Hiring a medical examination. Periodic medical examination, the procedure and terms for passing medical examinations by representatives of various professions

The services of this specialist may be needed not only for routine examinations, but also if a worker employed in a high-risk area feels unwell. The occupational pathologist provides the following services:

• Conducts medical examinations for work at height;
• Provides medical and advisory assistance to patients whose work is associated with a harmful environment and risks;
• Carries out diagnostics and treatment of patients with suspected occupational diseases;
• Conducts examinations on the professional suitability of an employee for a specific position;
• Carries out clinical examination of patients who have already been diagnosed with occupational diseases;
• Deals with the organization of measures to prevent disability of workers.

The specialist also organizes events designed to prevent the occurrence occupational diseases... The occupational pathologist monitors working conditions at enterprises, inspects workplaces.

Who needs to undergo a medical examination by an occupational pathologist

Typically, a visit to this specialist and obtaining an appropriate medical clearance answer is necessary for representatives of such professions:

• Transport workers;
• High-altitude installers;
• Industrial climbers;
• Athletes;
• Workers food Industry;
• Beauty workers;
• Medical staff of different categories;
• Utility workers, etc.

Help for working in the Far North 302n

People working in the harsh conditions of the Far North are also forced to undergo periodic and preliminary examinations with this specialist. Constant stay in harsh climatic conditions, the negative influence of magnetic fields, low temperatures and other dangerous factors require people to work here good health... Human acclimatization in the Far North lasts 2-3 years. During this entire period, the occupational pathologist must regularly check the state of the employee's body.

What other specialists need to be visited to get help

To obtain a permit to work in the Far North, in addition to the occupational pathologist, you must also visit such specialists: dermatovenerologist, therapist, psychiatrist, neurologist, narcologist, surgeon, otorhinolaryngologist. It is also necessary to pass a number of tests, undergo an ultrasound scan and fluorography.

Admission to work at height from an occupational pathologist

High-rise work is divided into two categories: steeplejack - performed from ladders, stairs, lifts and other structures; work at height - performed at a height of 1.3 m or more. Will receiveb certificate admission to work at height 405 you can in the clinic "Medprofi 24". We employ experienced occupational pathologists who will carry out all diagnostic and therapeutic measures at a high professional level. You can also get herehelp for electric and gas welders 302n and representatives of other potentially dangerous professions.

What diseases does an occupational pathologist treat?

The specialist treats only occupational pathologies. These include:

• Diseases of the musculoskeletal system caused by excessive physical exertion;
• Diseases of the respiratory tract caused by adverse effects environment at the enterprise;
• Vibrational disease;
• Diseases caused by permanent exposure to toxic substances at the enterprise.

Also, an occupational pathologist deals with the treatment of allergic and oncological diseases caused by difficult working conditions.

Where can o buy a certificate from an occupational pathologist

Clinic MedProfi 24 offers its services in the preparation of almost any medical documentation. We employ specialists of different profiles, we have our own laboratory, modern diagnostic equipment. To make an appointment with an occupational pathologist, call the registry. The clinic is open from 8.00 to 23.00.

Last modified: January 2020

When a person's health is directly related to the work duties performed, the employer organizes an initial medical examination upon hiring. Its conduct is strictly regulated by the provisions of the Labor Code of the Russian Federation, which determines who is not obliged to undergo a medical examination, and in which cases a medical certificate of fitness for the profession is mandatory.

There are several categories of citizens, representatives of different ages and specialties, for whom employment without a medical examination is impossible. Doctors of certain specializations must examine the employee before he starts work, and give an opinion on the possibility of performing a certain range of duties.

Basic provisions on the procedure

Medical examination upon hiring is mandatory only in certain cases established by the provisions of the law. First of all, it is recommended to study articles 69,213,266, 324, 348.3. Article 212 of the Labor Code of the Russian Federation endows the enterprise with the obligation to refuse citizens to get a job if the requirement for a primary medical examination is ignored by employees, or the employees responsible for the registration of a person allowed a person who was not examined by doctors to leave.

The main article governing the compulsory medical examination is Article 213 of the Labor Code of the Russian Federation. So, you cannot do without medical examination when applying for a job related to transport management. They will not be hired without a health check and with frequent contact with adults and children.

Medical clearance it is necessary for registration in organizations where the specifics of work require acceptance important decisionson which the life of other citizens depends, or when working conditions are dangerous and harmful.

Sometimes, during the screening process, a person suddenly learns about the presence of serious problems associated with heredity or chronic diseases. When is the presence infectious diseases, the employer will be able to prevent the spread of dangerous diseases by denying access to work for carriers of infections.

What includes

When applying for a job, it is important to correctly determine the list of doctors that everyone must undergo new employee... In addition to the mandatory list, additional narrow specialists or laboratory studies may be required. When determining which doctors will be required, the employer, first of all, indicates the therapist with whom the examination begins and ends.

Most general issuesconcerning the state of human health, the therapist determines independently, however, when hiring in a specific specialty, expert opinion from other doctors will certainly be required, especially if a minor is employed.

In addition to the therapist, the medical commission includes the following representatives of medicine:

• optometrist;
• neuropathologist;
• ENT;
• surgeon.

However, this list is often supplemented with:

1. For the fair sex, you will need to be examined by gynecologists, and after the 40th anniversary, by mammologists.
2. In the food industry, mandatory examination includes an additional psychiatrist, narcologist, dentist, dermatologist. Citizens associated with the distribution and production of baby milk food also pass these doctors.
3. When working with psychotropic substances, extreme conditions, in a law enforcement agency, teaching activities will require a psychiatrist examination. The professions related to transport (dispatchers, drivers, etc.) fall into the same category. The examination takes place in the form of answers to the doctor's questions, and their subsequent assessment on the peculiarities of mental work, response, etc.

Laboratory tests may include not only a general analysis of urine, blood and fluorography. In addition, blood donations for syphilis, glucose, cholesterol, staphylococcus and enterobiasis tests are organized for food industry workers.

If the profession requires, a vaccination certificate is given upon hiring and preventive vaccinations are renewed.

The procedure for conducting a medical examination at the enterprise

The procedure for passing a medical examination is regulated by federal legislation and orders of the Ministry of Health and the Chief Sanitary Doctor, and other norms of regional legislation.

When applying for a job, the company does not have the right to require medical examination at a specific clinic. A person can independently decide where to get tested, or provide the organization for the passage of a medical examination to the enterprise, since both parties are interested in this procedure. If the company concludes an agreement for the medical examination of employees, the examination process will be simple and quick at all, saving you from tedious queues and receiving coupons.

The law does not require the mandatory choice of a state medical institution, therefore, paid clinics with the appropriate certificate and licenses are often preferred for medical examination.

After the employer reports a positive decision to hire a person, they agree on the details of the subsequent employment. As a rule, at each enterprise they know perfectly well who should undergo medical examinations, and in what cases they are not necessary.

1. Receiving a referral from the employer, signed by the manager or the person who should be involved in the medical examination in the organization. Previously, the form is subject to registration in a separate journal. In the direction indicate what the employee will face in the process of performing the work.
2. Visit a pre-selected medical facility, and consult a therapist. As a rule, the medical examination begins and ends with it. The therapist is also responsible for issuing referrals for tests.
3. Laboratory tests take place immediately, or the next day in the morning.
4. During the following days, the employee visits specialists who will be determined by the therapist at the first visit.
5. When all the conclusions and signatures of the specialists are affixed on the form, the therapist checks the results of the tests passed and writes them into the document. The finished document is handed over to the employee, and the second copy is left in the clinic for storage.
6. On the eve of going to work, a new employee presents the received document, which is then filed into a personal file.

Is the procedure mandatory

Often, workers who go to work for the first time have doubts about whether or not they must undergo a medical examination. And sometimes doubts are justified. The fact is that for a number of employees the law does not require a survey, and the employer insists on them for own initiative... When opening a new rate in a new direction, the question of whether it is necessary to undergo an examination also arises for the employer, because cooperation with a medical institution is paid.

It should be based on the validity of the requirement for a medical examination, based on the provisions of the Labor Code of the Russian Federation and individual specialized acts.
So, the rules for passing a medical examination approve checks for employment:

• employees under the age of 18;
• persons employed in dangerous, harmful, difficult industries requiring special endurance and good health;
• transport workers (all types);
• citizens who work in the Far North;
• workers in the food industry, food trade;
• employees associated with providing the population with water;
• medical workers and teachers, employees of health care facilities;
• in departmental protection;
• citizens with HIV infection;
• persons engaged in rescue operations.

Sometimes a physical examination is not required by law, but the employer requires it, citing internal regulations. It should be understood that when registering with a specific company, the employee either accepts the terms of employment and further work, or not.

Validity and payment

When hiring, often employers are required to present a special certificate. It is issued on a special form in the form 086 / y. If a civil servant is hired, use another form 001-ГС / у. Since issuing a certificate often requires additional costs, even at the stage of discussing the conditions of admission, it is worth discussing who pays for the procedure.

If the person has paid the full cost on his own, the employer agrees to reimburse the costs incurred by the employee in connection with employment.

If employment is only planned, and the person has decided to undergo a medical examination in advance, it should be remembered that the validity period does not exceed:

• for a civil servant - 12 months;
• for other employees - 6 months.

Despite the fact that the deadline has not yet expired, the new employer has the right to ask to update the results of the examination, or to supplement the list with new specialists, if the nature employment requires the adoption of increased security measures, which the person did not suspect until the moment of employment.

In addition to initial examinations, the enterprise may conduct annual medical examinations. This often happens when work involves high responsibility for the fate of other people, or working conditions can seriously undermine a person's health. In such cases, the company, in order not to detach employees from the production process, agrees to conduct a medical examination on its own territory, inviting the necessary specialists. Naturally, such an event carries additional costs, however, if we consider how much time will be spent when separating workers from production activities, it is more profitable for the organization to take over the medical examination.

Each profession has its own characteristics in terms of validity. For example, a compulsory medical examination was introduced for drivers on the eve of each exit to work. However, the pre-trip inspection does not imply a large-scale check and delivery of tests, and is carried out as part of the preparation at the beginning of each shift.

The issue of payment is one of the most discussed when, when agreeing on the terms of employment, the management announces the obligation to undergo a physical examination. Of course, the company itself, accepting a new person, does not want to bear the costs, not being sure that the employee will not leave, having worked 1 day after the funds are spent on conducting the medical examination in full. For this reason, managers often force them to undergo an examination at their own expense, promising to compensate for the costs later.

You should know that it can be difficult to receive compensation later, when the money has already been paid and the person went to work. Other norms begin to operate when subordinates depend on their leader. In theory, everyone hired worker has the right to complain to the Labor Inspectorate, but in practice such cases are very rare, although the employer violates the basic principles of labor legislation. Attempts to bring violators to justice through the prosecutor's office are even less rare.

To avoid problems after employment, it is recommended to negotiate with the management, who pays and where to undergo examination, even “on the shore”. Then the examination procedure will not cause difficulties and will not cause disputes among the parties to the employment relationship.

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The employee is not obliged to notify the employer about the state of his health. And the employer, in turn, has no right (with some exceptions) to force the applicant to submit a medical certificate.

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How to get a medical examination if the employer insists on it?

What does the law say?

The regulations for passing medical examinations upon hiring are approved by the Labor Code of the Russian Federation.

When hiring citizens, for some professions, it is necessary to be guided by more "narrow" laws.

Normative base

The main article of the Labor Code of the Russian Federation, which regulates the passage of the initial medical examination, is Art. 213 of the Labor Code of the Russian Federation.

In addition, in Art. 69 of the Labor Code of the Russian Federation states that citizens who have not yet turned 18 must undergo a mandatory medical examination during employment.

In Art. 298 of the Labor Code of the Russian Federation states that for a job seeker on a rotational basis a medical examination is also required.

And in pp. 9 p. 1 of Art. 48 of the Federal Law of December 29, 2012 No. 273-FZ "On education in Russian Federation”It is said that a citizen who gets a job in a children's institution must undergo a primary medical examination.

Who and why should undergo a preliminary (primary) medical examination when applying for a job?

When seeking employment, the following applicants are required to pass a medical commission:

• minors;
• for positions associated with harmful or dangerous conditions labor;
• in the food industry and catering;
• in trade;
• to medical institutions;
• to children's institutions;
• for positions associated with extreme conditions;
• for positions related to traffic; for work on a rotational basis;
• athletes (article 348 of the Labor Code of the Russian Federation);
• hairdressers;
• cosmetologists;
• judges (Art. 4.1 of the Law of 26.06.1992 No. 3231-1 "On the status of judges");
• to work in the Far North or in areas that have a similar status (Article 324 of the Labor Code of the Russian Federation);
• other employees - prosecutors, police officers, private security officers, employees of the Ministry of Emergencies.

Compulsory medical examination when applying for a job is necessary for:

• establishing the degree of compliance of the health of the future employee with his position and profession for which he is employed;
• identification of complex and dangerous diseases in the early stages;
• health protection.

When is it not required?

Those applicants who are employed in positions that do not correspond to the above list are not required to undergo a medical examination during employment.

But the employer has the right to publish local act on the obligatory provision of a health certificate.

If the employee has read this document and signed it, he will be obliged to visit doctors.

Rights and responsibilities

Each of the parties to an employment relationship has its own rights and obligations in relation to undergoing a medical examination.

Employer

According to Art. 212 of the Labor Code of the Russian Federation, the employer is responsible for ensuring the passage of the medical examination.

The medical commission is not included in the compulsory health insurance system, so the employer must pay for it. The applicant has the right to choose whether to pass the commission in a medical institution with which the employer has concluded an agreement, or at the place of residence.

Even if the future employee has to pay for any medical services on his own, the employer is obliged to pay him compensation equal to the amount of expenses incurred by the applicant.

If the employer concludes without passing compulsory medical examination, he can be brought to administrative responsibility under Art. 5.27 of the Administrative Code of the Russian Federation.

The sanction under this article is a fine in the amount of:

• for an official - up to 5 thousand rubles;
• for individual entrepreneurs - up to 5 thousand rubles or termination of their activities for up to 90 days;
• for the employer as for legal entity - up to 50 thousand rubles or termination of activities for up to 90 days;
• if the same violation is found again, the official will be disqualified for a period from 1 to 3 years.

Worker

An employee has the right not to undergo a medical examination for employment if his position does not fall into the list specified in Art. 213 of the Labor Code of the Russian Federation.

But if there is an internal document on the mandatory provision of a certificate, he will have to do this.

If the employee refuses to go through the commission, the employer has the right with written justification.

Passing a medical examination

To provide the employer with a certificate of your health, you must follow a certain procedure.

The sequence of actions when passing a medical examination is as follows:

• Obtaining a referral for a medical examination from an employer. Legal form of this document not installed. It is developed by the employer independently.
• Passage of doctors indicated in the direction. Doctors enter all the data in a special form or book.
• Obtaining a written opinion from a doctor.
• Submitting a certificate to the employer.

Which doctors should I visit?

The list of doctors differs depending on the position for which the applicant is tripled. In addition, the list for women and men is also different.

The standard list of doctors for the medical board when applying for a job is as follows:

• optometrist;
• surgeon;
• neuropathologist;
• therapist - he issues an opinion.

You also need to pass a general analysis of blood and urine, blood for sugar and do fluorography.

Women need to be examined by a gynecologist.

Supporting documents

A document confirming that the future employee has undergone a professional examination is the conclusion of the therapist, written out on the basis of the conclusions of other doctors.

The conclusion is drawn up in the form of a medical certificate in the form 086 / U:

The time for passing the medical commission depends on the schedule of doctors and the schedule of the laboratory.

The applicant undergoes a medical examination before submitting all documents for registration to the personnel department.

How long is the certificate valid?

The validity period of the certificate in the form 086 / U is six months.

After this time, the employee must go through the doctors again if the employer insists.

The period of validity of a fluorographic study is 1 year.

Payment

According to Art. 212 of the Labor Code of the Russian Federation, the employer is obliged to pay medical examinations their employees, both future and current.

If, when passing the medical examination, the applicant paid for any medical services on his own, then upon presentation of payment documents, the employer must reimburse these costs.

The cost

The price of the examination depends on whether an agreement has been concluded with this clinic.

If yes, then the employer pays a one-time amount per year (or 2 times a year), and all employees undergo doctors free of charge. If there is no agreement with the clinic, then the cost of an examination in private medical institutions can cost about 5-7 thousand rubles, depending on the number of doctors and additional studies.

Passing a medical examination at a municipal medical institution at the place of residence is completely free.

How does a business account for expenses?

List of doctors for a periodic medical examination depends on the position of the employee being examined, as well as on his gender. In our article, you will find information about the standard list of doctors who will need to appear in order to confirm the compliance of their health status with the stated requirements, and about the procedure for passing medical examinations.

What categories of workers are required to undergo periodic medical examination

Caring for the health of workers is one of the essential responsibilities employer. In accordance with Art. 213 Labor Code RF, are required to undergo a medical examination (both before entering work and subsequently, with a certain frequency):

• workers engaged in the performance of work characterized by the presence of harmful and / or hazardous production factors;
• specialists working in the field of transport traffic;
• workers working in the field catering, medical and children's institutions, as well as some other organizations closely related to the provision of services to the population;
• employees who are under 21;
• other categories of workers, the list of which is established by federal and local legislation.

In accordance with Part 3 of Art. 5.27.1 of the Code of Administrative Offenses of the Russian Federation, non-compliance by the employer with this requirement entails the imposition of a fine, the amount of which can reach 130,000 rubles.

The procedure for preparing for the mandatory periodic medical examination

The sequence of actions of the employer aimed at organizing and conducting a periodic medical examination is as follows:

What documents are drawn up during a periodic medical examination, who pays for it

Unlike the initial medical examination, which an employee undergoes before concluding an employment agreement with an employer, it is not required to receive a certificate drawn up in accordance with Form No. 086 / y or No. 001-ГС / у when undergoing periodic medical examination. Based on the results of periodic inspection an employee in a medical organization draws up a conclusion containing the following information:

• date of issue of the document;
• Full name of the person who passed the examination;
• the name of the employing organization;
• name structural unitin which the employee works, as well as the exact title of his position;
• a list of harmful and hazardous production factors that have a direct impact on his health;
• the result of the examination and the conclusion of the doctor, issued on its basis, indicating the presence or absence of contraindications for the employee to perform the declared type of work.

This document must be signed by the chairman of the medical commission and certified by the seal of the healthcare institution. Also, the results of the passed medical examination are indicated in the health passport, which is kept by the employer.

Don't know your rights?

All costs for employees undergoing medical examinations, as well as laboratory and functional studies, in accordance with the provisions of Art. 213 of the Labor Code, fall on the employer. Regardless of which medical institution (public or private) will conduct a medical examination, the employer must conclude an agreement with him for the provision of appropriate services, the cost of which depends on the number of workers examined and the prices set by the clinic's management.

Passing a medical examination by order of 302n - which doctors need to be visited

The procedure for conducting periodic medical examinations of employees of the enterprise is determined by the provisions of the order of the Ministry of Health and Social Development of the Russian Federation "On the approval of lists ..." dated 12.04.2011 No. 302n. In accordance with Art. 5 of Section I of the normative act, the medical examination should be carried out by members of the permanent medical commission, which includes:

• occupational pathologist;
• specialist doctors who have completed an advanced training course in the specialty "occupational pathology", or doctors who have a valid certificate in this specialty.

The composition of this commission is approved by the order of the chief physician of the health care institution providing services for the medical examination of employees of the enterprise.

Wherein list of doctors for medical examinationdependence also on the sphere in which the employee works, and the conditions for his implementation labor activity... Appendix No. 1 to Order No. 302n lists the list of harmful and hazardous production factors, in the presence of which the employee must undergo a health check by medical specialists. The same appendix contains a list of doctors who must examine workers working in certain conditions, as well as the frequency of such examinations. In addition, the document contains an accurate list of laboratory and functional studies, the conduct of which allows you to make the most objective and accurate conclusion about the employee's health.

List of doctors for a second medical examination at work

The list of doctors who must be visited by an employee of the enterprise when he undergoes a medical examination is provided to him directly at the enterprise by the person responsible for carrying out the medical examination and coordinating the process of its conduct. Depending on the position of the worker, this list may include:

• otorhinolaryngologist;
• dermatovenerologist;
• ophthalmologist;
• allergist;
• oncologist;
• urologist;
• gynecologist;
• surgeon;
• endocrinologist;
• neurologist;
• orthopedist;
• dentist;
• infectious disease specialist;
• mammologist (for women over 40), although in some cases the visit to this specialist is replaced compulsory passage mammography procedures with subsequent presentation to the gynecologist.

IMPORTANT! The link of the 3rd list, specified in Appendix 1 to Order No. 302n, establishes the obligation of the employee to undergo examination by a therapist, psychiatrist and narcologist. The legality of this provision is confirmed by the decision The Supreme Court RF "On refusal to recognize ..." dated 18.12.2012 No. AKPI12-1363.

The list of mandatory tests that each employee undergoing medical examination must pass includes:

• general analysis of urine and blood;
• fluorography.

Note: the specified list can be supplemented with other types of examinations and analyzes (depending on the position held by the employee).

Who conducts the physical examination before the start of the working day or shift

In accordance with paragraph 4 of Part 2 of Art. 46 of the Law "On the Basics of Health Protection ..." dated November 21, 2011 No. 323 in order to identify the impact of hazardous and harmful production factors, as well as the presence of diseases that interfere with the normal implementation of labor activities, some categories of workers (for example, drivers vehiclecarrying passengers) are required to undergo a daily inspection before going to work. Unlike a periodic medical examination, this event does not take much time. It is carried out in accordance with part 8 of the annex to the order of the Ministry of Health of the Russian Federation "On the approval of the order ..." dated December 15, 2014 No. 835n, a medical worker with a higher or secondary medical education, or a healthcare facility licensed to provide medical services (including medical examinations).

So, some categories of workers are required to undergo both primary and periodic medical examinations, during which their state of health is checked by both general practitioners and narrow-profile specialists. The list of doctors whose examination is a prerequisite for the employee to carry out further work, laboratory tests and other research, as well as a description of working conditions, the influence of which entails the need for regular examination, are established by the provisions of the order of the Ministry of Health and Social Development No. 302n. On the basis of this document, for each position, a list of doctors is formed to be visited by the employees who occupy it.

Citizens applying for work in a particular company, as well as those working there, undergo medical examination. The importance of this procedure is due to the fact that the employer must be aware of the health status of his staff.

Referral for medical examination

The algorithm for passing a medical study when applying for a job is regulated in detail in Articles 212, 213 of the Labor Code of the Russian Federation. In particular, the law describes how often employees must undergo medical examinations, and also lists the duties of employees in the field of labor protection. The time of the medical examination is paid by the employer.

Obligations of employees in the field of labor protection:

• adherence to labor protection requirements;
• correct use of PPE;
• knowledge of the first medical care;
• immediate notification of the immediate supervisor of the facts that threaten the life and health of people.

According to article 212 of the Labor Code of the Russian Federation, the employer may not allow employees to work if they have not passed the medical examination established by law. Article 213 of the Labor Code of the Russian Federation regulates the obligatory nature of this procedure for employees who in the course of work are associated with hazardous production, working conditions recognized as harmful, and traffic. The referral for examination is written out on the employer's letterhead. Issued into the hands of a citizen. Refusal to pass doctors means non-fulfillment by the jobseeker of the employer's requirements. If the requirements of the supervisor are not met by the existing employees, this means ignoring the duties of labor protection.

The examination of doctors is considered complete if the person has passed all the necessary specialists. And also if all the necessary diagnostic procedures were done to him. Based on the results of the inspection, the employee is issued an opinion. The second copy of the conclusion remains in the clinic where the citizen passed the medical examination, the first copy is given to the employer.

The form for referral for a medical examination, both preliminary and periodic, does not have a strict, unified form. But there is a list of details that must be entered into this form by order of the Ministry of Health and Social Development of 2011, number 302N.

Requisites:

• name of organization, enterprise, individual entrepreneur;
• form of ownership, activity code according to OKVED;
• the name of the medical institution, its details;
• type of medical examination;
• surname, name, patronymic of the employee;
• employee's date of birth;
• position, type of work;
• factors harmful to his health.

According to article 212 of the Labor Code of the Russian Federation, an employer can prevent an employee from working if he has not passed a medical examination. Referring to the provisions of Articles 121 and 157 of the Labor Code of the Russian Federation, it can be concluded that if a person did not visit doctors for reasons personal plan, downtime will not be paid for by his boss. But if a person could not visit the clinic for reasons beyond his control, the downtime will also be paid.

The law indicates a mandatory medical examination of minors. In addition, the order of the Ministry of Health and Social Development under the number 302 defines hazardous factors of production. If people work in such industries, they are subject to preliminary, periodic examinations by doctors. And also the procedure for conducting these surveys has been determined. Compulsory medical research prior to registration labor contract are subject to persons under the age of majority. According to the laws, it begins from the age of 18.

By order of the Chief Sanitary Doctor of the Russian Federation under number 118 of 2003, when hiring foreign citizens, they are obliged to provide the employer with a certificate that they are HIV-free

Passing a medical examination

A referral form for a medical examination to a future employee is issued before signing with him employment contract... But the referral form itself cannot serve as proof that a person will be necessarily hired, as well as undergoing a medical examination. If, according to the results of the research, it is established that the candidate does not correspond to his position for health reasons, he will be denied further employment under Article 84, paragraph 3 of the Labor Code of the Russian Federation.

There are several types of inspections, which are mentioned in article 213 of the Labor Code of the Russian Federation:

• preliminary: before the signing of the labor agreement, before the actual employment;
• periodic: mandatory, after a period of time;
• extraordinary: they are established for a certain category of the population.

According to Article 213 of the Labor Code of the Russian Federation, citizens who come to get a job, characterized by harmful, dangerous labor conditionsmust undergo a medical examination before entering into an employment agreement. It is called preliminary. The same goes for people employed in the food industry.

The organization of a medical examination is the responsibility of the head of an enterprise or organization. He pays for the medical event. The employer's algorithm of actions is as follows:

1. Drawing up a list of workers who need to be sent for a medical examination. Within 10 days, this list is sent to the department of Rospotrebnadzor of the administrative district at the location of the employer.
2. Conclusion of an agreement with a medical institution for examination of employees of an enterprise, institution, organization. Agreement on the timing of the studies.
3. Drawing up, signing an order on the frequency of medical examination, the sequence of passing all procedures. Employees familiarize themselves with the order at least 10 days before the start of the medical examination.
4. Issuance of referrals for medical examination. These directions do not have a strict, unified form. Filled out on the employer's letterhead. But any direction must have required details.
5. Collection of opinions on each employee with the results of a medical examination. Two copies of the conclusion are issued. One remains with the researcher, the second - with the employer.
6. Drawing up the final act. This takes a certain amount of time, at least up to 30 days. The act, signed and certified by a medical institution, organization, is sent to the territorial department of Rospotrebnadzor in the administrative district of the employer.

Employees must appear for a medical examination at the center with which the employer has entered into an appropriate agreement. The turnout must be strictly contractual term. If the employee does not come for an examination, the employer can remove him from work, not pay for downtime. But this can only happen if the employee did not show up for the examination without a valid reason. If the reason is found to be valid, the downtime will be paid. Downtime is paid at 2/3 of the average wages human. During a periodic examination, employees visit several specialists and take tests. The list of doctors, diagnostic tests depends on the type of work, availability harmful factors in production. On a mandatory basis, the commission includes an occupational pathologist and other specialists.

Who pays and reimburses the cost of the medical examination and medical book

If the passage of a medical examination is necessary at the legislative level, the payment for the employee's participation in such events falls on the employer. It doesn't matter what kind of examinations it is: preliminary, regular. There are several options for such payment, for example, concluding an agreement with a medical center, or an employee independently paying for medical services with the subsequent provision of a check to the employer.

In the process of passing the study, a medical book is drawn up for each citizen. it mandatory document, where the results of the examination, the conclusions of specialists are recorded. Forms of personal medical records belong to papers that are protected from counterfeiting by level B. These forms do not go on sale, they cannot be freely purchased. The issuance of books is carried out by the territorial division of the SES on the basis of applications received from enterprises.

If an employee is obliged to undergo medical examination, then it is the employer's responsibility to draw up a medical record. Like a work record, a medical record must be kept at the enterprise where the person works. It is issued to a citizen only for the period of passing examinations. To control the safety of this document, a special journal is started.

In which organizations do you need to undergo a medical examination

The obligation to undergo medical examinations of certain categories of some employees is established by article of the Labor Code of the Russian Federation, in particular, 213. Compulsory examinations of physicians, including periodic ones, must be passed by employees who are associated with harmful, dangerous working conditions. As well as workers who work in the field of traffic, food industry workers, public transport, trade, structures plumbing, medical institutions, children's institutions.

According to article 213, part 4 of the Labor Code of the Russian Federation, harmful, dangerous production factors and work in the process of which medical examinations are carried out (preliminary, periodic), the algorithm for conducting examinations is determined by the authorized supreme executive body.

What doctors are undergoing a medical examination

The list of specialists depends on the category of the employee, as well as other conditions of his work. This includes the position of the person, his gender.

The algorithm for conducting periodic medical research was approved by the Order of the Ministry of Social and Health Development under number 302 of 2011. According to Article 5 of the first section of the said normative act, medical research must be carried out by members of a medical commission, permanently operating in a medical institution. It includes:

• occupational pathologist;
• specialists, doctors who have completed advanced training courses, have a certificate in a particular specialty.

The list of specialists included in the commission is approved by order of the chief physician of the medical center, other medical institution... The order is drawn up in the event that a medical institution has an agreement with an employer, an enterprise, whose employees undergo a medical examination.

Duration of the medical examination and medical book

The medical book as a document does not have an expiration date. The validity period of this document refers rather to the professional examination. He confirms that the employee is healthy and can perform his duties without negative consequences. If a person has not passed the examination on time, he cannot fulfill his duties. For example, he can be contagious to his colleagues, be a danger to them. Based on this, the examination should be carried out on an irregular basis, its results are recorded in the medical book.

There are two types of inspection intervals. One of them is when applying for a job. A person is being examined as an applicant for a vacancy. Then employees of the enterprise undergo an inspection every year. A medical book is drawn up on them by the employer. In the process of drawing up a medical book, employees of an enterprise, institution, organization are required to take courses, they are called a sanitary minimum. These are hygiene training courses. There is also a periodicity for them: once a year for employees who are associated with food, the educational system. For other employees - once within 24 months. The law defines the frequency of examinations for other categories of citizens.