Yes, AIS employs Professional Licensed Health Care Providers (PLHCP) as required under Title 30 Code of Federal Regulations (CFR) 60.15 (Silica Rule).

MSHA requires all existing workers to be screened before April 8th, 2026

After that date, new employees’ initial evaluation will need to be obtained within 60 days of beginning employment.

Workers will require a follow up after 3 years, and then every 5 years.

Medical and work history:

• Past and present exposure to respirable crystalline silica and dust

• Any history of tuberculosis

• Any other relevant information (Asthma, smoking history, etc.)

Physical examination:

• Chest X-ray: A single posteroanterior (PA) chest x-ray classified by a NIOSH certified B-reader

• Spirometry (Pulmonary Function Test) administered by a NIOSH certified spirometry technician and evaluated by a board-certified pulmonologist

Yes, AIS is a NIOSH-certified provider for both X-ray and Spirometry. We comply with the stricter regulations for the Coal Workers’ Health Surveillance Program (CWHSP) submitting our reports and images within 14 days.