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Contingents of persons subject to preliminary medical examinations. The contingent of positions of employees subject to medical examination

Dear colleagues! 1. Is it necessary to annually re-approve the contingent (list of professions) for periodic medical examination? And send a notification to Rospotrebnadzor? 2. Or you can approve it once and use it until new changes are made (say, when adding to the state new position or making changes to the map of the special assessment of working conditions). 3. Is it mandatory to indicate in the list of contingents: the number of employees under 21, women, etc. Or can we limit ourselves to a structural unit, profession / position, name of a harmful factor / profession - type of work?

Answer

Answer to the question:

Question:1. Is it necessary to annually re-approve the contingent (list of professions) for periodic medical examinations? And send a notification to Rospotrebnadzor? Or you can approve it once and use it until new changes are made (for example, when adding a new position to the staff or making changes to the special assessment card for working conditions).

The list of contingents is developed and approved once, before any changes in the organization (reorganization, commissioning of new jobs, improvement of working conditions). Name lists based on the contingent will be developed annually.

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Copy date: 04/04/2016

With respect and wishes for comfortable work, Tatyana Kozlova,

Expert Systems Personnel


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  • The list of contingents is necessary so that each employee is examined by doctors for all the factors present in his daily work. Download a sample for free, and we will analyze it in the article concrete examples how to compose it correctly.

    Read in the article:

    How to prepare a list of contingents of workers subject to medical examinations

    The preparation of this document is the most time-consuming, but also the most interesting part in the organization of medical examinations. This is an important document, the correct execution of which will help to carry out the MO without the comments of the inspection bodies. It is developed by the labor protection service.

    According to paragraph 19 of Appendix 3 to Order No. 302n, mandatory preliminary and periodic medical examinations are carried out on the basis of lists of names developed on the basis of the contingent list.

    In addition to the results of SOUT, sanitary production control, when determining harmful factors in the workplace, the manufacturer's operational documentation for equipment and raw materials is studied.

    When choosing an organization to conduct a special assessment, the financial issue comes to the fore. But it is important to know that one of the bonuses when concluding an agreement can be a detailed listing in the report on the conduct of the SOUT of all harmful and dangerous factors with whom the employee contacts in the process labor activity. The expert organization has such an opportunity. Many expert organizations they themselves form a declaration of conformity, and many do not. And an inexperienced specialist does not know what useful for his work can be asked from experts.

    Plays an important role in SOT correct definition similar jobs for certain characteristics, but it is difficult for a novice OT specialist, or when conducting a first special assessment in an enterprise, to identify them himself. Order No. 302n contains appendix 1 - a list of factors, and appendix 2 - types of work. Let's figure out how to properly list the contingents for these two applications.

    Roadmap and 10 health checkup hacks that will save you time and money

    The editors of the "Handbook of an Occupational Safety and Health Specialist" magazine have developed a roadmap, according to which you can organize medical examinations of employees. It clearly shows the sequence of mandatory stages of the procedure and helps to allocate responsibilities.

    Name list for medical examination by order 302n

    Appendix 1 lists harmful production factors by profession. Most occupied by chemical factors. There is an important clause in order No. 302n. Only for five physical factors specified in Appendix 1, MO is carried out: these are noise, sensory, physical overload, infrasound and light environment. But for these factors medical examination personnel is carried out only if a class of dangerous or harmful working conditions is established at the workplace. If the working conditions are optimal or acceptable, a medical examination for this "five" is not carried out. For all other factors specified in Appendix 1, MO is carried out only on the basis of their availability at the workplace.

    You ask: “How do I know if there are aliphatic hydrocarbons in the workplace of a forklift driver. I'm not a chemist." Let's answer this way: not a chemist, but a specialist who has completed a retraining course in technosphere safety. And on this course, both chemical factors, and biological, etc. were analyzed.

    Regardless of the extent to which the biological factor affects the worker, and how long this effect is - eight hours or ten minutes - all medical personnel fall under this effect, therefore doctors cannot be assigned 1 or 2 class for this factor.

    If the special assessment of UT was not carried out at all, and there are no results of the previous certification of workplaces, as there are no results production control- yes, there are such cases - MO should still be carried out, and the data on the serviced or operated equipment or types of machines, raw materials, etc. will serve as the basis for it.

    Already when you have carried out the SOUT with instrumental examinations and compiled a list of works that require periodic medical examinations, then correct your list of contingents.

    So, make yourself a sign in which you indicate all the jobs (professions and positions) in the staffing table. Now carry out identification with Appendix 1. To do this, you will need a passport for equipment and a reference book on chemistry.

    Let's look at an example

    The work of the driver is connected with driving a vehicle, as well as with professional contact with gasoline vapors, with gasoline and industrial oils, with exhaust, that is, exhaust gases that have passed through the entire power supply system of the car.

    Therefore, according to Appendix 2, paragraph 27 is suitable for the driver, and according to Appendix 1, you need to look at what exhaust gases and gasoline vapors consist of.

    Gasoline is a hydrocarbon, gasoline vapors are hydrocarbon components (that is, mixtures), and this is paragraph 1.3.5 and aldehydes (aromatic substances). Gasoline is burned, therefore, we apply paragraph 1.2.37 - carbon monoxide. By looking at Annex 1, it can be determined that aliphatic aldehydes are included in the exhaust gases (paragraph 1.2.2).

    For industrial noise, if the SOUT was not carried out, you need to establish the following: the data are in technical documentation on the car. When the SOUT passes, then the class will be set, but, as a rule, in modern cars the noise level is in the remote control, this is not a workshop, so the driver does not need headphones, and we do not write this factor.

    In addition, the driver is constantly under the influence of vibration - general (paragraph 3.4.1) and local (paragraph 3.4.2). General vibration affects the body as a whole and is especially felt when working on a truck.

    If goods or people are transported in a van or in a body, the oscillatory circuit is associated with road roughness (shaking) and kinetic movement. The human body, due to the presence of soft tissues, bones, joints, internal organs, is a complex oscillatory system, the mechanical response of which depends on the parameters of the vibrational impact.

    If up to 2 Hz the human body is a rigid mass, then with an increase in oscillations, resonance occurs. For a sitting person, the resonance is at frequencies of 4-6 Hz, while standing, 2 resonant peaks were found: at 5 and 12 Hz. The natural frequency of oscillations of the pelvis and back is 5 Hz, and the chest-abdomen system is 3 Hz.

    When a resonance of the natural vibrations of the body and external influences occurs in the body of a car driver, as well as a tractor driver or an agricultural pilot, a pathological displacement and mechanical damage to tissues, organs and organs occurs. various systems organism, for example, displacement of the vertebrae or rupture of blood vessels.

    Vibration applied to any area is generated throughout the body. The propagation zone under the influence of a low frequency of vibration is larger, since the absorption of vibrational energy with it in the structures of the body is less. Local vibration especially affects the hands (steering wheel), the fifth point (seat) and the soles of the feet (shock absorber, clutch and brake pedals).

    Schedule medical checkups easily: e-service

    The editorial staff of the "Handbook of a labor protection specialist" magazine has developed a service that will tell you which of the workers it is time to undergo a medical examination, will itself generate a list of the contingent, a list of names and issue ready-made referrals for workers. Step-by-step instructions will help you use the medical examination planner.

    Conclusion

    The grounds for medical examinations are the following paragraphs of the annexes to the order of the Ministry of Health and Social Development dated April 12, 2011 No. 302n:

    1. According to Appendix No. 1:

    • clause 1.2.2 - once a year;
    • clause 1.2.37 - 1 time in 2 years;
    • clause 1.3.5 - once a year;
    • clause 3.4.1 - once every 2 years;
    • clause 3.4.2 - 1 time in 2 years.

    2. According to Appendix No. 2:

    item 27 - 1 time in 2 years.

    Work types for the list of product allocations

    A medical examination of any employee, in addition to Appendix 1, is also carried out according to Appendix 2. This Appendix presents the most common professions and types of work. Let's continue with our driver example.

    According to Appendix No. 2, the MO driver must pass because he drives vehicles specified in paragraph 27, with a frequency of 1 time in 2 years.

    Thus, out of a combination of six factors, for two - annual medical examination, and for four - 1 time in 2 years. How to be? It is necessary to enter each item with an indication of the frequency. In the first year, it is necessary to carry out for all factors, and in the second year - only for those factors that have an annual frequency.

    This will reduce the cost of the medical examination, but will add work to you.

    March 2018

    • clause 1.2.2 - once a year;
    • clause 1.2.37 - 1 time in 2 years;
    • clause 1.3.5 - once a year;
    • clause 3.4.1 - once every 2 years;
    • clause 3.4.2 - 1 time in 2 years;
    • item 27 - 1 time in 2 years.

    March 2019:

    • clause 1.2.2 - once a year;
    • clause 1.3.5 - once a year.

    If you have free time, then sit and select every year the foundation for the MO. In any case, when issuing a direction, you will have to indicate to the driver and clause 27 of Appendix 2.

    Don't make life difficult for yourself. Make a list of contingent by driver and conduct medical examinations annually. They cannot be carried out less frequently than within the time limits specified in the annexes, but more often it is not prohibited. The timing of the next MO is counted from the moment the conclusion is issued based on the results of the previous one, and not from the moment you receive the final act. The medical examination can be carried out in June, and the final act is closed in December.

    Sample list of contingents of workers subject to medical examinations

    Name list of employees for medical examination (sample 2019)

    This document is prepared by the personnel management service on the basis of the contingent list prepared by the labor protection service. It contains the personal data of the employee.

    Where to send the list of contingent

    The document is sent to Rospotrebnadzor in notification procedure, agreement is not required. Send it by letter with notification within 10 days after approval by the director of the company to the territorial body of Rospotrebnadzor at the actual location of the employer.

    Rospotrebnadzor must have information about the harmful and dangerous production factors that employees work with in the territory under its supervision. This is necessary, first of all, to obtain information on occupational diseases and their prevention.

    If you will spend MO in separate subdivision, for example, in the city of Norilsk, where workplace employee, and not in Moscow, then submit the list regarding the "Norilsk" jobs to the Norilsk TO.

    For computer users, the following should be clarified. To perform work on determining the actual time an employee is busy on a computer, analyze the cost of working time. Involve a labor economist in this work, let him time the working time. Each fact must have its own documentary evidence. You will appreciate this in practice when you explain to the state inspector of the GIT or Rospotrebnadzor why the full accounting department does not undergo a medical examination.

    There is no need to develop and approve the contingent list annually. If new jobs are created in the organization, then in this case it should be updated. Within ten days after the approval of the staffing table, along with a cover letter, send a list of the contingent to Rospotrebnadzor.

    The employer is obliged to organize a periodic medical examination of his employees, and compiling a list of contingents is a critical part of this process. Since this document contains a list of positions subject to mandatory professional examinations, personnel department or the labor protection service must know who should be included in the lists, how to draw them up and where to send them. In order to avoid problems with the inspectors, we give a sample of the contingent of persons subject to periodic medical examinations.

    The procedure for conducting medical examinations is regulated federal law dated November 21, 2011 No. 323, by Order of the Ministry of Health and Social Development of Russia dated April 12, 2011 No. 302n, as well as Article 213 of the Labor Code of the Russian Federation. In accordance with these legal acts, the professional examination is carried out at the expense of the employer, and the employee retains his average monthly salary.

    How to make a list of contingents

    This is the first stage of preparation for a medical examination, and the medical board is guided by it when drawing up criteria for assessing the health of employees. Based on the content of the Order, for its execution it is necessary to identify harmful production factors and types of work in accordance with staffing.

    The algorithm of actions in compiling the contingent of workers subject to periodic medical examinations is as follows:

    1. It is recommended to first draw up a list of the contingent, and then by name, but many do the opposite. To facilitate the procedure, personnel officers often first form a surname list of all employees of the enterprise, and on its basis they compile a list of names of persons subject to periodic medical examinations.
    2. A list of all professions in the organization is compiled, focusing on Appendix No. 2 to Order No. 302n.
    3. For each profession, harmful factors and jobs are indicated, in accordance with Appendix No. 1 to the Order, in order to determine the list of professions subject to periodic medical examinations. To determine which factors need to be specified for a particular job, you can use the results of job evaluation, the production control program, or last year's allocations. If you have employees for whom there are no harmful factors and jobs, in the contingents for this profession, the corresponding cells should be left empty. Such workers may not be sent for medical examination.
    4. Approval by the head of the organization.
    5. Sending the list to Rospotrebnadzor at the actual location of the organization within 10 days after its approval by the employer (paragraph 21 of the Order).

    Be sure to receive and keep a note that you really sent contingents to Rospotrebnadzor (signature, incoming number and stamp of the office, mail notification, etc.).

    Sample contingent of employees for a budgetary organization

    Since the current legislation does not provide unified form list, you can create your own.

    Who should have a medical examination

    AT Labor Code and the Order, you can also find a list of professions subject to periodic medical examinations. These are employees under the age of 21, as well as those who work:

    • in harmful and dangerous production;
    • at work at height;
    • in transport (drivers, machinists, etc.);
    • in the field of catering;
    • in educational and children's institutions;
    • in pharmaceutical, medical and sanitary facilities (spas, saunas and laundries);
    • in beauty salons that provide hairdressing and cosmetology services;
    • in the cleaning service;
    • in the field of water supply;
    • at livestock enterprises and poultry farms.

    The list is open, and the employer, in agreement with subordinates, can organize regular medical examinations for any other professionals.

    The legislator also establishes the frequency of such medical examinations, which depends on working conditions and is detailed in Appendix No. 1 to the Order. On average, the listed categories of workers should be examined at least once every 1-2 years.

    Responsibility

    If the employer ignores his obligation to compile the list and does not submit it to the supervisory authority, this will be regarded as a violation of the law in the field of ensuring the sanitary and epidemiological welfare of the population. For this offense, Article 6.3 of the Code of Administrative Offenses of the Russian Federation provides for administrative liability:

    • for officials - from 500 to 1000 rubles;
    • for individual entrepreneurs- from 500 to 1000 rubles or an administrative suspension of activities for up to 90 days;
    • for legal entities- from 10,000 to 20,000 rubles or an administrative suspension of activities for up to 90 days.

    Preliminary and periodic medical examinations are one of the most important measures aimed at preserving the life and health of employees in the course of their work. Their goal is to establish the suitability of a person for the work performed, or the conditions in which they will have to work, to carry out preventive measures in a timely manner. occupational diseases and prevent accidents. Attention! Responsibility for the organization of the event and financing mandatory medical examinations is borne by the employer, who, in case of failure to comply with the established procedure, may be held administratively liable.

    We make a list of the contingent of persons subject to medical examinations

    Most often this happens by issuing an order to send for medical examination with an indication of the period of its passage.

    • Each employee on the list receives a referral for inspection.
    • Each employee, within the period specified in the Order, submits to the employer the result of the medical examination and the final act on the results of the medical examination obtained in the medical facility.
    • An important stage is the preparation of lists Let us consider in more detail the actions of the employer in relation to the first step of the procedure, namely, how, in accordance with the requirements of Order No. 302n, a contingent of employees is formed who are subject to periodic medical examinations. In the list of the contingent, be sure to indicate:
    1. The name of the profession (position) of the employee listed in Appendix No. 2 to Order No. 302n.
    2. The name of the harmful production factor, in accordance with Appendix No. 1 to Order No. 302n.

    Compiling a list of employees subject to periodic medical examinations

    1. It is recommended to first draw up a list of the contingent, and then by name, but many do the opposite.

      To facilitate the procedure, personnel officers often first form a surname list of all employees of the enterprise, and on its basis they compile a list of names of persons subject to periodic medical examinations.

    2. A list of all professions in the organization is compiled, focusing on Appendix No. 2 to Order No. 302n.
    3. For each profession, harmful factors and jobs are indicated, in accordance with Appendix No. 1 to the Order, in order to determine the list of professions subject to periodic medical examinations.

    List of contingents subject to periodic medical examinations

    The class of working conditions in this case does not matter. What does the form of the List of the contingent look like? Clause 20 of Appendix No. 3 of Order No. 302n contains only two mandatory requirements to the form of the List of the contingent: the presence of the name of the profession (position) according to the staffing table and the presence of the name of the harmful production factor. We also propose to add to the Contingent List:

    1. “Name of production, workshop, site, etc.
      structural unit»,
    2. "No. of items by order of the Ministry of Health and Social Development of the Russian Federation dated 12.04.11 No. 302 n",
    3. "Periodicity".

    Since the availability of this information will significantly save your time during the subsequent registration of referrals for preliminary medical examinations, Name lists of persons subject to periodic medical examinations (examinations).

    List of contingents subject to periodic medical examinations

    Harmful factors can be established in accordance with paragraph 20 of the Order on the basis of:

    • results of attestation or special assessment of workplaces in terms of working conditions;
    • laboratory studies and tests obtained in the framework of control and supervision activities, production laboratory control;
    • operational, technological and other documentation for machines, mechanisms, equipment, raw materials and materials used by the employer in the implementation of production activities.

    The unified form of the list of contingent of persons for medical examination is not established by law. We offer you a sample of the contingent of persons subject to periodic medical examinations.

    Do I need to approve a contingent for medical examination every year?

    What positions does it include? The lists of contingents (as well as the list of names of persons subject to periodic medical examinations, compiled on its basis) are subject to inclusion of the profession of workers: Form of the document There is no legally established form of this document. But in clause 20 of Appendix No. 3 of Order No. 302n there are the following instructions for the form of the contingent list:

    • it is necessary to indicate the name of the position according to the staffing table;
    • enter the name of the harmful production factor.

    In addition, it is worth pointing out:

    • name of the structural unit, workshop, etc.

    List of the contingent of persons subject to periodic medical examinations

    An exhaustive algorithm for conducting a medical examination!

    Attention

    In addition to the mandatory information provided for by Order No. 302n, you can include other information (name of the unit, number of employees in the organization, number of employees employed in jobs with harmful working conditions). The appendix contains several forms of a list of the contingent of persons subject to preliminary and periodic medical examinations.


    The list of contingents is developed and approved once, before any changes in the organization (reorganization, commissioning of new jobs, improvement of working conditions). Name lists based on the contingent will be developed annually.

    You can view an approximate list of contingents of workers subject to medical examinations, a sample form, here. Procedure The required papers must be provided in 3 copies. One copy must be submitted for registration to the supervisory authorities at the location of the company. The list must be sent within 10 days. The registered contingent for passing the medical examination will be stored in the specified department.
    One copy remains with the organization, and the second is sent directly to institutions where employees will be required to go through doctors and receive conclusions. A sample of filling in the list of contingents subject to medical examinations Compiled papers are certified by the company's manager.
    So, the contingent of workers subject to periodic medical examinations, the sample will look like this.

    Info

    List of standard documents generated in the activities of state committees, ministries, departments and other institutions, organizations, enterprises, indicating the periods of storage ”(approved by the Main Archive of the USSR on August 15, 1988) (as amended on July 31, 2007)). WITH.


    Burlakova Option 1 List of the contingent of persons subject to preliminary and periodic medical examination (examination) Ivanov « » 201_ Subdivision Profession/ position Harmful production factor Item No. by Order of the Ministry of Health and Social Development of the Russian Federation of 12.04.2011 No. 302n Ivanov "" 201_

    The procedure for conducting periodic or preliminary medical examinations for certain categories of employees is clearly regulated at the legislative level. Along with other forms, the list of names of employees for a medical examination by order 302n, the sample is given below, refers to the list binding documents provided to Rospotrebnadzor. Drawing up the form is the responsibility of the enterprise, and the correct filling of the information guarantees the efficiency and accuracy of the results of the event.

    When compiling a document, the following must be taken into account:

    Important! The basis for the fact that the working conditions are heavy/harmful are the results of the AWP (attestation of workplaces). From 1 Jan. 2014 the attestation procedure was replaced by SOUT ( special assessment working conditions). Additionally, the results of various tests and laboratory studies, equipment documentation, etc. are used.

    Basic requirements for compiling a list for a medical examination by order 302n

    The document is developed by the organization independently, filled out on the basis of the contingent list and printed out in the amount of 3 copies, which are submitted to Rospotrebnadzor for approval. Then 1 form is sent to medical institution(2 months before the start of the inspection), 1 remains with the employer. 1 is handed over to the territorial body of Rospotrebnadzor along with a cover letter and a list of the contingent. An example of a sample list for a medical examination by order 302n. It is recommended to attach a cover letter also in 2 copies when submitting documentation to a medical organization.

    The clinic is responsible for developing calendar plan medical examination (within 10 days from the date of receipt of the list of names). Specific terms and nuances of the procedure are agreed with the representative of the enterprise. In turn, the employer, no later than 10 days before the start of the inspection, is obliged to notify employees of the upcoming event against signature. To do this, there is such a form as a familiarization sheet. An internal order of the enterprise for a medical examination is preliminarily drawn up, indicating the deadlines for passing, the employees involved and attaching a plan for the implementation of the procedure. Based on the order and familiarization sheet, the necessary information is brought to the attention of employees.

    Mandatory details of the name list:

    • Full name of employees, profession or position according to the staffing table.
    • Gender and date of birth.
    • Name of the department / section / workshop.
    • Name of the structural unit.
    • Name of hazardous/harmful factors of production, indicating item number in accordance with 302n.
    • The frequency of inspections according to 302n.
    • Length of service in the specified position in the organization.
    • Date of the last medical examination of the health facility/CPP.

    When generating information, personal data on employees according to the list of the contingent of individuals is required. persons to participate in the medical examination. The heading of the document must contain the date, the “Approve” field for approval by the employer and the name of the department of Rospotrebnadzor. At the end, the total number of employees to be examined, including women, is indicated. Signed form official enterprises with surname decoding.