From April 1, 2021, a new Procedure for conducting medical examinations will come into force, as well as a new List of factors and works under which mandatory medical examinations are carried out. The new Procedure and the List will replace the current ones, which are approved by the order of the Ministry of Health and Social Development of April 12, 2011 No. 302n.
The new procedure for conducting medical examinations, instead of order No. 302n
From April 1, a new Procedure for conducting medical examinations, as well as a new List of factors and works under which mandatory medical examinations are carried out, will come into force. The new Procedure and the List will replace the current ones, which are approved by the order of the Ministry of Health and Social Development of April 12, 2011 No. 302n.
The document sets out the grounds for conducting preliminary and periodic medical examinations. The former are carried out in order to determine the conformity of the health status of the person being hired, the latter – in order to monitor and timely detect occupational diseases. Responsibilities for organizing medical examinations are assigned to employers.
Regulations
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(hereinafter referred to as the Order)
Major changes
According to the new Procedure, the possibility of registration and exchange was fixed electronic documents (clause 9 of the Order). For example, you can issue a referral for a medical examination electronically. But for this, both the employer and the employee must have an electronic signature.
Added details that need to be registered in the direction for a medical examination – gender of the employee, phone number and email address of the medical organization, number of the medical insurance policy of compulsory and (or) voluntary medical insurance (clause 9 of the Order).
Also, the policy of compulsory (voluntary) insurance must be provided by the employee during a medical examination, in addition to the documents in accordance with the current rules (clause 11 of the Procedure).
Worker experience according to the new Procedure, it must be indicated in the list of names of employees (clause 23 of the Procedure).
Changed the name of the list of contingents. Now for a preliminary medical examination, you need to issue list of persons applying for work subject to preliminary examinations (clause 9 of the Order), and for periodic – list of employees subject to periodic inspections (clause 21 of the Order).
Now not all employers need to send a list of employees for a medical examination to Rospotrebnadzor, but only organizations of the food industry, public catering and trade, water supply facilities, medical organizations and children's institutions, as well as some other employers in which employees undergo medical examinations in order to protection of public health, prevention of the occurrence and spread of diseases (clause 22 of the Order).
Employers were allowed to organize the first stage of clinical examination or preventive medical examination as part of medical examinations, so that these results are taken into account by the medical commission when preparing a medical report. These additional procedures will at the expense of OMS funds, and not the employer (clause 12.4 of the Procedure).
Added the basis for an extraordinary medical examination. In order 302n there was one reason – medical recommendations based on the results of medical examinations. In the new Procedure, an employee can be sent for an extraordinary medical examination, if any medical recommendations after the employee's incapacity for work (clause 19 of the Order).
There are also changes in the List of factors and works in which mandatory medical examinations are carried out. For example, they removed the mention that a medical examination should be carried out only when the maximum permissible level of the electromagnetic field of the broadband frequency spectrum (5 Hz – 2 kHz, 2 kHz – 400 kHz) is exceeded. According to the meaning of this change, all office workers who, when working on a computer, are affected by the corresponding EMF frequency spectrum, should be sent for a medical examination.
With regard to periodic medical examinations, it is indicated that workers under the age of 21, employed in hazardous industries, must undergo periodic inspections annually (clause 18 of the Order).
It is important to note that a periodic medical examination can be carried out by mobile teams of medical specialists, but the employee will have to undergo diagnostic examinations in a medical organization (clause 4 of the Order).
It is still possible to save on payment for the provision of services for medical examinations due to the fact that when conducting a preliminary or periodic examination of an employee (a person entering a job), the results of previously conducted (no later than one year) preliminary or periodic examination, clinical examination, other medical examinations confirmed by medical documents, including those obtained by electronic exchange between medical organizations, with the exception of cases when symptoms and syndromes of diseases are detected in him, indicating the presence of medical indications for repeated examinations or other medical measures as part of a preliminary or periodic examination (p .7 order).
How to organize a medical examination of employees in a new order
The algorithm of actions will look like this
- Formation of lists for medical examination
- Coordination of the schedule with the medical organization
- Issuing referrals
- Getting medical results
- Making a decision on admission to work based on the results
It is necessary to check the existing package of enterprise documents for compliance with the new requirements. The new procedure retains the types of medical examinations, as well as their goals and the principle of determining the timing of the conduct, with some changes.
Step 1. Make lists. There are three in total:
List #1 – a list of persons entering the workforce subject to preliminary examinations, on the basis of which referrals for a preliminary medical examination are issued.
The list must include:
- profession (position) of the employee according to the staff list;
- harmful production factors of work in accordance with the appendix to the Procedure, as well as harmful production factors established as a result of a special assessment of working conditions.
List #2 – a list of persons subject to periodic inspections (the template does not differ from that presented in the example above), which indicates:
- profession (position) of the employee according to the staff list;
- harmful production factors of work in accordance with the appendix to the Procedure, as well as harmful production factors established as a result of a special assessment of working conditions.
Previously, this form was called "Contingent List". The principle of compiling it also has not changed, but the clarifications specified in paragraph 18 of Appendix 3 to Order 302n have been removed. There are two sources of information about the presence of WOPF or types of work:
- their actual presence in the workplace;
- SOUT map (line 40).
In order 302n, all organizations sent lists of the contingent to Rospotrebnadzor, according to the new procedure, this obligation is assigned to organizations:
- Food Industry;
- Catering;
- trade;
- waterworks;
- medical organizations;
- children's institutions, as well as some other employers who undergo medical examinations in order to protect public health, prevent the occurrence and spread of diseases.
The list developed and approved by the employer, no later than 10 working days, is sent to the territorial body of Rospotrebnadzor, at the actual location of the employer.
List #3 – a list of employees subject to periodic inspections, which indicates:
- surname, name, patronymic (if any) of the employee;
- profession (position) of the employee, work experience in it;
- name of the structural unit of the employer (if any);
- the name of harmful production factors or types of work.
Name lists are compiled and approved by the employer (his authorized representative) and no later than 2 months before the start date of the periodic examination agreed with the medical organization, they are sent by the employer to the specified medical organization, unless a different period is established by an agreement between the employee and the employer (clause 24 Order).
Step 2 Set up a direction. The employer or his representative issues a referral to a person entering a job or an employee sent for a periodic medical examination, but in a new, somewhat expanded form, but it is also not established by law. Download sample.
Step 3 Obtain a conclusion/final act and pass it on to management for making personnel decisions. At this stage, the possibility of exchanging documents in electronic form is also provided. The procedure for actions in case of revealing signs of occupational diseases or the presence of contraindications also remained unchanged, as well as the terms for storing documents.
About Us
Medical Center "Health" offers services for medical examinations:
- conducted at regular intervals (periodic medical examination);
- conducted when applying for a job (preliminary medical examination).
Our advantages
Passing a psychiatric examination and a transport commission on the day of the medical examination
Short terms for providing the results of the medical examination