Referral for medical examination - accuracy and thoroughness for health and safety

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Published: June 29, 2016

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A pre-employment medical examination is an absolutely necessary event in many situations.

The success of professional activity directly depends on the state of health; medical examinations provide guarantees to exclude accidents associated with illness, industrial accidents, and the spread of infectious diseases.

In this case, a special referral from the employing organization to obtain the necessary medical documents is required in most cases.

• When do you need a special document to undergo a medical examination?
• What is this document?
• Registration procedure
• Why do you need a direction and in what cases can it be useful?

In what situations are medical examinations organized?

According to Art. 212 of the Labor Code of the Russian Federation, the employing company is obliged in the cases specified in federal legislation:

• organize periodic medical examinations of specialists, including on the initiative of the workforce;
• refer persons applying for a job to a preliminary medical examination.

Applicants for a vacancy must undergo a medical examination in the following situations:

• the applicant is a person under 18 years of age
• working conditions in the company are recognized as harmful and/or dangerous based on the results of a special assessment;
• the vacancy requires rotational employment;
• the work of the hired specialist will be related to child care, consumer services for citizens, interaction with food products and other areas specified in federal laws.

Also see “Medical examination by profession and harmful occupational factors.”

Medical examination of persons employed by the organization is financed by the employer. The basis for passing it is a referral form issued by the HR department. If medical examinations demonstrate unsuitability for a certain type of activity, the applicant will be denied employment under Art. 84 Labor Code of the Russian Federation.

Also see “Reasons for Refusal to Hire”.

Algorithm for organizing a medical examination at an enterprise

When organizing activities to check the health status of employees, it is necessary to rely on the procedure described in regulations and developed in practice. It includes the following steps:

• compile a list of contingents of employees required to undergo testing;
• send it to the territorial office of Rospotrebnadzor;
• enter into an agreement with a medical institution;
• draw up a list of names, a schedule and determine the timing of the event;
• issue an order to conduct a medical examination and familiarize staff with it;
• prepare and issue a referral for periodic medical examination (form 302n);
• collect conclusions with the results of the inspection;
• receive a final report from the medical institution.

Let's take a closer look at the procedure for drawing up an order and directions for a medical examination.

How to make a referral for a medical examination

It so happens that the referral form for a preliminary/periodic medical examination is not approved by law. However, by order of the Ministry of Health and Social Development No. 302n, a standard list of its details has been developed:

• OKVED and type of ownership;
• the name of the company sending the specialist to the medical institution, according to the statutory documents;
• actual address and full name of the health care institution where the employee is sent + OGRN;
• type of upcoming medical examination - preliminary or periodic;
• FULL NAME. and date of birth of the hired specialist;
• the name of the department, position where the citizen works or is employed;
• a short list of job responsibilities of a hired specialist;
• characteristics of working conditions – listing of harmful and/or dangerous factors.

As stated, there is no mandatory referral form. Therefore, the company has the right to develop its own sample, which includes all the necessary information about the employee, employer and the upcoming medical examination. That is, use a standard version of the details. Practice demonstrates that commercial structures prefer to adhere to this option because it is easier to implement and minimizes the likelihood of violations.

The form for referral to a medical examination upon hiring is filled out by an authorized person of the employing company. For example, a future specialist manager or HR employee. The compiler must indicate his full name, position and handwritten signature.

Information about issued directions is entered into a special registration journal, which companies maintain in free form. When the specialist receives the document, he puts his handwritten signature in the appropriate column. Refusal to take the paper is interpreted as a violation of obligations arising from the employment contract.

When an applicant goes to a health care institution, he takes with him a referral certified by the employer and a general passport.

The law does not prescribe strict deadlines for passing a medical examination. Usually up to 1 week is allotted for this, after which the citizen brings the doctor’s report to the employing company

.
A completed referral form for a medical examination from an employer in 2019 looks something like this:

You can download this form from our website for free using the direct link here.

Read also

29.02.2020

How is a referral for a preliminary medical examination issued?

A referral for a medical examination on the employer’s letterhead is given to the specialist applying for a job in person against signature. Refusal to receive a referral or undergo a medical examination means the applicant’s failure to fulfill his obligations, as a result of which the employment contract (if it was signed) is canceled.

The medical examination is considered completed if the specialist has visited all doctors, and all planned laboratory and diagnostic tests have been carried out. Based on the results of the examination, the person applying for work is given a conclusion.

The second copy of the report remains in the medical institution and is attached to the outpatient medical record, which is created immediately after presentation of the referral for a medical examination.

You will learn more about the nuances of undergoing a medical examination for employees applying for a job in our article “Medical examination upon hiring (nuances)” .

Help 302 for working in the north: features

To begin performing your duties in the harsh conditions of the Far North, you must undergo a thorough medical examination. It will not be possible to evade its completion: without this certificate, according to the legislation of the Russian Federation, the employer does not have the right to send his subordinate to work in the Far North.

Therefore, many workers who will perform duties in such harsh climatic conditions for the first time are required to prove their professional suitability with the help of a certificate issued by a licensed medical institution. If the medical examination is successful, the medical report will indicate the absence of pathologies that prevent work in special conditions. And, vice versa: if there is any disease, the doctor will be obliged to record this information in the document.

If you have an urgent need to obtain a certificate for work in the Far North, contact the medical office. With us you can undergo a comprehensive medical examination in just an hour, without queues or problems.

What form should the organization use?

A standard form for submitting a referral for a medical examination is presented in the Appendix to Order No. 302n.

It is important to remember that using it is not necessary, but it is advisable.

The form only contains the information required to be reflected:

• information about the employer company. All available information about the company is indicated here - its name, form of ownership, address of the main office, OKVED;
• information about the medical institution to which the citizen is sent. Just as in the previous paragraph, the full name of the organization, the address of its location, OGRN are indicated;
• date of issue of documentation;
• name of paper;
• assigned serial number;
• the type of medical examination that the employee must undergo;
• information about the employee. It is important to reflect the citizen’s initials and date of birth. His status is indicated - working or getting a job;
• characteristics of professional activity - type of work for which a medical examination is required;
• the citizen’s work experience;
• the name of the structural unit in which the employee will work/is already working.

The referral must be signed by the employer or his responsible person who has the right to prepare documentation of this nature.

How to fill out correctly from the employer?

A referral for a medical examination must be issued in accordance with the rules specified in Order No. 302n.

The document must be free of errors and corrections.

To undergo a medical examination from the enterprise, the employee must receive this form.

An examination in an institution with which the employer has entered into an agreement is carried out only if this document is available.

The referral must include detailed information about the employer, medical institution, prospective employee and the specifics of his work.

More detailed information required to be reflected is indicated in the previous paragraph.

The document must contain information about harmful or dangerous factors, according to which the examination is considered a necessary procedure.

After receiving the referral, responsibility for its safety and timely completion of the inspection is transferred to the employee.

The procedure for filling out the directions to:

• periodic inspection;
• preliminary inspection.

from order 302n and sample filling

Download a standard referral form for a preventive medical examination – word.

Filling out for a preliminary medical examination - word.

for periodic inspection – word.

This is what a typical form looks like:

Institutions

For a preliminary medical examination upon employment, the employer issues a referral indicating the name and address of the medical institution for this procedure.

Agreements are most often concluded between an employer and a medical institution licensed to conduct medical examinations .

If no agreement has been concluded between the employer and the medical institution, then the future employee undergoes a preliminary examination by specialists in any medical institution licensed to carry out these procedures.

City, district, republican, and village clinics have such a license. When contacting private medical centers and clinics, it is necessary to clarify the availability of such a document.

Who gives directions

A referral for a medical examination is issued to a future employee by the employer. In this case, each issued direction is subject to registration.

You can register a document in the Outgoing Documentation Journal . But if the number of directions issued is large, a separate journal is started.

There is no unified form for such a journal, so it is filled out in free form. But the required columns must be included:

• date of registration;
• registration number;
• FULL NAME. to whom the referral was issued;
• the position for which the future employee is applying;
• the applicant's receipt and date of receipt.

A preliminary medical examination can be completed at any medical institution that has the right to conduct such examinations and issue conclusions. But it is better to be examined at the organization specified by the employer.

Help for getting a job 302: how long is the document valid?

Medical reports issued after passing a medical examination are valid for a limited period. After this period they cannot be presented. If you have overdue the 302n certificate, you will not be able to get a job in organizations located in the Far North. You will have to go to the clinic again to undergo a medical examination.

The validity period of certificate 302n is limited and is no more than 2 years from the date of receipt. If you urgently need to undergo a medical examination in order to receive the treasured document, use our services. The cost of a medical examination at the clinic is from, taking into account all tests, doctors and documents.

FAQ

Question No. 1: Is it possible to undergo a medical examination without a referral?

Answer: No, you can't. Since the candidate for the position must provide a medical report on the possibility (impossibility) of working in specific working conditions. You should take a referral from a potential employer, who will indicate in what conditions the work is planned and whether there is exposure to harmful factors. This is necessary for the employee to undergo a preliminary medical examination, he must submit to the medical institution a referral issued by the employer, which indicates harmful and (or) hazardous production factors and hazardous work. On March 9, 2015, Order of the Russian Ministry of Health dated December 15, 2014 N 834n came into force. The said Order approved, in particular, form N 086/у, which is filled out by a medical organization; without a referral, they will not fill it out

Question No. 2: If the referral for a medical examination is lost. What to do?

Answer: You need to contact your employer with a statement about the loss of the referral.
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Peculiarities

Each profession has its own characteristics of undergoing a medical examination procedure, which must be observed. Otherwise, the employer will be issued a fine if he employs an employee who has not passed the inspection.

For minors

According to Article No. 69 of the Labor Code of the Russian Federation, persons who have not reached the age of majority, but wish to enter into an employment contract, are required to undergo a medical examination.

Until the age of 18, the procedure is performed every year. This is carried out in order to find out whether the teenager is able to fulfill certain requirements without harm to his health.

There is no specific procedure for undergoing a medical examination for adolescents, so the procedure follows a general procedure. Some organizations may turn a blind eye to contraindications identified after a medical examination if the child is employed for a short period.

However, if this fact is discovered, the employer will be fined by the labor inspectorate and must take the following actions:

• find another place of work for the teenager;
• terminate the employment contract with subsequent payment of benefits, which is the average monthly salary.

Seller

If a retail employee is engaged in the sale of products, perfumes and cosmetics, then they must be tested for blood, feces and urine. This will help determine if any contagious sexually transmitted diseases or others are present.

Mandatory examination of the following doctors:

• dermatologist;
• therapist;
• ENT;
• expert in narcology;
• gynecologist;
• dentist.

In addition to passing through doctors, fluorography and test results are required.

The conclusion, which is handed to the employee who has passed the medical examination, must state that he is allowed to perform his duties and does not pose a threat to citizens.

When carrying out work activities, the employee must always have a medical book with him, which he must present during the check.

To school

According to the law, teachers must undergo a medical examination. Also, for persons who work in the field of education, a health certificate is required. The right affects both teachers and other employees.

When employed in a preschool educational institution, an employee must undergo a full medical examination and visit the following doctors:

• dermatovenerologist;
• dentist;
• infectious disease specialist;
• otolaryngologist.

In addition, fluorography, a certificate of passing an STD and a test for helminth infections are required.

What kind of health certificate must be issued?

The final decision of the therapist that the applicant for a vacant position has passed a medical examination is a certificate issued on the basis of the opinions of other specialists of the medical institution. There are two forms of certificates:

Document 086/у

Document 086/у is in A5 format and must be filled out on both the front and back sides . This certificate contains the following information:

1. Document Number.
2. Information about the medical institution.
3. Information about the applicant receiving the certificate (full name, date of birth, residential address).
4. List of diseases suffered previously and vaccinations performed.
5. Doctors' reports along with signatures and seals.
6. Fluorography and analysis data.
7. Medical report on professional suitability.
8. Date of issue.

Fill out document 086/у with exclusively dark blue or black ink . Signed by the doctor who issues the certificate and the head physician in charge of the medical examination. They put a rectangular stamp of the medical institution, a stamp indicating the completion of fluorography, and a round stamp of the therapist.

Attention! Document 086/у is drawn up in two copies, one is issued to the applicant, and the other is entered into the employee’s outpatient card.

Medical certificate 001ГС/у

Contains information indicating that the applicant does not have diseases that prevent him from performing civil or municipal service. To obtain a certificate 001ГС/у, it is enough to obtain permission from a psychiatrist and narcologist . And also take a blood and urine test. After which the therapist will issue a conclusion on professional suitability. Signed by the same persons as the certificate form 086/у.

Sample certificate from a mental health center when applying for a job:

Employer's liability

Due to the fact that the state does not provide employees with funds to undergo a medical examination, the employer must pay for medical services. If a potential employee paid for the examination at his own expense, then the employer’s responsibility is to reimburse him for the money spent.

An employer can pay for a medical examination in different ways:

1. Transfer funds to the account of the medical institution with which the company has entered into an agreement.
2. Reimburse the employee for all expenses if the procedure was completed at his own expense (if there is a receipt for payment for medical services).

According to the law, an employer cannot hire an employee without undergoing a medical examination, since this entails administrative liability:

If the employer repeatedly violates the requirements, the company’s activities will be terminated for a period of 1 to 3 years.

An employee must undergo a medical examination, which is regulated by Article No. 213 of the Labor Code of the Russian Federation. If the employee refuses, the employer has the right not to hire him.