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It is registered

in the Ministry of Justice of Ukraine

July 23, 2007.

No. 846/14113

ORDER OF THE MINISTRY OF HEALTH OF UKRAINE

of May 21, 2007 No. 246

About approval of the Procedure for performing medical examinations of workers of certain categories

(as amended of the Order of the Ministry of Health of Ukraine of 14.02.2012 No. 107)

According to article 17 of the Law of Ukraine "About labor protection", being guided by the Regulations on the Ministry of Health of Ukraine approved by the Presidential decree of Ukraine of 13.04.2011 No. 467, I ORDER:

1. Approve the Procedure for performing medical examinations of workers of certain categories it (is applied).

2. To the deputy director of Department of the organization and development of medical care to Zhdanova M. P. population and director of the department of the state sanitary and epidemiological surveillance Ponomarenko A. M., to the Minister of Health of the Autonomous Republic of Crimea, chiefs of head departments and managements of health care of the regional, Kiev and Sevastopol city public administrations:

The paragraph two is excluded according to the Order of the Ministry of Health of Ukraine of 14.02.2012 No. 107

- to provide operational information about the course of accomplishment of the order and the Procedure for performing medical examinations of workers of certain categories annually to the Ministry of Health of Ukraine till March 1 in the established form.

3. To the deputy director of Department of the organization and development of medical care to Zhdanova M. P. population and director of the department of the state sanitary and epidemiological surveillance Ponomarenko A. M., to the Minister of Health of the Autonomous Republic of Crimea, chiefs of head departments and managements of health care of the regional, Kiev and Sevastopol city public administrations, heads of the institutions of health care subordinated to the Ministry of Health of Ukraine, and other central executive bodies, the chief state health officer of the Autonomous Republic of Crimea, the chief state health officers of areas, cities of Kiev and Sevastopol on water, rail, air transport, objects with specific mode of work, to directors of research institutions of hygienic profile of the Ministry of Health and AMN of Ukraine, rectors of the highest medical educational institutions and institutions of post-qualifying education of the Ministry of Health of Ukraine:

- accept to management and accomplishment approved by this order Procedure for Performing Medical Examinations of Workers of Certain Categories;

- provide the organization of training of doctors in modern methods of performing medical examinations.

4. To departments of the organization and development of medical care to the population (Zhdanov M. P.) and state sanitary and epidemiological surveillance (Ponomarenko A. M.) together with Institute of medicine of work of Academy of medical sciences of Ukraine, specialized treatment-and-prophylactic institutions which have the right to establish the diagnosis of rather occupational diseases, to organize training of chairmen of the commissions on performing medical examinations of workers, and also therapists concerning modern methods of performing medical examinations.

5. To department of the state sanitary and epidemiological surveillance (Ponomarenko A. M.) provide in accordance with the established procedure on state registration this order to the Ministry of Justice of Ukraine.

6. Declare invalid the order of the Ministry of Health of Ukraine of 31.03.94 N 45 "About approval of the Regulations on procedure for performing medical examinations of workers of certain categories", registered in the Ministry of Justice of Ukraine 21.06.94 for N 136/345 (with changes).

7. Recognize not applied in the territory of Ukraine appendices 1 and 2 to the order of the Ministry of Health of the USSR of September 29, 1989 N 555 "About enhancement of system of medical examinations of workers and drivers of individual vehicles" (with changes).

8. To impose control over the implementation of the order on the First Deputy Minister of Health of Ukraine, the chief state health officer of Ukraine Berezhnov S. P.

 

Minister Yu. O. Gaydayev

Approved by the Order of the Ministry of Health of Ukraine of May 21, 2007, No. 246

Procedure for performing medical examinations of workers of certain categories

I. General provisions

1.1. The procedure for performing medical examinations of workers of certain categories (further - the Procedure) developed in pursuance of article 17 of the Law of Ukraine "About labor protection" determines the procedure of carrying out preliminary (during acceptance for work) and periodic (during labor activity) medical examinations of the workers occupied on hard work, works with harmful or dangerous working conditions or such where there is need for professional selection, annual obligatory medical examination of persons aged till 21 year.

1.2. The procedure is intended for: the workers occupied on hard work, works with harmful or dangerous working conditions or such where there is need for professional selection, and persons aged till 21 year of the companies, organizations and organizations irrespective of patterns of ownership, type of economic activity and their branches, other separate divisions; physical persons - subjects of business activity who according to the legislation use wage labor (further - employers); persons providing themselves with work independently; institutions of the public sanitary and epidemiologic service; institutions of health care, the military-medical and relevant commissions of the ministries and other central executive bodies performing medical examinations of the workers, specialized institutions of health care having the right to establish the diagnosis of rather occupational diseases, departments and rates of occupational diseases of the highest medical educational institutions III-IV of levels of accreditation (further - health care institutions); working bodies of executive directorate of Social Insurance Fund from labor accidents and occupational diseases of Ukraine (further - working bodies of executive directorate of Fund).

1.3. Obligatory preliminary (during acceptance for work) and periodic (during labor activity) medical examinations are performed for the workers occupied on hard work, works with harmful or dangerous working conditions or such where there is need for professional selection, and annually for persons aged till 21 year.

1.4. Preliminary medical examination is performed during acceptance for work with the purpose:

- determinations of the state of health of the worker and registration of initial objective indicators of health and possibility of accomplishment without deterioration in the state of health of professional obligations in the conditions of action of specific harmful and dangerous factors of the production circle and labor process;

- detection of occupational diseases (poisonings) which arose earlier during the work on the previous productions and preventions it is production the caused and occupational diseases (poisonings).

1.5. Periodic medical examinations are performed on purpose:

- timely identification of early signs of sharp and chronic occupational diseases (poisonings), general it is also production the caused diseases at workers;

- ensuring dynamic observation of the state of health of workers in the conditions of action of harmful and dangerous production factors and labor process;

- solutions of question concerning possibility of the worker to continue work in the conditions of action of specific harmful and dangerous production factors and labor process;

- developments of individual and group treatment-and-prophylactic and rehabilitation actions to workers who are carried by results of medical examination to risk group;

- holding the relevant improving activities.

II. General requirements to carrying out preliminary and periodic medical examinations of workers

2.1. Preliminary (periodic) medical examination of workers is performed by health care institutions which are referred to the second, first, highest accreditation category by results of the state accreditation according to the Procedure for the state accreditation of institution of health care approved by the resolution of the Cabinet of Ministers of Ukraine of 15.07.97 No. 765, and also specialized institutions of health care which have the right to establish the final diagnosis of rather occupational diseases which list is approved by the order MZ of Ukraine of 25.03.2003 No. 133, registered in the Ministry of Justice of Ukraine 10.04.2003 for No. 283/7604, the highest medical educational institutions III-IV of levels of accreditation which have departments and rates of occupational diseases and conduct laboratory, functional and other researches and give medical and sanitary help on specialties, which are provided by appendices 4 and 5 to Item 2.6 of this Procedure.

2.2. Institutions of the public sanitary and epidemiologic service annually according to the request of the employer (his representative), with the assistance of the representative of primary trade-union organization or person authorized by workers determine employee categories which are subject preliminary (periodic) to medical examination and till December 1 draw up the Statement of determination of employee categories, subjects preliminary (periodic) to medical examination in the form specified in appendix 1.

2.3. Based on the Act of determination of employee categories, subjects preliminary (periodic) to medical examination, the employer constitutes within a month in four copies lists of names of workers which are subject to periodic medical examinations in the form specified in appendix 2 on paper and electronic carriers approves them in the sanitary and epidemiologic station. One copy of the list remains at the company (at medical examination of the official, responsible for the organization), third vtoroynapravlyatsya in health care institutions, - in institution of the public sanitary and epidemiologic service, the fourth - in working body of executive directorate of Fund.

2.4. For performing preliminary medical examination (periodic) workers the employer shall conclude or timely renew the agreement from institution of health care and provide it the list of workers who are subject preliminary (periodic) to medical examination.

During acceptance for work in case of transfer to other hard work, work with harmful or dangerous working conditions the employer shall issue the direction on obligatory preliminary medical examination of the worker (further - the direction) in the form specified in appendix 3.

2.5. The employer at the expense of own means provides the organization of performing medical examinations, expenses on profound physical examination of workers with suspicion on professional and is production the caused diseases and their medical rehabilitation, medical examination of workers of risk groups of development of occupational diseases.

2.6. Frequency of performing medical examinations, profession of the doctors who are taking part in their carrying out the list of the necessary laboratory, functional and other researches, medical contraindications of the admission to performance of works connected with influence of production factors are determined in the List of harmful and dangerous factors of the production circle and labor process during the work with which medical examination of workers is obligatory preliminary (periodic), given in appendix 4, and the List of works for which accomplishment medical examination of workers is obligatory preliminary (periodic) given in appendix 5.

2.7. Frequency of performing medical examinations in institutions of health care can change institution of the public sanitary and epidemic service, proceeding from specific sanitary and hygienic and epidemic situation, but at least once in two years.

2.8. Carrying out preliminary (periodic) medical examination is performed by the commission on performing medical examinations of institution of health care (further - the Commission). The commission is headed by the deputy chief physician or the person authorized by the chief physician having preparation on professional pathology.

The commission has the right to supplement types and amounts of necessary inspections and researches taking into account specifics of action of production factors and medical contraindications.

The therapist, doctors who had training on professional pathology are part of the Commission surely. In the absence of certain doctors specialists from others health care institution are involved in performing medical examinations on contractual basis. The commission provides carrying out necessary laboratory, functional and other researches.

2.9. Based on the list of workers who are subject to periodic medical examinations, institutions of health care are constituted by the schedule of their carrying out, approves it with the employer and institution of the public sanitary and epidemiologic service.

In the scheduled plan the terms of performing medical examinations, laboratory, functional and other researches and doctors involved to their carrying out are specified. Medical examination by doctors is carried out only with results of the specified researches.

2.10. For passing of medical examination the worker shows in the Commission the passport or other document proving his identity, and the Medical record of the outpatient in case of preliminary medical examination shows the direction issued by the employer in the established form.

2.11. Workers for whom are obligatory primary and periodic routine narcological inspections, shall provide the Commissions the certificate on passing of routine narcological inspection according to the resolution of the Cabinet of Ministers of Ukraine of 06.11.97 N 1238 "About obligatory routine narcological inspection and procedure for its carrying out" (with changes).

2.12. Workers for whom are obligatory preliminary and periodic psychiatric surveys, shall provide to the Commission performing medical examination, the certificate of passing of preliminary (periodic) psychiatric examination according to the Procedure for carrying out obligatory preliminary and periodic psychiatric examinations approved by the resolution of the Cabinet of Ministers of Ukraine of 27.09.2000 N 1465 (with changes).

2.13. The workers occupied at works which require professional selection shall provide to the Commission performing medical examination, the conclusion of psychophysiological examination.

2.14. Workers of vehicles have preliminary (periodic) medical examinations as the workers occupied on hard work, works with harmful or dangerous working conditions taking into account specifics of activities, harmful and dangerous factors of the production circle and labor process, except those which are subject to surveys according to the order of the Ministry of Health and the Ministry of Internal Affairs of Ukraine of 05.06.2000 N 124/345 "About approval of the Regulations on medical examination of candidates for drivers and transport drivers", registered in Ministry of Justice 18.07.2000 for N 435/4656.

2.15. Separate laboratory, functional and other researches which were conducted during stay of the worker in hospital or during cycle time of the worker behind medical care can be considered when performing medical examinations, but no more than in 3 months prior to performing medical examination.

In case of the solution of question of suitability to work of the specific worker in case of preliminary (during acceptance for work) medical examination the Commission is guided by the medical contraindications determined in the List of harmful and dangerous factors of the production circle and labor process during the work with which medical examination of workers, the List of works for which accomplishment medical examination of workers, the List of general medical contraindications to work with harmful and dangerous factors of the production circle and labor process given in appendix 6 is obligatory preliminary (periodic) is obligatory preliminary (periodic).

The suitability issue to work in each separate case is resolved individually taking into account features of functional condition of organism (nature, extent of manifestation of pathological process, availability of chronic diseases), working conditions and results of additional methods of inspection.

Each doctor who is taking part in inspection of the patient provides the conclusion about the states of health of the worker, confirms it with the personal signature and personal seal, participates in final discussion of suitability of the examined person to work in the chosen profession and in case of need determines medical and improving actions.

2.16. Results of preliminary medical examination (periodic) workers and the conclusion of the Commission about the state of health are brought in the Card of the worker who is subject preliminary (periodic) to medical examination (further - the worker's Card) in the form specified in appendix 7, and in the Medical card of the outpatient (the form 025/oh, approved by the order of the Ministry of Health of Ukraine of 27.12.99 N 302 "About approval of forms of the accounting statistical documentation used in polyclinics (out-patient clinics)").

In the Card of the worker claims of the worker to the state of health, the anamnesis, results of medical examination, laboratory, functional and other researches are specified, the diagnosis, the conclusion about professional suitability of the worker to work by the profession.

The card of the worker contains confidential information, is stored at institution of health care which performs medical examination based on the signed contract with the employer during labor activity of the worker, it is provided to the Commission during performing medical examinations.

Based on the worker's Card the Commission issues to the worker the medical certificate about passing of preliminary (periodic) medical examination of the worker in the form specified in appendix 8.

In case of change of place of employment the Card of the worker is issued to the worker under the signature for passing of medical examination on new place of employment.

The copy of the Card of the worker is stored in archive of institution of health care which performed medical examination based on the signed contract with the employer within 15 years after dismissal of the worker.

2.17. By results of periodic medical examinations (within a month after their termination) the Commission draws up the Final act by results of periodic medical examination of workers (further - the Final act) in the form specified in appendix 9, which is constituted in six copies - one copy remains in health care institutions, carrying out medical examination, others are presented to the employer, the representative of the trade-union organization or person authorized by workers, the pathologist, institution of the public sanitary and epidemiologic service, working body of executive directorate of Fund.

2.18. In case of need the Commission has the right to direct the worker with suspicion of disease, and also the worker with length of service more than 10 years to additional inspections, consultations and improving actions in specialized institutions of health care, on departments and rates of occupational diseases of the highest medical educational institutions and institutions of post-qualifying education.

2.19. If when performing periodic medical examination there are suspicions concerning availability at the worker of occupational disease, institutions of health care sends inquiry for creation of the sanitary and hygienic characteristic of working conditions of the worker in case of suspicion at it occupational disease (poisoning) to the public sanitary and epidemiologic service which serves the territory where there is company, according to Procedure for creation and requirements to the sanitary and hygienic characteristics of working conditions approved by the order of the Ministry of Health of Ukraine of 13.12.2004 of N 614, registered in the Ministry of Justice of Ukraine 23.02.2005 for N 260/10540, and also directs it in accordance with the established procedure to the pathologist of the city, area, area who sends the patient to the right specialized health care institutions, having to establish the diagnosis of rather occupational diseases.

2.20. Storage duration of the Final act of 5 years.

2.21. The employer keeps for the worker for medical examination passing place of employment (position) and average earnings and by results of medical examination informs the worker on opportunity (impossibility) to continue professional job.

2.22. Control of the organization of performing preliminary and periodic medical examinations is assigned to institutions of the state sanepidsluzhba, behind quality of performing medical examinations - to bodies of health care and specialized institutions of health care which have the right to establish the diagnosis of rather occupational diseases.

2.23. Research establishments of hygienic profile together with institutions of the state sanepidsluzhba carry out selective expert evaluation of medical examinations of workers of certain categories according to the fields of economy and the administrative territories determined by the order of the Ministry of Health of Ukraine and AMN of Ukraine of 08.05.2002 N 166/32 "About fixing to research institutions of hygienic profile of fields of economy and the administrative territories concerning occupational health and professional pathology" concerning occupational health and professional pathology.

2.24. Operational information by results of performing preliminary medical examination (periodic) workers occupied on hard work, works with harmful or dangerous working conditions on the form specified in appendix 10, is provided institutions of health care and institutions of the public sanitary and epidemiologic service in institutions of health care of the highest level on subordination - to the Minister of Health of the Autonomous Republic of Crimea, chiefs of head departments and managements of health care of the regional, Kiev and Sevastopol city public administrations, heads of the institutions of health care subordinated to the Ministry of Health of Ukraine, and also other central executive bodies, the chief state health officer of the Autonomous Republic of Crimea, the chief state health officers of areas, cities of Kiev and Sevastopol on water, rail, air transport, objects with specific mode of work, To the Ministry of Defence of Ukraine, the Ministry of Internal Affairs of Ukraine, Administration of the State Border Service of Ukraine, the Security Service of Ukraine, State department of Ukraine concerning execution of punishments and to the pathologist of the city, area, area.

2.25. Questions of investigation, accounting of occupational diseases, the indemnification put to health or the worker's life in case of accomplishment of labor obligations by it of determination of degree of disability, disability, provision of pensions in connection with occupational diseases are regulated by the current legislation of Ukraine.

2.26. The ministries, other central executive bodies can develop for the purpose of accounting of features of industry in coordination with the Ministry of Health of Ukraine industry regulations concerning performing medical examinations of workers of specific categories.

2.27. Results of medical examination can be appealed by the employer or the citizen in institutions of health care of the highest level or judicially.

III. Organization of performing medical examinations by the employer

Employer:

3.1. Organizes laboratory researches of working conditions with determination of harmful and dangerous factors of the production circle and labor process on specific workplaces of workers according to hygienic classification of work by indicators of harm and danger of factors of the production circle, weight and intensity of labor process for the purpose of determination of employee categories which are subject preliminary (periodic) to medical examination, and represents these data of the relevant sanitary and epidemiologic station.

3.2. Shall inform during execution of an employment agreement the worker under subscription on working conditions and on availability on its workplace of dangerous and harmful production factors which are not eliminated yet, about possible consequences of their influence on health and about the worker's rights to privileges and compensations for work in such conditions according to the legislation and the collective agreement.

Work which according to the medical certificate is contraindicated to it for health reasons cannot be offered the worker. Persons in the presence of the conclusion of psychophysiological examination are allowed to performance of works of the increased danger and that which require professional selection.

3.3. Approves the schedule of performing medical examinations of institution of health care.

3.4. Provides timely and organized appearance of workers on medical examinations and inspections.

3.5. Exercises control of performing medical examinations in the terms coordinated from health care institution appoints responsible persons for the organization of medical examination.

3.6. Discharges of work of the workers who did not have at the scheduled time medical examinations and does not allow to work of workers to whom according to the medical certificate such work is contraindicated for health reasons.

3.7. Provides holding the relevant improving activities of the Final act in full and removes the causes which lead to occupational diseases (poisonings).

3.8. Provides at own expense extraordinary medical examination of workers:

- according to the statement of the worker if he considers that deterioration in state of his health is connected with working conditions;

- on the initiative if the state of health of the worker does not give the chance to it to carry out the labor obligations.

3.9. Has the right in the procedure established by the legislation to involve the worker who evades from passing of obligatory medical examination, to disciplinary responsibility, and to discharge it of work non-paid.

3.10. Employs minors only after preliminary medical examination.

IV. Organization and performing medical examinations by treatment-and-prophylactic and sanitary and epidemiologic institutions

4.1. Health care institutions:

4.1.1. Sign the contract with the employer on performing preliminary medical examination (periodic) workers occupied on hard work, works with harmful or dangerous working conditions or such where there is need for professional selection, annual obligatory medical examination of persons aged till 21 year.

4.1.2. Issues the order on creation of the commission on performing medical examinations with determination of time, the place of their carrying out, the list of doctors, amounts of laboratory, functional and other researches according to the List of harmful and dangerous factors of the production circle and labor process and the List of works for which accomplishment medical examination of workers is obligatory preliminary (periodic).

4.1.3. Involves in performing medical examinations of doctors which have preparation on professional pathology and are acquainted with working conditions of workers, features of production and harmful factors of the production circle, their hygienic assessment and possible professional pathology on this site, in the shop, on production.

4.1.4. Determines improving actions (recommendations) as concerning each worker, and professional groups which enter: dynamic inspection and treatment, rehabilitation, dispensary supervision of the state of health of workers of risk groups of occupational diseases, temporary transfer for health reasons for other work, the direction on the medico-social commission of experts (MSCE), the military-medical commission (MMC), etc.

4.1.5. Makes the decision on professional suitability of the worker about what record in the worker's Card is made.

4.2. Specialized institutions of health care which have the right to establish the diagnosis of rather occupational diseases, departments and rates of occupational diseases of the highest medical educational institutions and institutions of post-qualifying education:

4.2.1. Develop:

a) regulating and methodical documents by the scientific and organizational principles of performing medical examinations and professional selection, examination of their quality and assessment of results;

b) criteria of determination of employee categories which are subject to medical examinations and professional selection;

c) medicobiological indicators and markers of development of occupational diseases (poisonings) and criteria of reference of diseases to it is production caused;

d) standards:

- prevention, early diagnostics and treatment of occupational diseases;

- medical rehabilitation of workers with risk of development of occupational diseases and patients with occupational disease;

?) methods:

- studying of the remote consequences of action on organism of harmful or dangerous factors of the production circle and labor process, examination of quality and assessment of results of medical examinations.

4.2.2. Conduct profound physical examination of workers in the direction of the chief specialist on professional pathology of the Autonomous Republic of Crimea, area, city for refining of the diagnosis, treatment, medical rehabilitation.

4.2.3. Carry out based on the signed contract with the employer medical examinations of employees of the companies with registration of results of the carried-out medical examinations according to certain procedure. Notify institutions of the state sanepidsluzhba on terms of performing medical examinations and their results.

4.2.4. By results of medical examinations perform medical examination of workers of risk group, and also with suspicion on occupational disease, their treatment and rehabilitation.

4.2.5. Carry out advanced training of specialists in professional pathology: training of pathologists, chairmen of the commissions on performing medical examinations of workers, therapists and doctors of other specialties who perform medical examinations concerning modern methods of performing medical examinations.

4.3. Institutions of the public sanitary and epidemiologic service:

4.3.1. Exercise control of timeliness and completeness of performing medical examinations.

4.3.2. Approve lists of workers which are subject to periodic medical examinations, and the schedule of performing medical examination of institution of health care.

4.3.3. Take part:

a) in acquaintance of doctors of institution of health care concerning features of working conditions and possible influence of harmful and dangerous factors of the production circle and labor process on workers;

b) in creation of the Final act of workers in the form established by Procedure;

c) in development of sanitary and anti-epidemic actions;

d) by results of medical examinations, on health care institution request, constitute the sanitary and hygienic characteristic of working conditions or the information certificate of working conditions of the worker in case of suspicion at it occupational disease (poisoning);

?) in expert evaluation of timeliness, completeness of quality of performing medical examinations, accomplishment of improving actions of the Final act together with the pathologist.

4.3.4. Within powers resolves issue of temporary suspension of medical examinations or administrative prosecution of employers and heads of institutions of health care according to the current legislation.

4.3.5. Provides to the employer and, in case of need, executive bodies and local self-government, to working body of executive directorate of Fund of the offer concerning prevention of occupational diseases (poisonings), improvement of working conditions.

 

Department director

developments of medical care

 

M. P. Zhdanova

Department director

state sanitarno

epidemiological surveillance

 

 

A. M. Ponomarenko

Appendix 1

to Item 2.2. Procedure for performing medical examinations of workers of certain categories

Act of determination of employee category, subjects preliminary (periodic) to medical examination

         ______________________________________________________
(наименование предприятия, ведомственная принадлежность)

от "____" _____________ 200_ г.

Врачом по гигиене труда ______________________________________________
(фамилия, имя, отчество)
______________________________________________________________________
(название заведения государственной санэпидслужбы)
при участии работодателя _____________________________________________
(фамилия, имя, отчество)
и представителя профсоюзной организации или уполномоченного
работниками лица _____________________________________________________
(фамилия, имя, отчество)
определены категории работников, которые подлежат предварительному
(периодическим) медицинскому осмотру в 200_ году.
--------------------------------------------------------------------------------------
| N |Название| Профессия | Количество | Название |Название работ | Количество |
|п/п| цеха |(должность)| работников | вредных и |и N пункта | лиц, |
| |(участ- | по ДК | по этой | опасных |и | подлежащих |
| |ка) | 003:2005 | профессии | факторов и |подпунктов | осмотру |
| | | |(только для |N пункта и |Перечня |(только для |
| | | |периодических| подпунктов |работ, для |периодических|
| | | | медицинских | Перечня |выполнения | медицинских |
| | | | осмотров) |вредных и |которых | осмотров) |
| | | | |опасных |является |-------------|
| | | | |факторов |обязательным |всего |в т. |
| | | | |производст- |предварительный| | ч. |
| | | | |венной среды |(периоди- | |женщин|
| | | | |и трудового |ческие) | | |
| | | | |процесса, |медицинский | | |
| | | | |при работе |осмотр | | |
| | | | |с которыми |работников | | |
| | | | |обязателен | | | |
| | | | |предварительный| | | |
| | | | |(периодические)| | | |
| | | | |медицинский | | | |
| | | | |осмотр | | | |
| | | | |работников | | | |
|---+--------+-----------+-------------+---------------+---------------+------+------|
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 |
|---+--------+-----------+-------------+---------------+---------------+------+------|
| | | | | | | | |
|------------------------------------------------------------------------------------|
|Всего |
-------------------------------------------------------------------------------------- Врач по гигиене труда __________ _____________________________
(подпись) (фамилия, имя, отчество)
МП

Работодатель __________ _____________________________
(подпись) (фамилия, имя, отчество)
МП

Представитель профсоюзной
организации
(уполномоченное лицо) __________ _____________________________
(подпись) (фамилия, имя, отчество)

Department director
developments of medical care                         

 

M. P. Zhdanova

Department director
state sanitary
epidemiological surveillance                     

 

 

A. M. Ponomarenko

Appendix 2

to Item 2.3. Procedure for performing medical examinations of workers of certain categories


                                     IT IS APPROVED
                                     Employer
                                     ____________________________
                                     (name of the company)
                                     ________ ___________________
                                     (signature)  (surname, name
                                                  and middle name)
                                             MEGAPIXEL
                                     Date _______________________
                                            (number, month, year)
        
                               LIST
     the workers who are subject to periodic medical examinations
       ________________________________________ in 200 __ to year
             (name of the company)

 
------------------------------------------------------------------------------------------------------------------------
|Табель-|Цех, |Фамилия,|Пол | Дата | Профес- | Стаж | Дата | Название |Название работ | Подлежит осмотру(1)|
|ный. |учас-| имя, |(м/ж)|и год | сия, |работы |послед-| вредных и | и N пункта | |
| N |ток | отче- | |рожде-|(должность)| в |него | опасных | и | |
| п/п | | ство | |ния | по ДК |данных |осмот- | факторов и | подпунктов | |
| | | | | | 003: |условиях| ра | N пункта и | Перечня | |
| | | | | | 2005 | | | подпунктов | работ, для | |
| | | | | | | | | Перечня | выполнения | |
| | | | | | | | |вредных и | которых | |
| | | | | | | | |опасных |является |--------------------|
| | | | | | | | |факторов |обязательным |врачей|лабораторные,|
| | | | | | | | |производственной|предварительный| | функцио- |
| | | | | | | | |среды и |(периодические)| | нальные и |
| | | | | | | | |трудового |медицинский | | другие |
| | | | | | | | |процесса, при |осмотр | |исследования |
| | | | | | | | |работе с |работников | | (указать, |
| | | | | | | | |которыми | | | какие) |
| | | | | | | | |обязателен | | | |
| | | | | | | | |предварительный | | | |
| | | | | | | | |(периодические) | | | |
| | | | | | | | |медицинский | | | |
| | | | | | | | |осмотр | | | |
| | | | | | | | |работников | | | |
|-------+-----+--------+-----+------+-----------+--------+-------+----------------+---------------+------+-------------|
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 |
|-------+-----+--------+-----+------+-----------+--------+-------+----------------+---------------+------+-------------|
| | | | | | | | | | | | |
------------------------------------------------------------------------------------------------------------------------
 
(1) Графы 11 и 12 заполняются  комиссией  заведения здравоохранения,  которая  проводит
медицинский осмотр.

Уполномоченное
работодателем лицо ____________ _____________________________
(подпись) (фамилия, имя, отчество)

Согласовано:

Врач по гигиене труда __________ _____________________________
(подпись) (фамилия, имя, отчество)

МП

Дата ____________________
(число, месяц, год)

Department director
developments of medical care

 

M. P. Zhdanov

Department director
state sanitary
epidemiological surveillance                              

A. M. Ponomarenko

Appendix 3

to Item 2.4. Procedure for performing medical examinations of workers of certain categories

The direction on obligatory preliminary medical examination of the worker

         
Фамилия ______________________________________________________________
Имя __________________________________________________________________
Отчество _____________________________________________________________
Год рождения _________________________________________________________
Избранная профессия (должность) по ДК 003:2005 _______________________
Характеристика условий труда:
______________________________________________________________________
Название вредных и опасных факторов и N пункта
и подпунктов Перечня вредных и опасных
факторов производственной среды и трудового процесса,
при работе с которыми обязателен предварительный (периодические)
медицинский осмотр работников
______________________________________________________________________
Название работ и N пункта и подпунктов Перечня работ,
для выполнения которых является обязательным предварительный
(периодические) медицинский осмотр работников
 Подпись уполномоченного
работодателем лица __________ ________________________
(подпись) (фамилия и инициалы)
 Дата ____________________
(число, месяц, год)

(обратная сторона)

УТВЕРЖДЕНО
Заместитель главного врача
по лечебной работе
__________ _________________
(подпись) (фамилия и
инициалы)
МП

Фамилия ______________________________________________________________
Имя __________________________________________________________________
Отчество _____________________________________________________________
Год рождения _________________________________________________________
Трудоустраивается по профессии (должности) ___________________________

Заключение медицинской комиссии

Пригоден (непригоден) к работе _______________________________________
(фамилия, имя, отчество)
по профессии по ДК 003:2005 __________________________________________
(перечислить факторы производственной среды)
в неблагоприятных условиях труда.

Врач-терапевт цехового (территориального,
больничного) участка _________ _____________________
(подпись) (фамилия и инициалы)
Личная печать

Заместитель главного врача
по лечебной работе _________ _____________________
(подпись) (фамилия и инициалы)

Печать заведения здравоохранения
Дата "____" _________________

Department director
developments of medical care                         

 

M. P. Zhdanova

Department director
state sanitary
epidemiological surveillance                     

 

 

A. M. Ponomarenko

Appendix 4

to Item 2.6. Procedure for performing medical examinations of workers of certain categories

The list of harmful and dangerous factors of the production circle and labor process during the work with which medical examination of workers is obligatory preliminary (periodic)

         
Общие положения:
1. В медицинских осмотрах обязательно участие терапевта;
специалисты другого медицинского профиля привлекаются в состав
медицинских комиссий с учетом характера действия вредных и опасных
факторов производственной среды и трудового процесса на состояние
здоровья работников.
2. Обязательно учитываются перечень общих медицинских
противопоказаний к работе с вредными и опасными факторами
производственной среды и трудового процесса, дополнительные
противопоказания в соответствии с конкретными производственными
факторами, приведенными в этом Перечне.
3. Работникам, которые подлежат предварительному (периодическим)
медицинскому осмотру, в обязательном порядке проводится: исследование
крови (Hb, лейкоциты, ШОЭ) и ЭКГ.
4. При предварительном медицинском осмотре обязательно проводится
рентгенография органов грудной клетки в прямой проекции, а при
периодическом - флюорография, за исключением пунктов этого приложения,
где указана обязательная рентгенография органов грудной клетки.
5. При проведении предварительного (периодических) медицинского
осмотра женщин осматривает акушер-гинеколог с проведением
бактериологического (на флору) и цитологического (на атипические
клетки) исследования. Сроки таких осмотров должны совпадать со сроками
периодических медицинских осмотров, но не реже 1 раза в год.
6. Вещества, которые определены в перечне значком "A", относятся
к аллергенам, значком "К", - к канцерогенам, значком "Р" - к
раздражающим, значком "Ф" - к тем, которые владеют фиброгенным
действием, значком "Н" - к тем, которые имеют наркотический эффект.
При необходимости уточнения отнесения конкретного химического вещества
к классу аллергенов и канцерогенов следует руководствоваться
гигиеническими нормативами - Перечень промышленных аллергенов,
утвержденный приказом Минздрава Украины от 02.03.2007 за N 99,
зарегистрированным в Минюсте 28.03.2007 за N 285/13552, и Перечень
веществ, продуктов, производственных процессов, бытовых и природных
факторов, канцерогенных для человека, утвержденный приказом Минздрава
Украины от 13.01.2006 за N 7, зарегистрированный в Минюсте 06.02.2006
за N 100/11974.
 
 -------------------------------------------------------------------------------------------------------------------------------------------------------------------
| N | Вредные и опасные факторы производственной среды | Периодичность | Профессия врачей, | Лабораторные, | Медицинские |
| п/п | и трудового процесса | осмотров в |принимающих участие| функциональные и | противопоказания |
| | |заведения здрав-| в медицинских | другие исследования | (в дополнение |
| | |оохранения | осмотрах | | к общим |
| | | | | | медицинским |
| | | | | | противопоказаниям) |
|----------+-------------------------------------------------------------+----------------+-------------------+-----------------------+---------------------------|
| 1 | 2 | 3 | 4 | 5 | 6 |
|-----------------------------------------------------------------------------------------------------------------------------------------------------------------|
|1. Химические вещества и их соединения и элементы |
|-----------------------------------------------------------------------------------------------------------------------------------------------------------------|
|1.1 |Неорганические соединения азота (аммиак, кислота азотная, |1 раз в 2 года |оториноларинголог |общий анализ |1. Распространенные |
| |азота окислы, азота диоксид (в перерасчете на NO ) | | |крови, |субатрофические |
| | 2 | | |ФОИ |изменения всех |
| |др.) | | | |отделов ВДП |
| | | | | |2. Гиперпластический |
| | | | | |ларингит |
| | | | | |3. Хронические |
| | | | | |заболевания |
| | | | | |бронхолегочной |
| | | | | |системы** |
|----------+-------------------------------------------------------------+----------------+-------------------+-----------------------+---------------------------|
|1.2 |Альдегиды алифатические (насыщенные, ненасыщенные) и |1 раз в год |оториноларинголог |общий анализ |1. Хронические |
| | А К | |невропатолог |крови, |заболевания |
| |ароматические (формальдегид , ацетальдегид, акролеин, | |дерматолог |ФОИ |бронхолегочной |
| |бензальдегид, фталевый альдегид и др.) | |онколог | |системы** |
| | | | | |2. Распространенные |
| | | | | |дистрофические |
| | | | | |расстройства ВДП |
| | | | | |3. Аллергические |
| | | | | |заболевания |
|----------+-------------------------------------------------------------+----------------+-------------------+-----------------------+---------------------------|
|1.3 |Альдегидов и кетонов галогенопроизводные |1 раз в 2 года |оториноларинголог |общий анализ |1. Хронические |
| |(хлорбензальдегид, фторацетон, хлорацетофенон и др.) | |дерматолог |крови, |заболевания |
| | | |офтальмолог |ФОИ |кожи |
| | | | | |2. Распространенные |
| | | | | |дистрофические |
| | | | | |расстройства ВДП |
| | | | |

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