Medical examination for a driver's certificate in the traffic police of a new sample. Features of passing a medical examination when applying for a job, which doctors and what tests are prescribed Passing a medical commission when applying for a job

23.05.2023

"On the sanitary and epidemiological well-being of the population" does not give rise to discrepancies: Article 34 "Compulsory medical examinations" states that employees ... are required to undergo preliminary and periodic preventive medical examinations upon admission to work. Individual entrepreneurs and legal entities are obliged to provide the conditions necessary for the timely passage of medical examinations by employees.

What specialists should a medical worker visit before starting work (because without undergoing medical examinations on the basis of the same Federal Law-52, he cannot be allowed to perform official duties) is stated in the Order of the Ministry of Health and Social Development of the Russian Federation dated April 12, 2011 "On approval of lists of harmful and (or) dangerous production factors and work, during which mandatory preliminary and periodic medical examinations are carried out ..."

The order came into force on January 1, 2012. However, until now it has not yet been read by the heads of cosmetology clinics to the end. According to the old tradition, they looked into the list, found an item that concerns health workers (in order No. 302n this is item 17 of Appendix 2) and decided that this was enough.

Those who had the patience to scroll through Appendix 2 to the end found that no, not enough. Indeed, other types of inspections are indicated in the note to the appendix.

Medical examinations of medical workers

Medical workers undergo:

When applying for a job:

chest x-ray;
blood test for syphilis;
swabs for gonorrhea;
a study on the carriage of pathogens of intestinal infections and a serological examination for typhoid fever (hereinafter - according to epidemiological indications);
research on helminthiases (in the future - at least once a year or according to epidemiological indications);
a swab from the throat and nose for the presence of pathogenic staphylococcus (hereinafter - once every 6 months);
1 time per year examination by a dermatovenerologist, otorhinolaryngologist, dentist and infectious disease specialist (on recommendation).

During both preliminary (before starting work) and periodic (that is, annual) medical examinations, the health worker passes a clinical blood test (hemoglobin, color indicator, erythrocytes, platelets, leukocytes, leukocyte formula, ESR), a clinical urinalysis (specific gravity, protein, sugar, sediment microscopy), undergoes electrocardiography, digital fluorography or radiography in 2 projections (direct and right lateral) lung, biochemical screening: determination of serum glucose, cholesterol.

All women are examined by an obstetrician-gynecologist with bacteriological (for flora) and cytological (for atypical cells) studies at least once a year; women over the age of 40 undergo mammography or ultrasound of the mammary glands once every 2 years.

All medical workers must be vaccinated according to the National Immunization Schedule, approved by Order of the Ministry of Health of Russia dated March 21, 2014.

Can an employee undergo a medical examination on their own and is it enough just to have a medical book at the workplace?

No. The system of medical examinations itself must be organized by the head and confirmed by certain documents.

This is stated in the order of the Ministry of Health and Social Development No. 302n, but in more detail - in the territorial department of the Federal Service for Supervision of Consumer Rights Protection and Human Welfare in the city of Moscow "On the application of the order of the Ministry of Health and Social Development of Russia No. 302n dated April 12, 2011."

Conducting a medical examination program in a clinic or beauty salon with a medical license begins with the head compiling a list of the contingent of employees available in his institution and sending it to the territorial body of Rospotrebnadzor.

This list is approved by Rospotrebnadzor, and on its basis it is possible to conclude an agreement with an organization that has a license for the type of activity.

In fact, it contains in a structured form everything that is in the medical book itself, only in the act it can be read, while in the medical book the seals are usually sloppy and the signatures of doctors are illegible. That is why there are so many fake, counterfeit books - the temptation is great, anyway, no one understands anything in them ...

The former chief sanitary doctor, widely known in medical (and not only!) circles, G. Onishchenko assured that the medical book is the most forged document in Russia.

So, the final act is all the information about each of the workers who passed the inspection.

It states:

date of issue of the conclusion;
surname, name, patronymic, date of birth, gender of the person entering the work (employee);
the name of the employer;
the name of the structural unit of the employer (if any), position (profession) or type of work;
name of the harmful production factor(s) and (or) type of work;
the result of a medical examination (medical contraindications identified, not identified);
the conclusion is signed by the chairman of the medical commission indicating the surname and initials and certified by the seal of the medical organization that conducted the medical examination.

Such an act is drawn up for each employee who was sent for a medical examination. In general, a general act is drawn up for the organization, and now it contains all the information in full:

the name of the medical organization that conducted the preliminary examination, the address of its location and the OGRN code;
date of drawing up the act;
the name of the employer;
the total number of employees, including women, employees under the age of 18, employees who have a persistent degree of disability;
the number of employees engaged in heavy work and work with harmful and (or) dangerous working conditions;
the number of employees employed in jobs that require periodic medical examinations (examinations) in order to protect public health, prevent the occurrence and spread of diseases, including women, workers under the age of 18, workers who have been diagnosed with a persistent degree of disability;
the number of employees subject to periodic medical examination, including women, employees under the age of 18, employees who have a persistent degree of disability;
the number of employees who have undergone a periodic medical examination, including women, employees under the age of 18, employees who have been diagnosed with a persistent degree of disability;
the percentage of coverage of employees with periodic medical examinations;
a list of persons who have undergone a periodic medical examination, indicating gender, date of birth, structural unit (if any), conclusion of the medical commission;
the number of employees who have not completed a periodic medical examination, including women, employees under the age of 18, employees who have been diagnosed with a persistent degree of disability;
a list of employees who have not completed a periodic medical examination;
the number of employees who have not undergone a periodic medical examination, including women, employees under the age of 18, employees who have been diagnosed with a persistent degree of disability;
a list of employees who have not undergone a periodic medical examination;
the number of employees who do not have medical contraindications to work;
the number of employees with temporary medical contraindications to work;
the number of employees with permanent medical contraindications to work;
the number of employees in need of an additional examination (conclusion not given);
the number of employees who need to be examined in the center of occupational pathology;
the number of employees requiring outpatient examination and treatment;
the number of employees in need of inpatient examination and treatment;
the number of employees in need of sanatorium treatment;
the number of employees in need of dispensary observation;
a list of persons with a preliminary diagnosis of an occupational disease, indicating gender, date of birth, structural unit (if any), profession (position), harmful and (or) hazardous production factors and work;
a list of newly established chronic somatic diseases indicating the class of diseases according to the International Classification of Diseases - 10 (hereinafter - ICD-10);
a list of newly established occupational diseases with an indication of the class of diseases according to ICD-10;
the results of the implementation of the recommendations of the previous final act;
recommendations to the employer on the implementation of a complex of health-improving measures, including preventive and other measures.

Pay attention to the last - this very complex can be checked by the labor inspectorate!

When checking compliance with the sanitary and epidemiological regime in a clinic or beauty salon, representatives of Rospotrebnadzor also have the right to verify the list of employees according to the final act with the list of the contingent.

Yes, you and I have not yet specified what should be indicated in the contingent list, which is compiled by the employer in order to be approved by Rospotrebnadzor:

the name of the employer;
form of ownership and type of economic activity of the employer according to OKVED;
the name of the medical organization, the actual address of its location and the OGRN code;
type of medical examination (preliminary or periodic);
surname, name, patronymic of the person entering the work (employee);
date of birth of the person entering the work (employee);
the name of the structural unit of the employer (if any), in which the person entering the work will be employed (the employee is employed);
the name of the position (profession) or type of work;
harmful and (or) dangerous production factors, as well as the type of work in accordance with the contingent of employees approved by the employer, subject to preliminary (periodic) inspections.

Health passport

Important! When conducting a medical examination in an organization that has assumed this responsibility, an outpatient card is issued for an employee undergoing a medical examination. Since May 2015, this has been form N 025 / y "Medical record of a patient receiving medical care on an outpatient basis", approved by Order of the Ministry of Health of Russia dated 12/15/2014.

The order of the Ministry of Health and Social Development No. 302n, which entered into force in 2012, already mentions the Health Passport, but its regulatory authorities (in particular, Rospotrebnadzor) have recently begun to check it. There are no exceptions for medical workers of private clinics, including cosmetologists: A health passport is not issued only to those who are attached to the FMBA of Russia for medical care.

The Health Passport must have a number, the date of its completion. And this document is constantly kept by the employee, to the organization that conducts medical examinations, it is handed over only for the duration of their passage.

Penalties for non-compliance with the rules of medical examinations

And another question - who pays for everything? The answer is unequivocal - a legal entity that concludes an agreement with the organization for preventive and periodic medical examinations. Here the Civil Code comes into force: the Contractor undertakes to do, the Customer undertakes to pay. Who is the customer of the medical examination? Clinic or beauty salon with a medical license.

And now about whether they can impose a fine for non-compliance with the rules for conducting medical examinations.

The Code of Administrative Offenses, article 5.27.1 "Violation of state regulatory requirements for labor protection contained in federal laws and other regulatory legal acts of the Russian Federation" will tell us about fines for medical examinations in 2015:

The admission of an employee to the performance of his labor duties without ... mandatory preliminary (when applying for a job) and periodic (during employment) medical examinations ... entails the imposition of an administrative fine on officials in the amount of fifteen thousand to twenty-five thousand rubles; for persons engaged in entrepreneurial activities without forming a legal entity - from fifteen thousand to twenty-five thousand rubles; for legal entities - from one hundred and ten thousand to one hundred and thirty thousand roubles.

The state of health of motorists, and especially its compliance with current standards, is the basis for obtaining a driver's license.

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Every citizen who has to drive a vehicle should have good eyesight, if it is impaired, then you can drive vehicles only with glasses that correct this defect.

Persons who have mental disorders or addiction to drugs are not allowed to drive. The presence of any deviations in physical or mental health guarantees an adequate ride. This is evidenced by a medical certificate.

Therefore, upon receipt of a driver's document, you must first pass a medical examination. Most motorists want to know the intricacies of the procedure, the list of specialists that should be passed for men and women, for drivers of vehicles of different categories. The article is devoted to these issues.

Are there any changes in the composition of doctors in 2020

The innovation, which was put forward by the Ministry of Health of the Russian Federation, also affected the rules for passing a medical commission for motorists.

In addition, the changes also apply to the list of specialists who should be visited, as well as to the terms of the validity of the medical certificate.

Even at the beginning of the flow year in our country, in order to obtain an examination from a clinic for issuing a motorist license, it is mandatory to visit such specialists:

surgeon
dermatologist-venereologist;
narcologist;
ophthalmologist;
neuropathologist;
otorhinolaryngologist;
psychiatrist;
gynecologist (for female motorists);
blood tests;
therapist.

Entered into force at the end of 2013, regulates the procedure according to which all motorists are obliged to visit a psychiatrist and narcologist for diagnosis.

The medical institution should be chosen at the place of registration of the driver. You can choose among public clinics and private medical centers, but a special license remains a prerequisite for them, allowing them to provide such services.

The main changes are the list of doctors who will examine the health status of motorists.

Since the beginning of 2020, the list has been noticeably reduced, so drivers visit only such specialists:

ophthalmologist;
narcologist;
neuropathologist;
psychiatrist;
gynecologist (for women);
therapist.

Now the last one on the list of specialists is entrusted with the authority to carry out the conclusion of a surgeon, an ENT specialist and a dermatovenereologist.

Also, this specialist conducts the final conclusion of the commission. Therefore, the examination of the therapist will be lengthy and thorough.

The following analyzes are provided: urine for the presence of narcotic substances in the body (an innovation from this year), blood to determine the Rh factor, and an ECG of the heart.

Valid for a period of 10 years for motorists with normal health, 1 year for drivers with some kind of deviation in physical health, 2 years for professional drivers. Drivers are required to undergo such a medical examination before each long flight.

You should be aware that for drivers who transport passengers and cargo, the list of specialists for a medical examination is the same.

Composition of specialists for obtaining a driver's license

To drive a vehicle, the driver of our country should only be in medical institutions that have a special license for this, which allows medical staff to collect a commission and conduct a comprehensive examination of motorists.

At the same time, only an institution with a license can issue medical certificates in a standard form, draw a conclusion from specialists on the suitability of a citizen to drive a vehicle.

Which doctors do you need to go through for a driver's license in 2020? This question remains the main one for motorists who will have to carry out such an inspection in the near future.

Therefore, you should thoroughly remember this list of specialists:

eye doctor;
expert in narcology;
neuropathologist;
psychiatrist;
gynecologist (for female drivers);
therapist.

If the therapist has found deviations in the functioning of any body systems, then he has every right to issue a referral for an additional examination to other doctors.

The new law also regulates that medical workers are responsible for diagnosing motorists, for making a conclusion about their suitability and admission to driving.

Are there differences for men and women

It should be remembered that if at least one of the specialists found violations in the functioning of the body, then he has the authority to issue a referral to the motorist to undergo procedures to eliminate them, assign a treatment regimen, temporarily remove him from driving or working process.

So, a neurologist can write out a referral for treatment to a citizen if he has violations in the coordination of movements of the lower extremities of the body or the motor skills of the upper ones.

Men during such a medical examination present the following documentation:

passport of a citizen of the Russian Federation;
if it already exists;
two matte photographs with parameters 3.5x4.5 cm;
a military ID or a certificate that indicates the state of the driver registered with the military registration and enlistment office;
place of residence for citizens under the age of 45 years.

Female drivers are required to provide the following documents:

passport of a citizen of the Russian Federation, in which there is information about the person and her registration;
parameters 3.5x4.5 cm;
a valid driver's license;
military ID if the woman is in military service.

Regardless of gender, all drivers must go through the full prescribed list of specialists in the clinic who leave their notes on the driver's health.

Separately, you will have to visit a mental dispensary and a drug dispensary at the place of your registration. Although clients of private medical centers will not have to visit different institutions. That is, a narcologist and a psychiatrist are mandatory specialists.

The difference for the women's medical commission is that they also go through a gynecologist without fail.

If a pregnant woman wishes to undergo a commission, then her state of health must be satisfactory, without any kind of restrictions that may prevent the pregnant woman from driving.

What are the requirements for the health of drivers of different categories

Condition requirements for existing driving categories are different. This is due to the fact that when driving different types of vehicles, their own physical activity is provided for; persons without disabilities, with good eyesight and deviations in terms of neuropathology, must drive the vehicle when transporting passengers and dangerous goods.

The certificate itself contains a conclusion on the right to drive a car. It is an official document, which is issued according to the form No. 831-n on a special form, subject to regular verification, strict reporting.

Therefore, any errors in its completion are categorically unacceptable.

The document contains the following details:

A stamp in the upper left corner of the form from the medical center where the examination is carried out.
Institution license number.
The series and number of the form of the document.
Personal data of the checked motorist.
Date of issue of the medical certificate to count the period of its relevance.
Underlined driver's license category.
A photograph is placed in the lower left corner.
Wet print, part of which also captures the photo.
On the reverse side are the conclusions of all the prescribed specialists.

Now re-passing a medical commission for all categories of drivers is required only in cases after its confiscation.

Once every two years, professional drivers who spend all their working time behind the wheel will have to pass a commission.

Differences in the list of specialists that drivers of different categories should go through are not provided by the analyzed law in order to simplify the procedure for motorists who have several categories open.

Knowing the list of doctors that motorists should go through when applying for a driver's license is desirable, but not necessary.

Therefore, this list can always be found in the registry of the medical institution where you will apply. You can also clarify which doctors the therapist can replace.

For women and men, the difference lies in the documentation provided, because men must provide a certificate from the military registration and enlistment office or a military ID. But at the same time, female representatives are required to undergo an examination by a gynecologist.

Representatives of some professions are required to issue a medical examination when applying for a job. The main task is to determine whether the applicant for the position has contraindications, as well as to identify infectious or viral diseases that are dangerous to others. The list of specialists who are required to start work only after a medical commission is quite wide. We tell you who needs to arrange a medical examination, how much money you have to spend and why you can’t refuse to visit doctors.

During employment, some specialists are required to issue an initial medical examination. This requirement is spelled out in the Labor Code (Article 213). A visit to the doctors will fix the condition of a potential employee and determine the restrictions on duties. They are different for each position. For example, for a teacher, poor vision is not critical, while a visually impaired driver may be denied employment.

Under Russian law, a preliminary medical examination must be completed when applying for a job:

employees under 18;
specialists working in a dangerous, harmful environment, at risk to life (for example, rescuers) or in the Far North;
shift workers;
driving cars, official, public and any other type of transport;
judges;
specialists in trade, the food industry, including production and catering establishments, the service sector;
plumbing personnel;
doctors, nurses and other health workers;
educators, teachers, teachers, teachers of educational institutions of all levels and their technical staff.

Note that this list refers to the primary medical examination. Some specialists visit doctors annually, once every 2 years or twice a year. Some, such as drivers of passenger vehicles, are required to undergo a brief examination before each shift. This is also enshrined in the Labor Code of the Russian Federation.

List of doctors and tests

Passing a medical examination when applying for a job means attending an examination of doctors from a certain list, undergoing a fluorography, an electrocardiogram, and also taking tests. It is quite possible to do everything in 2 days if the necessary specialists are in place. On the first day, a person takes tests, ECG and fluorography, visits doctors according to the list. In the second, he takes the results of the tests, FLG and visits the therapist for a final conclusion.

List of doctors for medical examination:

therapist;
ophthalmologist;
otolaryngologist (ear-nose-throat);
neurologist or neuropathologist;
surgeon;
dermatologist;
gynecologist;
psychiatrist;
expert in narcology.

Mandatory tests:

blood;
urine.

Also:

fluorography;
electrocardiogram.

For individual specialists, the list varies slightly. A complete list of doctors is given by the therapist based on the direction of the employer (the profession the patient is applying for will be indicated there). Based on the results of the examination, the medical commission (this role is played by the therapist) issues a certificate of compliance with the position. Data on the examination are entered into the citizen's medical book.

List of documents

A medical examination of this kind is quite simple to document (at least for the applicant). The head of the organization issues a referral for an initial medical examination to the specialist whom he plans to employ. Sometimes such a document indicates a specific state clinic, but in most cases the employee can choose a commercial clinic. In the direction indicate the profession for which the "patient" applies.

First you need to visit a therapist who will issue a list of doctors. The employee must always have:

passport;
policy;
SNILS;
medical book;
health passport (for the public sector).

All paperwork - entries and seals in a medical book or health passport - is done by doctors. The task of the employee is to quickly move from office to office and transfer documents to specialists.

When the examination is completed, the therapist writes a conclusion. There are several options: stamps in the medical book, marks in the health passport or a separate certificate. In many budget organizations, medical examinations are organized so well that medical institutions independently transfer all the necessary documents without burdening employees with them.

The employer issues a referral for a medical examination to the candidate for the position

How long is a medical examination certificate valid?

The certificate of successful completion of the medical examination remains valid for 1 year from the date of issue. But if the document is prepared in accordance with the form 0-86 U (for minors, applicants to universities or secondary vocational schools), its validity will be only 6 months.

Note that when finding employment in a new place, which also requires a medical examination, you will have to visit the doctors again, even if the year has not yet expired. There are no exceptions, since the law requires employers to send new employees for an initial medical examination. Departure from this principle would be a violation of the law.

Survey frequency

We figured out how to pass a medical examination for employment in a new organization. That is, the so-called primary inspection. Then you will have to visit doctors periodically. The frequency of visits is tied to the profession:

twice a year - food industry, food sales, cafes, restaurants, canteens, bars, laundries, beauty salons;
annually - kindergartens, schools, colleges, technical schools, universities, pharmacies and non-food trade, dangerous and harmful institutions;
1 time in 2 years - workers of electrical installations and machine tools with moving elements.

The cost of a medical examination when applying for a job

Where to get a medical examination for getting a job? Most often, when preparing a referral, the head indicates a specific clinic, budget or commercial. State institutions indicate budgetary institutions, commercial - private, if they have a contract. If there is no clear indication, you can contact the commercial clinic where all the necessary specialists work and take the necessary tests.

In state and commercial clinics, the cost of a medical examination when applying for a job is about 3,500 rubles. The amount depends not only on the status of the clinic, but also on the list of specialists for a particular position. In private institutions, most likely, the price will be higher, but the conditions for passing are more comfortable.

Usually, the employee undergoes a medical examination at his own expense, and then the employer compensates him for all costs. Therefore, it is important to keep and transfer all checks and receipts to the accounting or human resources department. Compensation occurs in 2-3 months, it is forbidden to refuse to pay an employee for a medical examination.

Registration of a medical examination will take 1-2 days

Sanctions for refusing to undergo a medical examination

The only sanction that threatens for refusing to visit doctors is denial of employment. No penalty or penalty is foreseen. However, the employer is obliged to refuse to sign an employment contract with such a specialist.

Employer's responsibility

If an organization or individual entrepreneur employs an employee without an initial medical examination, they will face a fine, regardless of the reasons for the misconduct. Individual entrepreneurs will pay from 15 to 25 thousand rubles, organizations - from 110 to 130 thousand. If the employer has not compensated for the costs of visiting doctors, the citizen must apply to the court within 3 months (from a direct refusal or when the victim found out that his rights are not respected).

Conclusion

Several categories of employees are required to issue a medical examination during employment. These are those professionals whose work involves interaction with other people or hazardous conditions. The list of doctors and tests directly depends on the position. It is prescribed by the therapist at the first visit to the patient. The average cost is 3500 rubles. The employer must pay or reimburse all costs.

Those who had the patience to scroll through Appendix 2 to the end found that no, not enough. Indeed, other types of inspections are indicated in the note to the appendix.

Medical examinations of medical workers

Medical workers undergo:

When applying for a job:

chest x-ray;
blood test for syphilis;
swabs for gonorrhea;
a study on the carriage of pathogens of intestinal infections and a serological examination for typhoid fever (hereinafter - according to epidemiological indications);
research on helminthiases (in the future - at least once a year or according to epidemiological indications);
a swab from the throat and nose for the presence of pathogenic staphylococcus (hereinafter - once every 6 months);
1 time per year examination by a dermatovenerologist, otorhinolaryngologist, dentist and infectious disease specialist (on recommendation).

All medical workers must be vaccinated according to the National Immunization Schedule, approved by Order of the Ministry of Health of Russia dated March 21, 2014.

Can an employee undergo a medical examination on their own and is it enough just to have a medical book at the workplace?

No. The system of medical examinations itself must be organized by the head and confirmed by certain documents.

This list is approved by Rospotrebnadzor, and on its basis it is possible to conclude an agreement with an organization that has a license for the type of activity.

The former chief sanitary doctor, widely known in medical (and not only!) circles, G. Onishchenko assured that the medical book is the most forged document in Russia.

So, the final act is all the information about each of the workers who passed the inspection.

It states:

date of issue of the conclusion;
surname, name, patronymic, date of birth, gender of the person entering the work (employee);
the name of the employer;
the name of the structural unit of the employer (if any), position (profession) or type of work;
name of the harmful production factor(s) and (or) type of work;
the result of a medical examination (medical contraindications identified, not identified);
the conclusion is signed by the chairman of the medical commission indicating the surname and initials and certified by the seal of the medical organization that conducted the medical examination.

Such an act is drawn up for each employee who was sent for a medical examination. In general, a general act is drawn up for the organization, and now it contains all the information in full:

the name of the medical organization that conducted the preliminary examination, the address of its location and the OGRN code;
date of drawing up the act;
the name of the employer;
the total number of employees, including women, employees under the age of 18, employees who have a persistent degree of disability;
the number of employees engaged in heavy work and work with harmful and (or) dangerous working conditions;
the number of employees employed in jobs that require periodic medical examinations (examinations) in order to protect public health, prevent the occurrence and spread of diseases, including women, workers under the age of 18, workers who have been diagnosed with a persistent degree of disability;
the number of employees subject to periodic medical examination, including women, employees under the age of 18, employees who have a persistent degree of disability;
the number of employees who have undergone a periodic medical examination, including women, employees under the age of 18, employees who have been diagnosed with a persistent degree of disability;
the percentage of coverage of employees with periodic medical examinations;
a list of persons who have undergone a periodic medical examination, indicating gender, date of birth, structural unit (if any), conclusion of the medical commission;
the number of employees who have not completed a periodic medical examination, including women, employees under the age of 18, employees who have been diagnosed with a persistent degree of disability;
a list of employees who have not completed a periodic medical examination;
the number of employees who have not undergone a periodic medical examination, including women, employees under the age of 18, employees who have been diagnosed with a persistent degree of disability;
a list of employees who have not undergone a periodic medical examination;
the number of employees who do not have medical contraindications to work;
the number of employees with temporary medical contraindications to work;
the number of employees with permanent medical contraindications to work;
the number of employees in need of an additional examination (conclusion not given);
the number of employees who need to be examined in the center of occupational pathology;
the number of employees requiring outpatient examination and treatment;
the number of employees in need of inpatient examination and treatment;
the number of employees in need of sanatorium treatment;
the number of employees in need of dispensary observation;
a list of persons with a preliminary diagnosis of an occupational disease, indicating gender, date of birth, structural unit (if any), profession (position), harmful and (or) hazardous production factors and work;
a list of newly established chronic somatic diseases indicating the class of diseases according to the International Classification of Diseases - 10 (hereinafter - ICD-10);
a list of newly established occupational diseases with an indication of the class of diseases according to ICD-10;
the results of the implementation of the recommendations of the previous final act;
recommendations to the employer on the implementation of a complex of health-improving measures, including preventive and other measures.

Pay attention to the last - this very complex can be checked by the labor inspectorate!

Yes, you and I have not yet specified what should be indicated in the contingent list, which is compiled by the employer in order to be approved by Rospotrebnadzor:

the name of the employer;
form of ownership and type of economic activity of the employer according to OKVED;
the name of the medical organization, the actual address of its location and the OGRN code;
type of medical examination (preliminary or periodic);
surname, name, patronymic of the person entering the work (employee);
date of birth of the person entering the work (employee);
the name of the structural unit of the employer (if any), in which the person entering the work will be employed (the employee is employed);
the name of the position (profession) or type of work;
harmful and (or) dangerous production factors, as well as the type of work in accordance with the contingent of employees approved by the employer, subject to preliminary (periodic) inspections.

Health passport

Penalties for non-compliance with the rules of medical examinations

And now about whether they can impose a fine for non-compliance with the rules for conducting medical examinations.

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 therapist 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;
Diagnosis and treatment of patients with suspected occupational disease;
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;
Engaged in the organization of measures to prevent the loss of working capacity for workers.

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

Who needs to undergo a medical examination by an occupational pathologist

Typically, visiting this specialist and obtaining the appropriate medical clearance response is necessary for representatives of the following professions:

Transport workers;
High-altitude fitters;
Industrial climbers;
Athletes;
food industry workers;
Beauty workers;
Medical staff of various categories;
Utilities, etc.

Help for work in the Far North 302n

People working in the harsh conditions of the Far North are also forced to undergo periodic and preliminary examinations by this specialist. Permanent stay in severe climatic conditions, the negative impact of magnetic fields, low temperatures and other dangerous factors require good health from the people working here. Human acclimatization in the conditions of the Far North lasts 2-3 years. Throughout this period, the occupational pathologist should regularly check the state of the employee's body.

What other specialists need to visit for help

In order to obtain a work permit in the conditions of the Far North, in addition to an occupational pathologist, it is also necessary to visit such specialists: a dermatovenereologist, a therapist, a psychiatrist, a neurologist, a narcologist, a surgeon, an otorhinolaryngologist. It is also necessary to pass a series of tests, undergo ultrasound and fluorography.

Access to work at height by an occupational pathologist

High-altitude work is divided into two categories: climbing - performed from ladders, ladders, lifts and other structures; work at height - performed at a height of 1.3 m or more. will receivecertificate of admission to work at a height of 405you 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. Here you can also getcertificate for electric and gas welders 302and representatives of other potentially dangerous professions.

What diseases does an occupational pathologist treat?

The specialist deals with the treatment of only occupational pathologies. These include:

Diseases of the musculoskeletal system caused by excessive physical exertion;
Respiratory tract diseases caused by the negative impact of the environment at the enterprise;
Vibrational disease;
Diseases caused by permanent exposure to toxic substances at the enterprise.

The occupational pathologist also 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 various 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.