Conclusion form by order 302n of the Ministry of Health and Social Development. Referral for medical examination

When sending an employee for a medical examination, he should be issued a document (direction type sample from the order form 302n), which he must transfer to the medical facility when passing doctors. Depending on the information provided in the referral, appropriate medical specialists and analyses.

According to the results of the passed medical examination (pre-employment or periodic) the employee is given a certificate to be given to your employer. The conclusion determines the level of human health and helps to establish whether this worker work in a position without harm to your health.

Available legislative document- Order No. 302n dated April 12, 2011, which prescribes for which persons medical examinations are mandatory, and also determines the procedure for this procedure. The same order is in the appendix standard form of direction, which can be used for decoration.

A sample of this form of referral for a medical examination, established by order No. 302n, can be downloaded at the bottom of the article in word format. We also offer to download the referral form for preliminary and periodic medical checkup.

Video - How to send an employee for a medical examination when applying for a job (what you need to know)

How to get directions right?

Each organization should have such a document as a list of the contingent with a list of those persons who are required to undergo medical examinations. Employees must be notified about the need for medical examinations and their frequency. This list is the basis for issuing a referral to an employee for a medical examination.

The procedure for conducting inspections prescribed in order No. 302n, defines those mandatory items that must be present in the direction, including:

data on the company that is the employer (name, form of ownership, OKVED);
information about the medical institution with which the contract for the provision of medical services(name, location address, OGRN);
type of inspection (preliminary, periodic);
information about the employee to be examined;
position or type of work performed;
hazard and hazard factors established for these jobs or positions.

The completed referral form for a preliminary or periodic medical examination is signed by a person representing the interests of the organization in this matter.

Order 302n dated 04/12/11 of the Ministry of Health and Social Development on medical examinations and commissions is given. A form of referral from the employer for a mandatory medical examination or medical examination when applying for a job is given. This sample form in the form from 2018 - 2019 can be downloaded for free. A list of harmful production factors order 302n by profession for a mandatory medical examination.

The procedure for conducting medical examinations
Order of conduct mandatory medical examinations workers is given in Appendix 3 to the order of the Ministry of Health and Social Development dated April 12, 2011 No. 302n. The procedure for conducting pre-shift, pre-trip and post-shift, post-trip medical examinations of people. Which manage transport, approved by order of the Ministry of Health of December 15, 2014 No. 835n. For all other categories of employees, these documents can also be applied.
Types of medical examinations
Mandatory medical examinations are divided into three types:
preliminary;
periodic;
extraordinary.

Such a classification of medical examinations is provided for by the provisions of part 1.
For certain categories employees may be subject to mandatory medical examinations (examinations). They are carried out at the beginning of the working day (shift). And also during and (or) at the end of the working day (shift). The time for passing such medical examinations (examinations) is included in work time. This procedure is provided for by part 3 of Article 213 of the Labor Code. Such medical examinations are required to pass employees engaged in underground work (Article 330.3 of the Labor Code).
Medical examination at work, when is an employee required to undergo an examination in accordance with order 302n?
List of harmful or dangerous production factors and works. During which a periodic medical examination is carried out. And mandatory preliminary and periodic medical examinations at the doctor's office, approved by order of the Ministry of Health and Social Development of Russia dated April 12, 2011 No. 302n. Medical examinations are mandatory if the work is associated with harmful or hazards. Among such factors, the electromagnetic field of the broadband frequency spectrum from a PC is mentioned. Work on reading and entering information. Work in the dialogue mode in the amount of at least 50% of the working time. At the same time, it is not stipulated that the need for a medical commission depends on working conditions.

An employee who uses a computer for more than 50% of the working time must undergo a medical examination. Between medical examinations, not only periodic (once every two years), but also preliminary medical examination. That is, before getting a job (letters dated 03.21.14 No. 15-2 / OOG-242, dated 08.18.15 No. 15-1 / OOG-4397).
Who conducts medical examinations
The employer is required to organize medical examinations of employees. To do this, the organization concludes an appropriate agreement with a medical institution. Who has a license for medical activities (clause 6 of the Procedure, approved by order of the Ministry of Health and Social Development of April 12, 2011 No. 302n, clause 46, part 1, article 12 of the Law of May 4, 2011 No. 99-FZ).
Also, the employer can conduct medical examinations (for example, pre-trip) in their own first-aid post. Who has a license to practice medicine. The right to conduct preliminary and periodic medical examinations (clause 46, part 1, article 12 of the Law of May 4, 2011 No. 99-FZ, clause 4 of the Procedure, approved by order of the Ministry of Health and Social Development of April 12, 2011 No. 302n).
Should the organization, when conducting medical examinations (including pre-trip) in its own first-aid post, obtain a license for this type of activity. Conducting medical examinations is not the main activity of the organization
Yes, it should. Medical activity is licensed. Medical examinations (including pre-trip) are medical services. They are subject to licensing (clause 46, part 1, article 12 of the Law of 04.05.2011 No. 99-FZ. List to the Regulation, approved by Government Decree of 16.04.2012 No. 291). No exemptions for medical activities. For own needs, the legislation on licensing does not provide. Therefore, when conducting medical examinations (including pre-trip ones) in your own first-aid post, you must obtain a license for this species activities.
The need to obtain a license for medical examinations is also indicated in paragraph 8 of the Procedure approved by order of the Ministry of Health dated December 15, 2014 No. 835n.
Is an employee of the organization (for example, an accountant) who has a diploma of medical education entitled to conduct pre-trip medical examinations of drivers. The organization does not have its own medical center
No, not right. Organizations of all forms of ownership and entrepreneurs are required to organize mandatory pre-trip medical examinations of drivers. For those who have automobile transport(clause 1, article 20, article 23 of the Law of December 10, 1995 No. 196-FZ).
An organization can organize a mandatory medical examination either in its own first-aid post. Or under an agreement with a medical institution. A medical institution with which a contract for medical examinations has been concluded. It must have a license for this type of activity (clause 46, part 1, article 12 of the Law of May 4, 2011 No. 99-FZ).
If the organization independently conducts a pre-trip medical examination. It is necessary that only medical professionals do this. In this case, the organization itself must obtain a license. This is provided for by paragraph 8 of the Procedure, approved by order of the Ministry of Health of December 15, 2014 No. 835n.
Thus, if an employee of an organization has only a diploma of medical education, but does not have the appropriate certificate, then he is not entitled to conduct mandatory medical examinations.
The requirement for the qualifications of employees is not the only one when conducting a medical examination on their own.
Medical examinations are mandatory even when selling manufactured goods, according to the Supreme Court
Preliminary and periodic medical examinations all employees must pass trade organizations. Including those who are not directly involved in the sale of products. It does not matter what exactly the company sells - food products or machines. This conclusion was reached by the Supreme Court in its decision dated December 6, 2017 No. 34-AD 17-5.
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For example, mandatory medical examinations are provided for those who are employed:
in public utility organizations. Providing hairdressing and cosmetic services (clause 9.29 SanPiN 2.1.2.2631-10, approved by the decision of the chief sanitary doctor of May 18, 2010 No. 59);
construction industry (clause 13.1 of SanPiN 2.2.3.1384-03. approved by the decision of the chief sanitary doctor of 11.06.2003 No. 141);
in organizations Catering(clause 13.1 of SanPin 2.3.6.1079-01. approved by the decision of the chief sanitary doctor of 08.11.2001 No. 31);
at work related to the maintenance of electric power facilities (Procedure approved by order of the Ministry of Energy of August 31, 2011 No. 390);
on the railway transport general use (Procedure, approved by order of the Ministry of Transport dated July 16, 2010 No. 154).

Employees under 18 and professional athletes also undergo mandatory medical examinations (Articles 69, 266, 348.3 of the Labor Code).
An entrepreneur-driver must undergo mandatory pre-trip medical examinations. And post-flight health checks too. If he is engaged in transportation and manages transport himself. This is provided for by paragraph 4 of Article 23 of the Law of December 10, 1995 No. 196-FZ. Clause 3 of the Procedure approved by the order of the Ministry of Health of December 15, 2014 No. 835n.
Is the administration of a medical institution, when hiring an employee who has no contact with patients, entitled to undergo a medical examination and a medical book
Yes, right. Employees of medical institutions, including children's. Must undergo pre-employment health screenings. No exceptions for employees. All employees pass. Even those who are in direct contact with children (sick) are not.
Data on the passage of medical examinations is entered into the personal medical book of the employee. When hiring, the administration may require the employee to undergo a medical examination. Or a medical book with data on its passage. An employee who refuses to undergo a medical examination should not be allowed to work. (Article 69, part 2 of article 213 of the Labor Code, article 34 of the Law of March 30, 1999 No. 52-FZ, clause 15.1 of SanPiN 2.1.3.2630-10, approved by the decision of the chief state sanitary doctor of May 18, 2010 No. 58) .
Who should pay for the issuance of a personal medical book for an employee - an organization or an employee
The organization must pay these costs. A personal medical book indicates the suitability of an employee for health reasons to perform a certain job. To obtain the appropriate marks, the employee takes tests, undergoes an examination, etc. All these activities must be financed by the employer (Articles 213, 266 and 348.3 of the Labor Code).
What responsibility is provided for an employee if, having received a medical book at the expense of the employer, he quit or did not start work at all
The employee does not bear any responsibility for such actions. Firstly, the law obliges the employer to pay for all medical examinations (examinations) (Articles 213, 266 and 348.3 of the Labor Code). Secondly, termination employment contract on own will- Voluntary will of the employee. Therefore, it is impossible to oblige an employee to pay the costs of obtaining a personal medical book. Labor legislation does not provide for the possibility of recovering damages from an employee. If caused due to refusal to conclude an employment contract.
Medical examinations and SOUT can be carried out at the expense of the FSS. Please submit your application by August 1st
Funded by the Foundation social insurance the following activities can:
labor protection training for established categories of employees;
Spa treatment;
purchase of personal protective equipment;
mandatory periodic medical examinations;
purchase of first aid kits medical care, tachographs, breathalyzers.

All documents must be properly completed. Contain reliable information. The applicant on the day of submission of documents should not have arrears in payment of insurance premiums. Unpaid penalties and fines.
Note: Download the application form for allocation financial support. Format.doc 41 Kb, Ministry of Labor of the Russian Federation: Order 598n dated 09/02/14 (as amended on 04/04/2017)
Documents are submitted by the public services insurer through the MFC. With a personal visit to the FSS or by mail.

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When employees who work at a computer should not undergo medical examinations
When employees work at the computer for more than half of their working time. But at the same time, their working conditions are recognized as optimal or acceptable. The employer may not send them to preliminary and periodic medical examinations. This was announced by Rostrud in a letter dated February 28, 2017 No. ТЗ / 942-03-3.
With regard to a number of factors listed in the List, it is indicated. What passing medical examinations necessary when classifying working conditions as harmful. For example, for the factor "Low air temperature in industrial premises". And for the factor “electromagnetic field of the broadband frequency spectrum from a PC, there is no such clause. The presence of hazardous radiation and the assignment of work on this factor to "harmful" is possible only according to working conditions. In this part, Order No. 302n contradicts the provisions. This article directly states: employees are sent to undergo mandatory preliminary and periodic medical examinations. Those who are employed in jobs with harmful or dangerous working conditions.
Rostrud officials draw the following conclusion. If the current results confirm that the working conditions of the employee. Who works at the computer, optimal or acceptable. The employer is not obliged to send him for a medical examination.
Kontur.Accounting: Keep personnel records and calculate salaries in a web service for free

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Preliminary medical examinations
Preliminary mandatory medical examinations are carried out upon employment. Their goal is to determine before concluding an employment contract. Can a candidate apply for a particular position for health reasons.
If a preliminary medical examination is carried out in a medical institution. To obtain a medical certificate, the candidate must be issued a referral. In the direction for a medical examination issued to the applicant for a position in hazardous (dangerous) work, indicate the harmful (dangerous) production factors. With which the employee will face after employment on vacant position. In addition, in the direction indicate:
the name of the employer;
form of ownership and organization according to OKVED;
the name of the medical organization, the actual address of its location and the OGRN code;
type of medical examination (preliminary);
surname, name, patronymic, date of birth of the applicant;
Name structural unit organization (if any) in which the candidate will be employed;
the name of the position (profession) of the applicant or the types of work that he will perform.

A referral for medical examinations is issued to a person against a signature. The employer must organize the accounting of issued referrals.
Note: See paragraphs 7, 8 of the Procedure approved by the order of the Ministry of Health and Social Development of Russia dated April 12, 2011 No. 302n.
Currently, there is no unified referral form for medical examinations. The organization has the right to develop it independently.
Is it necessary to undergo a medical examination for an employee who was fired and then re-hired for the same job?
If an employee who was employed in "harmful" jobs quit. And then again accepted for the same job. Then he must re-pass a preliminary medical examination. That is, if the employee was fired (with the termination of the employment contract). And then he was hired for the same job, all the requirements apply to him labor law. Including in terms of passing a mandatory preliminary medical examination. This conclusion follows from the letter of the Ministry of Labor of Russia dated April 28, 2017 No. 15-2 / OOG-1224.

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Periodic medical examination
Periodic mandatory medical examinations are carried out during the entire period of work of the employee in the organization. Their goal is to monitor the health of employees. Timely detection of occupational diseases. For periodic medical examinations, create a list of employees who:
are exposed to harmful production factors specified in the list. Approved by the order of the Ministry of Health and Social Development of Russia dated April 12, 2011 No. 302n. Also, harmful factors are determined by the results special evaluation working conditions (attestation of workplaces) and in the course of laboratory research and testing;
carry out work according to the list approved by the order of the Ministry of Health and Social Development of Russia dated April 12, 2011 No. 302n.

Note: Clause 19 of Procedure No. 302n, clause 5 of Article 7 and subparagraph 1 of clause 3 of Article 10 of Law No. 426-FZ.
Submit the approved list to territorial body Rospotrebnadzor within 10 days (clause 21 of Order No. 302n).
Based on this list, make a list of names of employees. which need to undergo periodic inspection. If a medical examination is carried out in relation to employees. Employed in harmful (dangerous) work. It must indicate harmful (dangerous) production factors. that affect employees.
Send the name list of employees to the medical organization. Not later than two months before the start date of the periodic medical examination agreed with this organization
Note: a (clause 23 of the Order)
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Having received a list of names, the medical institution draws up a calendar plan for conducting medical examinations. Coordinate with the organization. The employer must familiarize employees with this plan. But no later than 10 days before the start of the medical examination.
Give the employee a referral before the periodic medical examination. It is issued in the same manner as during the preliminary medical examinations. (clause 24 of Order No. 302n). The direction is issued to the person under the signature. The employer must organize the accounting of issued referrals.

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Form 302n Direction for medical examination of the driver, sample, example excel format, guarantor
There is no unified referral form for a preliminary periodic medical examination. The organization has the right to develop it independently. A form for a medical examination, a referral for a medical examination from the employer is issued to a person against signature. Specify the type of medical examination (preliminary or periodic). Indicate in it the harmful (dangerous) production factors that the employee will encounter after employment in a vacant position. The employer must organize the accounting of issued referrals
Below is an example of a medical referral. Suitable for the driver, the seller. It can be downloaded for free.

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Reporting
Information about the preliminary and periodic mandatory medical examinations carried out should be reported to the FSS. Fill in table 5 in the calculation in the form 4-FSS. Based on these data, the FSS will set a discount for the organization. Or a surcharge to the contribution rate. For compulsory insurance against accidents at work and occupational diseases (subclause 18, clause 2, article 17 of the Law of July 24, 1998 No. 125-FZ).
Responsibility for not conducting a medical examination
An employee who has not passed the mandatory medical examination cannot be allowed to work. By virtue of paragraph 12 of part 2 of Article 212 of the Labor Code. For violation of this requirement, the labor inspectorate may fine:
organization in the amount of 110,000 to 130,000 rubles;
officials organizations (for example, a manager) in the amount of 15,000 to 25,000 rubles;
entrepreneur in the amount of 15,000 to 25,000 rubles.

Inspectors can learn about a violation from an employee's complaint or during an inspection.
For violation of the procedure for conducting mandatory medical examinations of drivers, administrative responsibility. If the waybill does not contain a record of the driver passing a medical examination. Or an unqualified doctor made a note about the examination of the driver in the waybill. And someone else.
The amount of the fine under Article 11.32 of the Code of Administrative Offenses:
for citizens - from 1000 to 1500 rubles;
for officials of the organization (for example, the head) - from 2000 to 3000 rubles;
for organizations - from 30,000 to 50,000 rubles.

For the absence of waybill marks on the driver's passing a pre-trip medical examination, the traffic police inspector can fine:
manager - 5000 rubles;

The article will help in a dispute with an employer regarding the qualification of an injury at work. For this you need to contact labor inspection with a complaint. It will set out in detail all the circumstances of his injury.

Corrected visual acuity below 0.6 in the best eye, below 0.2 in the worst. Permissible correction for nearsightedness and farsightedness 8.0DDDD.

Loss of vision in one eye with visual acuity below 0.8 (without correction) in the other.

Central scotoma absolute or relative (with scotoma and the presence of changes in visual function not lower than the values \u200b\u200bspecified in paragraph 1 of this column of the subparagraph - tolerance without restrictions).

Condition after refractive operations on the cornea (keratotomy, keratomileusis, keratocoagulation, refractive keratoplasty). Persons are allowed to drive 3 months after surgery with visual acuity with a correction of at least 0.6 in the best eye, not lower than 0.2 in the worst.

Permissible correction for nearsightedness and farsightedness 8.0D, including contact lenses, astigmatism - 3.0D(the sum of sphere and cylinder must not exceed 8.0D). The difference in the power of the lenses of the two eyes should not exceed 3.0D, in the absence of complications and initial (before surgery) refraction - from +8.0 to -8.0D. If it is impossible to establish preoperative refraction, professional suitability issues are resolved positively with an eye axis length of 21.5 to 27.0 mm.

An artificial lens, at least in one eye. Experienced drivers are allowed with visual acuity with a correction of at least 0.6 on the best eye, not less than 0.2 - on the worst. Permissible correction for nearsightedness and farsightedness 8.0D, including contact lenses, astigmatism -
3,0 D(the sum of sphere and cylinder must not exceed 8.0D). The difference in the power of the lenses of the two eyes should not exceed 3.0D, normal field of vision and absence of complications within six months after surgery.

Chronic diseases of the membranes of the eye, accompanied by a significant impairment of the function of vision, persistent changes in the eyelids, including their mucous membranes, paresis of the muscles of the eyelids that impede vision or limit the movement of the eyeball (after surgical treatment with a positive result, admission is carried out individually).

Chronic inflammation of the lacrimal sac that does not respond to conservative treatment, as well as persistent, lacrimation that does not respond to treatment.

Paralytic strabismus and other concomitant eye movement disorders.

Persistent diplopia due to strabismus of any etiology.

Spontaneous nystagmus with pupil deviation of 70° from the middle position.

Restriction of the field of view by more than 20 0 in any of the meridians.

Violation of color perception.

Diseases of the retina and optic nerve (retinitis pigmentosa, optic nerve atrophy, retinal detachment, etc.).

Glaucoma

Absence of one upper or lower limb, hand or foot, as well as deformity of the hand or foot, which significantly impedes their movement. As an exception, persons with one amputated lower leg may be allowed if the amputation stump is at least 1/3 of the lower leg and the mobility in the knee joint of the amputated limb is fully preserved.

Absence of fingers or phalanges, as well as immobility in the interphalangeal joints:

the absence of two phalanges of the thumb on the right or left hand;

absence or immobility of two or more fingers on the right hand or complete reduction of at least one finger;

the absence or immobility of three or more fingers on the left hand or the complete reduction of at least one finger (while maintaining the grasping function and strength of the hand, the issue of access to control is decided individually).

Shortening of the lower limb by more than 6 cm - examined can be considered fit if the limb has no defects on the part of bones, soft tissues and joints, the range of motion is preserved, the length of the limb is more than 75 cm (from the calcaneus to the middle of the greater trochanter of the thigh).

Absence of an upper limb or hand, absence of a lower limb at any level of the thigh or lower leg with impaired mobility in the knee joint.

Traumatic deformities and defects of the skull bones with severe neurological symptoms that prevent driving. In the presence of minor neurological symptoms, admission is carried out individually with a re-examination after one year.

Complete deafness in one ear when perceiving colloquial speech to the other at a distance of less than 3 m, whispering speech - at a distance of 1 m, or perception of colloquial speech in each ear less than 2 m 2 years).

Chronic unilateral or bilateral purulent inflammation of the middle ear, complicated by cholesteatoma, granulations or polyps (epithympanitis). The presence of a fistula symptom (after surgical treatment with good result issue is decided on a case-by-case basis).

Chronic purulent mastoiditis, complications due to mastoidectomy (cyst, fistula).

Diseases of any etiology that cause dysfunction of the vestibular analyzer, dizziness syndromes, nystagmus (Ménière's disease, labyrinthitis, vestibular crises of any etiology, etc.).

Diseases of the endocrine system of a progressive course with persistent, pronounced dysfunctions of other organs and systems (permission to drive is decided individually, subject to annual re-examination after examination and treatment by an endocrinologist).

Ischemic heart disease: unstable angina, exertional angina, FCIIIArt., high-grade heart rhythm disturbances, or a combination of these conditions (permission to drive is decided individually, subject to annual re-examination after examination and treatment by a cardiologist).

Hypertension IIIstages, 3 degrees, risk 1V(admission to drive is decided individually, subject to annual re-examination based on the results of treatment and the recommendations of a cardiologist)

Diseases of the bronchopulmonary system with symptoms of respiratory failure or pulmonary heart failure 2-3 tbsp. (Admission to driving is decided individually after examination and treatment by a pulmonologist).

Prolapse of the uterus and vagina, retrovaginal and vesico-vaginal fistulas, perineal ruptures with violation of the integrity of the rectal sphincters, dropsy of the testicle or spermatic cord, hernia and other diseases that cause restrictions and pain in movements that prevent driving.

Employees of those enterprises and specialties for which the process of passing a medical examination is mandatory must certainly go to the relevant institutions for preliminary or primary medical examinations, and also undergo periodic inspections according to their order of passage. At the same time, this procedure is carried out at the expense of the employer on the basis of a referral issued by him for a medical examination from the order of the Ministry of Health 302n dated 04/12/2011.

Before conducting the medical examination procedure itself, each employer is obliged to give its employees the necessary referrals, which are issued to each against signature, and are subject to accounting by the employer himself. The document in question is a standard sample of a referral from an order with form 302n, which the employee is required to provide to a medical institution and go through the necessary doctors.

Depending on the information message that is indicated in the referral, certain health workers and specialists will be assigned, and appropriate tests will be ordered if necessary.

The form of referral for a preliminary or periodic medical examination is taken from the appendix to order 302 n.

The procedure for issuing a referral for a medical examination is clearly detailed in Order No. 302n. Must be specified:

all data about the enterprise itself, which offers the job. That is, the name of the company, its form of ownership, as well as OKVED, and the like;

all data on the medical institution with which the company has concluded an agreement on the provision of such medical services. The name of the clinic, its address, as well as the PSRN must be indicated;

type of medical examination to be passed - periodic or preliminary examination;

information about the employee who must undergo such an examination;

position or type of activity of the employee.

Also, in the direction 302n, all hazard and hazard factors that are established for a particular position or for certain types of work should be indicated. In this case, the drawn up referral form for periodic or preliminary medical examinations is signed by a certain person of the company or organization that represents its interests in this direction.

Who should have a medical examination

A referral for a preliminary medical examination is issued in accordance with the norms of law 302n, which clearly states that such an examination is necessary:

if there are dangerous and harmful factors of production;

for harmful types of work;

when the employee's position is related to interaction with children;

for healthcare workers;

for those in contact with products;

employees under 18;

working in waterworks.

Note: medical examination for the specified categories of workers is paid by the employer. Expenses can be taken into account in tax and accounting.

Why do you need a medical examination

Based on the results of the preliminary medical examination, the employee in the medical center will be issued a special document, which the person must provide to the employer. A sheet filled out by doctors allows the latter to determine at what level the health of a potential employee is, and to understand whether a candidate for a vacancy can perform the tasks assigned to him without much harm to his health.

In order for the whole procedure to take place in a certain order, a special legislative document is provided in the form of an order number 302n dated 05/17/16. This document clearly states for which persons it is necessary to undergo a medical examination, and this document also defines a clear procedure for the entire procedure. In addition, the order has a standard referral form in the application that can be used to fill out.

Below we offer to download a sample of filling out a referral for both periodic and preliminary medical examinations.

In accordance with the rules, all enterprises should have a standard format referral from order 302n. Also, the employer must have a list or a list of those persons who are required to undergo all necessary medical examinations. In addition, all who need to undergo such medical examinations should be notified in advance that they need to go to a medical facility for the necessary examinations, and they should also be notified of the frequency of their passage. In this case, the list is the basis for issuing a referral to the employee in order for him to undergo a medical examination.

Order 302 on physical examinations establishes the rules for conducting mandatory medical examinations of employees entering work and already working at the enterprise. You will learn about how such inspections are organized in our article.

What does the new edition of the normative act on the passage of medical examinations say?

According to Art. 213 of the Labor Code of the Russian Federation, the need to undergo preliminary and regular medical examinations is provided for employees associated with the movement Vehicle(e.g. drivers) or working in harmful/dangerous conditions. As stated in par. 12 hours 2 tbsp. 212 of the Labor Code, the organization of such medical examinations is entirely the responsibility of the employer, including its financial support.

The procedure for passing preliminary / periodic medical examinations, as well as lists of factors and work that affect the frequency of examinations, are established by order of the Ministry of Health and Social Development dated 12.04.2011 No. 302n about physical examination with applications - according to law such inspections should be carried out at regular intervals. In order to protect the health of the population, medical examinations are mandatory:

catering workers;

employees associated by type of activity with water supply networks;

citizens working in medical and children's institutions.

What is indicated in Appendix 1 and Appendix 2 to Order 302n of the Ministry of Health

In appendices 1 and 2 to order 302n on medical examinations contains exhaustive lists of production factors, types of work and varieties of professions, the presence of which in labor activity employee indicates the need for a medical examination.

In particular, in Appendix 1 hazardous production factors are divided into the following groups:

Chemical, if during operation there is contact with chemical substances that have:
pronounced negative impact on the human body (for example, carcinogens, silicates, welding aerosols);

combined chemical structure (eg, ammonia, formaldehyde, ketones, arsenic);

certain economic purpose(e.g. pesticides, polymers, dyes).

Biological (eg, microorganism-contaminated materials, biotoxins).

Physical (for example, electromagnetic field, ionizing radiation).

Associated with labor processes (for example, heavy physical exertion, working with a microscope / magnifying glass).

Appendix 2 indicates the frequency of medical examinations, the participation of doctors of a certain qualification and the types of examinations carried out. medical research depending on the work performed that has a harmful/dangerous effect on health. So, for example, according to the order 302n medical examination should be carried out annually when performing steeplejack work and participating in fire-hazardous industries. You will definitely need to be examined by such specialists as a neurologist, otorhinolaryngologist, ophthalmologist.

Features of a medical examination by profession

Preliminary medical examination by order 302n will allow weeding out applicants who have diseases that are contraindicated for a particular profession. So, for example, people who have a history of such pathologies cannot be accepted for the position of a crane operator:
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hernias that can be infringed;

encephalopathy;

permanent hearing impairment;

disruption of the vestibular analyzer;

myopia of a high degree;

frequent recurrences of thrombophlebitis of the veins of the lower extremities.

At the same time, if the applicant for the position did not pass a medical examination in the profession of his choice (there is a conclusion of the medical commission on unsuitability), then the money spent by the employer to pay for the services of a medical institution for conducting this examination is not recovered from the failed employee. After all Labor Code the possibility of recovering losses that were caused to the employer due to the failure to conclude an employment contract is not provided.

Purposes of medical examinations

The main purpose of conducting a preliminary medical examination before concluding an employment contract with an applicant for a position is to determine whether his state of health corresponds to the work assigned to him. This examination will also help to identify incipient occupational diseases in advance.
Medical examinations can be carried out by any medical institution of any form of ownership that has issued an appropriate license. employers, production activity which is associated with hazardous (harmful) working conditions, traffic, the provision of services in the field of catering, trade, service water networks, as well as children's and medical institutions are required to conclude an agreement with the selected medical organization for mandatory medical examinations.

In addition, it must be borne in mind that a mandatory preliminary medical examination is carried out when hiring minors. It does not matter in which area the employer operates. For such persons, after their employment, thereafter, periodic medical examinations should be carried out annually until they reach the age of 18.

The employer issues an order on the order of medical examinations and draws up name lists of those employees who must pass them. The lists are compiled 2 months before the date of examinations of employees previously agreed with the medical institution. Based on the lists received, the medical institution draws up a calendar plan, which is agreed with the employing organization.

10 days before the expected start date of medical examinations, the employer acquaints each employee from the list with the approved medical organization calendar plan medical examination. On the eve of the medical examination, the employer issues referrals to employees. The examination is carried out by a medical commission headed by an occupational pathologist.

Order of the Ministry of Health and Social Development dated April 12, 2011 No. 302n establishes the procedure for conducting mandatory medical examinations at enterprises whose activities:

associated with harmful/dangerous working conditions;

directly related to traffic;

aimed at providing medical, pedagogical services, as well as catering services, etc.

In this normative act it also contains exhaustive lists of harmful production factors and types of work, the implementation of which requires mandatory medical examinations at regular intervals.