List of doctors to pass. Which employees are required to undergo medical examinations? Who undergoes a preliminary medical examination when applying for a job

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

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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 flaw.

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

Therefore, upon receipt of a driver's license, you must first undergo a medical examination. Most motorists want to know the intricacies of the procedure, a list of specialists that should be passed for men and women, for drivers Vehicle 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 the medical commission for motorists.

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

Even at the beginning of the flow year in our country, in order to obtain a survey from a polyclinic for obtaining 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, it regulates the procedure according to which all motorists are obliged to visit a psychiatrist and a narcologist for diagnosis.

The medical institution should be selected at the place of registration of the driver. You can choose from public clinics and private medical centers, but a prerequisite for them is the presence of a special license that allows 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 noticeably decreased, so drivers visit only such specialists:

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

Now the last on the list of specialists is empowered to carry out the conclusion of a surgeon, ENT and dermatovenerologist.

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

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

It is valid for a period of 10 years for motorists with normal health, 1 year for drivers with some kind of disabilities in physical health, 2 years for professional drivers. The driver must undergo such a medical examination before each long journey.

You should be aware that for drivers who transport passengers and goods, 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 must only in medical institutions that have a special license for this, which allows medical personnel 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, make a conclusion of specialists about 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 issue 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 finds abnormalities in the functioning of any body systems, then he has every right to issue a referral for additional examination by other doctors.

Also, the newly introduced law regulates the fact that the responsibility for diagnosing motorists, for the conclusion on their suitability and admission to driving by car carried by medical workers.

Are there any differences for men and women

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

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

During such a medical examination, men present the following documentation:

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

Female drivers are required to provide the following documents:

passport of a citizen of the Russian Federation, which contains information about the person and her registration;
parameters 3.5x4.5 cm;
available motorist license;
military ID if a 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 marks about the driver's health.

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

The difference for the women's medical commission is that they must also pass a gynecologist.

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

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

The condition requirements for the available driving categories are different. This is due to the fact that when driving different kinds vehicles provide for their own physical activity, individuals without disabilities should drive the vehicle when transporting passengers and dangerous goods, with good eyesight and deviations in neuropathology.

The certificate itself contains a conclusion about the right to drive a car. She happens to be official document, which is issued in the form No. 831-n on a special form that is subject to regular verification, strict reporting.

Therefore, any errors in its completion are categorically unacceptable.

The document contains the following details:

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

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

Once every two years, professional chauffeurs will have to pass a commission who will drive everything work time.

The analyzed law does not provide for differences in the list of specialists that should be passed by drivers of different categories 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 can be replaced by a therapist.

For women and men, the differences lie in the documentation provided, because men should be provided with a certificate from a military registration and enlistment office or a military ID. But at the same time, female representatives must be examined by a gynecologist.

The law in Russia provides for the need for a medical examination for a certain group of employees at the time of hiring.

Target- to assess the general state of health of a potential candidate, confirming his professional suitability or identifying possible features and diseases that do not allow him to take a vacant position.

Compulsory medical examinations can prevent the spread of epidemics and prevent accidents.

Mandatory medical examinations

Medical examinations are divided into types:

Preliminary.
Annual (periodic).
Inspections out of turn.

A preliminary examination is carried out during the period when a new employee is hired. Employees belonging to certain categories and working in harmful conditions... When examined out of turn, the employee himself may ask the manager in view of the recommendations of certain medical specialists.

Mandatory medical examinations are payable by the employer and are specific to certain employees. The obligation to carry out such surveys of citizens may be established by municipal authorities for specific enterprises.

Preliminary medical examinations

When applying for a job, you need to determine whether a person is fit for health reasons to perform duties at a specific workplace. For this, employers require a preliminary examination. Labor legislation establishes standards that guarantee workers the safety of earnings.

The pre-screening process depends on the gender of the employee and on the nature of the position for which he is employed. The list of doctors to visit may vary.

Here is a general list of specialists:

Ophthalmologist.
Surgeon.
The doctor is a neurologist.
Otolaryngologist.
Physician therapist.

In addition, the employee will have to pass traditional general analyzes, undergo an ECG and a fluorography session. After a citizen visits all doctors, the therapist gives a general opinion on the health of the employee.

The procedure for conducting medical examinations

Mandatory examination by specialists when hiring a new employee takes place at the expense of the employer or is paid by him after employment.

The employer issues a special examination sheet (referral) to the future employee, on the basis of which the examination by the doctors indicated in it will take place. Often the examination takes place in medical organization with which the company has an agreement. You should appear for a medical examination with a passport or other document that allows you to verify your identity.

In the patient's personal card, the results of the examinations and the conclusion of the therapist are recorded. It indicates information about the general level of health and the presence or absence of health features that interfere with the performance of work.

The document is certified by a seal medical institution... The conclusion is to be issued to the employee, and the second copy is placed on the patient's personal record, which is kept in the clinic.

A citizen who has not passed a medical examination cannot start working.

Obligations of an employee when undergoing a medical examination

All employees are obliged to comply with labor protection requirements, and the employer provides them safe conditions work.

If an employee belongs to a group of citizens subject to compulsory medical examination at work, then he must undergo the necessary examination. This applies to all types of medical examinations.

The employee is considered to have violated labor discipline if he did not fulfill his duty for no reason. A reprimand, reprimand and even dismissal can serve as a sanction.

An employee who has not passed the mandatory examination is suspended from work in accordance with the Labor Code.

A responsibility

The Code of Administrative Offenses of the Russian Federation provides for the responsibility of enterprises for signing an employment agreement with applicants without a mandatory medical examination.

This behavior is subject to fines:

For officials- from 1 to 5 tons.
For individual entrepreneurs - from 1 to 5 tons. or suspension entrepreneurial activity up to 3 months.
For organizations - from 30 to 50 tons. or suspension of activities for a similar period to the individual entrepreneur.

If the person who violated the law has already been subjected to administrative sanctions, for subsequent violations of a similar kind, he will be subject to a disqualification punishment for a period of one to three.

The Labor Code of the Russian Federation established that contract of employment can be terminated upon detection of a violation of the rules of its conclusion. If the employee is not to blame for this, then before dismissal, he must be offered to take one of the vacancies. After resigning, a citizen receives an amount equal to the monthly wages on this spot.

If an applicant for a position refuses to undergo a mandatory examination, his refusal to work will be lawful.

Cost accounting

The costs incurred by enterprises in organizing periodic examinations of their wards are provided for by law and are subject to special accounting.

These cash costs:

Subject to accounting in the tax base for income tax.
Cannot be taxed on personal income.
Do not entail payment of insurance amounts to the Pension Fund of the Russian Federation, FSS, MHIF.
Not taken into account when paying contributions to compulsory insurance against accidents and accidents at the workplace.
When forming the tax base, the amounts spent by the employer for the maintenance of treatment rooms and points used for compulsory medical professional examinations are also taken into account.

If we are talking about medical examinations that are not provided for by Russian law, then they are not taken into account when determining income tax.

Citizens who undertake to undergo a medical examination during employment

The Labor Code of the Russian Federation establishes groups of working citizens who are required to undergo an examination when hiring:

Persons engaged in harmful and hazardous work(including underground).
Persons working on vehicles.
Food industry workers.
Citizens working in food and trade.
Persons employed in work related to plumbing systems.
Persons working in medical organizations.
Citizens employed in work in children's organizations.
Other persons working in certain fields.

Minor future employees, when hiring for a vacant position, must undergo a medical examination. Persons wishing to work in the regions of the Far North, when applying for a job, must have a doctor's certificate, which confirms their suitability for work and life in a given climate and area. Otherwise, the employer does not enter into a contract with them. Athletes must undergo a mandatory examination when they are employed.

In addition to the Labor Code, the obligation to undergo an examination is regulated by other laws. Judges, train drivers, employees of the Ministry of Emergency Situations and customs are subject to medical examination.

In the regions of the country local authorities can determine an additional group of citizens who are subject to a mandatory medical examination. Child care worker, food enterprises and household organizations are required to have medical records, where the results of all examinations by doctors are recorded.

Who pays for the medical examination

Obligatory examination is carried out at the expense of the employer. Even the examination of an applicant who was not eventually recruited for any reason is subject to payment by the enterprise.

If the examination is not necessary, but the employee himself wished to pass it or did it at the insistence of the employer, then the employee pays for such an examination himself.

For reimbursement sum of money spent by a citizen on a mandatory medical examination, an application with attached receipts and documents is required.

Refusal of a candidate to undergo a medical examination

If the applicant for the position refuses to undergo a medical examination, which is mandatory by law, an employment agreement cannot be concluded with him. If an employee refuses to undergo an annual mandatory examination, he is suspended from work.

Registration of the document on the direction and as a result of the medical examination

A candidate receives a special referral from the employer to undergo a survey during employment. Its form is established by the enterprise, certified by the signature of the head and the seal of the organization.

After visiting all the referrals of doctors indicated in the list and passing the tests, the candidate for the position goes to the therapist, who makes the final conclusions and issues a medical report. For successful employment, it must contain information about aptitude.

Mandatory examinations by doctors are a useful thing. If you want to work in a healthy team and not put yourself and others at risk, the need for examination will not be intimidating.

Mandatory medical examination of employees in 2020 is a legislative norm, ignoring which leads to disastrous consequences. And we are talking not only about a fine of up to 130 thousand rubles for the employer, but also about the prevention of accidents at work, which often result in disability or death.

About types and features

Article 46 of the Federal Law of November 21, 2011 No. 323-FZ "On the Basics of Health Protection for Russians" divides all types of medical examinations into several types:

preliminary - a survey that is carried out at the stage of employment;
periodic - provided for certain types of professions, as well as for those who are engaged in harmful or hazardous production;
preventive - is carried out on the eve of various epidemics, for example, influenza and usually involves mass vaccination of personnel;
pre-shift / pre-trip - doctors examine the employee immediately before starting a shift / going on a flight;
post-shift / post-trip - doctors give an opinion on the state of health after the end of the working day.

What else is important to know?

A day dedicated to the passage of all doctors and obtaining an opinion is paid as a worker.
The employer pays for all tests, procedures, specialist consultations and other types of medical assistance, even if it comes to examination upon hiring.
Medical examinations can only be performed by doctors licensed for such services in medical institutions.

Who is required to get a certificate?

The implementation of the national project "Health" does not exclude that from 2024 all employees, regardless of their position and type of production, will be required to receive a certificate of health status annually. In the meantime, certain categories of workers are required to undergo medical examination once a year.

The list of professions subject to compulsory medical examination is given in Appendix 2 to Order No. 302-n of April 12, 2011 of the Ministry of Health and Social Development. It indicates:

profession;
frequency of inspections;
what doctors need to go through;
what tests / examinations to hand over.

All contraindications are also described, the identification of which will not allow a specialist to be allowed to work.

For example:

those working at height need to receive a conclusion from a neurologist, ophthalmologist and surgeon every year;
electrical installers - visit an ophthalmologist, neurologist and otorhinolaryngologist every 2 years;
fellers of the forest - with the same frequency - a neurologist, surgeon, otorhinolaryngologist, ophthalmologist.

If you look at the table, it is easy to see that the list of compulsory doctors during a medical examination is "tied" to the identification of specific pathologies characteristic of a particular profession. For example, for high-altitude climbers, visual acuity and flawless functioning of the vestibular apparatus are important, and for a feller, the absence of hernia and problems with veins on lower limbs that appear as a result of lifting excessive weights.

Important! Employees under the age of 21 are required to undergo doctors once a year, regardless of the type of employment.

For employment

The question often arises, is a medical examination required when applying for a job? Labor law specifies that all applicants under the age of 18 are required to pass it, as well as applicants for the following positions:

food service worker, production, processing, packaging, delivery of food products;
salesman;
health worker;
employee of the hotel, sanatorium, public pool;
pharmacist;
a teacher and any other employee whose specific activity involves contact with children;
driver of any vehicle;
hairdresser, beautician and other beauty industry specialist;
policeman and EMERCOM nickname;
the prosecutor;
private security officer.

Important! For any hazardous or hazardous production, as well as for extreme work and employment on a rotational basis the candidate must provide a medical certificate.

The obligation of a medical examination can be prescribed in local acts company, and then a medical conclusion has the right to demand from any applicant, regardless of whether he gets a job as a janitor or the head of the security service.

For accountants and office clerks

Mandatory medical examination for office workers is provided only if the specialist spends more than half of the working time near the equipment and is exposed to electromagnetic radiation.

But even with such a working regime, the employer has an alternative: he has the right not to spend money on annual examinations, but to receive an expert opinion on normal working conditions, that is, to confirm that radiation does not exceed the permissible limits and does not have a harmful effect on the health of employees.

The company issuing the permit must appear in the Register of organizations conducting special assessment working conditions (posted on the website of the Ministry of Labor). True, the period of validity of the expert opinion is limited: if it is still valid, then the employees will be allowed not to visit doctors, if not, then they will have to stand in lines and go through all the specialists.

If we talk about the mandatory medical examination for accountants, then on the basis of the decision of the Supreme Court No. 34-ad17-5 of December 2017, not only sellers, but also accountants, as well as heads and managers of trade enterprises must undergo a medical examination.

This precedent allows one to think that other accountants who calculate salaries for specialists from mandatory list must be examined. That is, accountants from schools and kindergartens, from hazardous industries, from beauty salons and clinics are obliged to send for medical examination. The legislation does not talk about this, but the decision of the Supreme Court forces us to be on the safe side.

For drivers

Is a post-trip medical examination of drivers obligatory? Yes, like the pre-trip, but only if the driver works for passenger transport or carries dangerous goods.

Before the flight, drivers are checked for alcohol and other types of toxicological intoxication, as well as the level of blood pressure is assessed and a visual examination of the skin is carried out and appearance... The procedure is quite reasonable and understandable: any failure in health during a shift can lead to tragedies with massive loss of life.

Important! The driver does not have the right to go on a flight without a positive medical certificate.

Usually, examinations are carried out by regular medical personnel. transport company, therefore, drivers do not have to waste time on a trip to a special medical facility. At the same time, only a paramedic with a higher education... If a nurse conducts examinations in the company, then she is obliged to send the patient to the clinic, where the doctor will decide on the further question of providing assistance.

The legislation gives a clear answer whether a medical examination is mandatory for office staff, whether the driver should visit a doctor before the flight and under what professions medical examination is an indisputable procedure, which must not be ignored. Of course, you can treat medical examinations as a formality and a waste of time, but statistics prove that regular medical examination of employees helps to detect diseases in a timely manner and cure them faster, as well as prevent accidents at work.

Concluding with the employer labor contract, in some cases, employees must be examined by medical professionals. Without a 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 does not harm human health, aggravating any existing problems, and does not have to create special working conditions for the employee. 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 a primary medical examination before starting labor relations required
who will reimburse the time and money spent on this event,
how to properly formalize this procedure in accounting and personnel records.

It will be about the initial medical examination, organized before hiring.

Legislative base 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 compulsory examination of doctors for minors;
Art. 185 guarantees the employee compensation for the money spent on the working medical examination;
Art. 212 and Art. 213 list the categories of employees for whom admission to work without undergoing a medical examination is a direct violation of the law;
in st. 213 explains the procedure for conducting a regular medical examination in an organization;
Art. 214 insists on a medical examination as one of the ways the employee complies with labor protection rules;
Art. 324 speaks about the compulsory medical examinations for those settling 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 social development RF No. 302n dated 04/12/2011.

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

Who will not be hired without a medical examination

employees who have not yet turned 18 (regardless of their field of activity);
employees in transport and water companies;
persons whose labor functions connected with food industry, catering, trade;
medical workers;
working in the pedagogical field;
judges and customs officials;
employees of the Ministry of Emergency Situations;
applying for work with harmful and dangerous working conditions;
athletes;
beauty industry workers (hairdressers, masseurs, cosmetologists, manicurists, etc.).

NOTE! This list is not complete and closed. Regional authorities, bodies local government can expand the indications for 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. The employee cannot go to the doctors of his choice: the employer gives him a referral to a certain medical institution with which he has an agreement on medical care for employees.

Upon employment (or immediately after it), the employee receives such a referral from the employer, where a list of medical specialists will be indicated, from whom a "good" conclusion is required.

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

What kind of doctors will you have to go through?

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

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

To form a conclusion, you will also need data from the main clinical analyzes:

UAC, OAM;
cardiogram;
fluorography or X-ray of the lungs;
blood sugar test;
liver function tests.

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

Passed a physical - 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" to work: they will need to be provided to the employer. Depending on the position and field of activity of the person being examined, after the medical examination, he will be given one of the following documents:

Medical examination certificate (according to the 086-y form).
An 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, doctors will write out a certificate for the employer about the passage of a medical examination and an obligation to issue a medical record by the indicated date.

Whose shoulders bear the cost of a 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: financial side must be provided by the employer if the employee is from the category of those for whom a medical examination is compulsory. Compulsory health insurance is not taken to cover the costs of a preliminary medical examination of applicants (letter of FFOMS dated August 30, 2010 No. 3979 / 30-4 /).

If potential personnel is not included in the legally allocated 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 an appropriate conclusion. In this case, refusal to hire in the absence of such a desire will be illegal.
The employer provides the desired medical examination according to the generally accepted scheme.

ATTENTION! If worker goes for an agreed medical examination during their 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 through his own fault, while he was not at work, then he will not be paid for the downtime. If the failure to appear was the employer's fault, then, despite the unsuccessful medical examination, you will still have to pay for this time, as well as go to doctors at other times.

The money for the medical examination will be reimbursed upon written application from the employee. The document must be accompanied by supporting documents: payment receipts 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 expenses are included in the income tax base as “other expenses” if medical examination is mandatory by law;
these funds are not subject to personal income tax;
there is no need to transfer insurance premiums from this money.

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

Accounting for funds for medical examination

PBU 10/99 in clauses 5, 7 prescribes to attribute these costs to “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 passed as "expenses for maintaining 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, you will need the following entries: debit 26 (44), credit 76 - reflecting the costs of a mandatory medical examination, debit 26 (44), credit 76 - calculating compensation for expenses for a mandatory medical examination.

List of doctors for a periodic medical examination depends on what position the examined employee occupies, as well as on his gender. In our article you will find information about standard list doctors who will need to see themselves in order to confirm the compliance of their health status with the stated requirements, and on the procedure for passing medical examinations.

What categories of workers are required to undergo a periodic medical examination

Caring for the health of workers is one of the essential responsibilities employer. In accordance with Art. 213 of the Labor Code of the Russian Federation, are required to undergo a medical examination (both before starting work and subsequently, with a certain frequency):

workers engaged in the performance of work characterized by the presence of harmful and / or hazardous production factors;
specialists working in the field of transport traffic;
workers working in the field Catering, medical and children's institutions, as well as some other organizations closely related to the provision of services to the population;
employees who are under 21;
other categories of workers, the list of which is established by federal and local legislation.

In accordance with Part 3 of Art. 5.27.1 of the Code of Administrative Offenses of the Russian Federation, non-compliance by the employer this requirement entails the imposition of a fine, the amount of which may reach 130,000 rubles.

The procedure for preparing for the mandatory periodic clinical examination

The sequence of actions of the employer aimed at organizing and conducting a periodic medical examination is as follows:

What documents are drawn up during a periodic medical examination, who pays for it

Unlike the initial medical examination, which the employee undergoes before concluding an employment agreement with the employer, it is not required to receive a certificate drawn up in accordance with Form No. 086 / y or No. 001-ГС / у when undergoing periodic medical examination. Based on the results of a periodic examination of an employee in a medical organization, a conclusion is drawn up containing the following information:

date of issue of the document;
Full name of the person who passed the examination;
the name of the employing organization;
Name structural unit in which the employee works, as well as the exact title of his position;
a list of harmful and dangerous production factors that have a direct impact on his health;
the result of the examination and the conclusion of the doctor, issued on the basis of its results, indicating the presence or absence of contraindications for the employee to perform the declared type of work.

This document must be signed by the chairman of the medical commission and certified by the seal of the healthcare institution. Also, the results of the passed medical examination are indicated in the health passport, which is kept by the employer.

Don't know your rights?

All costs for employees undergoing medical examinations, as well as laboratory and functional studies, in accordance with the provisions of Art. 213 of the Labor Code, fall on the employer. Regardless of how medical institution(public or private) will be held medical checkup, the employer must conclude an agreement with him for the provision of appropriate services, the cost of which depends on the number of examined workers and the prices set by the clinic's management.

Passing a medical examination by order of 302n - which doctors need to be visited

The procedure for conducting a periodic medical examination of employees of the enterprise is determined by the provisions of the order of the Ministry of Health and Social Development of the Russian Federation "On the approval of lists ..." dated 12.04.2011 No. 302n. In accordance with Art. 5 of Section I of the normative act, the medical examination should be carried out by members of a permanent medical commission, which includes:

occupational pathologist;
specialist doctors who have completed an advanced training course in the specialty "occupational pathology", or doctors who have a valid certificate in this specialty.

The composition of this commission is approved by the order of the chief physician of the health care institution that provides services for the medical examination of employees of the enterprise.

Wherein list of doctors for medical examination dependence also on the sphere in which the employee works, and the conditions for the implementation of labor activity... Appendix No. 1 to Order No. 302n lists the list of harmful and hazardous production factors, in the presence of which an employee must undergo a health check by medical specialists. The same appendix contains a list of doctors who must examine workers working in certain conditions, as well as the frequency of such examinations. In addition, the document contains an accurate list of laboratory and functional studies, the conduct of which allows you to make the most objective and accurate conclusion about the health status of an employee.

List of doctors for a second medical examination at work

The list of doctors who must be visited by an employee of the enterprise when he undergoes a medical examination is provided to him directly at the enterprise by the person responsible for the implementation of the medical examination and coordination of the process of its conduct. Depending on the position of the worker, this list may include:

otorhinolaryngologist;
dermatovenerologist;
ophthalmologist;
allergist;
oncologist;
urologist;
gynecologist;
surgeon;
endocrinologist;
neurologist;
orthopedist;
dentist;
infectious disease specialist;
mammologist (for women over 40), although in some cases a visit this specialist is replaced by the obligatory passage of the mammography procedure, followed by its presentation to the gynecologist.

IMPORTANT! The link of the 3rd list, specified in Appendix 1 to Order No. 302n, establishes the employee's obligation to undergo examination by a therapist, psychiatrist and narcologist. The legality of this provision is confirmed by the decision The Supreme Court RF "On refusal to recognize ..." dated 18.12.2012 No. AKPI12-1363.

The list of mandatory tests that each employee undergoing medical examination must pass includes:

general analysis of urine and blood;
fluorography.

Note: this list may be supplemented by other types of examinations and analyzes (depending on the position held by the employee).

Who conducts the physical examination before the start of the working day or shift

In accordance with paragraph 4 of Part 2 of Art. 46 of the Law "On the Fundamentals of Health Protection ..." dated November 21, 2011 No. 323 in order to identify the impact of hazardous and harmful production factors, as well as the presence of diseases that interfere with the normal performance of work, some categories of workers (for example, drivers of vehicles carrying passengers ) are required to undergo a daily inspection before going to work. Unlike a periodic medical examination, this event does not take much time. It is carried out in accordance with part 8 of the annex to the order of the Ministry of Health of the Russian Federation "On the approval of the order ..." dated December 15, 2014 No. 835n, a medical worker with a higher or secondary medical education, or a health care institution licensed to provide medical services (including medical examinations).

So, some categories of workers are required to undergo both primary and periodic medical examinations, during which their state of health is checked as by doctors. general practice, and narrow-profile specialists. The list of doctors whose examination is a prerequisite for the employee to carry out further work, laboratory tests and other studies, as well as a description of the working conditions, the influence of which entails the need for regular examination, are established by the provisions of the order of the Ministry of Health and Social Development No. 302n. Based of this document for each position, a list of doctors is formed to be visited by the employees occupying it.