Three ways to organize a pre-trip medical examination for drivers

Note. The procedure for conducting pre-trip and pre-shift monitoring of the technical condition of vehicles discussed in this article became invalid on January 1, 2021. A replacement document has not yet been released.

Good afternoon, dear reader.

Since December 21, 2021, a new regulatory document has been in force regulating the procedure for conducting pre-trip and pre-shift monitoring of the technical condition of vehicles.

Let me remind you that legal entities and individual entrepreneurs carrying out transportation must organize a pre-trip or pre-shift inspection, and a mark on the passage must be placed on the waybill.

Let's get started.

In what cases are pre-trip and pre-shift controls carried out?

Pre-trip control is carried out if the duration of the flight is equal to the duration of the working day or exceeds it. In this case, the car goes through control only once before the start of the trip.

Pre-shift control is carried out if the vehicle makes several trips during the day. In this case, the car is checked only once before the start of the shift.

Otherwise, the pre-trip and pre-shift control procedures are completely the same.

Order No. 835n on pre-trip medical examinations of drivers

The main feature of Order No. 835n of the Ministry of Health of the Russian Federation is that it regulates not only pre-trip, but also pre-shift, post-trip and post-shift examinations of employees. According to this order, pre-trip medical examinations are mandatory for all drivers, except for those who work in emergency vehicles - only those medical examinations that relate to pre-shift medical examinations are mandatory for them. In turn, post-trip medical examinations are mandatory for those drivers who transport passengers and dangerous goods. The Ministry of Health also requires individual entrepreneurs who independently provide transportation services to undergo pre-trip and post-trip inspections.

If you have access to ConsultantPlus, check whether your pre-trip medical examination is carried out correctly. If you don't have access, get a free trial of online legal access.

What vehicles must be inspected?

Paragraph 2 of Article 20 of the Federal Law “On Road Safety” states that vehicles belonging to legal entities and individual entrepreneurs that transport passengers or cargo must undergo technical control.

However, we are not necessarily talking about commercial transportation. If a vehicle transports cargo for the organization’s own needs or transports at least one person other than the driver, then it must undergo pre-trip or pre-shift control.

The requirement applies to all types of vehicles:

  • passenger cars (only for commercial transport),
  • trucks (for commercial transportation and transportation for own needs),
  • buses (for commercial transportation and transportation for own needs).

Requirements for the organization conducting the inspection

Medical examination of drivers is a separate type of medical activity that requires licensing. Who has the right to conduct a pre-trip medical examination of drivers?

Only medical personnel who have completed a special training course and received the appropriate certificate/diploma can conduct examinations.

Where can I obtain the required certificate? In many large cities there are institutions that issue such certificates. For example, faculties of medical universities, medical schools, advanced training centers for doctors.

So, an enterprise can organize pre-trip medical examinations of drivers in three ways:

  1. With the help of a certified doctor who, under an employment contract, works on the company’s staff. In this case, a license will not be required.
  2. Thanks to an involved organization that is licensed and works under a contract to conduct medical examinations. Such organizations can be not only medical institutions in the generally accepted sense (clinic, hospital), but also a private organization that deals exclusively with medical examinations.
  3. By independently obtaining a license for the company to conduct medical examinations of drivers. This applies more to large motor transport enterprises, which in any case incur certain costs due to maintaining a medical office and paying salaries to certified specialists. By purchasing a license, they will be able to provide driver medical examination services to smaller businesses.

Video: About the license for pre-trip inspection of drivers

Be careful, fines!

For violation of the rules for conducting a medical examination of drivers or for lack of examination, the following fines are provided:

  • for the driver - 1000–1500 rubles;
  • for the medical worker who conducted the examination - 2000–3000 rubles;
  • for an individual entrepreneur or legal entity - 30,000–50,000 rubles.

Who can conduct a pre-trip technical inspection?

7. Control is carried out by a controller of the technical condition of vehicles or a controller of the technical condition of urban ground electric transport vehicles (hereinafter referred to as the controller).

Technical control must be carried out by a special employee - controller .

Detailed requirements for controllers are given in a separate regulatory document (clause 13.3), effective from January 1, 2021:

EducationSpecialityDiploma of professional retraining with qualification of inspector of technical condition of vehiclesWork experience in the field of monitoring the technical condition and maintenance of vehicles
secondary vocational training in profession (school)from group 23.00.00 Equipment and technologies of ground transport3 years
secondary vocational training in profession (school)any specialty+3 years
secondary vocational training in specialty (technical school)02.23.03 Maintenance and repair of motor vehicles
secondary vocational training in specialty (technical school)from group 23.00.00 Equipment and technologies of ground transport1 year
secondary vocational training in specialty (technical school)any specialty+1 year
higherfrom group 23.00.00 Equipment and technologies of ground transport
higherany specialty+

Pay attention to the last row of the table. Any employee of the organization with a higher education can undergo professional training, after which he will be able to perform work as a controller.

For example, consider the smallest version of the organization. An individual entrepreneur is engaged in the transportation of goods, i.e. he himself acts as a driver. In this case, he can undergo professional retraining. After this, he will have the right to check the car before leaving and put a mark on the control on the waybill.

However, there is another option. You can enter into an agreement with a mechanic who will come to the organization every day, check the vehicles, mark the waybills and fill out the appropriate log.

In this case, the following point must be taken into account:

5. Pre-trip or pre-shift monitoring of the technical condition of vehicles (hereinafter referred to as control) is carried out before the vehicle leaves the parking lot (parking space) intended for parking the vehicle upon return from the trip and the end of the vehicle driver’s shift (hereinafter referred to as parking).

So you need to check the car where it is parked. That is, it is impossible to conclude an agreement according to which cars will go to another organization to undergo pre-trip control. All inspections must take place on site.

If the organization is large and there are a lot of cars, then it makes sense to hire a separate employee who will deal with pre-trip checks.

If there are only a few vehicles involved in transportation, then it will be cheaper to enter into an agreement with a specialized organization, whose employee will come and release the vehicles for the trip.

Regulations on the organization of pre-trip medical examinations of drivers

In addition to Order No. 835n, the letter of the Ministry of Health of the Russian Federation dated August 21, 2003 No. 2510/9468-03-32 also retains legal force. It states that the employer, for conducting pre-trip medical examinations of drivers, can approve a separate local legal act - a regulation on the organization of appropriate examinations. The standard form of this provision is approved in Appendix 2 to the specified letter of the Ministry of Health. This provision implies regulation:

  • organizing pre-trip medical examinations;
  • content of medical examinations;
  • carrying out certain procedures as part of medical examinations;
  • conditions for medical examinations;
  • criteria for allowing drivers to work after passing a medical examination;
  • responsibilities of medical institutions that conduct medical examinations.

See the structure of the order for medical examination by employees of the enterprise here .

Is it possible to collect a fine from a driver who was issued for going on the line without a pre-trip medical examination? The answer to this question is in ConsultantPlus. Learn the material by getting trial access to the system for free.

Inspection procedure

The procedure for pre-shift inspection contains a complete list of vehicle elements that need to be checked (click on the picture to enlarge it):

Thus, you won’t have to do anything supernatural when checking. You just need to check that the car is in full working order.

If you work as an inspector, I recommend printing out the table above and checking vehicles in accordance with it.

Separately, I would like to draw your attention to the fact that the inspector must also check that no changes have been made to the design of the car.

For example, that LPG has not been installed or the sides of the truck have not been extended.

How often?

Even from the name it follows that pre-trip medical examinations must be carried out before each trip. An exception is made only for emergency services. They don't have time to interrupt their work.

Expert opinion

Artemyev Dmitry

Experience as a forensic expert in the field of automotive technical examination for more than 2 years, more than 3 years of work in the field of insurance disputes, appealing guilt in road accidents.

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Do not forget about medical checks carried out out of turn. They are for drivers with deviations identified during mandatory procedures. Organizations have the right to hire a medical officer on staff to conduct this check. A hired medical specialist usually explains the procedure.

Logbook for recording the results of pre-trip control

Also, a mark on passing the control must be entered in a special journal for recording the results of pre-shift control (click on the picture to enlarge):

The journal is an ordinary table, the list of columns of which is given in the regulatory document. If you wish, you can make such a table yourself. You can also download the following form and print it in the required quantity:

In 2021, all fields of the journal are filled out by the controller. The driver's signature is not required.

Note. The log of registration of technical control results can also be maintained in electronic form. In this case, the entered information must be certified by an enhanced qualified electronic signature.

Journal of pre-trip and post-trip medical examinations of drivers

After the driver has undergone a medical examination before being released onto the line, it is necessary to make an entry in the pre-trip medical examination log.

We write down the following:

  • date and time of the medical examination;
  • Driver's full name;
  • floor;
  • date of birth;
  • research results;
  • conclusion on the results of the medical examination.

Next, the health worker and the employee sign.

Like all magazines at the enterprise, it must be stitched, numbered, sealed and signed.

Medical examination results

The legal requirements for pre-trip inspection of drivers have not changed since January 1, 2021. During the procedure, the health worker:

  • establishes that the subject is under the influence of harmful, dangerous factors, conditions and diseases that do not allow him to perform work duties;
  • shows no signs of this.

Depending on the conclusion, the doctor allows the driver to work or removes him from it. A specialist with secondary vocational education, if he has identified deviations in the driver’s condition, is obliged to send the latter to a hospital for a conclusion. The results of the inspection are recorded in a special journal and reported to the driver’s superiors.

Grounds for driver suspension

According to the legislation of 2021, the driver will be suspended from work after a pre-trip medical examination:

  1. For symptoms of acute or exacerbation of a chronic disease. Such employees are not allowed to work, after which they are sent to the clinic to see the doctor on duty. If a doctor removes a driver from performing duties in the evening or at night, he draws up a certificate about this in any form with his signature, provides first aid himself, and invites the patient to go to the hospital the next day or call a doctor at home. A driver who is declared temporarily incapacitated by a clinic doctor receives sick leave.
  2. When the driver’s pulse and blood pressure readings deviate from their usual readings.
  3. If the driver is drunk. In this case, the health worker is obliged to conduct a sobriety check and record it in the protocol.

Important! Within the meaning of Art. 54 of the Law “On Narcotic Drugs and Psychotropic Substances” dated January 8, 1998 No. 3-FZ, a driver can be examined for the content of narcotic substances in his body after he has signed consent to this (such a declaration of will can be enshrined in an employment contract).

Driver clearance

The driver is allowed to work in the absence of:

  • complaints;
  • objective signs of diseases;
  • violations of the functional state of the body;
  • signs of use of alcoholic beverages, narcotic and other psychoactive substances;
  • violations of the work and rest regime.

The health worker puts a stamp on the waybill for such a driver, in which he enters:

  • date, exact time of medical examination;
  • your surname, initials and signature.

The doctor on duty at the clinic issues a previously suspended employee, whom he recognized as able to work, a certificate stating that there are no contraindications for admission to work. For drivers suffering from chronic diseases, doctors create a driver’s health card, where they enter the recommendations of the attending physician.

Keeping a medical examination log

The law offers two options for designing a journal for registering pre-trip and pre-shift medical examinations:

  1. On paper. Its pages are numbered, stitched and sealed with the seal of the organization or health care institution.
  2. Electronic. At the same time, it is important to comply with the requirements of the legislation on personal data, and it should also be possible to print any page.

The following information about the driver is entered into the log:

  • last name;
  • Name;
  • surname;
  • floor;
  • place of work;
  • date and time of inspection;
  • conclusion;
  • Taken measures;
  • surname and initials of the physician who conducted the examination.

The reader will find a sample of filling out the driver's pre-trip medical examination log in our other article.

Post-trip medical examinations

Why carry out a post-trip medical examination if the driver has already been examined before leaving, and he will not drive again today? This helps strengthen discipline and identify candidates for dismissal. If the driver knows that after the pre-trip inspection no one will check him again, what will stop him from drinking alcohol right at work?

Post-trip medical examinations are important if the company employs people with chronic diseases or retirees.

What does the law say about this? Order of the Ministry of Transport dated September 18, 2008 N152 directly obliges to indicate the time of post-trip inspections in waybills - which means the procedure is mandatory.

Who can conduct an inspection

Conducting a pre-trip medical examination of drivers is mandatory for all legal entities and individual entrepreneurs (Article 20 of Law No. 196-FZ). The latter themselves undergo the procedure before each shift if they drive official vehicles personally. Only medical personnel who have undergone special training have the right to examine drivers:

  • doctors;
  • paramedics;
  • nurses.

The law allows employers:

  • involve third-party medical workers (clause 7, article 23 of law No. 196-FZ);
  • create a medical unit in your organization and hire medical workers to the staff (Part 4, Article 24 of Law No. 323-FZ).

The legislator currently does not allow remote pre-trip medical examination of drivers.

Important! According to clause 3 of the Regulations on licensing of medical activities, approved by Decree of the Government of the Russian Federation of April 16, 2012 No. 291, both the enterprise’s own medical center and the medical organization whose employees were hired to carry out medical examinations must have a license for this type of activity.

Liability (fines) for violating the rules for conducting pre-trip inspections

If an employee goes on a trip without a medical report, then all organizers of the transportation will face administrative or criminal liability. In 2021, amendments were made to Order No. 152 on the specifics of filling out waybills.

Penalties for violations of the medical examination procedure:

  • for the driver – 1–1.5 thousand rubles;
  • for medical professionals or clinics – 2-3 thousand rubles;
  • for a transport company or private entrepreneur - from 30 to 50 thousand rubles.

Important! Authorized control services or road inspections can fine those involved in organizing the flight.

If a driver is involved in an accident, and the reason for this was his unsatisfactory physical condition, then the citizens involved in the medical examination are fined 200 thousand rubles.

Also, depending on the outcome of the accident, correctional labor for 2 years or restriction of freedom for 1 year is imposed. If the victim of an accident died, the perpetrators will be imprisoned for 3 years.

Pre-trip medical examination. Necessity, license, who has the right to conduct.

Pre-trip medical examination of drivers was introduced in certain departments of the USSR back in the 1960s and made it possible to identify and remove from work drivers who were in a state of various types of intoxication, under the influence of drugs that reduce the level of reaction, were sick or simply tired.

Since the implemented measure led to a decrease in injury rates, in the 70s, medical examination of drivers before departure began to be practiced in all large motor vehicles. For example, thanks to regular inspections at transport enterprises in the capital in 1978, the number of accidents caused by drunk drivers decreased by almost 58%.

At that time, pre-trip medical examinations of drivers could be carried out by trained inspectors. However, since 1999, it has been entrusted exclusively to health workers who have received appropriate training.

High traffic intensity places increased demands on drivers in terms of health. At the same time, violations and deviations in the health status of drivers can be identified in a timely manner only if they undergo regular medical examinations.

Pre-trip medical examination is regulated by a number of regulatory documents . Among them:

Labor Code (Article 213 of the Labor Code of the Russian Federation)

Code of Administrative Offenses

Federal Law of December 10, 1995 No. 196-FZ “On Road Safety” (Article 20, paragraph 1)

Letter of the Ministry of Health of the Russian Federation dated August 21, 2003 No. 2510/9468-03-32 “On pre-trip medical examinations of vehicle drivers”

Letter from the Ministry of Health and the Ministry of Transport of the Russian Federation dated January 20, 2002 “Medical provision of road safety”

Order of the Ministry of Health of the Russian Federation dated July 14, 2003 No. 308 “On medical examination for intoxication”

Order of the Ministry of Health of Russia dated December 15, 2014 No. 835n “On approval of the Procedure for conducting pre-shift, pre-trip and post-shift, post-trip medical examinations”

In general, a post-trip inspection is recommended, but not mandatory, if the employer considers it appropriate. For example, such an examination is possible for employees in the “risk group” - those who are often sick or have chronic diseases, drink alcohol, and working pensioners.

But according to the law, drivers who transport passengers and dangerous goods must undergo this type of inspection without fail.

Post-shift and post-trip medical examinations are carried out in order to identify:

— signs of the impact of harmful and (or) hazardous production factors in the working environment and the labor process on the health of workers;

— acute occupational disease or poisoning;

— signs of alcohol, drug or other toxic intoxication.

The main objective of a pre-trip examination is to confirm the normal state of health of the driver before the trip in order to exclude cases of physical fatigue and to identify states of drug or alcohol intoxication that may affect the ability to drive.

If at least one of the listed signs is detected, the driver is not allowed to work that day.

Examination of the driver for the presence of narcotic substances in the body is possible only with his written consent, which is usually given as part of an employment contract, civil contract or in a separate document.

All examination results must be recorded in a special journal. At the same time, the recommended form of the registration log is present only in the order of the USSR Ministry of Health No. 555.

The employer is informed about the results of the medical examination. In addition, the medical examination must be marked accordingly on the waybill, indicating the exact time and date, data and signature of the medical worker.

A pre-trip medical examination of drivers, which reveals the fact that the driver is under the influence of alcohol or drugs, may serve as a reason for imposing a penalty on the driver in accordance with labor legislation. Let us note that this fine is not imposed by traffic police officers, but by officials of bodies exercising control and supervision functions in the field of healthcare.

All drivers are required to undergo pre-trip medical examinations, except for drivers of emergency vehicles (they only need to undergo pre-shift medical examinations).

The Ministry of Health requires individual entrepreneurs who independently engage in transportation services to undergo both pre-trip and post-trip examinations.

The Ministry of Health also establishes the following:

— pre-trip medical examinations are carried out right before the start of the shift to detect dangerous or harmful factors, or the driver’s health condition, which may prevent him from performing his work function;

— pre-trip medical examinations are organized and financed by the employer;

— pre-trip medical examination is carried out by medical workers of the required qualifications who work on the company’s staff or represent a third-party medical organization with the appropriate license.

The pre-trip inspection includes:

— consideration of driver complaints;

— visual inspection;

— measurement of pressure, pulse, body temperature;

— identifying signs of intoxication;

— determination of the presence of psychoactive substances;

- A breathalyzer is used to determine the percentage of alcohol in the blood.

If a driver has hypertension, then in his medical record the doctor must note the limits of normal blood pressure at which he is allowed to work. Such a framework is determined by a specialist as the arithmetic average of recorded readings over a period of ten days. If alcohol intake is easy to determine using a breathalyzer, then to identify narcotic and psychotropic substances, a laboratory analysis of urine and blood is required.

The results of the pre-trip medical examination give the doctor the basis to make a conclusion about the presence of dangerous and harmful factors or health conditions that prevent the driver from performing his job function or about their absence.

Methods for organizing pre-trip medical examinations

Medical examination of drivers is a separate type of medical activity that requires licensing. Only medical personnel who have completed a special training course and received the appropriate certificate or diploma can conduct an examination.

A motor transport company can organize pre-trip medical examinations of drivers in three ways:

1. With the help of a certified doctor who, under an employment contract, works on the company’s staff.

In this case, the health worker must have the qualifications of a doctor, paramedic or nurse, as well as a certificate confirming training in the Training Program for conducting pre-trip, post-trip and ongoing medical examinations of vehicle drivers, approved by Order of the Ministry of Health of Russia dated July 14, 2003 N 308 “On medical examination for Drunk".

The question of whether a license is required for an organization that conducts pre-trip medical examinations using its own medical workers, provided they have certificates, remains controversial today.

Until 2015, many trucking companies avoided obtaining a license by hiring a physician with the required current license. When disputes arose, the courts, as a rule, sided with the organization (Resolution of the Federal Antimonopoly Service of Moscow Region dated March 17, 2010 No. KA-A40/2021-1, FAS North Caucasus Region dated November 24, 2010 No. A53-6995/2010).

After Order No. 835n came into force, the rules for conducting pre-trip medical examinations of drivers became more stringent. Now all employers wishing to conduct PME on their territory must have a license (clause 8 of Order No. 835n dated December 15, 2014 “On approval of the procedure for conducting pre-shift, pre-trip and post-shift, post-trip medical examinations”).

Licenses are issued by the territorial body of Roszdravnadzor or executive authorities of the constituent entities of the Russian Federation. First, the state fee for issuing a medical license is paid and an application for a license is filled out. This document is valid for an indefinite period and, if necessary, allows the provision of PME services to third parties.

2. With the help of an involved organization that is licensed and works under a contract to conduct medical examinations. Such organizations can be not only medical institutions (clinic, hospital), but also a private organization that deals exclusively with medical examinations.

This method is suitable for organizations with a small number of drivers, because... creating and maintaining units to conduct pre-trip medical examinations will be expensive. The advantages are that you do not need to spend effort and money on a license, premises, devices, equipment and wages for medical workers.

To conduct examinations, an agreement is concluded with a medical organization that has a license to conduct pre-trip and post-trip examinations (Article 2 of the Federal Law of November 21, 2011 No. 323-FZ “On the fundamentals of protecting the health of citizens in the Russian Federation”).

The contract for the provision of medical services must specify the working hours of the health worker and the responsibilities of the medical organization:

— provide methodological guidance and control over the activities of the medical worker responsible for medical examinations of drivers;

— improve the qualifications of health workers;

— provide reports on the results of medical examinations in a timely manner;

— fill out a medical examination log.

When conducting pre-trip examinations outside of its organization, the employer creates conditions for drivers to visit a medical facility. The time for undergoing a medical examination, as well as the travel time to the point where it is carried out and back, is included in working hours (Part 3 of Article 213 of the Labor Code of the Russian Federation, subparagraph “d”, paragraph 15 of the Order of the Ministry of Transport of Russia dated August 20, 2004 No. 15 “On approval of the Regulations on the specifics of working hours and rest periods for drivers”).

3. By independently obtaining a license for the enterprise to conduct medical examinations of drivers. This applies more to large motor transport enterprises, which in any case incur certain costs due to maintaining a medical office and paying salaries to certified specialists. By purchasing a license, they will be able to provide driver medical examination services to smaller businesses.

Pre-trip medical examinations relate to medical activities that require a license from Roszdravnadzor (Resolution of the Government of the Russian Federation of April 16, 2012 No. 291). Therefore, the employer is required to obtain a license for its medical department to conduct pre-trip and post-trip medical examinations.

The license to carry out medical activities is valid indefinitely (Part 4, Article 9 of the Federal Law of May 4, 2011 No. 99-FZ “On licensing of certain types of activities”).

Equipping a room for pre-trip medical examinations at the enterprise

The employer equips the medical office in accordance with the requirements of the law (letter of the Ministry of Health of Russia dated August 21, 2003 No. 2510/9468-03-32 “On pre-trip medical examinations of vehicle drivers”). The room must consist of at least two rooms: one for conducting inspections, the second for collecting biological media.

The premises are equipped with medical devices, equipment and furniture. In particular, there should be:

  1. Medical couch.
  2. Desk, chairs, table lamp, wardrobe, coat hanger, floor mat, safe.
  3. Device for determining blood pressure (2 pcs.), thermometers (3 pcs.), stethophonendoscopes (2 pcs.).
  4. Device for determining alcohol vapor in exhaled air (2 pcs.).
  5. Breathalyzers (2 pcs.), rapid tests for alcohol and drugs.
  6. Table for medical equipment.
  7. Medical spatulas.
  8. Bag with a set of medicines for emergency medical care.

In addition, the premises must be provided with heating, lighting, water supply, equipped with communications equipment, and comply with sanitary standards.

Responsibility for violating the rules of pre-admission medical examination

The legislation classifies such medical examinations as activities in the field of labor protection. Accordingly, all violations regarding pre-trip medical examinations of drivers are violations of labor protection rules. And this already entails not only administrative, but also criminal liability. Medical organizations, their management, medical staff, heads of motor transport enterprises, as well as everyone associated with the organization and conduct of medical events can be found guilty of violations of labor legislation.

If a driver, due to health problems, causes an accident in which people are seriously injured, the competent authorities will first check whether the pre-trip inspection was properly carried out. And if it turns out that gross errors were made during the medical examination, or it was not carried out at all, then a criminal case will be opened under Article 143 of the Criminal Code of the Russian Federation. All persons responsible for organizing and conducting pre-trip medical examinations of drivers at the enterprise will be held accountable. Those found guilty may be sentenced to a large fine (up to 200,000 rubles or 18 times the salary of the convicted person). In addition, they can be sent to correctional labor for up to two years, or even imprisoned for up to a year. If a person dies as a result of an accident, the perpetrators will be imprisoned for up to three years. Moreover, the law does not provide for any other, more lenient punishment (for example, in the form of a fine) for this crime.

It is important to remember that if criminal liability for an inappropriate or failed medical examination is threatened only after the occurrence of serious consequences, then under the administrative article sanctions can be imposed at any time if regulatory authorities identify any violations. In this case, it does not matter at all whether any consequences occurred or not. The mere fact of improperly organizing a medical examination of drivers for regulatory organizations will be sufficient grounds for issuing a decision.

According to Article 11.32 of the Code of Administrative Offenses of the Russian Federation, the following fines are provided for violation of the rules for conducting a medical examination of drivers or for lack of examination:

— for the driver — 1000–1500 rubles;

— for the medical worker who conducted the examination — 2000–3000 rubles;

— for an individual entrepreneur or legal entity — 30,000–50,000 rubles;

— for legal entities and organizations – from 110 to 130 thousand rubles.

It should be noted that this fine should not be imposed by a traffic police inspector, but by an official who is an employee of the bodies exercising supervision and control in the healthcare sector.

Pictures upon request driver's medical examination
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Responsibility of the employer for releasing a driver onto the line without a medical examination

Allowing drivers to work without conducting a pre-trip or pre-shift medical examination is an administrative offense. Responsibility for such an act is provided for in Part 3 of Article 5.27.1 of the Code of Administrative Offenses of the Russian Federation. The fine is:

  • for officials and individual entrepreneurs - from 15,000 to 25,000 rubles;
  • for legal entities - from 110,000 to 130,000 rubles.

For a repeated violation, an official or individual entrepreneur will pay a fine of up to 40,000 rubles, and may also face disqualification for a period of one to three years. The organization will be fined up to 200,000 rubles or its activities will be suspended for up to 90 days. This is discussed in Part 5 of the above-mentioned article.

You can also receive a fine for violating the procedure for conducting mandatory examination of drivers before a trip under Article 11.32 of the Code of Administrative Offenses of the Russian Federation. The fines are:

  • for officials - from 2000 to 3000 rubles;
  • for legal entities - from 30,000 to 50,000 rubles.

In this article, individual entrepreneurs are treated as legal entities with the appropriate fine amount. In addition, officials who allowed a vehicle to leave with a drunk driver behind the wheel may also be fined under Article 12.32 of the Code of Administrative Offenses of the Russian Federation. The fine will be up to 20,000 rubles. Organizations and individual entrepreneurs may be similarly punished. They will be fined 100,000 rubles.

How a sobriety check and medical examination of a driver is carried out

The health status of workers is monitored immediately before the start of a work shift or departure on a flight. The pre-trip medical examination takes place as follows.

  1. Visual examination of the employee: gait, appearance, behavior.
  2. Health survey.
  3. Medical examination of visible mucous membranes and skin (presence of scratching, injection marks on the hands, pallor or redness of the skin, condition of the pupils (narrowed or dilated)).
  4. Measurement of blood pressure and pulse (if a deviation from the norm is detected, a repeat test should be carried out no less than 20 minutes later).
  5. Identification of signs of intoxication (alcohol, drugs or other toxic) or residual effects of intoxication.

For the last stage of the medical examination, laboratory and instrumental studies may be carried out. For example, determining the alcohol content in exhaled air or urine analysis.

Based on the results of all these studies, the authorized health worker makes a conclusion about the possibility of going on a flight. If admission is obtained, then the waybill must be stamped “Passed a pre-trip medical examination” or a handwritten note certified by the signature of the person who carried out the control. If the driver does not pass the control, a protocol is drawn up about this.

Requirements for the procedure room

Pre-trip technical inspection of vehicles

Regardless of where the examination will be carried out, the requirements for a medical office for a pre-trip examination are the same for everyone, both for the enterprise and for the licensed organization.


SanPin standards provide the following list of equipment

This list is minimal. Typically, organizations purchase half the list in bulk.

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