Referral to the medical board from the employer form. Referral for a preliminary (periodic) medical examination (examination): instructions for filling out, form

Sometimes it is necessary to undergo a medical examination to conclude an employment contract. For some professions, this norm is mandatory.

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Do I need to get a referral for a medical examination when applying for a job in 2019? To obtain admission to some work, it is necessary to confirm the proper level of health.

This rule is valid in order to reduce accidents in production, to prevent the development of certain diseases.

How to believe the state of health on the eve of employment? Do I need a referral for a medical examination in 2019?

Important aspects

It is important for any employer that there are no people with serious illnesses on the staff of the organization.

Excellent employee health is the key to effective implementation:

• fulfillment job description in full;
• professional growth of employees;
• company concepts;
• work without disruptions and rush jobs.

Often, when contacting the personnel department, an employee is offered to go through a medical commission and apply again after confirming good health.

Sometimes the pre-examination becomes a prerequisite employment.

Sending a potential employee for medical examination is immutable in situations predetermined by law.

In this case, a preliminary medical examination must be passed before the conclusion of the contract. That is, the earliest possible passage of a medical examination in the interests of the applicant himself.

Most often, the period for passing the medical examination is determined by the employer and is set for no more than a week. The period can be agreed with the candidate.

Sample document filling

The referral for a preliminary medical examination is completed by the employer himself or his authorized representative. All mandatory clauses of the document must be clearly stated.

What can be the nuances

Signing an employment agreement with an employee without performing a mandatory preliminary medical examination becomes a direct violation labor law and labor protection standards.

According to clause 4 of article 23 of the Federal Law No. 196, the same requirement applies to individual entrepreneurs planning to manage transport on their own.

The purpose of the examination is to determine aptitude and prevent occupational diseases (part 1 of article 213 of the Labor Code). The examination is carried out at the expense of the employer (Article 213 of the Labor Code,).

Management activities by land transport included in the list of works requiring a preliminary medical examination. The list is approved by Order 302n.

Appendices # 2 and # 3 to this List contain a list of contraindications for working as a driver, as well as the composition of medical specialists, the volume of laboratory and functional studies.

When applying for a school

Pedagogical workers are required to undergo a medical preliminary examination upon employment in accordance with.

At the same time, according to sanitary books, all categories of employees of educational institutions should be available.

That is, it does not matter whether the employee gets a job as a teacher or a cleaner, a medical examination during employment is mandatory.

Video: medical examination upon admission to work

So the referral for a medical examination when applying for a job at a preschool educational institution contains a list of examinations for a full medical examination.

During the medical examination, examinations are carried out:

• dermatovenerologist;
• otolaryngologist;
• dentist;
• infectious disease specialist.

Laboratory functional studies are also carried out:

• chest x-ray;
• analysis for STDs and other sexually transmitted diseases;
• research for the presence of helminthiasis.

Medical contraindications regarding the presence of certain diseases and bacterial carriers are certainly revealed.

For the seller

All trade workers involved in the sale of food, cosmetics and perfumery, water, tobacco products are required to undergo a blood, urine and feces test when hiring.

Thus, venereal diseases, dysentery, enterobiasis and other infectious diseases are detected.

In addition, an examination by the following specialists will be required:

• occupational therapist;
• dermatologist;
• psychiatrist-narcologist;
• dentist;
• gynecologist.

The conclusion of the medical commission issued to the seller should indicate that he can perform duties associated with constant contact with the population and his state of health does not pose a threat to the population.

It is important that the seller should always have a medical record with him at the workplace in case of checking. There is an opinion that the presence of a medical book is not necessary for sellers of manufactured goods.

However, it is not. Perhaps the list of studies for them will be smaller, but since they are also in constant contact with people, a medical examination is mandatory for them.

So an examination by a therapist, general tests and fluorography are required for any seller.

Referral for a medical examination from an employernecessary for the employee to be able to undergo a mandatory or periodic medical examination. You will learn how to fill in the direction and where to find its sample from our article.

Purpose of referral for medical examination upon hiring

In accordance with Art. 212 Labor Code RF, the employer has the right not to allow employees to work if they have not passed compulsory medical examination... Art. 213 of the Labor Code of the Russian Federation establishes the obligation to undergo a preliminary medical examination (before employment) for employees who, in the course of their activities, will be associated with:

• hazardous production;
• harmful working conditions;
• traffic.

About what factors determine the harmfulness and danger of working conditions, read the article "Dangerous and harmful production factors (list)" .

Periodic medical examinations (usually annual) are carried out by persons under the age of 21, as well as other employees in order to prevent development occupational diseases... There are also categories of employees that must pass periodic checkups before each going to work, for example, drivers.

Outcome

The mandatory medical examination for employees is established in Art. 213 of the Labor Code of the Russian Federation. If the employee did not pass the medical examination (or refused to undergo it), the employer has the right not to admit him to work.

Distinguish between mandatory preliminary and periodic medical examinations. List of harmful production factors, in the presence of which it is shown that medical examination, contained in order number 302n.

To undergo a medical examination, an employee (including only applying for a job) is given a referral. With this direction, the employee applies to the medical institution indicated by the employer. Based on the results of the examination, a medical certificate is issued to him.

Every forward-thinking employer must ensure that his employees get a medical examination. The current legislation establishes a list of activities, in the performance of which employees are required to go through it with a certain frequency. At the same time, the organization is responsible for the timeliness of this procedure, therefore personnel service should know by heart what documents to draw up and what legal norms to focus on.

In accordance with labor legislation and the Order of the Ministry of Health and Social Development of 12.04.2011 No. 302n, employers are required to conduct preliminary (before hiring) and periodic medical examinations, and sometimes pre-shift and post-shift examinations. All of them are carried out at the expense of the employer, and the employee retains the average monthly salary for the period of the examination.

Periodic inspections are carried out to:

• identify on early dates a disease that makes an employee unsuitable for this type of work;
• track the dynamics of changes in health status;
• recognize the development of occupational diseases and reduce their consequences to a minimum.

Who should get a periodic check-up

Categories of employees who must pass it without fail are provided article 213 of the Labor Code of the Russian Federation and the aforementioned Order. However, this does not interfere with sending representatives of any professions for examination, if an agreement is reached on this between the management and the team.

So, current legislature obliges to undergo regular medical examinations of people who work:

• in harmful and hazardous production;
• on steeplejack, high-altitude work;
• in transport (drivers, machinists, etc.);
• in the field of catering;
• in education and childcare;
• in medical and sanitary-hygienic institutions (this also includes spas, baths, saunas and laundries);
• in hairdressing and beauty salons;
• on pharmaceutical companies;
• in the cleaning service;
• in the field of water supply;
• at livestock and poultry farms.

To the list you need to add employees who have not reached the age of 21. This category of workers must undergo a medical examination annually, the rest - at least once every 1-2 years. The frequency depends on the working conditions and the working environment and is detailed in Appendix No. 1 to the Order.

Before sending people to a medical examination, the employer must correctly issue a referral for each employee. It contains all the information necessary for a medical organization (working conditions, risk factors and hazards of production, etc.), according to which the members of the commission will be able to select criteria for assessing the health status of employees and decide on their ability to continue working.

Sample: Referral for Periodic Medical Examination

The employer independently develops a direction for periodic medical checkup... The form of this document is not contained in the Order, however, there are certain recommendations (clause 8 of Appendix No. 3 to the Order), according to which it should contain the following information:

• name of the organization, form of ownership, OKVED;
• the name of the medical institution, its details and contacts;
• type of medical examination;
• Full name of the employee;
• date of birth;
• division (workshop) in which he works;
• type of work / position / profession / experience;
• previous professions and work experience in other positions;
• harmful and dangerous production factors.

The finished direction might look like this.

The referral is drawn up and signed by an authorized person and issued to the employee against signature. From this moment on, the employee is responsible for the timely completion of the mandatory periodic medical examination. During the medical examination, the medical board takes the referral from the employee and attaches it to their documentation.

Sample order for referral to a periodic medical examination

it mandatory document, which contains the basic information necessary for organizing a medical examination. As a rule, the initiator of the issuance of the order is the employee responsible for the observance of labor protection rules at the enterprise.

The order must contain the following information:

• name of the organization;
• date and number of the order;
• link to regulations;
• a medical organization that will conduct a medical examination;
• survey schedule;
• the person responsible for the medical examination;
• indication of duty responsible specialist familiarize staff with the order;
• a list of employees to undergo a periodic medical examination.

The order might look like this.

In accordance with the standard rules of office work, the order is drawn up on the company letterhead.

What kind of doctors to go through

Your company can choose any medical institution - both public and private. The main thing is that it has a license to conduct medical examinations and has the necessary specialists.

So, regardless of the specialty, each employee must be examined by a therapist, psychiatrist and narcologist. If at labor activity if there is any specificity, then an ophthalmologist, neurologist, dermatologist, allergist can be involved in the medical commission - the list is not exhaustive.

The procedure for conducting medical examinations of employees of enterprises

1. Drawing up a list of the contingent of workers who must undergo a medical examination. Within 10 days, it must be sent by registered mail with notification to the territorial body of Rospotrebnadzor (in notification order, agreement is not required).
2. Conclusion of an appropriate contract with a medical institution, coordination of a schedule and terms.
3. Publication of the Order on the conduct of a professional examination and familiarization of the personnel with it.
4. Issuance of directions for medical examination.
5. Collection of signed and sealed conclusions with the results of the medical examination. The conclusion is signed in two copies - one of them is given to the employee, the other remains in the institution that conducted the medical examination.
6. Within a month, the medical center, together with representatives of the employer and the sanitary and epidemiological service, draws up a final act. After it is approved by the chairman of the medical commission, the act is drawn up in four copies, one of which remains in the medical institution, and the others are sent to the employer, to the territorial body of Rospotrebnadzor and to the center of occupational pathology to replenish statistical data.
7. The results of preliminary and periodic professional examinations are recorded in the employee's personal medical record.

Referral for a medical examination upon hiring gives the employer an opportunity to get an idea of \u200b\u200bthe health status of the applicant and to make sure that the candidate for the vacancy physically and psychologically ready to fulfill the duties offered to him.

In addition, a preliminary prophylactic examination reveals a number of infectious and other mass diseases.

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The passage of preliminary and planned preventive examinations is regulated by several legislative acts.

Article 41 of the Constitution Russian Federation The article states that each citizen is assigned right to health, this industry is regulated by the Federal Law of March 30, 1999 No. 52-FZ. Everything related to the protection of workers' health is covered in Article 34 of the Labor Code.

The implementation of preventive examinations of applicants is discussed in detail in Articles 212 and 213 of the legislative act. If a potential employee refuses to undergo a medical examination or his health condition does not meet the stated requirements, then he cannot apply for this position.

Where to go?

Preliminary inspection is important for both the employee and the employer. The applicant visits doctors, takes the necessary tests and receives information about his health status. Often it is these examinations that allow identify various diseases in the early stages or professional pathology.

For the employer, this practice when hiring a job seeker is important for two reasons. Firstly, according to the law, a person can be accepted for vacancies in some professional fields only after passing a professional examination.

Secondly, most employers want to see in their company healthy worker able to perform job duties fully.

Please note that the checklist that doctors mark on does not include any diagnoses or personal information. All direct information about health, test results and the nuances of the identified diseases, the doctor either informs directly to the patient during the consultation, or hands them over.

The applicant is not obliged to transfer this data to the employer, and the doctor is not entitled.

Passage of professional examination in each company is organized in its own way. Some firms offer the prospective employee to independently apply to the local polyclinic or to any private medical center. In this case, you need to ask the clinic checks for expenses.

Other organizations issue a referral to a specific healthcare facility with which they have contract signed. This is especially true for various structures that have hospitals and outpatient clinics for employees in their department: the Ministry of Internal Affairs, Russian Railways, the police, etc.

When choosing a company that can conduct a preliminary (periodic) medical examination, you need to pay attention to:

1. A medical organization has the right to conduct preliminary (periodic) examinations - a license.
2. The ability to carry out an examination of professional suitability.
3. The presence in the staff of the organization of a doctor - occupational pathologist and other medical workers.
4. Time spent on analysis and preparation of a project for calculating the cost of a periodic medical examination (examination).
5. Service cost.
6. The term of the medical examination.
7. Conditions of the event.

According to Article 212 of the Labor Code both preliminary and scheduled preventive examinations must be paid by the employer.

If you are paying for the examination, then keep all receipts and receipts for payment. Upon employment, after presenting them, you will have to be compensated for the amount spent.

When is an initial physical examination required?

Passing a preventive examination during employment is mandatory for the following groups of applicants:

• Persons under the age of 18, which is regulated by Article 266 of the Labor Code of Russia;
• Applicants for a job that involves moving to the Far North;
• Professional athletes, according to 348;
• Representatives of all specialties subject to mandatory professional examination when hiring. These professions are listed in Article 213 of the Labor Code and Order of the Ministry of Health No. 302n.

In addition, some organizations have internal regulations, obliging employees to undergo a preliminary and mandatory medical examination. For this, the management of the organization issues an order to undergo an annual medical examination.

Download a sample order for a medical examination.

The tenant, in accordance with Article 212 of the TC, must provide an opportunity for the applicant to undergo a medical examination. Otherwise, the following penalties will be imposed on the employer:

• For an official, a fine of up to 5,000 rubles;
• For individual entrepreneur also a fine of up to 5,000 rubles or a ban on exercising commercial activities during three months;
• On legal entities a penalty is imposed in the amount of up to 50,000 rubles or the suspension of activities for three months;
• An official who has been repeatedly convicted of such a violation is deprived of the right to conduct activities for 1-3 years.

This system of penalties is regulated by the Code of Administrative Offenses of the Russian Federation.

According to Article 214 of the Labor Code, an employee is obliged to undergo professional examinations in a timely manner, otherwise the employer has the right to suspend the specialist from the performance of duties or, if labor contract has not yet been concluded, refuse vacancies.

Uniform form non-admission order there is no employee to work, however, the document should include the following information:

1. Employee data and title of the position occupied by him;
2. Grounds for removal from professional responsibilities with reference to Article 76 of the Labor Code;
3. Indicate the period of non-admission, that is, until the specialist undergoes a professional examination;
4. Terms of accrual wages for this period.

How do I get a referral?

After agreeing on the candidacy of the applicant for this position, he can apply to the personnel department and get a referral for a medical examination. The form is issued to the employee against signature. The bypass sheet should include a list of doctors to visit.


Large companies cooperating with medical organizations often agree in advance for the applicant to undergo a professional examination. In this case, you will be told the time and place where you will need to appear for the examination.

If the company does not have an agreement with any medical institution, then you can choose any clinic licensed to provide such services.

There is no single legally approved form for a preventive medical examination. However, in 8 point of order No. 302н lists the items to be contained in the direction:

• Company name;
• Type of activity of the company according to the classifier of economic activity;
• If the applicant is directed to any specific medical organization, then in the form it is necessary to indicate all its contact details;
• A kind of professional examination;
• Personal data of the employee;
• The name of the profession and position that the applicant will hold;
• List of factors of production potentially hazardous to health.

You can download a ready-made referral form in form 302n.

The prophylactic examination is considered completed when the applicant received conclusion about the examination. One copy of this document must be transferred to the HR department of the company, and the second is stored in the employee's personal medical record.

For useful information about medical examination during employment, see the video:

Medical examination is mandatory for the categories of workers prescribed in Art. 113 of the Labor Code of the Russian Federation. The physical examination can be primary and periodic. To undergo a medical examination, an employee is sent to a medical institution with which the employer's organization has an agreement for the provision of medical services.

The employer bears the cost of the medical examination, the time spent on the medical examination is paid to the employee based on the average earnings.

The employer gives the employee a referral to undergo a medical examination, with which he must appear at medical institutions for passing all the necessary specialists. The direction has standard form and its form is attached to the order of the Ministry of Health and Social Development of April 12, 2011. You can download the referral form for a medical examination at the link at the bottom of the article.

After the employee is examined by all specialists, he will be issued a certificate of the established form 086 / U, which will need to be handed over to the employer. It is this certificate that assesses the health of the employee.

Sample filling

In the direction for a preliminary or periodic medical examination, you should fill in the name of the organization, its address and OGRN, you should also indicate the name of the medical institution with which the organization has a contract for the provision of medical services. In addition to the name of this institution, you need to write its address and OGRN.

1 - full name natural person completely;

2 - day, month and year of birth;

3 - you need to choose an option - an employee entering or working is sent for a medical examination;

4 - department where the person works;

5 - type of work performed;

6 - length of service in the position for the certification of which a medical examination is carried out;