Medical examination 302 n. We prepare a referral for periodic medical examination. Referral for a medical examination from the employer - form, sample

In 2011, Order No. 302n of the Ministry of Health and Social Development was issued, which outlined all the points necessary for organizing and conducting medical examinations of workers engaged in harmful or dangerous work. Since that time, a number of significant changes and additions have been made to the document, information about which is not available to everyone.

Now work is underway to create a new order "On approval of the Procedure for conducting mandatory preliminary tests (upon admission to work)...", read version of the new order on medical examinations dated 08.29.17...

Order of the Ministry of Health and Social Development of the Russian Federation (Ministry of Health and Social Development of Russia) dated April 12, 2011 N 302n Moscow “On approval of lists of harmful and (or) hazardous production factors and work, during the performance of which mandatory preliminary and periodic medical examinations (examinations) are carried out ), and the Procedure for conducting mandatory preliminary and periodic medical examinations (examinations) of workers engaged in heavy work and work with harmful and (or) dangerous working conditions"

Approval of lists of harmful and (or) dangerous production factors and work, during the performance of which mandatory preliminary and periodic medical examinations (examinations) are carried out

Date of signing: 04/12/2011

Date of publication: 10/28/2011 00:00

Registration N 22111

In accordance with Article 213 of the Labor Code of the Russian Federation (Collection of Legislation of the Russian Federation, 2002, No. 1 (Part 1), Art. Z; 2004, No. 35, Art. 3607; 2006, No. 27, Art. 2878; 2008, N 30 (part 2), art. 3616) and clause 5.2.100.55 of the Regulations on the Ministry of Health and Social Development of the Russian Federation, approved by Decree of the Government of the Russian Federation of June 30, 2004 N 321 (Collected Legislation of the Russian Federation, 2004, N 28, Art. 2898; 2009, N 3; Art. 378), I order:

1. Approve:

list of harmful and (or) dangerous production factors, in the presence of which mandatory preliminary and periodic medical examinations (examinations) are carried out, according to Appendix No. 1;

list of works during the performance of which mandatory preliminary and periodic medical examinations (examinations) of workers are carried out, according to Appendix No. 2;

The procedure for conducting mandatory preliminary (upon entry to work) and periodic medical examinations (examinations) of workers engaged in heavy work and work with harmful and (or) dangerous working conditions, according to Appendix No. 3.

2. Enact lists of harmful and (or) dangerous production factors and work, during which preliminary and periodic medical examinations (examinations) are carried out, and the Procedure for conducting preliminary and periodic medical examinations (examinations) of workers engaged in heavy work and work with harmful and (or) dangerous working conditions, from January 1, 2012.

Order of the Ministry of Health and Medical Industry of the Russian Federation dated March 14, 1996 N 90 “On the procedure for conducting preliminary and periodic medical examinations of workers and medical regulations for admission to the profession” (according to the conclusion of the Ministry of Justice of Russia, the document does not require state registration, letter dated December 30, 1996 N 07-02-1376-96);

Order of the Ministry of Health and Social Development of the Russian Federation dated August 16, 2004 N 83 “On approval of lists of harmful and (or) hazardous production factors and work, during which preliminary and periodic medical examinations (examinations) are carried out, and the procedure for conducting these examinations ( surveys)" (registered by the Ministry of Justice of the Russian Federation on September 10, 2004 N 6015);

Order of the Ministry of Health and Social Development of the Russian Federation dated May 16, 2005 N 338 “On amendments to Appendix No. 2 to the order of the Ministry of Health and Social Development of Russia dated

August 16, 2004 N 83 “On approval of lists of harmful and (or) dangerous production factors and work, during which preliminary and periodic medical examinations (examinations) are carried out, and the procedure for conducting these examinations (examinations)” (registered by the Ministry of Justice of the Russian Federation June 3, 2005 N 6677).

4. Establish that from January 1, 2012, subparagraphs 11, 12 (with the exception of subparagraphs 12.2, 12.11, 12.12), 13 of Appendix No. 2 to the order of the USSR Ministry of Health dated September 29, 1989 No. 555 "On improving the system of medical examinations of workers and drivers of individual vehicles."

Minister

T. Golikova

Download the current files of order 302n and its annexes (as of 2017).

Files of order No. 302 n set out in the wording of the orders of the Ministry of Health of the Russian Federation N 296н from 05/15/2013 and N 801н dated 12/05/2014, most current as of June 2017.

Arranging medical examinations is the prerogative of the employer. The company’s personnel or an employee just being hired does not need to look for a medical institution to undergo a medical examination and find money for it. The HR department of any company is responsible for the timely execution of this event and must correctly draw up the relevant documents and monitor compliance with legal requirements. Let's figure out according to which order of the Russian Federation mandatory medical examinations are carried out , and what documents they must be supported by.

302 order on medical examinations: for whom they are mandatory

According to Art. 76 of the Labor Code of the Russian Federation, an employee who has not passed the mandatory medical examination is suspended from work. However, this does not mean that all employees must be examined, because we are talking about mandatory examination. Order No. 302 of the Ministry of Health and Social Development of the Russian Federation dated April 12, 2011 approved a list of hazardous and harmful work and production factors, the implementation of which is accompanied by mandatory periodic medical examinations. The same act defines the procedure for conducting medical examinations.

• age group up to 21 years;
• those employed in hazardous industries, heavy and dangerous work;
• related to traffic, incl. railway;
• working in the energy and construction industries;
• departmental security;
• food industry, trade and catering enterprises;
• medical and children's institutions;
• employees of water pipelines and water supply facilities;
• professional athletes.

The medical examination under order 302-n can be preliminary (i.e. upon entry to work), periodic or extraordinary. Any type of inspection is organized at the expense of the employer. Examinations are carried out on a reimbursable basis by medical institutions, with which companies enter into appropriate agreements. We should remember that medical examinations of workers (Order 302-n speaks directly about this) are carried out by medical organizations of any form of ownership that have a license to conduct them, as well as examinations of professional suitability. Mandatory details of such agreements are:

• item;
• information about the availability of a license to conduct medical activities;
• list of paid medical services;
• conditions, cost and timing of their implementation;
• calculation procedure.

Stages of personnel work to implement the requirements of Order 302-

Personnel officers are guided by Appendix No. 3, which determines the conduct of a medical examination by order 302-n. Having concluded an agreement with a medical institution, the personnel service is obliged to establish an internal procedure for sending employees for medical examinations:

• issue an appropriate order (sample) and familiarize employees with it against signature;

• draw up a list of employees by name according to order 302-(sample below) who must be sent for a medical examination. It is issued in 2 copies - for the medical institution and the Rospotrebnadzor department. The list identifies the full names of employees for whom a medical examination is required, lists professions and positions, indicates a harmful production factor and the workshop or department where the employee works. The document is approved by the manager and submitted to the RPN within 10 days, and to the medical institution 2 months before the agreed date of the medical examination.

Sample list for medical examination according to order 302-:

Having received the list of contingents by order 302-n, the medical organization develops a calendar plan for periodic examinations, coordinates it with the company management, approves and submits it to the enterprise no later than 14 days before the agreed date;

• fill out a form for a medical examination according to order 302-n, i.e. referral to a medical facility. 10 days before the agreed date for the start of the medical examination, the employee of the enterprise must be familiarized with the calendar plan and handed over to him (against signature), following order 302 of the Ministry of Health, a referral for a medical examination. The company develops the form of the document independently, since there are no standardized forms provided by law. Sample referral for medical examination under order 302-:

Personnel officers record in the logbook each referral issued to employees for a medical examination in accordance with Order 302-. The log form is also developed at the enterprise, approved by management and used to monitor the completion of medical examinations by employees.

The results of the examination in the health care facility are recorded in the outpatient card stored in the clinic. The results of the employee’s examination, i.e., the medical report, are recorded in a special document - the form of the final act according to order 302-n - the employee’s health passport, which is handed to him. If this document already exists, then new entries are made into it and returned to the owner. In addition, the employee is issued a certificate according to order 302 for transmission to the employer. It contains the conclusion of the medical commission, indicating professional suitability, and is certified by doctors’ signatures, stamps and the seal of the medical institution. Sample certificate form 302-n:

Periodic medical examination

Order 302 requires medical examinations and tests. To issue a certificate under Order 302, opinions of a therapist, surgeon, ENT specialist, ophthalmologist, narcologist and psychiatrist are usually required, and blood tests and fluorography are also provided. This is a general set, which is adjusted by adding or excluding specialized specialists, detailed blood tests, etc., depending on the characteristics of the industry or profession. It is important to know that the certificate issued for the first time can and should subsequently be extended in accordance with the established frequency.

Employee health passport according to order 302-n: form

This is form No. 004-P/U, relating to medical documentation, which is issued to each person who has undergone a medical examination, and consists of a general and effective part. The general information includes information about the employee who applied, the company that sent him for inspection, working conditions and influencing factors, as well as length of service. This information is filled in by the company’s personnel officer, and the document number is assigned to the health care facility. The date when the medical examination ends is also indicated there. One health passport is issued for each person. For greater clarity, we present the document form.

Order 302 on medical examinations establishes the rules for conducting mandatory medical examinations of employees entering work and already working at the enterprise. You will learn how such inspections are organized in our article.

What does the new edition of the regulatory act on medical examinations say?

According to Art. 213 of the Labor Code of the Russian Federation, the need to undergo preliminary and regular medical examinations is provided for employees associated with the movement of vehicles (for example, drivers) or working in harmful/dangerous conditions. As stated in paragraph. 12 hours 2 tbsp. 212 of the Labor Code, the organization of such medical examinations rests entirely with the employer, including its financial support.

The procedure for preliminary/periodic medical examinations, as well as lists of factors and work affecting the frequency of examinations, are established by order of the Ministry of Health and Social Development dated April 12, 2011 No. 302n about medical examination with attachments - in law such inspections should be carried out at certain intervals. In order to protect public health, medical examinations are mandatory:

• catering workers;
• employees related by occupation to water supply networks;
• citizens working in medical and children's institutions.

What is indicated in Appendix 1 and Appendix 2 to Order 302n of the Ministry of Health

In appendices 1 and 2 order 302n on medical examinations contains comprehensive lists of production factors, types of work and types of professions, the presence of which in an employee’s work activity indicates the need to undergo a medical examination.

In particular, in Appendix 1, hazardous production factors are divided into the following groups:

1. Chemical, if during work there is contact with chemical substances that have:
   • pronounced negative effects on the human body (for example, carcinogens, silicates, welding aerosols);
   • combined chemical structure (eg, ammonia, formaldehyde, ketones, arsenic);
   • certain economic purposes (for example, pesticides, polymers, dyes).
2. Biological (for example, materials contaminated with microorganisms, biotoxins).
3. Physical (for example, electromagnetic field, ionizing radiation).
4. Related to work processes (for example, heavy physical activity, working with a microscope/magnifying glass).

Appendix 2 indicates the frequency of medical examinations, the participation of doctors of certain qualifications and the types of medical research performed, depending on the work performed that has a harmful/hazardous effect on health. So, for example, according to the order 302n medical examination must be carried out annually when performing steeplejack work and participating in fire-hazardous industries. You will definitely need to undergo an examination by specialists such as a neurologist, otorhinolaryngologist, and ophthalmologist.

Features of medical examination by profession

Preliminary medical examination by order 302n will allow you to weed out applicants who have diseases contraindicated for a particular profession. For example, people who have a history of the following pathologies cannot be hired as a crane operator:

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• hernias that can be strangulated;
• encephalopathy;
• persistent hearing loss;
• disruption of the vestibular analyzer;
• high myopia;
• frequent relapses of thrombophlebitis of the veins of the lower extremities.

Moreover, if an applicant for a position has not passed a medical examination in his chosen profession (there is a conclusion from a medical commission about unsuitability), then the money spent by the employer to pay for the services of a medical institution to conduct this examination will not be recovered from the failed employee. After all, the Labor Code does not provide for the possibility of recovering losses that were caused to the employer due to failure to conclude an employment contract.

Purposes of medical examinations

The main purpose of conducting a preliminary medical examination before concluding an employment contract with an applicant for a position is to determine whether his state of health corresponds to the work assigned to him. This examination will also help to identify incipient occupational diseases in advance.

Medical examinations can be carried out by any medical institution of any form of ownership that has issued the appropriate license. Employers whose production activities involve hazardous (harmful) working conditions, traffic, provision of catering services, trade, maintenance of water supply networks, as well as children's and medical institutions are required to enter into an agreement with the selected medical organization to conduct mandatory medical examinations.

In addition, it must be taken into account that a mandatory preliminary medical examination is carried out when hiring minors. It does not matter in which area the employer operates. Such individuals, once employed, must then undergo periodic medical examinations annually until they reach their 18th birthday.

The employer issues an order on the order of medical examinations and draws up lists of names of those employees who must undergo them. Lists are compiled 2 months before the date of employee examinations previously agreed upon with the medical institution. Based on the lists received, the medical institution draws up a calendar plan, which is agreed upon with the employing organization.

10 days before the expected start date of medical examinations, the employer familiarizes each employee on the list with the medical examination calendar plan approved by the medical organization. On the eve of the medical examination, the employer issues directions to employees. The examination is carried out by a medical commission headed by an occupational pathologist.

Order of the Ministry of Health and Social Development dated April 12, 2011 No. 302n established the procedure for conducting mandatory medical examinations at enterprises whose activities:

• associated with harmful/dangerous working conditions;
• directly related to traffic;
• is aimed at providing medical, pedagogical services, as well as catering services, etc.

This regulatory act also contains exhaustive lists of harmful production factors and types of work, the implementation of which requires mandatory medical examinations at established intervals.

Certificate cost: 1200 rub.

Getting a job is half the battle. Before the device and after, every year or two, you need to undergo professional medical examination by order 302 n. This is an attractive event for all government positions, and in commercial companies it is also required certificate according to order 302N.

Certificate for work under order 302n buy

You should immediately be prepared for the fact that the commission is very extensive, and it will take a long time to go through it. Under the best circumstances, it will take at least five working days. The list of required specialists includes:

• Therapist . Any even the shortest medical commission begins with this doctor. Based on the results of passing all the doctors, he issues certificate 302N.
• Ophthalmologist. It is very easy to damage your vision. Therefore, it is necessary to see an ophthalmologist. He will either prescribe glasses, prescribe treatment, or give recommendations on how to avoid deterioration of vision in the future.
• Dentist . It is imperative to take care of your oral health. Healthy teeth mean not only a beautiful smile, but also the absence of problems with well-being.
• Otolaryngologist. The future employee should have everything in order with his hearing. The doctor also checks your sinuses and throat. After all, sinusitis has now become a threatening problem for the majority.
• Neurologist. The employee's nervous system must be in order.
• Dermatovenerologist. Checks for skin problems, main symptoms of sexually transmitted diseases.
• Psychiatrist. In most cases, a conclusion from a psychoneurological dispensary is required that the employee has never been registered there. But sometimes a consultation with a psychiatrist is enough.
• Narcologist. An employee should not abuse alcohol and especially drugs. Therefore, the narcologist gives his conclusion.
• Surgeon. Be sure to check your posture. Many people develop problems with their spine as they age. It is important to prevent the progression of diseases.

In addition to doctors, tests are also needed. Mandatory examinations include:

• All general tests.
• Fluorography. Since there is actually an epidemic of tuberculosis in the country, a lung scan is required once a year.
• ECG. It is imperative to check your heart condition.
• Sometimes, at the discretion of the physician, additional tests may be prescribed.

As you can see, you will have to get around a lot of doctors. They take you at different times, and before going to see them, you need to pass basic tests. The hardest thing to get to

psychologist and

to a narcologist.

As a rule, they open for a very short period of time, and the queues for them are quite long, so it is very difficult to get in.

Chairman of the medical commission _____________________(___________________________) Certificate of the list and annual volumes of implementation of similar contracts (Form 3) 18 Sample forms of the main documents included in the application for participation in the request for prices 23 Certificate of registration (Form 9) - 3 pieces (original for the court, the certificate is valid for 10 days, for the rest of the copy) Consent of the Participant in the procurement procedure to the tax authorities for the disclosure of information constituting a tax secret (form 1) 15 Software for the needs of JSC "NTC UES" microsoft visual studio premium (extension of msdn subscription) Certificate of chain of ownership Company with limited liability "Romashka" (inn 7734567890) Certificate form 2-NDFL (or a certificate from the place of work in free form, certified by the signature of the manager and the seal of the organization) from the place.

Medical examination according to order No. 302-n

, periodic or extraordinary. Any type of inspection is organized at the expense of the employer. Examinations are carried out on a reimbursable basis by medical institutions, with which companies enter into appropriate agreements.

We should remember that medical examinations of workers (Order 302-n speaks directly about this) are carried out by medical organizations of any form of ownership that have a license to conduct them, as well as examinations of professional suitability.

Medical certificate according to Order No. 302 N

You should immediately be prepared for the fact that the commission is very extensive, and it will take a long time to go through it.

Under the best circumstances, it will take at least five working days. The list of required specialists includes: In addition to doctors, tests are also needed.

Mandatory examinations include: All general tests. Fluorography. Since there is actually an epidemic of tuberculosis in the country, a lung scan is required once a year. ECG.

Medical certificate 302N

Advantages of contacting our company: We employ professionals who will ensure high-quality preparation of documents.

Partnerships with medical institutions allow us to provide a full range of services. Trying to save money, you can go to the clinic on your own, wait in line, endure inconvenience and even rudeness - sometimes you almost have to fight for the opportunity to see a doctor.

An employee who gets a job in the following industries must have certificate 302n with him:

1. Trade and food industry
2. Construction industry
3. Oil production
4. On chem. industry
5. For the electrical industry

Simply put, if the job you are going to take poses a danger to life, then you must undergo this examination in the following medical departments: Also, after the conclusion of each doctor, you will need to undergo some examinations and take several tests:

1. General condition of the vestibular apparatus.
2. Hearing test
3. Cardiogram and fluorography in two projections
4. Eye test and pressure inside the eye
5. Donate blood to find out your transaminase level
6. Clinical tests of urine and blood

Help 302 n

The order bears serial number 302 n, which began to be applied to a medical certificate of professional suitability.

A medical document of this form is often required from applicants for admission to a university or later during their studies for internship. Where can I get a certificate 302 n? Let's look at where you can get such a certificate.

These are public and private medical organizations that have the right to give opinions and confirm their significance with the seal of a medical institution.

Referral for a medical examination from the employer - form, sample

In accordance with Art.

213 of the Labor Code of the Russian Federation, the obligation to undergo a preliminary medical examination (before employment) is established for employees who, in the course of their activities, will be associated with:

1. traffic movement.
2. harmful working conditions;
3. hazardous production;

Each employee who must undergo a preliminary (regular) examination by a doctor (doctors) receives a referral for a medical examination.

You can download the referral form and a sample of filling out the referral for initial and periodic examination in word format below for free. You can read about who must undergo a mandatory medical examination and how this procedure is carried out in this article.

Below we provide information on issuing a referral for a medical examination to an employee and its correct execution. Order No. 302n dated 04/12/11 as amended.