An order for medical examinations is a document that defines the procedure for medical examinations. They help identify problems in the health status of employees and timely prevent occupational diseases. They disassembled what periodic medical examinations are, order 302n and drew up a sample order for a periodic medical examination.

Periodic medical examination in 2019 (Order 302n of the Ministry of Health dated 04/12/2011, Articles 212, 213 of the Labor Code of the Russian Federation) is carried out, as before, to monitor the health status of workers and reduce the number of injuries at the enterprise. Periodic medical examination (order 302n establishes the rules of the process) is carried out when exposed to certain harmful factors for specific types of work.

Download Order of the Ministry of Health 302н dated 04/12/2011

When and why are periodic checkups carried out?

The order of the Ministry of Health on conducting periodic medical examinations establishes specific terms for the procedure, which depend on what harmful factor affects the employee and what is the degree of its danger.

The timing of a medical examination in a medical institution is determined at least once every two years, for some influencing factors and types of activity - at least once a year. Employees under the age of 21 must be screened every year. The Center for Occupational Pathology carries out procedures at least once every 5 years.

The order to conduct a periodic medical examination of employees provides for a check for the following risks:

1. Chemical (those, the content of which in the air of the employee's workplace and on his skin can be measured, including elements of a biological nature, derived using chemical synthesis - antibiotics, vitamins).
2. Biological (pathogens, spores, microorganisms with pathogenic properties).
3. Physical (ionizing and non-ionizing radiation, vibration, noise, high or low ambient temperature).
4. The severity of the work process (static and dynamic load, posture during work, weight of loads).
5. The tension of the work process (the degree of stress on the senses, voice, the degree of density of sound and light signals).

Periodic medical examinations 2019 (order 302n) are required for:

Measures to ensure the safety of the health of employees are carried out on a planned basis, respectively, are approved by a local act of the employer.

There is no regulatory document template defined at the legislative level; it can be formed arbitrarily.

In the order on the conduct of periodic medical examinations, you need:

• approve the date or schedule for the implementation of the procedures;
• identify the person responsible for the process;
• give information about the medical institution;
• clarify responsibility for failure;
• oblige the heads of departments to ensure attendance in accordance with the lists;
• familiarize the participants in the process by signing;
• inform about the officer in charge of execution;
• attach a list of employees who need to be tested.

The document is signed by the head of the institution.

Sample order for periodic medical examinations

Who should undergo and which doctors

To conduct periodic medical examinations, the employer determines a list of employees (depending on the influencing harmful factor and the type of work they are engaged in).

The following workers should be included in the list for medical examination:

• those who are affected by harmful production factors from the list approved by the regulatory document of the Ministry of Health;
• those whose labor activity is associated with the list of types of work and professions provided for by the same document;
• transport-related (Article 213 of the Labor Code of the Russian Federation);
• workers in the food industry, catering and trade, medical and children's institutions, at water supply facilities (Article 213 of the Labor Code of the Russian Federation);
• athletes (Article 348.3 of the Labor Code of the Russian Federation);
• under 18 years of age (Article 266 of the Labor Code of the Russian Federation).

The list of medical specialists and research that an employee needs to undergo during a periodic medical examination is established depending on the type of work included in the list of the Ministry of Health and on influencing factors.

The medical institution forms a medical commission chaired by an occupational pathologist who has a valid certificate and approves the composition of the commission.

A list of doctors who must examine an employee during a periodic medical examination is given in the table.

Impact type	Doctors
Chemical	otorhinolaryngolo; dermatovenerologist; neurologist; surgeon; ophthalmologist; orthopedist (according to indications); dentist; urologist; oncologist; allergist.
Biological	dermatovenerologist; otorhinolaryngologist; allergist; neurologist; ophthalmologist; dentist.
Physical	neurologist; surgeon; ophthalmologist; otolaryngologist; dermatovenerologist; allergist; dentist; urologist; endocrinologist.
Labor	neurologist; surgeon; ophthalmologist; otorhinolaryngologist; allergist.

The procedure is carried out by medical institutions of any form of ownership that have the appropriate right.

Who and how sends for periodic medical examination

The procedure for referral for a medical examination is strictly defined. It consists of the following actions by the employer:

• draws up a list of employees, including the name of the type of work and the influencing factor;
• approves the list of the contingent subject to certification (a sample order for passing a periodic medical examination - below), and sends it to the territorial agency of Rospotrebnadzor in the region of location;
• sends the list of contingent and surname list of employees to the medical institution that will conduct the procedure 2 months before its start;
• familiarizes employees with the schedule at least 10 days before their start;
• provides a referral indicating the name of the employer, the form of ownership and the type of activity according to OKVED, the name of the medical institution, the type of examination, full name, position, type of work of the employee and influencing factors;
• as a result, draw up a joint final act and receive one copy of it.

Guarantees for employees during medical examination

The Labor Code of the Russian Federation in Article 185 provided for certain guarantees to employees participating in the medical examination procedure. During the survey period, the employee must retain the place of work and the average wage.

If markers of an occupational disease are found, the employee is sent to an occupational pathology center and the average salary is retained for the employee during the examination at this center.

Consequences of Failure to Pass a Medical Examination

The Labor Code of the Russian Federation made it the responsibility of the employer to conduct inspections, and for a number of categories of employees - to pass them. Violation of these provisions will result in sanctions for both parties.

Punishment for an employee

Labor Code of the Russian Federation in Art. 214 directly indicates the duty of the employee. If he is provided with a notification about the passage of the procedure, and he has expressed a refusal, the employer suspends the employee from performing the functions until the moment of the examination. No salary is paid for this period. There is also disciplinary liability in the form of a remark, reprimand or dismissal.

Punishment for the employer

If the control authorities identify employees at the enterprise who have not passed the medical examination, the employer faces a fine due to Part 3 of Art. 5.27.1 Administrative Code of the Russian Federation:

Order of the Ministry of Internal Affairs of the Russian Federation of 24.04.2019, No. 275 "On the provisions on the organization of medical services and sanatorium-resort treatment in medical institutions of the system of the Ministry of Internal Affairs of Russia"

Decree of the Government of the Russian Federation of December 31, 2004 N 911 "On the procedure for the provision of medical care, sanatorium-resort provision and the implementation of certain payments to certain categories of military personnel, law enforcement officers and their members.

Articles 54, 64 "Regulations on service in the internal affairs bodies of the Russian Federation"

Decree of the Government of the Russian Federation No. 1563 "On the procedure for providing employees of the internal affairs bodies of the Russian Federation, certain categories of citizens of the Russian Federation who have been dismissed from service in the internal affairs bodies, and their family members, with medical assistance and sanatorium treatment

Federal Law of the Russian Federation of November 21, 2011 N 323-FZ "On the Fundamentals of Health Protection of Citizens in the Russian Federation"

FEDERAL LAW "ON SOCIAL GUARANTEES TO EMPLOYEES OF THE INTERNAL AFFAIRS OF THE RUSSIAN FEDERATION AND AMENDMENTS TO SEPARATE LEGISLATIVE ACTS OF THE RUSSIAN FEDERATION"

Territorial program of state guarantees of the Kemerovo region for 2019

Order of the Ministry of Internal Affairs of the Russian Federation of 05/21/2018. No. 315 "On the organization of federal state sanitary and epidemiological surveillance in the system of the Ministry of Internal Affairs of the Russian Federation."

Order of the Ministry of Health and Social Development of the Russian Federation of April 12, 2011 N 302n

MINISTRY OF HEALTH AND SOCIAL DEVELOPMENT OF THE RUSSIAN FEDERATION

On approving the list of harmful and (or) hazardous working environments and work, in the performance of which is held mandatory preliminary and periodic medical examinations (surveys), and modalities of the obligatory preliminary and periodic medical examinations (surveys) employees engaged in heavy work and working with HARMFUL AND (OR) HAZARDOUS WORKING CONDITIONS

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

1. Approve:
   • a list of harmful and (or) hazardous production factors, in the presence of which mandatory preliminary and periodic medical examinations (examinations) are carried out, in accordance with Appendix No. 1;
   • a list of works in the performance of which mandatory preliminary and periodic medical examinations (examinations) of employees are carried out, in accordance with Appendix No. 2;
   • The procedure for conducting mandatory preliminary (upon admission to work) and periodic medical examinations (examinations) of workers engaged in heavy work and in work with harmful and (or) hazardous working conditions, in accordance with Appendix No. 3.
2. Introduce lists of harmful and (or) hazardous production factors and work, during which preliminary and periodic medical examinations (examinations) are carried out, and the Procedure for conducting preliminary and periodic medical examinations (examinations) of workers engaged in heavy work and in work with harmful and (or) hazardous working conditions, from January 1, 2012.
3. To invalidate from January 1, 2012:
   • Order of the Ministry of Health and Medical Industry of the Russian Federation of March 14, 1996 N 90 "On the procedure for conducting preliminary and periodic medical examinations of workers and medical regulations for admission to the profession" (according to the conclusion of the Ministry of Justice of Russia, the document does not need state registration, letter dated December 30, 1996 G. N 07-02-1376-96);
   • Order of the Ministry of Health and Social Development of the Russian Federation of August 16, 2004 N 83 "On approval of the lists of harmful and (or) hazardous production factors and work, during which preliminary and periodic medical examinations (examinations) are carried out, and the procedure for carrying out these examinations ( surveys) "(registered by the Ministry of Justice of the Russian Federation on September 10, 2004 N 6015);
   • Order of the Ministry of Health and Social Development of the Russian Federation of May 16, 2005 N 338 "On Amendments to Appendix N 2 to the Order of the Ministry of Health and Social Development of Russia of August 16, 2004 N 83" On Approval of Lists of Harmful and (or) Dangerous Production Factors and Works , during which preliminary and periodic medical examinations (examinations) are carried out, and the procedure for carrying out these examinations (examinations) "(registered by the Ministry of Justice of the Russian Federation on June 3, 2005 N 6677).
4. To establish that since January 1, 2012 on the territory of the Russian Federation, subparagraphs 11, 12 (with the exception of subparagraphs 12.2, 12.11, 12.12), 13 of Appendix No. 2 to the Order of the Ministry of Health of the USSR of September 29, 1989 No. 555 "On improving the system medical examinations of workers and drivers of individual vehicles ".

The minister
T.A. GOLIKOVA

Applications:

• The list of works in the performance of which mandatory preliminary and periodic medical examinations (examinations) of employees are carried out
• The list of harmful and (or) hazardous production factors, in the presence of which mandatory preliminary and periodic medical examinations (examinations) are carried out
• The procedure for conducting mandatory preliminary (upon admission to work) and periodic medical examinations (examinations) of workers engaged in heavy work and in work with harmful and (or) dangerous working conditions

The document was developed and approved by the Ministry of Health on April 10, 2011, registered with the Ministry of Justice on October 21, 2011 under No. 22111. Since the date of the original publication, the text has never been changed or supplemented, but there have been changes in the appendices in Order 302 n of April 12, 2011 on medical examinations - in 2013 and 2015 years.

Compared to the original version, the document now includes:

• a new list of hazardous and harmful production factors, for example:
  • added to chemical factors welding aerosols with manganese- and silicon-containing compounds;
  • in biologicals, the number of allergens, infected material has been significantly expanded, and hepatitis B, C and AIDS viruses, etc., have been added;
  • a new section on ionizing radiation and increased gravitational overloads, etc., has been added to the physical;
• an increased number of specialist doctors who carry out medical examinations (dentists, allergists, endocrinologists have been added to the sections where they were not originally there);
• an increased number of additional contraindications for work in certain conditions (for example, in electromagnetic fields) and for certain types of work (for example, for work in remote geographic areas and for work with machine tools);
• a new section of substances and compounds, united by a chemical structure, causing various kinds of diseases (section 1.2 of chemical factors);
• updated list of pesticides (section 1.3.2).

The media have repeatedly reported that the Order of the Ministry of Health 302n with amendments and additions is planned to be changed and even canceled again. As part of the regulatory guillotine, officials included this document in the list of regulations that are recommended to be declared invalid. But it remains to be seen whether the corresponding decision will be approved and in what time frame. Follow the news.

List of contingent by Order 302n

The contingent of workers whom the Order of the Ministry of Health 302n on occupational examinations as amended for 2019 sends to control is formed from the list of positions and professions for which employees are subject to a medical examination.

Everyone who is busy is sent for inspection:

• in harmful and hazardous working conditions (chemical production, ionizing radiation, etc., a complete list of factors is indicated in Appendix No. 1);
• on a certain type of work (at height, under water, underground, etc., a complete list is given in Appendix No. 2).

For the employer, the list of specialists for a periodic medical examination according to Order 302n is a mandatory document that contains:

• the names of positions and professions for which compulsory and periodic medical examinations are carried out in accordance with the current legislation (Appendix No. 2);
• harmful and dangerous working conditions (Appendix No. 1). Necessary clarification: all working conditions are determined based on the results of a special assessment of working conditions.

Due to the fact that the form of the document is not legally approved, it is made in the form of a list, the law permits this.

Harmful production factors by profession

Each profession has harmful working conditions, but 302 Order of the Ministry of Health does not provide for a referral for a medical examination by profession as such. But it provides for the presence or absence of harmful and hazardous production factors, such as an increased level of electromagnetic radiation and decreased physical activity of the computer operator.

By order 302n, harmful production factors by profession are:

• chemical;
• biological;
• physical;
• conditions of the labor process associated with the performance of work in certain conditions and with certain substances that can harm health or lead to the death of a person.

The presence or absence of specific harmful working conditions is determined based on the results of a special assessment of working conditions carried out in accordance with Federal Law No. 426-FZ dated 28.12.2013. Exhaustive lists of harmful factors are set out in Appendix No. 1 to Order 302n on the passage of medical examinations.

Named list of employees under Order 302n

The list of employees according to Order 302 is compiled each time employees are sent for periodic medical examinations.

This document is drawn up on the basis of the "Contingent ..." (302n dated 04/12/11 of the Ministry of Health and Social Development, referral for a medical examination) and includes:

1. FULL NAME. employee, his profession or position.
2. The name of the harmful or hazardous production factor.
3. The name of the structural unit.

How to get a referral for a medical examination on form 302n

According to the norms, a referral for a medical examination by profession according to Order of the Ministry of Health 302 in 2019 is issued during a job interview, and the candidate signs for receiving a referral in a special journal. The referral is issued by the employee who documents the acceptance and dismissal of employees.

Here is what information is contained in a sample referral for a periodic medical examination under Order 302n in 2019:

1. The name of the organization that issued the referral.
2. Form of ownership and eight-digit code of economic activity according to OKVED.
3. The name of the medical organization, the actual address of its location and the OGRN code.
4. Type of medical examination (preliminary medical examination upon hiring - Order 302n - or periodic).
5. FULL NAME. incoming or working employee.
6. Date of birth of the person applying for work (employee).
7. The name of the structural unit (if any) in which the candidate (or current employee) is employed.
8. The name of the position (profession) or type of activity.
9. Harmful and hazardous production factors and type of work in accordance with the approved "Contingent of workers".

The direction is signed by the employee who issued it, indicating the position, surname, initials.

Final act of physical examination

In accordance with Order 302n, a medical organization, upon completion of a periodic medical examination by employees, together with representatives of the employer and Rospotrebnadzor, draws up a final act, which indicates:

• Date of preparation;
• employer name;
• the name of the medical organization;
• the percentage of employees covered by periodic medical examinations;
• a list of newly diagnosed chronic somatic diseases with an indication of the class of diseases;
• the results of the implementation of the recommendations of the previous final act;
• recommendations for the implementation of a complex of recreational activities;
• lists of workers who have not completed, have not undergone a periodic medical examination, and those for whom a persistent degree of disability and other indicators have been established (the full list is in paragraph 43 of the procedure for conducting preliminary medical examinations under Order 302n).

The final act on Order 302 is approved by the chairman of the commission, who certifies it with the seal of the medical organization. But Order 302n with the change in 2019 on medical examinations in 2020 requires that the act be drawn up in four copies:

1. To the employer.
2. To the center of occupational pathology of the subject of the Russian Federation.
3. To the territorial subdivision of Rospotrebnadzor.
4. For a medical organization where it has been kept for 50 years.

"On approval of the lists of harmful and (or) hazardous production factors and work, in the performance of which preliminary and periodic medical examinations (examinations) are carried out, and the Procedure for conducting preliminary and periodic medical examinations (examinations) of workers engaged in heavy work and work with harmful and / or hazardous working conditions. "

In accordance with article 213 of the Labor Code of the Russian Federation (Collected Legislation of the Russian Federation, 2002, No. 1 (part 1), article 3; 2004, No. 35, article 3607; 2006, No. 27, article 2878; 2008, No. 30 (part 2), art. 3616) and clause 5.2.100.55 of the Regulation on the Ministry of Health and Social Development of the Russian Federation, approved by the Government of the Russian Federation dated June 30, 2004 No. 321 (Collected Legislation of the Russian Federation, 2004, No. 28, Art. 2898; 2009, No. 3; Art. 378), as follows:

1. To approve:

1. a list of harmful and (or) hazardous production factors, in the presence of which mandatory preliminary and periodic medical examinations (examinations) are carried out, in accordance with Appendix No. 1;

2. a list of works in the performance of which mandatory preliminary and periodic medical examinations (examinations) of employees are carried out, in accordance with Appendix No. 2;

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

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

0. order of the Ministry of Health and Medical Industry of the Russian Federation of March 14, 1996 No. 90 "On the procedure for conducting preliminary and periodic medical examinations of workers and medical regulations for admission to the profession" (according to the conclusion of the Ministry of Justice of Russia, the document does not need state registration, letter dated 30 December 1996 No. 07-02-1376-96);

1.order of the Ministry of Health and Social Development of the Russian Federation of August 16, 2004 No. 83 "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 carrying out these inspections (examinations) "(registered by the Ministry of Justice of the Russian Federation on September 10, 2004, No. 6015);

2. order of the Ministry of Health and Social Development of the Russian Federation dated May 16, 2005 No. 338 "On Amendments to Appendix No. 2 to the Order of the Ministry of Health and Social Development of Russia dated August 16, 2004 No. 83" On Approval of 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 carrying out these examinations (examinations) "(registered by the Ministry of Justice of the Russian Federation on June 3, 2005, No. 6677).

4. To establish that since January 1, 2012 on the territory of the Russian Federation, subparagraphs 11, 12 (with the exception of subparagraphs 12.2, 12.11, 12.12), 13 of Appendix No. 2 to the order of the USSR Ministry of Health of September 29, 1989 No. 555 "On improving the system of medical examinations of workers and drivers of individual vehicles ”.

The minister
T.A. Golikova

Review of the order of the Ministry of Health and Social Development of the Russian Federation of 12.04.2011 No. 302 n

New requirements for the organization and conduct of mandatory medical examinations of employees

• In accordance with this order, from January 1, 2012, lists of harmful and / or hazardous production factors and types of work are approved, in the presence and implementation of which mandatory preliminary (upon admission to work) and periodic medical examinations are carried out. At the same time, a new procedure for their conduct is being introduced.

• At the same time, the orders of the Ministry of Healthcare of Russia dated 03.14.1996 No. 90 and the Ministry of Health and Social Development of Russia dated 16.08.2004 No. 83, as well as p. 11-12 (with the exception of p / p. 12.2, 12.11, 12.12) and clause 13 of Appendix No. 2 to the order of the USSR Ministry of Health dated 09.29.1989 No. 555, which regulate the requirements for the organization and conduct of medical care to the present, have lost strength.

• The new order consolidated the employer's obligation to organize medical examinations of employees, and also determined the responsibility of the medical organization for the quality of their conduct.

• The goals of medical examinations, a list of factors and a list of works, requirements for honey. organizations entitled to medical examinations have not changed.

• Medical examinations are carried out on the basis of lists of professions approved by the employer and lists of employees compiled on their basis.

• Employees exposed to harmful production factors specified in the list of factors, as well as harmful production factors, the presence of which was established based on the results of certification of workplaces for working conditions, carried out in accordance with the established procedure, are subject to inclusion in the lists of the contingent and the list of names.

Named lists, directions, calendar plans

• The contingents, as well as the lists of names drawn up on their basis, are drawn up and approved by the employer or his authorized representative. Not later than 2 months before the date of the beginning of the periodic examination agreed with the medical organization, they must be sent to the indicated medical organization. Now the employer is only responsible for sending the list of contingents of professions to the territorial body of Rospotrebnadzor at its actual location within 10 days after its approval.

• When carrying out medical examinations, the employer or his authorized representative is obliged to hand over, against signature to each employee, a referral for a preliminary or periodic medical examination. The employer is responsible for keeping track of the referrals issued to employees.

• 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 date agreed with the employer for the start of the periodic medical examination, on the basis of the specified list of names, draws up a calendar plan for such an examination. The schedule must be agreed with the employer or his representative. The plan is approved by the head of the medical organization. The employer is obliged to familiarize employees with the schedule no later than 10 days before the date of the start of the periodic examination agreed with the medical organization.

Medical Commission

• When concluding an agreement with an employer on conducting a preliminary or periodic examination, a medical organization must form a permanent medical commission, which includes an occupational pathologist, as well as doctors who have undergone advanced training in the specialty "occupational pathology" in accordance with the established procedure. The occupational pathologist should head the medical commission. The composition of the medical commission must be approved by the order of the medical organization.
• The medical commission, on the basis of a list of names, a list of factors and (or) a list of works, determines the need for participation in preliminary and periodic examinations of the relevant specialists, as well as the types and volumes of necessary laboratory and functional studies. When conducting preliminary and periodic medical examinations, the following studies are mandatory for all subjects:

Complete blood count (hemoglobin, color index, erythrocytes, leukocytes, leukocyte formula, ESR);

General urine analysis (specific gravity, protein, sugar, sediment microscopy);

Electrocardiography;

X-ray of the lungs in two projections or fluorography;

Biochemical screening (blood sugar, cholesterol).

• All women are examined by an obstetrician-gynecologist. At least once a year, they conduct bacteriological (for flora) and cytological (for atypical cells) studies. Women over 40 should undergo mammography or ultrasound of the mammary glands once every 2 years.
• The conclusion of a psychiatrist and a narcologist is mandatory for all categories of subjects

Outpatient cards and health passports

• For an employee undergoing preliminary or periodic medical examinations, a medical card of an outpatient patient (form 025 / u-04), a health passport, as well as a conclusion based on the results of a medical examination are drawn up in a medical organization.
• For each employee, 1 health passport is issued, which is kept in the medical organization for the period of medical examinations, and upon their completion, together with a copy of the medical certificates, are issued to the employees.
• Medical cards are stored in the prescribed manner in a medical organization that carries out preliminary and periodic medical examinations. Information from the medical card containing the results of examinations by specialists, the results of the lab. and instrumental studies are entered in the health passport.

Commission decisions and final acts

• Within 3 calendar days after the end of the preliminary medical examination and within 15 days from the date of the end of the periodic medical examination, the medical commission makes a decision and draws up a medical opinion based on its results.
• Information about employees who have undergone a preliminary medical examination, who have identified contraindications to the profession, are sent to the employer who issued the referral.
• Based on the results of medical examinations, the medical organization, no later than 30 days after the completion of periodic medical examinations, summarizes the results and, together with the territorial bodies of the federal executive body authorized to exercise state control and supervision in the field of ensuring the sanitary and epidemiological well-being of the population, the employer's representatives draw up a final act. One copy of it must be kept in the medical organization that conducted periodic medical examinations for 50 years.
• In the event of liquidation or change of the medical organization carrying out medical examinations, the medical cards of the employees are transferred to the center of occupational pathology of the constituent entity of the Russian Federation. They should also be stored there for 50 years, and on the basis of a written request from another medical organization with which the employer entered into an agreement for medical examinations, within 10 days from the date of receipt of the request, transfer the workers' medical cards (a copy must be attached to the request of the agreement).

Special cases

• Employees engaged in work with harmful or hazardous substances and production factors, employees with a preliminary diagnosis of an occupational disease, other categories of employees, if the medical commission makes an appropriate decision, at least 1 time in 5 years must undergo periodic examinations in occupational pathology centers and other medical organizations that have the right to conduct preliminary and periodic medical examinations, an examination of professional suitability and an examination of the connection between the disease and the profession.
• At least once a year, workers suffering from acute and chronic diseases must undergo medical examinations in occupational pathology centers or other medical organizations. occupational diseases.
• State supervision (control) over compliance with the requirements for the organization and conduct of preliminary (when applying for a job) and periodic medical examinations of employees is carried out by the federal executive body, which is entrusted with the implementation of the functions of control and supervision in the field of ensuring the sanitary and epidemiological well-being of the population, within the existing powers.

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

Now work is underway to create a new order "" On approval of the Procedure for conducting mandatory preliminary (when applying for a job) ... ", read version of the new order for medical examinations from 08/29/17...

Order of the Ministry of Health and Social Development of the Russian Federation (Ministry of Health and Social Development of the Russian Federation) of April 12, 2011 N 302n, Moscow "On approval of lists of harmful and (or) hazardous production factors and work, during which mandatory preliminary and periodic medical examinations are carried out (examinations ), 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 "

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

Date of signing: 12.04.2011

Publication date: 28.10.2011 00:00

Registration N 22111

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

1. To approve:

a list of harmful and (or) hazardous production factors, in the presence of which mandatory preliminary and periodic medical examinations (examinations) are carried out, in accordance with Appendix No. 1;

a list of works in the performance of which mandatory preliminary and periodic medical examinations (examinations) of employees are carried out, in accordance with Appendix No. 2;

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

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

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

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

Order of the Ministry of Health and Social Development of the Russian Federation of May 16, 2005 N 338 "On Amendments to Appendix N 2 to the Order of the Ministry of Health and Social Development of Russia from

August 16, 2004 N 83 "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 these examinations (examinations)" (registered by the Ministry of Justice of the Russian Federation June 3, 2005 N 6677).

4. To establish that since January 1, 2012 on the territory of the Russian Federation, subparagraphs 11, 12 (with the exception of subparagraphs 12.2, 12.11, 12.12), 13 of Appendix No. 2 to the order of the Ministry of Health of the USSR of September 29, 1989 No. 555 "About improving the system of medical examinations of workers and drivers of individual vehicles ".

The minister

T. Golikova

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

Files of order No. 302 n set out in the wording of orders of the Ministry of Health of the Russian Federation N 296n from May 15, 2013 and N 801n from 05.12.2014, the most current for June 2017