Factors by order 302 n. List of harmful and dangerous production factors by profession - order on medical examinations

Order of the Ministry of Health and Social Development of Russia No. 302n dated April 12, 2011
On approval of lists of harmful and (or) dangerous production factors and work, during which preliminary and periodic medical examinations (examinations) are carried out, and the Procedure for conducting preliminary and periodic medical examinations (examinations) of workers engaged in heavy work and work with hazardous and (or) dangerous working conditions.
In accordance with Article 213 of the Labor Code of the Russian Federation (Collected Legislation of the Russian Federation, 2002, No. 1 (Part 1), Art. 3; 2004, No. 35, Art. 3607; 2006, No. 27, Art. 2878; 2008, No. 30 (part 2), art. 3616) and clause 5.2.100.55 of the Regulations on the Ministry of Health and Social Development of the Russian Federation, approved by Decree of the Government of the Russian Federation of June 30, 2004 No. 321 (Collected Legislation of the Russian Federation, 2004, No. 28, Art. 2898; 2009, No. 3; Art. 378),

order:
1. Approve:
1. list of harmful and (or) dangerous production factors, in the presence of which mandatory preliminary and periodic medical examinations (examinations) are carried out, according to Appendix No. 1;
2. a list of works during the performance of which mandatory preliminary and periodic medical examinations (examinations) of workers are carried out, in accordance with Appendix No. 2;
3. The procedure for conducting mandatory preliminary (upon entry to work) and periodic medical examinations (examinations) of workers engaged in heavy work and work with harmful and (or) dangerous working conditions, in accordance with Appendix No. 3.
2. Enact lists of harmful and (or) dangerous production factors and work, during which preliminary and periodic medical examinations (examinations) are carried out, and the Procedure for conducting preliminary and periodic medical examinations (examinations) of workers engaged in heavy work and work with harmful and (or) dangerous working conditions, from January 1, 2012.
3. Recognize as invalid from January 1, 2012:
0. Order of the Ministry of Health and Medical Industry of the Russian Federation dated March 14, 1996 No. 90 “On the procedure for conducting preliminary and periodic medical examinations of workers and medical regulations for admission to the profession” (according to the conclusion of the Ministry of Justice of Russia, the document does not require state registration, letter dated 30 December 1996 No. 07-02-1376-96);
1. Order of the Ministry of Health and Social Development of the Russian Federation dated August 16, 2004 No. 83 “On approval of lists of harmful and (or) hazardous production factors and work, during the performance of which preliminary and periodic medical examinations (examinations) are carried out, and the procedure for conducting these inspections (examinations)" (registered by the Ministry of Justice of the Russian Federation on September 10, 2004 No. 6015);
2. Order of the Ministry of Health and Social Development of the Russian Federation dated May 16, 2005 No. 338 “On amendments to Appendix No. 2 to the order of the Ministry of Health and Social Development of Russia dated August 16, 2004 No. 83 “On approval of lists of harmful and (or) hazardous production factors and work during which preliminary and periodic medical examinations (examinations) are carried out, and the procedure for conducting these examinations (examinations)” (registered by the Ministry of Justice of the Russian Federation on June 3, 2005 No. 6677).
4. Establish that from January 1, 2012, subparagraphs 11, 12 (with the exception of subparagraphs 12.2, 12.11, 12.12), 13 of Appendix No. 2 to the order of the USSR Ministry of Health dated September 29, 1989 No. 555 “On improving the system of medical examinations of workers and drivers of individual vehicles.”
Minister
T.A. Golikova

New requirements for organizing and conducting mandatory medical examinations of workers

• In accordance with this order, from January 1, 2012, lists of harmful and/or dangerous production factors and types of work are approved, in the presence and implementation of which mandatory preliminary (upon entry to work) and periodic medical examinations are carried out. At the same time, a new procedure for conducting them is being introduced.

• At the same time, orders of the Ministry of Health and Medical Industry of Russia dated March 14, 1996 No. 90 and the Ministry of Health and Social Development of Russia dated August 16, 2004 No. 83, as well as paragraphs. 11-12 (with the exception of clauses 12.2, 12.11, 12.12) and clause 13 of Appendix No. 2 to the order of the USSR Ministry of Health dated September 29, 1989 No. 555, regulating the requirements for organizing and conducting m/o to the present day, have lost strength.

• The new order established the employer’s obligation to organize medical examinations of employees, and also determined the responsibility of the medical organization for the quality of their conduct.

• Purposes of medical examinations, list of factors and list of works, requirements for medical services. organizations entitled to conduct medical examinations have not changed.

• Medical examinations are carried out on the basis of lists of occupations approved by the employer and lists of employees' names compiled on their basis.

• Workers who are exposed to harmful production factors specified in the list of factors, as well as harmful production factors, the presence of which is established based on the results of certification of workplaces for working conditions, carried out in the prescribed manner, are subject to inclusion in the contingent and name lists.

Name lists, directions, calendar plans

• The contingents, as well as the lists of names compiled on their basis, are compiled and approved by the employer or his authorized representative. No later than 2 months before the start date of the periodic examination agreed with the medical organization, they must be sent to the specified medical organization. Now the employer’s responsibility is only to send the list of occupations to the territorial body of Rospotrebnadzor at its actual location within 10 days after its approval.

• When conducting medical examinations, the employer or his authorized representative is obliged to hand over signature to each employee for a preliminary or periodic medical examination. The employer is responsible for keeping records of referrals issued to employees.

• The medical organization, within 10 days from the date of receipt of the name list from the employer, but no later than 14 days before the start date of the periodic medical examination agreed with the employer, draws up a calendar plan for such an examination based on the specified name list. The calendar plan must be agreed upon with the employer or his representative. The plan is approved by the head of the medical organization. The employer is obliged to familiarize employees with the calendar plan no later than 10 days before the start date of the periodic examination agreed with the medical organization.

Medical commission

• When concluding an agreement with an employer to conduct a preliminary or periodic examination, a medical organization must form a permanent medical commission, which includes an occupational pathologist, as well as doctors who have undergone advanced training in the specialty “occupational pathology” in the prescribed manner. The medical commission should be headed by an occupational pathologist. The composition of the medical commission must be approved by order of the medical organization.
• The medical commission, based on a list of names, a list of factors and (or) a list of work, determines the need for participation in preliminary and periodic examinations of relevant specialists, as well as the types and volumes of necessary laboratory and functional studies. When conducting preliminary and periodic medical examinations, all subjects are required to undergo the following studies:

General blood test (hemoglobin, color index, red blood cells, leukocytes, leukocyte formula, ESR);

General urine analysis (specific gravity, protein, sugar, sediment microscopy);

Electrocardiography;

X-ray of the lungs in two projections or fluorography;

Biochemical screening (blood sugar, cholesterol).

• All women are examined by an obstetrician-gynecologist. At least once a year they conduct bacteriological (for flora) and cytological (for atypical cells) studies. Women over 40 years old should have a mammogram or ultrasound of the mammary glands once every 2 years.
• The conclusion of a psychiatrist and narcologist is mandatory for all categories of subjects

Outpatient cards and health passports

• For an employee undergoing preliminary or periodic medical examinations, the medical organization issues an outpatient medical card (form 025/u-04), a health passport, as well as a conclusion based on the results of the medical examination.
• For each employee, 1 health passport is issued, which is kept in the medical organization for the period of medical examinations, and upon completion, along with a copy of the medical report, they are given to the employees.
• Medical cards are stored in accordance with the established procedure in a medical organization that carries out preliminary and periodic medical examinations. Information from the medical record containing the results of examinations by specialists, laboratory results. and instrumental studies are included in the health passport.

Commission decisions and final acts

• Within 3 calendar days after the completion of the preliminary medical examination and within 15 days from the date of completion of the periodic medical examination, the medical commission makes a decision and issues a medical report based on its results.
• Information about employees who have undergone a preliminary medical examination and who have identified contraindications for the profession are sent to the employer who issued the referral.
• Based on the results of medical examinations, the medical organization, no later than 30 days after the completion of periodic medical examinations, summarizes the results and, together with the territorial bodies of the federal executive body authorized to exercise state control and supervision in the field of ensuring the sanitary and epidemiological well-being of the population, representatives of the employer draw up a final act. One copy of it must be kept in the medical organization that conducted periodic medical examinations for 50 years.
• In the event of liquidation or change of a medical organization that carries out medical examinations, the workers’ medical records are transferred to the occupational pathology center of a constituent entity of the Russian Federation. They must also be stored there for 50 years, and based on a written request from another medical organization with which the employer has entered into an agreement to conduct medical examinations, within 10 days from the date of receipt of the request, transfer the employees’ medical records (a copy must be attached to the request agreement).

Special cases

• Workers engaged in work with harmful or dangerous substances and production factors, workers who have a preliminary diagnosis of an occupational disease, and other categories of workers, if an appropriate decision is made by a medical commission, must undergo periodic examinations at occupational pathology centers at least once every 5 years. and other medical organizations that have the right to conduct preliminary and periodic medical examinations, conduct an examination of professional suitability and an examination of the connection of the disease with the profession.
• At least once a year in occupational pathology centers or other medical organizations, workers suffering from acute and chronic diseases must undergo medical examinations. occupational diseases.
• State supervision (control) over compliance with the requirements for organizing and conducting preliminary (when applying for a job) and periodic medical examinations of workers is carried out by the federal executive body, which is entrusted with the functions of control and supervision in the field of ensuring the sanitary and epidemiological well-being of the population, within the limits of existing powers.

The practice of applying the new procedure will show its effectiveness, or determine the range of issues that require solutions. In particular, an appropriate document flow is provided, including lists of contingents and persons subject to prof. examinations, referrals for professional medical examinations, health passports, final acts, etc. However, the forms of these documents have not yet been approved in accordance with the established procedure.

Order No. 302n on medical examinations establishes not only the categories of employees who must undergo them, but also the procedure for conducting them. In March 2018, changes were made to this regulatory act. We'll tell you which ones.

Read our article:

Order of the Ministry of Health 302n with amendments and additions of 2018

The order approved the rules for undergoing medical examinations. The list of professions and jobs for which an employee undergoes an examination upon entry is determined based on working conditions. It must be compiled by the employer.

If an employee performs work included in the list, he will be required to first undergo this procedure. Appendix 2 is a table that is used not only by the employer, but also by the medical institution. Columns 3 to 5 contain:

• lists of specialists who will need to be visited;
• a list of studies, both laboratory tests and functional measurements;
• additional health contraindications.

It is worth noting that if several types of work are performed during production, it is necessary to take into account the need to conduct medical examinations for these types of work simultaneously. Example: maintenance and repair of existing electrical installations.

Changes to Order 302n in 2018 were made in March. They affected Appendix 2. The list of workers who were sent for medical examinations was expanded. Instead of employees of social shelters and nursing homes, employees of social service organizations providing social services should be sent for a medical examination:

• in stationary form of social services;
• semi-stationary form of social services;
• in the form of social services at home.

Harmful factors for medical examination by profession in Appendix 1

During the work process, an employee is constantly or periodically exposed to various production factors.

They can be:

• optimal;
• acceptable;
• harmful;
• dangerous.

This gradation of production environment factors has been established. The presence of a production factor of a particular group is determined in the process of a special assessment of working conditions.

The application concerns only groups 3 and 4 - harmful and dangerous factors.

Harmful working conditions are understood as those in which the impact of harmful and (or) dangerous factors exceeds hygienic standards and can lead to varying degrees of health damage.

The 3rd group is divided into 3 subgroups depending on the expected.

Dangerous factors are considered to be those that during a working day or shift can lead to a threat to the life of a citizen, and their prolonged exposure inevitably leads to acute occupational diseases.

Order 302n on medical examinations does not contain a gradation according to the “harmfulness” of a particular exposure. It provides a gradation depending on the operating factor (chemical, biological, physical, labor process). This classification allows you to quickly navigate the list.

Procedure for medical examinations 302n

Occupational medical examinations can be carried out both during employment and during work. Their main purpose is to identify health problems that prevent the employee from performing work. The procedure is set out in Appendix 3.

Preliminary medical examinations must be carried out before the candidate goes to work. In the HR department of the organization, the future employee is given a referral for a medical examination, and it is possible to undergo the medical examination at the place of residence or in any medical institution convenient for him.

The cost of the applicant undergoing a medical examination must be reimbursed by the employer.

The direction is drawn up on the organization's letterhead. It must contain the name of the company, as well as its details. The text of the document itself contains the candidate's full name, date of birth, position and department, production factors and types of work in accordance with Appendices 2 and 1. The direction is signed by an authorized person and the company seal is affixed.

At the clinic, the employee must present a referral, a passport, a psychiatrist’s report and a health passport, if available. Health workers make a list of necessary specialists and tests that need to be completed. After completing all procedures, the employee is given a certificate of completion of a medical examination. He must provide this conclusion to the employer.

Final act on medical examinations 302n (sample)

The final act is issued to the employer upon completion of the medical examination as a whole, as established by paragraph 42. It is a summary table for the entire staff of the enterprise or part of it.

Download the final act form>>>

The final act contains information about the employer and the number of personnel. Based on the results of the inspections, summary tables 1 and 2 are filled out by name. The employer is given suggestions for health-improving activities and... The act is filled out in 4 copies.

The completed final report on medical examinations must be kept for 50 years in the medical organization that conducted the examinations.

How Order 302n regulates the procedure for conducting preliminary, periodic and mandatory medical examinations, and who is required to undergo medical examinations under Order 302n, we will look into the article.

From the article you will learn:

How does order 302n regulate the procedure for undergoing medical examinations?

Medical examinations are divided into:

• preliminary;
• periodic;
• extraordinary.

Download documents on the topic:

Applicants undergo a preliminary examination. The main purpose of the examination is to obtain data on the health status of the future employee who will be engaged in certain types of activities. Periodic examination helps identify risks occupational diseases for employees working in unfavorable working conditions.

Question from practice

When is it necessary to conduct a mandatory medical examination of an employee?

The answer was prepared jointly with the editors

Nina Kovyazina answers Deputy Director of the Department of Medical Education and Personnel Policy in Healthcare of the Russian Ministry of Health

Carry out medical examinations of employees if their work involves harmful or dangerous working conditions, traffic, the food industry, catering, as well as a number of other areas of activity. Also conduct medical examinations for employees under 18 years of age. For more information about who should undergo medical examinations and when, read our recommendations.

Employees subject to mandatory medical examination

Employees performing certain types of work undergo mandatory medical examinations at the expense of the organization. This category of personnel includes, in particular:

employees engaged in work with harmful or dangerous working conditions, including underground work (Art. , Labor Code of the Russian Federation);

employees engaged in work related to traffic, (Art. And Labor Code of the Russian Federation, Law of December 10, 1995 No. 196-FZ);

employees of food industry enterprises, public catering and trade, water supply facilities, medical and preventive care and children's institutions ( );

departmental security officers ( ).

Ask your question to the experts

Order 302n on undergoing medical examinations was issued on April 12, 2011 by the Russian Ministry of Health and Social Development. The document approves a list of harmful and/or dangerous production factors and work, during the performance of which mandatory preliminary and periodic medical examinations(examinations). In addition, Order 302n on conducting medical examinations establishes the procedure for preliminary and periodic examinations of workers who are engaged in heavy production or work in harmful/dangerous working conditions.

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Order on approval of the plan for mandatory periodic medical examination
or

Order 302n, along with the Labor Code, is the main document that the employer must follow in matters of medical examinations for employees. Appendix No. 1 contains a list dangerous, harmful production factors, in the presence of which employees are subject to mandatory medical examinations. Appendix No. 2 contains a list of professions that are subject to periodic inspection. Appendix No. 3 indicates the procedure for conducting the survey.

Medical examination by order 302n

Hazardous and harmful factors by profession in Order 302n are divided into chemical, biological, physical and labor process factors; harmful factors include, for example, such as:

• dust of animal, plant origin with impurities of silicon dioxide, poisons of fish, plants, animals (biological);
• ethane, methane, propane, ethylene, paraffins (chemical);
• ultraviolet radiation, electromagnetic field (physical);
• static load, work with optical instruments (related to labor process factors).

In order 302n on medical examination in Appendix No. 1, information is given in the form of a table in which harmful factors and frequency of inspections, the names of the medical specialists who conduct the examination are presented, the main and additional studies are described. The table should be used taking into account the relevant notes and explanations.

The table in Appendix No. 2 was compiled in a similar way. The frequency of examinations, the types of work whose employees undergo medical examinations. In Order 302n, the most significant is Appendix No. 3.

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It is worth considering that these lists of factors and professions are not exhaustive. Some employees are subject to inspections based on other provisions of current law. Taking into account articles 69 and 226 of the Labor Code of the Russian Federation workers are sent for medical examinations, under the age of 18. And on the basis of Article 298 of the Labor Code of the Russian Federation - shift workers.

Practical situation

Requirements for medical examinations have been tightened. Who should we send to the doctors now?

The answer was prepared jointly with the editors of the magazine ""

Yulia DEVIATKOVA answers,
lawyer, expert of the magazine "Personnel Business"

For each employee who has not passed the mandatory medical examination, the company will be fined 130,000 rubles. At the same time, employers and supervisory authorities do not have a common opinion in which cases certain categories of workers should undergo medical examinations. For example, is medical supervision necessary for those who work on a computer or use official vehicles? The Supreme Court takes the side of the inspectors in controversial situations.

How is Order 302n on medical examinations used in work?

Order 302n, as amended and supplemented, regulates the procedure for undergoing medical examinations. Section II of Appendix No. 3 provides a description of the procedure for each type of inspection. To undergo a medical examination upon hiring (based on order 302n), the applicant is given a referral. The legislation does not approve a unified form for such a referral; the employer has the right to develop and approve the form independently.

The mandatory information that must be present in it is indicated in paragraph eight of Appendix No. 3 to Order of the Ministry of Health 302n. The same referral form can be used for periodic and unscheduled examinations.

. Based on the results of the examination, medical institutions draw up an appropriate conclusion. The requirements for the availability of information in it are specified in paragraph 13 of Appendix No. 3 of the order in question.

On this page you can download for free the current version of the regulatory legal act on labor protection: 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 engaged in heavy work and work with harmful and/or dangerous working conditions.

Additional information about the document:

• Approved by order of the Ministry of Health and Social Development of Russia dated April 12, 2011 No. 302n (Order 302n)
• Order 302n was registered with the Ministry of Justice of the Russian Federation on October 21, 2011 under number 22111
• Changes were made by order of the Ministry of Labor of Russia No. 62n, Ministry of Health of Russia No. 49n dated 02/06/2018.
• Valid in the new version from 03/16/2018.

Application area:

Order 302n establishes the rules for conducting mandatory preliminary (upon entry to work) and periodic medical examinations (examinations) of persons engaged in heavy work and work with harmful and (or) dangerous working conditions (including underground work), in work related to traffic, as well as in work that requires preliminary and periodic medical examinations (examinations) in order to protect public health and prevent the occurrence and spread of diseases.

Order of the Ministry of Health and Social Development of Russia
dated April 12, 2011 No. 302n
“On approval of lists of harmful and (or) dangerous 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"

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