Which list does the X-ray technician belong to? ​X-ray room workers lost extra pay and milk for harmful working conditions. Lidiya Mitusova, x-ray technician

1. How long do you need to work as an X-ray technician to qualify for an occupational pension?

1.1. Dear Svetlana
According to Law 400 On Insurance Pensions, Article 30, List N1, 10 years for a man and 7.5 for a woman need to work and have insurance experience

Article 30. Retention of the right to early assignment of an insurance pension

1. An old-age insurance pension is assigned before reaching the age established by Article 8 of this Federal Law, if there is an individual pension coefficient of at least 30 to the following persons:
1) men upon reaching the age of 50 years and women upon reaching the age of 45 years, if they have worked, respectively, for at least 10 years and 7 years 6 months in underground work, in work with hazardous working conditions and in hot shops and have an insurance record of at least 20 years and 15 years. If these persons have worked in the listed jobs for at least half of the period established above and have the required length of insurance experience, an insurance pension is assigned to them with a reduction in the age established by Article 8 of this Federal Law by one year for each full year of such work - for men and women;
Good luck and all the best.

1.2. Good afternoon Work experience according to the second list of hazards (in this case, an x-ray technician) must be at least 10 years, then there will be an opportunity to retire at 50 years old. All the best!

2. Why were X-ray technicians deprived of their hazard pay and additional leave?

2.1. Good day!
The presence of hazardous working conditions at each workplace is confirmed by the results of a special assessment of working conditions (SAL). Based on its results, the employer is given recommendations on how to compensate for hazardous work conditions. If there are no harmful factors in the workplace, then compensation measures are not required. Check out the results of the SAS of your workplace with your employer and everything will become clear.
Good luck and all the best to you!

3. Until January 1, 2014, the x-ray technician’s workplace certification had a hazard class of 3.2 for the light environment. On this basis, they paid an additional tariff to the pension fund and had the right to retire early List No. 1 post. Cabinet of Ministers of the USSR dated January 26, 1991 No. 10. Having completed the action plan to improve the light environment, we carry out SOUT in December 2014 and on this basis, from January 1, 2015, class 2 is established according to SOUT. In this regard, from January 1, 2015 we stop paying an additional tariff to the pension fund and compensation for benefits . For x-ray technicians at the clinic. Question; Should we pay an additional tariff to the pension fund if the class is 2 SOUT. and whether list No. 1 of January 26, 1991 No. 10 of the Resolution of the Cabinet of Ministers of the USSR is valid.

3.1. The lists are applied in accordance with Article 30 No. 400-FZ in the manner established by the PP dated July 16, 2014 No. 665.

4. How should radiologists and x-ray technicians be paid for tuberculosis-related work correctly when serving tuberculosis patients in a district hospital: is the work rate summed up (the tuberculosis rate is subtracted from the total number of hours worked for X-rays) or is payment for each injury separately in the full amount of time worked?

4.1. Hello. This is established by the collective agreement,

5. Is an X-ray technician working at 0.5 rate entitled to milk for harmfulness?

5.1. Hello!
yes, it's supposed to

6. If an X-ray technician is deprived of his duty and additional leave, does he have the right to a preferential pension?

6.1. Hello! For the period when the harmfulness was removed, it does not. If the grace period is exhausted, the pension will be provided ahead of schedule.

7. On what basis was the radiographer removed from harm and denied additional leave? I have been working as a laboratory assistant for 36 years...

7.1. Hello! Write a complaint to the prosecutor's office on the basis of Art. 10 of the Federal Law “On the Prosecutor’s Office of the Russian Federation”, it is possible on the Internet through the website of the prosecutor’s office. In your complaint, please include this information about the violation of your rights. Be sure to include your last name, first name, patronymic, address and contact information. It is not necessary to indicate specific articles of the law. The appeal is made in writing addressed to the prosecutor. Please attach relevant documents (if any) and evidence to your complaint.

7.2. Write a complaint to the labor inspectorate, attach a copy of the employment contract and work record book

7.3. Check with the employer for the reasons; perhaps, based on the results of a special assessment, the harmfulness has been removed

8. I work in a private clinic as an x-ray technician; the clinic does not pay to the pension fund for harmful and harmful work experience. Can I go to court for the restoration of harmful work experience?

8.1. Good afternoon you need to be forced through the court to make deductions

9. I work in a hospital as an x-ray technician. From January 1, 2015, we are removing harmfulness. Is this legal?

9.1. You can appeal this withdrawal. Depending on what act it is removed

10. I work as an x-ray technician. Payments for harmful activities have been cancelled. Is it legal? Give links.

10.1. Hello! see Regulations on remuneration for the institution.

11. I work as an x-ray technician in X-ray. Assigned hazard class 3.1. Removed additional. vacation, milk and increased working hours. Is this legal? If not, where should I go?

11.1. Hello. No, it's illegal. You can file a complaint with the prosecutor's office or the State Inspectorate

12. In 2012, 15% of the harmful effects were removed from the X-ray laboratory technicians at FGUZ KB-51, where they did not write the truth. There is only one answer: Figure it out on the spot. The city is small, there are no lawyers for our problem. Can't we return anything? Help! Where should i write?

12.1. file a complaint with the prosecutor's office.
Application procedure: according to the instructions of Gen. Prosecutor's office:

A written appeal from a citizen, official or other person must necessarily contain either the name of the body to which the appeal is sent, or the last name, first name, patronymic of the relevant official, or his position, as well as the last name, first name, patronymic (the latter - if available) of the citizen who sent the appeal, the postal address to which the response or notification of forwarding of the appeal should be sent, a statement of the essence of the issue, the personal signature of the specified citizen and the date.

If necessary, in support of his arguments, the citizen attaches documents and materials or copies thereof to the written appeal.

If the written appeal does not indicate the name of the citizen who sent the appeal or the address to which the response should be sent, a response to the appeal is not given.

Appeals from citizens, military personnel and members of their families, officials and other persons are resolved within 30 days from the date of their registration with the prosecutor's office of the Russian Federation, and those that do not require additional study and verification - within 15 days, unless otherwise provided by federal legislation.

If the established period for resolving an appeal expires on a weekend or holiday, the last day of resolution is considered to be the next working day.

13. I heard that X-ray technicians working in the area of ​​ionizing radiation will remove the harmful effects, is that true?

13.1. There was no such document.

GOOD LUCK TO YOU

14. Tell me, can the benefits and harm to an x-ray technician be cancelled?

14.1. Dear Olga Viktorovna!
Please clarify the question.

21.01.2018 14:41:00

In many cases, diagnostic and medical equipment and treatment methods used in healthcare settings can harm the health of the healthcare worker. Therefore, it is necessary to observe hygienic standards and precautions to control exposure to adverse factors.

In many cases, diagnostic and medical equipment and treatment methods used in healthcare settings can harm the health of the healthcare worker. Therefore, it is necessary to observe hygienic standards and precautions to control exposure to adverse factors. Research conducted in many Russian medical institutions has revealed that working conditions in many workplaces are not optimal and can cause health problems for medical and support staff and, sometimes, lead to occupational diseases. Among the physical factors that can have a significant impact on the health of medical personnel in the Russian Federation, ionizing radiation ranks first.

Tens of thousands of Russian doctors are exposed to ionizing radiation at work. In the past, special laws have been passed to limit the doses and levels of radiation at which professionals can work for long periods of time without risk to health. In recent years, the use of X-ray monitoring techniques has expanded to include not only radiologists, but also surgeons, anesthesiologists, traumatologists, rehabilitation specialists and mid-level personnel. Radiation levels in the workplace and the X-ray doses received by these individuals are sometimes even higher than those received by radiologists and radiology technicians.

As you know, working in X-ray rooms is associated with harmful production factors. The most dangerous of them is x-ray radiation, therefore radiation protection of office personnel is one of the main conditions for safety and health protection of workers when conducting x-ray examinations. X-rays, like other types of ionizing radiation, have a pronounced biological property. The first effect of the interaction of gamma quanta with the tissues of the human body is the occurrence of excitation, that is, the ionization of atoms and molecules, followed by rapidly developing biochemical reactions in the somatic and genetic direction. At high single and total doses, irreversible changes can occur in individual organs and in the body as a whole.

Persons working in X-ray rooms need to correctly assess the radiation situation in the room and, first of all, know the qualitative and sometimes quantitative characteristics of the radiation. Currently, “Radiation Safety Standards” are in force, regulating the conditions for the safe work of office personnel and allowing for effective monitoring of the radiation situation in medical institutions.

Currently, radiation diagnostic methods are in demand more than ever. Their undisputed leader is x-ray diagnostics. Moreover, it accounts for more than 99% of the total medical dose or almost 1/3 of the total radiation dose to the population.

For Russia, this contribution, taking into account all related factors, is about 1.0 mSv per year per inhabitant. These data are not surprising, given that in our country there is more than 1 x-ray examination per year per person - this is one of the highest rates in the world. At the same time, the intensive path of development of domestic radiation diagnostics is in no way connected with its quality level. Indeed, in the Russian Federation in general and in Moscow in particular, it is higher than, for example, in European countries, where there are only 0.5 x-ray examinations per person per year with the highest technological level of patient care.

According to radiation-hygienic passports for the territory of Moscow, the average individual effective dose to city residents as a result of medical X-ray examinations is 1.1 mSv, and its contribution to the total dose is 37%. It should be noted that these dose values ​​are obtained by estimation (based on statistical form No. 30), and not as a result of measurements. It is possible that in reality they are much higher. The problem, in fact, is that in Russia (including in the capital), firstly, there is a high percentage of unfounded studies, and secondly, a significant part of X-ray studies are preventive examinations. However, unfortunately, most of them do not provide useful diagnostic information and amount only to unnecessary exposure of patients and personnel.

X-ray diagnostic procedures are aimed at establishing or clarifying the diagnosis and monitoring treatment. However, radiation doses often turn out to be unreasonably high, which raises doubts about the predominance of benefits over harm when conducting such studies.

The main goal is to reduce the medical radiation dose to patients and personnel. This can be done by technically re-equipping radiology departments and increasing the professionalism of staff. Of course, modern means of protection and regulatory documentation must be developed and implemented.

A large role in solving the problem is given to the personnel of the radiology departments. For a high-quality examination with minimal radiation, which guarantees against defects and forced repeated examinations, a good knowledge of the equipment used, the correct choice of research modes, strict adherence to the recommendations for patient placement and the methodology for his protection, etc. are required.

HARMFUL EFFECTS OF IONIZING RADIATION

The harmful effects of radiation on the body of living beings have been known almost since the beginning of its use in medicine (1895, X-ray of the hand of K. Roentgen’s wife). In 1896, the French researcher A. Becquerel discovered the radiation of natural radionuclides (alpha and beta particles, gamma rays), and he was one of the first to suffer from radiation. In April 1902, Becquerel, at the request of Pierre Curie, prepared a preparation of radium to demonstrate its properties at a conference. The scientist put a glass tube with the drug in his vest pocket, where it remained for almost 6 hours. After 10 days, erythema appeared on the skin under the pocket, and after a few days an ulcer formed, which did not heal for a long time.

Of course, employees of X-ray rooms receive a dose of radiation when conducting research, and the greater the more they are carried out. Numerous data on this issue show that currently, on average, a radiologist receives an annual occupational dose of 0.5 mSv, which is tens of times lower than established limits and does not create any noticeable individual risk. However, sometimes the radiation doses to personnel can approach the limiting values ​​if the radiologist works in close proximity to the radiation beam in the transmission mode, for example, during special studies.

Among medical workers, in addition to employees of X-ray rooms and radiological laboratories, some categories of surgeons - specialists in X-ray surgical teams - urologists, traumatologists, anesthesiologists, etc., are also most susceptible to the effects of ionizing radiation. If procedures are frequently performed, in which X-ray monitoring is related to the nature of the surgical intervention, radiation doses may exceed permissible limits. Basic radiation dose limits have been established for the body as a whole or individual organs, focused on certain contingents and professional groups of workers.

Dosimeters used for personal monitoring

The biological effect of ionizing radiation is primarily determined by the magnitude of the absorbed dose and is most noticeably manifested in actively proliferating tissues (lymphoid, hematopoietic, etc.); it corresponds to the rate and severity of changes, for example, in peripheral blood parameters, widely used in the diagnosis and prognosis of radiation sickness.

Radiation sickness is a fairly rare manifestation of exposure to ionizing radiation in medical workers. As our practice shows, these are the consequences of insufficiently regulated working conditions in the post-war years, when experience in the field of radiation hygiene and radiation safety was still accumulating, and health workers did not know the means of protection against the harmful effects of radiation. With a long-term formation of a general threshold dose comparable in time to the duration of professional activity, as well as when a certain dose level is reached, chronic radiation sickness may develop.

Chronic radiation sickness is a multi-organ pathology characterized by a duration and wave-like course with manifestations of radiation damage to the body and its regenerative and adaptive reactions. For medical workers, when in contact with X-ray diagnostic therapeutic equipment, the likelihood of pathological effects of X-ray and gamma radiation increases in cases of poor tube protection, neglect of personal protective equipment, their wear and tear, or insufficient isolation of personnel.

The clinic of chronic radiation sickness is characterized by a certain sequence of development of pathological symptoms and syndromes. In the preclinical period, individual signs of radiation exposure may appear: asthenic manifestations, unstable leukocytopenia, instability of blood pressure. Dynamic observation (possible only when removed from working with radiation) makes it possible to clarify the nature of the changes being detected.

An objective examination reveals signs of hemorrhagic syndrome, necrotic processes in the oral cavity (radiation stomatitis), loosening and loss of teeth. From the cardiovascular system, myocardial dystrophy, hypotension, arrhythmias, and heart failure are determined. Changes in the nervous system manifest themselves in the form of encephalopathy or toxic encephalitis syndromes, ataxia, and vestibular disorders. Protein, fat, carbohydrate, and mineral metabolism are disrupted. Blood tests reveal pronounced persistent leukopenia, lymphopenia, thrombocytopenia, anemia, and an increase in ESR. On the part of the blood cells, pronounced degenerative changes are observed, in the bone marrow there is a sharp hypoplasia with a pronounced delay in the maturation of bone marrow elements, cell decay and pathological mitosis. The outcome of the disease is complete bone marrow aplasia. A prerequisite for effective therapy and a favorable prognosis for the lives of patients is to stop working with radiation sources. The Bureau of Medical and Social Expertise (hereinafter referred to as ITU) establishes for such patients the percentage of loss of professional ability and compensation for additional expenses (for treatment, including sanatorium-resort treatment, additional food, etc.).

Occupational cancer was first described in 1775 by the English physician Pott - skin cancer of chimney sweeps. According to the etiological classification professional developments , medical workers are most likely to develop skin tumors and leukemia that develop as a result of exposure to physical factors of various types of radiation: X-rays, radium and radioactive isotopes.
Occupational neoplasms do not have any specific clinical symptoms, although when deciding on the occupational origin of the disease, the following factors must be taken into account:

- selectivity of damage by one or another carcinogen, the presence of so-called target organs, for example, skin in radiologists (skin cancer in radiologists);
- sufficiently long exposure to an occupational carcinogen;
- the presence of background and precancerous diseases;
- the development of squamous cell carcinoma according to histological structure is often observed;
- Sometimes there is a long latent period for the development of occupational tumors, which significantly complicates their diagnosis, since during this time (sometimes decades) the working conditions and professional activities of the patient can change significantly.

During work, neoplasms in medical workers can develop as a result of the direct effect of a carcinogen on tissue (skin cancer due to radiation), or through exposure to neuroendocrine organs and the immune system. Of great importance in this case is the degree of sensitivity of a particular tissue to the action of a carcinogenic factor, for example, hematopoietic tissue to radiation.

The incidence of malignant neoplasms caused by oncogenic production factors is about 5% of all human malignant tumors. Skin cancer can develop in medical workers if the rules of radiation protection are not followed. Skin tumors can occur both from exposure to X-rays and from contact with radioactive compounds. The disease manifests itself in the form of hyperkeratosis, epithelioma, papillomas, leukokeratosis, and cancer. The tumor occurs on the skin of the hands, mainly on the fingers. The development of cancer is preceded by chronic dermatitis, characterized by hyperkeratosis on the palms with the subsequent appearance of cracks, areas of atrophy, hyper- and depigmentation, hair loss, and brittle nails. Sometimes skin cancer is combined with leukemia. In severe cases, ulcers appear at the site of chronic dermatitis. Precancerous diseases are divided into obligate (xeroderma pigmentosum, etc.) and facultative (late X-ray ulcers with foci of atrophy and telangiectasias).

Primary skin cancer Histologically, it is a squamous cell carcinoma, occurring in two main forms - keratinizing and non-keratinizing. According to clinical signs, two main forms are distinguished - ulcerative-infiltrative and papillary. The ulcerative-infiltrative form begins with a smooth nodule, gradually increasing in size and ulcerating to form a sluggish crater-shaped ulcer with raised edges, often covered with a thick crust. The papillary form is characterized by papillomatous growths with a more rapid course of the process and the development of metastases. The latent period for the development of occupational skin cancer varies from 1 to 7 years or more. Even a single short-term exposure to a carcinogenic agent on the skin is enough to subsequently cause the development of a malignant skin tumor.

It is known that persons who professionally come into contact with ionizing radiation (radiologists, employees of X-ray rooms) may develop leukemia if protective measures are not observed.

Among professional leukemia the most common is myeloid leukemia. It is often preceded by cytopenic changes in the blood. The professional nature of the disease is confirmed by a long (usually more than 10 years) work experience in contact with ionizing radiation. Acute myeloblastic leukemia - a malignant neoplasm of the blood system, consisting of morphologically immature cells of the myeloid series. The clinic of acute leukemia is characterized by three main syndromes: anemic, hemorrhagic and ulcerative-necrotic. The first complaints are usually a sore throat, fever with high body temperature, then bleeding appears - first on the mucous membranes of the oral cavity, and later skin hemorrhagic manifestations (petechiae and ecchymoses), purulent-necrotic changes in the throat are discovered. In the blood there is an increase in the number of leukocytes, blast and fully differentiated cells, there are no transitional forms (leukemic failure). Identification of leukemia is carried out by cell type, the determination of which is possible only in specialized clinics using cytochemical methods. There, treatment is carried out according to programs developed for each cell type of cancer. All patients with acute leukemia are unable to work. ITU establishes for such patients the need for additional types of compensation for health damage (medicines, additional nutrition, care, etc.). In the event of the death of the patient, compensation for damages extends to his dependents. At chronic myeloid leukemia There is a change in hematopoiesis in the form of hyperproliferation and impaired differentiation at the level of promyelocytes and myelocytes. As the process develops, the erythroblastic lineage of the bone marrow is suppressed, and myelopoiesis and megakaryocyte lineages expand, myeloid infiltrates extend beyond the bone marrow and develop in the spleen and liver. With the progression of the disease and resistance to therapy, there is a tendency towards differentiation of myeloid elements up to hemocytoblasts and reticular cells, that is, the disease acquires the features of acute leukemia.

Radiation exposure can cause lymphogranulomatosis (Hodgkin's disease), a severe general disease accompanied by tumor-like proliferation of lymph nodes and symptoms of intoxication (fever, itchy skin, cachexia). Pathologically, lymphogranulomatosis is characterized by the development of nodular growths in the lymph nodes, spleen, liver, bone marrow and other organs. As a rule, Berezovsky-Sternberg cells are found in punctates of lymph nodes and spleen.

Most often, the disease begins with enlargement of the cervical lymph nodes. At first they are elastic, but then they thicken and fuse together, forming tumor conglomerates. The most important clinical symptoms are fever, sweating, and itching. When the process generalizes, new groups of lymph nodes are involved, as well as the process spreading to internal organs, and the spleen enlarges. Moreover, with a generalized process this increase is insignificant, but with an isolated process, as a rule, the opposite is true. In the latter case, the disease is characterized by a more favorable course and longer life expectancy for patients.

The clinical picture of the disease is largely determined by the nature and degree of damage to internal organs and systems. When the gastrointestinal tract is damaged, dyspeptic symptoms, bleeding, and ulcers are observed; respiratory organs - perifocal pneumonia, formation of cavities in the lungs, pleurisy, pulmonary hemorrhage; pancreas - symptoms of diabetes, etc.

Changes in the leukogram are characterized by neutrophilia with a shift to the left, lymphocytopenia, eosinophilia and monocytosis. The total number of leukocytes may be increased or may remain normal, especially at the onset of the disease. ESR is increased. The increase in clinical phenomena is accompanied by the progression of anemia.

Treatment is prescribed depending on the stage of the disease. Patients with lymphogranulomatosis are unable to work. In case of professional genesis, the disease is sent to the ITU, where disability is determined and the percentage of loss of professional ability to work is determined, as well as other types of compensation for damage.

The severity of diseases caused by exposure to ionizing radiation and the associated long-term consequences for the health of medical personnel require special attention to preventive measures on the part of the management of the medical institution. The entire range of measures to protect against the effects of ionizing radiation is divided into two areas: protection from external exposure and prevention of internal exposure.

OCCUPATIONAL SAFETY EVENTS FOR MEDICAL PERSONNEL IN X-RAY ROOMS

Diseases caused by exposure to ionizing radiation and the associated long-term consequences for the health of medical personnel require special attention to preventive measures on the part of the management of the medical institution.

The basis of the system for the prevention of occupational diseases is mandatory preliminary and periodic medical examinations of employees , whose work activity is associated with harmful and dangerous production factors. According to the Order of the Ministry of Health and Social Development of Russia dated April 12, 2011 No. 302n “On approval of lists of harmful and/or dangerous production factors and work, during which preliminary and periodic medical examinations (examinations) are carried out, and the procedure for conducting mandatory preliminary and periodic medical examinations (examinations) workers engaged in heavy work with harmful and (or) dangerous working conditions" medical workers exposed to ionizing radiation must undergo medical examinations once a year with consultation of the following specialists: ophthalmologist, dermatovenerologist, neurologist, otolaryngologist, surgeon, oncologist .

Laboratory and functional studies are also performed: a detailed general blood test, reticulocyte count, spirometry, chest radiography in two projections, biomicroscopy of the eye media, fundus ophthalmoscopy, visual acuity with and without correction. On the recommendation of medical specialists, ultrasound of the abdominal organs, thyroid gland and mammography are prescribed for women. Persons with a hereditary predisposition to tumor diseases, as well as those with chromosomal instability, should not be allowed to work with ionizing radiation. It is important to identify people with immunological deficiency and carry out measures among them to normalize the immune status, the use of drugs that prevent the blastomogenic effect (methods of hygienic, genetic, immunological and biochemical prevention). Clinical examination of persons working with sources of ionizing radiation, early detection, treatment of chronic background and precancerous diseases, that is, timely and high-quality medical examinations are essential.

Contraindications to working with ionizing radiation are: hemoglobin content in peripheral blood is less than 130 g/l in men and less than 120 g/l in women; leukocyte count less than 4.0*10 9 /l and platelets less than 180*10 9 /l; obliterating vascular diseases, regardless of the degree of compensation; Raynaud's disease and syndrome; radiation sickness and its consequences; malignant neoplasms; benign neoplasms that prevent the wearing of overalls and the toilet of the skin; deep mycoses; corrected visual acuity of at least 0.5 D in one eye and 0.2 D in the other; skiasscopic refraction: myopia with a normal fundus up to 10.0 D, hyperopia up to 8.0 D, astigmatism no more than 3.0 D; radiation cataract. Monitoring the health status of persons working with carcinogenic factors should be carried out even after their transfer to another job, as well as retirement, throughout their lives.

Persons with the following diseases are not allowed to work with sources of ionizing radiation:

- organic lesions of the central nervous system;
- epilepsy;
- pronounced neurotic and asthenic conditions;
- endocrinopathies;
- diseases of the gonads and disorders of the ovarian-menstrual cycle;
- dermatitis;
- cataract;
- all diseases of the blood system, as well as secondary anemia, hemorrhagic diathesis, leukopenia;
- liver diseases.

Monitoring of the health status of persons working with carcinogenic factors should be carried out even after their transfer to another job, as well as retirement, that is, throughout their entire lives. Primary prevention involves preventing the occurrence of cancer and includes hygienic regulation of carcinogens, the development and implementation of measures aimed at reducing contact with them, and control of pollution of the working environment.

The entire range of measures to protect against ionizing radiation is divided into two areas: protection from external radiation And prevention of internal exposure. Protection from external radiation comes down to shielding that prevents certain radiation from reaching medical workers or other persons within the radius of the radiation source. For this purpose, various absorbing screens are used. The basic rule is to protect not only the medical worker or the workplace, but to shield the entire source of radiation as much as possible in order to minimize the possibility of radiation penetrating into the area where people are present.

The materials used for shielding and the thickness of the screens are determined by the nature of the ionizing radiation and its energy: the greater the severity of the radiation or its energy, the denser and thicker the shielding layer should be. Most often, lead aprons, brick or concrete walls are used for this purpose to protect radiologists, radiologists and radiation diagnosticians. Hygienists have proven that the materials used for shielding and the thickness of the screens are determined by the nature of the ionizing radiation and its energy: the greater the severity of the radiation or its energy, the denser and thicker the shielding layer should be. Most often, lead aprons, brick or concrete walls are used for this purpose to protect radiologists, radiologists and radiation diagnosticians.

Special formulas and tables have been developed to calculate the thickness of the protective layer, taking into account the amount of energy of the radiation source, the absorption capacity of the material and other indicators (SanPiN 2.6.1.1192-03 “Hygienic requirements for the design and operation of X-ray rooms, devices and the conduct of X-ray examinations”). There are various designs of devices, irradiators and other devices for working with sources of γ-radiation, which also provide for maximum shielding of the source and a minimum open part for certain work. All operations for moving sources of γ-radiation (removing them from containers, installing them in devices, opening and closing the latter) must be automated and performed using remote control or special manipulators and other auxiliary devices that allow the medical worker involved in these operations to be at a certain distance from the source and behind an appropriate protective screen. Premises where radiation sources are stored or where work is done with them must be ventilated using mechanical ventilation. Skin cancer from exposure to X-rays is now rare due to effective X-ray prevention and protection measures in the workplace.

To ensure safe working conditions in the office, measures must be taken to protect personnel from the effects of not only X-ray radiation, but also other harmful factors - electric current and fields, dust and vapors of harmful compounds, noise generated during equipment operation, etc. When equipping an X-ray room, the possibility of personnel coming into contact with live parts of electrical circuits during X-ray examinations must be completely excluded. The design of the X-ray machine, as a rule, protects personnel from access to live parts. All high-voltage elements are insulated, protected by metal sheaths and grounded. All metal parts accessible to touch are also grounded.

The electrical strength of the insulation is checked when the devices are released from the factory, and the quality of grounding is checked when the X-ray room is put into operation. Grounding of X-ray equipment must be carried out with special wires. Use of elements of metal structures of buildings, steel pipes, electrical wiring, aluminum cable sheaths, etc. as grounding conductors. allowed only as an additional event. It is not allowed to use water pipes running in the building, central heating networks, sewage systems, as well as pipelines for flammable and explosive mixtures as grounding conductors. Electrical cables connecting the elements of the X-ray complex to each other and the electrical supply network must be laid in the recesses of the floor and protected by metal casings from mechanical damage and chemical influences.

During the loading of the X-ray tube, especially during transillumination, the emitter heats up intensely. The permissible heating temperature of the emitter is 85 degrees. Celsius. The temperature of all other parts of the device accessible to touch, as a rule, should not exceed 50 degrees. Celsius.

The concentration of lead and its inorganic compounds on the surface of the floor walls and equipment of X-ray rooms should not exceed the maximum permissible value of 0.5 mg/sq. see. To reduce the harmful effects of lead on the human body, the surface of protective devices and devices made of lead must be coated with a double layer of oil or enamel paint. Protective aprons and visors made of leaded rubber are placed in plastic or oilcloth cases.

When working with electroradiographic devices, harmful impurities of styrene, ozone, nitrogen oxides, acetone and toluene vapors are formed in the air of working areas. The maximum permissible concentrations of impurities in indoor air are: styrene - 5 mg/cubic meter. m, ozone and nitrogen oxides - 0.1 mg/cu.m. m, acetone vapor - 200 mg/cu. m, toluene vapor - 50 mg/cu.m. m. To reduce the concentration of harmful impurities in the air, forced ventilation must be used, ensuring an air exchange rate of 3. The level of noise loads (sound pressure) in personnel workplaces should not exceed 60 dB, in rooms where personnel are periodically occupied - 70 dB.

Protection of rooms adjacent to those where the X-ray machine is located is provided by stationary building structures, which include the upper and lower ceilings of the walls, barriers (walls not up to the ceiling), as well as protective windows and doors. In X-ray rooms where the floor is located directly above the ground or the ceiling is under the roof, protection against the penetration of ionizing radiation through the floor or ceiling is not provided, respectively. If the X-ray room contains two or more emitters that are not switched on simultaneously, protection should be calculated for the emitter with the highest rated voltage on the tube. If two emitters are turned on simultaneously, as is the case with two-plane angiography, then protection is calculated based on the total dose rate generated by both emitters.

The protective properties of a certain material are usually characterized by lead equivalent, which is understood as the thickness of lead in millimeters, which attenuates radiation of a given quality in the same way as a sample of a material of a given thickness. Protective fences for X-ray rooms are most often made of barite concrete, concrete, brick and other heavy building materials. When designing and installing stationary protective fences for X-ray rooms, one should take into account the presence in them of voids, channels, hatches necessary for placing communications equipment, in particular for conveyors, feeding cassettes and for other purposes, so that the protective properties of the fences are in no way were reduced.

Protective doors of X-ray rooms must ensure uniform attenuation of radiation over the entire area of ​​the door, and the door leaf must overlap the doorway by at least 5 cm. The force to move the door leaf should be no more than 40 N during steady motion. The shear force should be no more than 45 N. For large forces, the doors should be equipped with an electromechanical drive that allows the doors to be opened manually on both sides.

To monitor the work of a radiologist from the control room, protective viewing windows made of leaded glass are installed, which should be located away from the direction of the working radiation beam and have a lead equivalent that ensures the permissible dose rate at the workplace.

Mobile means of collective protection include protective screens. They are installed in offices where there is no control room, in rooms for dental devices, in rooms for fluorography, in general in all cases when it is necessary to temporarily protect part of the room. As a rule, security screens have a transparent observation window made of leaded glass. The base of the screen is equipped with wheels that allow it to be moved on a flat floor.

In addition to large screens, there are small ones designed for installation at the radiologist’s workplace, in front of the rotary table - tripod. These screens are also equipped with wheels. They often have a height-adjustable seat and a brake that prevents the screen from spontaneously moving during operation. The radiologist sitting behind the X-ray screen must use a movable small screen.

Alarm devices and safety signs are very important for ensuring radiation safety, warning personnel and patients that an X-ray examination is being carried out in this room and the X-ray machine is operating. Near the exit door to the X-ray room procedure room, at a height of 1.6 m from the floor, a white or red light signal with the inscription “Do not enter” should be installed, which will automatically light up when the X-ray machine remote control is turned on.

Sometimes, to reduce the time personnel spend in the X-ray radiation area, a multi-channel television installation is used that transmits the X-ray image to other rooms. In this case, several specialists taking part in the study and located in a safe zone can observe the transillumination. Multi-channel television monitoring is especially effective when conducting x-ray surgical studies, when consultation with specialists can be provided promptly with complete radiation safety.

When conducting X-ray and special examinations, a radiologist must use individual protection means(hereinafter referred to as PPE). PPE for X-ray room personnel includes protective gloves, aprons, skirts, and goggles. The lead equivalent of these products is, as a rule, at least 0.3 mm. All PPE must have factory stamps or marks indicating its lead equivalent and date of inspection. The lead equivalent of PPE is checked at least once every 3 years. The use of protective equipment that does not have the required markings is not permitted. Thin cotton gloves should be worn under lead rubber gloves to reduce the amount of contact between the skin of your hands and the lead-containing glove material. Upon completion of work with lead rubber personal protective equipment, office workers should thoroughly wash their hands with warm water and soap.

When palpating using a fluorescent screen, the doctor must work in protective gloves that protect not only the hands, but also the forearms. However, when working with gloves, it is necessary to reduce as much as possible the time that hands are in the direct radiation zone. X-ray protective gloves are also used to support the child during x-rays and photographs. When finished, the gloves should be washed with soap, dried and treated with alcohol. It is recommended to sprinkle the internal surfaces with talcum powder.

When working on an x-ray diagnostic machine with the stand in a horizontal position, all persons participating in the study (radiologist, anesthesiologist, x-ray technician, etc.) must wear protective aprons and, if possible, gloves. Persons helping to examine young children (supporting children in the absence of special devices) must also be equipped with special PPE.

The fixing chair facilitates X-ray examination of children and protects unexamined areas of the child’s body. X-ray examination of the chest and abdominal organs in children, especially under the age of 3 years, is difficult, since sometimes it is not possible to ensure a stable position of the child. Fixing the child with the hands of parents or a nanny is insufficient: it does not allow for a full examination, lengthens the time of fluoroscopy and increases the radiation dose to the child. The fixation chair ensures proper fixation of the child, allows the examination to be carried out more fully, with minimal exposure time and without support persons. It can be used to conduct studies (fluoroscopy and radiography) of the chest and abdominal organs in children aged 6 months and older. up to 3 years in an upright position. It takes no more than 2 minutes to place a child in a chair. The disadvantage of the chair is that such mechanical fixation causes anxiety in some children. However, the quality of research achieved by such fixation allows us to neglect this.

The quantity and types of PPE are determined by the purpose of the x-ray room, but each room must have at least two sets of protective aprons, gloves and skirts.

The article was published in a periodical-

List No. 781 covers most categories of physicians. However, some medical workers not included in this List may be entitled to pension benefits not in connection with medical activities, but in connection with special working conditions: according to List No. 1 (harmful conditions) or according to List No. 2 (difficult conditions) ( subparagraphs 1 and 2 of paragraph 1 of Article 30 of Law No. 400-FZ).

A pension according to List No. 1 is established for men upon reaching 50 years of age and women upon reaching 45 years of age, if they worked for at least 10 years and 7 years 6 months, respectively, in jobs with hazardous working conditions and have an insurance period of at least 20 and 15 years, respectively. According to List No. 2, a pension is assigned to men upon reaching 55 years of age and women upon reaching 50 years of age if they have worked in jobs with difficult working conditions for at least 12 years, 6 months and 10 years and have an insurance period of at least 25 and 20 years, respectively.

In addition, citizens who have at least half of their work experience in jobs with hazardous working conditions are awarded a pension with a reduction in the generally established age by one year for each full year of such work. If there is experience in work with difficult working conditions of at least half the duration established by law, a pension is assigned with a reduction in the generally established age by one year for every two years and six months of such work for men and for every 2 years of such work for women.

Lists No. 1 and No. 2 provide a list of professions and positions of medical workers and their working conditions, which give the right to early retirement.

Doctors and nursing staff permanently employed in X-ray operating rooms, as well as nursing staff in X-ray departments (rooms), are provided with early retirement benefits according to List No. 1.

Radiologists and x-ray technicians who are permanently employed in x-ray departments (rooms) also have the right to early retirement benefits according to List No. 1, since their connection with x-ray equipment is determined by their job title and place of work.

Junior medical personnel, namely junior nurses caring for patients employed in X-ray departments (rooms), enjoy the right to early retirement according to List No. 2. It should be noted that X-ray nurses

branches are not provided for by Lists No. 1 and No. 2 of 1991. However, if the periods of work as nurses in X-ray rooms were completed before 01/01/1992, then the right to early pension provision can be determined according to List No. 1 of 1956, including with incomplete experience under List No. 1 (at least 3 years 9 months ).

Early retirement benefits according to List No. 2 are provided to nursing and junior medical personnel who directly serve patients in tuberculosis and infectious diseases institutions, departments, offices, in psychiatric (psychoneurological) treatment and preventive institutions and departments of children's homes, etc.

To acquire the right to early retirement for this category of workers, documentary evidence of their permanent employment in direct patient care is required. According to the Letter of the Ministry of Health of Russia dated August 23, 1993 No. 05-16/30-16 “On the procedure for applying Section XXIV of List No. 2 of production, work, professions, positions and indicators that give the right to preferential pension provision,” direct patient care means work , which is carried out under conditions of contact between a medical worker and a patient. This, in particular, is the implementation of a number of diagnostic and therapeutic procedures, measures for patient care, and the creation of an appropriate medical and protective regime. For example: carrying out massages, injections, procedures, manipulations, distributing food and feeding patients, carrying them, sanitizing, etc.

Certain categories of workers perform work that does not relate to direct patient care. For example, a sister-housekeeper supervises the work of nurses and cleaners to keep the premises clean and tidy, provides them with household equipment, special clothing, etc. The senior nurse, as a rule, supervises the nurses and carries out accounting and control of medicines. When distributing food, a nurse-barmaid directly serves patients, but does so according to a schedule (breakfast, lunch, dinner), i.e. objectively cannot be engaged in direct patient care full time.

In accordance with current legislation, periods of work performed by

constantly throughout the full working day. Full-time work means performing work in certain working conditions for at least 80% of the working time.

If in certain periods an employee performed work that entitled him to early retirement benefits part-time (less than 80%), then the periods of such work are not counted toward the special length of service.

When combining work provided for by both List No. 1 and List No. 2, the right to a pension under List No. 1 or List No. 2 is determined taking into account the volume of such work. If the work that gives the right to early pension provision according to List No. 2 is no more than 20%, and the work according to List No. 1 is at least 80%, then a pension is assigned according to List No. 1. In this case, it is mandatory to have supporting documents on the percentage the ratio of employment in certain jobs.

Adopted on December 28, 2013, the modern Law No. 426-FZ states that in addition to the condition for identifying harmful factors, there must be the results of the SOUT (special assessment of working conditions) measure, assessing the level of harm according to the degree of impact on a person.

The contradiction is as follows: according to the old standards, X-ray laboratory workers belonged to professions with a hazard class of 3.2, which gave specialists additional benefits (for example, 2-week vacation; milk for harmfulness). And according to the new rules for workplace certification, some X-ray laboratories received an acceptable class 2, which automatically deprives employees of many types of compensation and benefits. How to fight for your rights?

The essence of working in the X-ray room is harmful

A person with secondary medical education who has completed special preparatory courses for employees of radiological and X-ray laboratories can apply for the position of X-ray laboratory technician. The functionality of a laboratory assistant consists of the following main responsibilities:

Important! A prerequisite for applicants for the position of X-ray technician is compliance with health conditions. People with a number of diseases are not allowed to work with X-ray equipment. For example, these are lesions of the central nervous system, tumor diseases, lesions of the liver, circulatory system, and skin.

If they have sufficient insurance experience, X-ray technicians have the right to count on early retirement for men/women at the age of 50/45 years. In addition, an additional day's leave is provided annually and milk is provided for the harmful effects of working in the X-ray room.

What's in practice?

Today, many X-ray laboratory workers are faced with the fact that, based on the results of the assessment and safety assessment, their profession is no longer considered associated with harmful production factors. Specialists are assigned an acceptable hazard class, and the required compensation, additional payments and benefits are lost. How can you defend your rights?

1. A collective appeal to the Ministry of Health and Social Development will help. It is necessary to describe in detail who carried out the certification/assessment of jobs and how. Indicate in detail which company performed the SOUT, the composition of the commission, and the license number. Without accreditation, an organization does not have the right to assess the harmfulness of working conditions.
2. Send a duplicate of the letter to Rostechnadzor and GIT (State Labor Inspectorate). The objection must be drawn up in as much detail as possible with references to regulatory documents, Sanitary Regulations and an indication of all violations that have occurred. Labor inspectors will check the implementation of the provision of benefits in accordance with the requirements of the Labor Code of the Russian Federation.

Important! Remember that the organization may not sign the X-ray laboratory certification protocols if you believe that the assessment was carried out with violations. In this situation, it is necessary to require the procedure to be repeated in order to defend the increased hazard class.

If you find an error, please select a piece of text and press Ctrl+Enter.

Employee health passport according to Order 302n

Issuance of milk for harmful working conditions 2016

How to check sick leave

Currency transaction codes

What is a purchase and sales ledger?

Position in the work book

Depreciation methods

KBK 2014 – Budget classification codes 2014 for the transfer of personal income tax and insurance contributions

Tax Code of the Russian Federation (TC RF)

Labor Code of the Russian Federation (LC RF)

Add a comment Cancel reply

Free legal advice:

Until January 21, 2018

Salary calculation Calculators Directories

Full or partial copying of materials is prohibited; with agreed copying, an active link to the resource is required. Image source: Lori Photobank.

After the certification of the workplace, the employees of the X-ray department were waived the additional payment for hazardous work and the additional leave was cancelled. How to fight for the benefits you are entitled to?

I work at ZAO Polyclinic Complex; after the workplace certification, we, the X-ray department employees, were waived the additional pay for harmful effects and from next year the additional leave (14 days) is cancelled. The certification sheet at the radiologist’s workplace does not indicate the presence of a X-ray viewer, IONIZING RADIATION is not indicated at any workplace, none of the factors listed in paragraph 2.17 of the Sanitary Regulations and Regulations 2.6.1., as well as psychophysiological and sanitary-hygienic factors factors of the production environment. The management refers to the absence of an order from the Ministry of Health of Social Development of the Russian Federation or any other regulatory document establishing the amount of compensation depending on the class of working conditions established based on the results of certification of workplaces. The radiology department is equipped with an X-ray diagnostic apparatus + x-ray, fluorograph, mammograph, orthopantomograph and operates at full capacity in 2 shifts. How can we fight for our benefits? Can we not sign certification protocols and demand re-certification, which would take into account the most important factor - ionizing radiation.

1. Write to the website of the Ministry of Health and Social Development of the Russian Federation, they will respond within a month.

2. How the certification of workplaces was done, the composition of the commission, this was carried out by an organization that has a license for this, because Only licensed organizations have the right to carry out workplace certification.

Free legal advice:

3. Contact the State Technical Inspectorate and Rostechnadzor in writing with a statement that the certification procedure and rules have been violated.

4. The amount of compensation is set by the employer himself, now no one sets specific amounts or percentages, this does not mean that benefits can be denied to employees on this basis, now everything must be prescribed in the local regulations of the employer, and the approximate number of additional permits is available in documents , which have not yet changed since the distant 70s and 80s, but they are valid.

5. And yes, you can write an objection to this certification and point out all the violations with which it was carried out, or it is better to involve the third-party organizations responsible for this, GIT and Rostechnadzor.

1.1. Harmful production factors mean a production factor, the impact of which on an employee can lead to illness, and a hazardous production factor means a production factor, the impact of which on an employee can lead to injury (Article 209 of the Labor Code of the Russian Federation).

1.2. Harmful factors can be:

Free legal advice:

Physical factors - temperature, humidity, air speed, thermal radiation and other types of radiation, electric and magnetic fields, industrial noise, ultrasound, vibration, dust, lighting, electrically charged air particles - air ions;

Chemical factors – chemical substances, mixtures, incl. some substances of a biological nature (antibiotics, vitamins, hormones, enzymes, protein preparations) obtained by chemical synthesis and/or for the control of which methods of chemical analysis are used;

Biological factors – producing microorganisms, living cells or spores contained in bacterial preparations, pathogenic microorganisms – causative agents of infectious diseases;

Factors of the labor process.

1.3. A hazardous factor in the work environment can cause acute illness or sudden deterioration in health, or death.

Free legal advice:

1.4. Depending on the quantitative characteristics and duration of action, certain harmful factors in the working environment can become dangerous.

1.5. To assess working conditions at workplaces in order to identify harmful and (or) dangerous production factors and implement measures to bring working conditions into compliance with state regulatory requirements for labor protection, workplaces are certified for working conditions.

1.6. The timing of certification of workplaces for the employer’s working conditions is established based on the fact that each workplace must be certified at least once every 5 years.

1.7. Hygienic standards of working conditions - levels of harmful factors in the working environment, which, when working daily (except weekends) for 8 hours, but not more than 40 hours a week, during the entire working period, should not cause diseases or deviations from the state of health detected by modern by research methods, in the process of work or in the long term of the life of the present and subsequent generations.

1.8. Compliance with hygiene standards does not exclude health problems in people with hypersensitivity.

Free legal advice:

1.9. In accordance with Article 109 of the Labor Code of the Russian Federation, certain types of work provide for the provision of special breaks to employees during working hours, determined by the technology and organization of production and labor.

1.10. The types of these works, the duration and procedure for providing such breaks are established by the internal labor regulations.

1.11. Special breaks due to the technology and organization of production and labor are provided for in a number of regulatory or advisory documents (for example, SanPiNs).

In accordance with the Order of the Ministry of Health and Social Development of Russia dated 04/01/2010 No. 205n “On approval of the list of services in the field of labor protection, the provision of which requires accreditation, and the Rules for the accreditation of organizations providing services in the field of labor protection”, from 10/01/2010 the provision of services for the certification of workers places are possible only if the organization has mandatory accreditation.

Accreditation is carried out by the Ministry of Health and Social Development of Russia in a notification procedure by entering the organization into the register of accredited organizations (Letters of the Ministry of Health and Social Development of Russia dated July 20, 2010 No. 22-3/10/2-6080, dated July 23, 2010 No. 22-0/10/2-6229).

Free legal advice:

Since 01.09.2008, the Procedure for certification of workplaces according to the conditions of the Toad, approved, has been in effect in the Russian Federation. By Order of the Ministry of Health and Social Development of Russia dated August 31, 2007 No. 569.

Was this Procedure followed?

The latest article in this area for employers. Put pressure on the employer from this side as well, that they will pay higher rates, especially if you prove that the job certification procedure was violated and that some factors were not taken into account.

To receive a discount on the insurance rate, the company must conduct a 100% certification of workplaces and medical examination of employees, and contact the Social Insurance Fund with the obtained data. However, a discount can only be obtained if there have been no industrial accidents at the enterprise for 3 years. If such cases have occurred, or the enterprise does not comply with labor safety standards, the insurance rate may be increased to 40%.

Today, about 16 thousand enterprises make contributions to the Social Insurance Fund at increased rates. New rules for establishing discounts and allowances will take effect from the New Year. Before November 1, enterprises must submit documents to the Social Insurance Fund giving them the right to receive discounts. A decision on them will be made by the end of December.

Free legal advice:

Viktoriya Kochetkova, expert

Well, well, well - online legal assistance © 2018.

Join a community of conscious, socially active people who are aware and ready to defend their rights.

• corruption
• finance
• Copyright
• alimony
• army
• elections
• citizenship
• contracts
• documentation
• access to the information
• housing
• health
• voting rights
• property
• Constitutional rights
• deprivation of rights
• taxes and credit
• inheritance
• real estate
• education
• pensions
• police
• consumer rights
• justice
• entrepreneurship
• prosecutor's office
• freedom of speech
• freedom of conscience
• family
• meetings, rallies
• own
• subsidies and benefits
• transport
• labor Relations
• criminal law
• private life
• fines
• ecology

Forums: Website of a practical radiologist - Radiology, x-ray, radiation diagnostics

Questions and suggestions about the site

Comments and suggestions

Feedback and suggestions from visitors on the structure and content of the site

Free legal advice:

Radiation diagnosticians club

General issues

Discussion of topics and issues related to radiation diagnostics. The most “hot” issues will be highlighted in separate “Club” topics

Patient Questions

Any medical website attracts not only doctors, but also patients. We understand that many of you want to receive additional advice on issues that concern you. This section was created especially for you.

Smoking room (off-topic)

Discussion of issues not related to radiation diagnostics: politics, weather, hobbies, fashion, fishing, travel, etc., etc.

Organization of work of a radiologist

Questions about labor legislation, regulations, wages, benefits, length of service, etc. and so on.

Section of X-ray technicians

Discussion of issues and problems of laboratory work in radiology diagnostics

Free legal advice:

ads

Events, exhibitions, conferences

Announcement of upcoming events in the world of radiology diagnostics

Equipment, reagents, consumables

Advertisements for the sale and purchase of X-ray and radiological equipment, reagents and consumables

Work, services, cooperation

Announcements about work, services and cooperation in the field of radiation diagnostics

Search

New in the forum

Users

Reproduction of materials is permitted only with indication of the author and a link to his website.

Copyright © Zhuravlev Yu.Yu. All rights reserved

Free legal advice:

ABOUT HARMFUL WORKING CONDITIONS.

Topics appear on the forum regarding the release of a new federal law “which may deprive us of harm and the compensation due for it.” I’ll try to write about what I managed to “dig up” on this matter.....

So “Federal Law of December 28, 2013 N 426-FZ “On Special Assessment of Working Conditions.”

The full texts of the documents are freely available, I found them on Consultant Plus

Quote:“Article 3. Special assessment of working conditions

Free legal advice:

1. A special assessment of working conditions is a single set of consistently implemented measures to identify harmful and (or) dangerous factors in the working environment and the labor process (hereinafter also referred to as harmful and (or) dangerous production factors) and assessing the level of their impact on the employee, taking into account their deviation actual values ​​from the standards (hygienic standards) established by the federal executive body authorized by the Government of the Russian Federation for working conditions and the use of personal and collective protective equipment for workers.

2. Based on the results of a special assessment of working conditions, classes (subclasses) of working conditions in the workplace are established.”

That is, in addition to identifying harmful factors, there must be an assessment of specific harmful factors at specific workplaces. What do the results of the workplace certification influence?

Quote:“Article 7. Application of the results of a special assessment of working conditions”

The results of a special assessment of working conditions can be used for:

3) providing workers with personal protective equipment, as well as equipping workplaces with collective protective equipment;

Free legal advice:

6) establishing guarantees and compensations for employees provided for by the Labor Code of the Russian Federation;

7) establishing an additional tariff for insurance contributions to the Pension Fund of the Russian Federation, taking into account the class (subclass) of working conditions in the workplace;

8) calculation of discounts (surcharges) to the insurance tariff for compulsory social insurance against industrial accidents and occupational diseases"

Quote:“Article 12 part 8. Based on the results of research (tests) and measurements of harmful and (or) dangerous production factors, an expert from an organization conducting a special assessment of working conditions classifies working conditions in workplaces according to the degree of harmfulness and (or) danger to classes (subclasses) ) working conditions"

Free legal advice:

And here is the proposed classification of working conditions itself:

Quote:“Article 14. Classification of working conditions

1. Working conditions according to the degree of harmfulness and (or) danger are divided into four classes - optimal, acceptable, harmful and dangerous working conditions.

2. Optimal working conditions (class 1) are working conditions under which there is no exposure to harmful and (or) hazardous production factors on the employee or the levels of exposure of which do not exceed the levels established by standards (hygienic standards) of working conditions and accepted as safe for humans , and the prerequisites are created to maintain a high level of employee performance.

3. Acceptable working conditions (class 2) are working conditions under which the employee is exposed to harmful and (or) dangerous production factors, the levels of exposure of which do not exceed the levels established by the standards (hygienic standards) of working conditions, and the altered functional state of the employee’s body is restored during a regulated rest period or at the beginning of the next working day (shift).

Free legal advice:

4. Harmful working conditions (class 3) are working conditions under which the levels of exposure to harmful and (or) hazardous production factors exceed the levels established by the standards (hygienic standards) of working conditions, including:

1) subclass 3.1 (harmful working conditions of the 1st degree) - working conditions under which the employee is exposed to harmful and (or) dangerous production factors, after exposure to which the altered functional state of the employee’s body is restored, as a rule, in a longer period than before the next working day (shift), the cessation of exposure to these factors, and the risk of health damage increases;

2) subclass 3.2 (harmful working conditions of the 2nd degree) - working conditions under which the employee is exposed to harmful and (or) dangerous production factors, the levels of exposure of which can cause persistent functional changes in the employee’s body, leading to the appearance and development of initial forms of occupational diseases or occupational diseases of mild severity (without loss of professional ability) arising after prolonged exposure (fifteen years or more);

3) subclass 3.3 (harmful working conditions of the 3rd degree) - working conditions under which the employee is exposed to harmful and (or) dangerous production factors, the levels of exposure of which can cause persistent functional changes in the employee’s body, leading to the appearance and development of occupational diseases of mild and moderate severity (with loss of professional ability to work) during the period of working activity;

4) subclass 3.4 (harmful working conditions of the 4th degree) - working conditions under which the employee is exposed to harmful and (or) dangerous production factors, the levels of exposure of which can lead to the emergence and development of severe forms of occupational diseases (with loss of general working capacity) during the period labor activity.

Free legal advice:

5. Hazardous working conditions (class 4) are working conditions in which the employee is exposed to harmful and (or) hazardous production factors, the levels of exposure to which during the entire working day (shift) or part of it can create a threat to the life of the employee, and the consequences of exposure These factors cause a high risk of developing an acute occupational disease during working life.

6. If workers employed in workplaces with hazardous working conditions use effective personal protective equipment that has undergone mandatory certification in the manner established by the relevant technical regulations, the class (subclass) of working conditions may be reduced by the commission on the basis of the expert opinion of the organization conducting the special assessment of working conditions, one degree in accordance with the methodology approved by the federal executive body, which carries out the functions of developing and implementing state policy and legal regulation in the field of labor, in agreement with the federal executive body, carrying out the functions of organizing and implementing the federal state sanitary and epidemiological supervision, and taking into account the opinion of the Russian Tripartite Commission for the Regulation of Social and Labor Relations"

And here let me comment. It is beneficial for the employer that workplaces and employees are assigned the 2nd hazard class, which is basically what happens - there are harmful factors, but within acceptable levels. Why is it profitable?

No. 421 Federal Law “On amendments to certain legislative acts of the Russian Federation in connection with the adoption of the Federal Law “On special assessment of working conditions”

Free legal advice:

So it contains Article 9, in paragraph 6 of which there is a table of additional tariffs for insurance premiums:

Class of working conditions

Subclass of working conditions

Additional insurance premium rate

8.0 percent - joint part of the insurance premium tariff

Free legal advice:

7.0 percent - joint part of the insurance premium tariff

6.0 percent - joint part of the insurance premium tariff

4.0 percent - joint part of the insurance premium tariff

2.0 percent - joint part of the insurance premium tariff

0.0 percent - joint part of the insurance premium tariff

Free legal advice:

0.0 percent - joint part of the insurance premium tariff"

In addition, with the removal of harmfulness, the +15% increase in wages “for harmfulness” is removed and 18 days of vacation are removed. Perhaps your employer will not deliberately lower the harmful class, he may simply do nothing to help defend you for a higher harmful class.

That's probably all about what can await us.

Personally, this has already affected me.

The workplace has already given a Notification that after 2 months the following compensations will be canceled: additional leave - 18 working days and an additional payment of 15%. And all because the previous certification set us the 2nd - acceptable level of harmfulness. This was in 2010 and then it didn’t seem very critical (they tried to take away the milk, but I defended it), and given my youth, all issues related to pensions were sooooo far away.

Oh yes, these orders affected almost all health workers in our clinic (including ultrasound).

In order not to cause panic, I made a selection of orders and documents that allow a radiologist to establish a hazard class of 3.2. I’ll post this information a little later in this or a new topic……. (if anyone is interested)

In the same law Federal Law of December 28, 2013 N 426-FZ “On special assessment of working conditions” there is an interesting article

"Article 10. Identification of potentially harmful and (or) dangerous production factors

Part 3. When identifying potentially harmful and (or) dangerous production factors at workplaces, the following must be taken into account:

1) production equipment, materials and raw materials used by workers and which are sources of harmful and (or) hazardous production factors that are identified and, if available, in cases established by the legislation of the Russian Federation, mandatory preliminary (upon entry to work) and periodic (in during labor activity) medical examinations of employees;

2) the results of studies (tests) and measurements of harmful and (or) hazardous production factors previously conducted at these workplaces;

3) cases of industrial injuries and (or) establishment of an occupational disease that arose in connection with the exposure of an employee to harmful and (or) dangerous production factors at his workplace;

4) proposals from employees to identify potentially harmful and (or) dangerous production factors at their workplaces.

4. If harmful and (or) dangerous production factors at the workplace are not identified, the working conditions at this workplace are considered acceptable by the commission, and research (tests) and measurements of harmful and (or) dangerous production factors are not carried out.

5. If harmful and (or) dangerous production factors in the workplace are identified, the commission makes a decision to conduct research (tests) and measurements of these harmful and (or) dangerous production factors in the manner established by Article 12 of this Federal Law.

6. Identification of potentially harmful and (or) dangerous production factors is not carried out in relation to:

1) workplaces of workers, professions, positions, specialties of which are included in the lists of relevant works, industries, professions, positions, specialties and institutions (organizations), taking into account which the early assignment of an old-age labor pension is carried out;

2) workplaces in connection with the work in which employees, in accordance with legislative and other regulatory legal acts, are provided with guarantees and compensation for working under harmful and (or) dangerous working conditions;

3) workplaces where, based on the results of previously conducted certification of workplaces for working conditions or a special assessment of working conditions, harmful and (or) dangerous working conditions were established"

In this quote I highlighted the most interesting.

Since in my case the certification was carried out in 2010, and class 2 (acceptable) was assigned, discrepancies arose with our lawyer. In her opinion, since our working conditions were considered acceptable, then, according to Part 4 of this article, measurements of harmful factors are not carried out. And since the profession of a radiologist is included in List No. 1, then, according to Part 6 of this article, the identification of potentially harmful production factors is not carried out. To put it simply: “Nothing was found for you, everything is within normal limits, there is nothing to evaluate. Sit and don't show up"

However, I see the reading of part 6 of this article of the order differently. Firstly, there is Resolution of the Cabinet of Ministers of the USSR dated January 26, 1991 No. 10 “On approval of Lists of production, work, professions, positions and indicators giving the right to preferential pension provision.”(it is still valid, as are the lists.)

According to which, “List No. 1 of production, work, professions, positions and indicators in underground work, in work with particularly harmful and especially difficult working conditions, employment in which gives the right to an old-age pension (old age) on preferential terms” includes and We:

6 Doctors - radiologists, as well as doctors, constantly

employed in cath labs and

7 X-ray technicians, including

X-ray operating, angiographic and

3 Nursing X-ray personnel

departments (offices), as well as the middle

medical personnel permanently employed in

X-ray operating angiography rooms

That is, if radiologists are classified as persons working in hazardous conditions, and are even assigned a preferential pension, then by default the hazardous class should be 3 (third) and not lower. That is why, according to paragraph 6, Identification may not be carried out.

This is exactly how I see the reading of paragraph 6 of Article 10 of this law.

However, there is one BUT... ...

Class 3 of working conditions (harmful) contains four degrees (subclasses). However, inclusion in List No. 1 does not determine any degree. What is not enough for practical use…..

TO guys, these are not all the documents – I’ll post the rest as the documentation is processed

Dear colleague, thank you for your work and selfless kindness;). We are waiting for the continuation.

I have a question: on the basis of what documents and standards should Certification of workplaces be carried out? And so…..

First. Federal Law of 01/09/1996 No. 3 FZ (as amended on 07/19/2011) “On Radiation Safety of the Population”

Quote: “Article 1. Basic Concepts

ionizing radiation - radiation that is created during radioactive decay, nuclear transformations, inhibition of charged particles in a substance and forms ions of different signs when interacting with the environment;

effective dose - the amount of exposure to ionizing radiation, used as a measure of the risk of long-term consequences of irradiation of the human body and its individual organs, taking into account their radiosensitivity;

worker - an individual who permanently or temporarily works directly with sources of ionizing radiation.”

That is, we are employees with III.

Quote: “Article 9. State regulation in the field of ensuring radiation safety

1. State regulation in the field of ensuring radiation safety is carried out by establishing sanitary rules, norms, hygienic standards, radiation safety rules, codes of practice, labor protection rules and other regulatory documents on radiation safety. These acts must not contradict the provisions of this Federal Law.

2. Sanitary rules, norms and hygienic standards in the field of ensuring radiation safety are approved in the manner established by the legislation of the Russian Federation.

(as amended by Federal Law dated July 19, 2011 N 248-FZ)

The following basic hygienic standards (permissible dose limits) for radiation exposure on the territory of the Russian Federation as a result of the use of ionizing radiation sources are established:

for the population, the average annual effective dose is 0.001 sieverts or the effective dose over a lifetime (70 years) is 0.07 sieverts; in some years, larger values ​​of the effective dose are permissible, provided that the average annual effective dose, calculated over five consecutive years, does not exceed 0.001 sievert;

for workers, the average annual effective dose is 0.02 sieverts or the effective dose over the period of working activity (50 years) is 1 sievert; Exposure to an annual effective dose of up to 0.05 sievert is permissible, provided that the average annual effective dose calculated over five consecutive years does not exceed 0.02 sievert.

The regulated values ​​of the main limits of radiation doses do not include doses created by natural radiation and man-made background radiation, as well as doses received by citizens (patients) during medical X-ray procedures and treatment. The indicated values ​​of radiation dose limits are the initial ones when establishing permissible levels of irradiation of the human body and its individual organs.”

What is highlighted here is the most important thing regarding the harmfulness of the workplace.

Resolution of the Chief State Sanitary Doctor of the Russian Federation dated July 7, 2009 No. 47 “On approval of SanPiN 2.6.1.”

and directly themselves " RADIATION SAFETY STANDARDS NRB-99/2009

Sanitary rules and regulations SanPiN 2.6.1.

I. Scope of application

1.1. Radiation safety standards NRB-99/2009 (hereinafter - the Norms) are applied to ensure human safety in all conditions of exposure to ionizing radiation of artificial or natural origin.

The requirements and standards established by the Norms are mandatory for all legal entities and individuals, regardless of their subordination and form of ownership, as a result of whose activities human exposure is possible, as well as for administrations of constituent entities of the Russian Federation, local authorities, citizens of the Russian Federation, foreign citizens and stateless persons living on the territory of the Russian Federation.

1.2. These Standards establish the main dose limits, permissible levels of exposure to ionizing radiation to limit exposure of the population in accordance with Federal Law of January 9, 1996 No. 3-FZ “On Radiation Safety of the Population”.

1.3. The standards apply to the following sources of ionizing radiation:

Man-made sources due to the normal operation of man-made radiation sources;

Man-made sources as a result of a radiation accident;

Quote: "III. Requirements for limiting man-made exposure under controlled conditions

3.1. Normal operating conditions for radiation sources

3.1.1. The following categories of exposed persons are established:

Personnel (groups A and B);

The entire population, including personnel outside the scope and conditions of their production activities.

The main dose limits (LD) are given in Table 3.1;

Basic Dose Limits

│__Normalized values ​​_______│ _______ Dose limits

│ _____________________________ │ personnel (group A)<2>_______ │ Population

│ Effective dose _________ │20 mSv per year on average over ______ │1 mSv per year on average over

│ _________________________ │any consecutive 5 _____ │any consecutive 5

│ ________________________ │years, but not more than 50 mSv in ______ │years, but not more than 5 mSv in

│ ________________________ │ year _______________ │ year

│hands and feet │ 500 mSv │ 50 mSv

<1>Simultaneous irradiation up to the specified limits for all standardized values ​​is allowed.

<2>The main dose limits, like all other permissible exposure levels for group B personnel, are equal to 1/4 of the values ​​for group A personnel. Further in the text, all standard values ​​for the category of personnel are given only for group A.

3.1.3. Basic radiation dose limits do not include doses from natural and medical exposures, as well as doses from radiation accidents. There are special restrictions on these types of exposure.

3.1.4. The effective dose for personnel should not exceed mSv over a working period (50 years), and for the population over a lifetime (70 years) - 70 mSv. The beginning of the periods is considered to be January 1, 2000.

3.1.5. The annual effective dose to personnel due to the normal operation of man-made sources of ionizing radiation should not exceed the dose limits established in Table. 3.1.

The annual effective dose is understood as the sum of the effective dose of external radiation received in a calendar year and the expected effective dose of internal radiation caused by the intake of radionuclides into the body during the same year.”

I would like to clarify: in paragraph 3.1.3, medical exposure most likely means the dose received by the patient during an X-ray examination (image, copy, FLG).

So, persons working with sources of radiation sources belong to group A personnel and the effective dose limit for them is up to 20 mSv per year. This is the established standard.

Damn, I’m typing in Word, for some reason the settings aren’t saved and some crap happens to the table - I can’t edit it.

There is this document: “R 2.2. Guidelines for the hygienic assessment of factors in the working environment and the labor process. Criteria and classification of working conditions" (approved by Rospotrebnadzor on July 29, 2005)

Please note that this manual is a very hefty document (159 pages in Word) and stipulates various parameters of harmfulness. Physical (temperature, radiation, noise, body position), chemical and biological parameters. To determine the harmfulness, I only took work with AI. But I did not consider chemical factors (lead compounds and chemical reagents). Perhaps I’ll get to them later - or maybe one of my colleagues will help or has already done thisJ

Also in this document there are a lot of references to various Sanitary Regulations and other standards, including the NRB.

Quotes from the Guide

"1. Scope and general provisions

1.1. This “Guide to the hygienic assessment of factors in the working environment and the labor process. Criteria and classification of working conditions" (hereinafter - the Guide) includes hygienic criteria for assessing working environment factors, severity and intensity of the labor process and hygienic classification of working conditions according to indicators of harmfulness and danger.

1.2. The guidelines are used for the following purposes:

Monitoring the state of the employee’s working conditions for compliance with current sanitary rules and regulations, hygienic standards and obtaining a sanitary and epidemiological conclusion;

Establishing priorities for preventive measures and assessing their effectiveness;

Creation of a data bank on working conditions at the level of organization, industry, etc.;

- certification of workplaces according to working conditions and certification of work on labor protection in the organization;

Drawing up sanitary and hygienic characteristics of the employee’s working conditions"

1.3. The application of this Guide to occupational risk assessment should be considered as its first step.(according to the provisions of R 2.2. “Guidelines for assessing risks to the health of workers. Organizational and methodological foundations, principles and criteria”)

That is, this is an official document that should be used primarily when certifying a workplace.

It also talks about the classification of working conditions (somewhat differently than the one given above).

I won’t quote so as not to clutter up the topic.....

"5.8. Working with sources of ionizing radiation

The hygienic criteria for assessing the ionizing factor are fundamentally different from the assessment of other factors in the working environment, therefore the assessment and classification of working conditions in the workplace of personnel who may be exposed to radiation from man-made sources of ionizing radiation during their work are presented in a separate Appendix (14).”

That is, the assessment of the action of AI is carried out differently. Teeeks, let's go to appendix No. 14. Here it is…..

Quote: “Appendix 14

ASSESSMENTS AND CLASSIFICATION OF WORKING CONDITIONS DURING WORK

WITH SOURCES OF IONIZING RADIATION<*>

1. General Provisions

1.1. These “Hygienic assessment criteria and classification of working conditions when working with sources of ionizing radiation” (hereinafter referred to as the hygienic criteria) are intended for the hygienic assessment of working conditions of workers exposed to radiation from sources of ionizing radiation in the course of work.

1.2. The hygienic criteria for assessing the ionizing factor are fundamentally different from the assessment of other factors in the working environment, which is due to the specific features of its impact on the human body, the established practice of assessing ionizing radiation and the need to ensure radiation safety in accordance with the Law of the Russian Federation “On Radiation Safety of the Population” No. 3- Federal Law dated 01/09/96.

1.3. The criteria for assessing working conditions with sources of ionizing radiation do not take into account the actual time the employee spends at the workplace. In this case, working conditions are assessed based on work under standard conditions established by clause 8.2 of NRB-99. These criteria are determined using the ratios adopted by NRB-99 based on international dose formulation models.”

Well, now, perhaps, the most interesting part begins... We read carefully.

"2. Principles for classifying working conditions when exposed to

2.1. When handling open and closed sources of ionizing radiation, personnel (workers) are exposed to factors that may have an adverse effect in the immediate or long term on the health of workers and their offspring, if the level of this exposure leads to an increase in the risk of damage to health. Such working conditions are regulated as harmful.

2.2. Ionizing radiation when exposed to the human body can cause two types of adverse effects, which in clinical medicine are classified as diseases: deterministic (radiation sickness, radiation dermatitis, radiation cataract, radiation infertility, abnormalities in fetal development, etc.) and stochastic (probabilistic) non-threshold effects (malignant tumors, leukemia, hereditary diseases).

2.3. With regard to deterministic effects of radiation, the Radiation Safety Standards - NRB-99 assume the existence of a threshold below which there is no effect, and above which the severity of the effect depends on the dose.

The probability of occurrence of stochastic non-threshold effects is proportional to the dose, and the severity of their manifestation does not depend on the dose. The latent period for the occurrence of these effects in an irradiated person is a century or more.

2.6. The above (clauses 2.1 - 2.5) determines the features of hygienic criteria for assessing and classifying working conditions when working with sources of ionizing radiation:

The degree of harmfulness of working conditions is determined not by the severity of the manifestation of threshold deterministic effects in workers, but by the increased risk of occurrence of stochastic non-threshold effects;

Working conditions are characterized as harmful even if hygiene standards are observed (PD according to NRB-99), with the exception of those listed in clause 2.8 of this Appendix.

2.7. For hygienic assessment and classification of working conditions when working with radiation sources, the values ​​of the maximum potential effective and/or equivalent dose are used (Table A.14.1).

2.8. Acceptable (class 2) include working conditions when handling man-made and natural sources of radiation in production, under which the maximum potential effective dose does not exceed 5 mSv/year, and the maximum equivalent dose in the lens of the eye, skin, hands and feet does not exceed 37, 5, 125 and 125 mSv/year, respectively. At the same time, the absence of deterministic effects is guaranteed, and the risk of stochastic effects does not exceed the average risk values ​​for working conditions in industries that are not classified as harmful or dangerous.

Working conditions are considered acceptable in cases where the maximum potential effective dose numerically corresponds to:

The permissible average annual dose of man-made radiation for group B personnel, i.e. It is allowed to irradiate the working part of the adult population, who do not undergo a special entrance medical examination, with a dose of 5 mSv/year;

The normalized dose of radiation from natural sources in industrial conditions by NRB-99, i.e. under these conditions, it is allowed to irradiate the working part of the adult population, who do not undergo a special entrance medical examination, with a dose of 5 mSv/year.

The annual dose limit for the population, i.e. In a given year, exposure of the population (including children) to a dose of 5 mSv/year is allowed.

2.9. Working conditions with sources of ionizing radiation, regardless of their origin, in which the maximum potential effective dose may exceed 5 mSv/year, and the maximum equivalent dose in the lens of the eye, skin, hands and feet - 37.5, 125 and 125 mSv/year, respectively , are classified as harmful (class 3).

2.10. Hazardous (extreme) working conditions (class 4) include working conditions when working with sources in which the maximum potential effective dose may exceed 100 mSv/year.

2.11. Exceeding individual doses under normal operating conditions of radiation facilities above the main dose limits established by NRB-99 for personnel is not allowed.

2.12. The real annual radiation dose (effective and/or equivalent) of an employee at a specific workplace, determined by methods of individual dosimetric monitoring, cannot change the class or degree of harmfulness of the working conditions of a given workplace. Cases where the actual annual radiation dose is higher than the maximum potential dose for a given workplace should be analyzed.

2.13. The impact on the body of workers of harmful or dangerous non-radiation factors that can increase the risk of deterministic and stochastic effects must be taken into account additionally (Section 5.11 of the Guide)"

Upon initial reading, I was upset - after all, in fact, if in my X-ray room the annual dose is up to 1.5 mSv, then according to paragraph 2.8 my working conditions fall into the Acceptable (class 2).

It was this table that put everything in its place. Since we belong to Group A personnel and the annual threshold for us is 20 mSv (this is the maximum potential dose in the table), then our WORKING CONDITIONS CLASS is 3.2 (up to 20 mSv per year)

And taking into account paragraph 2.12 of this appendix (see a little higher), even the actually measured dose cannot affect the change in the hazard class. That is, I was classified as harmful class 3.2, and it doesn’t matter that I receive only 1.5 mSv per year. The hazard class should not change .

That's it, colleagues. I hope that I did not bore you with a large volume of text - I tried to be detailed, but at the same time brief. This is exactly how I plan to structure my report (speech) when defending the hazard class in my workplace. I can’t edit the text (colored highlights, different fonts and underlining are not transferred to the message text - so everything looks like a solid gray wall, sorry)

Maybe leave just one quote:

". 2.12. The real annual radiation dose (effective and/or equivalent) of an employee at a specific workplace, determined by methods of individual dosimetric monitoring, cannot change the class or degree of harmfulness of the working conditions of a given workplace. ..."

One more moment of attention.

1) Milk for harmfulness is not given for working with radiation sources, and the possibility of issuing milk is determined by other regulations - perhaps I’ll post it later too, when I find it.

2) An important question - the status of the NURSE in the X-ray department is not entirely clear. In my Office, according to internal orders, the nurses are assigned to group A, and, accordingly, the harmfulness is 3.2, etc. Is this how it should be?

I was told that the job responsibilities of the X-ray department nurse should indicate that she participates in diagnostic procedures and is exposed to AI. Mine is involved in irrigoscopy. She has an individual dosimeter and a card recording her doses is kept.

3) In NRB-99/2009 there is a clarification regarding radiation sources

1.4. The requirements of the Standards do not apply to radiation sources that create, under any handling conditions:

Individual annual effective dose not more than 10 μSv; And

The collective effective annual dose is not more than 1 person-Sv, or when, with a collective dose of more than 1 person-Sv, an assessment based on the optimization principle shows that it is inappropriate to reduce the collective dose;

The individual annual equivalent dose in the skin is not more than 50 mSv and in the lens of the eye is not more than 15 mSv.

The requirements of the Standards also do not apply to cosmic radiation on the surface of the Earth and internal human irradiation created by natural potassium, which are practically impossible to influence.

As I understand it, ordinary X-ray machines do not fall under this exception, as well as CT machines. (accordingly, group A and harmfulness).. Digital diagnostic devices, I think, are also not included (no matter what they say about reducing AI).

But I don’t know if Visiographs come here (I don’t know what kind of animal, I haven’t encountered it, I don’t know what the parameters are)

For specialists working only on MRI, perhaps you should read the “hygienic assessment guide”; among the physical factors of harm there is a Magnetic field - I did not focus on this.

4) And yes, as I already wrote. The effect of other harmful factors (lead, chemical reagents) was not considered.

You see, according to the results of the 2010 certification in My X-ray office, the harmfulness class was 2 (acceptable). Until recently, this did not affect anything, milk was given. I had already forgotten about the certification that took place 3 years ago. Therefore, I need to officially change the hazard class to 3.2 (I’m sitting and waiting for recertification - the application has already been submitted). This is why I collected the whole pile of documents. And I posted it in such a volume for the purpose of informing - there are many radiologists, and perhaps I’m not the only one who has a problem with harmful working conditions.

Thanks for the info!

Community

Education

Information

Additionally

All materials published on the site belong to the authors; in controversial situations, please write.

When reprinting materials, it is necessary to indicate the author's name and a link to the source.

Problem

I work at ZAO Polyclinic Complex; after the workplace certification, we, the X-ray department employees, were waived the additional pay for harmful effects and from next year the additional leave (14 days) is cancelled. The certification sheet at the radiologist’s workplace does not indicate the presence of a X-ray viewer, IONIZING RADIATION is not indicated at any workplace, none of the factors listed in clause 2.17 of San PIN 2.6.1.1192-03, as well as psychophysiological and sanitary factors, are not indicated. hygienic factors of the production environment. The management refers to the absence of an order from the Ministry of Health of Social Development of the Russian Federation or any other regulatory document establishing the amount of compensation depending on the class of working conditions established based on the results of certification of workplaces. The radiology department is equipped with an X-ray diagnostic apparatus + x-ray, fluorograph, mammograph, orthopantomograph and operates at full capacity in 2 shifts. How can we fight for our benefits? Can we not sign certification protocols and demand re-certification, which would take into account the most important factor - ionizing radiation.

Solution

Good afternoon

1. Write to the website of the Ministry of Health and Social Development of the Russian Federation, they will respond within a month.

2. How the certification of workplaces was done, the composition of the commission, this was carried out by an organization that has a license for this, because Only licensed organizations have the right to carry out workplace certification.

3. Contact the State Technical Inspectorate and Rostechnadzor in writing with a statement that the certification procedure and rules have been violated.

4. The amount of compensation is set by the employer himself, now no one sets specific amounts or percentages, this does not mean that benefits can be denied to employees on this basis, now everything must be prescribed in the local regulations of the employer, and the approximate number of additional permits is available in documents , which have not yet changed since the distant 70s and 80s, but they are valid.

5. And yes, you can write an objection to this certification and point out all the violations with which it was carried out, or it is better to involve the third-party organizations responsible for this, GIT and Rostechnadzor.

1.1. Harmful production factors mean a production factor, the impact of which on an employee can lead to illness, and a hazardous production factor means a production factor, the impact of which on an employee can lead to injury (Article 209 of the Labor Code of the Russian Federation).

1.2.Harmful factors can be:

Physical factors - temperature, humidity, air speed, thermal radiation and other types of radiation, electric and magnetic fields, industrial noise, ultrasound, vibration, dust, lighting, electrically charged air particles - air ions;

Chemical factors - chemical substances, mixtures, incl. some substances of a biological nature (antibiotics, vitamins, hormones, enzymes, protein preparations) obtained by chemical synthesis and/or for the control of which methods of chemical analysis are used;

Biological factors - producing microorganisms, living cells or spores contained in bacterial preparations, pathogenic microorganisms - causative agents of infectious diseases;

Factors of the labor process.

1.3. A dangerous factor in the work environment can cause an acute illness or sudden deterioration in health, or death.

1.4. Depending on the quantitative characteristics and duration of action, certain harmful factors in the working environment can become dangerous.

1.5. To assess working conditions at workplaces in order to identify harmful and (or) dangerous production factors and implement measures to bring working conditions into compliance with state regulatory requirements for labor protection, workplaces are certified for working conditions.

1.6. The timing of certification of workplaces for the employer’s working conditions is established based on the fact that each workplace must be certified at least once every 5 years.

1.7. Hygienic standards of working conditions - levels of harmful factors in the working environment, which, when working daily (except for weekends) for 8 hours, but not more than 40 hours a week, during the entire working period, should not cause diseases or deviations from the state of health, discovered by modern research methods, in the process of work or in the long-term life of the present and subsequent generations.

1.8. Compliance with hygiene standards does not exclude health problems in people with hypersensitivity.

1.9. In accordance with Article 109 of the Labor Code of the Russian Federation, certain types of work provide for the provision of special breaks to employees during working hours, determined by the technology and organization of production and labor.

1.10. The types of these works, the duration and procedure for providing such breaks are established by the internal labor regulations.

1.11. Special breaks due to the technology and organization of production and labor are provided for in a number of regulatory or advisory documents (for example, SanPiNs).

In accordance with the Order of the Ministry of Health and Social Development of Russia dated 04/01/2010 No. 205n “On approval of the list of services in the field of labor protection, the provision of which requires accreditation, and the Rules for the accreditation of organizations providing services in the field of labor protection”, from 10/01/2010 the provision of services for the certification of workers places are possible only if the organization has mandatory accreditation.

Accreditation is carried out by the Ministry of Health and Social Development of Russia in a notification procedure by entering the organization into the register of accredited organizations (Letters of the Ministry of Health and Social Development of Russia dated July 20, 2010 No. 22-3/10/2-6080, dated July 23, 2010 No. 22-0/10/2-6229).

Since 01.09.2008, the Procedure for certification of workplaces according to the conditions of the Toad, approved, has been in effect in the Russian Federation. By Order of the Ministry of Health and Social Development of Russia dated August 31, 2007 No. 569.

To receive a discount on the insurance rate, the company must conduct a 100% certification of workplaces and medical examination of employees, and contact the Social Insurance Fund with the obtained data. However, a discount can only be obtained if there have been no industrial accidents at the enterprise for 3 years. If such cases have occurred, or the enterprise does not comply with labor safety standards, the insurance rate may be increased to 40%.

Today, about 16 thousand enterprises make contributions to the Social Insurance Fund at increased rates. New rules for establishing discounts and allowances will take effect from the New Year. Before November 1, enterprises must submit documents to the Social Insurance Fund giving them the right to receive discounts. A decision on them will be made by the end of December.