Sample order for undergoing a medical examination at an enterprise in 2021

Who is required to undergo medical examinations?

Undertaking preventive medical examinations can be either an obligation of employees of enterprises and organizations, or a voluntary event.

Typically, mandatory examinations must be carried out:

employees of medical and educational institutions;
those who work with food (regardless of whether in production, trade or catering);
employees of organizations involved in the maintenance of water supply networks and communications.

There are other categories of hired personnel for whom passing medical examinations is the main condition for admission to work - all of them are specified in the legislation of the Russian Federation.

In some cases, enterprise management insists on a medical examination of employees, even if this obligation in relation to this group of specialists is not prescribed by law. This practice is especially common in large companies where medical care for staff is provided under voluntary health insurance policies.

Structure of the order on medical examinations of workers

The form that the document in question must comply with is not defined by law. In practice, orders for medical examinations at an enterprise include:

company name;
date of preparation, number, title of the document;
a text block that contains language justifying the issuance of the order (“In accordance with...”);
a text block containing operative wording (“I order...”);
a text block with a list of instructions from the head of the company, approved by order;
applications (using them, for example, lists of employees who need to undergo a medical examination can be generated).

The order must be signed by the head of the company. If the document is used to inform employees about the schedule of periodic medical examinations, employees must sign on it (or on one of its attachments) to certify that they have read the document.

Find out about the features of the medical examination of drivers from the article “Pre-trip medical examination of drivers in 2021.”

How often to get medical checkups

The frequency of medical examinations may vary. Surveys can be divided into several main types:

preliminary (when a medical examination is necessary for a person to be allowed to perform his work duties);
periodic (when medical examinations are carried out with a certain regularity to confirm the health of workers);
unscheduled;
all the remaining ones.

It should be noted that if the company has a system of periodic medical examinations, then a schedule must be developed and all employees must follow it.

The frequency of medical examination by the organization’s personnel is determined by the field of activity and the specifics of the organization.

Who draws up the order

As a rule, the direct task of forming an order is assigned to an employee of the secretariat or a specialist from the human resources department, but sometimes this responsibility is performed by a legal adviser or the director of the enterprise himself. In any case, this should be a person who has a clear idea of how to write administrative documents and is familiar with the labor and civil legislation of the Russian Federation first-hand.

How responsibly and attentively the executor will react to drawing up the order depends on future possible claims (or lack thereof) from supervisory authorities (the same labor inspectorate, for example).

After the order is issued, it must be submitted to the head of the company for signature, since without his autograph the document will not gain legal force.

Results

An order to conduct a medical examination may be useful to the employer in order to inform employees about the need to undergo the appropriate procedure, as well as the timing of its implementation. The document can be supplemented with various applications, for example, a list of employees who must undergo a medical examination.

Sources:

Labor Code of the Russian Federation
Order of the Ministry of Health and Social Development of the Russian Federation dated April 12, 2011 No. 302n

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Features of creating an order to undergo a medical examination at an enterprise

If you are entrusted with the function of forming an order for a medical examination, and you do not know how to approach it, read the recommendations below and look at the sample document.

The order to undergo a medical examination does not have a standard, mandatory form. Company employees have the opportunity to draw it up in any form or, if they have a sample document that is valid in the organization, using its template.

In this case, the document must include some necessary information, such as:

name of company;
date, number and place (locality) of drawing up the order;
rationale and basis for it.

The descriptive part includes:

date or period of the medical examination;
the medical organization that conducts it;
conditions – place, time (hours, minutes) and other parameters;
positions and full names of employees (this data can also be prepared in a separate list attached to the order);
sanctions for refusal to undergo a medical examination.

You can supplement the order with any other information, depending on the specific characteristics of the enterprise.

Helpful information

Order of December 13, 2021 N 1032n

ON AMENDMENTS TO APPENDICES N 1, 2 AND 3 TO THE ORDER OF THE MINISTRY OF HEALTH AND SOCIAL DEVELOPMENT OF THE RUSSIAN FEDERATION OF APRIL 12, 2011 N 302Н “ON APPROVAL OF LISTS OF HARMFUL AND (OR) DANGEROUS PRODUCTION FACTORS AND WORK IN WHICH PERFORMANCE INVOLVED PRELIMINARY AND PERIODIC MEDICAL EXAMINATIONS (SURVEYS), AND PROCEDURES FOR CONDUCTING MANDATORY PRELIMINARY AND PERIODIC MEDICAL EXAMINATIONS (SURVEYS) OF WORKERS WORKING IN HEAVY WORK AND IN WORK WITH HARMFUL AND (OR) DANGEROUS CONDITIONS LABOR"

I order: 1. To make changes to Appendices No. 1, 2 and 3 to the order of the Ministry of Health and Social Development of the Russian Federation dated April 12, 2011 No. 302n “On approval of lists of harmful and (or) hazardous production factors and work during which preliminary and periodic medical examinations (examinations), and the procedure for conducting mandatory preliminary and periodic medical examinations (examinations) of workers engaged in heavy work and work with harmful and (or) dangerous working conditions" (registered by the Ministry of Justice of the Russian Federation on October 21, 2011 ., registration N 22111) as amended by orders of the Ministry of Health of the Russian Federation dated May 15, 2013 N 296н (registered by the Ministry of Justice of the Russian Federation on July 3, 2013, registration N 28970) and dated December 5, 2014 N 801н (registered Ministry of Justice of the Russian Federation on February 3, 2015, registration N 35848), Ministry of Labor of the Russian Federation and Ministry of Health of the Russian Federation dated February 6, 2021 N 62н/49н (registered by the Ministry of Justice of the Russian Federation on March 2, 2021, registration N 50237) , according to the application. 2. This order comes into force in the prescribed manner, with the exception of subparagraph 21 of paragraph 3 of the appendix to this order, which comes into force on July 1, 2021.

Minister V.I. SKVORTSOVA

Appendix
to the order of the Ministry of Health of the Russian Federation dated December 13, 2021 N 1032н
CHANGES
THAT ARE MADE TO APPENDICES N 1, 2 AND 3 TO THE ORDER OF THE MINISTRY OF HEALTH AND SOCIAL DEVELOPMENT OF THE RUSSIAN FEDERATION DATED APRIL 12, 2011 N 302Н “ON APPROVAL ENERGY LISTS OF HARMFUL AND (OR) HAZARDOUS PRODUCTION FACTORS AND WORKS, WHEN PERFORMED, PRELIMINARY AND PERIODIC MEDICAL EXAMINATIONS (SURVEYS) ARE CARRIED OUT, AND THE PROCEDURE FOR CONDUCTING MANDATORY PRELIMINARY AND PERIODIC MEDICAL EXAMINATIONS (SURVEYS) OVANIY) OF WORKERS WORKING IN HEAVY WORK AND IN WORK WITH HARMFUL AND (OR) DANGEROUS WORKING CONDITIONS"
1. Note 3 to the list of harmful and (or) dangerous production factors, in the presence of which mandatory preliminary and periodic medical examinations (examinations) are carried out (Appendix No. 1 to the order of the Ministry of Health and Social Development of the Russian Federation dated April 12, 2011 N 302n) be declared invalid. 2. In the list of works during the performance of which mandatory preliminary and periodic medical examinations (examinations) of workers are carried out (Appendix No. 2 to the order of the Ministry of Health and Social Development of the Russian Federation dated April 12, 2011 No. 302n): 1) in paragraph 23 the words “ in the position of a flight attendant" shall be replaced with the words "in the position of an aircraft on-board conductor"; 2) in paragraphs of tables 27.3, 27.4, 27.6, 27.15, 27.16 in the column “Additional medical contraindications”, subparagraph “1) Medical contraindications set out in clauses 3 - 25 of this column of subclause 28.1.” replace with subclause “1) Medical contraindications set out in clauses 3 - 25 of this column of subclause 27.1.”; 3) in paragraphs of tables 27.5, 27.13, 27.14 in the column “Additional medical contraindications”, subparagraph “1) Medical contraindications set out in clauses 3 - 25 of this column of subclause 28.4.” replace with subclause “1) Medical contraindications set out in clauses 3 - 25 of this column of subclause 27.4.”; 4) in paragraphs of table 27.7, 27.8, 27.9, 27.10, 27.11, 27.12 in the column “Additional medical contraindications”, subparagraph “1) Medical contraindications set out in clauses 3 - 25 of this column of subclause 28.4.” replace with subclause “1) Medical contraindications set out in clauses 3 - 25 of this column of subclause 27.6.”. 5) note 1 is declared invalid. 3. In the Procedure for conducting mandatory preliminary (upon entry to work) and periodic medical examinations (examinations) of workers engaged in heavy work and work with harmful and (or) dangerous working conditions (Appendix No. 3 to the order of the Ministry of Health and Social Development of the Russian Federation Federation dated April 12, 2011 N 302n): 1) add subparagraph 2 of paragraph 3 with the words “and the formation of risk groups for the development of diseases that interfere with the performance of the work assigned to the employee”; 2) add a new paragraph 6.1 with the following content: “6.1. When conducting a preliminary or periodic examination, the results of previously conducted (no later than one year) preliminary or periodic examination, clinical examination, and other medical examinations, confirmed by the employee’s medical documents, may be taken into account, with the exception of cases where symptoms and syndromes of diseases are identified in him, indicating the presence of medical indications for repeated examinations and other medical measures as part of preliminary or periodic examinations, medical examinations, and other medical examinations. In order to clarify the diagnosis, medical organizations conducting preliminary or periodic examinations have the right to receive the necessary information about the health status of the person entering work (employee) using the medical information system of the medical organization from the medical organization at the place of residence or attachment of the person (other medical organization) , applying for work (employee)."; 3) paragraph 9 should be stated as follows: “9. To undergo a preliminary examination, a person applying for work submits the following documents to the medical organization where the preliminary examination is carried out: a referral; insurance certificate of compulsory pension insurance containing the insurance number of an individual personal account or a document confirming registration in the individual (personalized) accounting system in the form of an electronic document or on paper; passport (or other identity document); decision of the medical commission that conducted the mandatory psychiatric examination (in cases provided for by the legislation of the Russian Federation); a person entering work has the right to provide an extract from the medical record of a patient receiving medical care in an outpatient setting <2.1> (hereinafter referred to as the medical record), the medical organization to which this person is assigned for medical care and (or) from the medical organization at the place residence with the results of medical examination (if available).”; 4) add footnote 2.1 to paragraph 9 with the following content: “<2.1> Registration form N 025/у, approved by order of the Ministry of Health of the Russian Federation dated December 15, 2014 N 834n (registered by the Ministry of Justice of the Russian Federation on February 20, 2015, registration N 36160), as amended by order of the Ministry of Health of the Russian Federation dated January 9, 2021 N 2n (registered by the Ministry of Justice of the Russian Federation on April 4, 2021, registration N 50614)”; 5) add clause 9.1 with the following content: “9.1. When conducting preliminary examinations, all subjects are required to carry out <2.2>: questioning of workers aged 18 years and older in order to: collect anamnesis, identify burdened heredity, complaints, symptoms characteristic of the following non-communicable diseases and conditions: angina pectoris, previous transient ischemic attack or acute cerebrovascular accident, chronic obstructive pulmonary disease, gastrointestinal tract diseases; identification of risk factors and other pathological conditions and diseases that increase the likelihood of developing chronic non-communicable diseases: smoking, the risk of harmful alcohol consumption, the risk of consuming narcotic drugs and psychotropic substances without a doctor’s prescription, diet, physical activity; calculation based on anthropometry (measurement of height, body weight, waist circumference) body mass index, for citizens aged 18 years and older; clinical blood test (hemoglobin, color index, red blood cells, platelets, leukocytes, leukocyte formula, ESR); clinical urine analysis (specific gravity, protein, sugar, sediment microscopy); resting electrocardiography of persons 18 years of age and older; measurement of blood pressure in peripheral arteries, for citizens aged 18 years and older; determination of the level of total cholesterol in the blood (use of the express method is allowed) for citizens aged 18 years and older; testing fasting blood glucose levels (using the express method is allowed) for citizens aged 18 years and older; determination of relative cardiovascular risk in citizens aged 18 to 40 years inclusive. Cardiovascular risk is determined according to the SCORE cardiovascular risk scale, while in citizens with cardiovascular diseases of atherosclerotic origin, type 2 diabetes mellitus and chronic kidney disease, the level of absolute cardiovascular risk according to the SCORE risk scale is not determined and is regarded as very high regardless of the scale indicators; determination of absolute cardiovascular risk - in citizens over 40 years of age; fluorography or radiography of the lungs in two projections (direct and right lateral) for citizens aged 18 years and older. Fluorography, radiography of the lungs is not performed if the citizen underwent fluorography, radiography (fluoroscopy) or computed tomography of the chest organs during the previous calendar year; measurement of intraocular pressure during preliminary and periodic medical examinations, starting from the age of 40. All women are examined by an obstetrician-gynecologist with bacteriological (for flora) and cytological (for atypical cells) examinations; women over the age of 40 undergo mammography of both mammary glands in two projections. Mammography is not performed if mammography or computed tomography of the mammary glands was performed within the previous 12 months.” 6) add footnote 2.2 to clause 9.1 with the following content: “<2.2> Order of the Ministry of Health of the Russian Federation of March 13, 2021 N 124n “On approval of the procedure for conducting preventive medical examination and medical examination of certain groups of the population” (registered by the Ministry of Justice of the Russian Federation on April 24 2021, registration N 54495, as amended by order of the Ministry of Health of the Russian Federation dated 09/02/2019 N 716n registered by the Ministry of Justice of the Russian Federation on October 16, 2021, registration N 56254). 7) paragraph 10 should be stated as follows: “10. For a person entering work and undergoing a preliminary examination, a medical card is issued in a medical organization, approved by order of the Ministry of Health of the Russian Federation dated December 15, 2014 N 834n “On approval of unified forms of medical documentation used in medical organizations providing medical care in outpatient settings” conditions, and procedures for filling them out" (registered by the Ministry of Justice of the Russian Federation on February 20, 2015, registration number N 36160), which includes the conclusions of medical specialists, the results of laboratory and other tests, and the conclusion based on the results of a preliminary examination."; in paragraph 13: a) in paragraph three: after the word “patronymic”, add the words “(if any)”; the words “(employee)” should be deleted; b) paragraph seven should be stated as follows: “the results of the preliminary examination: medical contraindications to work were identified (list the harmful factors or types of work for which contraindications were identified), medical contraindications to work were not identified, indicate the employee’s health group”; c) in paragraph eight: replace the words “medical commission” with the words “medical commission”; after the words “medical organization” add the words “(if available)”; the word “medical” should be replaced with the word “preliminary”; 9) paragraph 14 should be stated as follows: “14. The conclusion is drawn up in four copies and no later than 5 working days is issued: to the person applying for work, the second is attached to the medical record drawn up in the medical organization where the preliminary examination was carried out, the third is sent to the employer, the fourth is sent to the medical organization to which a person entering work is assigned for medical care.”; 10) in paragraph three of clause 19: a) the words “based on the results of certification of workplaces for working conditions, carried out in the established order <3>” should be replaced with the words “based on the results of a special assessment of working conditions, carried out in the established order <3>”; b) footnote 3 should be worded as follows: “<3> Order of the Ministry of Labor of the Russian Federation dated January 24, 2014 N 33n “On approval of the Methodology for special assessment of working conditions, Classifier of harmful and (or) hazardous production factors, report form on special assessment of working conditions and instructions for its implementation" (registered by the Ministry of Justice of the Russian Federation on March 21, 2014, registration N 31689) as amended by orders of the Ministry of Labor of Russia dated January 20, 2015 N 24n (registered by the Ministry of Justice of the Russian Federation on February 9, 2015 ., registration N 35927), dated November 14, 2021 N 642н (registered by the Ministry of Justice of the Russian Federation on February 6, 2021, registration N 45539)"; 11) in paragraph 28, replace the words “in paragraph 10” with the words “in paragraph 9”; 12) paragraph 29 shall be supplemented with the following paragraph: “Medical organizations that conduct periodic examinations provide information on the health status of employees, including the results of these examinations with the written consent of the employee to the Social Insurance Fund of the Russian Federation upon written request (hereinafter referred to as the Social Insurance Fund). insurance)"; 13) add clause 29.1 with the following content: “29.1. When conducting periodic examinations, all subjects are required to carry out <3.1> in accordance with the frequency of examinations specified in the List of Factors, in the List of Works: questioning of workers aged 18 years and older in order to: collect anamnesis, identify burdened heredity, complaints, symptoms, characteristic of the following non-infectious diseases and conditions: angina pectoris, previous transient ischemic attack or acute cerebrovascular accident, chronic obstructive pulmonary disease, diseases of the gastrointestinal tract; identification of risk factors and other pathological conditions and diseases that increase the likelihood of developing chronic non-communicable diseases: smoking, the risk of harmful alcohol consumption, the risk of consuming narcotic drugs and psychotropic substances without a doctor’s prescription, diet, physical activity; calculation based on anthropometry (measurement of height, body weight, waist circumference) body mass index, for citizens aged 18 years and older; clinical blood test (hemoglobin, color index, red blood cells, platelets, leukocytes, leukocyte formula, ESR); clinical urine analysis (specific gravity, protein, sugar, sediment microscopy); resting electrocardiography of persons 18 years of age and older; measurement of blood pressure in peripheral arteries, for citizens aged 18 years and older; determination of the level of total cholesterol in the blood (use of the express method is allowed) for citizens aged 18 years and older; testing fasting blood glucose levels (using the express method is allowed) for citizens aged 18 years and older; determination of relative cardiovascular risk in citizens aged 18 to 40 years inclusive. Cardiovascular risk is determined according to the SCORE cardiovascular risk scale, while in citizens with cardiovascular diseases of atherosclerotic origin, type 2 diabetes mellitus and chronic kidney disease, the level of absolute cardiovascular risk according to the SCORE risk scale is not determined and is assessed as very high regardless of the scale indicators; determination of absolute cardiovascular risk - in citizens over 40 years of age; fluorography or radiography of the lungs in two projections (direct and right lateral) for citizens aged 18 years and older. Fluorography, radiography of the lungs is not performed if the citizen underwent fluorography, radiography (fluoroscopy) or computed tomography of the chest organs during the previous calendar year; measurement of intraocular pressure during preliminary and periodic medical examinations, starting from the age of 40. All women are examined by an obstetrician-gynecologist with bacteriological (for flora) and cytological (for atypical cells) examinations; Women over the age of 40 undergo mammography of both mammary glands in two projections at least once every 2 years. Mammography is not performed if mammography or computed tomography of the mammary glands was performed within the previous 12 months.”; 14) add footnote 3.1 to clause 29.1 with the following content: “<3.1> Order of the Ministry of Health of the Russian Federation of March 13, 2021 N 124n “On approval of the procedure for conducting preventive medical examination and medical examination of certain groups of the population” (registered by the Ministry of Justice of the Russian Federation on April 24 2021, registration N 54495).»; 15) paragraph 31 shall be supplemented with the following paragraphs: “The conclusion is drawn up in five copies and is issued to the employee no later than 5 working days, the second is attached to the medical record drawn up in the medical organization in which the preliminary or periodic examination was carried out, the third is sent to the employer, the fourth - to the medical organization to which the employee is attached for medical care, the fifth - upon a written request to the Social Insurance Fund with the written consent of the employee. If medical contraindications for health reasons to perform certain types of work are identified, the employee is sent to a medical organization to conduct an examination of professional suitability in accordance with the order of the Ministry of Health of the Russian Federation dated May 5, 2021 N 282n “On approval of the Procedure for conducting an examination of professional suitability and forms of medical conclusions on suitability or unsuitability to the implementation of certain types of work <3.5>. ”; 16) supplement with footnote 3.5 to paragraph 31 of the following content: “<3.5> (registered by the Ministry of Justice of the Russian Federation on June 2, 2016, registration N 42397).”; 17) Clause 32 shall be stipulated as follows: “32. Based on the results of the periodic inspection, it is determined in the prescribed manner <4> the employee’s belonging to one of the health groups with the subsequent registration of the patient in the medical record in the medical organization, in which a medical examination was carried out, recommendations for the prevention of diseases, including occupational diseases, and if there was a person Medical indications - on further observation, treatment and medical rehabilitation. The results of the periodic inspection can be used by the employer when establishing the employee’s belonging to one of the risk groups for the development of occupational diseases <4.1>. ”; 18) supplement with footnote 4, 4.1 to paragraph 32 of the following content: “<4> Order of the Ministry of Health of the Russian Federation dated March 13, 2019 N 124n“ On approval of the Procedure for the Preventive Medical Examination and Dispensation of certain groups of the population ”(registered by the Ministry of Justice of the Russian Federation April 24, 2021, registration N 54495). <4.1> Clause 3 of part 2 of Article 46 of the Federal Law of November 21, 2011 N 323-ФЗ “On the Basics of Protection of the Health of Citizens in the Russian Federation”. ”; 19) Clause 33 shall be stipulated as follows: “33. Data on medical examinations shall be entered into personal medical books and accounting with medical organizations by state and municipal health systems, as well as bodies that carry out the federal state sanitary and epidemiological supervision. ”; 20) Clause 34 shall be stipulated in the following version: “34. In the case of the liquidation of a medical organization, which carries out preliminary or periodic examinations, or conducting the indicated examinations in another medical organization in the next calendar year, the medical card is transferred to the Center for Professor Patter of the Subject of the Russian Federation in whose territory it is located, or to a medical organization determined by the state authority authority the subject of the Russian Federation in the field of health protection in the absence of a center of professional patience in the constituent entity of the Russian Federation, or in cases provided for by the legislation of the Russian Federation, to the centers of the professional pathology of the Federal Medical and Biological Agency, where it is stored for 50 years. ”; 21) Clause 37 shall be stipulated as follows: “37. For workers engaged in work in harmful and (or) dangerous working conditions, the first periodic inspection in the Center for Professor Patology is carried out with the experience of 5 years in harmful working conditions (subclasses 3.1 - 3.4, class 4), subsequent periodic inspections of these categories of employees in The Center for Professor Patology is held once every five years. Workers with persistent consequences of industrial accidents are once every five years, periodic examinations are underway at the centers of professional patology. Workers who have conclusions about a preliminary diagnosis of a occupational disease should be sent to the centers of professional pathology within 1 month from the moment of suspicion of the connection of the disease with the profession <4.2>. In the regions of the Far North and equivalent areas, as well as in the absence of a center of vocational power in the settlement in which the object of work is located, a periodic inspection of workers with general work experience for 5 years or more can be carried out by mobile medical teams of specialist doctors centers of professional pathology. Employees before periodic examinations with mobile medical teams of doctors-specialists of centers of profiles are undergoing diagnostic research in medical organizations. Periodic examinations of employees with mobile medical teams of specialist doctors of centers of profiles can be carried out, including using mobile medical complexes. The specialist doctors of the Center for Professor Patology, when conducting a periodic examination for him, makes an statement from a medical record, which reflects the conclusions of the specialist doctors, the results of laboratory and other studies, the conclusion according to the results of a preliminary or periodic examination for previous years of work in harmful and (or) dangerous conditions labor. A periodic examination in another medical organization is not carried out in the year of this inspection. ”; 22) to supplement with footnote 4.2 to paragraph 37 of the following content: “<4.2> Order of the Ministry of Health of the Russian Federation dated January 31, 2021 N 36n“ On approval of the procedure for conducting an examination of the disease with a profession and a form of medical opinion on the presence or absence of an occupational disease ” (registered by the Ministry of Justice of the Russian Federation on March 19, 2021, registration N 54085). ”; 23) in paragraph 38, the words “authorized healthcare organization” shall be replaced by the words “authorized by the federal executive body in the healthcare sector or state authority of the subject of the Russian Federation in the field of health protection”; 24) Clause 39 shall be stipulated as follows: “39. The Center for Professor Patology, conducting a periodic inspection, provides information on the results of this inspection with the written consent of the employee to the Social Insurance Fund for a written request. ”; 25) Clause 40 supplement with footnote 4.3 of the following content: “<4.3> Order of the Ministry of Health of the Russian Federation of May 5, 2021 N 282n“ On approval of the procedure for conducting an examination of professional suitability and a form of medical report on suitability or unsuitability for the implementation of certain types of work ”( registered by the Ministry of Justice of the Russian Federation on June 2, 2016, registration N 42397). ”; 26) Clause 41 supplement the Blot <4.4> of the following content: “<4.4> Decree of the Government of the Russian Federation of December 15, 2000 N 967“ On approval of the Regulation on the investigation and accounting of occupational diseases ”(Collection of legislation of the Russian Federation, 2000, N 52, Article 5149; 2015, N 1, Article 262), Order of the Ministry of Health of the Russian Federation of January 31, 2021 N 36n “On approval of the procedure for conducting an examination of the disease with a profession and a form of medical opinion on the presence or absence of a professional disease” ( registered by the Ministry of Justice of the Russian Federation on March 19, 2021, registration N 54085) ”; 27) Clause 44 supplement the words “(if any).”; 28) Clause 45 shall be stipulated in the following version: “45. The final act (including in electronic form) is drawn up in five copies, which are sent by a medical organization within 5 working days from the date of approval of the act to the employer, to the Center for the Professor Partology of the Subject of the Russian Federation, the Social Insurance Fund, to the territorial body of the federal executive body, authorized on the implementation of state control and supervision in the field of ensuring the sanitary and epidemiological well-being of the population. One copy of the final act is stored in a medical organization conducting a periodic examination for 50 years. ”; 29) Clause 46 to be stipulated in the following version: “46. Medical organizations that conducted preliminary and periodic examinations at their end: they give the employee to the hands of an opinion from a medical card, which reflect the conclusions of the specialist doctors, the results of laboratory and other studies, conclusion according to the results of a periodic examination, as well as recommendations for the prevention of diseases, including the number of occupational diseases, and in the presence of medical indications - for further observation, treatment and medical rehabilitation; send a copy of the extract indicated in the second paragraph of this paragraph to medical organizations at the place of residence or attachment of the employee, with the written consent of the employee. Medical organizations summarize and analyze the results of periodic inspections of employees engaged in work with harmful and (or) dangerous working conditions, in the territory of this constituent entity of the Russian Federation and no later than February 15 of the year following the reporting, send generalized information to the relevant state power of the subject of the Russian Federation in the field of health protection. The state authority of the constituent entity of the Russian Federation in the field of health protection sends generalized information to the Center for Professor Patology of the Ministry of Health of the Russian Federation. ”; 30) Clause 47 shall be stipulated in the following version: “47. The Center for Professor Patology of the Ministry of Health of the Russian Federation, no later than April 1 of the year following the reporting, provides information on the conduct of periodic inspections of employees engaged in work with harmful and (or) dangerous working conditions, to the Ministry of Health of the Russian Federation. ”; 31) Feminos 8 to paragraph 48 to exclude.

How to draw up a document, what to pay attention to

The design of the order, as well as its text, can be absolutely anything: handwritten or printed. An order can be drawn up either on a regular sheet of any suitable format (but preferably A4), or on company letterhead.

Only one requirement must be met: the order must be certified by an authentic autograph of the director of the company or a person authorized to sign such papers on his behalf.

Also, the order must be signed by employees who are responsible for its implementation and by those who are directly affected by this order. If necessary, representatives of the trade union organization (if there is one, of course) must first be familiarized with the contents of the order against signature.

All orders (and this one is no exception) are drawn up in one original copy and throughout the entire period of validity lie in a special folder along with other valid administrative acts. After losing their relevance, they are transferred for storage to the archive of the enterprise, where they are kept for a period determined by law or the accounting policy of the company.