight.
For coal operators, this means:
4cRisk is fully qualified and prepared to support NSW coal mining businesses under Order 45, providing clarity and confidence during the transition and beyond.
An Approved Medical Practitioner plays a vital role in protecting worker health while supporting employers to meet their statutory obligations.
In NSW coal mining operations, the AMP:
This role is not administrative. It requires clinical judgement, industry understanding, and experience in high-risk occupational environments.
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At 4cRisk, we do not take a “tick-and-flick” approach to coal mining medicals.
Our AMP services are delivered exclusively by Consultant Occupational Physicians and advanced Registrars with deep experience across coal mining, energy, oil and gas, construction, transport, and other high-risk industries.
This ensures:
We work as a partner to your business – not just a service provider – supporting compliance while keeping your workforce moving.
One of the biggest frustrations for coal operators is delay.
Many providers either:
At 4cRisk, we are known for doing both.
Coal mining medicals are typically turned around within 48–72 hours.
This means:
Our combination of medical expertise, efficient systems, and responsive service sets us apart in the NSW coal mining medical space.
4cRisk supports coal mining businesses operating across NSW, including organisations with:
Where required, we coordinate with trusted medical providers nationally while maintaining AMA oversight and quality assurance. All assessments are reviewed to ensure regulatory compliance and consistent standards.
Coal operators partner with 4cRisk because we provide:
We understand the realities of coal mining operations and deliver medical services that support both compliance and productivity.
We’ve put together the answers to some common questions about our
NSW Order 45 Coal Mining Medicals
.
Order 45 is the updated health surveillance framework for NSW coal mine workers, replacing Order 43 from 1 January 2026. It sets out requirements for coal mining medicals, oversight, and employer responsibilities.
Yes. NSW coal mining employers are required to appoint suitably qualified medical practitioners to provide oversight of worker health assessments in line with Order 45. 4cRisk can help you understand the changes within the Order 45 system and will actively support your business’s Human Resources/Recruitment personnel.
At 4cRisk, processing your medical is of paramount importance. Most coal mining medicals are completed within 48–72 hours, depending on the assessment requirements and availability of testing. Candidates are encouraged to attend imaging and/or blood testing prior to the assessment to facilitate turnaround times of under 48 hours.
Yes. Our AMP services are delivered by Consultant Occupational Physicians and advanced Registrars with extensive experience in coal mining and high-risk industries.
Absolutely. We regularly support FIFO and multi-site operations and can coordinate assessments nationally while maintaining consistent AMA oversight.
Not found the answer you need? Contact 4cRisk and our experienced team will be happy to help.
General Inquiries
If you’d like to find out more about how our occupational health services can help to keep your workforce safe, book an appointment or request a quote below.
