Classification and criteria used when conducting MSE: physical severity of work, diseases, etc.

How to fill out the fields

To avoid any questions about filling out the fields, just use these simple recommendations:

1. Last name and initials of the employee for whom the reference is being filled out.
2. What organizational structure issues this paper? The name and legal address of the organization is required.
3. The position of the employee is indicated according to the staffing table.
4. What qualification is assigned (or rank is indicated).
5. Description of the work performed by the employee. This information can be taken from cards for assessing working conditions.
6. What mode of work and rest is regulated? Are there benefits for reducing working hours?
7. How the employee copes with the assigned tasks, that is, describe the quality of the work performed.
8. How long the employee was on vacation or on sick leave, this includes maternity or child care leave.
9. Is it possible for the enterprise administration to provide another position?
10. Information about the purpose of issuing paper.

The document is prepared by a HR specialist and an OSH engineer. The characteristics are signed by the object's accountant and the head of the enterprise.

Types of health disorders according to ITU

The examination of workers is regulated in accordance with the order of the Ministry of Labor and Social Protection of the Russian Federation No. 664n dated September 29, 2015. It indicates the classification parameters that must be used by the ITU to assess the correspondence of groups of diseases to categories of factors affecting the wear and tear of the body.

ITU specialists must illustrate the picture of the disease as fully as possible in order to properly ensure the continued existence of the employee undergoing examination.

Categories of violations according to ITU

They take into account the basic types of disorders according to the degree of severity in a particular body system:

1. Mental disorders: disturbances of consciousness, memory, attention, thinking, volitional and emotional spheres.
2. Disorders of oral and written speech.
3. Neurological disorders: disorders of muscle and skeleton functions that limit the body's activity in the environment.
4. Dysfunction of organs and systems: respiratory, digestive, genitourinary, cardiovascular and others.
5. Body defects, deformations, disruption of the normal size of organs and body systems.

When considering all functions of the body, the degree of its impairment is expressed as a percentage and is divided into four degrees:

1. Up to 30%.
2. Up to 60%.
3. Up to 80%.
4. More than 80%.

What is labor intensity

What is the severity of the labor process? This is a load on the entire body during work. Severity is assessed using a list of indicators:

• dynamic load;
• what is the maximum weight of cargo moved during a work shift;
• stereotypical movements when performing production tasks;
• how much work is being done;
• what working posture is recorded for the employee when performing a shift assignment;
• about movements in the workspace.

The characteristic of the labor process includes an indicator of labor intensity. The load affects the emotional part, sensory organs and nervous system.

About tension indicators they say:

• emotional stress on the body;
• sensory, that is, lasting for a long time;
• monotony or sameness of activity;
• degree of intensity and duration of influence of a negative factor.

How is severity categorized for VTEC?

Based on some studies, the following categories of work have been determined by severity:

1. If the work is carried out in a favorable environment. Under such circumstances, performance and well-being are maintained during work activity and have a beneficial effect on work.
2. Compliance with hygiene standards. Regulatory documents indicate established limits for exposure to harmful factors on the body. Compliance with established requirements makes it possible to work without causing harm to health.
3. If the working conditions are unfavorable, then the condition of muscle tone, vision or hearing worsens.
4. Working in inappropriate conditions is the root cause of an employee’s pathological condition.
5. When operating in negative conditions, diseases appear.
6. After work has begun, the occurrence of pathological changes is noted.

There are only six categories and all of them are determined during a special assessment of the working conditions.

Characteristics of work categories by severity (GOST -88)

Working conditions are a complex of socio-economic, organizational and natural factors of the production environment that affect human health and performance during the work process. Socio-economic factors include regulatory documents (labor laws, norms, standards, etc.), socio-psychological conditions (characterizing the attitude of workers to work, the psychological climate in the team, etc.), social and economic factors (system of benefits and compensation, incentives for improving working conditions). Technical factors are means, objects and instruments of labor, technological processes, organizational forms of production, work and rest regimes, etc. Natural factors determine the nature of the impact on workers of the climatic, geological and biological features of the area where work is carried out. All these factors are interconnected and affect labor productivity, the level of injuries and occupational diseases, that is, the severity of work. Dangerous and harmful production factors directly influence industrial injuries and occupational diseases, and therefore working conditions.

An occupational factor is called hazardous, the impact of which on a worker under certain conditions leads to injury or other sudden sharp deterioration in health. If a production factor leads to illness or decreased performance, then it is considered harmful (GOST 12.0.000-74). Depending on the level and duration of exposure, a harmful occupational factor can become dangerous.

Examples

Examples of the severity of the labor process:

1. If a citizen works in an office and, based on the assessment, it is revealed that the indicators of illumination, noise, and exposure to electromagnetic radiation are normal, then there is no threat to health in the future.
2. A turner works at a machine, and measurements have shown that the values ​​of harmful factors do not exceed acceptable values, that is, the state of health will not deteriorate due to being at work.
3. The citizen is employed as a loader in a store. It is constantly affected by factors such as increased muscle tone and emotional stress. As a result, a person begins to suffer from varicose veins. In this case, it is not difficult to prove the presence of professional education.
4. When the respiratory system was exposed to increased air pollution at the workplace, an employee was diagnosed with a serious lung disease. Based on the measurements taken, excess levels of carbon monoxide and manganese were established.

An occupational pathologist will be able to determine the severity of an occupational disease, and then a medical commission is created, where a decision is made on assigning a disability group.

Medical and social examination for certain pathologies

Not all diseases accompanied by severe symptoms requiring constant and long-term treatment can guarantee an employee assignment to one or another group.

In the first place among the morbidity rates of citizens of Russia and the rest of the world are diseases of the cardiovascular system. This is influenced by numerous bad habits, stress, sedentary lifestyle, poor diet and environmental pollution.

Therefore, these diseases receive special attention from ITU specialists. For example, hypertension, which often causes restrictions on a person to perform his professional duties.

Hypertonic disease

High blood pressure often occurs spontaneously and is not always felt by the person himself. However, it responds well to modern methods of treatment, which makes it possible to maintain the blood pressure level of a sick person at a normal level. Therefore, hypertension itself is not a necessary factor for establishing the group.

In diseases of the cardiovascular system, it is extremely important to take into account the impact of high blood pressure on other organs and systems, which are also at risk of damage due to its constant influence.

This is expressed, first of all, in damage to the blood vessels of the body, which are the first to suffer from high blood pressure. In the future, because of this, the functions of the brain, heart, kidneys, organs of vision, endocrine glands and other body systems may be disrupted.

The above disorders lead to the development of myocardial infarction, glaucoma, nephropathy, stroke, diabetes, which can already cause the employee to become disabled. Especially if a citizen falls into a high or extremely high risk group for these diseases.

Rheumatoid arthritis

Pathology of the musculoskeletal system is also a common reason for referral to MSE. In particular, rheumatoid arthritis, in which a person’s limb joints are affected, primarily the hands and feet, and then larger ones: knees, elbows, shoulders and hips.

As a result, the citizen loses the ability to live an active life, and therefore to fulfill his professional duties.

ITU specialists record the magnitude and nature of disorders of the bone and cartilage tissue of the joints, the state of the joint fluid and the degree of limitation of limb mobility due to joint deformation.

In the early stages, when the above-mentioned disorders have not reached the criteria for disability, experts recommend specific treatment with all available methods.

In the absence of positive dynamics in treatment, increased pain, decreased joint mobility, up to complete immobilization, recognition of the employee as disabled becomes very likely.

Chronic pancreatitis

Let's consider another disease, chronic pancreatitis. This is a disease of the digestive system, accompanied by damage to the pancreas.

ITU specialists, when deciding whether to grant disability, pay attention only to severe forms of this disease: with severe and constant pain, a hidden paroxysmal course, chronic recurrent pancreatitis, with cystic formations.

Basics of disability examination in chronic pancreatitis

Patients suffering from chronic pancreatitis with the second degree of complexity, after surgical treatment, are usually provided with group 3 during the recovery period after surgery.

The third degree of complexity gives the right to receive group 2, subject to the presence of fistulas and cysts. If, in addition, hormonal insufficiency develops with severe dystrophy of the pancreas and constant pain, then the patient receives the status of group 1 disabled person.

Assessing the physical and mental severity of working conditions is a very difficult process; it requires time and a large number of documents. Moreover, these are not only medical records and certificates, but also conclusions about the nature of the activity performed, which help to reveal a complete picture of emerging disorders of the human body.

What is emotional stress

At different levels of complexity, a person is influenced by the result of his work activity. Characteristic performance indicators:

1. Level of responsibility based on the results of production activities.
2. The impact on work is determined by the significance of the error.
3. If the complexity of the work increases, then the responsibility increases.
4. An indicator of the degree of risk to life is the possible influence of negative factors in the event of unforeseen circumstances, for example, weather conditions.
5. Responsibility for other employees. If work is performed collectively, then the manager is responsible for the work process.
6. Conflict situations. Based on the photographs taken of the work shift, the number of conflict situations is determined.
7. Emotional stress is divided into classes. As an example, the following can be given: if a mechanic works on a site, then his work is classified as auxiliary, there is no risk to his own life, and this worker is not responsible for other persons.

Production characteristics for ITU: sample filling for 2021

1. Full name of the employee in whose name the document is issued. Information is reflected in the nominative case.
2. Information about the company and organization that issues the reference. Indicate the name, legal entity. address and relevant department to which the employee belongs.
3. The name of the position in which the employee works and his total length of service.
4. Data on existing qualifications.
5. A description of the job duties performed by the employee is provided. It is separately reflected whether he has increased physical or emotional stress. They also indicate whether there is an increased noise level in the workplace or any other impacts that negatively affect the human body.
6. Information about the working hours and the presence of breaks. If the employee has a shortened working day, such data is also provided.
7. Qualitative and quantitative indicators of the degree of work completion. In the event that the low quality of work or a small percentage of task completion differs from the overall indicators, this fact is also reflected.
8. Information about any sick leave that occurred during the employment relationship and the periods spent on all available types of leave.
9. Availability of certain types of benefits for the employee or special conditions that accompany his work. Such conditions may be related to the employee’s health or caring for a sick relative.
10. Data related to transfers to other positions due to the employee’s health status.
11. Availability of the possibility of providing another position or work due to deteriorating health. In addition, data is provided on the need for retraining in connection with changes in job responsibilities.
12. Information about the purpose for which the characteristic is intended.

1. Identity documents.
2. Referral to undergo such an examination. This referral is issued to representatives of the medical institution.
3. Other medical documents. These may include an outpatient card of an institution employee, photographs and extracts with test results.
4. In the event that the deterioration in health is associated with an industrial injury, a report on an industrial accident is provided.
5. A copy of the Labor Code, which is certified by the head of the HR department.
6. Conclusion of a special government body. examination of working conditions on the existing factors in production that accompany the performance of work.
7. A conclusion that may indicate the need to undergo a rehabilitation process.
8. A certificate indicating the degree of disability of the employee.

We recommend reading: Deregistration for selling a car

How to fill out the work schedule column

During the period of work, an employee experiences fatigue as his energy is consumed. In this regard, it is necessary to ensure the maintenance of normal performance. Therefore, it is envisaged to establish regulated breaks.

Decreased ability to work is how the body’s protective function is determined. This phenomenon is confirmed by the fact that one works hard enough and needs to rest, which is expressed in a deterioration in the perception of information. In this regard, work and rest schedules were calculated.

Production characteristics for MSE - step-by-step instructions for filling

1. Personal qualities.
2. Position held.
3. Period of work (term, length of service).
4. Part-time work (if any).
5. Possible participation in social activities.
6. How the employee has proven himself.
7. How competently does he cope with his job responsibilities?
8. Awards, encouragements, certificates, thanks.
9. Rewards for author's projects.
10. Review from the chairman of the trade union committee (if one exists at the enterprise).
11. It is mandatory to have a job evaluation (JAL).
12. Certification assessment on working conditions (ARMUT).

1. Company name (expanded, abbreviated, abbreviated).
2. The legal form of the organization in which the employee works.
3. Legal and physical address of the company.
4. Full passport details of the employee for whom the document is issued.
5. Education, length of service as a citizen, position held, qualification category, group.
6. Assessment of production activities (detailed description of the work performed), frequency of business trips.
7. Work schedule (by time), working conditions.
8. Sanitary and hygienic indicators of the workplace (level of dust, noise, availability of personal protective equipment, exposure to chemical reagents, temperature conditions).
9. Assessment of the employee’s performance and technical performance (percentage completion of the daily norm, statistics on the implementation of the monthly plan).
10. Possible easier conditions, harmfulness, additional loads.
11. Transfer or combination of positions for the last calendar year.
12. Frequency of sick leave, causes of disability.
13. Description of harmful or dangerous working conditions (if there were any at the previous place of work, listing the names of enterprises, employers and period of work).
14. Any additional information about the employee.