Order to undergo a medical examination at the enterprise - sample

What is the document for?

The purposes of issuing a document on passing a medical examination are as follows:

• approval of the examination plan, including fluorography;
• According to the established queue, the timing of examinations is established;
• it specifies what to do if the employee was on vacation or sick leave during the period of testing; what should the employer do if an employee fails to appear at the commission; who is responsible for monitoring the event;
• persons responsible for reviewing the plan and issuing directions are appointed.

Employee obligation

An order to undergo a periodic medical examination, a sample of which can be easily found on the website, must be developed in a timely manner. The examination confirms that the employee is in normal health and can continue to work in this position.

Order based on the results of the medical examination

Marie, I apologize for barging in. but please tell me which normative act regulates medical examinations and which employees are subject to medical examination. and how often it should be carried out. Thank you.

MINISTRY OF HEALTH AND SOCIAL DEVELOPMENT OF THE RUSSIAN FEDERATION

ORDER N 302н dated April 12, 2011

ON APPROVAL OF LISTS OF HARMFUL AND (OR) DANGEROUS PRODUCTION FACTORS AND WORKS, WHEN PERFORMING PRELIMINARY AND PERIODIC MEDICAL EXAMINATIONS (SURVEYS), AND THE PROCEDURE FOR CONDUCTING MANDATORY PRELIMINARY AND PERIODICAL MEDICAL EXAMINATIONS THEIR MEDICAL EXAMINATIONS (SURVEYS) OF WORKERS WORKING IN HEAVY WORK AND WORK WITH HARMFUL WORKS AND/OR HAZARDOUS WORKING CONDITIONS

_________________ Labor protection is a religion that you may not believe in, but rituals must be observed!

https://youtu.be/PGZAP5gvSxk

Who draws up the order

The order for a medical examination is prepared by responsible persons, as a rule, these are specialists from the labor protection department. An employee is appointed to develop a draft administrative document, after which the standards are studied.

List of employees subject to medical examinations (sample)

The prepared project is reviewed by the manager, then by the lawyer.

Attention! If there are any comments, they are eliminated, and the document is agreed upon and approved. The approval procedure is determined by the local document management act.

Which doctors should I see?

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 specialty, each employee must be examined by a therapist, psychiatrist and narcologist. If the work activity has any specifics, then an ophthalmologist, neurologist, dermatologist, allergist can be involved in the medical commission - the list is not exhaustive.

1. Compiling a list of employees 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 the notification procedure, approval is not required).
2. Concluding an appropriate agreement with a medical institution, agreeing on a schedule and deadlines.
3. Issuing an Order to conduct a medical examination and familiarizing staff with it.
4. Issuing referrals for medical examinations.
5. Collection of signed and sealed reports 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 medical examinations are recorded in the employee’s personal medical record.

See also: Tax on a general basis in the Russian Federation

Design rules

Order on fire safety and procedures for employees

If you are entrusted with the task of writing a document, then you can focus on the following nuances:

• full name of the organization;
• when exactly the document was drawn up (date);
• purpose of development;

The administrative part states:

• date of examination;
• what medical organization conducts the medical examination;
• in what period of time it is necessary to undergo examination;
• a list of employees who, according to the regulatory act of the Ministry of Health, undergo a commission;
• what will happen in case of refusal for passing.

About the walkthrough

Attention! In the administrative part, you can add other information about the upcoming event. A document or order for a medical examination at an enterprise, issued in accordance with the sample, can be used as an example for registration.

It is worth noting that there is no established form of the document, therefore, at each enterprise, a local act is drawn up individually. At all enterprises, the nuances of development are determined based on the assigned tasks.

Purpose of the document

Periodic medical examinations in 2020 are aimed at identifying diseases in employees that are dangerous to them and the people around them. It also allows you to determine the suitability of an employee to perform any work. The features and rules of the procedure are established by the Order of the Ministry of Health on periodic medical examinations No. 302n.

Order 302n and art. 212 of the Labor Code of the Russian Federation oblige employers to conduct periodic medical examinations of people employed in harmful or hazardous production and in the transport sector. Similar requirements apply to citizens and workers:

• in the food industry;
• catering industry;
• water supply services;
• medicine;
• educational organizations.

The legislation of the Russian Federation also defines other categories of workers for whom medical examination is mandatory. In accordance with the above-mentioned legislative acts, citizens under the age of 21 must undergo a medical examination annually. The remaining employees are tested according to the schedule of periodic medical examinations agreed upon by the employer and the medical institution. If citizens enter a job where medical checks are required, the manager issues an order to undergo a preliminary medical examination upon hiring.

To conduct a medical examination, the employer signs an agreement with the head of the medical center and provides him with a list of persons sent for examination. After this, he issues an order to conduct medical examinations at the enterprise, which informs employees about the procedure for completing this procedure and regulates the terms and conditions for its implementation.

Design rules

Order on labor protection in an organization, sample

The document is supposed to be drawn up in any form on the company’s letterhead. One condition must be taken into account - only the director of the organizational structure can approve.

After reading the document, it is necessary for employees to sign, and there must also be a reasoned opinion from trade unions on the publication of the document.

The administrative act should be developed in one copy; if necessary, copies can be made.

Storage is carried out in the organization that approved the document within the time limits specified in the office work. Order to conduct a medical examination at the enterprise (a sample is presented below).

Recommended sample

Calendar plan for medical examinations sample

It is important that the Labor Code of the Russian Federation provides for the possibility of establishing additional periodic inspections by other regulations. Thus, Law No. 196-FZ in Part 1 of Art.

23 provides not only a preliminary examination for driver candidates, but also periodic, at least once for 2 years, as well as pre-trip and post-trip medical examinations of existing employees in this category of positions.

In addition, Art. 213 of the Labor Code of the Russian Federation establishes as a mandatory norm a psychiatric examination once every 5 years for employees working under conditions of exposure to harmful factors or increased danger. Food industry workers are also required to undergo periodic medical examinations, but the timing is different.

Depending on the type of study, they are carried out 1 or 2 times a year. For example, fluorography - annually, and analysis for sexually transmitted diseases - 2 times a year.

Medical examinations: schedule

The frequency of medical examinations of workers also varies depending on the type of examination. Thus, medical workers must visit an otolaryngologist and dermatovenerologist at least once a year, the same rule applies to fluorographic examination, and testing for staphylococcus is carried out once every six months.

In accordance with Art. 214 of the Labor Code of the Russian Federation, an employee does not have the right to refuse a preliminary and periodic medical examination if it is carried out legally. Otherwise, the employer has the right and even the obligation not to allow him to work in accordance with the provisions of Art.

212 Labor Code of the Russian Federation. The third type of inspections, the frequency of which cannot be predicted, is unscheduled. Not every employee can be required to pass it. In accordance with Art. 213 and paragraph 18 h.

How to send an employee for a periodic medical examination

Depending on the field of activity, the list of documentation on labor protection at an enterprise hiring employees for positions requiring mandatory medical examinations may differ. But in any case, these documents should include:

• an order to send employees for a medical examination;
• schedule for medical examinations;
• a name list of employees sent for a medical examination, agreed upon with the medical institution;
• referrals for medical examination of employees.

In accordance with the specified documents, employees must undergo examinations at specified times. For this period, they retain their workplace and the average wage, and the inspection itself is paid for by the employer in accordance with Art. 212 and 213 of the Labor Code of the Russian Federation.

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Previously, the organization enters into a contract for the provision of services with a specific medical institution.

There are a number of legal acts providing for mandatory medical examinations for various categories of workers, in particular: Art. 212 and 219 of the Labor Code of the Russian Federation, laws “On education...” dated December 29, 2012 No. 273-FZ, “On safety...” dated December 10, 1995 No. 196-FZ, order of the Ministry of Health and Social Development of the Russian Federation “On approval of the list of harmful and (or) hazardous production factors ..." dated April 12, 2011 No. 302n.

When a schedule for medical examinations is published, what information is included in it?

The law does not contain a rigid form for scheduling medical examinations. However, it seems correct to follow the business rules when drawing it up, so the schedule may contain the following information:

• Full name of the head of the organization approving the schedule;
• registration data of the order on the basis of which the schedule is drawn up;
• name of company;
• Full name of employees sent for medical examination;
• the department where the employee is employed;
• employee's position;
• type of medical examination;
• harmful factors with which the employee works, if any;
• dates of medical examination;

The schedule is signed by the manager or other person responsible for occupational safety.

The order to conduct medical examinations is accompanied by a list of names of employees required to undergo a medical examination. The law does not contain an exact indication of the time for drawing up the schedule, however, paragraph.

23 of Order No. 302n of the Ministry of Health and Social Development of the Russian Federation determines that the name lists of employees are agreed upon with the medical institution and provided to it no later than 2 months before the periodic examination.

It remains to be concluded that the schedule can be drawn up no later than 2 months before the inspections

What is the frequency of employee medical examinations?

There are 3 types of medical examinations:

• preliminary,
• periodic,
• unscheduled.

The regularity of the event directly depends on the type.

Preliminary tests are carried out during the employment of an employee in order to determine the person’s ability to perform job duties due to health reasons. The law provides a list of categories of workers who must undergo such an inspection:

• those who, in the course of their work, are exposed to harmful or dangerous factors included in the list of Appendix No. 1 to Order No. 302n of the Ministry of Health and Social Development of the Russian Federation;
• workers of medical and children's educational institutions;
• workers in the food industry and trade;
• managers of road, air or water transport;
• holders of other specialties, if provided for by regulations.

As for the second type of examination, the frequency of medical examinations is established by law. In Art. 213 of the Labor Code of the Russian Federation provides for the possibility of establishing additional periodic inspections by other regulations. Thus, Law No. 196-FZ in Part 1 of Art.

23 provides not only a preliminary examination for driver candidates, but also periodic, at least once for 2 years, as well as pre-trip and post-trip medical examinations of existing employees in this category of positions.

Source: https://pozakonu.site/trudovoe-pravo/kalendarnyj-plan-provedeniya-meditsinskih-osmotrov-obrazets.html

Who should be sent for periodic medical examinations?

It is mandatory to undergo preventive examinations if the act of the Ministry of Health clearly states factors affecting health or types of hazardous work.

It is mandatory to undergo an examination by specialists:

• employees of preschool educational institutions (children's educational institutions);
• employees of medical organizations;
• those working in the food industry;
• those involved in the maintenance of drinking water supply;
• Drivers must undergo a pre-trip inspection;
• if the employee is under 21 years old, then he must be sent for examination annually until he reaches this age;
• If you have reached retirement age, it is also recommended to check your health every year.

Who should undergo periodic medical examination

The categories of workers who must undergo it without fail are provided for in Article 213 of the Labor Code of the Russian Federation and the above-mentioned Order. However, this does not prevent representatives of any profession from being sent for examination if an agreement has been reached on this matter between management and the team.

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

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

Types and frequency

There are two types of inspection:

• preliminary. It is carried out to obtain permission for a citizen to perform a certain type of work or duties;
• periodic _ To confirm the health status of employees;
• out of plan. If there is a suspicion of an occupational disease.

The frequency of inspection is regulated by local administrative documents.

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Varieties

Types of medical examination are regulated by Federal Law No. 323. According to it, they can be:

1. Preliminary. They are used during the hiring of a future specialist for official work to determine the level of health. This procedure is mandatory if the place of employment belongs to certain professions and is associated with hazardous working conditions. If an individual does not want to undergo a medical examination, the employer will not be able to hire him (in accordance with failure to comply with labor protection requirements).
2. Periodic. They apply to permanent employees of the organization. The importance of this check lies in determining the state of health and its suitability for the position held. It is also worth noting that with the help of periodic medical examinations it is possible to identify diseases in the early stages, as well as establish the influence of the harmful effects of working conditions. During this check, an illness may be identified, which will be the basis for removal from the position. The frequency of periodic inspections is established by law, including Article 213 of the Labor Code.
3. Unscheduled. This type of inspection is used separately from the generally established one. The reason for initiating it may be the personal request of the worker or the decision of the employer when considering a medical report to identify the disease. Also, a one-time inspection can be carried out in accordance with the requirements of Rospotrebnadzor in the event of an epidemiological threat.
4. Pre-shift/post-shift. For certain categories of employees, more frequent medical examinations are required compared to standard cases. As an example, consider public transport drivers, who must undergo a health screening before each trip. Passing this inspection is the basis for admission to work. After completing a work shift, as a rule, a second examination takes place to determine the influence of work factors on the employee’s health.
5. Preventive. Used for early detection of diseases and prevention of their subsequent development. This examination allows you to diagnose the disease at an early stage. When conducting it, chronic diseases of specialists will also be taken into account.

The procedure for undergoing a medical examination is presented in this video.

https://youtu.be/GqY3YxzTn3Q

Structure and content of the order to undergo a medical examination

An order for a medical examination, a sample of which reflects the following information contained in the document, requires:

• indicate the list of employees who need to undergo inspection, approved;
• appoint an official who needs to send a list of employees to the medical institution, coordinate the time of the event, familiarize the employees with the schedule and provide support during the commission. You can post an announcement about a medical examination for employees, a sample of which is developed in advance;
• heads of services should not allow workers who have not been trained specialists to perform their duties;
• employees undergo examination by specialists within the time limits specified in the document;
• indicate in accordance with what the employee’s remuneration is set;
• find out who to entrust control over the execution of the order.

Results of periodic medical examination

#1 OFFLINE Olga LU

• Provincial Secretary
• ID: 5 993

Good afternoon! Tell me how to properly complete a periodic medical examination. The medical organization issued the final act. It states that 6 people did not show up for the examination (I received explanatory notes, half did not show up for good reasons, half simply didn’t want to) and a sufficient number of workers who did not complete the medical examination to the end, those. were sent to the occupational pathology clinic, but did not get there (they passed all the doctors in the Moscow Region). Those who do not show up will be suspended from work by order of the manager from work until passing. For an unexcused reason - at their own expense, for a good reason at the expense of the enterprise. Right? What to do with the rest of those who didn’t pass? Should they be allowed to work? If they are required to complete an occupational pathology clinic, what document must they provide upon completion? And to whom? To the enterprise or municipality that carried out the medical examination (the clinic refuses to accept them further, because the contract was issued and the medical examination is completed) Thank you. and how to correctly issue an order to end the period in this case. medical examination at the enterprise?

#2 OFFLINE Alexey Shevchenko

Why do you need an occupational pathology clinic during periodic examinations? During a periodic medical examination, a conclusion is given - fit or not fit. If they were sent there based on the results of a medical examination, then there must be notifications about the establishment of a preliminary diagnosis of an occupational disease. RPN would have come to you by now. Ask on what basis they were sent to the clinic?

"41. In cases where it is difficult to determine the professional suitability of an employee due to his illness and for the purpose of examining professional suitability, the medical organization sends the employee to an occupational pathology center or a specialized medical organization that has the right to conduct an examination of the relationship of the disease with the profession and professional suitability, in accordance with current legislation Russian Federation. (according to 302n)” So, in the final act, the clinic indicated the names of the workers sent there. Conclusion: pass/fail no. because the listed workers did not go to the clinic. Preliminary diagnoses were established by the clinic (all in the hands of the workers), a conclusion from the occupational pathology clinic, therefore, these workers do not have. What is the right thing to do in this case?

Why do you need an occupational pathology clinic during periodic examinations? During a periodic medical examination, a conclusion is given - fit or not fit. If they were sent there based on the results of a medical examination, then there must be notifications about the establishment of a preliminary diagnosis of an occupational disease. RPN would have come to you by now. Ask on what basis they were sent to the clinic?

"40. If an employee is suspected of having an occupational disease during a periodic examination, the medical organization issues the employee a referral to an occupational pathology center or a specialized medical organization that has the right to conduct an examination of the connection between the disease and the profession. "

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#4 OFFLINE Alexey Shevchenko

As I understand it, you have made preliminary diagnoses? This means that the clinic was obliged to notify the RPN. The RPN must draw up a sanitary and hygienic description of working conditions, which is transmitted to the trade union center, and from the trade union center the employee will bring either a final diagnosis of the occupational disease or a conclusion about the absence of a connection between the disease and working conditions.

How long does this epic of yours last?

The final act was received before the holidays. I think the RPN did not notify the regiment (I asked if they sent 1 copy of the final report as indicated in 302n, they said no) I have been working recently. I don’t know how to properly complete the medical examination. I am writing an order to remove those who did not show up from work. What about other employees?