Coal Workers' Health Surveillance Program

Mine Operator and Contractor Partner

Coal Workers' Health Surveillance

The NIOSH Coal Workers’ Health Surveillance Program (CWHSP) studies the causes and effects of respiratory diseases related to coal mine dust exposure. This program also provides vital health information to coal miners through health screenings and surveillance.

Since 2014, we have been a NIOSH-approved mobile digital radiography (X-Ray) and spirometry facility.

Request CWHSP Partnership


Yes.  The National Institute for Occupational Safety and Health (NIOSH) in Morgantown, West Virginia, administers the CWHSP which is a congressionally-mandated medical examination surveillance program for monitoring the health of coal miners.  The CWHSP was originally authorized under the 1969 Federal Coal Mine Health and Safety Act and is currently authorized under the 1977 Federal Mine Safety and Health Act and its subsequent amendments.

No.  Miner participation is voluntary.  However, NIOSH recommends both a chest radiograph and a spirometry examination every 4 to 5 years for the first 15 years of coal mining and every 3 years after that if the miner remains engaged in coal mining. 

No.  Miners may request medical examinations at the expense of their employer.

Only one (1) PA Chest X-Ray is acquired during the medical examination.

Yes.  Each participating miner must complete the Miner Identification Document.  For spirometry tests, the Spirometry Results Notification Form and the Respiratory Assessment Form must be completed.

No.  Per the guidelines in the CWHSP, we are NOT PERMITTED to retain any records of the miner medical examination.  All data is forwarded within two (2) weeks to NIOSH.


It is helpful for the mine operator or contractor to provide the names and addresses of miners who may come in to be examined.


An Eagle Onsite designated Physician performs a “facility” reading of the Chest X-Ray and Spirogram obtained from the miner.  Physician comments are reported to NIOSH.  If the Eagle Onsite designated Physician documents any abnormalities from the Chest X-Ray that require the miner follow up with their Physician (specifically, this is noted in section 4E of the Chest Radiograph Classification Form CDC/NIOSH 2.8), then the Eagle Onsite medical department will notify the miner of the findings by either USPS mail or secure email and reports the notice of communication to NIOSH.   

Other Services

Eagle Onsite serves organizations with a full range of onsite occupational medical surveillance services.  Click below to learn more about services we offer to help your workforce remain healthy and in compliance.

Mobile Hearing Testing
Respirator Medical Evaluation
Respirator Fit Testing
Physical Exams
Pulmonary Function Testing
Professional Supervisor Services
Professional Supervisor Services