Do all employees undergo a pre-employment medical examination upon employment? On the basis of what document is the list of such employees established? How to determine the list of employees who need to conduct periodic medical examinations

23.05.2023

One of the fundamental principles of labor regulation is safety. Many activities are aimed at achieving the goals of compliance with the safety principle. Certain lists of rights and obligations of the parties to labor relations are associated with it. One of these measures is a medical examination when applying for a job in cases established by law. In appropriate cases, the candidate for employment is required to undergo a medical examination. The employer, in turn, is obliged to organize a medical examination and carry out admission to work only with a positive result of assessing the candidate's health status.

Who undergoes a preliminary medical examination when applying for a job

The list of candidates for whom there is a need to conduct the procedure under consideration is quite wide. Their main list is contained in the Labor Code of the Russian Federation. In particular, a medical examination upon employment will be required for:

underage candidates for employment;
employment for the purpose of carrying out work with harmful and (or) dangerous working conditions;
employment for the purpose of carrying out labor activities in transport;
work in the Far North and equivalent areas;
shift method of work, etc.

The objectives of the inspection are:

establishing the conformity of the candidate's health state with the corresponding position (work);
timely detection and prevention of diseases.

Organization of a medical examination when applying for a job

The obligation to organize a preliminary medical examination rests with the employer. Employment to the relevant vacant position should be conditioned by the need to pass such an examination. The candidate's refusal to undergo a medical examination should result in an unconditional refusal of employment.

As provided for in Art. 212 of the Labor Code of the Russian Federation, a preliminary medical examination when applying for a job must be carried out at the expense of the employer.

The employer has the right:

conclude an agreement with a medical institution to conduct appropriate examinations within a certain period of time;
send candidates to a medical institution for a medical examination under a one-time contract.

How does the medical board work when applying for a job

Order of the Ministry of Health and Social Development of Russia dated April 12, 2011 N 302n approved the rules for conducting medical examinations (hereinafter - Rules No. 302n).

According to Rules No. 302n, a medical institution conducting an appropriate medical examination must have the right (license) to conduct it.

The composition of the medical board for examinations when applying for a job is formed on an ongoing basis. It must include an occupational pathologist and specialists who have undergone advanced training or have a certificate in the relevant specialty "occupational pathology".

During the examination, the following are created and issued for the candidate:

a medical card (it is not issued to a person, but is kept in a medical institution);
health passport (issued to a person on hand);
the conclusion reached by the medical commission when hiring, indicating the results of the medical examination (issued to the person in his hands).

Employer's responsibility

If the employer allowed to work an employee who refused to undergo a medical examination when applying for a job or in respect of whom such a medical examination was not organized, he risks being held administratively liable.

Based on part 3 of Art. 5.27.1 of the Code of Administrative Offenses of the Russian Federation, such a violation may result in a fine:

for an entrepreneur - from 15,000 to 25,000 rubles;
for an organization - from 110,000 to 130,000 rubles.

When concluding an employment contract with an employer, in some cases, employees must be examined by medical specialists. Without the verdict of doctors in certain situations provided for by the legislation of the Russian Federation, it is impossible to enter into labor relations. The employer must make sure that the work in his organization will not cause harm to human health, exacerbating any existing problems, and the employee will not have to create special working conditions. Yes, and the economic moment cannot be discounted: by hiring a specialist, the employer expects to pay for his work, and not for frequent sick leave.

From the article you will learn:

for which categories of workers an initial medical examination before starting an employment relationship is mandatory,
who will reimburse the time and money spent on this event,
how to properly arrange this procedure in accounting and personnel records.

We are talking about the primary medical examination, organized before hiring.

Legislative framework for primary medical examinations

The Labor Code of the Russian Federation addresses the issue of medical examination before employment in several articles:

Art. 69 regulates the mandatory examination of doctors for underage workers;
Art. 185 guarantees the employee compensation for the money spent on the working medical examination;
Art. 212 and Art. 213 cite categories of employees for whom admission to work without undergoing a medical examination is a direct violation of the law;
in Art. 213 explains the procedure for conducting a regular medical examination in the organization;
Art. 214 insists on a medical examination as one of the ways for an employee to comply with labor protection rules;
Art. 324 speaks of the mandatory medical examinations for those who settle in the Far North.

In addition to the Labor Code, medical examination of potential employees is covered in Appendix 3 to the order of the Ministry of Social Development of the Russian Federation No. 302n dated April 12, 2011.

And, finally, the Decree of the Chief Sanitary Doctor of Russia dated 03.06.2003 obliges those workers whose work is spent at the computer for half the working time or longer to undergo medical examinations.

Who will not be hired without a medical examination

employees under the age of 18 (regardless of their field of activity);
employees in transport and water companies;
persons whose labor functions are related to the food industry, catering, trade;
medical workers;
working in the pedagogical field;
judges and customs officials;
employees of the Ministry of Emergency Situations;
employed with harmful and dangerous working conditions;
athletes;
beauty industry workers (hairdressers, massage therapists, cosmetologists, manicurists, etc.).

NOTE! This list is not complete and closed. Regional authorities, local governments can expand the indications for a mandatory medical examination before employment.

How to organize an initial medical examination

Only specialized institutions - clinics, hospitals, medical centers - have the right to conduct official medical examinations. An employee cannot go to doctors of his choice: the employer gives him a referral to a certain medical institution with which he has an agreement for medical care for employees.

Upon employment (or immediately after it), the employee receives from the employer such a direction, which will indicate the list of medical specialists from whom the conclusion “fit” is required.

In a medical institution, by presenting a passport and a referral, a working citizen draws up an outpatient card and, in some cases, a personal medical book. After that, a methodical bypass of doctors and the delivery of the necessary tests begins.

Which doctors will have to go

The number of specialists who make their verdict on the health of a future employee varies depending on the position for which he is applying. The standard version, which is recommended to all those “doomed” to a mandatory medical examination, includes the following conclusions:

otorhinolaryngologist;
neurologist;
ophthalmologist;
surgeon
gynecologist (for women);
therapist.

To form a conclusion, data from the main clinical analyzes will also be required:

UAC, OAM;
cardiograms;
fluorography or x-ray of the lungs;
blood sugar test;
liver tests.

The rest of the nuances regarding the examinations of people who get a job in specific professions are regulated by special regulations. For many professions, examinations are provided by additional specialists, for example, a narcologist, a psychiatrist, etc.

Passed medical examination - what is the result?

What documents should the applicant receive after passing the medical examination? These papers will become a confirmation of fitness for the chosen business and a “ticket” for work: they will need to be provided to the employer. Depending on the position and field of activity of the person examined after the medical examination, he will be given one of the following documents:

Certificate of medical examination (form 086-y).
Extended medical report containing recommendations and contraindications. It is drawn up in two copies, one of which remains in the outpatient card entered in the clinic.
Completed personal medical record. In the event that it is not possible to issue it in one day, for the employer, doctors will write out a certificate of passing a medical examination and an obligation to issue a medical book by the designated date.

Who bears the cost of the medical examination?

It is not always possible to do the necessary examination for free. In today's realities in this matter, the legislation protects the interests of the employed employee: the financial side must be provided by the employer if the employee is from the category of those for whom a medical examination is mandatory. Compulsory health insurance does not undertake to cover the costs of a preliminary medical examination of applicants (FFOMS letter dated August 30, 2010 No. 3979 / 30-4 /).

If the potential staff is not included in the legally defined categories, and the employer wants to make sure of his health, the following options are possible:

At the request of the employee, he can undergo a medical examination at his own expense and provide the employer with a corresponding conclusion. In this case, the refusal to hire in the absence of such a desire will be unlawful.
The employer provides the desired medical examination according to the generally accepted scheme.

ATTENTION! If an employee goes for an agreed medical examination during his working hours, already working for this employer, this time must be paid exactly as working time. If the employee did not come to the doctors at the specified time due to his own fault, while he was not at work, then he will not be paid for downtime. If the failure to appear was the fault of the employer, then, despite the failed medical examination, you still have to pay for this time, as well as go through doctors at another time.

Medical check-up fees will be reimbursed upon a written request from the employee. Supporting documents must be attached to the document: receipts for payment for medical services and a referral previously received from the employer.

Accounting and tax accounting of expenses for medical examination

The Tax Code provides for the following features of accounting for these costs in an organization:

medical examination costs are included in the income tax base as "other expenses" if the medical examination is mandatory by law;
these funds are not subject to personal income tax;
With this money you do not need to transfer insurance premiums.

IMPORTANT INFORMATION! If an employee passed a medical examination, but was not hired, the funds are still reimbursed to him, while they are written off to “other expenses” on an equal basis with the rest.

Accounting holding of funds for a medical examination

PBU 10/99 in paragraphs 5, 7 prescribes that these costs be included in the composition of “expenses for ordinary activities”. You can write off these costs in different ways, depending on where exactly the funds were paid:

if the medical examination was carried out in the organization’s own first-aid post, the expenses will be treated as “expenses for the maintenance of the first-aid post”: debit 26 (44), credit 02 (10, 70, 68, 69, etc.);
to pay for the services of a third-party medical institution, the following entries will be needed: debit 26 (44), credit 76 - reflection of the costs of a mandatory medical examination, debit 26 (44), credit 76 - accrual of compensation for the costs of a mandatory medical examination.

An employee is not required to tell his employer about his health condition. But when hiring for many positions, you will have to go through, which will determine whether the person is suitable for the performance of official duties. But you need to know for which specialties such an examination is mandatory. Today we will talk about who undergoes a medical examination when applying for a job and what are the nuances here.

Types of work activity with health requirements

There is Art. 213 of the Labor Code of the Russian Federation, which regulates the mandatory medical examination before employment. It lists the types of labor activity for which such an inspection is mandatory. If the company does not organize it for these specialties, this is fraught with fines and other sanctions:

Any work for citizens, .
A place with or hazardous working conditions.
Food industry.
Trade specialties.
Medical posts.
Children's educational and educational institutions.
Specialties with extreme working conditions.
Jobs related to driving.
Specialties where work is carried out on a rotational basis.
Professional sports.
Cosmetologists and hairdressers.
Works in the Far North.
Judges.
Employees of the Ministry of Emergency Situations, police and military.

There are nuances

The inspection is organized and conducted by the employer, who also pays for it from his own funds. Since the passage of the commission is not included in the compulsory health insurance, it cannot be paid at his expense. In order to draw up an employment contract with the applicant, the organization is obliged to send it to the medical commission. For this, he is given a special one. If a special document is required for work (driver's license, medical book or weapons permit), the person must pay all the costs of obtaining it himself. In order not to pay the employee for these papers, employers most often choose those applicants who already have such papers when hiring.

The organization is not obliged to pay for the receipt by the employee of special professional documents (driver's license for the driver, weapons permit for the security guard, etc.).

A medical examination before hiring an employee is necessary in order to:

Determine whether the health of the candidate corresponds to the profession for which he is applying.
Carry out a health protection event (for example, a potential employee may be found to have a dangerous disease that is transmitted by airborne droplets or through shared utensils).
Detect serious diseases at the earliest stages and subsequently cure them.

But a mandatory medical examination when applying for a job is not needed for those who are not included in the above list. Nevertheless, the employer, at his request, has the right to draw up a local act, according to which the employee must present a health certificate. In practice, this procedure is rarely used.

If for some reason the person himself had to pay for the inspection (and this is often the case for applicants), the company must return the money to him. As a rule, the refund is made with the first salary.

If the employer has concluded an employment contract with a person who has not passed a medical examination, he faces administrative liability. So, for officials this is a fine of five thousand rubles, for individual entrepreneurs the same amount or closing for 3 months, and for legal entities the fine reaches 50 thousand rubles.

Which doctors to go through

The composition of the doctors who need to go through depends, first of all, on the specific work activity. For example, if the main burden of the position falls on the eyes (for example, for drivers), then you will definitely have to go through an ophthalmologist. For most professions, the list of doctors is as follows:

Otolaryngologist.
Surgeon.
Neurologist.
Therapist.
Oculist.
Gynecologist / urologist.

In addition, the citizen will have to visit the laboratory to pass OAM and UAC, as well as take a fluorographic picture.

In conclusion, we emphasize that a medical examination upon employment is a measure provided for by law for some positions and necessary for the implementation of labor protection and people's safety. If the employer neglects this procedure, then he is threatened with penalties. In other cases, a medical examination may be requested at the request of the head. However, it is worth considering the fact that the results of a medical examination should not be the basis for discrimination when making a decision to take a position. Otherwise, a person can apply to the labor commission, and fines are possible.

Many professions are associated with dangerous or harmful factors that negatively affect a person's life. Some people do not have the opportunity to learn a particular craft at all for health reasons. To prevent industrial accidents and to prevent occupational diseases, a mandatory periodic medical examination is provided. Consider the rules of its organization and determine the persons responsible for this.

Legislation on the medical examination procedure

The employer is fully responsible for labor safety. The law imposes on him the obligation to timely organize the passage of a medical examination when applying for a job or during the period of employment. The following legal documents govern this obligation:

TK RF.
Order of the Federal Ministry of Health of 2004, establishing a list of hazardous and hazardous production work, the performance of which requires periodic medical examinations of workers.
Order of Rosminzdravmedprom, which contains information on the category of employees subject to mandatory medical examination, indicating its frequency.
Industry documents (sanitary rules and regulations).

The Labor Code obliges employers to organize a medical examination by an employee who must comply with the requirements of medical control. Violation of the rules by an employee or employer can lead to administrative liability. A periodic medical examination not passed on time will result in the removal of the employee from the performance of official duties. Moreover, if it is the fault of the employer, then the duration of downtime will be paid. Otherwise, the person will be left without wages.

The concept and goals of a medical examination

A medical examination is a set of measures and interventions that are aimed at diagnosing pathological conditions of a person and preventing the risks of developing occupational and other diseases. Periodic procedures are carried out in order to monitor the health of employees and reduce industrial injuries. For each, there are deadlines in which the employee is required to see a doctor.

Periodic physical examination pursues and timely response to changes in health status. It is thanks to such events that it is possible to recognize the development at the initial stages and begin timely treatment. The results of the survey may prompt the employer to transfer the employee to a less hazardous area of production. The verdict of the medical commission ultimately either confirms the fact that the employee is fit to perform his duties, or, conversely, does not allow him to do so.

Prerequisites for medical examination

Conducting periodic medical examinations is carried out at a certain time, which depends on the degree of danger of production factors and their type of harmfulness. It is possible to determine whether an employee is affected by any adverse conditions using the appendix to Order No. 302n.

Classification of dangerous and harmful production factors

Group of factors	Varieties
Chemical	Mixtures and chemicals that are measured in the air of the work area and on human skin. These include substances of a biological nature obtained by chemical synthesis (vitamins, antibiotics, enzymes)
Biological	Pathogenic microorganisms, producers, spores and living cells, pathogens of infections and epidemiological diseases
Physical	Vibroacoustics, microclimate, non-ionizing and ionizing radiation, light environment
Severity of labor	Physical static and dynamic load, movement in space, working posture, weight of the load being moved and lifted manually
Labor intensity	Hearing stress, active monitoring of the production process, density of sound and light signals, stress on the vocal apparatus

Under the influence of at least one of the listed factors, a periodic medical examination should be carried out at least once a year.

Today, when applying for almost any position, it is necessary to undergo a preliminary medical examination. And this is not at all a whim of the employer. Preliminary and periodic medical examinations, in addition to employees exposed to hazardous and harmful factors, are employees:

treatment-and-prophylactic and children's institutions;
Food Industry;
trade;
Catering;
waterworks.

Mandatory inspection is carried out in order to protect the population from the emergence and spread of dangerous diseases.

Referral for medical examination

Preliminary and periodic medical examinations are regulated by Order No. 302n. In the first case, before being hired for a certain position, the employer issues a referral to the applicant, which contains data on the enterprise, the intended position and the nature of harmful or hazardous production factors (if any). The list of specialists and laboratory and functional studies that a future employee needs to undergo is established in accordance with the List of Works and Harmful Factors. The medical examination is considered completed if all prescribed procedures are completed. At this stage, a medical opinion is formed, which allows or prohibits the employee from taking a certain position. It is important to understand that in the event of a negative decision of the medical board, an employment contract cannot be concluded with the applicant.

Periodic medical examinations of employees are carried out within the time limits specified in the List of Works and Harmful Factors. Two months before the next medical examination, the employer is obliged to issue a referral to the employee. The employee undertakes to appear at the specified time.

Organization of periodic medical examinations

Before sending employees to a medical facility for a medical examination, the employer has to do several things. First of all, you need to make a list of the contingent of workers. This is a regulatory act of an enterprise containing information about the professions of employees that are subject to a preliminary or periodic medical examination. A sample of the established form for this document is not provided, but a list of data has been developed that should be indicated in it:

the position of the employee according to the staff list;
name of harmful or type of work.

This may include additional information at the discretion of the employer. The list of contingents is approved once, until any changes occur at the enterprise (new jobs, improvement or deterioration of working conditions, reorganization). The finished document is sent to Rospotrebnadzor.

Name lists of persons are developed annually two months before the agreed date of the medical examination. It must indicate the length of service precisely in the conditions of the declared production factor. It should be noted that the passage of a periodic medical examination is carried out at least once every 2 years in a medical institution and once every 5 years in the center of occupational pathology. The lists are compiled separately.

Issue of the order

The company concludes an agreement with a medical institution, where employees will undergo regular medical examinations. After agreeing on the terms, surveys are drawn up, with which it is necessary to familiarize the employees. Each person from the surname list confirms the fact of informing with a personal signature. At the same time, the employee may be issued a referral for a periodic medical examination.

The need for planned preventive measures is confirmed by the issuance of an order, which is drawn up in an arbitrary form. Consider the approximate content of this document:

Order "On Periodic Medical Examination"

In accordance with Art. 212, 213, 266 of the Labor Code of the Russian Federation,

I ORDER:

Approve the lists of employees who are subject to mandatory medical examination in 2016. A schedule of preventive measures and a list of employees is attached.
Send the employees specified in the list to the medical institution "City Polyclinic No. 2" in accordance with the established schedule for undergoing a medical examination.
The heads of departments and subdivisions should not allow the specified employees to perform their official duties until the examinations have been passed.
Heads of departments and divisions to acquaint employees with the order under the signature.
Control over the execution of the order is assigned to Ivanov I.V.

After that, the full name of the director, his personal signature and applications with a surname list of persons who need to appear at the medical institution for medical examination are indicated. The order for periodic medical examinations is a mandatory document, which is drawn up on the basis of the Labor Code of the Russian Federation and the Order of the Federal Ministry of Health No. 302n.

The frequency of inspection for certain professions

As already mentioned, the control over the health of employees is carried out under the condition that the latter work in hazardous and hazardous industries, regularly visit polyclinics and representatives of professions who in one way or another come into contact with a large number of people. Mandatory periodic medical examinations are required for employees:

Food industry, food trade, public catering - twice a year, tests for infectious diseases and STDs are performed, as well as an analysis for the carriage of staphylococcus and other bacteriological studies. Once a year, fluorography, a consultation with a therapist and laboratory tests for the presence of helminths are prescribed.
Children's preschool, school and secondary professional, medical institutions - examination for the presence of STDs, infectious diseases and bacteriological studies are carried out up to 4 times a year. A general therapeutic commission with the passage of fluorography and laboratory tests is required once a year.
Pharmacies and non-food trade - once a year, an examination by a dermatovenereologist, a therapist, fluorography and laboratory tests are shown.
Communal services for the population and swimming pools - 2 times a year are examined for the presence of STDs and 1 time per year they undergo a standard medical examination. Vaccination against diphtheria is required.

It is worth noting that the number of examinations, regardless of profession, includes such procedures as fluorography, a blood test for syphilis, bacteriological studies for STDs, an examination by a narcologist and a psychiatrist. For women, a visit to the gynecologist is mandatory.

Medical examination of persons working in hazardous and hazardous industries

Depending on the category of hazardous factors, the deadlines for employees to pass the mandatory one should be taken into account that, regardless of the length of service and profession, the following persons are subject to an annual examination:

under 21;
employed in the Far North region (including in areas equated to them) from another locality;
working on a rotational basis.

Consider the frequency of medical examination depending on the working conditions (profession).

Medical examination for employees of hazardous (dangerous) production

Types of work (production), profession
Explosive fire	1 time per year
Using and carrying weapons	1 time per year
emergency services	1 time per year
Service electrical installations (over 42 VAC, over 110 VDC)	1 time in 2 years
In areas remote from honey. institutions	1 time per year
Work on machines and equipment with moving parts	1 time in 2 years
Underground and high-altitude works	1 time per year
Land transport management	1 time in 2 years
Underwater work in a gaseous environment (at normal pressure)	1 time in 2 years

Do not forget that there is a professional periodic medical examination, which is necessary to pass in the center of occupational pathology once every five years.

Medical examination before the start of the working day (shift)

Some employees, who are responsible for more than their own lives, undergo a small physical examination daily. This includes workers employed in hazardous and hazardous industries. Purpose: monitoring the state of health after a working day and fixing complaints about well-being. Drivers of all ground vehicles, as well as pilots, undergo periodic medical examinations at work. This time is included in the composition of the working day (shift) and takes 15 minutes at the most, unless, of course, there is a suspicion that the employee's condition is deteriorating. Procedures include measurement of pulse, pressure, general assessment of health status and reactions. Periodic medical examination of drivers without fail includes a check of clarity of consciousness. In the presence of alcohol or drug intoxication (which is confirmed or denied by express tests if necessary), the employee is removed from the flight. General malaise, pressure drops can also become a medical withdrawal from the performance of labor duties.

The legislation made it mandatory to pass a pre-trip check of the condition of drivers for each enterprise or individual entrepreneur. Every person employed on a vehicle owned by a legal entity undergoes a medical examination. The doctor or paramedic decides on the admission of the employee to work. Conclusion honey. personnel must be strictly observed.

Who pays?

In order for an employee to undergo a periodic medical examination, it is required to pay for preventive procedures. Who bears the cost of the medical examination? When hiring and carrying out labor activities, the costs of a medical examination are borne by the employer. This rule is regulated by the Labor Code of the Russian Federation (Article 213). The enterprise is free to independently choose a medical institution. Before concluding a contract with an organization, you should make sure of the following points:

the organization is licensed;
in the list of services and works in the appendix to the license, it is noted that the institution has the right to conduct medical examinations or an examination of professional suitability;
has all the necessary specialists on staff;
owns the required equipment;
provides services at the address specified in the license.

It is also necessary to clarify the procedure for examination by a narcologist and a psychiatrist. Often additional visits to dispensaries are required to obtain mental and physical health certificates. The cost of services is determined based on the number of required consultations and studies.

Even if the applicant does not find a job after passing the medical examination, the employer does not have the right to demand reimbursement of expenses. Deductions from wages or self-payment for preventive examinations are unlawful in relation to the employee. The employer is obliged to bear all expenses and, in addition, to keep the employee's salary for the duration of the medical examination within the average daily wage.

Periodic medical examination is an important event that allows timely diagnosis of occupational and socially dangerous diseases. Procedures are performed primarily in the interests of the employee. Both the employer and the employee should comply with the requirements of the law on passing medical examinations. Violations result in significant administrative fines.

Medical examination for employment and periodic medical examinations are the backbone of employee healthcare. Who is obliged to go through doctors when concluding an employment contract - we will tell you in more detail. Moreover, there are enough interesting moments.

A medical examination for work, its necessity and cyclicality is determined based on unsafe or harmful factors associated with the activities of the enterprise. Employees under the age of 21 are required to undergo annual medical examinations. A medical examination is considered to be completed in full if it is performed by specialized doctors with all the established analyzes.

Since 2011, the Ministry of Health and Social Development of the Russian Federation approved an order (No. 302N) - a mandatory medical examination for an employee during employment and its subsequent periodization.

The medical examination of the personnel of the enterprise is due to the risk of a disease provoked by the type of activity of the employee. Employee health protection includes a wide range of mandatory therapeutic and preventive measures. A preliminary medical examination and its subsequent updating will eliminate the possibility of the occurrence and development of serious occupational diseases.

When concluding an employment agreement for the conduct of work activities in the area designated by law, a mandatory medical examination of applicants is carried out. During the entire period of work, regular medical examinations are also required.

A medical examination can only be carried out by a specialized institution, which has all the necessary medical staff on its staff.

Sanitary and hygienic control of the workplace also allows you to maintain the health of the employee.

After the applicant has passed the medical examination, the employer must provide him with effective personal protective equipment. Specialized labor protection commissions take part in preventive actions carried out at enterprises.

Documentary support of medical examination

To pass a commission in a healthcare institution when applying for a job and further scheduled examinations, the following documents are required:

Referral from employer.
Identification.
Sanitary book (if available).
Conclusion of a special commission on a psychiatric examination (if such is provided for by the legislation of the Russian Federation).

In turn, the medical institution draws up documentation for each specialist:

Outpatient medical card of the examined citizen.
Health passport (if necessary) with marks and results.
A conclusion endorsed by the head of the medical commission based on the results of the examination and certified by the seal of a specialized institution.

Established list of doctors and examinations during a medical examination

The rules of the professional examination oblige the following specialists to visit:

therapist;
gynecologist (female);
surgeon;
mammologist (female);
expert in narcology;
psychiatrist;
neuropathologist;
ophthalmologist.

Payment for the medical examination in the direction of the employer is at the expense of the enterprise (Article 212 of the Labor Code of the Russian Federation).

However, the employer (if it is a non-state commercial structure) can find many reasons for refusing an applicant who has not passed the inspection at his own expense. Be prepared for the fact that this procedure will become your concern.

The examination includes the necessary studies:

fluorography;
blood analysis;
cholesterol concentration;
determination of sugar level;
Analysis of urine.

For employees over 39:

checking the level of blood pressure;
mammography (women).

Additional studies are possible depending on the results.

The list of doctors can be adjusted in accordance with the regulatory documentation of the employer's institution.

Medical examination for work in the Far North and other special conditions

The mandatory commission in a medical institution is associated not only with the size of the staff and specific professions, but also with the location of the enterprise. So, according to the order of the Ministry of Health and Social Development No. 302n, applicants applying for a job in the Far North undergo a special examination. Moreover, doctors not only ascertain the condition of the applicant, but also pass a verdict - to allow work in special conditions or not.

Sometimes this document is called "help 302n", according to the order number, but this is not true. The correct designation of the medical certificate form is 086. It includes 12 lines.

The first 7 - information about the applicant, past illnesses and injuries.
Lines 8–10 - data of inspection, analyzes and research.
11–12 - the commission's verdict on suitability for work in the Far North.

A special examination is also required for those wishing to work in Central Asia and the Middle East, but with the collapse of the USSR, this issue has largely lost its relevance.

Where to pass a medical examination for help 302n form 086

The place of passage of the commission depends on the free time and financial capabilities of the employee.

You can contact specialized institutions that offer services costing from 15,000 rubles. Price fluctuation depends on the region. Passing a medical examination at the district clinic at the place of registration will be free of charge, such an examination is provided for by medical insurance.

An exception may be the lack of specialists in the field of psychiatry and narcology in the district polyclinic. You will need to contact a specialized institution where an examination will be carried out according to the established tariff.

The price for medical examination of employees is not fixed. The level of costs depends on the immediate place of its passage and the region of employment.

Based on the data provided in the conclusion of medical specialists, in accordance with the standards, it is determined which of the dispensary groups the applicant belongs to.

Medical examination at the time of employment

Includes a complex of laboratory tests (blood, urine, etc.). The results of the analyzes can reveal pathologies and diseases at an early stage:

anemia;
damage to internal organs;
inflammatory processes;
diabetes;
tuberculosis.

An integrated approach to regular medical examination of personnel will minimize the risks of developing diseases. For example, a surgeon can identify lesions in the abdominal cavity or varicose veins, and a neurologist can identify hidden functional disorders.

A mandatory medical examination allows you to determine the level of health of a candidate for a vacant position, to exclude diseases that prevent the successful implementation of labor tasks.