Referral for a medical examination upon hiring: sample form according to Form 302n (2021)

One of the most important occupational safety measures is medical examinations; they can be preliminary or periodic.

Set of documents for medical examination

However, before we begin to consider them, let’s figure out why they are needed in general.

A medical examination is an event aimed at identifying an employee’s health-related contraindications to the type of work he must perform. In other words, the medical commission gives an opinion on whether the employee’s health allows him to work on the staff of the organization or not.

A medical examination is a mandatory event and is carried out at the expense of the employer . The medical examination is regulated by Order of the Ministry of Health 29n.

What changes are provided for according to Order No. 29n

Please note some reforms (information will be useful for employers, employees and employees of medical institutions):

Before undergoing a medical examination, the employee must provide a number of documents. The list remained the same as before, but a compulsory medical insurance and voluntary medical insurance policy (if available) was added to it.
Now it is permissible to carry out periodic medical examinations using a mobile team of doctors (for example, doctors can come to an enterprise to assess the health status of employees). In the current conditions of the pandemic, this is an important change that allows both to reduce the risk of employees becoming infected with coronavirus infection and to optimize the work process time (you will not have to lose a working day to visit the clinic).
From the first day of April this year, employers will be allowed not to provide a list of some employees to Rospotrebnadzor (the full list is presented in the Appendix to Order No. 29N).
Health assessment is carried out on the basis of an analysis of working conditions, which may vary depending on the specifics of professional activity. This means that the employee may require additional examinations, which are not always included in the mandatory list.
Office workers whose activities involve the use of computer equipment with radiation are now required to undergo a medical examination.
All workers in the medical field, regardless of their type of activity, are now required to undergo a medical examination. Previously, this measure was provided only for medical personnel.
For catering workers, medical examinations will no longer be carried out for all employees (as was the case before the innovations). Now only those employees whose professional activities are related to warehousing/selling/transporting/storing food products must undergo a medical examination.
The employer is also required to approve lists of staff members for undergoing a preliminary medical examination during employment.

Companies and employers who intend to organize medical examinations for their employees are advised to create lists of employees who will undergo medical examinations in advance.

What's new for periodic medical examinations?

Regular medical examination is monitoring the well-being of employees in a dynamic state (once a year or more often). Its goal is to promptly identify the initial stage of the disease, which can develop depending on the type of professional activity, as well as to recognize possible medical contraindications to certain types of work of the employee.

The frequency of assessing the health status of enterprise employees depends on production factors that may pose danger and harm to the employee. As a rule, a medical examination is carried out at least once a year. To undergo a periodic medical examination, the employee must come to the clinic on the agreed day. You need to have your passport, SNILS, and a referral from your employer to undergo a medical examination. If work conditions require this, it is necessary to provide a report from a psychoneurological dispensary (for example, for employees of private security companies). In addition to these documents, you must present a compulsory health insurance policy and additional health insurance (if available).

For each employee undergoing a medical examination at a medical institution, an outpatient medical record is provided, in which the results of the studies and the conclusion of the doctor’s commission are entered. Medical records can be maintained electronically.

By prior written agreement with the employee, the results of the medical examination are sent to the Social Insurance Fund.

Good news for employers: when conducting a periodic medical examination, data on the employee’s health status obtained during a previous medical examination in a licensed medical institution is taken into account (health data is relevant for a year after the medical examination). This means that fewer financial costs will be required on the part of the employer to pay for periodic medical examinations for employees.

Do not forget about the consequences if the employee does not pass the medical examination. From April 1, 2021, the fine for failure to fulfill obligations may range from 15,000 to 130,000 rubles. Responsibility will be borne by both the employee and the employer. CityMed Editorial Board

Sequence of medical examinations

Let's take a step-by-step look at passing a medical examination when hiring for new employees, and existing employees using the example of a grocery store.

Medical examinations are carried out for employees who have not yet been registered and are candidates for a certain position (preliminary medical examinations), and for current employees of the organization, in order to monitor their health status (periodic medical examinations).

EXAMPLE:

The staff of a grocery store includes: a director, three salespeople, a loader and a driver. The sequence of actions is as follows:

1. Before the medical examination , we determine which of the employees must undergo a mandatory psychiatric examination - we send the sellers, the loader and the driver (read about this at the link above).

2. We determine the contingent of workers who must undergo a medical examination. We approve this list in the organization and send it to Rospotrebnadzor at the beginning of the year.

According to the rules, a list of employees from among the decreed contingent must be sent to the Rospotrebnadzor body.

Decreed contingents are officials and employees of organizations whose activities are related to the production, storage, transportation and sale of food products and drinking water, the upbringing and education of children, public utilities and consumer services.

That is, now not all employers must send a list of employees to Rospotrebnadzor, but only certain industries: catering, trade, water supply, medical organizations, child care institutions and some others that fall under the definition of the decreed contingent.

We look at which of the store employees have hazardous factors and dangerous jobs. Their list is indicated in the Appendix to Order No. 29n:

a) Chemical - none of the store positions have such factors.

b) Biological - none of the positions have such factors.

c) Aerosols of predominantly fibrogenic action (APFD) and dust - none of the positions have such factors.

d) Physical - none of the positions have such factors.

e) Labor process factors - physical overload is possible for loaders, however, in order to determine exactly, it is necessary to conduct a special assessment of working conditions.

That is, within the framework of the conditional grocery store we are considering, there is a probability that only the factor of physical overload will be present.

Note: we take the list of harmful production factors from the results of a special assessment of working conditions that we previously conducted in the store, as well as the methodology for assessing occupational risks.

f) Work performed.

Here are the types of work for which employees may have contraindications. This list is quite impressive and covers various areas of activity. Paragraph 23 contains the wording “Work where there is contact with food products during their production, storage, transportation and sale (in organizations of the food and processing industries, agriculture, points, bases, warehouses for storage and sale, in transport organizations, organizations trade, public catering, in catering units of all institutions and organizations). Accordingly, we include sellers, loaders and drivers here, since they all participate in the sale and transportation of products.

Paragraph 18 contains the wording “Operation of ground vehicles”. Accordingly, drivers fall into this category. Depending on the category of transport, the employee is indicated either 18.1 or 18.2. We will assume that in our example all transport is category B.

Please note that if a certain position falls within the definition of several provisions of the document in question, then the employee must be directed to ALL identified points.

So, the list of contingents for referral for a medical examination includes:

Loader - application No. 1. clause 4.1., appendix No. 2. clause 14. Seller - application No. 2. clause 14. Driver - application No. 2. clause 14., clause 27.

3. We create an order establishing the obligation for employees to undergo medical examinations. We will arrange for all employees to become familiar with this order. A preliminary medical examination is carried out for candidates, and periodic for existing employees.

4. We appoint by order the person responsible for conducting medical examinations. It is this employee who will issue referrals to candidates or current employees.

5. We enter into an agreement with a medical institution. This is done after the list of positions has been determined and sent to Rospotrebnadzor. Please note that the organization has all the necessary licenses and permits to conduct preliminary and periodic medical examinations.

6. We send employees for a medical examination to this medical organization to undergo a medical examination. Since there are two types of medical examinations, we will consider each of them in detail.

6.1 We send the employee for a preliminary medical examination.

A candidate who has successfully passed a psychiatric examination is given a referral for a preliminary medical examination upon signature. The direction must indicate the points of Order 29n, according to which he must undergo a medical examination. The employer is obliged to organize a record of issued referrals, including in electronic form.

After passing a preliminary medical examination at a medical institution, the employee will be given a conclusion signed by the chairman of the medical commission. The candidate is sent with this document to the HR department, and if no contraindications are identified, then it is registered with the organization’s staff. Now all subsequent medical examinations will be periodic for him.

6.1 We send the employee for periodic medical examination.

Unlike a preliminary examination, the timing of such a medical examination can be planned, since the paragraphs of Order 29n have their own frequency. In this regard, the employer at the end of each year draws up a calendar plan for employees to undergo periodic medical examinations. It is drawn up in such a way that the validity period of the current medical examination is not violated. The employer organizes familiarization of employees with the approved calendar plan.

When the date of the periodic medical examination approaches, a person authorized by the employer issues a referral to the employee. This issue is recorded in the journal against signature. Please note that the employer is obliged to release the employee from work on the day he undergoes a medical examination, while maintaining his salary. It is not allowed to send an employee for a medical examination on his day off.

After passing the preliminary inspection, a conclusion is drawn up. The final act is drawn up on a special form. The periodic inspection is completed if there is a conclusion indicating the presence or absence of contraindications for further work.

At the end of each year, the employer must collect the final report of the periodic medical examination from the medical organization.

Based on the results of the examination, the medical institution summarizes its results and, together with the territorial body of Rospotrebnadzor and representatives of the employer, draws up a conclusion.

The medical organization preliminary summarizes the available results, includes them in the conclusion and, together with a report on the implementation of the recommendations of the previous medical examination, a calendar plan and lists of employees, sends them to the territorial body of Rospotrebnadzor for consideration.

The supervisory agency, in turn, analyzes all the information provided,, if necessary, forms recommendations for the employer on the implementation of a set of health-improving measures at the enterprise and reviews the report on the implementation of previous recommendations. If there are no comments, the final act is drawn up by the medical center and signed by the parties involved no later than 30 calendar days from the date of completion of the periodic medical examination procedure. The document is approved by the chairman of the medical commission, certified with a seal, printed in four copies and sent within 5 calendar days:

employer;
territorial body of Rospotrebnadzor;
local occupational pathology center.
The remaining copy is kept in the medical center for 50 years.

If employees did not pass the examination due to their own fault, or if their non-compliance with established standards was revealed, this should be recorded in the conclusion (usually in the “Recommendations to the Employer” section). At the same time, admission of such employees to perform work duties is possible only after they undergo a medical examination or re-examination, respectively.

After you have sent all employees to all the necessary studies, it is necessary to control the frequency and prevent violation of the deadlines for periodic medical examinations and psychiatric examinations. Send employees to these activities in advance, taking into account the timing of preparation of the necessary documents by medical institutions. Control will be ensured by the correct preparation of calendar plans and careful monitoring of the timing of events.

Documents for a medical organization from the employer

The medical organization will necessarily require a list of applicants by name. The head of the company sending personnel for a medical examination must approve this list and provide it to the medical institution no later than 2 months before the expected date of the medical examination.

After the medical organization receives the list of names, it will draw up a calendar plan and send it for approval with the head of the company. Approval of the calendar plan is the responsibility of the medical organization. The employer is obliged to familiarize staff with the agreed plan within 10 working days.

Going to work for the first time in my life

If a citizen was not officially employed, then his first employer has the right to require only an identity card from him. A diploma and military ID will be needed only in cases where the job requires special training and the applicant himself is liable for military service. The remaining documents will be prepared for the employee by the employer after the conclusion of the employment contract:

work book – within 5 days after employment;
SNILS - within several weeks required to issue the card (up to a month).

IMPORTANT! Recommendations for preparing a primary work record in 2020 from ConsultantPlus are available here .

List of doctors and tests for undergoing a medical examination in accordance with Order No. 29n

Preliminary examination (for initial hiring), as well as periodic examination (regular examination of employees according to the plan) from April 1, 2021 will include the following types of examinations:

General blood tests;
Urine examination;
Anthropometry;
Electrocardiogram results;
X-ray of the lungs;

A therapist and a neurologist are required to visit. For women, a consultation with a gynecologist will be required.

Depending on the specifics of professional activity, the employee may need to visit a surgeon, dermatovenerologist, or otolaryngologist. The list of medical studies is regulated by the employee’s field of activity, as well as his age category.

When is a primary medical examination required?

Completing a preventive examination during employment is mandatory for the following groups of applicants:

Persons under the age of 18, which is regulated by Article 266 of the Labor Code of Russia;
Applicants for a vacancy that involves moving to the Far North;
Professional athletes, according to Article 348 of the Labor Code of the Russian Federation;
Representatives of all specialties subject to mandatory medical examination upon hiring. These professions are listed in Article 213 of the Labor Code and Order of the Ministry of Health No. 302n.

In addition, some organizations have internal regulations obliging employees to undergo a preliminary and mandatory medical examination. To do this, the management of the organization issues an order to undergo an annual medical examination.

Download a sample order for a medical examination here.

The employer, in accordance with Article 212 of the Labor Code , must provide the applicant with the opportunity to undergo a medical examination. Otherwise, the following penalties are imposed on the employer:

For an official, a fine of up to 5,000 rubles;
For an individual entrepreneur there is also a fine of up to 5,000 rubles or a ban on carrying out commercial activities for three months;
Legal entities are subject to a fine of up to 50,000 rubles or suspension of activities for three months;
An official repeatedly convicted of such a violation is deprived of the right to conduct activities for 1-3 years.

Read our article about what is included in the medical examination.

This system of penalties is regulated by the Code of Administrative Offenses of the Russian Federation.

According to Article 214 of the Labor Code, an employee is obliged to undergo medical examinations in a timely manner, otherwise the employer has the right to remove the specialist from performing duties or, if an employment contract has not yet been concluded, to refuse the vacancy.

no single form of order to not allow an employee to work; however, the document should include the following information:

Details of the employee and the name of his position;
Grounds for removal from professional duties with reference to Article 76 of the Labor Code;
Indicate the period of inadmissibility, that is, until the specialist undergoes a medical examination;
Conditions for calculating wages for this period.

In what case is the medical examination considered completed?

A medical examination can be considered complete if the employee has completed all the necessary tests and received an official conclusion from the medical board. A medical examination is an official procedure that can only be performed by clinics that have the appropriate permission. The medical network has the necessary licenses, experienced specialists, and a clear structure for undergoing a medical examination.

After completing the medical examination, the patient receives an extract from the medical record, which presents the results of all the tests completed, as well as the doctors’ opinions. If during the examinations deviations in health are revealed, we will provide recommendations for disease prevention or further observation in the clinic. Passing a medical examination is not a formality or a convention that should be performed only as a measure necessary for conducting professional activities. This is an excellent opportunity to assess your health and identify possible diseases at an early stage.

Our specialists approach carrying out medical examinations very professionally. We do not lose sight of any criterion for assessing health status. Every employer can be sure that the medical examination in our clinics will be performed professionally.

All of the above changes will come into force in the near future. If you have any questions, please call us at our contact number. We will try to provide you with up-to-date information and coordinate a time for a medical examination.

Documents required when applying for a job according to the Labor Code of the Russian Federation

Labor Code of the Russian Federation in Art. 65 provides a list of documents that are required to be presented by a person applying for an official job. These include the following papers.

Identity document of the applicant. Usually this is a passport. The law allows for the provision of other documents that satisfy the same purpose, but does not disclose which ones. In practice, documents containing a photograph of the owner and basic information about him can serve as such identification:
birth certificate - if for some reason a child under 14 years of age is employed;
military ID - for military personnel, starting with the rank of warrant officer or midshipman;
refugee certificate - for people who have lost their documents as a result of social disasters, who received an immigrant document by applying for refugee recognition;
certificate of release from prison - if an employee released after a prison term is employed;
certificate that the bearer has been granted temporary asylum in Russia;
driver's license - in some cases can replace a passport.

IMPORTANT! Of the entire list of documents specified in Article 65 of the Labor Code of the Russian Federation, only this one is absolutely necessary when applying for a job. Its absence is an absolute reason for refusal of employment. All other documents may be required under certain circumstances, and sometimes you can do without them.

A military registration document will be required if the applicant is liable for military service or is subject to conscription into the Armed Forces. For those who have completed military service and are in the reserves, this is a military ID or a certificate issued in exchange for it. Future conscripts present a certificate stating that they are subject to conscription for military service. If the applicant cannot provide such a document, he should not be denied employment for this reason. The personnel officer has the right to make an appropriate note in the personal file and inform the military registration and enlistment office about the employed potential conscript.

Experts explain why an employer cannot refuse to employ an applicant if he has presented a military personnel ID card rather than a military ID.

A document indicating the training completed (diploma, certificate, certificate of advanced training, they may also ask for an insert sheet with grades).
It is needed to confirm the qualifications and professional level of the future employee when the job requires special training. FOR YOUR INFORMATION! To confirm the level specified in the documents provided, the employer has the right to assign the employee a probationary period or additional certification and make an employment decision based on the results.
Employment history. Needed if a person changes jobs. You may not have a work book on hand if:
a person gets a part-time job;
the work book is lost or damaged.

What documents are needed when concluding an employment contract with a person under the appropriate age ?

SNILS card – a certificate containing the SNILS number, if the person is registered in the pension insurance system. In some cases it will not be possible to provide it:
the card is lost;
Personal data (last name) has changed since the card was issued.

IMPORTANT! The legislation of the Russian Federation prohibits requiring any additional documents from a person applying for a job.