The employee underwent a mandatory medical examination not at the direction of the employer. Should I be allowed to work or not?

Is it possible to undergo a medical examination without a referral?

We have a small cafe.
No matter how much I told my director that medical examinations are mandatory for us, he didn’t want to hear anything. He says it’s all nonsense and he doesn’t intend to spend money on it. Tell me, what threatens the company if it turns out that none of our employees underwent medical examinations? Maybe at least the size of the fines will have an effect on my boss. If an employee is employed by an enterprise for the first time, then in the clinic where he must undergo a preliminary examination, before the examination he must first contact the receptionist. There he is given his outpatient card or a new one is issued. The results of examinations and doctors’ opinions will be entered into it in the future. A 3x4 photograph of the owner must be attached to it. In addition to the outpatient card, the employee must have with him:

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.

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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.

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:

The employee underwent a mandatory medical examination not directed by the employer

. the employer may also impose a disciplinary sanction on the employee in connection with the latter’s evasion from undergoing a mandatory medical examination, since undergoing periodic medical examinations is the employee’s job responsibility. If the employee repeatedly fails to fulfill his obligation to undergo such an inspection, the employer has the right to apply dismissal to him as a disciplinary sanction under clause 5, part 1, art. 81 of the Labor Code of the Russian Federation (repeated failure by an employee to fulfill work duties without good reason, if he has a disciplinary sanction).

From this we can conclude that if an employee has submitted a certificate or medical report of an independently completed examination, then such an examination should be considered as carried out not in connection with the mandatory periodic medical examination of the employee, but due to other circumstances.

If there is no instructions from the employer, how to go for a medical examination

Annual medical examinations will also help track the dynamics of health. The obligation for people in certain professions to undergo a medical examination is enshrined in the Labor Code of the Russian Federation (set out in , , , , ) An employer does not have the right, according to , to hire a person who has not passed a medical examination.

quoted1 > > If, based on the results of the research, it is determined that the candidate is not suitable for his position due to health reasons, he will be denied further employment under Article 84, clause 3 of the Labor Code of the Russian Federation. There are several types of inspections, which are discussed in Article 213 of the Labor Code of the Russian Federation:

Is it possible to hire an employee who has passed a medical examination in another organization during the year?

If the preliminary medical examination is carried out in a medical institution, the candidate must be given a referral. In the direction issued to an applicant for a position in hazardous (hazardous) work, indicate the harmful (dangerous) production factors that the employee will encounter after being hired for a vacant position. In addition, in the direction indicate:

Thus, when hiring employees on an external part-time basis, you issue them with a referral to undergo a preliminary medical examination in the general manner. When undergoing an examination, employees can present their previous medical report to an occupational pathologist, and then the doctor can decide whether it is necessary to undergo a second examination or only in addition to those already completed.

Medical examinations of medical workers

Medical workers undergo:

When starting a job:

• chest x-ray;
• blood test for syphilis;
• smears for gonorrhea;
• testing for carriage of intestinal pathogens and serological testing for typhoid fever (hereinafter - according to epidemiological indications);
• examinations for 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 (later on - once every 6 months);
• Once a year, examination by a dermatovenerologist, otorhinolaryngologist, dentist and infectious disease specialist (as recommended).

When conducting both preliminary (before entering work) and periodic (that is, annual) medical examinations, the health worker takes a clinical blood test (hemoglobin, color index, red blood cells, platelets, leukocytes, leukocyte formula, ESR), a clinical urine test (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 glucose and cholesterol levels in the blood serum.
This is followed by examinations by a general practitioner, a psychiatrist and a narcologist.

All women are examined by an obstetrician-gynecologist with bacteriological (for flora) and cytological (for atypical cells) examinations 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 Vaccination Calendar, approved by Order of the Ministry of Health of Russia dated March 21, 2014 N 125n .

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

No. The medical examination system 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 Letter of the territorial department of the Federal Service for Supervision of Consumer Rights Protection and Human Welfare for 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.”

Carrying out a medical examination program in a clinic or beauty salon with a medical license begins with the manager 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 you can enter into an agreement with an organization that has a license for the type of activity “medical examinations (preliminary, periodic)” .

Next, the procedure of medical examination of workers takes place, and based on its results, the medical organization that conducted them, within a month, summarizes the results and draws up a final report.

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

Former chief sanitary doctor, widely known in medical (and not only!) circles, G. Onishchenko assured that the medical book is the most falsified 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;
• last name, first name, patronymic, date of birth, gender of the person applying for work (employee);
• employer's name;
• name of the employer's structural unit (if any), position (profession) or type of work;
• name of the harmful production factor(s) and (or) type of work;
• the result of the medical examination (medical contraindications were identified or 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 a report 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:

• name of the medical organization that conducted the preliminary examination, address of its location and OGRN code;
• date of drawing up the act;
• employer's name;
• the total number of workers, including women, workers under the age of 18, workers who have been diagnosed with a permanent degree of disability;
• the number of workers engaged in heavy work and work with harmful and (or) dangerous working conditions;
• number of workers employed in jobs that require periodic medical examinations (examinations) in order to protect public health, prevent the occurrence and spread of diseases, including women, workers under 18 years of age, workers who have been diagnosed with a permanent degree of disability ;
• the number of workers subject to periodic medical examination, including women, workers under the age of 18, workers who have been determined to have a permanent degree of disability;
• the number of workers who have undergone periodic medical examinations, including women, workers under the age of 18, workers who have been diagnosed with a permanent degree of disability;
• percentage of employees covered by 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 workers who have not completed periodic medical examinations, including women, workers under the age of 18, workers who have been determined to have a permanent degree of disability;
• a list of employees who have not completed periodic medical examinations;
• the number of workers who have not undergone periodic medical examinations, including women, workers under the age of 18, workers who have been determined to have a permanent degree of disability;
• a list of employees who have not undergone periodic medical examinations;
• 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;
• number of employees requiring additional examination (no conclusion given);
• the number of workers who need examination at the occupational pathology center;
• the number of workers in need of outpatient examination and treatment;
• the number of workers in need of inpatient examination and treatment;
• the number of employees in need of sanatorium-resort 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 diagnosed chronic somatic diseases indicating the class of diseases according to the International Classification of Diseases - 10 (hereinafter referred to as ICD-10);
• a list of newly identified occupational diseases indicating the class of diseases according to ICD-10;
• results of implementation of recommendations of the previous final act;
• recommendations to the employer on the implementation of a set of health-improving measures, including preventive and other measures.

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

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

Yes, you and I have not yet clarified what should be indicated in the list of contingents compiled by the employer in order to be approved by Rospotrebnadzor:

• employer's name;
• form of ownership and type of economic activity of the employer according to OKVED;
• name of the medical organization, actual address of its location and OGRN code;
• type of medical examination (preliminary or periodic);
• last name, first name, patronymic of the person applying for work (employee);
• date of birth of the person applying for work (employee);
• name of the structural unit of the employer (if any) in which the person applying for work will be employed (employee);
• name of 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 workers approved by the employer, subject to preliminary (periodic) inspections.

Referral for a pre-employment medical examination

For some categories of citizens seeking employment, a medical examination is required. A medical examination from the enterprise is carried out only on the basis of an issued referral. This document must include information about the employee himself, the nature of the upcoming work and the planned position, as well as a list of negative (harmful) factors, according to which the commission is necessary.

The conclusion is drawn up in two copies. One is given to the enterprise, and 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.

Referral for an extraordinary medical examination at the initiative of the employer sample

The legislation defines such inspections and explains when and how often they must be carried out. The very definition of a medical examination is given in Art. 46 of the Law “On the Fundamentals of Health Protection...” dated November 21, 2021 No. 323-FZ. It refers to a set of medical interventions carried out to detect pathological conditions, diseases and their risk factors. At the same time, the law does not contain a separate concept of an unscheduled examination, however, cases may arise when unscheduled medical examinations are carried out, and the employee must undergo such an examination regardless of the schedule and when he was last examined. Subscribe to our channel in Yandex.Zen! Subscribe to the channel Related issues are regulated by the Labor Code of the Russian Federation, in particular, Part 1 of Art. 219, part 1 art. 213 and Art.

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.

Is it possible to undergo a medical examination without a referral?

• examination of drivers for contraindications to driving;
• otolaryngology, provided that the institution has a specialist with this qualification;
• ophthalmology, for drivers of any category this examination is an integral part of the examination, because identifies whether the driver is color blind, has vision problems, etc.;
• neurology (detects the absence of neuroses or epilepsy);
• therapy (it is the general practitioner (therapist) who fills out the final report;
• psycho-narcology and encephalographic examination.

The main document for a motorist is a medical report (medical certificate) about his state of health, which confirms the fact that he is fit to drive any car. You can obtain such a certificate from a medical institution. And here a completely logical question arises for the future driver - is it necessary to undergo a medical examination at the place of registration? We will consider further whether it is possible to undergo a medical examination at a location other than the place of registration.

Referral for preliminary medical examination

Even before employment, the applicant is given a referral for a medical examination. Its completion protects the employer from hiring an employee who is unsuitable for health reasons.

They issue referrals to people based on order No. 302N of the Ministry of Health and Social Development of the Russian Federation. In accordance with the order, the following are subject to a medical examination upon employment :

• 
  Persons under 18 years of age.

• Employees who take jobs in harmful and dangerous jobs.
• Workers whose professions involve driving.
• Employees hired in the food industry and trade.
• Specialists involved in underground work.
• Future athletes.
• Workers of medical and children's institutions.
• Persons who get jobs on a rotational basis and in the Far North.
• Employees who apply for vacant positions associated with health risks.

Read more: How to transfer a plot of land from agricultural use to private housing construction.
A referral for a medical examination is filled out and issued by the employer; it contains the following information :

1. Information about the employer.
2. Applicant details (full name and date of birth).
3. Details of the medical institution.
4. Type of medical examination.
5. The position and name of the department where the employee is hired.
6. Indication of working conditions.

In what cases are they sent for a medical examination when applying for a job?

The employee must appear for the medical examination in a timely manner and pass it on time. In the event that he tries to compromise data from his medical examination, he will also be held liable for this even if he does not cause any losses to the company and does not infect other employees.

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Each organization has the right to set its own deadlines, but they are usually limited to a month. You should not postpone this important, albeit not very pleasant, procedure for a long time, since the employee risks losing his place in the company if he does not submit a certain certificate on time and will thus delay the work of the entire company.

Accounting and tax accounting of expenses for medical examinations

The Tax Code provides for the following features of accounting for these costs in an organization:

• expenses for a medical examination are included in the income tax base as “other expenses” if the medical examination is mandatory by law;
• these funds are not subject to personal income tax;
• There is no need to pay insurance premiums from this money.

IMPORTANT INFORMATION! If an employee passes a medical examination, but is not hired, the funds are still reimbursed to him, and they are written off as “other expenses” along with the rest.

Passing a medical examination when applying for a job: procedure and necessary documents

If an employee is employed by an enterprise for the first time, then in the clinic where he must undergo a preliminary examination, before the examination he must first contact the receptionist. There he is given his outpatient card or a new one is issued. The results of examinations and doctors’ opinions will be entered into it in the future. A 3x4 photograph of the owner must be attached to it. In addition to the outpatient card, the employee must have with him:

Signing such an important document without a medical report is a serious violation of Russian labor legislation. However, this procedure is not mandatory for absolutely all subjects. What categories of citizens are identified who must undergo a medical examination when applying for a job?

Who bears the cost of a medical examination?

It is not always possible to do the necessary examination for free. In today's realities, in this matter the legislation protects the interests of the employed employee: the financial side must be provided by the employer if the employee is from the category of those for whom a medical examination is mandatory. Compulsory medical insurance does not cover the costs of a preliminary medical examination of applicants (FFOMS letter No. 3979/30-4/ dated August 30, 2010).

If potential personnel are not included in the legally designated categories, and the employer wants to make sure of their health, the following options are possible:

1. At the request of the employee, he can undergo a medical examination at his own expense and provide the employer with a corresponding conclusion. At the same time, refusal to hire in the absence of such a desire will be unlawful.
2. The employer provides the required medical examination according to the generally accepted scheme.

ATTENTION! If an employee goes for an agreed-upon medical examination during his working hours, already working for a given employer, this time must be paid as working time. If an employee did not come to the doctors at the specified time due to his own fault, and was not at work, then he will not be paid for his downtime. If the failure to appear was the employer’s fault, then, despite the failure to undergo a medical examination, you will still have to pay for this time, just as you will have to go to the doctors at other times.

Money for the medical examination will be reimbursed upon written request from the employee. Supporting documents must be attached to the document: receipts for payment of medical services and a referral previously received from the employer.

Is it possible to fire an employee if the medical examination does not go well?

And if the medical examination is paid for by the employer, and all this is carried out during working hours, then why not go through all the “necessary” and “unnecessary” specialists? Try in your free time to get an appointment with a female doctor at the clinic at your place of residence; success is not guaranteed. And in a paid clinic, you pay not the employer’s money, but your own hard-earned money. Why the fuss?

c) refusal or evasion without good reason from a medical examination of workers in certain professions, as well as the employee’s refusal to undergo special training during working hours and pass exams on labor protection, safety precautions and operating rules, if this is a mandatory condition for admission to work.

How to organize a primary medical examination

Only specialized institutions - clinics, hospitals, medical centers - have the right to conduct official medical examinations. The employee cannot go to the doctors of his choice: the employer gives him a referral to a certain medical institution with which he has an agreement for medical care for employees.

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Upon employment (or immediately after it), the employee receives a referral from the employer, which will indicate a list of medical specialists from whom a “fit” certificate is required.

At the medical institution, having presented a passport and a referral, the employed citizen issues an outpatient card and, in some cases, a personal medical record. After this, a methodical round of doctors begins and the necessary tests are taken.

What doctors will you have to go through?

The number of specialists who render their verdict regarding the health of a future employee varies depending on the position for which he is applying. The standard option, which is recommended for all those “doomed” to undergo a mandatory medical examination, includes the following conclusions:

• otorhinolaryngologist;
• neurologist;
• ophthalmologist;
• surgeon;
• gynecologist (for women);
• therapist.

To form a conclusion, you will also need data from basic clinical tests:

• UAC, OAM;
• cardiograms;
• fluorography or x-ray of the lungs;
• blood sugar test;
• liver tests

The remaining nuances concerning examinations of people applying for specific professions are regulated by special regulations. For many professions, examinations by additional specialists are provided, for example, a narcologist, a psychiatrist, etc.

Passed a medical examination - what was the result?

What documents should the applicant receive after passing the medical examination? These papers will serve as confirmation of suitability for the chosen occupation and a “ticket” to work: they will need to be provided to the employer. Depending on the position and field of activity of the person being examined, after the medical examination he will be given one of the following documents:

1. Certificate of completion of a medical examination (form 086).
2. An extended medical report containing recommendations and contraindications. It is drawn up in two copies, one of which remains in the outpatient card filed in the clinic.
3. Completed personal medical record. If it is not possible to issue it in one day, the doctors will issue a certificate for the employer confirming the completion of the medical examination and an obligation to issue a medical book by the designated date.

Is it possible to get a job without passing a medical examination?

In addition to the Labor Code, medical examination of potential employees is covered in Appendix 3 to the order of the Ministry of Social Development of the Russian Federation No. 302n dated April 12, 2021. And finally, the Decree of the Chief Sanitary Doctor of Russia dated 06/03/2021 obliges those workers whose work takes place at the computer for half the working time or longer to undergo medical examinations.

Pre-employment medical examination - its cost The cost of the service can vary significantly. A whole list of factors influences the final price. To know in advance how much money will be required to undergo an inspection, you need to carefully study the current information.

Accounting for medical examination funds

PBU 10/99 in paragraphs 5, 7 prescribes that these costs should be included in “expenses for ordinary activities”. These costs can be written off in different ways, depending on where exactly the funds were paid:

• if the medical examination was carried out in the organization’s own medical center, the expenses will be considered “expenses for maintaining the medical center”: debit 26 (44), credit 02 (10, 70, 68, 69, etc.);
• to pay for the services of a third-party medical institution, the following entries will be needed: debit 26 (44), credit 76 - reflection of expenses for mandatory medical examination, debit 26 (44), credit 76 - accrual of compensation for costs of mandatory medical examination.

Who is required to undergo an examination?

The labor legislation clearly lists the categories of workers (Article 213 of the Labor Code) who are subject to examination in a medical institution immediately before drawing up an employment contract.

This:

• drivers and persons involved in the maintenance of public transport (for example, conductors or conductors);
• citizens who want to get a job at a commercial enterprise;
• persons employed in public catering and food industry enterprises, as well as public water supply;
• workers who directly communicate with children (caregivers, teachers, teachers) and adults (medical workers);
• workers applying for a vacant position with conditions harmful to health (for example, at a chemical industry enterprise);
• persons who have to work in difficult or dangerous conditions (for example, in the Far North).

According to the order of the Ministry of Health, reflected in order number 312N of April 2011, hazardous working conditions include:

• presence of allergens or other hazardous chemical compounds in the workplace;
• the presence of unfavorable physical factors, such as vibrations or noise,
• electromagnetic fields;
• the presence of biological hazards (for example, contaminated materials, enzymes, etc.);
• the presence of factors that provide additional stress on the body (for example, working with optical instruments puts a strain on a worker’s vision, and the work of a pilot is a test for the whole body).

If a person related to these categories submits documents without a medical certificate, the employer has the right to refuse to hire him.

These actions on the part of the management of the organization or enterprise in this case will be lawful.

The presentation of a medical document by minors and young workers is required on the basis of Article 65 of the Labor Code. This category of workers must be provided with special working conditions, and it is generally prohibited to employ minors in some positions. Therefore, it is extremely important for the employer to have accurate information about the health status of a minor applicant for a vacant position and his age.

Is it possible to undergo a medical examination by a doctor and take tests on your own?

Not all employers have agreements with medical centers, and in such cases the employee himself chooses a clinic and undergoes a medical examination there. And here you need to remember some important nuances:

• If you decide to undergo a medical examination for a fee in a private clinic, the employer must still pay for it - this is the requirement of the law. To reimburse expenses, you must provide receipts to your place of work.
• If you go to a health center without a referral from your employer, you may have problems. The fact is that it is from the referral that medical workers learn what list of doctors and studies is needed in your case. If you come without a document, the medical examination may be carried out according to a general scheme, without taking into account the nuances, and it may turn out to be inappropriate; you may be refused employment, removed from your duties, or fired.
• If your employer referred you to a certain clinic, by law you have the right to refuse and choose a medical facility yourself. But there is one pitfall here. If violations are discovered, the employer has the right to invalidate the results of the medical examination. For example, if the clinic does not have a license to provide occupational pathology services.

Where to carry out periodic medical examination

All medical examinations must be carried out in a medical organization licensed to conduct them. The employer will pay for this mandatory filter. (Article 213 of the Labor Code of the Russian Federation).

Therefore, the only answer to the question of where to go or undergo a periodic medical examination for employees is to choose a medical organization that is convenient for you, enter into an agreement with it for the provision of services and agree on the start date for periodic medical examinations.

Previously, it was possible to conduct medical examinations on the territory of the enterprise, for this we entered into an agreement with a medical organization that has specially equipped equipment, they came to us and examined everyone on the list.

It was very convenient, since there was no long interruption from the work process! But at present this is unacceptable (clause 8 of article 3 of Federal Law No. 99).

I would like to draw your attention to the fact that under no circumstances should employees undergo periodic medical examinations at their place of registration, instead of the organization with which the company has an agreement!

This is important because in the event of an inspection, there must be not only a conclusion about passing a periodic medical examination, but also a final report, which includes all employees who need to undergo a periodic medical examination in the current year.

If there is no report, or it is incorrect, and this becomes clear during the inspection, then a fine will be imposed for non-compliance with labor legislation in the field of labor protection from 50,000 to 80,000 rubles.

Therefore, I suggest you watch a video in which I tell you in detail about errors in conducting and completing medical examinations, and also leave a link to my Youtube channel, where you can find other useful information.

Everything regarding the timing of periodic medical examinations at the enterprise

1. 2 months before the start date of periodic examinations, you need to provide a list of names to the medical institution.
2. Within 10 days, the medical institution develops a calendar plan for conducting periodic medical examinations and submits it to you for approval.
3. At least 30 days before the start of medical examinations, the calendar plan must be agreed upon.
4. No later than 10 days before the date of the medical examination, the staff must be familiarized with the calendar plan; it is better to do this by order for the enterprise indicating the period of the medical examination and the list of employees who are subject to periodic medical examination.

Referral for periodic medical examination

In order for your employee to go for an examination, you must issue a referral for a periodic medical examination.

The referral is completed by an authorized representative of the employer. If there is a health worker, then it is him; if not, then it is a representative of the labor protection service or the human resources department.

All issued referrals are recorded in the journal for issuing referrals for periodic medical examination, in which the employee signs for receipt of the referral.

In addition to directions for a medical examination, the future employee must take with him:

1. passport;
2. compulsory health insurance policy;
3. insurance certificate of compulsory pension insurance;
4. military ID (some medical institutions ask you to provide it);
5. extract from the clinic at the place of registration / results of medical examination;
6. results of mandatory psychiatric examination, if previously conducted.

Final act based on the results of the periodic medical examination

As soon as the employee successfully completes the medical examination, the hospital issues a report in five copies .

Since 2021, the number of conclusions issued by a medical institution at the end of a periodic medical examination has increased and they are now sent to:

1. To the employee
2. To the employer
3. Health care facility where the medical examination was completed
4. Health care facility, at the place of registration of the employee
5. FSS.

A report on undergoing a periodic medical examination is sent within five working days .

You can read in this note what other changes have affected the conclusion of medical examinations.

Based on the results of a periodic medical examination by all employees on the list, the medical organization must put all the results together. 30 calendar days are allocated for this, then a final act is drawn up.

The final report of a periodic medical examination is a summary of information on all employees who have undergone a periodic medical examination, which indicates the suitability of employees to work in harmful or dangerous working conditions.

The final act will be prepared in five copies , approved by the chairman of the medical commission, then certified by the seal of the health care facility, signed by the head of the employer and a representative of the territorial body of Rospotrebnadzor.

Within 5 days from the date of approval of the document, it must be sent by the medical organization:

• employer;
• to the territorial Rospotrebnadzor;
• FSS;
• to the center of occupational pathology of a constituent entity of the Russian Federation.

The hospital keeps one copy for itself, and it must be kept there for 50 years, the same storage period for the employer.

So, if this happens, then the final act will also be removed from the archive and added to the case materials.

A new change in the order of the Ministry of Health and Social Development No. 302n from July 1, 2020 obliges employers to send a certain group of workers to a periodic medical examination at the occupational pathology center (clause 37 of Appendix No. 3). I talk about this in detail in the video, and I will also leave a link to my channel on Youtube, where You can find other useful information.

How to choose the right clinic

If you personally or your employees need to undergo a medical examination according to Order No. 302n, then when choosing a medical center, you should pay attention to some important points:

• Be sure to make sure that the clinic has a license to conduct preliminary and periodic medical examinations.
• Make sure that all doctors and tests can be done in one clinic, so that later you don’t have to travel to different parts of the city.
• If a clinic offers to issue a medical examination report and a medical record in one day, without the employee’s appearance, then it is breaking the law. And along with her - you, with all the ensuing responsibility.
• A private clinic can conduct an examination by a psychiatrist-narcologist only if there is an entry in the license to provide this medical service.

Do you want everything to be fast, convenient and legal? This is exactly how the ProfMedLab medical center works. With us you can undergo a preliminary, periodic, unscheduled medical examination, undergo a medical examination with the issuance or renewal of a medical book, obtain any medical certificates, we organize on-site medical examinations. Contact us for details.

Who is responsible for medical examinations?

In general, the employer is responsible for organizing and conducting medical examinations. Therefore, from among his employees he selects those responsible for:

• compiling a list of professions to undergo a medical examination. Typically these are OT employees;
• preparation and issuance of an order to undergo a medical examination at the enterprise, a sample of which is kept by the clerk, the health care service or other persons involved in the process;
• organizing the medical examination itself - preparing documentation for the hospital, sending employees for a medical examination, monitoring its completion;
• prohibition from work of persons who have not passed the examination. Most often these are the immediate supervisors of the work (site managers, foremen).

The day or days on which workers undergo a medical examination are paid “on average”. If a worker refuses to undergo a medical examination, he is not allowed to work, and the days during which he did not work for this reason are not paid.

Sample order for undergoing a medical examination at an enterprise:

Are medical examinations required for remote workers?

According to Part 2 of Art. 312.3 of the Labor Code of the Russian Federation in relation to remote employees, the employer is obliged to comply with the labor protection requirements provided for in paragraph. 17, and 21 hours 2 tbsp. 212 Labor Code of the Russian Federation. These include, in particular:

• investigation and recording of industrial accidents and occupational diseases;
• compliance with the instructions of the state labor inspectorate;
• insurance of employees against industrial accidents and occupational diseases.

Comply with the others specified in Art. 212 of the Labor Code of the Russian Federation, the employer is obligated only if this is specified in the employment contract with the remote worker.

Medical examinations for organizations at ProfMedLab

has all the necessary capacities and is equipped with modern equipment. We have all permits and our activities are licensed. We confidently declare our readiness to cooperate with new customers and offer cooperation on a wide range of services to ensure the health of workers and the well-being of your enterprise.

Healthy employees mean a successful business. ProfMedLab will help you conduct a medical examination under order 302n in Moscow and the region in accordance with legal requirements for occupational health and safety.

Entrust us with a health check of your employees. Find out the cost of a medical examination by calling: +7 (495) 120-81-30. or leave a request for a cost estimate.

The medical examination is carried out in accordance with the requirements of current legislation - order 302-n.