An order for medical examinations is a document that determines the procedure for medical examinations. They help identify problems in the health of employees and prevent occupational diseases in a timely manner. We sorted out what periodic medical examinations are, order 302n and compiled a sample order for undergoing a periodic medical examination.
Periodic medical examinations in 2019 (Order 302n of the Ministry of Health dated April 12, 2011, Articles 212, 213 of the Labor Code of the Russian Federation) are carried out, as before, to monitor the health status of workers and reduce the number of injuries at the enterprise. Periodic medical examination (order 302n establishes the rules of the process) is carried out when exposed to certain harmful factors for specific species labor activity.
Download Order of the Ministry of Health 302n dated 04/12/2011
The order of the Ministry of Health on periodic medical examinations establishes specific terms for the procedure, which depend on what harmful factor affects the employee and the degree of its danger.
The timing of a medical examination in a medical institution is determined at least once every two years, for some influencing factors and types of activities - at least once a year. Workers under 21 years of age must be tested every year. The Occupational Pathology Center carries out procedures at least once every 5 years.
The order to conduct periodic medical examinations of employees provides for checking for the following risks:
Periodic medical examinations 2019 (order 302n) are necessary for:
Measures to ensure the safety of employee health are carried out on a planned basis and, accordingly, are approved by a local act of the employer.
There is no template for an administrative document defined at the legislative level; it can be generated arbitrarily.
The order for periodic medical examinations must:
The document is signed by the head of the institution.
To conduct periodic medical examinations, the employer determines a list of employees (depending on the harmful factors affecting them and the type of work in which they are employed).
The list for medical examination should include the following employees:
The list of medical specialists and tests that an employee needs to undergo during a periodic medical examination is established depending on the type of work included in the list by the Ministry of Health and the influencing factors.
The medical institution forms a medical commission chaired by an occupational pathologist who has a valid certificate and approves the composition of the commission.
The list of doctors who must examine the employee during a periodic medical examination is given in the table.
| Type of impact | Doctors |
|---|---|
| Chemical |
|
| Biological |
|
| Physical |
|
| Labor |
|
The procedure is carried out medical institutions any form of ownership that has the appropriate right.
The procedure for referral for medical examination is strictly defined. It consists of the following actions by the employer:
The Labor Code of the Russian Federation in Article 185 provides certain guarantees for employees participating in the medical examination procedure. During the period of examination, the employee must retain his place of work and the average salary.
If markers of an occupational disease are detected, the employee is sent to an occupational pathology center and for the duration of the examination in this center, the employee retains the average salary.
The Labor Code of the Russian Federation has made it the employer's responsibility to conduct inspections, and for a number of categories of employees to undergo them. Violation of these provisions will result in sanctions for both parties.
Labor Code of the Russian Federation in Art. 214 directly states the employee's duty. If he is given notice of the procedure, but he refuses, the employer removes the employee from performing functions until the examination is completed. Wages no payment is made for this period. Disciplinary liability in the form of a reprimand, reprimand or dismissal is also provided.
If control authorities identify employees at an enterprise who have not passed a medical examination, the employer faces a fine in accordance with Part 3 of Art. 5.27.1 Code of Administrative Offenses of the Russian Federation:
By attracting employees employment contracts, the company administration is responsible for their health. Therefore, it must prevent and minimize the impact of harmful conditions on the health of workers. For this purpose, when hiring, the employer sends employees to undergo medical examinations, and for some categories of workers it is mandatory to conduct periodic medical examinations. All these points are considered by Order 302n dated April 12, 2011 of the Ministry of Health and Social Development, as amended in 2018.
The main legislative act that regulates the procedure for employees of organizations to undergo medical examinations is Order No. 302 approved by the Ministry of Health. Its norms were adopted back in 2011. The provisions of this normative act have been supplemented three times. This happened in 2013, 2015, 2018.
This order establishes not only basic concepts and procedures, but also cases when a medical examination is mandatory for company management.
Currently, the following changes and additions to the Order of the Ministry of Health can be distinguished:
Download (ed. dated 02/06/2018).
The order establishes a list of employees who must undergo a medical examination.
This includes workers:
To assign working conditions the status of harmful or dangerous, it is necessary. Only after an assessment is carried out is the hazard class of the factor and the need for a medical examination determined.
Important! Do not forget about the need to undergo a medical examination in accordance with the Labor Code of the Russian Federation. This normative act workers have been identified who must undergo a medical examination before being allowed to work.
This includes:
In order for an employee to pass, a referral must be issued for him. This form, together with a document confirming your identity, must be presented at the medical institution. If the employee is not being examined for the first time, then he must have a health passport in his hands, which must also be presented.
The medical institution opens a card for this employee, and if there is no health passport, it issues such a document.
All those specialists whose opinions must be taken into account for the examination according to labor standards must take part in the medical examination.
As the examination progresses, doctors will write down the examination results on the card, and will also include the results of laboratory tests. Based on the results of the examination, the result is reflected in the card, after which this document remains in storage at the medical institution.
The employee is given a conclusion in which it is necessary to reflect whether there are any contraindications for working in the desired position. The conclusion is drawn up in two copies, one must be kept in the medical institution, and the second must be transferred to the employer.
Attention! A health passport must be opened for each employee who undergoes a preliminary medical examination or periodic examination at a medical institution. Initially, this form is stored with the employee's card. After the inspection is completed, the data is entered into the passport, and then it is handed over to the employee.
This type of medical examination takes place on the basis of lists compiled by the responsible person of the business entity. They must include all workers who are employed in workplaces with hazardous or dangerous factors. The list of employees must be compiled at least 2 months before the start date of the medical examination.
One of the innovations was the fact that even during a periodic inspection, a company representative must give the employee a referral. It is issued in a standard manner.
Medical organization, with which an agreement has been concluded to conduct a medical examination, prepare lists of specialists and establishes the procedure for conducting it. It must submit all the necessary papers to the employer no later than 14 days before the start of the medical examination.
The examination procedure for employees follows the usual procedure and ends with the issuance of a medical certificate. After this, the organization issues a final inspection report.
The fully completed referral is signed by the person responsible for this with personal information. In the event that a newly arriving employee is sent for a mandatory inspection, a referral must be issued to him against signature. To record this fact, it is necessary to have a special journal or sheet in the company.
Attention! The type of referral is not established by law. Each business entity develops it themselves, taking into account their needs, but using mandatory details.
The law establishes liability for those employers who allow their employees to begin work without performing the necessary medical examination. This responsibility is established in the Code of Administrative Offenses.
According to this legislative act, the following are liable for violation:
The amount of the fine imposed will be determined based on the number of employees allowed to work in this way.
If the health of an employee who has not undergone a medical examination is damaged or his death occurs, then non-compliance with the law will be considered from the perspective of the Criminal Code.
Important! In turn, if an employee refuses to undergo a medical examination, then the Labor Code provides for his removal from work in this case. This measure is introduced after written acquaintance with the employee’s signature.
It will be valid until he provides the company administration with a document confirming his suitability for work. The employee’s salary is not retained for the period of such temporary suspension.
In 2011, Order No. 302n of the Ministry of Health and Social Development was issued, which outlined all the points necessary for organizing and conducting medical examinations of workers engaged in harmful or dangerous work. Since that time, a number of significant changes and additions have been made to the document, information about which is not available to everyone.
Now work is underway to create a new order "On approval of the Procedure for conducting mandatory preliminary tests (upon admission to work)...", read version of the new order on medical examinations dated 08.29.17...
Order of the Ministry of Health and social development Russian Federation (Ministry of Health and Social Development of Russia) dated April 12, 2011 N 302n Moscow “On approval of lists of harmful and (or) hazardous production factors and work, during which mandatory preliminary and periodic medical examinations (examinations) are carried out, and the Procedure for conducting mandatory preliminary and periodic medical examinations (examinations) of workers engaged in heavy work and work with harmful and (or) dangerous working conditions"
Approval of lists of harmful and (or) dangerous production factors and work, during the performance of which mandatory preliminary and periodic medical examinations (examinations) are carried out
Date of signing: 04/12/2011
Date of publication: 10/28/2011 00:00
Registration N 22111
In accordance with Article 213 Labor Code Russian Federation (Collection of Legislation of the Russian Federation, 2002, No. 1 (Part 1), Art. Z; 2004, No. 35, Art. 3607; 2006, No. 27, Art. 2878; 2008, No. 30 (Part 2), Art. 3616) and clause 5.2.100.55 of the Regulations on the Ministry of Health and Social Development of the Russian Federation, approved by Decree of the Government of the Russian Federation of June 30, 2004 N 321 (Collected Legislation of the Russian Federation, 2004, N 28, Art. 2898; 2009, N 3; art. 378), I order:
1. Approve:
list of harmful and (or) dangerous production factors, in the presence of which mandatory preliminary and periodic medical examinations (examinations) are carried out, according to Appendix No. 1;
list of works during the performance of which mandatory preliminary and periodic medical examinations (examinations) of workers are carried out, according to Appendix No. 2;
The procedure for conducting mandatory preliminary (upon entry to work) and periodic medical examinations (examinations) of workers engaged in heavy work and work with harmful and (or) dangerous working conditions, according to Appendix No. 3.
2. Introduce lists of harmful and (or) dangerous production factors and work, during which preliminary and periodic medical examinations (examinations) are carried out, and the Procedure for conducting preliminary and periodic medical examinations (examinations) of workers engaged in heavy work and work with harmful and (or) dangerous working conditions, from January 1, 2012.
Order of the Ministry of Health and medical industry of the Russian Federation dated March 14, 1996 N 90 “On the procedure for conducting preliminary and periodic medical examinations of workers and medical regulations for admission to the profession” (according to the conclusion of the Ministry of Justice of Russia, a document in state registration does not need, letter dated December 30, 1996 N 07-02-1376-96);
Order of the Ministry of Health and Social Development of the Russian Federation dated August 16, 2004 N 83 “On approval of lists of harmful and (or) hazardous production factors and work, during which preliminary and periodic medical examinations (examinations) are carried out, and the procedure for conducting these examinations ( surveys)" (registered by the Ministry of Justice of the Russian Federation on September 10, 2004 N 6015);
Order of the Ministry of Health and Social Development of the Russian Federation dated May 16, 2005 N 338 “On amendments to Appendix No. 2 to the order of the Ministry of Health and Social Development of Russia dated
August 16, 2004 N 83 “On approval of lists of harmful and (or) dangerous production factors and work, during which preliminary and periodic medical examinations (examinations) are carried out, and the procedure for conducting these examinations (examinations)” (registered by the Ministry of Justice of the Russian Federation June 3, 2005 N 6677).
4. Establish that from January 1, 2012, subparagraphs 11, 12 (with the exception of subparagraphs 12.2, 12.11, 12.12), 13 of Appendix No. 2 to the order of the USSR Ministry of Health dated September 29, 1989 No. 555 "On improving the system of medical examinations of workers and individual drivers vehicles".
Minister
T. Golikova
Files of order No. 302 n set out in the wording of the orders of the Ministry of Health of the Russian Federation N 296н from 05/15/2013 and N 801н dated 12/05/2014, most current as of June 2017.
On this page you can download for free the current version of the regulatory legal act on labor protection: Lists of harmful and/or dangerous production factors and work, during which mandatory preliminary and periodic medical examinations (examinations) are carried out, and the Procedure for conducting mandatory preliminary and periodic medical examinations (surveys) of workers engaged in heavy work and work with harmful and/or dangerous working conditions.
Additional information about the document:
Scope of application:
Order 302n establishes the rules for conducting mandatory preliminary (upon entry to work) and periodic medical examinations (examinations) of persons engaged in heavy work and work with harmful and (or) dangerous working conditions (including underground work), in work related to traffic, as well as in work that requires preliminary and periodic medical examinations (examinations) in order to protect public health and prevent the occurrence and spread of diseases.
Order of the Ministry of Health and Social Development of Russia
dated April 12, 2011 No. 302n
“On approval of lists of harmful and (or) dangerous production factors and work, during the performance of which mandatory preliminary and periodic medical examinations (examinations) are carried out, and the Procedure for conducting mandatory preliminary and periodic medical examinations (examinations) of workers engaged in heavy work and work with harmful and (or) dangerous working conditions"
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Order of the Ministry of Health and Social Development of Russia No. 302n dated April 12, 2011
On approval of lists of harmful and (or) dangerous production factors and work, during which preliminary and periodic medical examinations (examinations) are carried out, and the Procedure for conducting preliminary and periodic medical examinations (examinations) of workers engaged in heavy work and work with hazardous and (or) hazardous working conditions.
In accordance with Article 213 of the Labor Code of the Russian Federation (Collected Legislation of the Russian Federation, 2002, No. 1 (Part 1), Art. 3; 2004, No. 35, Art. 3607; 2006, No. 27, Art. 2878; 2008, No. 30 (part 2), art. 3616) and clause 5.2.100.55 of the Regulations on the Ministry of Health and Social Development of the Russian Federation, approved by Decree of the Government of the Russian Federation of June 30, 2004 No. 321 (Collected Legislation of the Russian Federation, 2004, No. 28, Art. 2898; 2009, No. 3;
order:
1. Approve:
1. list of harmful and (or) dangerous production factors, in the presence of which mandatory preliminary and periodic medical examinations (examinations) are carried out, according to Appendix No. 1;
2. a list of works during the performance of which mandatory preliminary and periodic medical examinations (examinations) of workers are carried out, in accordance with Appendix No. 2;
3. The procedure for conducting mandatory preliminary (upon entry to work) and periodic medical examinations (examinations) of workers engaged in heavy work and work with harmful and (or) dangerous working conditions, in accordance with Appendix No. 3.
2. Introduce lists of harmful and (or) dangerous production factors and work, during which preliminary and periodic medical examinations (examinations) are carried out, and the Procedure for conducting preliminary and periodic medical examinations (examinations) of workers engaged in heavy work and work with harmful and (or) dangerous working conditions, from January 1, 2012.
3. Recognize as invalid from January 1, 2012:
0. Order of the Ministry of Health and Medical Industry of the Russian Federation dated March 14, 1996 No. 90 “On the procedure for conducting preliminary and periodic medical examinations of workers and medical regulations for admission to the profession” (according to the conclusion of the Ministry of Justice of Russia, the document does not require state registration, letter dated 30 December 1996 No. 07-02-1376-96);
1. Order of the Ministry of Health and Social Development of the Russian Federation dated August 16, 2004 No. 83 “On approval of lists of harmful and (or) hazardous production factors and work, during the performance of which preliminary and periodic medical examinations (examinations) are carried out, and the procedure for conducting these inspections (examinations)" (registered by the Ministry of Justice of the Russian Federation on September 10, 2004 No. 6015);
2. Order of the Ministry of Health and Social Development of the Russian Federation dated May 16, 2005 No. 338 “On amendments to Appendix No. 2 to the order of the Ministry of Health and Social Development of Russia dated August 16, 2004 No. 83 “On approval of lists of harmful and (or) hazardous production factors and work during which preliminary and periodic medical examinations (examinations) are carried out, and the procedure for conducting these examinations (examinations)” (registered by the Ministry of Justice of the Russian Federation on June 3, 2005 No. 6677).
4. Establish that from January 1, 2012, subparagraphs 11, 12 (except for subparagraphs 12.2, 12.11, 12.12), 13 of Appendix No. 2 to the order of the USSR Ministry of Health dated September 29, 1989 No. 555 “On improving the system of medical examinations of workers and drivers of individual vehicles.”
Minister
T.A. Golikova
