Ministry of health of the Sverdlovsk region. On the provision of an annual statistical report on occupational pathology

Order of the Ministry of Health and Social Development of Russia dated April 11, 2012 N 339n On approval Clarifications on the application of the list certain types professional activity and activities associated with the source heightened danger, on the occupation of which restrictions are established for drug addicts, approved by a government decree Russian Federation dated May 18, 2011 N 394

T.A.GOLIKOVA

Appendix

to the order of the Ministry of Health and Social Development of Russia

EXPLANATION

ON THE APPLICATION OF THE LIST OF CERTAIN TYPES OF PROFESSIONAL

ACTIVITIES AND ACTIVITIES RELATED TO THE SOURCE

OF INCREASED DANGER FOR WHICH ARE ESTABLISHED

RESTRICTIONS FOR PATIENTS WITH ADDICTION, APPROVED

DECREE OF THE GOVERNMENT OF THE RUSSIAN FEDERATION

1. Article 45 of the Federal Law of January 8, 1998 N 3-FZ "On Narcotic Drugs and Psychotropic Substances" (Collected Legislation of the Russian Federation, 1998, N 2, Article 219) establishes that in order to protect health, morality, rights and the legitimate interests of citizens in the Russian Federation, restrictions have been established on engaging in certain types of professional activities and activities associated with a source of increased danger for drug addicts.

In accordance with this article, Decree of the Government of the Russian Federation of May 18, 2011 N 394 (hereinafter referred to as the Decree) was adopted, which approved a list of certain types of professional activities and activities associated with a source of increased danger, for which restrictions are established for drug addicts (hereinafter - list).

2. When a person enters a job for those types of activities that are indicated in the list, as well as in the process labor activity employee, the employer is obliged to send such a person (employee) to a preliminary (periodic) medical checkup.

3. The procedure for conducting mandatory preliminary and periodic medical examinations of workers engaged in the activities specified in the resolution is determined by the order of the Ministry of Health and Social Development of Russia dated April 12, 2011 N 302n "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 hard work and work with harmful and (or) dangerous working conditions "(registered by the Ministry of Justice of the Russian Federation on October 21 2011, registration N 22111).

Order of the Ministry of Health of the Sverdlovsk Region and the Department of the Federal Service for Supervision of Consumer Rights Protection and Human Welfare in the Sverdlovsk Region
dated April 11, 2012 N 360-p / N 01-01-01-01/127
"On improving the system of organizing and conducting mandatory preliminary and periodic medical examinations (surveys) of employees of the Sverdlovsk region"

2) the form of the list of contingents subject to preliminary and periodic medical examinations (Appendix No. 2);

3) a form of a list of names of persons subject to periodic medical examinations in a medical institution (centre of occupational pathology) (Appendix No. 3);

4) guidelines for the organization of mandatory preliminary upon admission to work and periodic medical examinations of employees in order to prevent the spread of infectious diseases (declared contingents) (Appendix N 4);

5) the range of studies, the frequency of conducting preliminary and periodic preventive medical examinations of employees in order to prevent the spread of infectious diseases (declared contingents) (Appendix N 5).

2. Managers public institutions healthcare of the Sverdlovsk region:

1) bring the material and technical base and personnel into line with the requirements of Order N 302n medical organization;

3) ensure the execution of documents during the PMO in accordance with the forms approved by this Order;

4) quarterly provide a report on the conduct of PMO to the FBSI "Ekaterinburg Medical Research Center for the Prevention and Health of Industrial Workers" of Rospotrebnadzor (hereinafter referred to as the regional center of occupational pathology) in accordance with Appendix N 1.6 by the 10th day of the month following the reporting quarter;

5) to send medical specialists for short-term training cycles on the organization and conduct of PME;

6) to ensure the conduct of screening examinations for the purpose of early detection of oncological diseases of visible localizations in patients referred for preliminary and periodic medical examinations in examination rooms of institutions.

3. Head of the Health Department of the Administration of Yekaterinburg A.A. Dornbush organize:

1) bringing the material and technical base and personnel of medical institutions in Yekaterinburg in line with the requirements of Order N 302n;

3) execution of documents during the PMO in accordance with the forms approved by this Order;

4) quarterly provision of a consolidated report on medical institutions in Yekaterinburg on conducting PMO to the regional center of occupational pathology before the 10th day of the month following the reporting quarter;

5) direction of medical specialists for short-term training cycles on the organization and conduct of PME;

6) conducting screening examinations for the purpose of early detection of oncological diseases of visible localization in patients referred for preliminary and periodic medical examinations in examination rooms of institutions.

4. Chief Specialist Obstetrician-Gynecologist of the Ministry of Health of the Sverdlovsk Region Davydenko N.B., Chief Freelance Dentist of the Ministry of Health of the Sverdlovsk Region Kharitonova M.P., Chief Freelance Oncologist of the Ministry of Health of the Sverdlovsk Region Chaikovsky G.N., Chief Freelance Psychiatrist of the Ministry of Health of the Sverdlovsk Region Serdyuk O.V., Chief Freelance Narcologist of the Ministry of Health of the Sverdlovsk Region Zabrodin O.V., Chief Freelance Specialist in Functional and Ultrasound Diagnostics of the Ministry of Health of the Sverdlovsk Region Kochmasheva V.V. up to 06/01/2012:

1) prepare a list of equipment necessary for conducting preliminary and periodic medical examinations in medical organizations of the Sverdlovsk region in accordance with the requirements of Order N 302n;

2) develop an algorithm for examining a specialist doctor during preliminary and periodic medical examinations.

5. Head of Licensing and Quality Control Department medical care Ministry of Health of the Sverdlovsk Region Kharlamova N.A., Chief Freelance Occupational Pathologist of the Ministry of Health of the Sverdlovsk Region Rosla N.A. carry out control and supervision measures in relation to medical organizations of all forms of ownership engaged in preliminary and periodic medical examinations in the Sverdlovsk region in accordance with

6. The heads of the territorial departments of the Office of Rospotrebnadzor in the Sverdlovsk Region, the chief physicians of the FBUZ "Center for Hygiene and Epidemiology in the Sverdlovsk Region" to strengthen control over the conduct of mandatory preliminary and periodic medical examinations (surveys) of workers engaged in hard work and work with harmful and (or ) dangerous working conditions", to carry out control and supervisory activities in accordance with the Federal legislation.

7. To the head of the department of specialized medical care, incl. of high-tech assistance of the Ministry of Health of the Sverdlovsk Region Chadova E.A., Head of the Occupational Health Supervision Department Ruzakov V.O., together with the chief freelance occupational pathologist of the Ministry of Health of the Sverdlovsk Region Rosla N.A.:

1) organize training seminars on the implementation of this order in medical institutions, medical organizations and bodies of Rospotrebnadzor in the Sverdlovsk region;

2) by June 1, 2012, develop programs for short-term additional vocational education for medical specialists who have not previously been trained.

10. To impose control over the execution of this order on the Deputy Minister of Health of the Sverdlovsk Region Turkov S.B. and Deputy Head of the Office of Rospotrebnadzor for the Sverdlovsk Region Vlasov I.A. right now or inquire hotline in system.

Ministry of Health of the Sverdlovsk Region N 360-P Management of the Federal Service for Supervision of Consumer Rights Protection and Welfare of Human Sverdlovsk Region No. 01-01-01-01 / 127 Order of April 11, 2012 on improving the system of organization and conducting mandatory preliminary and periodic MEDICAL EXAMINATIONS (EXAMINATIONS) FOR EMPLOYEES OF THE SVERDLOVSK REGION

This document in other editions and related documents:

MINISTRY OF HEALTH OF THE SVERDLOVSK REGION

OFFICE OF THE FEDERAL SUPERVISION SERVICE

IN CONSUMER PROTECTION AND HUMAN WELL-BEING

FOR THE SVERDLOVSK REGION

№ 01-01-01-01/127

ON IMPROVEMENT OF THE SYSTEM OF ORGANIZATION AND CARRYING OUT

MANDATORY PROVISIONAL AND PERIODIC MEDICAL

INSPECTIONS (SURVEYS) OF EMPLOYEES OF THE SVERDLOVSK REGION

In accordance with federal law dated March 30, 1999 No. 52-FZ "On the sanitary and epidemiological well-being of the population" and in pursuance of the Order of the Ministry of Health and social development of the Russian Federation dated April 12, 2011 No. 302n "On approval of the lists of harmful and (or) hazardous production factors and work, during the performance of which preliminary and periodic medical examinations (examinations) are carried out, and the procedure for conducting mandatory preliminary and periodic medical examinations (examinations) of workers employed in hard work and in work with harmful and (or) dangerous working conditions "(hereinafter - Order No. 302n) we order:

1. Approve:

1) guidelines on conducting mandatory preliminary and periodic medical examinations (examinations) of workers engaged in hard work and work with harmful and (or) dangerous working conditions (hereinafter referred to as PMO) (Appendix No. 1);

2) the form of the list of contingents subject to preliminary and periodic medical examinations (Appendix No. 2);

3) a form of a list of names of persons subject to periodic medical examinations in a medical institution (centre of occupational pathology) (Appendix No. 3);

2. Heads of state healthcare institutions of the Sverdlovsk region:

1) bring the material and technical base and personnel of the medical organization in line with the requirements of Order No. 302n;

2) organize work on conducting PMO in accordance with Annexes No. 1 - 5 of this Order;

3) ensure the execution of documents during the PMO in accordance with the forms approved by this Order;

4) quarterly provide a report on the conduct of PMO to the FBSI "Ekaterinburg Medical - Scientific Center for the Prevention and Health of Industrial Workers" of Rospotrebnadzor (hereinafter - the regional center of occupational pathology) in accordance with Appendix No. 1.6 by the 10th day of the month following the reporting quarter;

5) to send medical specialists for short-term training cycles on the organization and conduct of PME;

3. Head of the Health Department of the Administration of Yekaterinburg A.A. Dornbush organize:

1) bringing the material and technical base and personnel of medical institutions in Yekaterinburg in line with the requirements of Order No. 302n;

2) work on conducting PMO in accordance with appendices No. 1 - 5 of this Order;

3) execution of documents during the PMO in accordance with the forms approved by this Order;

5) direction of medical specialists for short-term training cycles on the organization and conduct of PME;

2) develop an algorithm for examining a specialist doctor during preliminary and periodic medical examinations.

5. Head of the Department of Licensing and Quality Control of Medical Care of the Ministry of Health of the Sverdlovsk Region Kharlamova N.A., Chief Freelance Occupational Pathologist of the Ministry of Health of the Sverdlovsk Region Rosla N.A. carry out control and supervision measures in relation to medical organizations of all forms of ownership engaged in preliminary and periodic medical examinations in the Sverdlovsk region in accordance with Federal law.

1) organize training seminars on the implementation of this Order in medical institutions, medical organizations and bodies of Rospotrebnadzor in the Sverdlovsk region;

2) by 01.06.2012, develop programs for short-term additional professional education for medical specialists who have not previously completed training.

ORDER dated April 11, 2012 360-P / 127 On improving the system for organizing and conducting mandatory preliminary and periodic medical examinations (surveys) of employees of the Sverdlovsk region

The procedure for conducting periodic medical examinations The organization of periodic medical examinations (hereinafter referred to as PMO) is carried out by the employer, which ensures compliance with the timeliness and frequency of PMO. PMOs are carried out on the basis of a concluded agreement with a medical organization and a list of names of persons subject to periodic medical examinations, developed on the basis of a list of contingents of workers subject to periodic and (or) preliminary examinations (hereinafter referred to as lists of names) indicating harmful (dangerous) production factors, and also the type of work in accordance with order 302 n

To undergo a periodic examination, the employee must arrive at the medical organization on the day established calendar plan, and submit the following documents to the medical organization: - referral for a preventive medical examination (Appendix 1.1 to this order); - passport (or other document of the established form proving his identity); - employee's health passport, with items 1-10 completed (Appendix 1.2. to this order); - the decision of the medical commission that carried out the mandatory psychiatric examination(in cases stipulated by the legislation of the Russian Federation).

Appendix 4 to the order of the Minister of Health of the Sverdlovsk Region and the Head of the Administration for the Sverdlovsk Region Guidelines on the organization of mandatory preliminary upon admission to work and periodic medical examinations of employees in order to prevent the spread of infectious diseases (declared contingents) Admission to work of persons with non-contagious skin diseases (psoriasis, eczema, allergic dermatitis, etc.) obligatory consideration of the state of the disease and the place of work of the patient. 18. Persons suffering from trichomoniasis are allowed to work in children's institutions subject to systematic treatment in a medical organization; control of cure is carried out with a mandatory provocation for gonorrhea. 19. Admission to work of decreed persons who have had a venereal disease is allowed only if there is a conclusion of a dermatovenereologist on the completion of treatment and the opportunity to start work. 20. Persons with pustular diseases are not allowed to work in obstetric and surgical hospitals, intensive care units, neonatal pathology departments, pharmacies that manufacture dosage forms, in workshops and production of cream and confectionery and salad products, in children's dairy kitchens and in all types of food units institutions. 21. Admission to work of decreed persons who have had tuberculosis is carried out by a TB doctor of an anti-tuberculosis dispensary after treatment and necessary examinations. 22. Suspension from work of persons who, during a medical examination, revealed HIV infection, as well as chronic forms of hepatitis B and C, is not carried out.

The administration of the institution must ensure the confidentiality of information about the HIV status of the decreed person. Supervisor legal entity(individual entrepreneur) has the right, with the consent of the employee, to transfer him to another place of work according to his profile (not related to the performance of manipulations that violate the integrity of the skin and mucous membranes) while maintaining the same level wages. In the event of an employee's refusal, job description a clause on liability for possible intentional infection of third parties should be introduced in case of non-compliance with manipulation technologies and non-use of funds personal protection in order to prevent possible infection of third parties.

The form of a personal medical book is approved by order Federal Service Rospotrebnadzor from "On a personal medical book and a sanitary passport" (as amended by orders of the Federal Service of Rospotrebnadzor dated, dated). According to this document, medical book must be of the established form, have a number, a photograph of the employee and a hologram of the Office of the Federal Service for the Protection of Consumer Rights and Human Welfare, the signature of the owner and be kept by the administration of the organization or individual entrepreneur. A personal medical book can be issued to an employee at his request with a fixation of the reason for issuance and date. Employees working at points remote from the main enterprise are allowed to issue personal medical books in the hands of employees. Upon dismissal and transfer to another place of work, the personal medical book remains with the owner and is presented to them at the place of new work.

27. Replacement and exchange of medical books: when replacing a medical book due to the expiration of its use, the results of the latest laboratory and instrumental studies and medical examination, as well as the results of vaccination can be transferred, at the request of the owner, to a new medical book and appropriately certified in the medical the organization that conducted the medical examination; the old medical book is kept by the person responsible for organizing preliminary and periodic medical examinations at the enterprise (organization) and, if necessary, presented to the bodies exercising state and municipal control.

Obligations of medical specialists during medical examinations: 1.1. a dermatovenereologist should: examine the skin, hair, nail plates, visible mucous membranes, including in the genital area in the mirrors (in women); to palpate regional lymph nodes; to take material from the urethra (in men by scraping), the cervical canal and the posterior fornix of the vagina, and, according to indications, from the rectum to detect gonococcus, Trichomonas and other pathogenic microorganisms that cause sexually transmitted infections; take blood samples and laboratory tests for syphilis; according to indications in the presence of specific manifestations - a study for the presence of fungal diseases of smooth skin, hair, nails, as well as scabies, pale treponema (in a dark field);

3.1. examination for tuberculosis: examination for tuberculosis is carried out only in medical organizations that have a license to carry out medical activities in "radiology"; examination of the decreed contingents subject to examination 2 times a year, in order to avoid exceeding the annual radiation exposure, is carried out: a) using digital fluorography 1 time in 6 months; b) or according to the scheme - once every six months, digital fluorography, once every six months, radiography for adolescents (over 15 years old) and adults, digital fluorography or radiography of the chest organs is performed in two projections: direct and left lateral; reading the results of digital fluorography or radiography should be double, independent; if a person belonging to the decreed contingents is subject to a periodic medical examination in the current year at the center of occupational pathology, instead of a fluorographic examination, an x-ray of the chest organs is performed in two projections; the results of digital fluorography or radiography issued by the medical organization that conducted the examination should be kept for 2 years.

3.4. Examination for carriage of pathogenic intestinal infections: the frequency of examination and the list of decreed contingents are set out in Appendix 5 to this order; examination for carriage of pathogens of pathogenic intestinal infections is carried out in clinical diagnostic laboratories of medical organizations and laboratories for monitoring the biological factor of the FBUZ "Center for Hygiene and Epidemiology", in other laboratories of medical organizations that have a license for medical activities in "bacteriology" and / or "clinical laboratory diagnostics".

Samples of seals based on the results of medical examinations, laboratory and instrumental studies Stamp 1. Final, indicating the passage of a medical examination and admission to work: Name of the Central City Hospital (CRH) Digital fluorogram (X-ray) ____ Chest organs without pathology from ____________. doctor _______ Stamp 2. Results of fluorographic examinations for tuberculosis: Central City Hospital (CRH) ___________ Medical examination passed, the Chairman of the Commission was admitted to work _______________ date _______________ Name of laboratory Tests for STIs Syphilis __________ Gonorrhea __________ Trichomoniasis _______ Doctor ___________ Date __________ Stamp 3. Results of laboratory tests for sexually transmitted infections: Name Central City Hospital (CRH) No sexually transmitted diseases, contagious skin diseases were detected Doctor ____________ Date ____________ Stamp 4. Conclusion of a dermatovenereologist: Name of the laboratory No helminth eggs and cysts of pathogenic protozoa were found _______ dated _________. doctor ______ Stamp 5. The results of the examination for contact helminthiasis and protozoosis:

Samples of seals based on the results of medical examinations, laboratory and instrumental studies Name of the laboratory Pathogenic enterobacteria were not detected doctor ______ Stamp 6. The results of the study on the carriage of pathogens of intestinal infections: Name of the laboratory Antibodies to typhoid fever were not detected _______ dated ________. doctor ______ Stamp 7. Results of serological examination typhoid fever: Laboratory name Staphylococcus aureus was not detected _______ dated ________. doctor ______ Stamp 8. The results of the study on the carriage of Staphylococcus aureus: Name of the laboratory Antibodies to HIV by ELISA were not detected _______ dated ________. doctor ______ Laboratory name Hepatitis B and C markers were not detected by ELISA _______ dated _______. doctor ______ Stamp 9. The results of the examination for blood-borne infections:

Note: Upon hiring, the availability of a preliminary medical examination for all employees, including administrative and economic personnel is required, a preliminary medical examination should include all laboratory tests and examination by specialists. The frequency of examination of the above contingents can be increased according to epidemic indications. Examination for HIV infection and viral hepatitis B and C is carried out only by medical workers whose activities are related to invasive manipulations, work with blood and other biological fluids (organs, tissues). Participation in a medical examination by an infectious disease specialist* is carried out on the recommendation of specialist doctors participating in preliminary and periodic medical examinations. Foreign citizens are examined as well as citizens of the Russian Federation, depending on the profession (position held); Preventive vaccinations are carried out in accordance with the order of the Ministry of Health and Social Development of the Russian Federation dated 51 n "On approval of the national calendar of preventive vaccinations and the calendar of preventive vaccinations for epidemic indications" and the order of the Ministry of Health of the Sverdlovsk Region and the Office of Rospotrebnadzor for the Sverdlovsk Region dated P, / 620 "On the approval of the regional calendar of preventive vaccinations in the Sverdlovsk region."

MINISTRY OF HEALTH OF THE SVERDLOVSK REGION

DEPARTMENT OF THE FEDERAL SERVICE FOR SUPERVISION IN THE FIELD OF CONSUMER RIGHTS PROTECTION AND HUMAN WELL-BEING IN THE SVERDLOVSK REGION

ORDER

Yekaterinburg city

On improving the system for organizing and conducting mandatory preliminary and periodic medical examinations (examinations) of employees of the Sverdlovsk region

In accordance with the Federal Law of March 30, 1999 No. 52-FZ "On the sanitary and epidemiological well-being of the population" and in pursuance of the Order of the Ministry of Health and Social Development of the Russian Federation of April 12, 2011 N 302n "On approval of lists of harmful and (or) dangerous production factors and work, during the performance of which 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 in work with harmful and (or) dangerous working conditions "( hereinafter - Order No. 302n),

WE ORDER:

1. Approve:

2) the form of the list of contingents subject to preliminary and periodic medical examinations (Appendix No. 2);

3) a form of a list of names of persons subject to periodic medical examinations in a medical institution (centre of occupational pathology) (Appendix No. 3);

2. Heads of state healthcare institutions of the Sverdlovsk region:

1) bring the material and technical base and personnel of the medical organization in line with the requirements of Order No. 302n;

2) organize work on conducting PMO in accordance with annexes No. 1-5 of this order;

3) ensure the execution of documents during the PMO in accordance with the forms approved by this order;

4) quarterly provide a report on the conduct of PMO to the FBSI "Ekaterinburg Medical - Scientific Center for Prevention and Health Protection of Industrial Workers" of Rospotrebnadzor (hereinafter - the regional center of occupational pathology) in accordance with Appendix No. 1.6 by the 10th day of the month following the reporting quarter;

5) to send medical specialists for short-term training cycles on the organization and conduct of PME;

6) to ensure the conduct of screening examinations for the purpose of early detection of oncological diseases of visible localization in patients referred for preliminary and periodic medical examinations in examination rooms of institutions.

3. Head of the Health Department of the Administration of Yekaterinburg A.A. Dornbush organize:

1) bringing the material and technical base and personnel of medical institutions in Yekaterinburg in line with the requirements of Order No. 302n;

2) work on conducting PMO in accordance with annexes No. 1-5 of this order;

3) execution of documents during the PMO in accordance with the forms approved by this order;

5) direction of medical specialists for short-term training cycles on the organization and conduct of PME;

4. Chief specialist obstetrician-gynecologist of the Ministry of Health of the Sverdlovsk Region Davydenko N.B., Chief freelance dentist of the Ministry of Health of the Sverdlovsk Region Kharitonova M.P., Chief freelance oncologist of the Ministry of Health of the Sverdlovsk Region Chaikovsky G.N., Chief freelance psychiatrist of the Ministry of Health of the Sverdlovsk Region Serdyuk O.V., Chief Freelance Narcologist of the Ministry of Health of the Sverdlovsk Region Zabrodin O.V., Chief Freelance Specialist in Functional and Ultrasound Diagnostics of the Ministry of Health of the Sverdlovsk Region Kochmasheva V.V. up to 06/01/2012:

2) develop an algorithm for examining a specialist doctor during preliminary and periodic medical examinations;

6. Heads of territorial departments of the Office of Rospotrebnadzor for the Sverdlovsk Region, chief physicians of the FBUZ "Center for Hygiene and Epidemiology in the Sverdlovsk Region" to strengthen control over the conduct of mandatory preliminary and periodic medical examinations (surveys) of workers engaged in hard work and work with harmful and (or ) hazardous working conditions”, to carry out control and supervisory activities in accordance with the Federal legislation.

7. To the head of the department of specialized medical care, incl. of high-tech assistance of the Ministry of Health of the Sverdlovsk Region Chadova E.A., Head of the Occupational Health Supervision Department Ruzakov V.O., together with the chief freelance occupational pathologist of the Ministry of Health of the Sverdlovsk Region Rosla N.A.:
1) organize training seminars on the implementation of this order in medical institutions, medical organizations and bodies of Rospotrebnadzor in the Sverdlovsk region;
2) by 01.06.2012, develop programs for short-term additional professional education for medical specialists who have not previously received training.

8. To recommend the regional center of occupational pathology to provide organizational, methodological and advisory assistance in organizing and conducting PMO, medical institutions conducting PMO.

9. Recommend the heads of enterprises (organizations) to organize work on the organization and conduct of PMO in accordance with this order.
10. To impose control over the execution of this order on the Deputy Minister of Health of the Sverdlovsk Region Turkov S.B. and Deputy Head of the Office of Rospotrebnadzor for the Sverdlovsk Region Vlasov I.A.

Application No. 1

Sverdlovsk region dated ______ No. __________ No. __________

Methodological recommendations on conducting mandatory preliminary and periodic medical examinations (examinations) of workers engaged in hard work and work with harmful and (or) dangerous working conditions at enterprises and organizations of the Sverdlovsk region

Preliminary and periodic medical examinations are carried out by medical organizations that have the right to conduct preliminary and periodic medical examinations, as well as to examine professional suitability in accordance with the current regulatory legal acts.

The procedure for conducting preliminary medical examinations

To undergo an examination, a person entering a job submits the following documents to a medical organization:

To ensure the quality of the examination, the medical commission of the medical organization evaluates the data presented in the referral (Appendix No. 1.1 to this order) and the health passport (Appendix No. 1.2 to this order). The medical commission independently evaluates documents using the data of the Rospotrebnadzor Administration for the Sverdlovsk Region, which are posted on the website ( www.ocsen.ru), this information can also be obtained upon request at the Territorial Department of the Office of Rospotrebnadzor for the Sverdlovsk Region, or with the involvement of expert organizations or experts.

Based on the results of the assessment of documents, the medical commission of the medical organization determines the scope of the examination in accordance with the Procedure approved by Order No. 302n.

For a person undergoing a preliminary examination, a medical organization issues:

Outpatient medical record ( accounting form N 025 / y-04, approved by the Order of the Ministry of Health and Social Development of Russia dated November 22, 2004 N 255) (registered by the Ministry of Justice of Russia on December 14, 2004 N 6188) (hereinafter referred to as the medical record), which reflects the conclusions of medical specialists, the results of laboratory and instrumental studies, conclusion based on the results of a preliminary medical examination;

The employee's health passport, with completed items 11-14 (Appendix No. 1.2 to this order).

The preliminary examination is completed in the case of an examination of the person entering the work by all medical specialists, as well as the completion of the full scope of laboratory and functional studies provided for by the List of harmful and (or) hazardous production factors, in the presence of which mandatory preliminary and periodic medical examinations are carried out ( examination) factors (Appendix 1 to Order No. 302n) (hereinafter referred to as the List of factors) and the List of works, during the performance of which mandatory preliminary and periodic medical examinations (examinations) of employees are carried out (Appendix 2 to Order 302n) (hereinafter referred to as the List of Works).

Upon completion of the preliminary examination by the person entering the workforce, the medical organization that conducted the PMO, a conclusion is drawn up based on the results of the preliminary (periodic) medical examination (hereinafter referred to as the Conclusion) (Appendix No. 1.3 to this order).

The conclusion is drawn up in two copies, one of which is issued to the person entering the work, on hand against signature, and the second is attached to the medical card of the outpatient.

The procedure for conducting periodic medical examinations

The organization of periodic medical examinations (hereinafter referred to as PMO) is carried out by the employer, which ensures compliance with the timeliness and frequency of PMO.

The frequency (frequency) of PMO, the volume of laboratory and instrumental studies is determined in accordance with Order No. 302n, can be increased if necessary on the basis of proposals from the bodies exercising state sanitary and epidemiological supervision, decisions of state authorities of the constituent entities of the Russian Federation or local governments in individual organizations, due to the unfavorable sanitary and epidemiological situation.

The employer submits an application to a medical organization that has an appropriate license to conduct PMO, in which it indicates the number of persons subject to PMO in accordance with the list of contingents, and the desired timing of the PMO. Based on the results of consideration of the application, the medical organization sends an offer to the employer indicating the start date of the PMO.

PMOs are carried out on the basis of an agreement concluded with a medical organization and a list of names of persons subject to periodic medical examinations (Appendix No. 3 to this order), developed on the basis of a list of contingents of workers subject to periodic and (or) preliminary examinations (hereinafter referred to as lists of names) indicating harmful (dangerous) production factors, as well as the type of work in accordance with Order No. 302n (Appendix No. 2 to this order).

The following employees are subject to inclusion in the contingent lists and name lists:

Exposed to harmful production factors specified in the approved List of factors, as well as harmful production factors, the presence of which was established based on the results of attestation of workplaces for working conditions, carried out in the prescribed manner. As a source of information about the presence of harmful production factors at workplaces, in addition to the results of attestation of workplaces for working conditions, the results of laboratory research and testing obtained as part of control and supervision activities, production laboratory control, as well as operational, technological and other documentation for machines, mechanisms, equipment, raw materials and materials used by the employer in the implementation of production activities;

Performing the work provided for by the approved List of Works.

The above lists (Appendix No. 2, No. 3 to this order), developed and approved by the employer, are sent within 10 days to the Territorial Departments of the Office of the Federal Service for Supervision of Consumer Rights Protection and Human Welfare in the Sverdlovsk Region (hereinafter referred to as the Office of Rospotrebnadzor for Sverdlovsk region). The Department of Rospotrebnadzor for the Sverdlovsk Region evaluates the validity, completeness and reliability of the information included in the lists of contingents and name lists. Information on the compliance (non-compliance) of the lists of contingents and lists of names submitted for consideration with the requirements of sanitary legislation is posted on the official website of the Office of Rospotrebnadzor for the Sverdlovsk Region ( www.ossen.ru) indicating the full name of the organization that submitted the documents, the name of the person who approved these documents and the date of approval, indicating the reasons for the non-compliance of the documents.

Primary documentation (contingents and name lists) necessary for organizing and conducting periodic medical examinations of persons in the Occupational Pathology Centers (participants emergencies or incidents, workers engaged in work with harmful and (or) dangerous substances and production factors with a single or multiple excess of the maximum permissible concentration (MAC) or maximum acceptable level(MPC) according to the current factor, employees whose workplaces lack information on concentrations, levels, parameters of factors production environment and labor process 1 year or more, employees who have (had) a conclusion on a preliminary diagnosis occupational disease, persons from the group of increased risk of developing occupational diseases, persons with persistent consequences of accidents at work, as well as other employees in the event of an appropriate decision by the medical commission) are subject to examination in institutions (their territorial divisions, branches) duly accredited for conducting sanitary - epidemiological examinations (orders of Rospotrebnadzor of the Russian Federation dated November 12, 2007 No. 319 “On the list of organizations carrying out sanitary and epidemiological examinations” (registered by the Ministry of Justice of Russia on December 03, 2007, registration No. 10603) and dated January 24, 2008 No. 14 “On making additions to the order of Rospotrebnadzor dated November 12, 2007 No. 319”, registered by the Ministry of Justice of Russia on February 4, 2008, registration No. 11098). Examination of documents is carried out within 1 month after payment for expert work. Based on the results of the examination, a report is drawn up, which is submitted to the bodies of Rospotrebnadzor, and an entry is made in the name lists about the results of the examination. If the results of the examination are positive, the name lists are sent to the Occupational Pathology Center for organizing and conducting medical examinations, and if the results are negative, they are sent for revision along with the report.

Not later than 2 months before the start date of PMO agreed with the medical organization, the employer sends a list of names to the specified medical organization for drawing up a contract for PMO.

Officials responsible for conducting PMO prepare referrals for each employee in the recommended form (Appendix No. 2 to this order) and hand them over to employees against signature.

The medical organization, within 10 days from the date of receipt of the list of names from the employer (but no later than 14 days before the start date of the PMO agreed with the employer), on the basis of the specified list of names, draws up a calendar plan (hereinafter referred to as the calendar plan).

The calendar plan is coordinated by the medical organization with the employer (his representative) and approved by the head of the medical organization.

The employer, no later than 10 days before the start date of the PMO agreed with the medical organization, is obliged to familiarize the employees subject to periodic examination with the calendar plan.

The medical commission of a medical organization, on the basis of the hazardous production factors or work specified in the list of names, determines the need for participation in the PMO of the relevant specialist doctors, as well as the types and volumes of necessary laboratory and functional studies.

To undergo a periodic examination, the employee must arrive at the medical organization on the day established by the calendar plan and present the following documents to the medical organization:

Referral for a preventive medical examination (Appendix No. 1.1 to this order);

Passport (or other document of the established form proving his identity);

The employee's health passport, with completed points 1-10 (Appendix No. 1.2. to this order);

The decision of the medical commission that conducted the mandatory psychiatric examination (in cases provided for by the legislation of the Russian Federation).

For an employee undergoing a periodic examination, the following documents are drawn up in a medical organization:

Medical record of an outpatient (registration form N 025 / y-04, approved by Order of the Ministry of Health and Social Development of Russia dated November 22, 2004 N 255) (registered by the Ministry of Justice of Russia on December 14, 2004 N 6188) (hereinafter referred to as the medical card), which reflects the conclusions medical specialists, the results of laboratory and instrumental studies, conclusions based on the results of a preliminary or periodic medical examination;

The employee's health passport, with completed items 11-14 (Appendix No. 1.2 to this order).

Upon completion of the PMO, the medical organization draws up the Conclusion of the preliminary (periodic) medical examination (Appendix No. 1.3 to this order). The conclusion is drawn up in two copies, one of which, based on the results of the medical examination after the completion of the examination, is issued to the employer, and the second is attached to the medical record of the outpatient.

Based on the results of the periodic examination, the employee’s belonging to one of the dispensary groups is determined, in accordance with the current regulatory legal acts, with subsequent registration in the medical record and health passport of recommendations for the prevention of diseases, including occupational diseases, and if there are medical indications, further observation, treatment and rehabilitation.

A medical organization with which the employer has not renewed the contract for conducting preliminary and (or) periodic examinations of employees, at the written request of the employer, must transfer, according to the inventory, the medical records of employees to the medical organization with which the employer has currently entered into an appropriate contract.

The occupational pathology center with which the employer has not renewed the contract for preliminary and (or) periodic examinations of employees, at the employer’s written request, must transfer the employees’ medical records according to the inventory to the occupational pathology center with which the employer has currently entered into an appropriate agreement.

Participants in emergencies or incidents, workers employed in work with harmful and (or) hazardous substances and production factors with a single or multiple excess of the maximum allowable concentration (MAC) or maximum allowable level (MPL) for the current factor, workers at whose workplaces there is no information on concentrations, levels, parameters of factors of the working environment and the labor process for 1 year or more, employees who have (had) a conclusion on a preliminary diagnosis of an occupational disease, persons from a group of increased risk of developing occupational diseases, persons with persistent consequences of industrial accidents, as well as other employees, if the relevant decision is made by the medical commission, at least once every five years, they undergo periodic examinations at occupational pathology centers (Regional Center for Occupational Pathology, Center for Occupational Pathology at the Sverdlovsk Regional Clinical Hospital No. 1, City Center for Occupational Pathology of the MAU "City Clinical Hospital No. 40"), depending on the area of supervision of the center (order of the Minister of Health of the Sverdlovsk Region and the Chief State Sanitary Doctor for the Sverdlovsk Region No. 434-P / 01 / 1-176 dated 06.21. organization of occupational pathological care in the Sverdlovsk region - hereinafter Order No. 434-P / 01 / 1-176).

In the event that a psychiatrist and narcologist identify persons with suspected medical contraindications corresponding to the profile of these specialists, to be admitted to work with harmful and (or) dangerous production factors, as well as to work, during which preliminary and periodic medical examinations are mandatory (examinations) of employees, these persons, in cases provided for by the legislation of the Russian Federation, are sent for examination by a medical commission authorized by the Ministry of Health of the Sverdlovsk Region.

In case of suspicion that an employee has an occupational disease during a periodic examination, the medical organization draws up and sends, in the prescribed manner, a notice of the establishment of a preliminary diagnosis of an occupational disease to the Rospotrebnadzor body in the Sverdlovsk Region and issues a referral to the employee to the occupational pathology center in accordance with his area of supervision for additional examination ( Order No. 434-P / 01 / 1-176).

In cases of difficulty in determining the professional suitability of an employee due to his illness and for the purpose of examining professional suitability, the medical organization sends the employee to the regional center of occupational pathology for additional examination in order to complete the examination of professional suitability.

Based on the results of the examinations, the medical organization, no later than 30 days after the completion of the PMO, together with the employer and the Rospotrebnadzor Administration for the Sverdlovsk Region, summarizes the results of the periodic medical examinations of employees and approves the final act (Appendix No. 1.4. to this order). The final act is drawn up in four copies and sent within 5 days from the date of approval to the employer, the Office of Rospotrebnadzor for the Sverdlovsk Region and the Regional Center for Occupational Pathology. One copy of the final act is stored in the medical organization that conducted periodic examinations for 50 years.

Based on the results of periodic medical examinations, medical institutions quarterly submit a report to the regional center of occupational pathology by the 10th day of the month following the reporting quarter with final acts in electronic form.

The Regional Center for Occupational Pathology of the Sverdlovsk Region summarizes and analyzes the results of periodic medical examinations of workers employed in jobs with harmful and (or) dangerous working conditions in the territory of this constituent entity of the Russian Federation and no later than February 15 of the year following the reporting one sends summarized information to the Federal Center for Occupational Pathology Ministry of Health and Social Development of Russia and to the health management body of this constituent entity of the Russian Federation.

Appendix No. 1.1

to the order of the Minister of Health of Sverdlovsk

region and the head of the Department for

Sverdlovsk region dated ______ No. __________ No. __________

________________________________________

(name of medical organization, address)

Medical documentation

Form No. 001-P/U

OGRN code

Referral for a preventive medical examination of an employee

1. Date of administration ________________________________________________________________

2.Date of review __________________________________________________________________________

3. The purpose of the referral: preliminary, periodic, extraordinary, in-depth medical examination (underline as necessary)

4. Surname ________________________________________________________________________

Name ____________________________________________________________________________

Middle name________________________________________________________________________

5. Gender: male, female (underline as appropriate)

6. Age ___________ Date of birth _______________________________________________

Day, month, year of birth

SNILS* _____________________________________________________________________________

Number, code (series) of the territory and insurance organization of the CHI insurance policy _______________________________________________________________________________

7. Home address_________________________________________________________________

8. Place of work:

8.1. Full name of the organization: ______________________________________________

8.2 View economic activity according to OKVED: _____________________________________

8.3 Name structural unit: ______________________________________

9. Profession (position) (currently): _______________________________________

10. Profession (position) (for which he is hired)**: _______________________

11. Work experience:

11.1. total __________________________________________(years)

11.2. in profession________________________________(years)

11.3. in harmful conditions labor for the entire period of employment _______________ (years) (required)

12. Characteristics of working conditions at the workplace:

No. p / p	The name of the factors of the production environment and the labor process	Factor code by order of the Ministry of Health and Social Development of the Russian Federation dated April 12, 2011 No. 302n)	Factor level according to the results of laboratory control	Working condition class
12.1.
12.2.
12.3.
12.4.

Responsible person

compiling the direction ________________________________________

Signature (position, surname, initials)

SNILS * - insurance number of an individual personal account (insurance pension certificate) ** - is filled in only when making a referral for a preliminary medical examination

Appendix No. 1.2

to the order of the Minister of Health of Sverdlovsk

region and the head of the Department for

Sverdlovsk region dated __________ No. __________ No. _____________

OGRN code