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OCCUPATIONAL RESPIRATORY DISEASE SURVEILLANCE

Coal Workers' Health Surveillance Program (CWHSP)

	Photo of a coal miner.

"The first priority and concern of all in the coal or other mining industry must be the health and safety of its most precious resource – the miner." (Federal Coal Mine Health and Safety Act of 1969, amended 1977.)

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 and detailed information for operators, facilities, and miners. The CWHSP consists of these components:

New information on respiratory diseases in coal miners

The National Institute for Occupational Safety and Health (NIOSH) is preparing to expand its national program of health surveillance for coal miners. The health surveillance program is a longstanding NIOSH responsibility under the Federal Mine Safety and Health Act. The action to expand the program is in response to new requirements for health surveillance in the Mine Safety and Health Administration’s (MSHA’s) recently-published final rule on controlling coal mine dust exposure. Under the existing program, periodic chest radiographs and occupational history questionnaires are provided to underground coal miners. The expanded surveillance program will provide periodic lung function testing (called spirometry) and respiratory health assessment questionnaires. It will also extend health surveillance to workers at surface coal mines. The Coal Miner Health Surveillance page provides more information on these changes.

Resources

CWHSP Forms

Coal Mine Operator's Plan
OMB 0920-0020) (CDC/NIOSH 2.10) (May 2015)
The form and instructions should be used by underground coal mine operators' when submitting a plan for their miner's to receive chest x-rays at designated x-ray facilities. Coal mine operators must submit a plan and mine roster no later than 60 days after opening a new mine or 30 days when mine ownership is transferred. Mail to the address on the form or it may be emailed to CWHSP@cdc.gov.

Coal Contractor Plan Form
OMB 0920-0020) (CDC/NIOSH 2.18) (May 2015)

Radiographic Facility Certification Form
(OMB 0920-0020) (CDC/NIOSH 2.11) (January 2015)
X-ray facilities should use this form to apply for certification and approval to take x-rays as part of the NIOSH program. Mail to the address on the form or it may be emailed to CWHSP@cdc.gov.

Spirometry Facility Certification Form
(OMB 0920-0020) (CDC/NIOSH 2.14) (August 2014)
Complete this form to request to become a NIOSH-Approved Spirometry Facility. Mail to the address on the form or it may be emailed to CWHSP@cdc.gov.

Interpreting Physician Certification Document
(OMB 0920-0020) (CDC/NIOSH 2.12) (May 2016)
Physicians should complete this form to apply to take the NIOSH B Reader examination. Mail to the address on the form. Do NOT send this form electronically to NIOSH.

Miner Identification Form
En Español
(OMB 0920-0020) (CDC/NIOSH 2.9) (April 2016)
This form must be completed by the miner and accompany all x-rays sent to NIOSH for interpretation as part of the Coal Workers' X-ray Surveillance Program. Mail to the address on the form. Do NOT send this form electronically to NIOSH. Print/Copy as a double-sided form.

Chest Radiograph Classification Form (For official government use only)
(OMB 0920-0020) (CDC/NIOSH 2.8) (June 2014)
This form must be completed by the A or B Reader that interprets a chest radiograph for NIOSH as part of the Coal Workers' X-ray Surveillance Program. Mail to the address on the form. Do NOT send this form electronically to NIOSH. Print/Copy as a double-sided form.

General Purpose Chest Radiograph Classification Form (July 2014)
The general purpose form is provided as a convenience to certified B Readers and is not an official government form.

Spirometry Results Notification Form (June 2016)

Respiratory Assessment Form (June 2016)

NIOSH Programs

Related NIOSH Resources

Resurgence of a debilitating and entirely preventable respiratory disease among working coal miners.

Black Lung, Don&apost Become a Victim
DHHS (NIOSH) Publication No. 2003-123 (2003)
A NIOSH poster promoting participation in the Coal Workers' Health Surveillance Program.

Coal Workers&apos Pneumoconiosis-Related Years of Potential Life Lost Before Age 65 Years - United States, 1968-2006
Morbidity and Mortality Weekly Report, December 2009;58(50);1412-1416.

Code of Federal Regulations 42CFR37 Specifications of Medical Examinations of Underground Coal Miners

Current Intelligence Bulletin 64: Coal Mine Dust Exposures and Associated Health Outcomes - A Review of Information Published Since 1995
DHHS (NIOSH) Publication Number 2011-172
NIOSH has published this current intelligence bulletin that reviews information on occupational lung diseases of coal miners.This Current Intelligence Bulletin updates the information on coal mine dust exposures and associated health effects from 1995 to the present. The Bulletin refers extensively to the 1995 NIOSH publication - Criteria for a Recommended Standard - Occupational Exposure to Respirable Coal Mine Dust .

Faces of Black Lung (Video) DHHS (NIOSH) Publication No. 2008-131

Slide Show: Lung sections from victims of pneumoconiosis

NIOSH/DRDS/CWHSP Celebrates the 35th Anniversary of the Federal Coal Mine Health and Safety Act

Pneumoconiosis Prevalence Among Working Coal Miners Examined in Federal Chest Radiograph Surveillance Programs - United States, 1996-2002
Morbidity and Mortality Weekly Report, April 2003;52(15):336-340.

Work-Related Lung Disease Surveillance System (eWoRLD), Coal Workers&apos Pneumoconiosis and Related Exposures

Other Related Resources

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