Journal of medical examinations. How is a register of referrals for a medical examination made?

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Pre-trip medical examination of drivers is a mandatory requirement for carriers. The task of such an inspection is to confirm the normal condition of the driver before the flight, to exclude physical overwork, drug or alcohol intoxication.

Pre-shift or pre-trip medical examination of drivers is mandatory due to Federal Law of December 10, 1995 N 196-FZ"On Road Safety" for all organizations and individual entrepreneurs who carry out activities related to the operation of vehicles.

The employer is obliged to organize it before the start of the working day of their drivers (shift or flight). Such a medical examination is necessary to identify signs of exposure to the employee's body of harmful and (or) dangerous production factors, as well as conditions that impede the performance of labor duties. Legislators refer to such states as alcoholic, narcotic or other toxic intoxication, as well as the residual effects of such intoxication. This means that even after yesterday’s booze, you can’t drive. In addition, it is unacceptable to drive a car in a state of illness: from a common cold or high blood pressure to an exacerbation of chronic diseases. A person with a medical education can identify their signs.

The obligation to conduct medical examinations applies to any organization or individual entrepreneur operating these vehicles, and does not depend on the type of activity carried out and the number of full-time employees. If there is even one “office” driver in the state or an individual entrepreneur works on cargo transportation on his own, you still need to take care of medical examinations before leaving (we are talking about commercial cargo transportation, if an individual entrepreneur is carrying himself or for himself, a medical examination is not needed).

How to organize a pre-trip medical examination of drivers

In addition to Federal Law N 196-FZ, there are three by-laws that regulate pre-trip medical examinations of drivers in 2019. Order of the Ministry of Health of December 15, 2014 No. 835n, an older, still Soviet order of the USSR Ministry of Health of September 29, 1989 No. 555, contains the recommended form of the pre-trip medical examination of drivers. In addition, the letter of the Ministry of Health dated August 21, 2003 No. 2510 / 9468-03-32 has legal force, which contains the requirement that each employer, before the start of pre-trip medical examinations of drivers, must approve an internal local legal act: a regulation on the organization of relevant examinations. This standard form is contained in Appendix No. 2 to the said letter from the Ministry of Health.

Thus, employers must comply with the requirements of Order No. 835n and take them into account when drawing up a regulation on medical examinations in an organization.

New in legislation

On December 21, 2018, the Order of the Ministry of Transport of Russia dated August 08, 2018 N 296 came into force. Consider innovations of 2019. According to the new order, pre-trip control will need to be carried out before the start of the flight in the following cases:

• only one flight is performed per shift (working day);
• the duration of the flight exceeds the duration of the shift (working day) of the driver.

Pre-shift control will need to be carried out before the start of the shift, if the driver makes several trips per shift (working day).

Both types of control must be carried out before the vehicle leaves the parking lot. If several drivers work in shifts on the same transport, the time for control is before the start of the flight or the shift (working day) of the one who leaves the parking lot first.

Drivers must undergo not only pre-trip, but also pre-shift, post-trip and post-shift examinations by a health worker. At the same time, pre-trip medical examinations are mandatory for all employees driving. The exception is drivers of emergency vehicles (fire, ambulance, emergency gas or water utilities). Such employees must necessarily see a doctor only before the start of the shift, because their departure for the flight is unplanned. But after returning from the flight, the doctor must necessarily examine the driver who carried passengers or dangerous goods. All other drivers may not see a doctor after the end of work.

Paperwork

The first page of the Model Provision looks like this:

In this document, the employer must regulate the organization of pre-trip medical examinations of their employees, in particular:

• specify the content of medical examinations;
• determine the conduct of individual procedures within the framework of a medical examination;
• determine the conditions for the procedure;
• establish criteria for allowing drivers to work after passing a medical examination;
• determine the responsibilities of medical institutions with which an agreement has been concluded or establish the need to hire a full-time medical worker.

Note! Drivers are required to carry travel cards with them. And according to par. 2 p. 7 Order of the Ministry of Transport of Russia dated September 18, 2008 N 152 (as amended on November 7, 2017) “On Approval of Mandatory Details and the Procedure for Filling in Waybills” a mark on the date and exact time of pre-trip and post-trip inspections is a mandatory requisite of such a sheet.

Who has the right to conduct medical examinations?

Let's pay attention to paragraph 1.6 of the Regulations page shown above. It says that conducting medical examinations is the prerogative of medical professionals. This follows from paragraph 8 of the Order, approved by order N 835n. So, you can entrust this procedure only:

• health workers with higher and (or) secondary vocational education (including employees on the employer's staff);
• medical organization or other organization carrying out medical activities.

In addition, if we are talking about a full-time health worker, then on the basis of Article 12, the organization will have to obtain a license to carry out medical activities. This is justified only in the case of a large staff of drivers. Most often, organizations and individual entrepreneurs simply enter into an agreement for the provision of such services with those organizations that already have a license. This point must be carefully checked before concluding a contract. By the way, all costs for these events are borne solely by the employer, as provided article 212 of the Labor Code of the Russian Federation and article 213 of the Labor Code of the Russian Federation.

Journal of physical examinations

Paragraph 14 of the Procedure approved by Order N 835n states that the organization or individual entrepreneur must record all the results of examinations in a special register of pre-trip medical examinations. Each driver must provide the following information:

• date and time of the inspection;
• Full Name;
• gender, date of birth;
• survey results;
• conclusion about the results;
• the signature of the health worker with a transcript;
• signature of the employee who passed the control.

You can keep such a journal on paper. There is a standard form recommended for use. It is contained in the appendix to the order of the USSR Ministry of Health of September 29, 1989 No. 555. Also, the employer can develop it independently. In any case, the pages of the medical examination log must be laced, numbered and sealed at the back with the seal of the organization. In addition, the journal can be kept electronically. In this case, it should be possible to print individual pages, and the information entered in the journal should be certified by an enhanced qualified electronic signature of an authorized health worker or organization. Clause 15 of the Procedure, which determines the possibility of maintaining an electronic journal, does not provide for the signature of drivers in this case.

On a paper form, a sample log of a pre-trip medical examination of drivers - 2019 will look like this:

Based on the data of this document, an authorized employee once a month must sum up the results of the control and analyze the reasons for the removal of drivers from work. The results of such analysis should be brought to the attention of the director. At the same time, both the health worker and the manager should pay special attention to cases of suspension from work in connection with the use of alcohol and drugs.

How is the sobriety control and medical examination of the driver

Health monitoring of employees is carried out immediately before the start of a work shift or departure on a flight. There is a pre-trip medical examination as follows.

1. Visual inspection of the employee: gait, appearance, behavior.
2. Health survey.
3. Medical examination of visible mucous membranes and skin (the presence of scratches, traces of injections on the hands, pallor or redness of the skin, the condition of the pupils (narrowed or dilated)).
4. Measurement of blood pressure and pulse (if a deviation from the norm is detected, it is necessary to re-examine at least 20 minutes later).
5. Identification of signs of intoxication (alcoholic, narcotic or other toxic) or residual effects of intoxication.

For the last stage of the medical examination, laboratory and instrumental studies can be carried out. For example, the determination of the alcohol content in the exhaled air or a urine test.

Based on the results of all these studies, an authorized health worker makes a conclusion about the possibility of going on a flight. If the permit is obtained, then the waybill must be stamped “Passed the pre-trip medical examination” or a handwritten note, certified by the signature of the person who carried out the control. If the driver has not passed the control, a protocol is drawn up about this.

In what cases is permission to work prohibited and what are the consequences of this

If during the pre-trip medical examination, conditions and diseases that interfere with work were identified, for example, signs of intoxication or a hangover, high blood pressure or temperature, such an employee should be issued a certificate for presentation to the clinic at the place of residence. Such an employee does not go on a flight. The certificate must indicate:

• its serial number;
• date (day, month, year) and time (hours, minutes) of the control;
• the purpose of the referral to the clinic;
• preliminary diagnosis;
• the amount of assistance provided on the spot;
• signature of the medical worker who issued the certificate, with a transcript of the signature.

Such certificates are subject to mandatory registration. The employer, having received information about the non-admission of the driver as a result of the pre-trip medical examination, must remove him from work due to article 76 of the Labor Code of the Russian Federation. This is done by issuing an order in any form. The employee specified in the order must be familiarized with it under the signature. In case of refusal to sign, an appropriate act is drawn up. Until the circumstances that caused the condition of the driver (in case of his guilty behavior) are established, he is not paid wages.

The driver himself must come to the clinic and present a certificate. The doctor examines him, can issue a sick leave and release him from work for the duration of his illness, or make a note that there are no grounds for issuing a sick leave. In this case, the employee must start work the next day. If in reality there was no need for suspension, then the day that the employee misses due to a visit to the doctor is included in working hours, but is paid if there is no sick leave as simple in accordance with Art. Art. 157 Labor Code of the Russian Federation.

Responsibility of the employer for the release of the driver on the line without a medical examination

Allowing drivers to work without a pre-trip or pre-shift medical examination is an administrative offense. Responsibility for such an act is provided for in part 3 Article 5.27.1 of the Code of Administrative Offenses of the Russian Federation. The amount of the fine is:

• for officials and individual entrepreneurs - from 15,000 to 25,000 rubles;
• for legal entities - from 110,000 to 130,000 rubles.

For a repeated violation, an official or individual entrepreneur will pay a fine of up to 40,000 rubles, in addition, they may face disqualification for a period of one to three years. The organization will be fined up to 200,000 rubles or suspended for up to 90 days. This is discussed in part 5 of the above article.

You can also get a fine for violating the procedure for conducting a mandatory examination of drivers before a flight on Article 11.32 of the Code of Administrative Offenses of the Russian Federation. The amount of fines is:

• for officials - from 2000 to 3000 rubles;
• for legal entities - from 30,000 to 50,000 rubles.

In this article, individual entrepreneurs are equated to legal entities with the corresponding fine. In addition, officials who allowed a vehicle to leave with a drunk driver at the wheel may also be fined Article 12.32 of the Code of Administrative Offenses of the Russian Federation. The amount of the fine will be up to 20,000 rubles. Similarly, the organization and individual entrepreneurs may be punished. They will be fined 100,000 rubles.

The legislation of the Russian Federation does not directly state the need to keep a register of medical examinations - a sample is presented below. Nevertheless, experienced personnel officers recommend filling out such a document in order to facilitate control over the conduct of such events. What order is the form in? What data will be needed to reflect the information? We will understand all the nuances in this article.

The passage of periodic, preliminary, unscheduled and other medical examinations is regulated by labor legislation, namely the Labor Code, Order No. 302n and other regulatory legal acts. Conducting medical examinations should be accompanied by the competent execution of all related documents, which include:

• Agreement with a medical institution.
• A copy of the permissive license from the health facility for examinations.
• Order for m / o.
• Name list and contingent list.
• Schedule for inspection.
• Referrals to employees.
• Journal of medical examinations.
• Final act presenting the results.

At the same time, it can be seen from the above list that some documents are mandatory, without which it is impossible to pass inspections, and some are recommended, created to strengthen control by the employer. There is no general form for the journal of medical examinations; at present, it is allowed to use your own document developed in the organization and approved by its head. Or you can use the ready-made form NU-1, developed for employees of federal railway transport institutions (Instructions of the Ministry of Railways of the Russian Federation No. L-2257u dated 08.10.99).

A similar form is used when carrying out periodic or preliminary inspections, that is, during the work of railway transport employees, as well as when applying for a place of employment. The document contains all the basic information about the mandatory examinations and the results of the procedures. Enterprises of other fields of activity have the right to use this form to reflect information on ongoing inspections.

Register of medical examinations - the procedure for filling out

The general register of medical examinations of employees is compiled, as a rule, by hand or in electronic form. The document is maintained by a responsible employee appointed by the order of the administration of the enterprise. Filling is made in a single copy. In order to protect information, the journal is mandatory numbered, laced, certified by the seal of the company and the personal signature of the head.

What data is entered in the inspection log:

• The name of the employer.
• Start/end dates for maintaining the document.
• Serial number.
• Name of the employee being examined.
• The reason is the basis for the referral for inspection.
• The exact place of work - the structural unit, position, hazard factors and other important data are indicated.
• The date of the medical examination.
• The conclusion of a special medical commission - fit / not fit, what contraindications were found, whether a re-examination was scheduled, admitted on an individual basis, etc.
• Date of issue of the referral to the senior commission.
• The conclusion of a special higher commission with the results.
• Recommendations for changing the current working conditions of specific specialists.
• Other data.

An authorized person of the employer may add lines/columns to reflect relevant information as necessary. When applying, you need to focus on the specifics of the industry of the enterprise and existing official recommendations.

Driver medical examination log - sample

According to Order No. 835n dated 12/15/14, the organization's driver inspection log is compiled for the purposes of pre-trip / pre-shift and post-trip / post-shift control. Before filling out, it is necessary to protect the document by flashing, fastening and certifying with a seal / signature. The form provides for the reflection of data on the full name / dates of birth of employees, dates of inspections, results and conclusions of events. Separately, the signatures of the driver and the paramedic are affixed.

The recommended form was approved by Order No. 555 of September 29, 1989. This document is designed to enter information about the pre-trip survey, however, it can be finalized for filling in for other purposes. All employers who use the labor of drivers of vehicles are required to keep a log. Without carrying out appropriate inspections at the beginning and at the end of the shift, it is not allowed to allow employees to drive vehicles.

Sample log of medical examination of drivers download.

If you find an error, please highlight a piece of text and click Ctrl+Enter.

I really need a register of referrals for a medical examination. I didn't find it in the system. Please help me find this form. It is very necessary, check on the nose.

Answer

Answer to the question:

In accordance with the Order of the Ministry of Health and Social Development of the Russian Federation of April 12, 2011 N 302n "On approval of the 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 employed in hard work and in work with harmful and (or) dangerous working conditions "preliminary examinations are carried out upon admission to work on the basis of a referral for a medical examination issued to the person entering the work by the employer.

The direction is filled out on the basis of the list of contingents approved by the employer and it indicates:

• the name of the employer;
• form of ownership and type of economic activity of the employer according to OKVED;
• the name of the medical organization, the actual address of its location and the OGRN code;
• type of medical examination (preliminary or periodic);
• surname, name, patronymic of the person entering the work (employee);
• date of birth of the person entering the work (employee);
• the name of the structural unit of the employer (if any), in which the person entering the work will be employed (the employee is employed);
• the name of the position (profession) or type of work;
• harmful and (or) dangerous production factors, as well as the type of work in accordance with the contingent of employees approved by the employer, subject to preliminary (periodic) inspections.

Material from KSS "System Personnel"
Ready-made solutions for the personnel service at www.1kadry.ru
Copy date: 05/25/201

2. Answer: How is the periodic mandatory medical examination of employees carried out?

N.Z. Kovyazin

Periodic mandatory medical examinations are carried out during the entire period of work of an employee in an organization at the expense of the employer (). Their goal is to monitor the health status of employees and timely detection of occupational diseases.

To conduct periodic medical examinations, the organization forms a list of employees who:

• are exposed to harmful production factors specified in the approved . Also, harmful factors are established according to the results and in the course of laboratory studies and tests;
• perform work according to the approved .

Such a procedure is provided for by the Procedure approved.

Send the approved list to the territorial body of Rospotrebnadzor within 10 days (of the approved procedure) .

Based on this list, make a list of employees who need to undergo periodic inspection. If a medical examination is carried out in relation to employees engaged in hazardous (hazardous) work, it must indicate the harmful (dangerous) production factors that affect employees.

The list of names of employees is sent to the medical organization no later than two months before the start date of the periodic medical examination agreed with this organization (Approved procedure) .

Having received a list of names, the medical institution draws up a calendar plan for conducting medical examinations and coordinates it with the organization. The employer must familiarize employees with this plan no later than 10 days before the start of the medical examination.

Such rules are established by clauses and of the Procedure approved) .

An example of drawing up an order to approve a plan for a mandatory periodic medical examination

In June, under an agreement with the district clinic, the organization will conduct a mandatory periodic medical examination of employees engaged in hazardous (hazardous) work.

After agreeing with the medical institution on the schedule of the medical examination, the head issued an approval of the plan for the mandatory periodic medical examination.

The referral for a medical examination when applying for a job does not have a unified form, but still must be drawn up in accordance with the requirements of the law. We will help you correctly draw up a referral for a medical examination, as well as competently draw up a register for issuing referrals for a medical examination.

Read our article:

How to apply for a medical examination when applying for a job

A referral for a medical examination is issued to the applicant even before employment. On the one hand, this allows you to protect the employer from employment of a candidate who is obviously not healthy. On the other hand, it helps to avoid fines for admitting to work a person who has not passed a medical examination.

How to send for a mandatory medical examination:

Such measures are aimed not only at protecting the company, but also the health of citizens. Preventive examinations allow you to identify violations in the functions of the human body. And also prevent the development of serious diseases or prevent complications.

What the law says: order 302n

Clause 4 of part 1 of Appendix 3 of Order No. 302n determines who can conduct such inspections. According to it, preliminary medical examinations can be carried out by any clinics that have the appropriate permission.

Examinations in a medical institution are carried out by a special commission, and the employer is responsible for organizing the examination. So all the costs of the procedure are borne by the company hiring the person.

After the applicant's candidacy is approved, but even before the signing of the contract, he is given a referral for a medical examination. Order 302n, already mentioned by us, contains strict requirements for its execution.

Read also:

Note that this order applies only to those future employees who are expected to work in harmful or dangerous conditions. But other groups of people should also be examined. For example, minors For them, the sample referral for a medical examination when applying for a job will look a little different.

In addition to the requirements for issuing a referral, the order describes the sequence of medical examination procedures and the interpretation of the conclusion.

Referral form for medical examination

A referral for a preliminary (periodic) medical examination is issued on a 2019 form developed by the company, taking into account the requirements of Order 302n.

As a rule, the form of the document is developed by the company independently, taking into account legislative requirements, and is drawn up on the letterhead of the enterprise. The header contains the required details to identify the future employer:

• The name of the company;
• form of ownership and main type of activity according to OKVED.

Read also:

In the text of the referral itself, not only the full name of the patient is prescribed, but also his date of birth. It is also necessary to indicate the profession and department in which the applicant will work.

Based on the SOUT or AWP, the employer determines a list of harmful factors affecting a person and indicates them in the document. Usually, the points of Appendices 1 and 2 are prescribed, and their decoding is given.

The list of necessary studies and necessary doctors on the basis of the listed items is determined in a medical institution.

Read also:

The form must contain the seal of the employer and the signature of the person responsible for issuing the forms. The person in charge is appointed by order of the organization, usually it is either a personnel worker or a labor protection specialist. In smaller companies, this responsibility may be assumed by the director.

The completed referral form for a medical examination by order 302n is handed over to the applicant.

Referral pattern

The company, most often, already has a well-established form of referral for years. Information about the newly arrived candidate is entered on this form. No one usually prepares such a document from scratch. But if suddenly you still had to do this, we suggest downloading a form and a sample referral for a preliminary medical examination to help.

If employees are sent for a medical examination to a polyclinic by registration, and not to the organization with which the contract has been concluded, you can leave an empty space to identify the polyclinic. At this place, the medical institution will put their own stamp with details.

The need for such a journal arises due to paragraph 8 of part 2 of Appendix 3 of Order No. 302n. Where it is indicated that the referral for a preliminary medical examination is issued to the employee against signature. At the same time, no requirements are given - neither where to collect such signatures, nor any other.