A sample of filling in the name lists for a medical examination. Name lists of persons subject to medical examinations

Preliminary and periodic medical examinations are one of the most important measures aimed at preserving the life and health of employees in the course of their work. Their goal is to establish the suitability of a person for the work performed, or the conditions in which they will have to work, to carry out the prevention of occupational diseases in a timely manner and to prevent accidents.

Attention! Responsibility for organizing and financing mandatory medical examinations lies with the employer, who, in case of failure to comply with the established procedure, may be held administratively liable.

In accordance with Article 213 of the Labor Code of the Russian Federation, workers engaged in hard work and work with harmful and (or) dangerous working conditions(including underground works, as well as work related to traffic), undergo mandatory preliminary (when applying for a job) and periodic medical examinations.

Another category of persons undergoing a mandatory preliminary examination are workers in the food industry, public catering trade, water supply facilities, medical organizations and children's institutions.

A medical examination is an event regulated by law, associated with the execution of mandatory documentation.

One of the documents that should be developed in preparation for medical examinations is list of contingent of workers subject to preliminary and periodic medical examination. This is a local regulatory act of the organization, which contains information about the professions (positions) of employees who are required to undergo medical examinations.

Its form is not approved by law, clause 20 of the Order dated 12.04.2011 N 302n “On approval of lists of harmful and (or) hazardous production factors and work, during the performance of which mandatory preliminary and periodic medical examinations (examinations) are carried out ...” (hereinafter Order No. 302n) stipulates only what mandatory data is indicated in it.

And so, in the contingent of workers subject to preliminary and periodic medical examinations, the following are indicated:

1. the name of the profession (position) of the employee according to the staffing table.

Above, we examined which employees are subject to preliminary and periodic medical examinations.

Important! Employees under the age of 21 undergo periodic examinations annually. Therefore, if you have positions/professions in which persons under the age of 21 are employed, also do not forget to include them in the list.

I also draw your attention to the fact that not only the main employees, but also part-time workers are subject to medical examinations.

2. name of the harmful production factor.

Recall that in Appendix 1 to Order No. 302n, harmful factors are given, under the influence of which an employee must undergo a medical examination, in Appendix 2 - types of work during which employees must also undergo a medical examination.

Note! harmful production factor, is established based on the results of attestation of workplaces in terms of working conditions (since 2014, a special assessment of working conditions has been in force), as well as

As a result of laboratory studies and tests obtained in the framework of control and supervision activities,

Production laboratory control,

Using operational, technological and other documentation for machines, mechanisms, equipment, raw materials and materials used by the employer in the implementation of production activities.

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

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

Since 01/01/2012, the procedure for coordinating contingents and name lists with the bodies of Rospotrebnadzor is not provided, while the employer is obliged, within 10 days from the date of approval of the list of contingents, to send it to the territorial body of the federal executive body authorized to implement the federal state sanitary- epidemiological surveillance at the actual location of the employer. Thus, you can personally transfer the list of contingents to Rospotrebnadzor, while on your copy the representative of Rospotrebnadzor must mark that he received one copy, or send it by registered mail. In this case, the letter is sent with a notification, and the notification is kept by you as confirmation that you have fulfilled the requirements of Order No. 302n.

In conclusion, I would like to recall that documents on periodic medical examinations should be stored in the organization for 3 years (paragraph 691, “List of standard documents generated in the activities of state committees, ministries, departments and other institutions, organizations, enterprises, indicating the storage periods” (approved by Main Archive of the USSR 08/15/1988) (as amended on 07/31/2007)).

S. Burlakova

Option 1

APPROVE:

Supervisor
OOO "____________________"

A.A. Ivanov

"___" ____________ 201_

Subdivision	Profession/ position
Harmful production factor	№ item according to the Order of the Ministry of Health and Social Development of the Russian Federation dated April 12, 2011 No. 302n	Periodicity

Developed by: occupational safety specialist

Agreed:

Option 2

List of the contingent of persons subject to preliminary and periodic medical examination (examination)

APPROVE:

Supervisor
OOO "____________________"

A.A. Ivanov

"___" ____________ 201_

Total number of employees: ______________________________

Of which women ______ __________________ _ __ _ _________________

Number of workers in hazardous conditions : people_________________

Of these, women: ______________________ _____________ _ people _______________

Of these, persons under the age of 21 :____ _____________ people _____________

Name of position, profession

Name of a dangerous or harmful production factor

Number of employees

Inspection frequency

Cipher by order

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

Read in the article:

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

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

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

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

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

An important role in the SOUT is played by the correct identification of similar jobs on certain grounds, but it is difficult for a novice OHS specialist, or when conducting a first special assessment at an enterprise, to determine them himself. Order No. 302n contains appendix 1 - a list of factors, and appendix 2 - types of work. Let's figure out how to properly list the contingents for these two applications.

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

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

Name list for medical examination by order 302n

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

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

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

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

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

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

Let's look at an example

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

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

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

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

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

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

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

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

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

Schedule medical checkups easily: e-service

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

Output

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

1. According to Appendix No. 1:

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

2. According to Appendix No. 2:

item 27 - 1 time in 2 years.

Work types for the list of product allocations

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

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

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

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

March 2018

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

March 2019:

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

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

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

Sample list of contingents of workers subject to medical examinations

Name list of employees for medical examination (sample 2019)

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

Where to send the list of contingent

The document is sent to Rospotrebnadzor in a notification manner, no approval is required. Send it by letter with notification within 10 days after approval by the director of the company to the territorial body of Rospotrebnadzor at the actual location of the employer.

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

If you conduct MO in a separate subdivision, for example, in the city of Norilsk, where the employee’s workplace is located, and not in Moscow, then submit the list in relation to the “Norilsk” jobs to the Norilsk TO.

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

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

Employees working in hazardous working conditions must periodically undergo mandatory medical examinations. For employees to undergo a medical examination, the employer must draw up an order. To avoid mistakes, employers who provide harmful working conditions should know what a sample list of names of workers looks like according to order 302-N.

The document header contains two columns:

• the left column indicates the name of the territorial department of Rospotrebnadzor to which this list will be sent;
• in the right column the name of the organization is written, as well as the name of its director.

After that, indicate the title of the document, as well as its serial number and date of compilation.

Then there is a table that contains the following information:

At the bottom of the table, the director of the organization affixes his signature.

The list must be compiled in three copies: one remains with the organization, the second is transferred to the territorial office of Rospotrebnadzor, and the third to the medical company.

Which employees are to be included in the name lists

The following categories of workers must necessarily undergo a medical examination, and, therefore, are included in the name lists:

• underage employees - an annual preliminary inspection must be carried out;
• citizens who get a job with harmful and hazardous working conditions - preliminary and periodic examinations are carried out; until the citizen reaches the age of twenty-one, the inspection is carried out every year;
• persons applying for a job that is related to the movement of transport - undergo preliminary and periodic examinations;
• citizens working in the food industry, children's, medical and other institutions - preliminary and periodic examinations;
• persons working in conditions of increased danger - undergo psychiatric examinations every five years.

Deadline for approval of the name list

The employer, or his authorized representative, must draw up and approve a list of names for a medical examination by order 302N at least two months before the start of the medical examination, agreed with the honey. institution.

The medical institution must send a certificate to the organization that it received the list. The employer must keep this certificate until the completion of the medical examination.

Inspection schedule

The medical institution to draw up a calendar plan for the medical examination. It must do this within ten days from the moment it received the list of names from the employer (but no later than fourteen days before the start of the inspection).

The medical organization must coordinate the inspection schedule with the employer or his representative. After that, the director of honey approves. institutions.

Ten days before the start of the inspection, the employer must familiarize the employees with the drawn up calendar plan.

Read more about organizing a periodic medical examination in a company.

Sample list

A sample list for a medical examination by order 302N is given below:

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

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

• Employees engaged in work according to the List from Appendix No. 2 in accordance with Order 302n.
• Employees working in hazardous working conditions.

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

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

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

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

Mandatory details of the name list:

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

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

The organization of medical examinations is the prerogative of the employer. There is no need for the personnel of the enterprise or an employee who is only accepted into the state to look for a medical institution to undergo a medical examination and to raise money for this. The personnel department of any company is responsible for the timeliness of the implementation of this measure and must correctly draw up the relevant documents and monitor compliance with the requirements of the law. Let's figure out according to which order of the Russian Federation mandatory medical examinations are carried out , And what documents do they need to be supported by?

Order 302 for medical examinations: for whom they are required

According to Art. 76 of the Labor Code of the Russian Federation, an employee who has not passed a mandatory medical examination is suspended from work. However, this does not mean that all employees without exception should be examined, because we are talking about a mandatory examination. Order No. 302-n of April 12, 2011 of the Ministry of Health and Social Development of the Russian Federation approved a list of hazardous and hazardous work and production factors, the implementation of which is accompanied by mandatory periodic medical examinations. The same act defines the procedure for conducting medical examinations.

• age group up to 21 years;
• employed in hazardous industries, heavy and dangerous work;
• related to traffic, incl. railway;
• working in the energy and construction industries;
• departmental security;
• enterprises of the food industry, trade and public catering;
• medical and children's institutions;
• employees of water conduits and water supply facilities;
• professional athletes.

Medical examination by order 302-n can be preliminary (i.e., when applying for a job), periodic or extraordinary. Any type of inspection is organized at the expense of the employer. Surveys are carried out on a reimbursable basis by medical institutions with which companies enter into appropriate agreements. We should remember that medical examinations of workers (order 302-n speaks directly about this) are carried out by medical organizations of any form of ownership that have a license to conduct them, as well as examinations of professional suitability. Mandatory details of such contracts are:

• subject;
• information on the availability of a license to conduct medical activities;
• list of paid medical services;
• conditions, cost and terms of their implementation;
• calculation procedure.

Stages of personnel work to implement the requirements of order 302-n

Personnel officers are guided by Appendix No. 3, which determines the conduct of a medical examination by order of 302-n. Having concluded an agreement with a medical institution, the personnel service is obliged to establish an internal procedure for referring employees to medical examinations:

• issue an appropriate order (sample) and familiarize employees with it against signature;

• draw up a list of employees by order 302-n (sample below) who must be sent for a medical examination. It is issued in 2 copies - for a medical institution and a department of Rospotrebnadzor. The list determines the full name of employees for whom a medical examination is mandatory, lists professions and positions, indicates a harmful production factor and the workshop or unit where the employee works. The document is approved by the head and submitted to the RPN within 10 days, and to the medical institution 2 months before the agreed date of the medical examination.

Sample list for a medical examination by order 302-n:

Having received the list of the contingent by order 302-n, the medical organization develops a calendar plan for periodic examinations, coordinates it with the company's management, approves and submits to the enterprise no later than 14 days before the agreed date;

• issue a form for a medical examination by order 302-n, i.e. referral to a medical facility. 10 days before the agreed date for the start of the medical examination, the employee of the enterprise must be familiarized with the calendar plan and handed to him (against signature), following Order 302 of the Ministry of Health, a referral for a medical examination. The company develops the form of the document independently, since the law does not provide for unified forms. Sample referral for a medical examination by order 302-n:

Personnel officers register in the register each referral issued to employees for a medical examination in accordance with order 302-n. The form of the journal is also developed at the enterprise, approved by the management and used to control the passage of medical examinations by employees.

The results of the examination at the health facility are recorded in the outpatient card stored in the clinic. The results of the examination of the employee, i.e., the medical report, is recorded in a special document - the form of the final act by order 302-n - the employee's health passport, which is given to him in his hands. If this document already exists, then new entries are made in it and returned to the owner. In addition, the employee is issued a certificate by order 302-n for transfer to the employer. It contains the conclusion of the medical board, indicating professional suitability, and is certified by doctors' signatures, stamps and the seal of the medical institution. Sample certificate form 302-n:

Periodic medical examination

Order 302 involves passing medical examinations, passing tests. To issue a certificate by order 302, the conclusions of a therapist, surgeon, ENT specialist, ophthalmologist, narcologist and psychiatrist are usually required, as well as blood tests and fluorography. This is a general set, which is adjusted by the addition or exclusion of specialized specialists, detailed blood tests, etc., depending on the characteristics of the industry or profession. It is important to know that a certificate issued for the first time can and should subsequently be extended in accordance with the established frequency.

Employee health passport by order 302-n: form

This is form No. 004-P / U, relating to medical documentation, which is issued to each person who has passed a medical examination, and consists of a general and effective parts. The general information contains information about the employee who applied, the company that sent him for examination, working conditions and influencing factors, as well as work experience. This information is filled in by the personnel officer of the company, and the number of the document is assigned already in the health facility. The date when the medical examination ends is also indicated there. One health passport is issued for each person. For greater clarity, we present the form of the document.