home › Disputes with neighbors › A medical board for work is what you need. Do all employees undergo a pre-employment medical examination upon employment? On the basis of what document is the list of such employees established? How to determine the list of workers who need a wire

A medical board for work is what you need. Do all employees undergo a pre-employment medical examination upon employment? On the basis of what document is the list of such employees established? How to determine the list of workers who need a wire

Before applying for an employee, make sure that the vacancy does not belong to those professions for which the employee must undergo a preliminary medical examination upon employment. If this is not done, the organization and the leader, after the audit, will face quite serious fines.

Who will have to come for a medical examination when applying for a job

The passage of a medical examination upon employment is regulated by order of the Ministry of Health and Social Development of the Russian Federation No. 302n dated April 12, 2011. This document, as well as the list of professions and jobs for which a medical examination is required upon employment, are the main laws governing the norms of medical examination for employees.

Categories of workers who are allowed to work only after a medical examination

Medical examination at the time of employmentrequired for the following persons	Regulatory bases for obligatory medical examination when applying for a job
Office workers who are at the computer for more than half of the working time. Often, managers mistakenly do not pay attention to this category of employees, assuming that the conditions for their work are not harmful.
Trade employees, including administrative staff	Art. 213 of the Labor Code of the Russian Federation
Citizens employed in enterprises Food Industry and public catering serving waterworks (including administration employees)
Employees of children's organizations, educational institutions	Art. 213 of the Labor Code of the Russian Federation; SanPiN 2 4 2 2821-10
Employees of medical organizations	SanPiN 2 1 3 2630-10; Article 213 of the Labor Code of the Russian Federation
Hairdressers and beauticians	SanPiN 2 1 2 2631-10
Drivers transport companies, including administrative staff	Art. 213 of the Labor Code of the Russian Federation
Workers in construction specialties, as well as those working in the production of building materials	SanPiN 2 2 3 1384-03
Persons whose labor activity is associated with harmful and/or hazardous conditions labor.	Scroll harmful conditions labor and the List of works are given in the order of the Ministry of Social Development No. 302n
Persons working in the regions of the Far North and areas equated to it in cases when they come to work from other regions	Art. 324 of the Labor Code of the Russian Federation
Employees under 18	Art. 69 of the Labor Code of the Russian Federation
Laundry staff	SanPiN 2 1 2 2646-10
Dormitory staff	SanPiN 2 1 2 2844-11
Athletes	Art. 348.3 of the Labor Code of the Russian Federation

Varieties of medical examinations

A medical examination is carried out at the time of initial employment. This type of examination allows you to determine whether the candidate is able to cope with the job that he plans to get. Also, the initial medical examination will protect the team from possible infectious diseases that a new employee can bring.

Periodic medical examinations of employees are aimed at timely detection and prevention of pathologies that are caused by professional activity. For certain professions, for example, employees of chemical industries, miners, drivers, pilots, a regular pre-shift medical examination is carried out. The time spent on the medical examination is included in the total working time, therefore, it is impossible to extend the working day just because the employee spent several hours in the medical room.

Also, at the request of employees or in accordance with the conclusion of Rospotrebnadzor, extraordinary medical examinations are carried out. The employer in the direction for the medical institution indicates the reason for which an extraordinary medical examination is carried out (Article 213; 348.3 of the Labor Code of the Russian Federation).

Unscheduled medical examinations, like standard procedures, require a careful approach to registration - otherwise, the employer may face a fine from Labor Inspectorate. If you do not have the time and opportunity to independently control all the nuances personnel document flow, entrust this part of the work to the employees of the Glavbukh Assistant service.

Read also:

How to organize a medical examination when applying for a job

If a medical examination is mandatory when applying for a job, employees undergo it at the expense of the employer (Article 212; 213 of the Labor Code of the Russian Federation). Whether the candidate for the vacancy will be accepted in the future or not, it does not matter - the employer is obliged to organize a commission in any case.

Therefore, on frequently asked question on the part of employers about who should pay for the medical examination of employees, there is only one answer - exclusively the employer. And in a situation where an employee passed a medical examination at the expense of the employer, but refused to conclude a contract, it will also not work to recover the amount spent from him.

The employer has two options to provide the candidate for a vacancy with an initial medical examination when applying for a job:

Provide an opportunity for the employee to independently undergo a medical examination, and after receiving a medical report, provide compensation for a medical examination upon employment. However, such a procedure for conducting medical examinations must be fixed in local document so that the labor inspectors do not find fault during the check;
Send a citizen for a primary medical examination when applying for a job in a medical institution with which the organization has a contract for medical care.

How to issue a referral for a medical examination - an algorithm of actions

A preliminary medical examination when applying for a job is a one-time procedure that gives the employer an idea of the health status of a candidate for a vacancy. Before sending employees to the medical examination, it is necessary to perform several sequential actions:

Two months before the date of the medical examination, draw up a list of employees who are required to undergo a medical examination;
Record in the register which employees are sent for a medical examination;
Based on the decision made, issue an order to send him for a medical examination. If several people are sent, it is enough to include in the order full list workers. The form of the order is arbitrary;
Issue a signature to each employee for examination. There is no single sample document, below are the requirements necessary to fill out;
Within the period specified in the order, the candidate for the vacancy must provide the result of the medical examination;
The conclusion of the medical board must be registered in internal acts in order to avoid claims from the labor commission and other regulatory bodies. If you do not have enough time to enter all the data into internal acts on your own, entrust this to outsource employees.

The direction is filled in as follows:

the name of the employer's company or organization;
organizational and legal form and direction of activity, according to OKVED;
name of the medical institution conducting the medical examination (OGRN code, location address);
type of medical examination: for employment, preventive, extraordinary;
complete information about the future employee;
in which structural unit is hired and for what position;
what unfavorable factors for life and health will be present during the performance by the employee of his duties;
the direction is signed by the head or official with a decoding of his signature and an indication of the position;
signature of the employee stating that he received a referral for a medical examination.

Which doctors are required

The participation of the following specialists is mandatory in the medical board: a therapist, a psychiatrist, a narcologist (Order No. 302n). If the profession is associated with harmful and (or) life-threatening conditions, an occupational pathologist must be present in the medical board.

Apart from mandatory specialists, the employer may optionally send the employee to visit:

surgeon
ophthalmologist;
neuropathologist;
x-ray room;
otolaryngologist.

In a medical institution, a medical card (form No. 025 / y-04) is entered for an employee, in which the conclusions of specialists and the results of analyzes are recorded. Unlike a health passport, a card is not issued and is stored in a medical organization.

After the completion of the medical examination, a general medical report is issued, which is signed by the chairman of the medical board and certifies the act with a seal. For citizens planning to work in trade, catering, children's educational and preschool institutions, medical books are issued.

Before concluding a contract, the applicant for a vacancy must have a medical book or a medical certificate on the state of health (more often> form 086 / y). This certificate is valid for six months. Civil servants are issued a certificate in the form 001-GS \ y for a period of one year.

What has changed in 2019 when passing medical examinations when applying for a job

Since January 2019, employees have the right to take one paid working day every three years to undergo medical examination. Pre-pensioners and pensioners have the right to take legal two days for a medical examination every year (FZ No. 353 of October 3, 2018).

To take a day off, you must write a written statement addressed to the head indicating the date when it is planned to undergo a medical examination. If the head is not against the chosen date, he signs the application. If the date does not suit you, then another day is agreed.

What sanctions await the employer if the employee has not passed the medical examination

The labor inspectorate has the right to bring the employer to administrative responsibility under Art. 5.27.1 of the Code of Administrative Offenses of the Russian Federation, if he violates the requirement to organize a medical examination for employees.

Responsibility will come if the leader:

allow the employee to go to work without the necessary medical opinion;
the employee will be allowed to work without passing a pre-shift medical examination;
the employee will not have a certificate of a psychiatrist or medical contraindications to work will be found.

Fines against officials and individual entrepreneurs range from 15 thousand to 25 thousand rubles, to a legal entity - from 110 thousand to 130 thousand rubles.

In case of a repeated similar offense, the amount of fines will be:

for individual entrepreneurs from 30 thousand to 40 thousand rubles;
officials face disqualification from office for a period of one to three years;
for legal entities, a fine is provided - from 100 thousand to 200 thousand rubles.

For managers transport organizations for the absence of a mark on the pre-trip medical examination in the travel sheets or the mark was made not by a doctor, but by another person, the following penalties are provided:

the head will be fined from 2 to 3 thousand rubles;
for a legal entity - from 30 thousand to 50 thousand rubles.

A traffic police officer is entitled to issue a fine in the amount of five thousand rubles if, during the check, the driver did not have a mark on passing a medical examination before the start of the flight.

Employers should take into account that the amount of fines is set for one employee. Accordingly, if violations by several people are detected, the organization will incur serious monetary costs.

For example, if 10 people in the company did not pass the medical examination, then during the inspection the labor inspectorate has the right to impose a fine of 1 million 300 rubles, which can be ruinous for the organization's budget.

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

Types of work activity with health requirements

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

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

There are nuances

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

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

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

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

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

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

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

Which doctors to go through

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

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

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

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

When hiring, many organizations insist on passing a medical examination. This is due to some conditions labor law, which oblige the employer to register for the position of people who do not have health problems.

Some citizens do not know if a medical examination is required when applying for a job when they come for an interview. According to the legislation, there are a number of enterprises and organizations that cannot employ those who have not been examined at the clinic.

When is a medical examination required?

There are professions in which the passage of the commission is prerequisite upon employment. The legislation establishes that the main areas requiring a mandatory preliminary examination include:

food industry;
transport industry;
public catering and trade.

As well as work in the following institutions and industries:

children's institutions;
medical organizations;
waterworks;
in hazardous and hazardous industries.

For example, if a citizen gets a job in an organization that produces or sells food products, then he definitely needs to go through doctors for the absence of diseases. The employer is obliged to require the employee to pass the commission, otherwise the actions of the employer are considered unlawful and illegal. As a rule, it is not difficult to go through all the doctors, but medical institutions charge a certain fee for this.

At whose expense is it paid

The employer does not always warn a potential employee that a medical examination upon employment is carried out at his expense. Most often, preference is given to those who already have a ready-made medical book on hand, or to those who do not know the provisions of the law. Articles 212 and 213 Labor Code state that the employer is obliged to bear all the costs associated with the mandatory passage of the commission in a medical institution.

How to save on commissions

Some facts

To pass a medical examination, the following documents are required: 1) a passport of a citizen who is assigned a preliminary medical examination; 2) a referral from an enterprise where a citizen is employed. Usually those surveys that are necessary for a citizen for employment are marked in the direction 3) an outpatient card.

In medical institutions, annual medical examinations are held for citizens by year of birth. All doctors receive citizens for free, including if it is a medical board for employment. If a citizen of a suitable year of birth goes to the clinic to undergo a commission, then some doctors accept him for free. The employer significantly saves on the payment of funds spent on the employment of such citizens.

Organization tricks

Since the medical examination when hiring in most organizations is mandatory, employers go to some tricks. For example, they register a person for work not on the date when the referral to the commission was issued, but on the date when this commission was passed.

In this case, the organization does not reimburse the citizen. Some employers deliberately keep silent about the fact that the medical examination is carried out at their expense, further intimidating the future employee by not being hired without a commission.

What exactly does the law say?

Labor legislation quite clearly prescribes that the employer is obliged to pay the costs of a future employee who gets a position from the mandatory list of professions. This is used by unscrupulous organizations that employ citizens in industries or jobs that are not on the list.

For example, municipal institution, which works with the population, but does not apply to food, children's or hazardous production, obliges to undergo a commission at the expense of the job seeker. The institution operates within the framework of the law, and at the same time violates it. The employee may send inspection receipts to the employer with an application for reimbursement of funds, which must be reviewed, signed and submitted to financial department or accounting.

This video explains the importance of getting a medical check-up.

Which doctors need to go

When a medical commission is passed when applying for a job, the offices of the following doctors are mandatory:

Important information

List of diseases for which a medical examination certificate is not issued: 1) Eye diseases. If this is work at a computer or work related to driving vehicles, then it is unlikely that people who have vision problems will be allowed to do so; 2) Infectious skin diseases; 3) In some cases, it is alcoholism, drug addiction and mental illness.

pre-medical office (height, weight, vision);
examination room (gynecologist);
neuropathologist;
psychiatrist;
surgeon;
expert in narcology;
fluorography;
cardiologist;
laboratory (general analysis of blood and urine);
general practitioner or therapist.

Some doctors have to go through additional, depending on future profession and areas of employment.

For example, drivers public transport you must definitely go through an ophthalmologist who will write a conclusion about the health of the eyes and the state of vision. Employees of the food industry, trade and children's organizations - a dermatovenereologist for the absence of skin diseases. Employees of the food trade and industry must undergo a medical examination when hiring an otolaryngologist.

To know exactly which doctors you need to go through, you need to contact the cashier medical institution, where they will write a list of doctors and offices after payment.

When employed at a food industry enterprise and an enterprise where communication with children takes place, the employee must draw up a personal medical book. For registration, you must provide a photo 3X4.

During the initial application, it will also be necessary to provide SNILS, an insurance policy for compulsory medical insurance and a receipt for payment for a medical examination at this clinic. However, if the medical examination takes place in a paid clinic, then SNILS and compulsory medical insurance do not need to be provided.

Who needs to undergo a psychiatric examination

According to Article 213 of the Labor Code, a mandatory medical examination when applying for a job with a psychiatrist must pass those who get a job in an organization or enterprise with an increased risk to health. For example, those who work in direct contact with chemicals or biological compounds. The passage of a psychiatrist allows you to identify how much a person is morally and psychologically ready for health risks.

What is a preview

Sometimes the employer, instead of sending a candidate for a position for a medical examination to a clinic, sends him to undergo a preliminary examination. According to the law, this is the same commission for employment. There are two types of inspections - primary (preliminary) and periodic (at a certain period of time).

The initial preliminary examination allows you to determine how physically a person is ready for future work. For example, if we are talking about drivers of vehicles, then the examination makes it possible to find out if a person has a tendency to heart, kidney or other acute insufficiencies.

The law states that a medical examination can be carried out as public institutions and private clinics. The main condition for this is that they have the appropriate certificate and license to conduct medical and preventive activities. An exception in this case will be a psychiatrist, whom the applicant needs to visit at a local hospital (psycho-neurological dispensary) according to the place of residence.

More detailed information regarding the medical examination when applying for a job, you can find out by asking a question in the comments

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

Which specialists should be visited by a medical worker before starting work (since without undergoing medical examinations on the basis of the same Federal Law-52, he cannot be allowed to perform official duties) is stated in the Order of the Ministry of Health and social development RF dated April 12, 2011 "On approval of the lists of harmful and (or) hazardous production factors and work, during the performance of which mandatory preliminary and periodic medical examinations are carried out ..."

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

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

Medical examinations of medical workers

Medical workers undergo:

When applying for a job:

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

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

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

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

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

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

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

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

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

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

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

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

It states:

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

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

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

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

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

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

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

Health passport

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

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

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

Penalties for non-compliance with the rules of medical examinations

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

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

We will be told about fines for medical examinations in 2015 by the Administrative Code, article 5.27.1 "Violation of state regulatory requirements for labor protection contained in federal laws and other normative legal acts of the Russian Federation":

Allowing an employee to perform job duties without ... mandatory preliminary (when entering a job) and periodic (during employment) medical examinations ... entails the imposition of an administrative fine on officials in the amount of fifteen thousand to twenty-five thousand rubles; on persons carrying out entrepreneurial activity without formation of a legal entity - from fifteen thousand to twenty-five thousand rubles; for legal entities - from one hundred and ten thousand to one hundred and thirty thousand roubles.

What specialists should a medical worker visit before starting work (since without undergoing medical examinations on the basis of the same Federal Law-52, he cannot be allowed to perform official duties) is stated in the Order of the Ministry of Health and Social Development of the Russian Federation dated April 12, 2011 No. "On approval of lists of harmful and (or) dangerous production factors and work, during the performance of which mandatory preliminary and periodic medical examinations are carried out ..."

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

Medical examinations of medical workers

Medical workers undergo:

When applying for a job:

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

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

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

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

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

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

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

It states:

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

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

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

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

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

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

Health passport

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

Penalties for non-compliance with the rules of medical examinations

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

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

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

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

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