Enterprise Health
Workforce Health for Mining & Aggregates

A miner's surveillance history should follow the miner — not the mine.

Underground and surface coal miners, metal/nonmetal crews, quarry teams, mill operators, mobile-equipment operators and maintenance staff carry different surveillance obligations under MSHA and NIOSH — including CWHSP chest X-rays under 42 CFR Part 37, respirable coal-mine dust health standards under 30 CFR Part 72, the 30 CFR Part 90 transfer option for miners with pneumoconiosis, and mining noise programs under 30 CFR Part 62. Enterprise Health unifies exams, B-reader results, audiograms, dust-related medical evaluations and Part 90 documentation into one governable, ONC-certified record across every mine and plant — so operators prove workforce-health compliance as one system, not a spreadsheet at each site.

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• ONC-ACB certified EHR• Built for MSHA and NIOSH surveillance programs• One record across every mine, quarry & plant
The mine-site fragmentation problem

MSHA-regulated surveillance is still tracked in site binders and spreadsheets.

Mining is not an OSHA-first program; mine operators answer to MSHA, with coal-worker health surveillance anchored by NIOSH and the federal CWHSP. But B-reader chest X-rays, CWHSP participation, Part 90 eligibility, audiometry and dust-related evaluations often live in paper files at individual mines — so a miner's longitudinal dust, X-ray and audiogram history does not follow them between sites, contractors or operators.

Site by site

Every mine, its own health file

A miner screened at one underground section or quarry may transfer to another operation with no structured history of prior CWHSP exams, audiograms, respirator clearances or exposure-driven medical follow-up.

Surveillance by hand

CWHSP and Part 90 tracked outside the record

Periodic chest X-rays, B-reader classifications, miner notices, Part 90 documentation and low-dust transfer workflows are often managed in spreadsheets that do not enforce due dates or prove the chain of follow-up.

No enterprise view

Operators cannot prove readiness quickly

When MSHA, NIOSH, counsel or leadership asks for proof of participation, eligibility, noise follow-up or exposure history, teams rebuild the story from PDFs, clinic portals and paper packets instead of producing one governed record.

Score your stack

How fragmented is your workforce-health stack?

Check every function that lives in a separatetool today. The more boxes you tick, the more places a single worker's record is scattered across.

From pit to record

One surveillance record for the people extracting essential materials.

Coal, metal, nonmetal and aggregates operations run on different geology and equipment, but the health question is the same: who has been screened, what changed, what is due next, and what work can they safely perform today? Enterprise Health holds that answer on one governed record — from B-reader chest X-ray history to audiometry and dust-related follow-up.

  • CWHSP, B-reader chest X-ray and Part 90 documentation on one record
  • Audiometric, respirable-dust and silica-related surveillance run by protocol
  • MSHA-facing proof assembled continuously across mines and plants
A mine safety leader and clinician reviewing a worker health record together in warm light near an industrial worksite, with no visible logos or readable text
Mine to recordsurveillance that follows the worker
Not one mining program

Coal, metal/nonmetal and aggregates carry different surveillance loads.

The record backbone is shared — exams, surveillance, restrictions, reports — but the obligations and exposures differ by commodity, mine type and role. Pick a segment to see what it actually needs, and where Enterprise Health leans in.

Continuous miners, roof bolters, shuttle-car operators, electricians and examiners working in high-dust, high-noise, safety-critical underground environments.

CWHSP + dust + Part 90 readiness
What it needs
  • Periodic coal-worker chest X-rays and B-reader classifications under 42 CFR Part 37
  • Respirable coal-mine dust medical surveillance and follow-up tied to 30 CFR Part 72
  • 30 CFR Part 90 eligibility documentation and low-dust transfer workflows when pneumoconiosis is identified
Where Enterprise Health leans in
  • Longitudinal chest X-ray, dust and audiogram history per miner
  • Structured Part 90 notices, restrictions and transfer documentation
  • Site and section rollups showing who is current, overdue or held
The mining workforce map

Six workforces, one miner-health record.

A mining enterprise is a network of extraction, processing, haulage and maintenance teams. Each population carries a distinct occupational-health load, and every one of them belongs on the same certified record.

Underground & surface coal

  • CWHSP chest X-ray participation
  • B-reader classifications and follow-up
  • Respirable coal-mine dust surveillance
  • Part 90 eligibility and transfer documentation

Metal/nonmetal miners

  • Respirable crystalline silica surveillance
  • Metal/nonmetal noise monitoring
  • Respirator clearance and fit testing
  • Return-to-work and restriction management

Quarry & aggregates crews

  • Sand, gravel and stone exposure profiles
  • Mobile crusher and plant noise programs
  • Heavy-equipment medical fitness
  • Contractor and seasonal crew clearances

Mills & prep plants

  • Processing and prep-plant operators
  • Crusher, screen and conveyor noise
  • Dust-related medical evaluations
  • Maintenance outage readiness

Mobile-equipment operators

  • Haul-truck and loader operators
  • Fatigue and fitness-for-duty cases
  • Hearing conservation and audiometry
  • Incident, injury and return-to-work workflows

Maintenance & electricians

  • Confined-space and respirator clearance
  • Welding, diesel and chemical exposure follow-up
  • Lockout and safety-critical work restrictions
  • Multi-site callout readiness
Role by role

Pick a role. See the load — and what the platform does about it.

Every mining population carries a different MSHA, NIOSH and exposure-surveillance load. Select a role to see what it has to satisfy and exactly what Enterprise Health automates, tracks and proves for it.

Underground and surface coal miners whose respiratory health surveillance needs a longitudinal record — chest imaging, B-reader interpretation, dust-related evaluations and Part 90 status over a working life.

What they carry
  • CWHSP chest X-ray cycles under 42 CFR Part 37 that need participation tracking, result capture and follow-up
  • B-reader classifications that must remain linked to the miner, not just the mine where the X-ray was performed
  • 30 CFR Part 90 eligibility and low-dust transfer documentation when pneumoconiosis is identified
What Enterprise Health does
  • Stores CWHSP participation, chest X-ray history, B-reader findings and follow-up on one longitudinal miner record
  • Flags missing documentation and upcoming surveillance cycles before the program becomes a manual chase
  • Runs Part 90 status, restrictions, transfer documentation and work-location proof as a governed workflow
See the surveillance journey →
One platform

What Enterprise Health does for mining & aggregates workforce health

The same ONC-certified core that runs occupational health for complex enterprises — focused on MSHA-regulated surveillance, NIOSH coal-worker programs and exposure-driven medical records for mines, mills and quarries.

⚕
Clinical data backbone

One structured miner record, not a site binder

CWHSP participation, B-reader chest X-ray history, audiograms, respiratory clearance, dust-related evaluations, injuries, restrictions and return-to-work cases stay with the worker across mines, operators and providers.

◈
MSHA & NIOSH surveillance

Programs that run on a schedule

Coal-worker chest X-ray cycles, Part 90 documentation, respirable-dust follow-up and mining noise programs run as governed protocols with due dates, holds, reviewer queues and proof packages.

⚗
Exposure medical surveillance

Dust, silica and noise tied to the person

Exposure profiles select the right medical surveillance, while results, action-level follow-up, standard-threshold shifts and restrictions remain connected to the miner's longitudinal history.

⊡
Part 90 & restriction management

Low-dust transfer proof without the scramble

Part 90 eligibility, miner notices, low-dust position documentation, restrictions and reassignment status are governed as a case — visible to the people who must act, protected from those who should not see medical detail.

✦
Ozwell AI

Documentation capacity for lean clinics

Ozwell, the Drummond-certified ambient AI assistant, drafts notes and summaries and can surface missing surveillance context — helpful when mine clinics and occupational-health reviewers are covering many sites with limited staff.

↺
Integration & reporting

The authority layer safety systems depend on

Integrates with HRIS, contractor rosters, lab and imaging workflows, audiometric devices and ODBC reporting — so clearance status and surveillance proof flow from the clinical record instead of being re-keyed into another tracker.

The miner surveillance workflow

From roster to B-reader follow-up, on one governed path.

The mining health workflow is where compliance is executed: a role and exposure profile selects the protocol, exams happen near the operation, results return structured, and the clinician documents the next decision. Enterprise Health turns the work from a site-level paper chase into a longitudinal record that follows the miner.

  1. Roster

    Miner in

    Demographics, site, job code, commodity and exposure profile arrive from HR, contractor or mine rosters and select the applicable surveillance protocol.

  2. Order

    Program selected

    CWHSP chest X-ray, audiogram, respirator clearance, dust-related medical evaluation or return-to-work review is ordered from the same governed workflow.

  3. Perform

    Exam anywhere

    The exam, audiogram or imaging visit is performed by an on-site clinic, regional occupational-health provider or BlueHive-routed provider near the mine or quarry.

  4. Read

    Result reviewed

    B-reader classifications, audiogram results, questionnaires and provider documentation land in reviewer queues and are checked for completeness against the protocol.

  5. Decide

    Clear, restrict or transfer

    The clinician records clearance, restriction, follow-up, Part 90 documentation or low-dust transfer steps according to the worker's role and medical status.

  6. Prove

    Audit trail ready

    Due dates, notices, restrictions and proof packages stay connected to the miner, with site and enterprise dashboards always current.

Mirrors a real mining surveillance workflow — roster and exposure profile to exam order to provider result to clinician decision to MSHA-facing proof — configurable by commodity, mine type, site, role and company policy.

Architecture position

The clinical authority layer every mine-health system depends on.

Enterprise Health does not replace mine planning, safety, HR, contractor management or exposure-sampling systems. It becomes the clinical decision and medical record those systems depend on — while the BlueHive Network executes exams, audiograms, imaging and screens wherever they physically need to happen.

HR, contractor & mine operations

Rosters, assignments, crews, contractors, shifts and equipment qualifications — the systems that know who is assigned to which mine, plant, pit or role.

  • Workday
  • SAP
  • UKG
  • contractor portals

Enterprise Health

Clinical decisioning and system of record — CWHSP participation, B-reader results, Part 90 documentation, audiometry, exposure surveillance, restrictions and cases.

  • Surveillance protocols
  • Structured miner record
  • Restriction management

BlueHive Network

Execution — provider discovery, order bundles and workflows wherever the chest X-ray, audiogram, respirator clearance, lab or exam has to happen.

  • Provider network
  • Exams & imaging
  • Audiometry & labs

Safety, sampling & risk systems

Exposure monitoring, incidents, corrective actions and enterprise risk, fed by the clinical record rather than duplicating medical data.

  • EHS systems
  • dust sampling data
  • incident systems

Operations systems track where a miner works. Sampling and safety systems track the hazard. Enterprise Health makes the medical surveillance happen, proves it, and pushes the right status back — so it becomes the workforce-health authority layer for the mine enterprise.

Third-party systems are named for identification only and integrate via standards-based interfaces; inclusion does not imply endorsement or partnership.

Connected, not bolted on

Plugs into the systems you already run

In mining and aggregates that means HRIS, contractor rosters and mine assignments syncing job and site context; imaging, audiometry, lab and spirometry results flowing into the certified record; ODBC access for MSHA-facing reporting; and restriction or clearance status synchronized back to operations — so medical surveillance stays authoritative without re-keying.

EHR & health systemsHL7 v2.x (ADT / SIU / ORM / ORU / MDM), C-CDA & FHIR R4
athenahealtheClinicalWorksEpicMEDITECH+ more
HRIS & identityHL7 ADT demographics feed, flat-file / API, SAML SSO
ADPUKG (UltiPro / Kronos)WorkdayConcentra+ more
Labs & diagnosticsHL7 v2.x lab orders (ORM) & results (ORU / ELR)
AbbottSiemens HealthineersAbaxis (Piccolo Xpress)Beckman Coulter+ more
Interoperability, e-Rx & imagingFHIR R4, REST, NCPDP Script, DICOM / XDS
MCG Health (ODG)SurescriptsAvailityCarestream+ more
See all integrations →

Put a number on fragmented miner surveillance.

Duplicate chest X-rays, repeated audiograms, missing B-reader history, delayed Part 90 documentation and audit prep across mines and vendors add up quickly. See what running surveillance across site spreadsheets and paper files costs — then what one governed record gives back.

Calculate your number →Get the benchmark report
ROI calculator

The cost of fragmented miner surveillance

Estimate what running CWHSP and B-reader chest X-ray cycles, audiometry, dust-related medical evaluations, Part 90 documentation and multi-mine consolidation across site spreadsheets, vendors and paper files costs every year — and what one governed record recovers.

4,000
15
70%
22%
0.85 hr
$140
Estimated annual recovery
$513.0K
81% of today's fragmented spend · 3,013 admin hours returned
Duplicate screening recovered$73,304
Admin labor recovered$126,538
Compliance risk reduced$313,200
Create My Free WorkspaceGet this modeled for your organizationSee the benchmark report →

Illustrative estimate for this concept site — directional, not a quote. Assumptions are documented in the calculation engine.

Flagship benchmark report

The State of Mining Workforce Health 2027

How coal, metal/nonmetal and aggregates operators actually run MSHA and NIOSH surveillance — CWHSP chest X-rays, B-reader results, Part 90 documentation, audiometry and dust-related medical evaluations — and where fragmentation between mines, clinics and records quietly costs the most.

Get the report →
  • The median mining operator runs surveillance across multiple mines, plants, clinics and spreadsheets that do not share a longitudinal miner record.
  • CWHSP participation, B-reader chest X-ray history and Part 90 documentation are the hardest records to prove quickly when they sit outside the clinical system of record.
  • Audiometry and dust-related medical evaluations are frequently repeated because prior results do not follow miners between sites, shifts, contractors and operators.
  • Operators on one structured clinical record reduce duplicate surveillance, shorten audit-prep cycles and see overdue follow-up before it becomes an MSHA-facing scramble.
Inside the reportWhat you'll find in this year's benchmark.
Executive summary & methodology
The six mining workforces, benchmarked
CWHSP, B-reader and Part 90 program maturity
Dust, silica and noise surveillance across mine types
The true cost of fragmented miner-health records
A 12-month consolidation roadmap for multi-mine operators
Outcomes

What a governed mining workforce-health program looks like

1

certified clinical record per miner — CWHSP, B-reader results, audiograms, dust-related follow-up, restrictions and cases

Auto

surveillance due dates, Part 90 documentation gaps and audiometric threshold shifts flagged the moment a record changes

Live

mine, plant and enterprise dashboards showing who is current, overdue, restricted or awaiting provider documentation

Illustrative outcomes for this concept site — representative of Enterprise Health's occupational-health deployments applied to mining and aggregates.

Proof of depth

The reports a mining medical program actually runs on.

Not slideware. These are operational reports and dashboards Enterprise Health generates from the same governed record — the day-to-day instruments of a real miner surveillance and clearance program.

CWHSP Participation Dashboard

Eligible coal miners by site, job code and surveillance cycle — current, due soon, overdue, declined or awaiting provider documentation.

B-Reader Chest X-Ray History

Longitudinal chest X-ray and B-reader classifications tied to the miner, with prior images, dates, providers and follow-up status visible to authorized reviewers.

Part 90 Documentation Tracker

Miner notices, eligibility status, low-dust transfer steps, restriction details and unresolved documentation gaps for pneumoconiosis-related workflows.

Audiometric STS Log

Standard-threshold-shift detections, retests, provider follow-up and case-management status across coal, metal/nonmetal and aggregates roles.

Respirable-Dust Medical Follow-Up

Dust and silica-related evaluations by exposure profile, mine type, provider, result status and next action due.

Expiring Clearances & Restrictions

Workers whose respirator clearance, equipment fitness review, work restriction or return-to-work decision expires soon, by site and role.

Provider Turnaround Monitor

Open exam, imaging, audiogram and lab orders by provider, mine, aging bucket and missing-documentation reason.

Maintenance Callout Readiness

Mechanics, welders and electricians cleared for respirator, confined-space, outage and multi-site callout work, with restrictions and expiries visible by crew.

Contractor Surveillance Reconciliation

Contract and seasonal workers matched against required surveillance, prior documentation, duplicate screens and outstanding provider results before assignment.

MSHA Review Packet

Exportable proof packages assembled from the live record: participation, results, follow-up, restriction status and reviewer audit trail.

A representative selection; Enterprise Health ships dozens more occupational-health reports and configurable dashboards.

An illustrative scenario

What consolidation looks like for a multi-mine operator.

A coal and aggregates operator, thousands of miners across underground sections, surface mines, quarries, mills and prep plants
The challenge

The record stopped at the gate

CWHSP participation, B-reader chest X-rays, Part 90 documentation, audiograms and dust-related follow-up lived in separate site files. When miners transferred or contractors returned, prior surveillance had to be chased, scanned or repeated.

The approach

One miner-health backbone

Coal-worker surveillance, metal/nonmetal noise programs, dust-related evaluations, restrictions and return-to-work cases moved onto a single governed record, with exams and imaging routed through providers near each operation.

The outcome

Surveillance, provable

Upcoming cycles, missing B-reader documentation, threshold shifts and Part 90 steps flag themselves. Site teams see what needs action, corporate sees the enterprise picture, and review packets assemble continuously.

The point isn't tidier binders. It's that miner-health risk becomes one governable, provable picture across every mine, quarry and plant.

Illustrative scenario for this concept site — a representative composite, not a specific customer engagement or guaranteed result.illustrative

Mandate map

The standards a mining workforce-health program has to satisfy

Mining workforce health is regulated through MSHA and NIOSH frameworks, not the general OSHA programs that govern many industrial employers. Here are the core federal sources a mining operator answers to, and what Enterprise Health does for each.

42 CFR Part 37

NIOSH coal miner chest X-ray / B-reader program

Provides the federal framework for coal miner chest radiographs, spirometry and related surveillance administered through the Coal Workers' Health Surveillance Program, including classifications by certified B readers.

How Enterprise Health covers it

CWHSP participation tracking, chest X-ray and spirometry documentation, B-reader classifications, follow-up tasks and longitudinal miner history on one governed record.

30 CFR Part 90

Miners with pneumoconiosis — transfer option

Sets the option for eligible miners with evidence of pneumoconiosis to work in a position with lower respirable dust exposure while retaining regular rate of pay protections.

How Enterprise Health covers it

Part 90 eligibility, notices, restriction details, low-dust position documentation and transfer-status follow-up managed as an auditable case workflow.

30 CFR Part 72

Coal mine dust health standards

Establishes coal mine health standards for respirable dust, including medical surveillance and health-protection requirements tied to coal mine dust exposure.

How Enterprise Health covers it

Dust-related surveillance protocols, medical evaluations, results, action follow-up and exposure-history rollups linked to the miner and mine assignment.

30 CFR 72.100

Coal dust section — transfer and examination context

Defines coal mine dust health provisions that inform when surveillance, examination and transfer-related documentation must be connected to the miner's record.

How Enterprise Health covers it

Structured documentation connecting coal-dust findings, medical review, work status, reassignment history and proof packages for authorized reviewers.

30 CFR Part 62

Occupational noise exposure in mining

Sets MSHA noise exposure rules for mine operators, including hearing conservation, monitoring, audiometric testing, evaluation and follow-up.

How Enterprise Health covers it

Audiometric testing, standard-threshold-shift detection, retest scheduling, provider documentation, case management and enterprise noise-program dashboards.

30 CFR 56.5050

Noise exposure — metal/nonmetal mines

Provides the metal/nonmetal noise exposure standard used alongside MSHA's broader noise program when evaluating quarry, mill and metal/nonmetal roles.

How Enterprise Health covers it

Metal/nonmetal audiometry, exposure-profile-driven surveillance, follow-up documentation and site-level reporting across quarries, mills and plants.

Citations are provided for orientation. Mining medical obligations depend on commodity, mine type, role, exposure profile, jurisdiction and current MSHA/NIOSH interpretation — this map reflects core U.S. federal frameworks and is not legal advice.unverified

Compliance calendar

The mining workforce-health year, on one timeline.

Year-round

CWHSP chest X-ray surveillance

Eligible coal miners enter periodic chest X-ray cycles under 42 CFR Part 37, with B-reader result capture, follow-up and participation proof maintained continuously.

Year-round

Part 90 documentation

30 CFR Part 90 eligibility, miner notices, low-dust transfer documentation and reassignment status are tracked whenever pneumoconiosis-related findings require action.

Spring

Audiometry & noise review

MSHA noise-program audiograms, retests and standard-threshold-shift follow-up are reconciled before peak production and construction-materials season.

May–Sep

Dust, silica & heat season

Respirable-dust and silica-related medical follow-up, respirator clearance and heat-stress readiness are reviewed as production, quarry and maintenance activity intensifies.

Aug–Oct

Outage & maintenance readiness

Maintenance, electrical, welding and contractor crews are reconciled for respirator clearance, audiometry, restrictions and return-to-work status before fall outage work.

Q4

Enterprise proof package

Year-end mine, quarry and plant reviews reconcile CWHSP participation, Part 90 status, audiometry, restrictions and provider turnaround before the next operating plan locks.

Provider coverage

Enterprise Health manages the record. BlueHive Network finds the providers.

Need a CWHSP chest X-ray near a remote coal field, an audiogram for a quarry crew, or a dust-related medical evaluation near a prep plant? Enterprise Health governs the clinical record and the surveillance decision; the BlueHive Network is the provider-discovery and execution layer that routes exams and returns structured results into the miner record.

Search the BlueHive Network →
Questions

Frequently asked questions

How is this different from our EHS, sampling or mine-management system?

EHS, sampling and mine-management systems know the hazard, the work location and the assignment. Enterprise Health is the clinical authority that makes workforce-health surveillance happen — CWHSP participation, B-reader results, Part 90 documentation, audiometry, dust-related medical evaluations, restrictions and cases on one ONC-certified record. It integrates with those systems and pushes the right status back, rather than replacing mine operations or exposure monitoring.

Does this treat mining as an OSHA program?

No. Mining is regulated primarily by MSHA, with coal-worker health surveillance anchored by NIOSH programs such as CWHSP. Enterprise Health can support OSHA-regulated populations elsewhere in an enterprise, but this mining hub is built around MSHA and NIOSH sources such as 42 CFR Part 37, 30 CFR Part 90, 30 CFR Part 72 and 30 CFR Part 62.

Can it track CWHSP chest X-rays and B-reader results over time?

Yes. CWHSP participation, chest X-ray events, B-reader classifications, spirometry where applicable, follow-up tasks and provider documentation all live on the miner's longitudinal record — so history follows the miner between mines, clinics and operators instead of remaining in a site file.

How does it support Part 90 workflows?

Part 90 status, miner notices, low-dust position documentation, restrictions, transfer steps and follow-up become a governed case workflow. Authorized teams see the action they need to take without exposing unnecessary clinical detail, and the operator can produce an auditable history when asked.

Does it cover metal/nonmetal and aggregates, not just coal?

Yes. Coal gets the CWHSP and Part 90 depth; metal/nonmetal and aggregates get exposure-profile-driven surveillance for silica, dust, noise, respirator clearance, equipment fitness, injuries and restrictions — all on the same certified record and reporting layer.

How does Enterprise Health work with the BlueHive Network?

Enterprise Health is the system of record and surveillance decision layer; the BlueHive Network is the provider-discovery and execution layer. When an exam, audiogram, imaging visit or screen has to happen near a remote mine or quarry, BlueHive routes the provider workflow and structured results return to Enterprise Health.

Mining & aggregates resource library

Built to be the cited source for mining workforce health.

BENCHMARK

The State of Mining Workforce Health 2027

The annual benchmark on how operators run CWHSP, B-reader, Part 90, dust, silica and noise surveillance.

Read the report →
GUIDE

CWHSP and B-reader workflows on one miner record

How to govern coal-worker chest X-ray participation, result review and follow-up without site spreadsheets.

Open the resource →
GUIDE

Part 90 documentation and low-dust transfer readiness

Turning pneumoconiosis-related notices, restrictions and reassignment steps into an auditable case workflow.

Open the resource →
CALCULATOR

Cost of fragmented miner surveillance

Estimate the annual drag of duplicate exams, manual due dates and multi-mine audit prep.

Open the calculator →
All industriesEvery workforce we serveConstructionMobile crews, silica and safety-critical clearanceEnergy & UtilitiesDispersed field clearance and surveillanceManufacturingThe multi-plant surveillance hubOccupational MedicineThe provider and clinic operating modelOH&S glossaryOccupational-health terms, definedIntegrationsAudiometry, imaging, labs & HRIS connectionsThe platformThe certified system of record

See Enterprise Health mapped to your mines and plants.

We'll walk through CWHSP chest X-ray surveillance, B-reader result capture, Part 90 documentation, audiometry, dust and silica-related evaluations, restrictions and BlueHive provider routing across every mine, quarry, mill and prep plant — against your existing safety, HR and operations systems.

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