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Expanded Coal Workers’ Health Surveillance Program (Spirometry)

In accordance with the Mine Safety and Health Administration's (MSHA's) recently-published final rule
on respirable coal mine dust exposure, the National Institute for Occupational Safety and Health (NIOSH) is expanding its national program of health surveillance for coal miners. The NIOSH Coal Workers’ Health Surveillance Program (CWHSP) was originally established by the Federal Coal Mine Health and Safety Act of 1969 and has been in operation since 1970. In the past, medical testing including periodic chest radiographs and occupational history questionnaires were only required for underground coal miners. The expanded program will also provide periodic lung function testing (called spirometry) and respiratory health assessment questionnaires and will extend health surveillance to workers at surface coal mines. On this page you will find information on the new requirements for Coal Miner Health Surveillance related to spirometry (spirometry facilities and spirometer manufacturers).

Health Providers of Periodic Spirometry for Coal Miners

Facilities must be approved by NIOSH before they can provide spirometry tests and administer respiratory assessment questionnaires for the Coal Workers’ Health Surveillance Program (CWHSP). Current NIOSH-approved x-ray facilities must seek separate approval to provide spirometry testing and the respiratory assessment. Facilities seeking approval to administer spirometry tests and the respiratory assessment under the expanded CWHSP (underground and surface coal miners) must comply with the regulations as outlined in 42 C.F.R. Part 37.