home Self-development New legislation on medical examinations. The Ministry of Health has prepared a new procedure for undergoing a medical examination

New legislation on medical examinations. The Ministry of Health has prepared a new procedure for undergoing a medical examination

Registration N 41376

In accordance with Article 23 Federal Law dated December 10, 1995 N 196-FZ "On safety traffic" (Collection of legislation Russian Federation, 1995, N 50, art. 4873; 1999, N 10, art. 1158; 2002, N 18, art. 1721; 2003, N 2, art. 167; 2004, N 35, art. 3607; 2006, N 52, art. 5498; 2007, N 46, art. 5553; N 49, Art. 6070; 2009, N 1, art. 21; N 48, art. 5717; 2010, N 30, art. 4000; N 31, Art. 4196; 2011, N 17, art. 2310; N 27, art. 3881; N 29, art. 4283; N 30, art. 4590, Art. 4596; 2012, N 25, art. 3268; N 31, Art. 4320; 2013, N 17, art. 2032; N 19, art. 2319; N 27, art. 3477; N 30, art. 4029; N 48, art. 6165; N 52, art. 7002; 2014, N 42, art. 5615; 2015, N 24, art. 3370; N 29, art. 4359), subparagraphs 5.2.75 and 5.2.199 of paragraph 5 of the Regulations on the Ministry of Health of the Russian Federation, approved by Decree of the Government of the Russian Federation of June 19, 2012 N 608 (Collected Legislation of the Russian Federation, 2012, N 26, Art. 3526; 2013, N 16, Art. 1970; N 20, Art. 2477; N 22, Art. 2812; N 33, Art. 4386; N 45, Art. 5822; 2014, N 12, Art. 1296; N 26, Art. 3577 ; N 30, Art. 4307; N 37, Art. 4969; 2015, N 2, Art. 491; N 12, Art. 1763; N 23, Art. 3333), I order:

1. Approve:

the procedure for conducting mandatory medical examination of vehicle drivers (candidate vehicle drivers) in accordance with Appendix No. 1;

form of a medical report on the presence (absence) of vehicle drivers (candidate vehicle drivers) of medical contraindications, medical indications or medical restrictions to driving vehicles according to Appendix No. 2;

the procedure for issuing a medical report on the presence (absence) of vehicle drivers (candidate vehicle drivers) of medical contraindications, medical indications or medical restrictions for driving vehicles in accordance with Appendix No. 3;

form N 036-В/у-10 “Logbook of registration of issued medical reports on the presence (absence) of vehicle drivers (candidate vehicle drivers) of medical contraindications, medical indications or medical restrictions for driving vehicles” in accordance with Appendix No. 4.

2. Establish that a medical report on the presence (absence) of vehicle drivers (candidate vehicle drivers) of medical contraindications, medical indications or medical restrictions for driving vehicles is a protected printing product of level “B”.

3. Declare the order of the Ministry of Health invalid and social development Russian Federation dated September 28, 2010 N 831n “On approval of a single sample of a Medical Certificate of Admission to Driving Vehicles” (registered by the Ministry of Justice of the Russian Federation on October 21, 2010, registration N 18784).

4. Paragraph three of paragraph 1, paragraphs 2 and 3 of this order come into force on July 1, 2016.

Minister V. Skvortsova

Appendix No. 1

The procedure for conducting mandatory medical examination of vehicle drivers (candidate vehicle drivers)

1. This procedure regulates the issues of conducting a mandatory medical examination of vehicle drivers (candidate vehicle drivers) (hereinafter referred to as the medical examination).

2. A medical examination is carried out to determine the presence (absence) of a vehicle driver (candidate driver of a vehicle) of medical contraindications, medical indications and medical restrictions for driving a vehicle in accordance with the lists of medical contraindications, medical indications and medical restrictions for driving a vehicle means approved by Decree of the Government of the Russian Federation of December 29, 2014 N 1604 1.

3. Medical examination is carried out in medical organizations of the state, municipal and private healthcare systems that have a license for medical activities to provide services (perform work) for “medical examination for medical contraindications to driving,” “otolaryngology,” “ophthalmology,” “neurology” and “functional diagnostics”, “therapy” or “general medical practice (family medicine)” 2.

An examination by a psychiatrist is carried out in specialized medical organizations of the state or municipal health care system at the place of residence or place of stay of the driver of the vehicle (candidate driver of the vehicle) undergoing a medical examination (hereinafter referred to as the examinee), who have a license to carry out medical activities to provide services ( performance of work) on “psychiatry” and “psychiatric examination”.

An examination by a psychiatrist-narcologist, including determination of the presence of psychoactive substances in the urine, as well as qualitative and quantitative determination of carbohydrate-deficient transferrin (CDT) in blood serum, is carried out in specialized medical organizations of the state or municipal health care system at the place of residence or place of stay of the person being examined, having a license to carry out medical activities to provide services (perform work) in “psychiatry-narcology” and “laboratory diagnostics” or “clinical laboratory diagnostics” 2.

4. Medical examination is carried out in relation to:

1) candidates for vehicle drivers;

2) drivers of vehicles in connection with the replacement of a driver’s license after its expiration, or in connection with the return of a driver’s license after the expiration of the period of deprivation of the right to drive vehicles in the event that a mandatory medical examination is required in accordance with the legislation of the Russian Federation on administrative offenses, or in connection with the return of a driver’s license after serving a sentence in the form of deprivation of the right to occupy certain positions or engage in certain activities (in case of deprivation of the right to drive vehicles);

3) persons working as drivers of vehicles, during a mandatory periodic medical examination of whom signs of diseases (conditions) that are medical contraindications or previously undetected medical indications or medical restrictions for driving vehicles were revealed and confirmed based on the results of subsequent examination and treatment.

5. Medical examination is carried out at the expense of vehicle drivers (candidate vehicle drivers) 3.

6. Medical examination includes examinations and examinations by medical specialists, instrumental and laboratory tests:

1) examination by a general practitioner or examination by a general practitioner (family doctor);

2) examination by an ophthalmologist;

3) examination by a psychiatrist;

4) examination by a psychiatrist-narcologist;

5) examination by a neurologist (mandatory for medical examination of vehicle drivers (candidate vehicle drivers) of categories "C", "D", "CE", "DE", "Tm", "Tb" and subcategories "C1" , "D1", "C1E", "D1E" 4. For drivers of vehicles (candidate drivers of vehicles) of other categories and subcategories of vehicles, an examination by a neurologist is carried out on the direction of a general practitioner or general practitioner (family doctor) in in case of detection of symptoms and syndromes of a disease (condition) that is a medical contraindication, medical indication or medical restriction to driving a vehicle);

6) examination by an otorhinolaryngologist (for vehicle drivers (candidate vehicle drivers) of categories “C”, “D”, “CE”, “DE”, “Tm”, “Tb” and subcategories “C1”, “D1” ", "C1E", "D1E" 4);

7) electroencephalography (mandatory for medical examination of vehicle drivers (candidate vehicle drivers) of categories “C”, “D”, “CE”, “DE”, “Tm”, “Tb” and subcategories “C1”, “D1” ", "C1E", "D1E" 4. For drivers of vehicles (candidate drivers of vehicles) of other categories and subcategories of vehicles upon the direction of a neurologist in the event of symptoms and syndromes of a disease (condition) that is a medical contraindication to driving means 5);

8) determination of the presence of psychoactive substances in urine 6 (if a psychiatrist-narcologist identifies symptoms and syndromes of a disease (condition) that is a medical contraindication to driving 7);

9) qualitative and quantitative determination of carbohydrate-deficient transferrin (CDT) in blood serum (if a psychiatrist-narcologist identifies symptoms and syndromes of a disease (condition) that is a medical contraindication to driving 7).

7. Medical receptionist medical organization based on the identity document of the person being examined, selects (or fills out) the medical record of the patient receiving medical care on an outpatient basis (form N 025/у) 8 and hands over to the examinee a form of medical report on the presence (absence) of vehicle drivers (candidate vehicle drivers) of medical contraindications, medical indications or medical restrictions to driving vehicles (hereinafter - medical report), the form of which is approved by this Order, with lines 1-3 completed on the basis of an identity document, and informs the person being examined about the list of examinations and examinations by medical specialists that must be completed as part of the medical examination, and the possible appointment of instrumental and (or) laboratory tests.

8. When conducting a medical examination of persons specified in subparagraph 3 of paragraph 4 of this Procedure, the examinee submits to the medical specialists specified in paragraph 6 of this Procedure a medical report issued based on the results of a mandatory periodic medical examination, containing information on the results of examinations by medical specialists, laboratory and instrumental studies provided for by order of the Ministry of Health and Social Development of the Russian Federation dated April 12, 2011 N 302n “On approval of lists of harmful and (or) dangerous production factors and work during which mandatory preliminary and periodic medical examinations (examinations) are carried out, and the Procedure for conducting mandatory preliminary and periodic medical examinations(surveys) of workers employed in hard work and at work with hazardous and (or) hazardous conditions Labor" (registered by the Ministry of Justice of the Russian Federation on October 21, 2011, registration N 22111) as amended by orders of the Ministry of Health of the Russian Federation dated May 15, 2013 N 296n (registered by the Ministry of Justice of the Russian Federation on July 3, 2013, registration N 28970) and dated December 5, 2014 N 801н (registered by the Ministry of Justice of the Russian Federation on February 3, 2015, registration N 35848).

9. Medical reports based on the results of examinations by a psychiatrist and a psychiatrist-narcologist, as well as on the results of studies conducted in accordance with subparagraphs 8, 9 of paragraph 6 of this Procedure, are drawn up in accordance with the order of the Ministry of Health and Social Development of the Russian Federation dated 2 May 2012 N 441н “On approval of the Procedure for issuing certificates and medical reports by medical organizations” (registered with the Ministry of Justice of the Russian Federation on May 29, 2012, registration N 24366).

10. If, during an examination by a psychiatrist, symptoms and syndromes of a disease (condition) are identified in the examined person, which is a medical contraindication to driving, the examined person is sent for a psychiatric examination medical commission a medical organization authorized by the federal executive body in the field of health care or the executive body of the constituent entity of the Russian Federation in the field of health care 9.

If the person being examined refuses to undergo the specified psychiatric examination, a medical report on the result of the examination by a psychiatrist will not be issued.

11. The results of examinations and examinations carried out as part of the medical examination (including information on the establishment (termination) of dispensary observation for diseases that are medical contraindications to driving, conclusions of medical specialists), instrumental and laboratory studies, as well as a reasonable conclusion about the presence (about the absence of) medical contraindications, medical indications or medical restrictions for driving vehicles are entered into the Medical record of a patient receiving medical care on an outpatient basis (form N 025/у).

12. The medical report is drawn up by a general practitioner or general practitioner (family doctor) on the basis of the information specified in paragraph 11 of this Procedure, in the presence of the person being examined and is valid for presentation to the departments State Inspectorate Road Safety of the Ministry of Internal Affairs of the Russian Federation, which is responsible for conducting examinations, issuing Russian national and international driving licenses and exchanging foreign national and international driving licenses for Russian national and international driving licenses 10, within 12 months from the date of issue.

If the person being examined refuses to undergo a medical examination 11 or to undergo at least one of the examinations or examinations by medical specialists, instrumental and laboratory tests provided for in paragraph 6 of this Procedure, a medical report is not issued.

1 Collection of Legislation of the Russian Federation, 2015, No. 2, Art. 506.

2 Regulations on licensing of medical activities (with the exception of the specified activities carried out by medical organizations and other organizations included in private system health care, on the territory innovation center"Skolkovo"), approved by Decree of the Government of the Russian Federation of April 16, 2012 N 291 (Collection of Legislation of the Russian Federation, 2012, N 17, Art. 1965; N 37, Art. 5002; 2013, N 3, Art. 207; N 16, Art. 1970).

3 Clause 2 of Article 23 of the Federal Law of December 10, 1995 N 196-FZ “On Road Safety”.

4 Clause 1 of Article 25 of the Federal Law of December 10, 1995 N 196-FZ “On Road Safety”.

5 Item 8 of the List of medical contraindications for driving a vehicle, approved by Decree of the Government of the Russian Federation of December 29, 2014 N 1604.

6 Order of the Ministry of Health and Social Development of the Russian Federation dated January 27, 2006 N 40 “On the organization of chemical and toxicological studies for analytical diagnostics of the presence of alcohol in the human body, narcotic drugs, psychotropic and other toxic substances" (registered by the Ministry of Justice of the Russian Federation on February 26, 2006, registration No. 7544).

7 Item 7 of the List of medical contraindications for driving a vehicle, approved by Decree of the Government of the Russian Federation of December 29, 2014 N 1604.

8 Order of the Ministry of Health of the Russian Federation dated December 15, 2014 N 834n “On approval unified forms medical documentation used in medical organizations providing medical care on an outpatient basis, and procedures for filling them out" (registered by the Ministry of Justice of the Russian Federation on February 20, 2015, registration N 36160).

9 Article 6 of the Law of the Russian Federation of July 2, 1992 N 3185-1 “On psychiatric care and guarantees of the rights of citizens during its provision” (Gazette of the Congress of People's Deputies of the Russian Federation and the Supreme Council of the Russian Federation, 1992, N 33, Art. 1913; 2013, No. 48, Article 6165).

10 Decree of the Government of the Russian Federation of October 24, 2014 N 1097 “On admission to driving vehicles” (Collected Legislation of the Russian Federation, 2014, N 44, Art. 6063).

11 Article 20 of the Federal Law of November 21, 2011 N 323-FZ “On the fundamentals of protecting the health of citizens in the Russian Federation” (Collected Legislation of the Russian Federation, 2011, N 48, Art. 6724; 2013, N 48, Art. 6165).

Appendix No. 3

The procedure for issuing a medical report on the presence (absence) of vehicle drivers (candidate vehicle drivers) of medical contraindications, medical indications or medical restrictions for driving vehicles

1. A medical report on the presence (absence) of vehicle drivers (candidate vehicle drivers) of medical contraindications, medical indications or medical restrictions for driving vehicles in form N 003-В/у (hereinafter referred to as the Conclusion) is filled out medical worker upon presentation by the citizen of an identification document of the citizen.

2. Entries in the Conclusion are made in Russian with ink or a ballpoint pen with blue, purple or black ink, or using printing devices.

3. In the upper left corner of the Conclusion, the full name of the medical organization is indicated in accordance with the registration document, OGRN code, postal address and telephone number, information about the availability of a license is entered - number, date of issue and validity period of the license for work (services) that constitute medical activities .

4. In line 1 of the Conclusion, the surname, first name, patronymic (if any) of the driver of the vehicle (candidate for driver of the vehicle) are indicated in full without abbreviations.

5. Line 2 “Date of Birth” indicates the date of birth of the vehicle driver (candidate driver of the vehicle): day, month, year.

6. Line 3 “Registration address at the place of residence (place of stay)” indicates the registration address at the place of residence or place of stay of the driver of the vehicle (candidate driver of the vehicle).

7. Line 4 “Date of issue of medical report” indicates the date of issue of the Certificate: day, month, year.

8. In line 5 “Medical report”, the presence or absence of medical contraindications, medical indications or medical restrictions to driving for the driver of the vehicle (candidate driver of the vehicle) is noted by underlining.

9. In the corresponding columns of the categories and subcategories of vehicles of the table “Categories and subcategories of vehicles for which the right to drive vehicles is granted”, the selection is marked with a “V” sign, in other rows of the table the sign “Z” is indicated.

10. In the corresponding rows of the table “Medical restrictions for driving vehicles”, the selected restriction is marked with a “V” sign.

11. In the corresponding rows of the table “Medical indications for driving,” the required medical indication is marked with a “V” sign.

12. Line 6 indicates the last name, first name, patronymic (if any) of the doctor who issued the medical report and his signature.

13. In the lower right corner of the Conclusion the seal of the medical organization is affixed, on the imprint of which the full name of the medical organization is identified in accordance with the constituent documents.

14. The issued Conclusions are subject to mandatory registration in the Register of issued medical reports on the presence (absence) of vehicle drivers (candidate vehicle drivers) of medical contraindications, medical indications or medical restrictions for driving vehicles in the form in accordance with Appendix No. 4 to this Order .

This order is related to the article “New rules for passing a medical examination for drivers from March 26, 2016”.

To be honest, we have already lost count of how many times the Ministry of Health proposed to approve new order conducting medical examinations from the moment the order of the Ministry of Health and Social Development of April 12, 2011 N 302n, which currently regulates the issues of conducting medical examinations, was put into effect. For 5 years, the department has not made any proposals, but things are still there, so is it worth waiting now for what new order will it see the light of day? There is no answer, but it is definitely worth exploring.
Will there be any fundamental changes? The answer is affirmative: they will! If you give the document external characteristics, then this will be a very short order in content, which at the same time will cover the entire procedure for conducting medical examinations. Anyone who has encountered the current version of the order in their work will understand what it is about; it is cumbersome with a bunch of footnotes and additions, it was clearly too difficult for a single reading, but the new order has been made as simplified as possible. Is it good? Rather yes than no.
To begin with, the new order will establish single classifier harmful and/or dangerous production factors. Fundamental differences there will be no change from the previous version of the classifier, except that the list of chemical substances in the air of the working area at the workplace, the presence of which workers need to undergo inspections, will be reduced. All main groups of production factors will remain the same, but they will be consolidated and structured.
The new order will change the rules for undergoing mandatory medical examinations for trainee workers working in harmful and/or dangerous working conditions. Now they will be carried out not just in medical institutions, but in the center of occupational pathology, but only starting with an experience of at least 10-15 years, depending on the nature of the influencing production factors.
One of the main advantages (and perhaps disadvantages) of the project is the significant optimization of the composition of medical specialists involved in medical examinations, as well as the exclusion of expensive and ineffective examinations of workers from the list. For example, when working with biological toxins (biological factor), you now need to go through mandatory specialist doctors such as dermatovenerologist, neurologist and otorhinolaryngologist, the new order provides only for a dermatovenerologist. And so on for almost all harmful factors.
In addition, the new order will adjust the list of general and additional contraindications taking into account the International Classification of Diseases adopted in 2010. It is worth noting that the list of common diseases will be reduced to only 13 items, whereas now it has 41 items.
According to the project developers, the new procedure is necessary to bring into line the current legislation in the field of the fundamentals of protecting the health of citizens in the Russian Federation and the special assessment of working conditions. Public discussion of the project will last until February 10 of this year, after which it must be adjusted and submitted for approval. The current order will be declared invalid.

Periodic medical examinations according to the new order in 2018 mean medical examinations taking into account the innovations of 2015-2017years, which made medical examinations mandatory for those employees who risk hearing loss in the workplace due to increased production noise. You will learn more about organizing medical examinations, taking into account the latest requirements for them, further from the article.

What's new in the procedure for conducting periodic medical examinations in 2017-2018

In accordance with the order of the Ministry of Health of Russia dated December 5, 2014 No. 801n, which entered into force on February 16, 2015, changes were made to the order of the Ministry of Health and Social Development of Russia dated April 12, 2011 No. 302n, which introduced at the legislative level in terms of periodic medical examinations:

new medical contraindications related to hearing loss for allowing an employee to work;
new hazardous production factors associated with noise;
classification of degrees of hearing loss for workers exposed to occupational noise.

About hazardous factors in production, read our article .

Thus, to the harmful physical production factors in the form of general vibration (clause 3.4.2 of Order No. 302n), another justification for regular medical examination has been added in the form of persistent hearing impairment lasting over 3 months of various etiologies, except in cases of complete hearing loss. The frequency of medical examinations of employees in this case is once every 2 years.

Once a year, as well as upon hiring, employees who work with industrial equipment that is a source of noise must be checked by doctors (clause 3.5 of Order No. 302n).

Additional medical contraindications for work for which periodic medical examinations(Appendix 2 to order No. 302n), persistent (over 3 months) hearing impairment was added:

for climbing workers (clause 1);
personnel servicing high-power electrical installations above 42 V AC and 110 V direct current(clause 2);
workers who are employed in areas remote from the nearest medical care (clause 4);
employees working directly on equipment with open moving mechanisms (clause 10);
employees working in gas masks (clause 13);
motorcycle drivers - with complete deafness in one ear (clause 27.1).

In 2018, by order dated 02/06/2018, the Ministry of Labor of Russia No. 62n and the Ministry of Health of Russia No. 49n amended the wording of one of the paragraphs of Appendix 2 to the order of the Ministry of Health and Social Development No. 302n:

Clause 20 of Appendix 2	Previous edition	Current edition
Clause 20 of Appendix 2	Work in preschool educational organizations, children's homes, organizations for orphans and children left without parental care (persons in their stead), boarding educational organizations, recreational educational organizations, including sanatorium type, children's sanatoriums, year-round holiday camps, as well as social shelters and nursing homes	Work in pre-school educational organizations, children's homes, organizations for orphans and children left without parental care (persons in their place), boarding educational organizations, recreational educational organizations, including sanatorium type, children's sanatoriums, year-round holiday camps, as well as organizations social services providing social services in a stationary form of social service, semi-stationary form of social service, in the form of social service at home

Results

In 2017-2018, periodic medical examinations are carried out taking into account additional requirements introduced in 2015. These innovations added to the number of general medical contraindications for admission to work, hearing impairment in those industries that are associated with increased noise. The frequency of medical examinations for workers employed in hazardous industries with increased noise is at least once a year.

You will find more information about medical examinations during employment in our article .

The Russian Ministry of Health has developed draft orders on a new procedure for conducting mandatory medical examinations of workers:

employed in hazardous industries;
organizations Food Industry, Catering and trade, waterworks, medical organizations, child care institutions and some other employers.

According to the department, the development of a new procedure for medical examinations for pests is caused by the need to bring current regulations on medical examinations into compliance with Federal laws dated November 21, 2011 No. 323-FZ“On the fundamentals of protecting the health of citizens in the Russian Federation” and dated December 28, 2013 No. 426-FZ"ABOUT special assessment working conditions."

Thus, the project developers have established a unified classifier of harmful and (or) hazardous production factors. In addition, chemical substances are structured into groups taking into account the specific effects on the body, thereby reducing the list of chemical substances in the air of the working area at the workplace, the presence of which requires workers to undergo inspections.

It is stipulated that mandatory periodic medical examinations of workers working in harmful and (or) dangerous working conditions are carried out in occupational pathology centers starting with at least 10–15 years of experience (depending on the nature of the influencing production factors).

The project optimizes the composition of medical specialists participating in examinations, eliminates expensive, time-consuming and uninformative examinations, and adjusts the lists of general and additional medical contraindications taking into account ICD-10.

If the project is adopted, then the current Order of the Ministry of Health and Social Development of Russia dated April 12, 2011 No. 302n will be declared invalid.

As for the procedure for conducting medical examinations of workers in epidemiologically significant professions (they are now included in pp. 14–26 List of works, approved. by order of the Ministry of Health and Social Development of Russia dated April 12, 2011 No. 302n), then they are supposed to be removed from the general list and developed for them separate order medical examinations.

Thus, the draft order approves not only the procedure for conducting and recording the results of mandatory medical examinations, but also the form, procedure for registration and issuance of personal medical record(including requirements for maintaining a personal medical record in electronic form).

The draft provides for the frequency of medical examinations and reduces the list of doctors conducting medical examinations (the list includes only two doctors - a dermatovenereologist and an infectious disease specialist, while a dentist and an otorhinolaryngologist are excluded).

Based on the results of medical examinations, the medical organization draws up a final report. The final act is drawn up by the general practitioner in 3 copies, approved by the chief physician and certified by the seal of the medical organization.

Permission to work upon completion of the medical examination is issued by the therapist.

Registration N 41376

In accordance with Article 23 of the Federal Law of December 10, 1995 N 196-FZ “On Road Safety” (Collection of Legislation of the Russian Federation, 1995, N 50, Art. 4873; 1999, N 10, Art. 1158; 2002, N 18, Art. 1721; 2003, N 2, Art. 167; 2004, N 35, Art. 3607; 2006, N 52, Art. 5498; 2007, N 46, Art. 5553; N 49, Art. 6070; 2009 , N 1, Art. 21; N 48, Art. 5717; 2010, N 30, Art. 4000; N 31, Art. 4196; 2011, N 17, Art. 2310; N 27, Art. 3881; N 29, Art. 4283; N 30, Art. 4590, Art. 4596; 2012, N 25, Art. 3268; N 31, Art. 4320; 2013, N 17, Art. 2032; N 19, Art. 2319; N 27, Art. 3477; N 30, Art. 4029; N 48, Art. 6165; N 52, Art. 7002; 2014, N 42, Art. 5615; 2015, N 24, Art. 3370; N 29, Art. 4359) , subparagraphs 5.2.75 and 5.2.199 of paragraph 5 of the Regulations on the Ministry of Health of the Russian Federation, approved by Decree of the Government of the Russian Federation of June 19, 2012 N 608 (Collected Legislation of the Russian Federation, 2012, N 26, Art. 3526; 2013, N 16 , Art. 1970; N 20, Art. 2477; N 22, Art. 2812; N 33, Art. 4386; N 45, art. 5822; 2014, N 12, art. 1296; N 26, art. 3577; N 30, art. 4307; N 37, art. 4969; 2015, N 2, art. 491; N 12, Art. 1763; N 23, art. 3333), I order:

1. Approve:

the procedure for conducting mandatory medical examination of vehicle drivers (candidate vehicle drivers) in accordance with Appendix No. 1;

a form of medical report on the presence (absence) of vehicle drivers (candidate vehicle drivers) of medical contraindications, medical indications or medical restrictions for driving vehicles in accordance with Appendix No. 2;

3. Recognize as invalid the order of the Ministry of Health and Social Development of the Russian Federation dated September 28, 2010 N 831n “On approval of a single sample Medical certificate of admission to drive vehicles” (registered by the Ministry of Justice of the Russian Federation on October 21, 2010, registration N 18784 ).

4. Paragraph three of paragraph 1, paragraphs 2 and 3 of this order come into force on July 1, 2016.

Minister V. Skvortsova

Appendix No. 1

The procedure for conducting mandatory medical examination of vehicle drivers (candidate vehicle drivers)

1. This procedure regulates the issues of conducting a mandatory medical examination of vehicle drivers (candidate vehicle drivers) (hereinafter referred to as the medical examination).

4. Medical examination is carried out in relation to:

1) candidates for vehicle drivers;

5. Medical examination is carried out at the expense of vehicle drivers (candidate vehicle drivers) 3.

6. Medical examination includes examinations and examinations by medical specialists, instrumental and laboratory tests:

1) examination by a general practitioner or examination by a general practitioner (family doctor);

2) examination by an ophthalmologist;

3) examination by a psychiatrist;

4) examination by a psychiatrist-narcologist;

7. The medical registrar of a medical organization, on the basis of an identification document of the person being examined, selects (or fills out) a medical record of a patient receiving medical care on an outpatient basis (form N 025/у) 8 and hands over to the person being examined a form of medical report on the presence (absence) ) for vehicle drivers (candidate vehicle drivers) who have medical contraindications, medical indications or medical restrictions for driving vehicles (hereinafter referred to as a medical report), the form of which is approved by this Order, with lines 1-3 completed on the basis of an identity document , and informs the person being examined about the list of examinations and examinations by medical specialists that must be completed as part of the medical examination, and the possible appointment of instrumental and (or) laboratory tests.

8. When conducting a medical examination of persons specified in subparagraph 3 of paragraph 4 of this Procedure, the examinee submits to the medical specialists specified in paragraph 6 of this Procedure a medical report issued based on the results of a mandatory periodic medical examination, containing information on the results of examinations by medical specialists, laboratory and instrumental studies provided for by Order of the Ministry of Health and Social Development of the Russian Federation dated April 12, 2011 N 302n “On approval of lists of harmful and (or) hazardous production factors and work, during the performance of which mandatory preliminary and periodic medical examinations (examinations) are carried out” , and the Procedure for conducting mandatory preliminary and periodic medical examinations (examinations) of workers engaged in heavy work and work with harmful and (or) dangerous working conditions" (registered by the Ministry of Justice of the Russian Federation on October 21, 2011, registration N 22111) as amended, introduced by orders of the Ministry of Health of the Russian Federation dated May 15, 2013 N 296n (registered by the Ministry of Justice of the Russian Federation on July 3, 2013, registration N 28970) and dated December 5, 2014 N 801n (registered by the Ministry of Justice of the Russian Federation on February 3, 2015 , registration N 35848).

10. If, during an examination by a psychiatrist, symptoms and syndromes of a disease (condition) are identified in the examined person, which is a medical contraindication to driving, the examined person is sent for a psychiatric examination by a medical commission of a medical organization authorized by the federal executive body in the field of healthcare or executive authority of the constituent entity of the Russian Federation in the field of healthcare 9.

If the person being examined refuses to undergo the specified psychiatric examination, a medical report on the result of the examination by a psychiatrist will not be issued.

12. The medical report is drawn up by a general practitioner or general practitioner (family doctor) on the basis of the information specified in paragraph 11 of this Procedure, in the presence of the person being examined and valid for presentation to the units of the State Road Safety Inspectorate of the Ministry of Internal Affairs of the Russian Federation, which are entrusted with responsibilities for conducting examinations, issuing Russian national and international driving licenses and exchanging foreign national and international driving licenses for Russian national and international driving licenses 10, within 12 months from the date of issue.

1 Collection of Legislation of the Russian Federation, 2015, No. 2, Art. 506.

2 Regulations on licensing of medical activities (with the exception of the specified activities carried out by medical organizations and other organizations included in the private healthcare system on the territory of the Skolkovo innovation center), approved by Decree of the Government of the Russian Federation of April 16, 2012 N 291 (Collected Legislation Russian Federation, 2012, No. 17, Article 1965; No. 37, Article 5002; 2013, No. 3, Article 207; No. 16, Article 1970).

3 Clause 2 of Article 23 of the Federal Law of December 10, 1995 N 196-FZ “On Road Safety”.

4 Clause 1 of Article 25 of the Federal Law of December 10, 1995 N 196-FZ “On Road Safety”.

5 Item 8 of the List of medical contraindications for driving a vehicle, approved by Decree of the Government of the Russian Federation of December 29, 2014 N 1604.

6 Order of the Ministry of Health and Social Development of the Russian Federation dated January 27, 2006 N 40 “On the organization of chemical and toxicological studies for analytical diagnostics of the presence of alcohol, narcotic drugs, psychotropic and other toxic substances in the human body” (registered by the Ministry of Justice of the Russian Federation 26 February 2006, registration N 7544).

7 Item 7 of the List of medical contraindications for driving a vehicle, approved by Decree of the Government of the Russian Federation of December 29, 2014 N 1604.

8 Order of the Ministry of Health of the Russian Federation dated December 15, 2014 N 834n “On approval of unified forms of medical documentation used in medical organizations providing medical care on an outpatient basis, and procedures for filling them out” (registered by the Ministry of Justice of the Russian Federation on February 20, 2015 ., registration N 36160).

10 Decree of the Government of the Russian Federation of October 24, 2014 N 1097 “On admission to driving vehicles” (Collected Legislation of the Russian Federation, 2014, N 44, Art. 6063).

Appendix No. 3

The procedure for issuing a medical report on the presence (absence) of vehicle drivers (candidate vehicle drivers) of medical contraindications, medical indications or medical restrictions for driving vehicles

1. A medical report on the presence (absence) of vehicle drivers (candidate vehicle drivers) of medical contraindications, medical indications or medical restrictions for driving vehicles in form N 003-В/у (hereinafter referred to as the Conclusion) is filled out by a medical professional when presentation by the citizen of a citizen’s identity document.

2. Entries in the Conclusion are made in Russian with ink or a ballpoint pen with blue, purple or black ink, or using printing devices.

4. In line 1 of the Conclusion, the surname, first name, patronymic (if any) of the driver of the vehicle (candidate for driver of the vehicle) are indicated in full without abbreviations.

5. Line 2 “Date of Birth” indicates the date of birth of the vehicle driver (candidate driver of the vehicle): day, month, year.

7. Line 4 “Date of issue of medical report” indicates the date of issue of the Certificate: day, month, year.

10. In the corresponding rows of the table “Medical restrictions for driving vehicles”, the selected restriction is marked with a “V” sign.

11. In the corresponding rows of the table “Medical indications for driving,” the required medical indication is marked with a “V” sign.

12. Line 6 indicates the last name, first name, patronymic (if any) of the doctor who issued the medical report and his signature.