of October 4, 2024 No. 81/144
About the documents necessary for investigation and accounting of labor accidents and occupational diseases
Based on paragraph two of Item 2 of the resolution of Council of Ministers of the Republic of Belarus of January 15, 2004 No. 30 "About investigation and accounting of labor accidents and occupational diseases", subitem 7.1.5 of Item 7 of the Regulations on the Ministry of Labour and Social Protection of the Republic of Belarus approved by the resolution of Council of Ministers of the Republic of Belarus of October 31, 2001 No. 1589, and subitem 9.1 of Item 9 of the Regulations on the Ministry of Health of the Republic of Belarus approved by the resolution of Council of Ministers of the Republic of Belarus of October 28, 2011 No. 1446, the Ministry of Labour and Social Protection of the Republic of Belarus and the Ministry of Health of the Republic of Belarus POSTANOVLYAYUT:
1. Establish document forms, necessary for investigation and accounting of labor accidents and occupational diseases:
register of patients (victims) who received industrial injury according to appendix 1;
the conclusions about weight of industrial injury according to appendix 2;
the protocol on determination of degree of contributory guilt from labor accident, occupational disease according to appendix 3;
the conclusions about accident according to appendix 4;
the act of labor accident according to appendix 5;
the act of non-productive accident according to appendix 6;
the magazine of registration of accidents according to appendix 7;
the act of labor accident according to appendix 8;
notifications about labor accident from the death, group accident according to appendix 9;
messages on labor accident according to appendix 10;
the protocol of inspection of the scene of accident according to appendix 11;
the act of occupational disease according to appendix 12;
the magazine of registration of occupational diseases according to appendix 13;
register and observation of persons having occupational diseases according to appendix 14;
accounting cards of occupational disease according to appendix 15.
2. Approve the Instruction about procedure for filling, maintaining and document storage, necessary for investigation and accounting of labor accidents and occupational diseases it (is applied).
3. Determine that registers of patients (victims) who received industrial injury, magazines of registration of accidents, magazines of registration of occupational diseases, registers and observations of persons having occupational diseases, in the forms established by the resolution of the Ministry of Labour and Social Protection of the Republic of Belarus and the Ministry of Health of the Republic of Belarus of August 14, 2015 No. 51/94 "About the documents necessary for investigation and accounting of labor accidents and occupational diseases", made (used) before entry into force of this resolution, are implemented to their complete expenditure and are used before complete filling of all pages of magazines.
the resolution of the Ministry of Labour and Social Protection of the Republic of Belarus and the Ministry of Health of the Republic of Belarus of August 14, 2015 No. 51/94;
the resolution of the Ministry of Labour and Social Protection of the Republic of Belarus and the Ministry of Health of the Republic of Belarus of March 6, 2018 No. 26/22 "About change of the resolution of the Ministry of Labour and Social Protection of the Republic of Belarus and the Ministry of Health of the Republic of Belarus".
5. This resolution becomes effective after its official publication.
Minister of Labour and Social Protection of the Republic of Belarus |
N. V. Pavlyuchenko |
Minister of Health of the Republic of Belarus |
A. V. Hodzhayev |
to the Resolution of the Ministry of Labour and Social Protection of the Republic of Belarus and the Ministry of Health of the Republic of Belarus of October 4, 2024 No. 81/144
Form
Register of patients (victims) who received industrial injury
_________________________________________________________
(name of the organization of health care)
№ |
Date, time of receipt (appeal) to the organization of health care |
Surname, own name, middle name (if that is available) the patient (victim) |
Birth date |
Residence (place of stay) |
The name and the location of the insurer (organization), insurer – physical person, surname, own name, middle name (if that is available) in the territory of which there was injuring |
Worker's profession (employee's position) of the patient (victim) |
Nature of injury (damage localization, its danger to life, consequence) and weight of injury, date of issue of the conclusion about weight of industrial injury |
Mark about informing the insurer, organization in the territory of which there was injuring, about industrial injury with indication of surnames and initials of persons which transferred and accepted information (phone number of the insurer, organization) |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
to the Resolution of the Ministry of Labour and Social Protection of the Republic of Belarus and the Ministry of Health of the Republic of Belarus of October 4, 2024 No. 81/144
Form
_________________________________
(name of the organization of health care)
Conclusion about weight of industrial injury
__________________________ |
_________________ |
(place of creation) |
(date) |
1. Surname, own name, middle name (if that is available) the victim _____________________________________________________________________________
_____________________________________________________________________________
2. Floor __________ 3. Birth date _____________________________________________
4. Residential address (place of stay), _____________________________ phone
_____________________________________________________________________________
5. The name and the location of the insurer (surname, own name, middle name (if that is available) the insurer – physical person), the organization in the territory of which there was injuring, the worker's profession (the employee's position) of the victim ________________________________________________________________
_____________________________________________________________________________
6. Date, time of the address of the health care which was injured in the organization _____________________________________________________________________________
7. Data on damages of the victim:
7.1. the diagnosis with indication of nature of injury, its localization __________________________
_____________________________________________________________________________
7.2. code on the International Statistical Classification of the diseases and problems connected with health _________________________________________________________________
8. Information on availability or absence at the injured alcohol intoxication or the condition caused by consumption of drugs, psychotropic substances, their analogs, the toxic or other stupefying substances _____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
9. Weight of industrial injury ____________________________________________
(treats heavy, does not treat heavy)
Specialist doctor |
_________________ |
______________________ |
(signature) |
(initials, surname) | |
M.P. |
||
Head of structural |
_________________ |
______________________ |
(signature) |
(initials, surname) | |
L. S. * |
______________________________
* Except cases when according to legal acts the seal can not be used.
to the Resolution of the Ministry of Labour and Social Protection of the Republic of Belarus and the Ministry of Health of the Republic of Belarus of October 4, 2024 No. 81/144
Form
__________________________________________________________________________
(the name of the insurer (surname, own name, middle name (if that is available) the insurer – physical person), the organizations)
The protocol on determination of degree of contributory guilt from labor accident, occupational disease
_____________ №__________
(date)
_____________________________________________________________
(place of creation of the protocol)
Us, me (unnecessary to cross out), the authorized officer of the insurer, organization (the insurer – physical person), _____________________________________________________________________________
(the employee's position (in case of its availability), surname, own name,
_____________________________________________________________________________
middle name (if that is available)
the authorized representative of labor union (it is not filled in case of absence at the insurer, the organization of labor union or if the victim is not (was not) member of labor union) ____________________________________________________________
(surname, own name, middle name (if that is available)
circumstances and accident causes, occupational disease (unnecessary to cross out), the event _______________________________ are considered
(date)
with ___________________________________________________________________________
(surname, own name, middle name (if that is available), profession
_____________________________________________________________________________
the worker (the employee's position, work type (services) for working at the basis
_____________________________________________________________________________
civil agreement), place of employment of the victim)
1. It is determined that actions _______________________________________________
(actions of the victim,
_____________________________________________________________________________
the diseased which promoted origin or increase in harm,
_____________________________________________________________________________
caused to his health)
are recognized as rough imprudence ______________________________________________
(surname, victim's initials)
2. In case of assessment of actions of the victim, diseased are considered _____________________
(circumstances,
_____________________________________________________________________________
which were considered in case of recognition of rough
_____________________________________________________________________________
imprudence of the victim, diseased)
3. Degree of contributory guilt, the diseased ______________ percent is determined.
Authorized officer |
_________________ |
_______________________ |
(signature) |
(initials, surname) | |
Authorized representative |
_________________ |
_______________________ |
(signature) |
(initials, surname) |
to the Resolution of the Ministry of Labour and Social Protection of the Republic of Belarus and the Ministry of Health of the Republic of Belarus of October 4, 2024 No. 81/144
Form
Conclusion about accident
_______________________________________________________________________,
occurred _____________________________________________ in _____ h _____ mines
(date)
with ___________________________________________________________________________
(surname, own name, middle name (if that is available), the worker's profession
_____________________________________________________________________________
(the employee's position), work type (services) for working at the basis
_____________________________________________________________________________
civil agreement of the victim (victims), name
_____________________________________________________________________________
the insurer (surname, own name, middle name (if that is available) the insurer –
_____________________________________________________________________________
physical person), organizations, superior organization, republican body
_____________________________________________________________________________
public administration, other organization subordinated to the Government
_____________________________________________________________________________
Republic of Belarus, local executive and administrative organ,
_____________________________________________________________________________
the registered insurer, the organization)
Me, state inspector of work, _________________________________
(surname, own name,
_____________________________________________________________________________
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