Agreement on compliance with the sanitary and epidemiological regime. Production control in medical organizations and sanitary and epidemiological support of the facility

Agreement No. ____

For the provision of a complex of sanitary and epidemiological services

Moscow "___" ________ 2012

________________________________________________________________________ , hereinafter referred to as the "Customer", represented by _______________________________________________, acting on the basis _________________, on the one hand, and

Limited Liability Company "Carpe Diem", hereinafter referred to as the "Contractor", represented by Director General Simonenko Alisa Sergeevna acting on the basis of the Articles of Association, on the other hand, have entered into this agreement as follows.

Subject of the contract.

1.1. The Customer instructs, and the Contractor assumes the obligation to carry out pest control work at the Customer's Facilities at the following addresses:

- with total area ______________________ sq. m.. used under ____________,

- ______________________________________________, with total area ______________________ sq. m. used under ____________,(hereinafter - works), namely:

1.1.1. inspection of the Customer's Object in order to determine its population by insects, rodents, microorganisms;

1.1.2. carrying out disinsection, disinfection, deratization at the Customer's Facility.

1.2. The work is carried out by the Contractor within the time limits set in the application.

Contractor on the basis of:

Law of the Russian Federation "On the sanitary and epidemiological well-being of the population" dated March 30, 1999, Mayor's Order of 02.07.98, "On strengthening measures to prevent hemorrhagic fever with renal syndrome (HFRS), other natural focal infections and rodent control in the city Moscow,

Decree of the Chief State Sanitary Doctor for Moscow No. 8 dated 29.05.00.

“On sanitary certification of an object subject to disinfestation and deratization, taking into account supplement No. 16\.1-272 of 11.08.00. "On the use of forms of sanitary passports of the object of the old sample",

Sanitary and epidemiological rules SP3.5.3.1129-02 "Sanitary and epidemiological requirements for deratization",

Sanitary and epidemiological rules SP 3.5.1378-03 "Sanitary and epidemiological requirements for the organization and implementation of disinfection activities",

Sanitary and epidemiological rules and regulations SanPin 3.5.2.1376-03 "Sanitary and epidemiological requirements for the organization and conduct of pest control measures against synanthropic arthropods", as well as existing sanitary and

epidemiological rules, in accordance with the type of activity carried out by the Customer,

Decrees of the Government of Moscow dated December 30, 2003 No. "On improving the organization and conduct of disinfection, disinfestation and deratization activities at the facilities of the city of Moscow"

2. Obligations of the Contractor

2.1. The contractor undertakes to carry out disinfection and disinfestation work modern means permitted by the Ministry of Health of the Russian Federation, and in accordance with the schedule approved by both parties for each facility.

2.2. The Contractor is obliged to carry out internal quality control of the work performed, inform the Customer about its results and advise the Customer on sanitary and preventive measures that increase the efficiency of the work being carried out.

2.3. The Contractor is obliged to familiarize the Customer with the safety rules for the use of disinfectants to combat rodents (insects, bacteria).

3. Obligations of the Customer.

3.1. The customer allocates by order responsible person, which is present during the work carried out by the Contractor, certifies their completion by signing the Acts of completed work, indicating the fact of the work being performed, a mark in the sanitary passport of the facility (for catering facilities) and the Customer is responsible for disrupting the work schedule for reasons that depend only on the Customer .

3.2. The Customer fulfills all the instructions of the Contractor that contribute to the efficiency of the work performed within the specified time, in accordance with SP 3.5.3.1129-02, as well as SanPiN 3.5.2.1376-03, provides sanitary hours for the implementation of decontamination measures.

3.3. The Customer complies with all measures of personal and public safety indicated by the Contractor.

3.4. The customer provides access to all premises, the necessary illumination (basements, garbage chambers, technical corridors, utility rooms), electrical safety, drainage and cleaning of basements, serviceability of steps, railings, floors and others the necessary conditions on labor protection and safety for carrying out dezrabot.

3.5. The Customer ensures the safety of fishing gear and equipment used by the Contractor during decontamination.

3.6. The customer operates the facilities where disinfection is carried out in accordance with existing sanitary standards.

4. Terms of payment.

4.1. The total cost of work carried out under this contract, from the moment of signing, is ________________ (amount in words) rubles __________ kopecks VAT exempt.

4.2. The procedure for payment for work under this contract:

Payment for work for the period	Cost of paid work (rubles)	Terms of payment
date of	price
date of	price	Payment for services upon completion of work
date of	price	Payment for services upon completion of work
date of	price	Payment for services upon completion of work

4.3. If it is necessary to carry out additional work associated with a change in sanitary conditions at the facilities or the expiration of the paid stages of work, additional work is paid separately, on the basis of additional agreements to this contract.

4.4. In the event of a change in the cost of work related to inflationary processes and not dependent on the activities of the Contractor, the change in the price of work occurs by agreement of the parties on the basis of additional agreement to this agreement.

4.5. Payment for all work under this contract is carried out by bank transfer.

5. Responsibility of the parties.

5.1. When insufficient efficiency work carried out by the Contractor, the Customer has the right during each quarterly period require the Contractor to carry out free additional work necessary to achieve the quality level specified in this agreement.

5.2. In case of violation by the Customer of the agreed schedule and scope of work, incomplete processing of the object (at the request of the Customer), the Customer is not entitled to demand from the Contractor the quality of work specified in the contract, as well as if the Customer fails to comply with the current sanitary standards or instructions of the Contractor that contribute to the efficiency of the work performed.

5.3. For violation of the terms of this agreement, the Parties shall be liable in accordance with current legislation RF and the terms of this agreement.

6. Terms of delivery and acceptance of work under the contract.

6.1. All works under this contract can be handed over ahead of schedule, also by signing the Work Acceptance Certificate.

6.2. In the absence of objections to the content of the act of the Customer, he signs it immediately, and if there are objections in writing within five days presents a reasoned refusal to sign the said act.

6.3. In case of unmotivated refusal of the Customer to sign the act, a note about this is made in it and the act is signed by the Contractor.

7. Special conditions.

7.1. Any changes and additions to this agreement are valid if

they are made in writing and signed by both parties.

7.2. All disputes and disagreements that may arise from this agreement or in connection with it, if possible, will be resolved through negotiations between the parties.

7.3. In the event that disagreements cannot be resolved through negotiations, they are subject to resolution in the state arbitration bodies.

7.4 The term of the contract is 12 (Twelve) months.

8. Addresses and details of the parties.

Dear Clients! You can always contact our experts and get answers to all your questions. Appendix to the Agreement on pest control work No. ____ dated __ ___________ _______ Moscow "___" ___________ 2012 Type of service Service date Volume, sq. m. Service cost, rub. Service date of Area Price Service date of Area Price Service date of Area Price Service date of Area Price

the federal law dated December 26, 2008 No. 294-FZ “On the protection of the rights legal entities and individual entrepreneurs in the exercise of state control (supervision) and municipal control” (as amended on July 28, 2012) limits the frequency of planned state supervision for medical organizations (HPEs) engaged in medical activities to two times in three years. At the same time, a huge responsibility falls on the shoulders of individual entrepreneurs and legal entities to organize independent production control, the purpose of which in health care facilities is to ensure safe conditions for the implementation of the treatment and diagnostic process for patients and medical personnel.

Regulatory framework for production control

There are two types of control over compliance with sanitary rules and the implementation of sanitary and anti-epidemic (preventive) measures: external and internal. External control is carried out by territorial departments, territorial bodies of Rospotrebnadzor as planned - twice every three years or as extraordinary (unscheduled) - according to epidemiological indications, according to complaints, according to emergencies, on verification of prescriptions, on decisions of the judiciary and prosecution authorities. Internal control (production) can be both visual and laboratory-instrumental.

In accordance with Art. 11 of Federal Law No. 52-FZ of March 30, 1999 “On the Sanitary and Epidemiological Welfare of the Population” (as amended on June 25, 2012; hereinafter referred to as Federal Law No. 52-FZ) a legal entity and an individual entrepreneur are obliged:

• comply with the requirements of sanitary legislation, as well as regulations, instructions officials those carrying out federal state sanitary and epidemiological supervision;
• develop and carry out sanitary and anti-epidemic (preventive) measures, ensure the safety for human health of the work performed and the services provided;
• exercise production control over compliance with sanitary rules, including through laboratory research and tests;
• timely inform the institutions of the State Sanitary and Epidemiological Service about emergency situations, violation technological processes, creating a threat to the sanitary and epidemiological well-being of the population;
• carry out hygienic training of employees.

Almost all provisions of Art. 11 of Federal Law No. 52-FZ are provided for by the production control plan. In the Letter of Rospotrebnadzor dated 13.04.2009 No. 01 / 4801-9-32 “On standard production control programs”, a plan was proposed for laboratory and instrumental studies on production control for a multidisciplinary hospital - the so-called basic plan. On its basis, it is possible to develop plans for laboratory and instrumental studies on production control for health care facilities of almost any profile.

The said Letter lists the organizations in which not required performance of laboratory and instrumental studies within the framework of the production control program. These are medical and pharmaceutical organizations without parenteral interventions, without the use of medical instruments and equipment, without the use of medical diagnostic devices that are sources of ionizing and non-ionizing radiation, and, finally, not working with microorganisms of 1-4 pathogenicity groups.

Area and objects of production control

Production control in a stationary type health care facility covers all areas of the life of the institution, including its sanitary and technical condition and maintenance, the correctness of space-planning decisions, catering for patients and staff, compliance with the anti-epidemic, including disinfection and sterilization, regime, deratization and disinfestation work, disposal of medical waste and landscaping of the territory of health care facilities, working conditions of medical personnel, protecting them from harmful physical, chemical and biological factors of the nosocomial environment. At the suggestion of hospital epidemiologists, the production control plan also included a section on anti-epidemic measures in case of the introduction of infectious diseases, primarily acute intestinal, droplet infections, including diphtheria, measles, influenza, meningitis, tuberculosis, parenteral viral hepatitis, as well as on the prevention of major groups of purulent-septic infectious diseases caused by conditionally pathogenic microorganisms.

Production control is based on objective assessments listed factors therefore, to ensure it, it is necessary to provide for various laboratory and instrumental studies. The organization of the necessary laboratory research and testing is carried out by a legal entity (individual entrepreneur) independently or with the involvement of a laboratory accredited in the prescribed manner.

Main objects of laboratory and instrumental control are:

• study of objects of the nosocomial environment through swabs, sampling of material (medical products, dosage forms) for sanitary and bacteriological studies and sterility;
• study of air, tap water and water for the manufacture of injection solutions;
• bacteriological testing of sterilizing equipment;
• measurements of artificial illumination, microclimate parameters, noise levels from ventilation and medical and diagnostic installations, levels of non-ionizing and ionizing radiation from medical and diagnostic equipment.

All these studies are carried out with a multiplicity regulated by the relevant regulatory documents, a link to which is indicated in the production control plan in a special column.

A legal entity is obliged to form an instructive and methodological base at the facility. Therefore, a list of all necessary regulatory documentation is attached to the production control plan (legislation of the Russian Federation in the field of ensuring sanitary and epidemiological well-being, state standards, officially issued sanitary norms and rules, instructions and other instructive and methodological documents).

Responsibility for the development, organization and observance of production control rests with the head of the LPO. By order, he appoints those responsible for the implementation of sanitary and anti-epidemic (preventive) measures and the conduct of production control. The number of this order is entered on the title page.

Responsibility for carrying out production control is indicated in job descriptions workers. The head of the LPO organizes special training for officials exercising production control. Lists of employees for training and certification are compiled. The responsible person monitors compliance with the recertification deadlines.

Production control plan

The production control plan includes the title part, which contains complete information about the legal entity, including:

• certificate of state registration;
• lease contract;
• information on the number of employees, including those related to the decreed contingent;
• availability of a license, sanitary and epidemiological conclusion for types of medical or pharmaceutical activities;
• transfer of contracts for the treatment of household and medical waste, laundry and overalls;
• information about periodic inspections medical personnel, disinfestation and deratization, disinfection and cleaning of the ventilation system, etc.

The plan indicates: the name of the activities, the responsible executor, links to the current regulations, due date and mark of completion.

Sections of the plan include a hygienic assessment of the following harmful factors of the production environment of health care facilities of a physical, chemical and biological nature:

• building materials used in the construction, repair and reconstruction of healthcare facilities;
• compliance with the disinfection and sterilization regime in health care facilities;
• the condition of the laundry facility, disinfection and washing of linen;
• occupational morbidity of personnel with the appointment of a complex of preventive and anti-epidemic measures;
• compliance with the sanitary rules of drinking water, the air environment of LPO and sources of ionizing and non-ionizing radiation (generating, non-generating);
• the quality of the disinfection measures;
• maintenance of the territory of health care facilities in accordance with the requirements of sanitary rules.

If violations of sanitary rules are detected at the facility, the production control plan provides for measures aimed at their elimination, including:

• suspension or termination of the activity of the facility;
• informing the territorial department of Rospotrebnadzor about the incident, including the measures taken to eliminate violations of sanitary rules;
• other measures, the implementation of which is necessary for the implementation of effective control over compliance with sanitary rules and hygiene standards, the implementation of sanitary and anti-epidemic (preventive) measures, depending on the specifics of the activities carried out, the work performed and the service provided.

So, production control covers all areas of ensuring the activities of LPO. The frequency of control on various issues, depending on the epidemiological significance, ranges from daily to monthly and annual.

Sanitary and epidemiological support

IN modern conditions the role of own control and interest of health care facilities in compliance with the anti-epidemic regime, which has a direct impact on the quality medical care. However, the management of health care facilities does not always have the opportunity to engage in daily monitoring of compliance with the anti-epidemic regime. In this regard, sanitary and epidemiological support of the facility becomes in demand.

Under sanitary and epidemiological support understanding of the organization internal control compliance with sanitary rules, during which a wide range of methods is used, including the use of laboratory and instrumental studies. The purpose of such support is to promote the creation of an effective system of preventive and anti-epidemic measures that ensures safe conditions conducting a medical diagnostic process in the interests of a legal entity and an individual entrepreneur.

During the sanitary and epidemiological support carried out:

• verification of compliance of LPO with current sanitary standards;
• verification of compliance with the anti-epidemic, including disinfection and sterilization, regime;
• informing the head of the LPO about the sanitary and technical condition and maintenance of the facility, violations of the anti-epidemic regime;
• development of proposals and recommendations for bringing health care facilities in line with sanitary standards and monitoring their implementation;
• advising heads of departments, specialists and employees of healthcare facilities on issues of sanitation, hygiene and epidemiology, including the organization of prevention of nosocomial infections, changing the functional purpose of premises, planning decisions, organizing air exchange, handling medical waste, disinfection and sterilization regime, organizing anti-epidemic measures at a case of infection in healthcare facilities, immunization of employees and other areas of activity;
• hygiene training of employees;
• organization of preparation for inspections of Rospotrebnadzor, support of inspections;
• representing the interests of a legal entity and an individual entrepreneur in court within its competence, etc.

The difference between inspections in the course of sanitary and epidemiological support and control of supervisory authorities is that the specialist who provides support protects the interests of a legal entity and an individual entrepreneur. Its purpose is to help a legal entity and an individual entrepreneur establish an anti-epidemic regime in an institution, identify violations, suggest ways to eliminate them and monitor their implementation. This allows the manager, using the experience and qualifications of a specialist, to establish effective control over the implementation of sanitary norms and rules in individual units and in the institution as a whole. Using information from sanitary and epidemiological support, management can quickly and timely implement the necessary changes within the institution, i.e. make management decisions.

Sanitary and epidemiological support is carried out under contracts with legal entities and individual entrepreneurs. At present, federal state institutions, the centers of hygiene and epidemiology, are best prepared for this activity. The contract can be one-time (drawn up for each examination) or long-term (for a year, with the definition of the number of visits, the volume and frequency of laboratory and instrumental studies).

The accompanying specialist not only identifies errors in the system of preventive and anti-epidemic measures and provides qualified advice on these issues, but can also organize appropriate consultations of highly specialized specialists.

The sanitary and epidemiological support specialist is responsible for the performance of his duties to a legal entity or an individual entrepreneur, while he is obliged, like a doctor of any other specialty, to maintain the confidentiality of information.

Sanitary and epidemiological support can be carried out as part of the production control program. At the same time, a sanitary and epidemiological support plan can be developed based on the applicant's requests.

The program of sanitary and epidemiological support may include:

• inspection of LPO;
• development of a production control program;
• hygienic assessment of medical facilities for the preparation of instrumental and other types of examinations;
• laboratory research and instrumental measurements;
• hygienic training and education of workers;
• written and oral consultations on anti-epidemic and preventive measures (in case of introduction of infectious diseases, infection of an employee, preparation of various documents, etc.).

Thus, a specialist providing sanitary and epidemiological support actually performs the functions of a hospital epidemiologist at the facility, but unlike a hospital epidemiologist, a specialist (sanitary doctor or epidemiologist) is not administratively subordinate to the head of the institution.

Type of health facility	Number of flushes	samples
Hospitals, including obstetrics		5 air sampling points
In one room	At least 5	1 air sampling point
Industrial pharmacies	At least 10-20	2 air sampling points
Food unit	At least 10-20	3 food samples
Laundry	At least 10-15	2 air sampling points
	At least 10	2 water samples

Khrapunova I. A., head Hygiene Department of Healthcare Institution FBUZ "Center for Hygiene and Epidemiology in the City of Moscow", Associate Professor of the Department of Epidemiology and Evidence-Based Medicine of the First Moscow State Medical University. I. M. Sechenov, dr honey. Sciences

1.1. Name, address of the enterprise, mode of operation. Location (separate) standing building, embedded).

1.2. Availability of notification of the start of implementation entrepreneurial activity.

1.3. The area of ​​the enterprise, the number of seats, the number of employees, the use of labor of adolescents, foreign labor.

1.4. Assortment list of realized production.

1.5. Availability of a production control program, its implementation, logging. Availability of an agreement with an accredited laboratory for laboratory research and instrumental measurements.

2. Sanitary and technical condition.

2.1. Sanitary and technical condition of the premises (industrial, utility, hall for visitors), refrigeration, trade and technological equipment.

2.2. Is it necessary to repair, is there enough sanitary and technological equipment (washing baths in washing departments, intrashop equipment), availability of backup hot water supply.

2.3. Compliance with water supply and sewerage requirements.

2.4. Compliance with the requirements for ventilation, air conditioning, heating of premises (availability of documents confirming the serviceability and efficiency of the ventilation system; date of the last disinfection of the ventilation system). If the enterprise is located in a residential building, assess the location and effective operation of the ventilation system. Availability of local exhaust systems with predominant exhaust in the zone of maximum pollution above the equipment and washing baths, which are sources of increased emissions of moisture, heat, gases.

2.5. Finishing facilities.

3. Requirements for the arrangement and maintenance of premises.

3.1. Sanitary maintenance of premises (industrial, utility, hall for visitors), refrigeration, trade and technological equipment.

3.2. Availability of conditions for compliance with the flow of technological processes (the absence of oncoming flows and crossings of raw and finished food products, clean and dirty dishes, staff and visitors).

3.3. Correspondence of the set and areas of premises with the capacity of the enterprise.

3.4. Compliance of the range of products sold with existing opportunities, a set of premises, and the availability of refrigeration equipment of the enterprise.

3.5. The presence of bactericidal lamps in workshops (areas) for the preparation of cold dishes.

3.6. Availability of conditions for the collection of garbage and food waste (bins for collecting food waste in industrial premises, a refrigerator for storing food waste, garbage containers). Agreement for the removal of garbage and food waste.

3.7. Disinfection mode of the enterprise (used disinfectants, detergents, schedule of sanitary days).

3.8. Availability of premises for storage and processing of cleaning equipment; storage conditions for cleaning equipment for sanitary facilities, the presence of signal markings.

3.9. Carrying out activities for disinfestation and deratization of premises (frequency, date of last treatment).

3.10. The presence of a wardrobe (hangers), dignity. knots and sinks for washing hands for visitors (availability of soap, toilet paper and etc.).

4 . Requirements for equipment, inventory, utensils and containers.

4.1. Equipping the organization with refrigeration, technological equipment, inventory, kitchen and table utensils.

4.2. The presence and use of separate technological equipment, and in universal machines - replaceable mechanisms for grinding raw and heat-treated food products, as well as for raw semi-finished products and ready-made culinary semi-finished products.

4.3. The presence of markings on cutting equipment.

4.4. Compliance with the mode of washing kitchen / tableware (are there enough washing baths for washing kitchen utensils, dishes, availability dishwasher, the availability of instructions on the rules for washing dishes, the detergents used, the availability of state registration certificates for detergents and disinfectants).

4.5. Availability of conditions for storage and processing of trays.

4.6. The availability of conditions for the storage of disposable tableware, the availability of accompanying documentation.

5. Requirements for the reception and storage of food products.

5.1. Acceptance of products and implementation of incoming control (availability of accompanying documentation, certificates of conformity, declarations of conformity, certificates of state registration, etc.). In pursuance of the order of Rospotrebnadzor dated August 19, 2014 No. No. 976 "On measures to implement the Decree of the President Russian Federation dated 06.08.2014 No. 560, etc. take measures to identify and withdraw from circulation products prohibited for import.

5.2. Compliance of product labeling with the requirements of TR TS 022/2011 "Food products in terms of their labeling", including: TR CU 021/2011 "On food safety", TR CU 023/2011 " Technical regulation for juice products from fruits and vegetables”, TR CU 024/2011 “Technical regulations for fat and oil products”, TR TS 007/2011 “On the safety of products intended for children and adolescents”, TR CU 033/2013 “On the safety of milk and dairy products", TR TS 034/2013 "On the safety of meat and meat products".

5.3. Compliance with the conditions and terms of storage of food products (compliance with the conditions for defrosting frozen products).

5.4. Availability of measuring instruments for monitoring the temperature and humidity conditions of food storage.

6. Requirements for the processing of raw materials and the production of products.

6.1. Equipment industrial premises(the presence of a sufficient amount of thermal, refrigeration equipment, production tables; the availability of conditions for compliance with the flow of technological processes). Availability of conditions for processing vegetables, fruits, eggs.

6.2. Availability at the enterprise technical documentation (technological maps, technical and technological maps, etc.), developed in established by law order for the production of this product.

6.3. Compliance with the conditions for the preparation of deep-fried dishes (assessing the quality of deep-fried fats, maintaining a register, having an agreement at the enterprise for the export and disposal of waste fat).

6.4. Availability at the enterprise of a journal of organoleptic evaluation of the quality of dishes and culinary products; correct filling.

7. Requirements for implementation ready meals.

7.1. Compliance with the terms and conditions for the sale of ready-made meals (Check the readiness of hot meals with a device that measures the temperature inside the product).

7.2. When dispensing ready-to-go meals, indicate in what form (dressing salad products with sauces, availability of individual consumer packaging for sauces, etc.) and packaging (availability of consumer disposable packaging made from materials allowed for contact with food products), whether there is a marking.

7.3. Usage disposable gloves for each type of dish, when serving and portioning.

8. Requirements for the provision of services Catering.

8.1. Form of service at the enterprise.

8.2. Availability of information for consumers ( information stand, a book of reviews and suggestions, rules for the provision of catering services, etc.).

8.5. A sign about belonging and mode of operation.

8.6. The presence in the hall of control weights (certificate of their verification) or another opportunity to provide the consumer with the opportunity to check the volume (mass) of the catering products offered to him.

8.7. Availability of visual, accessible and reliable information for consumers about the services provided, enabling them to right choice, which should contain:

• list of services and conditions for their provision;
• prices in rubles and terms of payment for services;
• the brand name of the proposed public catering products, indicating the methods of preparing dishes and the main ingredients included in them;
• information about the weight (volume) of servings of ready-made meals of public catering products, the capacity of the proposed drink and the volume of its servings;
• information on the nutritional value of public catering products (calorie content, content of proteins, fats, carbohydrates, as well as vitamins, macro- and microelements when they are added in the process of preparing public catering products) and composition (including the name of food additives used in the manufacturing process, biologically active additives, information on the presence in food products of components obtained using genetically modified organisms.

8.8. Correspondence of prices in the menu indicated in the cash receipt.

9. Working conditions; personal hygiene of the staff.

9.1. The availability of personal medical books for employees, the timeliness of periodic medical examinations.

9.2. Involvement of cleaning companies in the work (indicating their names, the list of positions in which cleaning personnel are used, the percentage of the permanent staff of the enterprise).

9.3. Registration of daily inspections of open body surfaces of employees of a public catering enterprise.

9.4. Sanitary provision for workers (dressing rooms; sanitary units - the presence of soap, towels, toilet paper; sinks for washing hands in production and household premises; storage conditions for clean and dirty sanitary clothing).

9.5. Organization of centralized washing of sanitary clothes.

9.6. Catering arrangements for employees.

9.7. Availability of a first aid kit.

10. Compliance with the requirements of the Federal Law of February 23, 2013 No. 15-FZ "On protecting the health of citizens from the effects of second hand tobacco smoke and the consequences of tobacco consumption"

10.1 Prohibition of smoking in the premises of a public catering establishment, to indicate areas where smoking is prohibited, a sign on the prohibition of smoking is placed (the presence of a sign, the absence of ashtrays, the prohibition of smoking on the summer site).

These checks are not a private moment: since the Federal Service for Supervision of Consumer Rights Protection and Human Welfare began to report directly to the Government of Russia and was endowed with broader powers, its territorial administrations became more active, and the main object of attention of the inspectors was catering and beauty industry enterprises.

Moreover, in their public statements, the first persons Federal Service on supervision in the field of consumer protection and human well-being have repeatedly stated that it is the non-compliance with sanitary rules that leads to the massive spread of hepatitis B and C and HIV infection.

Inspections of the clinic and beauty salons show that the wave of attention of managers and specialists to sanitary issues raised in 2010 (after the publication of new sanitary rules and norms,,) has subsided and everything is going on as usual again - the inspectors find tufts of hair behind the heating batteries in the hairdresser's, syringes are thrown into the household waste box, and there are no stamps in the medical books about passing regular preventive examinations.

At the same time, the Federal Law “On the Sanitary and Epidemiological Welfare of the Population” still approves the personal responsibility of the head for sanitary condition object. In Russian legislation, fines for violations in the field of sanitary and epidemiological welfare of the population are determined by Article 6.3 of the Code of Administrative Offenses, which also introduces a measure of responsibility:

“Violation of the legislation in the field of ensuring the sanitary and epidemiological welfare of the population, expressed in violation of the current sanitary rules and hygiene standards, failure to comply with sanitary and hygienic and anti-epidemic measures, -

shall entail a warning or the imposition of an administrative fine on citizens in the amount of one hundred to five hundred roubles; on officials - from five hundred to one thousand roubles; on persons engaged in entrepreneurial activities without forming a legal entity - from five hundred to one thousand rubles or an administrative suspension of activities for a period of up to ninety days; for legal entities - from ten thousand to twenty thousand rubles or an administrative suspension of activities for a period of up to ninety days.

Let's see, in what case can the head of a cosmetology clinic shift responsibility to this very "official"?

It is possible to transfer powers only by organizing internal document flow. That is, the head of the clinic or beauty salon writes orders for the organization, approves the production control program, issues the necessary accounting books for work and concludes all service contracts with third parties (removal of medical and household waste, disinfection, deratization, removal of mercury-containing lamps, etc. .), appoints an employee responsible for compliance with the rules (again, by order of the organization) and introduces these duties into his job description!

If the head did not do this, then he himself will be responsible for the sanitary and epidemiological regime.

However, until now, many managers, even having purchased internal control and accounting journals, concluding agreements with third-party organizations and approving a production control program, “fall” on fines, and even worse, on a penalty in the form of a 90-day closure.

In the city of Semiluki, an unscheduled inspection by Rospotrebnadzor in a beauty salon " gold fish» found, among other violations, the absence of a developed production control program.

Employees of Rospotrebnadzor in Yugra, when checking the beauty salon "Glamour", found that there is no quality control of sterilization and disinfection of instruments; there are no medical books with data on the results of a medical examination and sanitary and hygienic training.

The Office of Rospotrebnadzor in the Novgorod region conducted a series of inspections in beauty salons. Among the violations: lack of permits for cosmetics, registers and control of disinfectants and sterilization, production control programs.

Let's ask ourselves why is this happening?

Everything is done as usual, that is, unprofessionally, without knowledge of regulations, without taking into account important organizational details, and this can be seen by the inspectors with the naked eye. They've been doing this for years!

Let's analyze typical mistakes:

The organization has a production control program and the person responsible for it was once approved, but at the time of the check he was already fired, and the contracts for servicing the clinic were overdue, moreover, there is not a single act of acceptance and delivery of work that would confirm that before these works were carried out under contracts.

In order to be able to monitor compliance with the sanitary and epidemiological regime, journals should be regularly kept in the clinic. Let's list some of them:

• Journal of registration and control of ultraviolet bactericidal installation.
• Journal of operation of air, (steam) autoclave sterilizers).
• Journal of receipt and expenditure of disinfectants for disinfection activities at facilities.
• Journal of accounting for general cleaning.
• Journal of accounting for the quality of pre-sterilization processing.

Usually beauty salons buy such magazines from companies that supply disinfectants. But they still need to be filled in and learn. We do not study and receive the following comments when checking Rospotrebnadzor:

• There is a register of registration and control of the ultraviolet bactericidal installation, but it is one for the whole institution, although there are three installations. And the accounting of working time turns out to be a fiction. Meanwhile, the lamps must be changed when the power resource is over, which is measured by the operating time.
• A log of the consumption of disinfectants is most often not kept at all. The reason is simple: employees do not understand how to calculate this very expense, although everything is written in the instructions. Has anyone read it? No, although in it, in addition to the calculation, there is also important information on precautionary measures (it is included in the instructions for labor safety at the workplace, but few people know about this either!)
• Classics of the genre! The data in the journal for recording the quality of pre-sterilization treatment and the journal for the operation of air, steam (autoclave) sterilizers do not match in dates. It turns out that some instruments were disinfected, and completely different ones were sterilized. But here we are dealing with two logs that record the actions of the same process in stages - the processing of tools.
• Thermal indicators are not pasted into the work log of sterilizers, and workers sometimes do not even know why they need these stickers. Moreover, they do not understand that after sterilization, the thermal indicator changes color and, therefore, this change is the only confirmation of the sterilization process. However, we see magazines in which these stickers are present, but have not changed color, that is, they have not undergone heat treatment.

There are dozens of these and other no less offensive and annoying mistakes. It is clear that staff training is needed. It is clear that the leaders must first be trained.

That is why we invite all responsible owners, managers of clinics and beauty salons to where a separate report “Sanitary and epidemiological regime in the clinic and registration of measures to comply with it in special journals” will be devoted to this topic.

Moreover, in the workbooks for the participants will be presented the main logs of accounting and control and samples of their completion.

Sanitary and epidemiological requirements for business activities prescribe the observance of sanitary standards, according to which the presence of synanthropic insects in the premises is unacceptable and requires regular measures for their destruction, as well as an agreement with specialized organization for services

Compliance with these obligations is regulated by the following documents:

• 1. Federal Law of June 30, 1999 N 52-FZ "On the sanitary and epidemiological well-being of the population" (with amendments and additions).
• 2. “Regulations on State Sanitary and Epidemiological Rationing” dated July 24, 2000. Delay or lack of a contract for disinfestation is a serious reason for the Rospotrebnadzor authorities to suspend or completely stop the activities of the organization. Much less often, tax and penalty sanctions are used as punishment for guilty entrepreneurs.

Significance of the pest control contract

Sanitary service of the enterprise is not only the responsibility of the owner, imputed to him by the authorities of Rospotrebnadzor, but also the opportunity to protect your business from the harmful activities of insects and rodents, bacteria and viruses.

In particular, pest control is the destruction of pests in the room. The scale of insect pest activity cannot be underestimated. Insects in the room are not only the spread of infections and bacteria, but also damage to the company's property, goods offered to the consumer. The presence of insects in the enterprise causes tangible damage to the reputation of the organization, this is especially true for companies engaged in the fields of nutrition, distribution or production of food products.

Complex disinfection of the premises is the only reliable way out. Depending on the type of insecticide chosen, the protective effect can last up to six months.

Disinsection methods

Modern companies specializing in the provision of sanitary and epidemiological services to the population use new methods of insect control and insecticides that do not have a negative impact on people (preparations of IV and V hazard classes). That is why professional pest control does not require a complete suspension of business activities for a significant period.

The main methods of disinfestation of modern SES:

• Fumigation or gas treatment of the premises;
• Processing with cold or hot fog generators;
• Application of aerosol or wet chemicals;
• Freonite.

An adequate insect control method is selected based on the characteristics commercial enterprise. Often, a combination of several methods is used to achieve a 100% result.

Contract parameters

As mentioned above, the pest control agreement is the only document that can confirm to the Rospotrebnadzor authorities the owner's prudent attitude towards compliance with the sanitary and epidemiological regime at the enterprise.

What is a pest control contract? This document is a formal agreement to perform processing on the premises of the company. The agreement is concluded between the executing company and the customer company, sealed by the signature of a representative of each party and the seals of organizations.

The contract for pest control specifies:

• Legal details each side;
• The interval for performing pest control procedures (for contracts involving long-term maintenance);
• The area to be cultivated must be indicated in the disinfestation contract;
• Negotiated additional terms that are of interest to the customer.

It is possible to conclude a pest control agreement for both one-time and annual maintenance. A long-term service agreement is a more rational way out, since this document may be required at any time.

Special offer for concluding an agreement from the company "SES-DOK"

For many years, SES-DOK has been specializing in sanitary and epidemiological services for private and corporate clients. Especially to solve the difficulties faced by entrepreneurs, we have developed a special package of services, one of which is the preparation of a contract for pest control.

What is the help of our specialists:

• Search for reliable partners;
• Preparation of a package of necessary documentation;
• Drawing up a contract that takes into account the interests of the customer;
• Accompanying documents in the bodies of Rospotrebnadzor.

Our employees are well aware of the high requirements of the Rospotrebnadzor inspectorate for the preparation of reporting documentation. Their qualified assistance at all stages will help you to calmly overcome all scheduled and unscheduled inspections.

You can find additional information about other services in other sections of our website or contact us by phone number. A competent specialist will provide advice and accept the application.

SES-DOK has been on the market for many years and provides services for the preparation and maintenance of sanitary documentation. During this time we have earned a positive reputation among our customers.