Joint Order of the Minister of Health of the Republic of Kazakhstan "About approval of criteria for evaluation of risk degree and checking sheets in the sphere of sanitary and epidemiologic wellbeing of the population"

JOINT ORDER OF THE MINISTER OF HEALTH OF THE REPUBLIC OF KAZAKHSTAN AND MINISTER OF NATIONAL ECONOMY OF THE REPUBLIC OF KAZAKHSTAN

of December 2, 2022 No. KR DSM-152, 2 of December, 2022 No. 117

About approval of criteria for evaluation of risk degree and checking sheets in the sphere of sanitary and epidemiologic wellbeing of the population

(as amended on 28-06-2024)

According to Items 5 and 6 of Article 141 and Item 1 of article 143 of the Entrepreneurial code of the Republic of Kazakhstan PRIKAZYVAYEM:

1. Approve:

1) criteria for evaluation of risk degree in the sphere of sanitary and epidemiologic wellbeing of the population according to appendix 1 to this order;

2) checking sheets in the sphere of sanitary and epidemiologic wellbeing of the population with requirements to: to objects, irrespective of purpose and types of activity according to appendix 2 to this order;

to the health care facilities giving out-patient and polyclinic and consulting and diagnostic help according to appendix 3 to this order;

to facilities for production, production of medicines, storage, wholesale and retail sale of medicines, products of medical appointment, medical equipment according to appendix 4 to this order;

to objects of traditional and traditional medicine (healing) according to appendix 5 to this order;

to the health care facilities giving palliative care and sisterly leaving according to appendix 6 to this order;

to health care facilities, recovery treatment and medical rehabilitation according to appendix 7 to this order;

to the health care facilities giving stationary help according to appendix 8 to this order;

to the objects rendering dental services according to appendix 9 to this order;

to the health care facilities performing activities in the sphere of forensic medicine and pathological anatomy according to appendix 10 to this order;

to the health care facilities performing activities in the sphere of service of blood according to appendix 11 to this order;

to objects of preschool education and training according to appendix 12 to this order;

to children's improving and sanatorium objects (year-round, seasonal) according to appendix 13 to this order;

to objects for rendering services to the population by means of computers (personal computers, tablet personal laptops) and video terminals (computer clubs) according to appendix 14 to this order;

to objects of education according to appendix 15 to this order;

to objects of public catering with production, conversion and realization of food products according to appendix 16 to this order;

to facilities for production of food products according to appendix 17 to this order;

to objects of wholesale and retail trade according to appendix 18 to this order;

to the organizations and vehicles (railway, water, air) transporting passengers; to the organizations and vehicles (railway, automobile, water and air) performing transportation of sources of ionizing radiation, dangerous chemical and toxic goods according to appendix 19 to this order;

to objects for servicing of vehicles (air, railway, water, automobile) and passengers according to appendix 20 to this order;

to radiation-hazardous objects according to appendix 21 to this order;

to objects of public catering on transport (railway, air, water and automobile), to objects of onboard food according to appendix 22 to this order;

to objects of production, storage and realization of perfumery and cosmetic products and means of hygiene according to appendix 23 to this order;

to subjects to temporary residence of people according to appendix 24 to this order;

to objects of social infrastructure (cultural and spectacular objects, residential and office buildings, the organizations for operation of residential and public buildings, offices, the organizations managing houses, cooperatives of owners of rooms) according to appendix 25 to this order;

to sewer treatment facilities and networks (including the stormwater drainage system) according to appendix 26 to this order;

to objects for collection, storage, transportation, removal, sorting, conversion, disinfecting, utilization of production, it is firm - household and other types of waste according to appendix 27 to this order;

to subjects to sports appointment, pools, baths, saunas, laundries, dry-cleaners according to appendix 28 to this order;

to water objects 2 categories (cultural and community appointment), vacation spots (beaches) according to appendix 29 to this order;

to medical and cosmetology objects, beauty shops, the cosmetology centers, hairdressing salons according to appendix 30 to this order;

to water sources, places of water intake for economic and drinking water supply, centralized and not centralized systems of economic and drinking water supply according to appendix 31 to this order;

to subjects to funeral appointment, cemeteries, parks, public toilets, places of mass rest according to appendix 32 to this order;

to buildings, constructions and rooms of production appointment, according to appendix 33 to this order;

to the technological and accompanying objects and constructions performing oil operations according to appendix 34 to this order;

to radio engineering objects and radio-electronic means according to appendix 35 to this order;

to objects, buildings and constructions of production appointment in case of construction, reconstruction, repair and input, operation of construction objects according to appendix 36 to this order;

to objects, buildings and constructions of production purpose of the coal industry according to appendix 37 to this order;

to objects, buildings and constructions of production purpose of the chemical industry according to appendix 38 to this order;

to objects, buildings and constructions of production purpose of non-ferrous metallurgy and the mining industry according to appendix 39 to this order;

to objects, buildings and constructions of production purpose of ferrous metallurgy according to appendix 40 to this order;

to all types of laboratories according to appendix 41 to this order;

to objects of storage, transportation and use of immunological medicines (immunobiological medicine) according to appendix 42 to this order;

to the objects performing services in disinfection, disinsection, deratization according to appendix 43 to this order;

to the objects which are subject to the state sanitary and epidemiologic control and supervision in case of introduction of restrictive actions, including quarantine in case of threat of emergence of epidemics, infectious diseases according to appendix 44 to this order;

3) checking leaf in the sphere of sanitary and epidemiologic wellbeing of the population with requirements to objects to the subject state sanitary and epidemiologic control and supervision on compliance to allowing requirements, according to appendix 45 to this order.

2. Recognize invalid some joint orders of the Minister of Health of the Republic of Kazakhstan and the Minister of national economy of the Republic of Kazakhstan of the list according to appendix 46 to this order.

3. To provide to committee of sanitary and epidemiologic control of the Ministry of Health of the Republic of Kazakhstan in the procedure established by the legislation of the Republic of Kazakhstan:

1) state registration of this order in the Ministry of Justice of the Republic of Kazakhstan;

2) placement of this order on Internet resource of the Ministry of Health of the Republic of Kazakhstan;

3) within ten working days after state registration of this order in the Ministry of Justice of the Republic of Kazakhstan submission to Legal department of the Ministry of Health of the Republic of Kazakhstan of data on execution of the actions provided by subitems 1) and 2) of this Item.

4. To impose control of execution of this order on the supervising vice-Minister of Health of the Republic of Kazakhstan.

5. This joint order becomes effective since January 1, 2023 and is subject to official publication.

Minister of national economy of the Republic of Kazakhstan

A. Kuantyrov

Minister of Health of the Republic of Kazakhstan

A. Giniyat

It is approved

Committee on legal statistics and special accounting of the Prosecutor General's Office of the Republic of Kazakhstan

Appendix 1

to the joint Order of the Minister of Health of the Republic of Kazakhstan and the Minister of national economy of the Republic of Kazakhstan of December 2, 2022 No. KR DSM-152, 2 of December, 2022 No. 117

Criteria for evaluation of risk degree in the sphere of sanitary and epidemiologic wellbeing of the population

Chapter 1. General provisions

1. These criteria for evaluation of risk degree in the sphere of sanitary and epidemiologic wellbeing of the population (further – criteria) are developed according to Items 5 and 6 of Article 141 and Item 1 of article 143 of the Entrepreneurial code of the Republic of Kazakhstan (further - the Code) for reference of subjects (objects) of control and supervision to risk degrees and selection of subjects (objects) of control and supervision when carrying out preventive control with visit of subject (object) of control and the supervision and (or) check which are carried out on compliance to qualification or allowing requirements on the issued permissions, requirements for directed notifications according to the Law of the Republic of Kazakhstan "About permissions and notifications" (further – check on compliance to requirements), the order of the acting minister of national economy of the Republic of Kazakhstan of July 31, 2018 No. 3 "About approval of form of checking leaf" (it is registered in the Register of state registration of regulatory legal acts at No. 17371) and the order of the acting minister of national economy of the Republic of Kazakhstan of June 22, 2022 No. 48 "About approval of Rules of forming by regulatory state agencies of system of assessment and risk management" (it is registered in the Register of state registration of regulatory legal acts at No. 28577).

2. In these Criteria the following determinations are used:

1) point – quantitative measure of calculation of risk;

2) normalization of data – the statistical procedure providing reduction of the values measured in various scales to conditionally general scale;

3) considerable violations – the violations of requirements of the legislation of the Republic of Kazakhstan in the sphere of sanitary and epidemiologic wellbeing of the population which are not relating to insignificant and gross violations according to subitems 2) and 3) this Item;

4) insignificant violations – violations of requirements of the legislation of the Republic of Kazakhstan in the sphere of sanitary and epidemiologic wellbeing of the population which non-compliance entailed and (or) can entail the populations which are formally allowed, but not done any notable harm to health;

5) gross violations – intentional or careless obvious and fundamental breach of the legislation of the Republic of Kazakhstan in the sphere of sanitary and epidemiologic wellbeing of the population which non-compliance entailed and (or) can entail harm of life, to health of the person and the environment, the affecting rights and legitimate interests of physical persons and legal entities;

6) objective criteria for evaluation of risk degree (further – objective criteria) – the criteria for evaluation of risk degree used for selection of subjects (objects) of control and supervision depending on risk degree in certain field of activity and which are not depending directly on separate subject (object) of control and supervision;

7) subjective criteria for evaluation of risk degree (further – subjective criteria) – the criteria for evaluation of risk degree used for selection of subjects (objects) of control and supervision depending on results of activities of specific subject (object) of control and supervision;

8) system of assessment and risk management – process of acceptance of the management decisions directed to decrease in probability of approach of adverse factors by distribution of subjects (objects) of control and supervision on risk degrees for the subsequent implementation of preventive control with visit of subject (object) of control and supervision and (or) checks on compliance to requirements for the purpose of minimum possible extent of restriction of freedom of enterprise, providing at the same time admissible risk level in the corresponding fields of activity, and also directed to change of risk level for specific subject (object) of control and supervision and (or) release of such subject (object) of control and supervision from preventive control with visit of subject (object) of control and supervision and (or) checks on compliance to requirements;

9) the checking sheet – the list of requirements imposed to activities of subjects (objects) of control and supervision which non-compliance involves threat of life and to health of the person, the environment, legitimate interests of physical persons and legal entities, the states;

10) risk in the sphere of sanitary and epidemiologic wellbeing of the population – probability of damnification as a result of activities of the checked subject (object) of life or to health of the person, the environment taking into account severity of its consequences;

11) sample (selection) – the list of the estimated subjects (objects) carried to uniform group of subjects (objects) of control and supervision according to Item 2 of article 143 of the Code;

Epidemic significant objects – objects, the made products and (or) activities of which in case of violation of requirements of the legislation of the Republic of Kazakhstan in the sphere of sanitary and epidemiologic wellbeing of the population can lead 12) to emergence of food poisonings and (or) infectious, parasitic diseases among the population, and (or) do harm to health of the population from physical factors, industrial and radioactive pollution.

3. Criteria for evaluation of risk degree for conducting check on compliance to requirements and preventive control with visit of subject (object) of control and supervision are created by means of determination of objective and subjective criteria which are performed step by step (the multicriteria analysis of decisions).

Chapter 2. Objective criteria for evaluation of risk degree

4. At the first stage by objective criteria subjects (objects) of control and supervision are distributed on three risk degrees: high, average and low according to appendix 1 to these criteria.

5. For fields of activity of subjects (objects) of the state control and supervision carried to high risk, frequency rate of conducting checks on compliance to requirements is determined by criteria for evaluation of risk degree once in half a year.

For fields of activity of subjects (objects) of the state control and supervision carried to average risk degree, frequency rate of conducting checks on compliance to requirements is determined by criteria for evaluation of risk degree every two years.

For fields of activity of subjects (objects) of the state control and supervision carried to low risk degree, frequency rate of conducting checks on compliance to requirements is determined by criteria for evaluation of risk degree once in three years.

6. Concerning subjects (objects) of control and supervision carried to high and average risk degree are carried out check on compliance to requirements, preventive control with visit of subject (object) of control and supervision, preventive control without visit of subject (object) of control and supervision and unscheduled inspection.

7. Concerning subjects (objects) of control and supervision carried to low risk degree are carried out check on compliance to requirements, preventive control without visit of subject (object) of control and supervision and unscheduled inspection.

Chapter 3. Subjective criteria for evaluation of risk degree

8. At the second stage for reference of subjects (objects) of control and supervision to risk degree and selection when carrying out preventive control with visit of subject (object) of control and supervision and (or) check on compliance to requirements, the database, information sources are applied to the identification of subjects (objects) of control and supervision violating requirements of the legislation of the Republic of Kazakhstan in the sphere of sanitary and epidemiologic wellbeing of the population.

9. Frequency rate of preventive control with visit of subject (object) of control and supervision is determined concerning the subjects (objects) of control and supervision carried to high risk once in half-year, carried to average risk degree once a year.

10. Processes of data collection and processing are fully automated and provide possibility of check of correctness of the obtained data.

For assessment of degree of risks by subjective criteria for carrying out preventive control with visit of subject (object) of control and supervision the following sources of information are used:

1) results of the previous checks and preventive control with visit of subjects (objects) of control and supervision;

2) results of preventive control without visit of subjects (objects) of control and supervision.

For assessment of degree of risks by subjective criteria for conducting check on compliance to requirements the following sources of information are used:

1) results of the previous checks;

2) availability of the adverse incidents which arose because of subject (object) of control and supervision. Treat adverse incidents registration of cases of infectious, parasitic diseases and (or) poisonings, occupational diseases and (or) poisonings;

3) analysis results of the data represented by state bodies and the organizations.

11. Based on the available sources of information and subjective criteria semi-annual lists of preventive control with visit and schedules of conducting checks on compliance to requirements of subjects (objects) of the state control and supervision are created.

In the analysis and assessment the data of subjective criteria which are earlier considered and used concerning specific subject (object) of control and supervision or data according to which the term of limitation period according to the legislation of the Republic of Kazakhstan expired are not applied.

12. Proceeding from priority of the applied information sources according to procedure of payments of general exponent of risk by subjective criteria the general exponent of risk by subjective criteria on scale from 0 to 100 is calculated.

On risk exponents the subject (object) of control and supervision belongs:

1) to high risk – in case of exponent of risk from 71 to 100 inclusive;

2) to average risk degree – in case of exponent of risk from 31 to 70 inclusive;

3) to low risk degree – in case of exponent of risk from 0 to 30 inclusive.

In case of identification of one gross violation to subject (object) of control and supervision the exponent of risk 100 is equated and concerning it it is performed on compliance to requirements or preventive control with visit of subject (object) of control and supervision.

In case of not identification of gross violations of measure definition of risk degree is calculated total indicator on violations of considerable and insignificant degree.

Subjective criteria with distribution on degree of the importance of violations in the sphere of sanitary and epidemiologic wellbeing of the population are given in appendix 2 to these criteria.

In case of measure definition of considerable violations the coefficient of 0,7 is applied and this indicator is calculated by the following formula:

SRZ = (SP2 x 100/SP1) x 0,7,

where:

SRZ – indicator of considerable violations;

SP1 – the required number of considerable violations;

SP2 – the number of the revealed considerable violations;

In case of measure definition of insignificant violations the coefficient of 0,3 is applied and this indicator is calculated by the following formula:

SRN = (SP2 x 100/SP1) x 0,3,

where:

SRN – indicator of insignificant violations;

SP1 – the required number of insignificant violations;

SP2 – the number of the revealed insignificant violations;

The general exponent of risk (SP) is calculated on scale from 0 to 100 and is determined by summing of indicators of considerable and insignificant violations by the following formula:

SP = SRZ + SRN,

where:

SP – general exponent of risk;

SRZ – indicator of considerable violations;

SRN – indicator of insignificant violations.

The received value of general indicator is the basis of reference of subject (object) of control and supervision to certain risk degree according to Item of 12 these Criteria.

13. Subjective criteria for evaluation of risk degree on information sources for determination of industry risks are given in appendix 3 to these criteria.

14. When forming system of risks assessment with use of information systems, measure calculation of risk degree by subjective criteria, and also risk exponents, is performed according to the list of subjective criteria in form according to appendix 3 to these criteria.

Measure calculation of risk degree by subjective criteria (R) is perfromed in the automated mode by summing of exponent of risk on violations by results of the previous checks and preventive control with visit of subjects (objects) of control and supervision (SP) and exponent of risk by subjective criteria (SC), with the subsequent normalization of values from 0 to 100 points this in the range.

Rprom = SP + SC, where

Rprom – intermediate exponent of risk by subjective criteria,

SP – risk exponent on violations,

SC – risk exponent by subjective criteria.

Calculation is made on each subject (object) of control and supervision of uniform group of subjects (objects) of control and supervision of each sphere of the state control and supervision. At the same time the list of the estimated subjects (objects) of control and supervision carried to uniform group of subjects (objects) of control and supervision of one sphere of the state control and supervision forms sample (selection) for the subsequent normalization of data.

Measure calculation of risk degree by subjective criteria is made on scale from 0 to 100 points and performed on the following formula:

47-24 (Ф.1)

xi – indicator of subjective criterion,

wi – specific weight of indicator of subjective criterion,

n – quantity of indicators.

The received risk degree measure value by subjective criteria joins in measure calculation of risk degree by subjective criteria.

The values calculated by subjects (objects) by indicator are normalized in the range from 0 to 100 points. Normalization of data is performed on each sample (selection) with use of the following formula:

47-24 (Ф.2)

R – risk exponent (final) by subjective criteria of separate subject (object) of control and supervision,

Rmax – the greatest possible value on risk degree scale by subjective criteria on subjects (objects) entering one sample (selection) (the upper bound of scale)

Rmin – minimum possible value on risk degree scale by subjective criteria on subjects (objects) entering one sample (selection) (the lower bound of scale)

Rprom – intermediate exponent of risk by subjective criteria.

15. Subjects (objects) of control and supervision are transferred using information system from high risk in average risk degree or from average risk degree in low risk degree in the corresponding fields of activity of subjects of control and supervision if are member of the self-regulatory organization based on voluntary membership (participation) according to the Law of the Republic of Kazakhstan "About self-regulation" taking into account the signed agreement with regulatory state agency in the sphere of sanitary and epidemiologic wellbeing of the population about recognition of results of activities of self-regulatory organization.

Chapter 4. Measures of rapid response

16. During implementation and (or) by results of the state control by control facilities and supervision in the sphere of sanitary and epidemiologic wellbeing of the population the following types of measures of rapid response are applied (further - MOR):

1) prohibition of activities for production (goods), to rendering services, performance of works of subject (object) of control and supervision or its separate types (processes, action) (further - prohibition of activities or its separate types);

2) withdrawal and response from the sales of products (goods) which is not conforming (not conforming) requirements of technical regulations and (or) Single sanitary and epidemiologic and hygienic requirements Eurasian Economic Union (further – withdrawal and response);

3) suspension of operations on production, product sales (goods), rendering services, performance of works of subject (object) of control and supervision or its separate types (processes, actions) (further - suspension of operations or its separate types);

4) temporary discharge of persons from work;

17. Terms of elimination of the revealed violations are determined taking into account the circumstances exerting impact on real possibility of its execution.

18. Effective period of MOR in the form of suspension of operations or its separate types constitutes ninety calendar days from the date of delivery of the resolution on its application.

19. The PESTILENCE in the form of prohibition of activities or its separate types is applied is termless.

20. The PESTILENCE in the form of withdrawal and response is applied according to the Rules of implementation of withdrawal and withdrawal of products (goods) which are not conforming (not conforming) requirements of technical regulations and (or) single sanitary and epidemiologic and hygienic requirements Eurasian Economic Union, approved according to subitem 24-1) of article 9 of the Code of the Republic of Kazakhstan "About health of the people and health care system".

21. The PESTILENCE in the form of temporary discharge of persons from work is applied for a period of one month.

22. The bases for application of MOR are the violations established by the legislation of the Republic of Kazakhstan of requirements in the sphere of sanitary and epidemiologic wellbeing of the population, provided by Items 24 - 62 these Chapters.

23. On the violations provided in checking leaf concerning objects irrespective of purpose and types of activity the following types of MOR are applied:

prohibition of activities or its separate types - Item 1;

suspension of operations or its separate types – Items 6, 7;

temporary discharge of persons from work – Items 14;

withdrawal and response – Item 23, 24.

24. On the violations provided in checking leaf the following types of MOR are applied to the health care facilities giving out-patient and polyclinic and consulting and diagnostic help:

suspension of operations or its separate types – Items 8, 23;

temporary discharge of persons from work – Items 10, 26, 34.

25. On the violations provided in checking leaf concerning facilities for production, to production of medicines, storage, wholesale and retail sale of medicines, products of medical appointment, medical equipment the following types of MOR are applied:

suspension of operations or its separate types – Items 2, 8.

26. On the violations provided in checking leaf the following types of MOR are applied to objects of traditional and traditional medicine (healing):

suspension of operations or its separate types – Item 7;

temporary discharge of persons from work – Item 8.

27. On the violations provided in checking leaf concerning health care facilities, giving palliative care and sisterly leaving the following types of MOR are applied:

suspension of operations or its separate types – Item 7;

temporary discharge of persons from work – Items 13, 14.

28. On the violations provided in checking leaf concerning health care facilities, recovery treatment and medical rehabilitation the following types of MOR are applied:

suspension of operations or its separate types – Item 5;

temporary discharge of persons from work – Items 11, 12.

29. On the violations provided in checking leaf concerning health care facilities, providing stationary medical care the following types of MOR are applied:

suspension of operations or its separate types – Item 7, 21;

temporary discharge of persons from work – Items 23, 31, 34.

30. On the violations provided in checking leaf the following types of MOR are applied to the objects rendering dental services:

suspension of operations or its separate types – Item 9;

temporary discharge of persons from work – Items 3, 12.

31. On the violations provided in checking leaf concerning health care facilities, performing activities in the sphere of forensic medicine and pathological anatomy the following types of MOR are applied:

suspension of operations or its separate types – Item 6.

32. On the violations provided in checking leaf concerning health care facilities, the services of blood performing activities in the sphere are applied the following types of MOR:

suspension of operations or its separate types – Item 4, 16;

temporary discharge of persons from work – Items 8, 17.

33. On the violations provided in checking leaf concerning objects of preschool education and training the following types of MOR are applied:

prohibition of activities or its separate types - Items 17, 66;

prohibition of activities or its separate types (production and realization of inadmissible dishes and food) - Item 30;

suspension of operations or its separate types – Item 76;

withdrawal and response – Item 74.

34. On the violations provided in checking leaf concerning children's improving and sanatorium objects (year-round, seasonal) the following types of MOR are applied:

prohibition of activities or its separate types - Item 12;

prohibition of activities or its separate types (production and realization of inadmissible dishes and food) - Item 27;

suspension of operations or its separate types – Item 14;

suspension of operations of the pool – Item 15;

withdrawal and response – Item 16.

35. On the violations provided in checking leaf the following types of MOR are applied to objects of education:

prohibition of activities or its separate types - Items 20, 72;

prohibition of activities or its separate types (production and realization of inadmissible dishes and food) - Item 36;

suspension of operations or its separate types – Item 71;

temporary discharge of persons from work – Item 37, 44.

36. On the violations provided in checking leaf concerning objects of public catering with production, conversion and realization of food products apply the following types of MOR:

suspension of operations or its separate types - Item 36

withdrawal and response – Items 17, 20;

temporary discharge of persons from work – Item 31.

37. On the violations provided in checking leaf the following types of MOR are applied to facilities for production of food products:

prohibition of activities or its separate types - Item 27;

prohibition of activities for pouring of separate type of alcoholic products - Item 13;

withdrawal and response – Items 29;

temporary discharge of persons from work – Item 23.

38. On the violations provided in checking leaf the following types of MOR are applied to objects of wholesale and retail trade:

withdrawal and response – Items 5, 7, 15.

39. On the violations provided in checking leaf concerning the organization and vehicles (railway, water, air) transporting passengers; the organization and vehicles (railway, automobile, water and air) the sources of ionizing radiation performing transportation, dangerous chemical and toxic goods the following types of MOR are applied:

suspension of operations or its separate types - Items 1, 2, 26.

40. On the violations provided in checking leaf the following types of MOR are applied to radiation-hazardous objects:

suspension of operations or its separate types - Items 3, 9, 13, 24.

41. On the violations provided in checking leaf concerning objects of public catering on transport (railway, air, water and automobile), objects of onboard food are applied the following types of MOR:

prohibition of activities or its separate types (realization inadmissible food staples, food products, ready dishes) - Item 10;

suspension of operations or its separate types – Item 16;

withdrawal and response – Items 9;

temporary discharge of persons from work – Item 14.

42. On the violations provided in checking leaf concerning objects of production, storages and realization of perfumery and cosmetic products and means of hygiene are applied the following types of MOR:

withdrawal and response – Item 15.

43. On the violations provided in checking leaf the following types of MOR are applied to subjects to temporary residence of people:

prohibition of activities or its separate types in basement and first floors – Item 1;

suspension of operations or its separate types – Item 10.

44. On the violations provided in checking leaf the following types of MOR are applied to objects of social infrastructure (cultural and spectacular objects, residential and office buildings, the organizations for operation of residential and public buildings, offices, the organizations managing houses, cooperatives of owners of rooms):

prohibition of activities or its separate types in socle and (or) basement floors and on the last technical floors of the residential buildings which are under roof (roof) of buildings – Item 3;

suspension of operations or its separate types – Item 9.

45. On the violations provided in checking leaf concerning sewer treatment facilities and network (including the stormwater drainage system) the following types of MOR are applied:

prohibition of activities or its separate types – Item 1;

46. On the violations provided in checking leaf concerning objects for collection, storage, transportation, removal, sorting, conversion, disinfecting, utilization of production it is firm - household and other types of waste the following types of MOR are applied:

prohibition of activities or its separate types – Items 7;

suspension of operations or its separate types – Item 17.

47. On the violations provided in checking leaf concerning subjects to sports appointment, pools, baths, saunas, laundries of dry-cleaner the following types of MOR are applied:

prohibition of activities or its separate types – Item 1;

suspension of operations or its separate types – Items 3, 6, 8, 9.

48. On the violations provided in checking leaf the following types of MOR are applied to medical and cosmetology objects, beauty shops, the cosmetology centers, hairdressing salons:

suspension of operations or its separate types – Item 5;

49. On the violations provided in checking leaf the following types of MOR are applied to subjects to funeral appointment, cemeteries, parks, public toilets, places of mass rest:

prohibition of activities or its separate types – Item 1;

50. On the violations provided in checking leaf concerning buildings, constructions and rooms of production appointment the following types of MOR are applied:

prohibition of activities or its separate types – Item 63;

suspension of operations or separate type of activity – Item 60, 62.

51. On the violations provided in checking leaf the following types of MOR are applied to the technological and accompanying objects and constructions performing oil operations:

prohibition of activities or its separate types – Item 9.

52. On the violations provided in checking leaf concerning radio engineering objects and radio-electronic means the following types of MOR are applied:

prohibition of activities or its separate types – Item 6;

suspension of operations or separate type of activity – Items 3, 10.

53. On the violations provided in checking leaf concerning objects, buildings and constructions of production appointment in case of construction, reconstruction, repair and commissioning of construction objects the following types of MOR are applied:

suspension of operations or separate type of activity – Items 8;

54. On the violations provided in checking leaf concerning objects, buildings and constructions of production purpose of the coal industry the following types of MOR are applied:

suspension of operations or separate type of activity – the Items 4,17;

55. On the violations provided in checking leaf concerning objects, buildings and constructions of production purpose of the chemical industry the following types of MOR are applied:

suspension of operations or separate type of activity – Items 9, 46.

56. On the violations provided in checking leaf concerning objects, buildings and constructions of production purpose of non-ferrous metallurgy and the mining industry the following types of MOR are applied:

suspension of operations or separate type of activity – Items 11, 50.

57. On the violations provided in checking leaf the following types of MOR are applied to all types of laboratories:

prohibition of activities or its separate types – Item 9;

suspension of operations or separate type of activity – Items 3, 5, 20, 22, 25;

temporary discharge of persons from work - Item 26.

58. On the violations provided in checking leaf concerning objects of storage, transportations and uses of immunological medicines (immunobiological medicines) are applied the following types of MOR:

prohibition of activities or its separate types – Item 2;

suspension of operations or separate type of activity – Items 5, 7.

59. On the violations provided in checking leaf the following types of MOR are applied to the objects performing services in disinfection, disinsection, deratization:

prohibition of activities or its separate types – Item 1;

suspension of operations or separate type of activity – Item 16;

60. On the violations provided in checking leaf the following types of MOR are applied to the objects which are subject to the state sanitary and epidemiologic control and supervision in case of introduction of restrictive actions, including quarantine in connection with spread of infectious diseases:

suspension of operations or separate type of activity – Item 9.

61. On the violations provided in checking leaf concerning the objects which are subject to the state sanitary and epidemiologic control and supervision on compliance to allowing requirements the following types of MOR are applied:

prohibition of activities or its separate types – item 4;

suspension of operations or separate type of activity – Item 1, 22.

Appendix 1

to criteria for evaluation of risk degree in the sphere of sanitary and epidemiologic wellbeing of the population

Distribution of subjects (objects) of control and supervision on risk degree:

No. of payment order	Types of subjects (objects)
1	2
	Subjects (objects) of high risk
1	children's dairy kitchens
2	objects of preschool education and training of all types
3	objects of education and education with accommodation of children and teenagers of all types and types
4	objects of public catering and trade in organized collectives (the organizations of preschool education and training, the residential organizations, the organizations of education and health care, field camps, building sites, industrial facilities)
5	facilities for production of cream confectionery
6	facilities for production, to production of medicines
7	objects of public catering on transport (railway, air, water and automobile), objects of onboard food
8	the organizations and vehicles (railway, water, air) transporting passengers
9	radiation-hazardous objects
10	health care facilities: providing stationary medical care; providing stationary medical care in the field of mental health to persons with mental, behavioural to frustration (diseases) including connected with the use of psychoactive agents; giving out-patient and polyclinic, consulting and diagnostic help; the services of blood performing activities in the sphere; the rendering dental services
11	medical and cosmetology objects, beauty shops, the cosmetology centers the rendering services with violation of skin and mucous covers, including services in permanent make-up and tattoo
12	improving and sanatorium objects (seasonal, year-round), bases and vacation spots
13	objects of public catering with production, conversion and realization of food products with number more than 50 seats
14	milk-processing objects, facilities for production of finished dairy products
15	meat-processing objects, facilities for production of meat and meat semifinished products and (or) finished meat goods
16	fish processing objects, facilities for production of fish and fish semifinished products and (or) finished fish goods
17	ptitsepererabatyvayushchy objects, facilities for production of semifinished products from fowl and (or) finished goods from fowl
18	water sources, places of water intake for economic and drinking water supply
19	not centralized systems of economic and drinking water supply
20	centralized systems of economic and drinking water supply
Subjects (objects) of average risk degree
1	objects of medico-social resettlement
2	objects of education without accommodation of children and teenagers, hostels of objects of education
3	special, correctional offices (centers) of education and education, the rehabilitation centers for children and teenagers
4	facilities for production of fat-and-oil products
5	facilities for production of the alcoholic products, nonalcoholic products, drinking water (including mineral) which is packed up in reservoir
6	plodopererabatyvayushchy objects, objects for conversion of agricultural products of phytogenesis, including soy products
7	facilities for production, to storage and (or) realization of specialized foodstuff
8	facilities for production of table and iodinated salt
9	flour-grinding objects
10	objects on baking of bread and bakery products
11	facilities for production of sugar
12	objects of wholesale storage and (or) realization of food products
13	the types of activity belonging to 1 on 2 classes of danger according to sanitary classification of the production facilities provided by requirements of regulatory legal acts according to the subitem 113) of Item 15 of the Regulations on the Ministry of Health of the Republic of Kazakhstan approved by the order of the Government of the Republic of Kazakhstan of February 17, 2017 No. 71 "About some questions of the Ministries of Health and national economy of the Republic of Kazakhstan" (chemical productions, metallurgical, machine-building and metalworking objects, production of ores, nonmetallic minerals, natural gas and oil, oil-processing industry, construction industry and the industry of construction materials, grounds on placement, neutralization, burial of municipal solid waste and toxic production wastes and consumption, objects for collection, storage, removal, sorting, conversion, disinfectings, to utilization (burning) of medical waste 120 and more than a kilograms an hour and above, production of electrical and heat energy in case of combustion of mineral fuel); the stationary transferring radio engineering objects (means of communication, radio communications, broadcastings, television, radar-location and radio suppression), the radio-frequency range from 30 kilohertzes (further – kHz) to 300 Gigahertzes (further – GHz), except for the radio relay stations and the transferring radio engineering objects placed on buildings and constructions of industrial function; out of the selitebny territory and settlements, and also means of overland mobile radio communication, means of sea, river and air mobile radio communication placed on mobile objects
14	warehouses for storage of chemicals and products, agrochemicals and pesticides (agricultural chemicals), objects of storage and transportation of vaccines and immunological (immunobiological) medicines
15	objects of storage of means and (or) medicines of disinfection, disinsection, deratization, and also objects in which work on preparation and (or) packing of baits, traps, working solutions is carried out with use of means and (or) medicines of disinfection, disinsection, deratization
16	subjects to sports appointment, pools, baths and saunas with a capacity of 20 and more places
17	field camps
18	water objects 2 categories (cultural and community appointment), vacation spots (beaches)
19	the laboratories performing the treatment of pathogenic biological agents of the I-IV groups of pathogenicity
Subjects (objects) of low risk degree
1	objects of technical, professional, postsecondary and higher education
2	objects of leisure, physical training and development of creative capabilities of children and teenagers (organization of additional education), centers of creativity of children and youth, music, sports and art schools, centers for children and young people, domestic clubs, stations of young naturalists, industrial practice plants and out-of-school organizations
3	objects for production, storage and sales of products for children and teenagers (footwear, clothes, toys)
4	objects for rendering services to the population by means of computers (personal computers, tablet personal computers, laptops) and video terminals (computer clubs)
5	objects of public catering with production, conversion and realization of food products with number 50 less seats, the companies for production of custom dishes without seats, culinary products
6	objects for servicing of vehicles (railway, automobile, water and air) and passengers
7	devices for automatic preparation and realization of food products
8	facilities for production without cream confectionery
9	facilities for production of flour semifinished products, pasta
10	facilities for production of chips, croutons, corn sticks, gozinaki, sunflower seeds, dry breakfasts, slices, cotton candy, popcorn, fried nuts
11	objects for packing of ready foodstuff
12	facilities for production of food concentrates and food acids
13	facilities for production of tea, yeast and gelatin
14	facilities for production of krakhmalopatochny products, starch
15	the health care facilities performing activities in the sphere of forensic medicine and pathological anatomy
16	objects the performing recovery treatment and medical rehabilitation
17	objects of storage, wholesale and retail sale of medicines, products of medical appointment, medical equipment
18	the health care facilities providing emergency medical service including with involvement of medical aircraft
19	health care facilities of medicine of catastrophic crashes
20	the health care facilities giving palliative care and sisterly leaving
21	objects of traditional and traditional medicine (healing)
22	objects for production, production, conversion and realization of vaccines and immunological (immunobiological) medicinal and diagnostic medicines
23	facilities for production, conversion, realization of means and (or) medicines of disinfection, disinsection, deratization
24	the hairdressing salons, beauty shops, the cosmetology centers rendering cosmetic services without violation of skin and mucous covers, including services in manicure and pedicure
25	subjects to sports appointment, bath, sauna, with a capacity up to 20 places
26	objects of social infrastructure (cultural and spectacular subjects, cemeteries, subjects to funeral appointment, subjects to temporary residence of people (hotels, motels, campings, hostels), office, residential (dwelling) buildings, the organizations for operation of residential and public buildings, offices, the organizations managing houses, cooperatives of owners of rooms, public toilets, laundries, dry-cleaners, treatment facilities)
27	objects for servicing of water, sewer, thermal systems, boiler rooms
28	sewer treatment facilities and networks (including stormwater drainage system)
29	the types of activity belonging to 3-5 classes of danger according to sanitary classification of production facilities of the regulatory legal acts provided by requirements according to the subitem 113) Item 15 of the Regulations on the Ministry of Health of the Republic of Kazakhstan approved by the order of the Government of the Republic of Kazakhstan of February 17, 2017 No. 71 "About some questions of the Ministries of Health and national economy of the Republic of Kazakhstan" (chemical productions, metallurgical, machine-building and metalworking objects, production of ores, nonmetallic minerals, natural gas, construction industry, objects for collection, storage, removal, sorting, conversion, disinfectings, to utilization (burning) of medical waste to 120 kilograms an hour, production of electrical and heat energy in case of combustion of mineral fuel); the stationary transferring radio engineering objects (means of communication, radio communications, broadcastings, television, radar-location and radio suppression) the radio-frequency range from 30 kHz to 300 GHz and the radio relay stations placed on buildings and constructions of industrial function; out of the selitebny territory and settlements, and also means of overland mobile radio communication, the means of sea, river and air mobile radio communication placed on mobile objects
30	parks in settlements
31	the radiation objects having sources of ionizing radiation radioactive waste with minimum significant activity are lower than the regulatory legal acts provided by requirements, according to the subitem 113) of Item 15 of the Regulations on the Ministry of Health of the Republic of Kazakhstan approved by the order of the Government of the Republic of Kazakhstan of February 17, 2017 No. 71 "About some questions of the Ministries of Health and national economy of the Republic of Kazakhstan"
32	the organizations and vehicles (railway, automobile, water and air) transporting some foodstuff, food staples, economic drinking water, dangerous goods
33	warehouses for storage of perfumery and cosmetic products, means of hygiene
34	objects of production of perfumery and cosmetic products and means of hygiene
35	food markets, objects of wholesale and retail trade
36	all types of laboratories, except for the laboratories performing the treatment of pathogenic biological agents of the I-IV groups of pathogenicity
37	the objects of storage of material values of the state material reserve including performing storage of food
38	Items of fence and acceptance of biological material
39	objects of medico-social, special social services

Appendix 2

to criteria for evaluation of risk degree in the sphere of sanitary and epidemiologic wellbeing of the population

Extents of violation of requirements to subjects (objects) of control and supervision in the sphere of sanitary and epidemiologic wellbeing of the population

№ payment order	Names of requirements	Extent of violations
1	Objects, irrespective of purpose and type of activity
1.	Availability of the sanitary and epidemiologic conclusion about compliance of object of the high epidemic importance to regulatory legal acts in the sphere of sanitary and epidemiologic wellbeing of the population	Rough
2.	Observance of notifying procedure about the beginning of activities (for objects of the insignificant epidemic importance)	rough
3.	Availability of the isolated platform for installation of containers with covers for collection of garbage and food wastes. Observance of sanitary and epidemiologic requirements to collection, transportation, storage of waste	insignificant
4.	Observance of requirements to content of the territory (timely cleaning), threading of movement of people and transport	insignificant
5.	Availability of the sanitary and epidemiologic conclusion on the established sanitary protection zones, sanitary gaps according to documents of the state sanitary and epidemiologic regulation (further – documents of regulation)	rough
6.	Availability and serviceability of systems of centralized hot and cold water supply. In the absence of centralized system of hot and cold water supply availability of the decentralized water supply system, local systems. Availability and serviceability of water heaters of continuous action (or other equipment) in the absence of centralized hot water supply	rough
7.	Availability and serviceability of systems of water disposal, sewerage. In not channeled and partially channeled settlements availability of local and export system of cleaning.	rough
8.	Availability and serviceability of systems of local and general artificial lighting	considerable
9.	Availability and serviceability of ventilation, conditioning, heat supply with observance of requirements for their equipment	rough
10.	Observance of parameters of microclimate of rooms to documents of regulation	considerable
11.	Observance of requirements to set, the area, zoning, the device, content, cleaning of rooms, to movement of flows.	considerable
12.	Observance of requirements to internal finishing of rooms, use of non-toxical finishing materials, steady to washing and to disinfectants. Integrity and lack of defects of covering	considerable
13.	Equipment of laundry special equipment, respect for threading of movement of linen (or contract with the specialized organization). Availability of the special marked container for collection, transportation of linen. Security and observance of the mode of frequency rate of change and washing of linen, personnel clothes.	considerable
14.	Availability of obligatory medical examinations at persons of the required types of medical examinations and laboratory researches relating to dekretirovanny national groups with respect for frequency of passing	rough
15.	Availability of hygienic training at persons of dekretirovanny national group	considerable
16.	Availability and observance of marking of harvest stock, conditions of its storage and proper use	insignificant
17.	Availability, completeness, use of clean sanitary special clothes, individual protection equipment (further – SIZ). Observance of conditions of their storage and application to destination	insignificant
18.	Compliance of results of laboratory researches: washouts from external environment, tests of water, air (the working area, the enclosed space, atmospheric air), the soil, disinfectants, tests and dosage forms on sterility, raw materials, finished goods, goods, laboratory and tool measurements to documents of regulation	rough
19.	Availability of documents (the contract for rendering disinsection and deratization services, the act of the performed works) confirming timely holding disinsection and deratization actions. Lack of insects and traces of activity of rodents in case of visual inspection	considerable
20.	Availability and observance of requirements to use, application and storage of the washing, disinfecting, disinsection, deratization means allowed for use by documents of regulation	considerable
21.	Compliance of products (goods) which are subject to the state control and supervision in the sphere of sanitary and epidemiologic wellbeing of the population to documents of regulation	rough
22.	Observance of requirements for the organization and implementation of production supervision: 1) development of the program of production supervision; 2) implementation (organization) of laboratory researches and measurements in the cases established by documents of regulation	considerable
23.	Availability of assessment (confirmation) of compliance of products (goods) to requirements of the documents of regulation confirming its safety	rough
24.	Availability and compliance of marking of products (goods) to documents of regulation	rough
25.	Observance of requirements for consumption of tobacco products, including products with the heated tobacco, tobacco for hookah, hookah mix, systems for heating of tobacco in the rooms which are workplaces and working areas	considerable
26.	Observance of requirements to obligatory isolation and hospitalization of persons with infectious disease, poisoning constituting danger to people around (according to epidemiological indications)	rough
27.	Availability of obligatory medical examination at persons of the required types of surveys and laboratory researches working with harmful production factors with respect for frequency of passing	rough
2	The health care facilities giving out-patient and polyclinic and consulting and diagnostic help
1.	Availability of separate acceptance of patients with signs of infectious diseases	rough
2.	Sufficiency and serviceability of furniture, sanitary devices, tools. Sufficiency and serviceability of the equipment, devices, equipments, measuring devices. Availability of supporting documents about checking of the subjected measuring instruments, observance of service regulations according to the instruction of the producer	considerable
3.	Availability of conditions for hygiene of hands when rendering medical services: 1) availability of elbow or contactless cranes, batchers; 2) security with liquid antiseptic soap, antiseptics, disposable paper towels; 3) medical gloves disposable	insignificant
4.	Availability of the documents confirming personnel training to rules of epidemic safety in case of the address with waste and medical personnel on prevention of professional infection with viral hepatitises B, D, S, HIV, tuberculosis	considerable
5.	Observance of requirements to collection and washing of linen (or availability of the contract with the specialized organization). Availability of the special marked container for collection, transportation of linen in departments and rooms of temporary storage. Security and observance of the mode, frequency rate of change and washing of linen, clothes of personnel and patients	insignificant
6.	Availability and accomplishment of the program of the address with medical waste approved by the head of health care facility (the documents confirming observance of requirements: the agreement, the act of the performed works, the magazine of daily accounting of the formed medical waste, the order on the responsible person, performing the organization and control for the address with medical waste). Security with containers and packets for safe collection and utilization of medical waste (further - KBSU), observance of requirements for marking, filling, storage durations, conditions of collection and export	rough
7.	Equipment of the room of temporary storage of medical waste (the exhaust ventilation with mechanical motivation, refrigeration equipment for storage of biological waste (in case of their availability), racks, scales, containers for collection of packets with medical waste, sink with eyeliner of hot and cold water, installation for disinfecting of air, antiseptics for hands)	rough
8.	Availability of special installations for neutralization, utilization of dangerous medical wastes or the contract with the specialized organization	rough
9.	Observance of sanitary and epidemiologic requirements to the organization and carrying out disinfection, presterilizing cleaning, sterilization, to storage of products of medical appointment, medical machinery and equipment, and disinfectants.	rough
10.	Availability at the personnel working with the equipment under pressure (steam sterilizers) of the admission to work	rough
11.	Availability of the documents confirming execution of the algorithm of the organization of system of patrol epidnadzor behind grippopodobny diseases (further - GPP) in the patrol centers: 1) calculation of cases of GPP corresponding to standard definition and duration of disease; 2) material intake from sick GPPs for laboratory inspection	considerable
12.	Availability of the documents confirming accounting and registration of infectious and parasitic diseases. Timely transfer of the emergency notices and informing in case of registration of infectious and parasitic diseases, change and laboratory confirmation of the diagnosis, including the pathoanatomical conclusion	insignificant
13.	Holding preventive and anti-epidemic actions in case of parasitic diseases: dynamic observation of the patients, persons who are on accounting and victims of stings of arthropods; inspection, laboratory researches and observation of contact persons. The direction of the subject biomaterial samples with positive and negative result for control	rough
14.	Availability of the scheme of the notification, plan of operational actions for holding anti-epidemic actions in case of suspicion and registration quarantine, special and dangerous infections (plague, cholera). Availability of documentation on holding seminar occupations and training doctrines with input of conditionally sick	considerable
15.	Security with the corresponding set for material intake, disinfectants, salt solutions and set of protective suits, means of individual prevention, SIZ, availability of reservoirs for processing of protective suits	considerable
16.	Availability of the documents confirming holding actions for early detection of tuberculosis with methods of tuberkulinodiagnostika, microscopy of dab, phlegm, fluorography among the population with high risk of disease of tuberculosis, providing additional examination of flyuoropolozhitelny and tuberkulinopolozhitelny persons, patients with clinical manifestations	considerable
17.	Availability of the documents confirming timely inspection of contact persons in the tuberculosis centers, performing chemoprophylaxis, isolation of children and teenagers from the tuberculosis centers, accounting of the had persons and their timely inspection, work of office of direct controlled treatment of TB patients	considerable
18.	Availability of the documents confirming planning and accounting of tuberkulinodiagnostika, routine medical examinations and forming of flyuorokartoteka according to individual accounting of the population, ensuring double reading	considerable
19.	Availability of the documents confirming rendering the antirabichesky help to persons who underwent to sting, oslyuneniye, otsarapyvaniye animals and also to persons which were injured in case of the Section of hulks, opening of corpses of the animals who fell from rage (completeness, timeliness, availability of veterinary references and justification of rendering the antirabichesky help). Organization and carrying out preventive inoculations against rage	considerable
20.	Availability of the documents confirming performing the emergency prevention of tetanus, timeliness of rendering the emergency immunization, accounting and reasons for inoculations, medical branches and refusals of inoculations. Security with antitetanic medicines	considerable
21.	Accounting and documentary registration of temporary, permanent contraindications, admissions to immunization and refusals of preventive inoculations in paper or electronic type with entering into the Medical automated information system (MIS)	considerable
22.	Availability of the documents confirming carrying out the monthly analysis of scope of the population with preventive inoculations by each site (ensuring optimum level of scope with preventive inoculations at least 95%).	considerable
23.	Equipment of inoculative Item (office) refrigeration equipment to relevant requirements for storage of immunobiological medicines (further – ILP), sets for urgent and antishock therapy	rough
24.	Equipment of inoculative Item (office) following equipment and furniture: 1) thermal container or refrigerating bag with hladoelement of sufficient amount for transportation and storage of ILP during the working day; 2) thermal container for temporary storage of ILP in case of emergency shutdown of the electric power; 3) desktop, chairs; 4) medical table for preparation of ILP for use; 5) medical case for storage of tools and medicines; 6) pelenalny table and (or) medical couch; 7) the steam sterilizer with sterile material; 8) sink with eyeliner of cold and hot water with installation of elbow and contactless cranes with mixers, with providing enough anti-septic tanks and disinfectants; 9) tonometer, thermometers, pallets, disposable syringes; 10) reservoir for disinfecting of remaining balance of ILP; 11) containers, reservoirs for safe collection and utilization of medical waste of class "A" and class "B" (further – KBSU); 12) stationary or portable bactericidal irradiator.	rough
25.	Availability of the documents confirming planning and accounting of preventive inoculations availability of data of accounting in the Register of the attached population, the annual digital plan, pofamilny monthly plans of preventive inoculations, lists of earlier not imparted children for various reasons	considerable
26.	Availability at the medic of permission to carrying out inoculations, training in rules of the technology of carrying out inoculations, acceptances of emergency aid in case of development of adverse manifestations after immunization.	rough
27.	Maintaining medical documentation (entering of data on vaccine in accounting forms, destruction of remaining balance of ILP)	considerable
28.	Availability of the documents confirming immunization according to epidemiological testimonies of the subject contingents	considerable
29.	Observance of requirements to actions in case of acute respiratory viral infections (further – SARS), flu, koronavirusny infection of COVID-19 (further - to COVID-19) and their complications: 1) availability of "filter", equipment, reserve of the main anti-influenza and other medicines; 2) carrying out immunization against flu and COVID-19; 3) accounting of cases of SARS, flu, COVID-19 and their complications, timely intake of material for laboratory research; 4) inventory of consumable materials and the transport circle for material intake from patients; 5) providing SIZ of medical personnel	considerable
30.	Observance of requirements for holding preventive and anti-epidemic actions: completeness, timely observation and inspection of the subject contingents on infectious diseases and especially dangerous infections (pregnant women, according to clinical and epidemic indications, with the preventive purpose, persons with threat of professional infection and other contingents according to documents of regulation), selection of biomaterial on researches, delivery conditions and storages of tests	considerable
31.	Observance of requirements for the organization and carrying out infectious control: 1) program of infectious control; 2) order on structure of the commission of infectious control; 3) minutes of the commission of infectious control; 4) protocols of epidemiological investigation of cases of the infections connected with delivery of health care. Availability and observance of algorithms on carrying out manipulations and procedures	considerable
32.	Adherence to deadlines and rules of carrying out preventive inoculations, accounting of the carried-out inoculations, survey imparted before carrying out inoculation, accounting of adverse manifestations after immunization, carrying out the observation imparted at the scheduled time execution of the informed consent of the imparted face on carrying out preventive inoculations	rough
33.	Observance of requirements for storage, transportation, use and accounting of ILP. Availability of the plan of the emergency actions for providing conditions of Holodova of chain for storage of ILP	rough
34.	Availability at medical personnel of marker diagnostics and vaccination against viral hepatitis B	rough
35.	Availability of the magazine of registration of emergencies when carrying out the medical manipulations confirming accounting of cases of receipt of microinjuries by personnel, emergencies with hit of blood and biological liquids on skin and mucous	considerable
36.	Compliance of results of laboratory researches of tests on sterility	rough
3	Facilities for production, to production of medicines, storage, wholesale and retail sale of medicines, products of medical appointment, medical equipment
1.	Availability and serviceability of the equipment, devices, equipments, measuring devices, tools, stock, furniture, sanitary devices. Availability of supporting documents about checking of the subjected measuring instruments, observance of service regulations according to the instruction of the producer	considerable
2.	Observance of requirements during the work in aseptic conditions. Respect for threading of engineering procedure	rough
3.	Availability of special set of sterile clothes for work in the aseptic block (sets of sanitary clothes and footwear). Observance of requirements to their processing and storage	considerable
4.	Operation of the equipment according to the instruction for application with control of the subject parameters (temperature, time, pressure, loading, the mode, capacity)	rough
5.	Availability and maintaining documentation on observance of engineering procedure of processing of pharmaceutical ware, stock, devices, including pipelines of distiller, the purified water and water for injections	rough
6.	Observance of requirements for structure, area, placement of objects for storage, wholesale and retail sale of medicines, products of medical appointment, medical equipment	considerable
7.	Availability of conditions for hygiene of hands of personnel (security with soap, antiseptics, disposable paper towels)	insignificant
8.	Compliance by results of laboratory researches of tests and dosage forms on sterility	rough
4	Objects of traditional and traditional medicine (healing)
1.	Availability and accomplishment of the program of the address with medical waste approved by the head of health care facility of documents, confirmatory observance of their requirements: (the agreement, the act of the performed works), the magazine of daily accounting of the formed medical waste, the order on the responsible person, performing the organization and control for the address with medical waste. Security of KBSU, observance of requirements for marking, filling, storage durations, conditions of collection and export	rough
2.	Equipment of the room for temporary storage of medical waste (the exhaust ventilation with mechanical motivation, refrigeration equipment for storage of biological waste (in case of their availability), racks, scales, containers for collection of packets with medical waste, sink with eyeliner of hot and cold water, installation for disinfecting of air, antiseptics for hands)	rough
3.	Availability of special installations for neutralization, utilization of dangerous medical wastes or the contract with the specialized organization	rough
4.	Observance of sanitary and epidemiologic requirements to the organization and carrying out disinfection, before sterilizing cleanings, to sterilization, storage of products of medical appointment and disinfectants	rough
5.	Availability of conditions for hygiene of hands when rendering medical services: 1) availability of elbow or contactless cranes with mixers, batchers in rooms with specific mode of work; 2) security with liquid antiseptic soap, antiseptics, disposable paper towels; 3) medical gloves disposable	insignificant
6.	Availability of the magazine of registration of emergencies when carrying out the medical manipulations confirming accounting of cases of receipt of microinjuries by personnel, emergencies with hit of blood and biological liquids on skin and mucous	considerable
7.	Observance of requirements for the organization and carrying out infectious control: 1) program of infectious control; 2) order on structure of the commission of infectious control; 3) minutes of the commission of infectious control; 4) protocols of epidemiological investigation of cases of the infections connected with delivery of health care. Availability and observance of algorithms on carrying out manipulations and procedures	considerable
8.	Availability at medical personnel of marker diagnostics and vaccination against viral hepatitis B	rough
5	The health care facilities giving palliative care and sisterly leaving
1.	Sufficiency and serviceability of furniture, sanitary devices, tools. Sufficiency and serviceability of the equipment, devices, equipments, measuring devices. Availability of supporting documents about checking of the subjected measuring instruments, observance of service regulations according to the instruction of the producer	considerable
2.	Availability and maintaining magazines on holding disinfection actions (accounting of receipt, consumption of disinfectants, clear-out, etc.) respect for frequency rate of carrying out	considerable
3.	Availability of conditions for hygiene of hands when rendering medical services: 1) availability of elbow or contactless cranes, batchers; 2) security with liquid antiseptic soap, antiseptics, disposable paper towels; 3) medical gloves disposable	insignificant
4.	Availability of the documents confirming personnel training to rules of epidemic safety in case of the address with waste and medical personnel on prevention of professional infection with viral hepatitises B, D, S, HIV, tuberculosis	insignificant
5.	Availability and accomplishment of the program of the address with medical waste approved by the head of health care facility (the documents confirming observance of requirements: the agreement, the act of the performed works, the magazine of daily accounting of the formed medical waste, the order on the responsible person, performing the organization and control for the address with medical waste). Security with containers KBSU, observance of requirements for marking, filling, storage durations, conditions of collection and export	rough
6.	Equipment of the room of temporary storage of medical waste (the exhaust ventilation with mechanical motivation, refrigeration equipment for storage of biological waste (in case of their availability), racks, scales, containers for collection of packets with medical waste, sink with eyeliner of hot and cold water, installation for disinfecting of air, antiseptics for hands)	rough
7.	Availability of special installations for neutralization, utilization of dangerous medical wastes or the contract with the specialized organization	rough
8.	Observance of sanitary and epidemiologic requirements to the organization and carrying out disinfection, presterilizing cleaning, sterilization, to storage of products of medical appointment, medical equipment, equipment and disinfectants	rough
9.	Availability of the documents confirming timely holding anti-epidemic (preventive) actions, including especially dangerous and quarantine infections, identification and investigation of each case of infectious and (or) parasitic disease, connected with delivery of health care	considerable
10.	Availability of the documents confirming accounting and registration of infectious and parasitic diseases. Timely transfer of the emergency notices and informing in case of registration of infectious and parasitic diseases, change and laboratory confirmation of the diagnosis, including the pathoanatomical conclusion. Accounting of adverse manifestations after immunization	considerable
11.	Availability of the scheme of the notification, plan of operational actions for holding anti-epidemic actions in case of suspicion and registration quarantine, special and dangerous infections (plague, cholera). Availability of documentation on holding seminar occupations and training doctrines with input of conditionally sick	considerable
12.	Observance of requirements for the organization and carrying out infectious control: 1) program of infectious control; 2) order on structure of the commission of infectious control; 3) minutes of the commission of infectious control; 4) protocols of epidemiological investigation of cases of the infections connected with delivery of health care. Availability and observance of algorithms on carrying out manipulations and procedures	considerable
13.	Availability at the personnel working with the equipment under pressure (steam sterilizers) of the admission to work	rough
14.	Availability at medical personnel of marker diagnostics and vaccination against viral hepatitis B	rough
6	Health care facilities, recovery treatment and medical rehabilitation
1.	Sufficiency and serviceability of furniture, sanitary devices, means of small-scale mechanization, tools. Sufficiency and serviceability of the equipment, devices, equipments, measuring devices. Availability of supporting documents about checking of the subjected measuring instruments, observance of service regulations according to the instruction of the producer	considerable
2.	Availability of conditions for hygiene of hands when rendering medical services: 1) availability of elbow or contactless cranes, batchers; 2) security with liquid antiseptic soap, antiseptics, disposable paper towels; 3) security with medical gloves disposable	insignificant
3.	Availability and accomplishment of the program of the address with medical waste approved by the head of health care facility (documents, confirmatory, observance of their requirements: the agreement, the act of the performed works, the magazine of daily accounting of the formed medical waste), the order on the responsible person, performing the organization and control for the address with medical waste. Security of KBSU, observance of requirements for marking, filling, storage durations, conditions of collection and export	rough
4.	Equipment of the room for temporary storage of medical waste (the exhaust ventilation with mechanical motivation, refrigeration equipment for storage of biological waste (in case of their availability), racks, scales, containers for collection of packets with medical waste, sink with eyeliner of hot and cold water, installation for disinfecting of air, antiseptics for hands)	rough
5.	Availability of special installations for neutralization, utilization of dangerous medical wastes or the contract with the specialized organization	rough
6.	Observance of requirements to conditions of food of patients (availability of the perspective and daily menu of the layout, process chart, daily tests). Maintaining the magazine on carrying out organoleptic quality evaluation of dishes and culinary products. Registration of the results of daily survey of personnel, according to number working for this day in change	considerable
7.	Observance of sanitary and epidemiologic requirements to the organization and carrying out disinfection, presterilizing cleaning, sterilization, to storage of products of medical appointment, medical equipment, equipment and disinfectants	rough
8.	Availability of the documents confirming timely holding sanitary and anti-epidemic (preventive) actions in case of identification of cases of infectious or parasitic disease, to investigation of each case of infectious and parasitic disease, the infection connected with delivery of health care, accounting and registration of infectious disease and informing (register of infectious and parasitic diseases, the emergency notices).	insignificant
9.	Observance of requirements for the organization and carrying out infectious control: 1) program of infectious control; 2) order on structure of the commission of infectious control; 3) minutes of the commission of infectious control; 4) protocols of epidemiological investigation of cases of the infections connected with delivery of health care. Availability and observance of algorithms on carrying out manipulations and procedures	considerable
10.	Availability of the scheme of the notification, plan of operational actions for holding anti-epidemic actions in case of suspicion and registration quarantine, special and dangerous infections (plague, cholera). Availability of documentation on holding seminar occupations and training doctrines with input of conditionally sick	considerable
11.	Availability at the personnel working with the equipment under pressure (steam sterilizers) of the admission to work	rough
12.	Availability at medical personnel of marker diagnostics and vaccination against viral hepatitis B	rough
7	The health care facilities providing stationary medical care
1.	Sufficiency and serviceability of furniture, sanitary devices, means of small-scale mechanization, Sufficiency tools and serviceability of the equipment, devices, equipments, measuring devices. Availability of supporting documents about checking of the subjected measuring instruments, observance of service regulations according to the instruction of the producer	considerable
2.	Observance of requirements to conditions of acceptance, isolation, hospitalization of patients in hospital: 1) inspection in case of hospitalization on availability of infectious diseases at the patients and persons hospitalized in hospital on care of the patient; 2) separate hospitalization of TB patients according to results of microscopy of dabs of phlegm, the medicinal sensitivity test and the appointed treatment mode; 3) in case of suspicion of infectious disease isolation of the patient in diagnostic chamber under reception (boxing) before transfer to infectious department (hospital); 4) respect for recurrence of filling of chambers; 5) availability of separate flows taking into account the epidemiological status of the patient; 6) carrying out acceptance in reception: survey of pharynx, measurement of temperature, survey on pediculosis, itch, dermatomikoza of the arriving patients, with mark in the history of disease; 7) carrying out sanitary processing of patients, with issue of set of net underwear, pajamas, slippers; 8) carrying out selection of biological material according to epidemiological indications for carrying out laboratory researches	considerable
3.	Availability of conditions for hygiene of hands when rendering medical services: 1) availability of elbow or contactless cranes with mixers, batchers in rooms with specific mode of work; 2) security with liquid antiseptic soap, antiseptics, disposable paper towels; 3) security with medical gloves disposable	insignificant
4.	Availability of the documents confirming personnel training to rules of epidemic safety in case of the address with waste and medical personnel on prevention of professional infection with viral hepatitises B, D, S, HIV, tuberculosis	insignificant
5.	Availability and accomplishment of the program of the address with medical waste approved by the head of health care facility (documents, confirmatory, observance of their requirements: the agreement, the act of the performed works, the magazine of daily accounting of the formed medical waste), the order on the responsible person, performing the organization and control for the address with medical waste. Security of KBSU, observance of requirements for marking, filling, storage durations, conditions of collection and export	rough
6.	Equipment of the room for temporary storage of medical waste (the exhaust ventilation with mechanical motivation, refrigeration equipment for storage of biological waste (in case of their availability), racks, scales, containers for collection of packets with medical waste, sink with eyeliner of hot and cold water, installation for disinfecting of air, antiseptics for hands)	rough
7.	Availability of special installations for neutralization, utilization of dangerous medical wastes or the contract with the specialized organization	rough
8.	Observance of requirements to conditions of food of patients (availability of the perspective and daily menu of the layout, process chart, daily tests). Maintaining the magazine on carrying out organoleptic quality evaluation of dishes and culinary products. Registration of the results of daily survey of personnel, according to number working for this day in change	considerable
9.	Availability of rooms for preparation and pouring of children's dairy mixes, sterile ware. Observance of requirements to application, preparation, pouring, transportation and markings of children's dairy mixes	rough
10.	Observance of requirements for transmit-receive for patients	insignificant
11.	Observance of requirements to the organization and carrying out disinfection, presterilizing cleaning, sterilization, to storage of products of medical appointment and disinfectants.	rough
12.	Availability of results of inspection of the patients who are to be surveyed on infectious and parasitic diseases in case of receipt and during stay in hospital	considerable

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