Referral for a medical examination from the employer - form, sample. Referral for a medical examination from the employer - form, sample Purpose of a referral for a medical examination when applying for a job

Types of medical examinations, direction

Art. 212 of the Labor Code of the Russian Federation contains instructions that the employer’s administration in some cases is obliged to:

organize medical examinations, including at the request of the workers themselves;
do not allow employees to work who have not passed the mandatory medical commission, as well as if they have medical restrictions.

These provisions indicate that a referral form for a medical examination must be issued to a future employee before signing an employment agreement with him. This fact in itself does not prove that the employee has been hired for the specified position or that an agreement will be signed with him.

Moreover, if it is discovered that the candidate is not suitable for the position due to health reasons, based on the corresponding conclusion, he will be denied employment, as stated in Part 3 of Art. 84 Labor Code of the Russian Federation.

Art. 213 of the Labor Code of the Russian Federation establishes several types of medical examinations:

Preliminary, that is, before employment.
Periodic, that is, mandatory after a certain period. Details in our article Periodic medical examination of enterprise employees.
Extraordinary (unscheduled), that is, established for a separate category of employees.

Pre-employment medical examination, form

Under the terms of Art. 213 of the Labor Code of the Russian Federation, citizens applying for a job with harmful or dangerous working conditions or related to transport, work in the food industry, education, must undergo a preliminary medical examination.

This provision is specified by the following regulations:

Federal Law “On the Quality and Safety of Food Products” dated January 2, 2000 No. 29-FZ.
“List of harmful and dangerous production facilities...”, approved by order of the Ministry of Health and Social Development of Russia dated April 12, 2011 No. 302n.
“List of workers in certain professions... who undergo mandatory medical examination to detect HIV infection...”, approved by Decree of the Government of the Russian Federation dated September 4, 1995 No. 877.

In addition, this type of examination must also be carried out by persons under 18 years of age upon employment (Article 69 of the Labor Code of the Russian Federation).

IMPORTANT! Special rule, part 5, art. 214 of the Labor Code of the Russian Federation obliges all workers under 18 years of age to undergo a medical examination of this type, regardless of their field of activity.

All types of medical research are carried out at the expense of the employer (Part 12 of Article 212 of the Labor Code of the Russian Federation) on the basis of a referral form issued by him. If the employee subsequently refuses to sign an employment contract, the employer may not pay for the medical examination (Question No. 4 of the Review of Current Issues for August).

How to fill out the referral form for a medical examination?

A medical examination upon employment at the initiative of the employer's administration is carried out on the basis of a referral issued by it (clause 7 of the Procedure for conducting mandatory preliminary (upon employment) and periodic medical examinations (examinations) of employees, approved by order of the Ministry of Health and Social Development of Russia dated April 12, 2011 No. 302n) .

Clause 8 of the Procedure contains a list of data that must be entered into the referral form:

Company details, namely:

Name of the organization;
form of ownership;
activity code in accordance with OKVED.

Details of the medical institution, namely:

name of the institution;
address;
OGRN code.

A link to what type of medical examination a person needs to undergo.
Data about the citizen, namely:

last name, first name, patronymic in strict accordance with the documents provided;
Date of Birth;
the name of the structural unit in which the work is expected;
proposed position.

A list of negative factors and types of work for which the employee is sent for examination.

The specified referral form is signed by an authorized person of the employer.

The direction to the future employee is issued against signature; In this case, the enterprise is obliged to keep records of issued forms.

For some categories of citizens seeking employment, a medical examination is required. A medical examination from the enterprise is carried out only on the basis of an issued referral. This document must include information about the employee himself, the nature of the upcoming work and the planned position, as well as a list of negative (harmful) factors, according to which the commission is necessary.

Employees engaged in certain types of activities or holding certain positions must undergo mandatory medical examinations (Article 213 of the Labor Code of the Russian Federation). There are medical examinations (Part 2 of Article 46 of the Law of November 21, 2011 N 323-FZ):

preliminary, carried out before signing an employment contract with the applicant. They must be passed by persons who will work in the catering sector, in children's, medical institutions, etc. (clause 1 of article 23 of the Law of January 2, 2000 N 29-FZ, clause 19.1 SanPiN 2.4.1.3049-13, clause 2.8 .7 SanPiN 2.4.3.1186-03, clause 15.1 SanPiN 2.1.3.2630-10);
periodic, carried out during the work of employees in order to identify medical contraindications to work and occupational diseases. They are mandatory primarily for persons employed in jobs with harmful and/or dangerous working conditions (clause 1 of the Order of the Ministry of Health and Social Development of April 12, 2011 N 302n, hereinafter referred to as the Order);
pre-shift (pre-trip) and post-shift (post-trip).

Preliminary and periodic medical examinations require the employee to undergo an examination at a medical organization licensed to provide such services. If the employer has an agreement with such an organization, then he must issue a referral to the employee for a medical examination (clause 7.24 of the Procedure to the Order).

Let us remind you that the employer must pay for the mandatory medical examination of the employee at his own expense (Article 213 of the Labor Code of the Russian Federation). And if the employee pays for his own medical examination, the employer will have to reimburse him for these expenses.

Referral for a medical examination of an employee: sample

There is no approved referral form. Therefore, the employer has the right to compose it arbitrarily, but at the same time reflecting the main details. Namely:

name of the employer, its form of ownership, type of activity according to OKVED;
name of the medical organization, actual address of its location, OGRN code;
type of medical examination (periodic or preliminary);
Full name, date of birth of the employee (applicant);
structural unit (department, workshop, etc.) where the employee (applicant) will directly work. To be specified if available;
position, profession or type of work performed by the employee (applicant);
harmful and/or dangerous production factors, as well as the type of work in accordance with the contingent of workers approved by the employer, subject to preliminary or periodic inspections. Also indicated if available (

Referral for a medical examination from the employernecessary so that the employee can undergo mandatory or periodic medical examinations. You will learn how to fill out a referral and where to find a sample from our article.

The purpose of a referral for a medical examination when applying for a job

In accordance with Art. 212 of the Labor Code of the Russian Federation, the employer has the right not to allow employees to work if they have not passed a mandatory medical examination. Art. 213 of the Labor Code of the Russian Federation establishes the obligation to undergo a preliminary medical examination (before employment) for employees who, in the course of their activities, will be associated with:

hazardous production;
harmful working conditions;
traffic movement.

Read about what factors determine the harmfulness and danger of working conditions in the article “Dangerous and harmful production factors (list)” .

Periodic medical examinations (usually annual) are carried out by persons under 21 years of age, as well as other employees in order to prevent the development of occupational diseases. There are also categories of employees who must undergo periodic medical examinations before each time they go to work, for example, drivers.

Results

The obligatory medical examination for employees is established in Art. 213 Labor Code of the Russian Federation. If an employee does not pass a medical examination (or refuses to undergo it), the employer has the right not to allow him to work.

There are mandatory preliminary and periodic medical examinations. The list of harmful production factors, the presence of which requires a medical examination, is contained in Order No. 302n.

To undergo a medical examination, an employee (including those just starting a job) is given a referral. With this referral, the employee applies to the medical institution indicated by the employer. Based on the results of the examination, he is given a medical report.

Referral for a medical examination from the employer - sample design is attached to the article. A referral is a necessary and frequently used document for a number of organizations. The material offered to the reader will tell in detail about the cases, procedure and features of its design.

Legislation on medical examinations (Order 302 of the Ministry of Health), a log of the issuance of referrals

According to the requirements of Article 212 of the Labor Code, an employee in the cases listed in the Labor Code of the Russian Federation is required to undergo preliminary, that is, upon entering work, as well as periodic (usually annual) medical examinations. Accordingly, the administration of the organization is obliged to provide the employee with such an opportunity at its own expense.

The list of workers subject to this requirement is specified in Article 213 of the Labor Code of the Russian Federation.

These include:

working in harmful and dangerous conditions;
ensuring traffic movement;
employees of kindergartens, schools, clinics, other children's and medical institutions, as well as workers engaged in the field of catering, trade and food production.

In more detail, the issues of undergoing medical examinations are regulated by the order of the Ministry of Health of the Russian Federation “On approval...” dated April 12, 2011 No. 302n, which is the basic document in this area.

Referrals for medical examination

In accordance with paragraph 7 of the Procedure, approved by the indicated order of the Ministry of Health (Appendix No. 3), upon entering a job, a person must be given a documented referral to a medical institution. Let us note that the terms for issuing this referral are not determined by the Procedure, however, according to Article 212 of the Labor Code of the Russian Federation, the administration of the organization has no right to allow an employee to work without undergoing a medical examination (if it is mandatory for this work).

The issuance of a referral, in accordance with paragraph 8 of the Procedure, must be made against the signature of the citizen being hired.

As for periodic examinations, they are carried out according to a schedule that is agreed upon by the administration of the organization with the medical institution, as indicated by paragraph 25 of the Procedure. At the same time, paragraph 24 of the Procedure obliges the administration of the organization to also issue a referral to an employee sent for a regular medical examination against receipt.

The referral form is universal in both cases, and the requirements for filling it out are listed in paragraph 8 of the Procedure. Please note that there is no unified referral form approved by law.

sample

Clause 8 of the Procedure we mentioned obliges the administration of the organization to also keep records of the issuance of referrals, which requires the establishment of a special journal. Since the form of the journal is not officially approved, you can use the following design option:

Logbook for issuing directions

Lastochka LLC

Started ___________________

Finished______________

Don't know your rights?

Referral form for medical examination, form used (completed), which can be downloaded

Since a unified form of the form is not provided for by Russian legislation, in practice the established version of the referral is used.

Filled sample form referrals for a medical examination from the employer looks like this: LINK

The direction must indicate, in accordance with paragraph 8 of the Procedure:

information about the sending organization (name, form of ownership, activity code according to OKVED and OGRN);
information about the organization where the employee is sent (name, address, OGRN code);
type of inspection;
information about the employee (initials, year of birth, position, department where the employee works);
a list of harmful or dangerous factors that may affect an employee when performing his duties.
details of the employee authorized to issue referrals (initials, position), as well as his signature.

If an employee is employed in hazardous industries, then when preparing a referral it is also necessary to focus on Appendices No. 1 and 2 to the aforementioned Order of the Ministry of Health No. 302, which contain lists of harmful factors, and also indicate the types of harmful (hazardous) work and requirements for the frequency of inspections during their implementation.

To summarize, we note that, despite the absence of an approved referral form, practice has developed an established and easy-to-fill out form in which the personal data of the employee and the organization must be entered. Since such a direction is drawn up regularly, when filling it out again, it is only necessary to make the appropriate adjustments, which significantly simplifies the activities of practitioners.

Every forward-thinking employer should ensure that its employees undergo medical examinations. Current legislation establishes a list of types of activities for which employees are required to undergo it at a certain frequency. At the same time, the organization is responsible for the timeliness of this procedure, so the personnel department must know by heart what documents to draw up and what legal norms to follow.

In accordance with labor legislation and Order of the Ministry of Health and Social Development dated April 12, 2011 No. 302n, employers are required to conduct preliminary (before hiring) and periodic medical examinations, and sometimes pre-shift and post-shift examinations. All of them are carried out at the expense of the employer, and the employee retains his average monthly salary for the period of the examination.

Periodic inspections are carried out to:

identify early a disease that makes an employee unsuitable for this type of work;
track the dynamics of changes in health status;
recognize the development of occupational diseases and reduce their consequences to a minimum.

Who should undergo periodic medical examination

Categories of workers who must undergo it without fail are provided Article 213 of the Labor Code of the Russian Federation and the above-mentioned Order. However, this does not prevent representatives of any profession from being sent for examination if an agreement has been reached on this matter between management and the team.

So, current legislation obliges people who work to undergo regular medical examinations:

in harmful and dangerous production;
for steeplejack, high-altitude work;
in transport (drivers, machinists, etc.);
in the field of catering;
in the field of education and child care institutions;
in medical and sanitary institutions (this also includes spas, baths, saunas and laundries);
in hairdressing and beauty salons;
at pharmaceutical enterprises;
in the cleaning service;
in the field of water supply;
at livestock enterprises and poultry farms.

Employees who have not reached the age of 21 must be added to the list. This category of workers must undergo a medical examination annually, the rest - at least once every 1-2 years. The frequency depends on the working conditions and production environment and is specified in detail in Appendix No. 1 to the Order.

Before sending people for a medical examination, the employer must correctly complete the referral for each employee. It contains all the information necessary for a medical organization (working conditions, risk factors and hazardous production, etc.), according to which members of the commission will be able to select criteria for assessing the health status of workers and make a decision about their ability to continue working.

Sample: referral for periodic medical examination

The employer independently develops a referral for periodic medical examination. The form of this document is not contained in the Order, however, there are certain recommendations (clause 8 of Appendix No. 3 to the Order), according to which it should contain the following information:

name of the organization, form of ownership, OKVED;
name of the medical institution, its details and contacts;
type of medical examination;
Full name of the employee;
date of his birth;
the department (shop) in which he works;
type of work/position/profession/experience;
previous professions and work experience in other positions;
harmful and dangerous production factors.

The finished direction may look like this.

The direction is drawn up and signed by an authorized person and issued to the employee against signature. From this moment on, the employee is responsible for timely completion of mandatory periodic medical examinations. During the medical examination, the medical commission takes the employee’s referral and attaches it to its documentation.

Sample order for referral for periodic medical examination

This is a mandatory document that contains the basic information necessary to organize a medical examination. As a rule, the initiator of issuing an order is the employee responsible for compliance with labor protection rules at the enterprise.

The order must indicate the following information:

Name of the organization;
date and order number;
reference to regulations;
a medical organization that will conduct a medical examination;
examination schedule;
the person responsible for conducting the medical examination;
an indication of the duty of the responsible specialist to familiarize the personnel with the order;
list of employees subject to periodic medical examination.

The order might look like this:

In accordance with standard office rules, the order is issued on the organization’s letterhead.

Which doctors should I see?

Your company can choose any medical institution - both public and private. The main thing is that it has a license to conduct medical examinations and has the necessary specialists.

So, regardless of specialty, each employee must be examined by a therapist, psychiatrist and narcologist. If the work activity has any specifics, then an ophthalmologist, neurologist, dermatologist, allergist can be involved in the medical commission - the list is not exhaustive.

The procedure for conducting medical examinations of enterprise employees

Compiling a list of employees who must undergo a medical examination. Within 10 days it must be sent by registered mail with notification to the territorial body of Rospotrebnadzor (in the notification procedure, approval is not required).
Concluding an appropriate agreement with a medical institution, agreeing on a schedule and deadlines.
Issuing an Order to conduct a medical examination and familiarizing staff with it.
Issuing referrals for medical examinations.
Collection of signed and sealed reports with the results of the medical examination. The conclusion is signed in two copies - one of them is given to the employee, the other remains in the institution that conducted the medical examination.
Within a month, the medical center, together with representatives of the employer and the sanitary and epidemiological service, draws up a final act. After it is approved by the chairman of the medical commission, the act is drawn up in four copies, one of which remains in the medical institution, and the others are sent to the employer, to the territorial body of Rospotrebnadzor and to the center of occupational pathology to replenish statistical data.
The results of preliminary and periodic medical examinations are recorded in the employee’s personal medical record.