Sample certificate of work in hazardous working conditions

The pension reform being carried out in the country is aimed at increasing the retirement age. 2021 is the last year when men retire at 60, and women at 55. However, there are certain categories of citizens who will retain the right to early retirement.

One of the documents confirming the existence of such a right is a preferential certificate, which must be submitted to the Pension Fund along with other documents when applying for a pension.

What is a preferential certificate and why is it needed?

A preferential certificate is an official document confirming a certain length of service and its preferential nature. Without providing it, it is sometimes impossible to prove the fact of carrying out labor activities under certain conditions, which is especially important in the event of loss, damage to the work book or the presence of errors in it.

One of the reasons for registration is an attempt to obtain the assignment of pension payments required by law in the case of work in the Far North, in hazardous and hazardous industries.

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If the employer made insurance contributions for his employee, this period is taken into account.

It becomes clear that only those citizens who were officially employed can apply for the benefit.

How to fill out information{q}

The first three points usually do not cause any problems - after all, this is not even a review, it is simply a message about who is working where and in what capacity. The document form will greatly help you in filling it out; it is better to look at it in advance.

Stamps matter; usually there are two of them - in the upper left there is the company's exit seal with all the details - as is customary in a given organization. In the upper right corner there is usually a stamp containing the legal address of the company and the corresponding codes.

Subsequent points - those relating to the candidate’s personality - are drawn up based on the materials of the personal file.

If there has been a workplace certification, the data is entered based on the final certification documents.

A separate conversation about loads. For employees engaged in intellectual work, it is necessary to indicate what exactly the mental workload is and how heavy it is. If the work does not involve them at all, this should be indicated.

As for sensory loads, it is important to observe two points - their actual volume and their percentage of the total working time.

For example, the activity of Ivanov, a worker at Bolshoy Zavod LLC, consists of manufacturing parts. The work is monotonous and this is what his entire shift consists of. Be sure to mention the level of noise loads, for example: “There is a high noise level in the workshop, noise loads account for almost 100% of the entire time.

When describing an employee’s functionality, it is best to avoid lengthy explanations - it should be short, clear and understandable.

It must be indicated whether this particular worker is provided with certain facilitated conditions, and whether there is an opportunity for this at all. The reason may be frequent illnesses of the subject - in this case you need to refer to the medical documents that the citizen brings.

With regard to whether the patient fulfills the plan at work, it is better not to cut from the shoulder. You should think and compare all the facts - for example, in the case of a shortened working week, you cannot complain about the low ones. The fact that they are low is most likely not the citizen’s fault.

You should not strive on the other side and praise the subject. These are not “shows” for a new job; what is at stake here is not dubious prestige, but real human health.

For example, it is stated that worker Ivanov calmly works an eight-hour shift, fulfills the plan on time and has never had any relaxing conditions; the VTEC ITU bureau will grab his head - then what is the reason for a person’s appeal to them and how healthy he really is { q} This will delay the examination time and - and we can talk about disability.

The question regarding past illnesses and concomitant sick leave belongs to the category of light ones - this item is filled out in accordance with the certificates of incapacity for work.

All columns and items of the form are mandatory and, accordingly, must be filled out. If there is no data, there should be a dash there, but in no case an empty space.

We suggest you familiarize yourself with: State Duma Deputy at what age?

The characteristics for VTEK should be approached with all seriousness. The issue is not only about the reputation of the organization (which is generally fixable), but about the safety of a person’s health, about whether his capabilities will be limited in the future or not. The employer will also be able to provide more lenient working conditions.

wow, you have to fill it all out {q} maybe you can really write from... to... when you bring your TC

Often citizens have to work in working conditions that have a negative impact on them. Such conditions are called hazardous working conditions. You can find out what degrees of harmful working conditions exist in the following article.

In accordance with the law, there are four degrees of harm:

  • First degree. Optimal working conditions. These include those places of work where danger and harm are completely absent. At the same time, the employee’s health and high parameters of his ability to work are fully preserved throughout the fulfillment of work obligations.
  • Second degree. Working conditions are at an acceptable level of harmfulness. Harmful factors have little effect on the human body, but it manages to fully recover by the start of the next working day.
  • Third degree. Harmful working conditions. Working conditions have a strong impact on employee health. They cause functional changes that lead to prof. illnesses and temporary disability. This group is divided into four subgroups:
      Increased risk of harm to health. To restore normal functioning of the body, an employee needs much more time than he has before starting a new work shift.
  • When undergoing a medical examination, the employee is found to have significant changes in his health status. These changes entail the onset of various diseases, harm to health of moderate severity, complete or partial loss of working capacity when performing labor functions for more than fifteen years.
  • Harmful factors persistently affect human health, causing severe harm. These factors cause occupational diseases of mild and moderate severity.
  • This subgroup includes those harmful and dangerous working conditions that are so significant that they can cause a severe form of occupational disease during the period when the employee performed his job duties.
  • Fourth degree. Dangerous working conditions. Such working conditions endanger the life of the worker. As a result of fulfilling work obligations, workers develop severe occupational diseases.

Where can I get the document?

The employer should help with the preparation of the benefit certificate, since this is the authority that prepares this kind of documents. If an employee requires a preferential certificate, you need to contact the personnel department of your enterprise, writing an application for the issuance of the document. The certificate must be prepared within three days, after which the employee will be able to pick it up.

In practice, there are cases when the enterprise where the future retiree worked is liquidated. Then you need to go to the archive, which contains all the official papers of the liquidated organization.

Elena Smirnova

Pension lawyer, ready to answer your questions.

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It is through the archive that you should receive written confirmation of work experience in hazardous production.

Where to get a pension certificate

The form itself and all supporting documentation must be provided to the applicant directly at the place of his employment. Before the early retirement date, the employee turns to the employer with a request to fill out such an application with the Pension Fund. This issue is dealt with either by the human resources department or by an employee who is entrusted with the functions of working with the Pension Fund.

The employer must provide a completed and signed application no later than 3 days from the date of the employee’s application.

If the organization in which the applicant was employed and in which he had difficult working conditions or hazardous work was liquidated at the time of the application, the citizen will have to contact the archive where all documents were transferred after the liquidation of the institution.

Required documents

To apply for an early pension, you must prepare a package of certain documents for submitting an application to the Pension Fund.

In addition to the confirmation of the benefit certificate, you will need:

  • passport;
  • work record book (or photocopy certified by the employer);
  • SNILS;
  • certificate of average income (highest) for any five years of work (consecutive, possible with different employers);
  • application for early retirement benefits.

Certificate of working conditions for the Pension Fund

Certain categories of workers listed in Resolution of the USSR Cabinet of Ministers No. 10 may retire 5 or 10 years ahead of schedule . To do this, in addition to basic documents, they must also provide a certificate of hazardous working conditions in order to confirm the right to a well-deserved rest ahead of schedule.

What information must be contained in the certificate to receive this benefit:

PeculiaritiesExplanation
How long did the citizen work in hazardous conditions?Men over 50 years of age and women over 45 years of age are granted an early insurance pension if their length of service is 20 and 15 years, respectively.
Have there been any transfers to other positions?If yes, then it is necessary to indicate under what conditions and for how long the employee worked
Based on what documents was the certificate issued?Work book, employment contract and other internal regulations, which indicate working conditions according to a special assessment

“The next pension reform is coming, and it will be possible to save money for old age with the help of individual pension capital. Its principle is radically different from the current system, which has been in use for more than 20 years, and synchronizing everything will be problematic. If it is possible to implement the IPC, entrepreneurs can be exempt from paying tax on pensions from non-state pension funds, the social tax deduction can be increased to 400,000 rubles, and additional tariffs for managers of enterprises with hazardous working conditions can be sent to corporate NGO programs,” says A.N. Shokhin, President of the Russian Union of Industrialists.

Sample certificate with description in 2021

The full name of the document is as follows: “a certificate clarifying the preferential nature of the work, which gives the right to early assignment of a pension.” A sample preferential certificate to the Pension Fund in 2021 looks like this.

In the upper left corner there is a place to put a stamp, indicate the originating number and date of issue. After the header on the form, the employee’s full name and date of birth are indicated. Next comes the full name of the organization or enterprise where the beneficiary worked.

The position and profession of the employee, periods of work in the above profession and position, numbers of orders for hiring and dismissal (if any) are also indicated.

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Based on Government Decree No. 516 (07/11/2002), information is entered on the nature of the activity (work) that provides benefits upon retirement. It is also mandatory to indicate periods when the employee worked part-time (partial week). Periods not covered by the Ordinance must also be specified.

The following are periods that cannot be counted towards the total length of service:

  • leave without pay;
  • leave to care for a child (including a disabled child);
  • study leave;
  • taking advanced training courses;
  • suspension from work due to alcohol intoxication, for medical reasons, at the request of various authorized bodies or persons;
  • business downtime.

When is a certificate about the nature of the work needed?

To understand this issue, you need to familiarize yourself with the nuances of part-time work:

PeculiaritiesInternalExternal
Place of workAn employee is employed in the same company in two different positionsA citizen works at different enterprises, positions can be any
Employer NoticeNo needIf you wish to make an entry in the work book, the employee will have to notify the employer at the main place of additional employment
Vacation28 calendar days are provided depending on the schedule and desire of the employeeThe beginning and end of rest must fall on the dates specified in the schedule for the main job
Operating modeLimited acc. from Art. 100 Labor Code of the Russian Federation The work schedule depends on the availability of the main location. A citizen can perform his duties only in his free time

Important! According to the law, citizens cannot work as part-time workers in enterprises with hazardous working conditions if they already work in such an environment at their main place. It is for this reason that when applying for part-time employment, employers ask to provide a certificate of the nature of the work, but there are other situations when it may be needed:

  • The employee is registered for a state or municipal position. Here restrictions are established on part-time work: a citizen can take another job if this does not entail a conflict of interest and he notifies the main employer about the employment (Article 14 of the Federal Law “On the State Civil Service...”).
  • While serving in the Russian Army or the Ministry of Internal Affairs, employees do not have the right to engage in part-time work, with the exception of teaching, creative or scientific activities (Article 10 of the Federal Law “On the Status of Military Personnel”).
  • An employee whose work involves a risk to life or health takes early retirement. To confirm dangerous conditions, a corresponding certificate from the Pension Fund is required.
  • The citizen was injured and a medical examination is required.

Here is a clear example of when a certificate of working conditions may be needed:

Afanasyev M.N. gets a part-time job at a metal products manufacturing plant. Conditions in the workshops were found to be harmful as a result of a workplace assessment. Art. 282 of the Labor Code of the Russian Federation directly prohibits part-time employment with unfavorable conditions if the citizen is already working in the main position where they are provided for. Before drawing up an employment contract, the employer requires Afanasyev to bring a certificate about the nature of the main work in order to make sure that the future subordinate works in a normal environment.

After submitting a certificate and passing a medical examination, an agreement on part-time work is concluded between the parties. If this document is not requested, the employer may find himself in an unpleasant situation, and if a violation of the provisions of Art. 282 of the Labor Code of the Russian Federation, administrative penalties will be applied to him.

preferential certificate and additional documents

  1. Sample benefit certificate - ;
  2. List of documents of the observation case - ;
  3. A form specifying the special nature of the work - .

In the line with the grounds for issuing the certificate, all necessary documents are indicated - orders for hiring and dismissal, salary invoices, time sheets, etc.

If the name of the enterprise is changed, this fact must also be reflected in the reference document. In this case, the date when this change occurred is indicated and a link to the corresponding document is given.

When filling out the form, you must follow the regulatory documents, one of which is the already mentioned Government Resolution. It spells out special rules that make it possible to calculate those periods of work that can directly affect early retirement.

The completed paper must be signed by three persons - the employer, the head of the human resources department and the chief accountant.

Important! The employer is responsible for the truthfulness of the information entered in the form. If errors are detected, Pension Fund employees may refuse to accept the preferential certificate.

Certificate for medical and sanitary examination

The main task of the ITU is to determine a person’s disability.

This certificate is issued in the following situations:

  • diagnosed with an occupational disease;
  • injury at work;
  • loss of ability to work as a result of occupational injury.

The ITU commission requires a certificate about the working conditions of the employee where the injury occurred. The purpose of such a certificate is to identify hazards in the work environment.

List of required information in the certificate:

  • Full name and position of the employee;
  • Company name;
  • employee's passport details;
  • operating mode;
  • class of working conditions according to the classifier;
  • complexity of the work;
  • the presence or absence of psychological and physical stress;
  • the presence of harmful factors: noise level, dust, ultrasound, infrared radiation;
  • presence of occupational diseases of the employee;
  • signatures of the parties and seal.

Features of the help for ITU:

  • Only the manager, doctor or nurse at the enterprise, or trade union representative have the right to sign;
  • the presence of workplace automation is reflected;
  • information about the production rate is reflected;
  • factors that influence the level of vision are indicated;
  • describes the position in which the employee works;
  • the categories of harmfulness according to the classifier are described.

Features of the description of the employee’s working conditions in the certificate:

  • the presence of labor tension, which is caused by a high level of responsibility, the need to concentrate attention and an increased level of danger;
  • higher loads compared to usual ones;
  • characteristics of the workplace. An indication of the equipment, materials, technical devices used;
  • describes the need to lift heavy objects while performing duties;
  • is the use of special clothing required;
  • description of labor parameters that affect health status;
  • presence of dust;
  • presence of ultrasonic influence;
  • sending an employee on business trips.

If the company has a medical office, the certificate is drawn up in the presence of a medical professional.

characteristics for ITU can be found here.

Validity period of the certificate

Not a single regulatory act in our country establishes the validity period of a preferential certificate. Thus, the document has an unlimited shelf life. When leaving a job, a citizen can request the document he needs, and the information about his work experience contained in it will always be relevant.

Elena Smirnova

Pension lawyer, ready to answer your questions.

Ask me a question

Just in case, you can request the production of several certificates, since the number of documents issued is also not limited by law.

It is not necessary to explain the purpose of receiving a certain number of copies to the employer (former or current).

What should be specified

The certificate is not a unified form, so the employer has the opportunity to draw up a document with the Pension Fund in free form by filling it out on company letterhead. The main condition for such documentation is a broad evidence base that the citizen has the right to early retirement leave, that is, the certificate must include as much information as possible confirming the possibility of the benefit.

Despite the fact that the register can be developed by the institution independently, the specialist must follow various methodological recommendations. For example, when calculating the preferential length of service that gives the right to early retirement, you need to take into account the rules established by the RF Regulation No. 516 of July 11, 2002.

Document submission deadlines

The completed package of papers can be submitted one day before the right to early retirement benefits, but no more than one month. A preferential certificate can be prepared in advance so that the process of working on the application and the assignment of payments itself is not delayed.

Pension Fund employees are given 10 working days to review all papers. In case of inaccuracies, errors, or lack of necessary documents, the potential pensioner has another three months to make the necessary corrections.

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Employment history

Often, a labor pension (primarily for old age) is issued by those who are still working. And they ask to be given a work book. In such a situation, accountants who keep personnel records doubt whether a work book is really needed to register a pension.

As you know, to apply for a pension, an employee needs to submit documents on the insurance period to the Pension Fund of Russia . Work under an employment contract before the issuance of an insurance certificate (and pensions are currently issued to those who have earned most of their work experience up to this point) must be confirmed by the employee with a work book (Clause 6 of the Rules for calculating and confirming insurance experience for establishing labor pensions).

To the Pension Fund of the Russian Federation, the employee must submit original documents on the insurance period (Clause 2 of the List of documents required to establish a labor pension). But this requirement does not apply to the work book (Clause 13 of the List). And this is understandable. After all, an employee who continues to work is given only a copy or an extract from the work book certified by the employer (Article 62 of the Labor Code of the Russian Federation; clause 7 of the Rules for maintaining and storing work books, producing work book forms and providing employers with them).

However, at the local level, Pension Fund specialists require from future pensioners the original work record book or its notarized copy. For clarification on what this practice is based on, we contacted the PFR branch in Moscow and the Moscow region.

From authoritative sources

Boeva ​​Irina Anatolyevna, deputy manager of the branch of the Pension Fund of the Russian Federation for Moscow and the Moscow region

“For the Pension Fund of Russia, copies of work records certified by the organization in which the citizen works do not have legal force.

The accuracy of copies of documents is certified by notaries (Articles 1, 35 - 38 of the Fundamentals of the legislation of the Russian Federation on notaries). Therefore, you can submit to the Pension Fund only the original work record book or its copy, certified by a notary or the Pension Fund authorities.

If on the date of application for a pension the citizen continues to work, then he submits the original work book and its copy. In the copy of the work book, the head or specialist of the organization’s personnel service makes the entry “currently working,” which must be certified with the organization’s seal.”

It is unlikely that the employee will be able to convince the Pension Fund body. Therefore, if you do not give the employee the original work book, then the Pension Fund of Russia will take into account his length of service, confirmed by the work book, after going to court. This means that the pension will be assigned in a smaller amount (Article 30 of the Federal Law of December 17, 2001 N 173-FZ “On Labor Pensions in the Russian Federation”).

In such a situation, accountants have a question: is it possible to give the employee the original work book?

In the legislation, along with the absence of an obligation to issue the original work book to the employee in such a situation, there is no prohibition on issuing it (Letter of Rostrud dated March 18, 2008 N 656-6-0). Therefore, you can give the employee his work book against signature.

Receipt

On November 22, 2010, I, Alexandra Dmitrievna Zadorozhnaya, a sales clerk at Sezon LLC, was given the original of my work book for submission to the Pension Fund of Russia.

I undertake to return it to the accounting department of Sezon LLC on November 24, 2010.

November 22, 2010 Zadorozhnaya (Zadorozhnaya A.D.)

If an employee took a work book and lost it, he will have to collect certificates from previous places of work to restore data on his work experience himself.

For clarification on whether it is possible to hold the employer and the person responsible for maintaining and storing work books liable if an employee loses the original work book issued to him for registration of a pension, we contacted Rostrud.

From authoritative sources

Zhigastova Tatyana Mikhailovna, Deputy Head of the Department of Supervision and Control of Compliance with Labor Legislation of Rostrud

“The labor legislation does not stipulate whether the employer has the right to issue a work book to the employee in any cases other than his dismissal. Therefore, issuing an original work book against receipt to an employee applying for a pension cannot be considered a violation of labor legislation in the sense of Art. 5.27 Code of Administrative Offences.

At the same time, if an employee to whom a work book was issued against receipt loses it, the labor inspectorate may fine the employer. And if a person is appointed responsible for maintaining work records, then this is an official (Article 66 of the Labor Code of the Russian Federation). However, fines are very rarely imposed in such a situation.

Since the Pension Fund of Russia still requires the original work book to register a pension, I would advise providing for a similar situation in the organization’s local regulations. For example, you can stipulate that the work book is issued to the employee only for registration of a pension upon his application and against signature. The employee who took the book undertakes to return it. If he does not return it, disciplinary action will be imposed on him.”

And one more thing: if the employee who took the original work book does not return it, then you will have to issue a duplicate work book at his request. The cost of the work book form must be paid by the employee (Clause 47 of the Rules).

Divorce with a child under 3 years old in Russia

When drawing up a document, you must be guided by the provisions of Art. 131 and 132 of the Code of Civil Procedure of the Russian Federation, the execution of which is mandatory. The statement of claim must indicate:

  1. Name of the court, full names of the parties and their addresses;
  2. Description of the situation, including the date of marriage, the date of actual termination of the relationship, etc.;
  3. Indication of the presence of children, their data;
  4. Reasons for divorce, possibility of reconciliation, agreements reached with the second spouse;
  5. Additional evidence, justification for the need to leave the child with the plaintiff or defendant;
  6. Request for divorce and determination of the place of residence of a minor;
  7. Date, list of attached documents, personal signature of the plaintiff.

If the claim is filed by a representative, then you will additionally need to indicate the full name of the representative and attach a copy of the power of attorney.

Amount of payments according to list 1 and 2

Persons who belong to the first and second lists can work in the same production. An example would be mining quarries, when workers underground belong to the 1st list, and on the surface – to the second.

The size of payments depends on the applied coefficient. The additional tariff will also affect the size of the pension. A special assessment of working conditions allows you to obtain an additive.

Class of working conditionsSubclassTariff, %
Dangerous48
Harmful3,47
3,36
3,24
3,12

Conditions for receiving

Using the following table, it is convenient to see and compare in which cases a preferential pension for disability is established.

Conditions Women (years) Men (years)
Age for list No. 1 45 50
Total experience for list No. 1 15 20
Special experience for list No. 1 7,5 10
Age for list No. 2 50 55
Total experience for list No. 2 20 25
Special experience for list No. 2 10 12,5

The principle of calculating payments for citizens who have worked the required number of years in general service and at least half of this period in special service is as follows.

The retirement age for a citizen working in a profession that belongs to list No. 1 is reduced by 1 year for each full year of preferential service. In the case when a pension for disability is assigned (list No. 2), a reduction of 1 year occurs for every 2.5 years of preferential service for males, and 2 years for women.

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