The procedure for obtaining and rules for issuing a medical book in 2021

Medical examinations and the purposes of their conduct

The obligation of workers to undergo medical examinations is established by the Labor Code and Federal Law of March 30, 1999 No. 52-FZ “On the sanitary and epidemiological welfare of the population” (hereinafter referred to as Law No. 52-FZ).

Medical examinations are carried out for the following purposes:

1. Establishing the suitability of an employee to perform work in the position and preventing occupational diseases. Such examinations are carried out by persons engaged in work with harmful and (or) dangerous working conditions or work related to traffic, minors, etc. The results of medical examinations in the first case are issued in the form of a medical report, and in the second - in the form of a certificate in form 086 /y. 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 is approved by Order of the Ministry of Health and Social Development of the Russian Federation dated April 12, 2011 No. 302n.

2. Protecting public health, preventing the occurrence and spread of diseases. These medical examinations are carried out for those working in medical organizations, in the food industry, trade, etc. The results of medical examinations of persons applying for work and working in relevant organizations are entered into personal medical records. Moreover, medical examinations alone are not enough - after passing them on the basis of Art. 36 of Law No. 52FZ, such workers must undergo hygienic training and certification. The instructions on the procedure for conducting professional hygienic training and certification were approved by Order of the Ministry of Health of the Russian Federation dated June 29, 2000 No. 229 (hereinafter referred to as Order No. 229).

An approximate list of professions of officials and workers who are required to undergo periodic professional hygienic training and certification when entering work and subsequently undergo periodic professional hygienic training and certification is given in Letter of the Ministry of Health of the Russian Federation dated 08/07/2000 No. 1100/2196-0-117 (hereinafter referred to as Letter No. 1100/21960117) .

The procedure for conducting mandatory medical examinations, recording, reporting and issuing personal medical records to employees is determined by Order of Rospotrebnadzor dated May 20, 2005 No. 402 “On a personal medical record and sanitary passport” (hereinafter referred to as Order No. 402).

Getting Results

The time for conducting diagnostic studies depends on the number and complexity of the tests and is up to 5 working days .

It takes a long time to diagnose materials for the chemical group, typhoid fever and staphylococcus.

As a rule, in municipal clinics, smears for STDs and cytology are prepared in about three working days , while in private clinics the results can be obtained the very next day .

After receiving the results, you should see specialists: a dermatovenerologist, an infectious disease specialist, an otorhinolaryngologist.

If all specialists have clearance, the final step is to go through a therapist to make a final conclusion.

Read other useful articles from our experts about the validity period of a medical book and how to renew it, who is required to have this document, how to check the book for authenticity, and whether a seller of non-food products needs it.

Who should have a medical record?

Medical book based on art. 213 of the Labor Code of the Russian Federation, Order No. 402 and Letter No. 1100/21960117 must have:

1. Officials and employees of organizations whose activities are related to the production, storage, transportation and sale of food products, working:

• in catering departments of all institutions and organizations;
• in organizations of food and processing industries, agriculture, at bases, storage and distribution warehouses;
• in transport organizations.

2. Officials and employees of organizations whose activities are related to the production, storage, transportation and sale of drinking water, including workers of water supply facilities directly related to water treatment, as well as persons servicing water supply networks.

3. Officials and employees of organizations whose activities are related to the upbringing and education of children and directly to the nutrition of children, working:

• in preschool institutions (nurseries, kindergartens, children's homes, children's sanatoriums, year-round health institutions);
• in educational institutions (secondary schools, orphanages, vocational schools, technical schools, boarding schools, lyceums, colleges);
• in seasonal children's and adolescent health institutions (before starting work);
• in out-of-school children's institutions (children's sports schools, clubs, libraries, etc.).

4. Officials and employees of organizations whose activities are related to public utilities and consumer services, working:

• in organizations providing sanitary and hygienic services to the population (baths, showers, saunas, hairdressers, beauty and massage salons, solariums, laundries, dry cleaners, laundry collection points, housing maintenance organizations, organizations carrying out comprehensive sanitary and hygienic cleaning of the city);
• in organizations engaged in the maintenance of sewer networks and structures;
• in hotels, hostels, motels, campsites, tour operators and travel companies;
• in swimming pools, spas, sports and recreational institutions;
• in medical institutions, boarding schools and homes for the disabled and elderly, hospices, as well as sanatoriums, rest homes, boarding houses, tourist centers directly related to food and public services for patients and vacationers;
• in organizations selling industrial goods for children and perfumes and cosmetics;
• drivers of transport organizations, individual entrepreneurs engaged in transporting people (taxi, city passenger transport), as well as intercity and international transport;
• conductors of long-distance passenger trains, river, sea and air transport.

5. Students of secondary schools, secondary specialized and higher educational institutions, lyceums, colleges, etc. before and during internship at enterprises, institutions, organizations whose employees are subject to professional hygienic training and certification.

6. Foreigners while working in organizations and institutions whose employees are subject to professional hygienic training and certification.

note

Since regulatory documents do not contain instructions for specific positions, all employees of organizations engaged in these types of activities must have medical records.

In accordance with Part 2 of Art. 34 of Law No. 52FZ, if necessary, based on proposals from bodies exercising federal state sanitary and epidemiological supervision, decisions of state authorities of constituent entities of the Russian Federation or local governments in individual organizations (shops, laboratories and other structural units) may introduce additional indications for medical examinations workers whose data is entered into medical records.

Who needs medical books by law in 2021?

A health certificate will be issued to those who are getting a job or are already working in areas related to:

• trade;
• catering;
• household services;
• water communications;
• hazardous (harmful) production;
• transport;
• electric power industry;
• construction;
• education;
• healthcare.

It is also necessary to obtain a personal certificate for those who spend more than 50% of their working time on a personal computer, and for persons under the age of 18.

A more complete list of areas of work and professions that require special monitoring of health status is contained in:

• Labor Code of the Russian Federation;
• Federal Law No. 29 dated January 2, 2000;
• Order of the Ministry of Health and Social Development of Russia dated April 12, 2011. No. 302n;
• Letter from the Ministry of Health of the Russian Federation dated 08/07/2000. No. 1100/2196-0-117 and others.

Fines and other types of liability for lack of a medical record in 2021

If, according to the law, a health certificate must be provided to perform a particular job, then one will have to be obtained. Otherwise, access to this type of activity is prohibited. Of course, situations arise when the rules for obtaining and issuing medical certificates are violated for various reasons. What does this mean?

Depending on the possible consequences, the absence of a health book implies disciplinary, administrative and even criminal liability for the employer and employee. If Rospotrebnadzor, the prosecutor's office or the Ministry of Internal Affairs identify the absence of a document or the registration of a medical book raises questions for them (expired validity, falsification of results, etc.), then there may be:

• fines of varying amounts were imposed;
• the organization’s activities have been suspended for up to 90 days;
• Compulsory, corrective and forced labor were assigned for periods of varying duration up to 5 years inclusive.

In addition, certain types of deprivation of rights and freedom are provided.

Medical record form

A personal medical record is an official document of strict accountability, protected from counterfeiting and is a printed product of level “B”, not subject to free sale. Its form is approved by Order No. 402.

The medical book is stitched with a special security thread, has watermarks on each page, a round seal (which certifies the owner’s photo) of the Center for Hygiene and Epidemiology, which issued the book, and a hologram (which certifies the owner’s photo).

The owner data page is laminated and should be filled out automatically.

The medical record contains the following information:

• date of issue;
• information about the owner - full name O., year of birth, home address, position, organization (individual entrepreneur), personal signature;
• notes on transfer to work in other organizations;
• notes on past infectious diseases;
• marks on preventive vaccinations;
• the conclusion of the relevant doctors on admission to work based on the results of a medical examination;
• results of examination for tuberculosis;
• results of examination for carriage of pathogens of intestinal infectious diseases;
• results of laboratory tests and examination by a dermatovenerologist;
• results of studies on helminthiases;
• results of examination for carriage of diphtheria pathogens;
• results of examination for carriage of pathogenic staphylococcus;
• information on professional hygienic training and certification;
• warning note in case of violation of sanitary norms and rules.

Conclusions, information about vaccinations and examination results are certified with stamps and the signature of the responsible person.

How to order a service?

To ensure that clients receive services as quickly and conveniently as possible, we offer high-quality service. You can leave a request to buy a medical book with a mandatory examination on the website, it’s very easy to do:

1. Request a call back by filling out the form (indicate your contact phone number);
2. Wait for the consultant to call, clarify the details, confirm your appointment at the clinic;
3. Visit the clinic for examination at the appointed time;
4. Wait for the document to be produced and receive the completed medical book;
5. Check the correctness of filling out the data and the quality of the document;
6. Pay for the company's services.

To produce medical records, we use original forms that meet current state requirements. The form is filled out by qualified specialists and the document is certified with an official seal. Check with your consultants for detailed conditions.

Procedure for obtaining a book

There is no special procedure for obtaining medical books at the legislative level. The only document is Order No. 402. Hygiene and Epidemiology Centers provide explanations on how to obtain a medical card.

When admitted to an organization engaged in the types of activities listed above, a newcomer must present a personal medical record. If the future employee does not have it, he needs to purchase it.

As noted, the books are not subject to free sale; they are issued only by hygiene and epidemiology centers or medical institutions that have permission (license, agreement) from Rospotrebnadzor to issue such documents. All books are subject to registration by medical organizations of the state and municipal healthcare systems and Rospotrebnadzor and are entered into the register of personal medical books.

note

Registration and issuance of a personal medical record, hygienic training and certification are paid services, paid in accordance with the price lists of hygiene and epidemiology centers or specialized medical organizations.

To obtain a medical record, you need to contact either the Center for Hygiene and Epidemiology, or a medical institution that has permission. The whole process takes place in several stages:

1. Submission of documents. The employee must submit:

• application for issuance of a personal medical record;
• passport;
• photograph (3 by 4 cm);
• direction from the employer indicating the name of the place of work;
• payment receipt.

2. After completing a personal medical record form (without a hologram), the employee must undergo a mandatory medical examination in medical organizations (clinics, dispensaries, medical centers, etc.) that have the appropriate license. The results of the examinations must be entered into the medical record, certified by the seal and stamp of the medical institution and the signature of the official responsible for the medical examination.

For your information

The list of medical examinations depends on the field of activity of the employing organization. It is broader, in particular for health workers and food industry workers.

3. Obtaining a conclusion on admission to work based on the results of a medical examination and the corresponding mark in section. V medical books.

4. Hygiene training. Consists of full-time and part-time parts. Full-time is a program lasting from 6 to 12 hours, correspondence involves self-study from recommended sources.

Hygienic training is carried out upon hiring and subsequently at intervals of once every two years, and for officials and employees of organizations whose activities are related to the production, storage, transportation and sale of meat, dairy, cream and confectionery products, baby food, nutrition preschoolers - annually, since this contingent of workers is the most likely source of risk to public health (Order No. 229).

5. Hygienic certification. Certification is carried out at the Center for Hygiene and Epidemiology in the form of an interview or test control. If the employee fails, he can retake the certification, but not earlier than in a week.

6. Entering the certification results into the medical book and holography. In Section XII on page 28, a mark indicating the completion of certification is placed in the form of a stamp and a square holographic sign is applied.

7. Issuance of a medical record.

The time frame for obtaining a medical record may vary. If an employee undergoes a medical examination, for example, in a clinic, he may spend from a week to two. If the medical record is issued in specialized medical centers, it can be issued in a few days.

Relatively recently, the Ministry of Health proposed to approve a new unified form of personal medical record 025/u-MK, which has a number of differences from the current one. But at the moment it has not yet been accepted.

Question

Passing a medical examination

To speed up the medical examination process a little, it is better to come to the clinic in the morning and on an empty stomach and with previously collected materials (feces, urine) for diagnosis, so that you can take all the tests at once . The medical board also includes a certain algorithm of actions:

1. Pay for the examination at the cash desk and receive a form with the work schedule of doctors and treatment rooms.
2. Delivery of materials for laboratory diagnostics.
3. X-ray studies.
4. Examination by narcologist and psychiatrist in specialized centers.
5. Examination by a dentist.
6. Obtaining research results.
7. Visiting specialists with laboratory results.
8. Obtaining a final conclusion from a general practitioner.

The procedure for passing a medical examination lasts for 1.5 weeks - this is due to the long diagnostic laboratory tests.

How often should you undergo a medical examination? Usually it is done once a year, but a lot depends on what field you work in.

You can find out more about where you can undergo a medical examination and get a medical book here, and we talked about whether it is possible to officially obtain a document without going through a doctor’s examination here.

Does the medical record have a validity period and can it be extended?

The validity period of the medical book is not limited and is determined by the dates of examinations and tests that the employee must undergo to obtain a work permit. As a rule, you need to undergo a medical examination once a year. The exception is certain food and medical industries, in which employees must take tests that have a short validity period.

If we are talking about the expiration of the validity period of the results of examinations and tests, then the employer issues the employee a referral for the next medical examination, the results of which are again entered into the medical book.

When the fields for making entries end in the work book, an insert is sewn into it. But in the case of a medical book, this does not happen - the employee will simply have to issue a new medical book. A new medical card is also issued if the current one is lost.

Medical books for health workers

Medical records for medical workers are a mandatory document, without which an employee cannot be allowed to perform duties.
We offer to issue a medical book quickly and at an affordable price. You can place an order on the website. An experienced team of specialists and the availability of professional equipment required for a medical examination allow us to complete documents in a short time. Clients do not have to stand in line for hours or spend several days undergoing a medical examination and obtaining certificates.

We offer affordable prices and guarantee the provision of legal documents that meet legal requirements.

At whose expense is the medical book issued?

This issue is controversial, it is not directly resolved, so some employers only pay for medical examinations directly, since in accordance with Art. 213 of the Labor Code of the Russian Federation, the employer is obliged to conduct mandatory preliminary and periodic medical examinations at his own expense.

However, since issuing a medical record is an integral part of the procedure for undergoing medical examinations, its registration should also be carried out at the expense of the employer.

In addition, according to Art. 11 and paragraph 2 of Art. 36 of Law No. 52FZ, the employer is obliged to conduct hygienic training during professional hygienic training and certification of employees of organizations whose activities are related to the production, storage, transportation and sale of food products and drinking water; education and training of children, public utilities and consumer services. The results of the certification are also entered into the medical record.

Thus, we are of the opinion that the employer must pay all costs associated with obtaining a medical record. But its form is paid for by the employee, since it is his personal document, just like a work book (the cost of which can be deducted from the employee).

Information

Necessary documents for registration of LMC

• Passport
• Fluorography (can be done on site)
• Photo 3x4 2 pcs. (can be done on site)
• SNILS

Necessary examinations

Psychiatrist, psychiatrist-narcologist, therapist, dermatovenerologist, ENT, dentist, gynecologist (for women), blood test, urine test, smear taking (for women), stool test, ECG

general information

• Completion time: 25-30 minutes
• Ready time: 3-4 days
• Validity period: 1 year

Should an employer check the authenticity of a medical record?

As a general rule, the employer is not obliged to check the documents provided by the employee upon employment. However, Rospotrebnadzor, in Letter No. 01/137341532 dated November 10, 2015, noted that in order to verify the authenticity of personal medical records, the employer must ensure that the information contained in them is assessed for compliance with the requirements of Order No. 402 (including checking the presence of the seal of the Rospotrebnadzor organization that issued the medical record ). And in the absence of medical books of the established standard with the results of medical examinations and laboratory tests, information about previous infectious diseases, a mark on the completion of hygienic training and certification, the employer may be held liable under Art. 6.3 Code of Administrative Offenses of the Russian Federation. It provides for a fine for the employer from 10,000 to 20,000 rubles. or suspension of activities for up to 90 days.

Therefore, when accepting a medical book from an employee, you can first check via the Internet using a special registry whether a medical book with the same number was issued. If there is no register in your subject, proceed in a different way: check the form of the book and the entries made in it. The original can be distinguished from a fake by the following main features:

1. the medical book is printed on paper with watermarks and stitched with a security thread;
2. the front side of the title page must be screen printed with optically variable ink;
3. at the bottom of the laminated page there is a high-resolution image (map of Russia);
4. in fake books, the color palette differs from the original background;
5. a fake book is often filled out manually (information about the employee), but everything is printed in the original;
6. the original contains holographic stickers - round in the photo and square on page 28;
7. in the original photo there is a round seal of the Center for Hygiene and Epidemiology;
8. all medical records are certified by the seals and stamps of the institution that issued the medical book;
9. the original has a dark blue crust with rounded corners and embossed gold inscriptions “Personal Medical Record” and “State Sanitary and Epidemiological Service of Russia”;
10. the inside and all pages have a blue pattern (half rings with fibers);
11. Security signs with holograms can be viewed under ultraviolet rays.

What and who faces the consequences for not having a medical book?

The availability of medical records for employees, in addition to the employer itself, is controlled by the state body Rospotrebnadzor. If they find a violation, fines and other administrative measures are applied.

• For an employee, the absence of a medical record can result in a fine of up to 500 rubles.
• For an organization – a fine of 10,000 to 20,000 rubles or suspension of activities for up to 3 months (which encourages company management to take a responsible approach to the issue of medical examination of employees)
• Forgery of a medical record can result in criminal penalties.

If the lack of proper medical examination results in mass infection, the culprit may be prohibited from engaging in a particular type of activity for up to three years, and correctional labor or imprisonment for up to one year is not excluded.

A medical record is an official document required for work in many fields. The registration procedure is not complicated, and in some cases it is free for the employee. In 5-7 days you can undergo all the necessary examinations, make sure that your health is in good condition and confirm your ability to engage in the desired activity in accordance with all existing requirements.

See also: How to pay a traffic police fine using online services?

Employer's responsibilities regarding medical records

As follows from page 30 of the medical book, it must be kept by the employer. At the same time, in those places where the employee can be checked for its availability (for example, when organizing outbound trade outside the enterprise), the medical book is issued to the employee. It is also issued during medical examinations at a medical institution.

To record the existing medical records of employees, we recommend keeping a journal of medical records in the organization, for example:

A separate journal can be created to record the facts of the issuance and return of a medical book after undergoing medical examinations.

In accordance with the form on page 30 of the medical book, upon dismissal, the employer must return it to the employee - regardless of whether the employer or the employee paid its cost.

For your information

The provision contained in the form of a personal medical record regarding the storage of a personal medical record with the employer and the possibility of issuing a record to an employee upon his request, as well as the presentation of a personal medical record at a new place of work upon dismissal and transfer to another place of work, complies with the current legislation (Decision of the Supreme Court of the Russian Federation dated 03/24/2015 No. AKPI15-272).

The new employer, in turn, must, in section. II of this document, make a note about the transfer of the employee to it.

Collection of analyzes

The complete list of laboratory tests for the medical book contains:

• blood tests (general, biochemistry, UMSS, typhus);
• urine and stool tests;
• scraping for dysentery, salmonellosis and helminth eggs;
• genital smear for STDs and cytology;
• swab from the nose and throat for staphylococcus pathogens;
• fluorography and ECG.

You should donate blood on an empty stomach . Fluorography is done once a year and, accordingly, its results are valid for a year . If you have fluorographic examination data on hand, then you do not need to take another x-ray.

The list of diagnostic procedures varies depending on the area of ​​activity .

This list is necessary for workers of medical and food organizations.

For citizens of other areas, the list is slightly simplified.

What consequences may occur if an employer delays issuing a medical certificate to an employee?

Unlike the delay in the work book when an employee is dismissed, the law does not establish liability for the delay in issuing a medical book.

But, despite its absence, the employee has the right to file a complaint with the State Labor Inspectorate or file a claim in court. And the State Labor Inspectorate in this case may bring the employer to justice for violating the requirements of labor legislation, and the court may seek moral damages if the employee proves that after his dismissal he applied to the employer to return his medical book and that its absence was the reason for the refusal to employ him in another position. work.

• in trade organizations, including food markets, including wholesale ones;
• in public catering organizations (canteens, restaurants, cafes, bars, buffets, etc.);

If a serious illness is detected

If at least one of the test results is positive, the person is not cleared by the GP and the medical examination is incomplete .

Accordingly, without a medical examination it is impossible to undergo hygienic certification and obtain a work permit.

What to do in this case?

In this case, it is necessary to undergo treatment , re-take tests and, subject to complete recovery, the employee receives permission to work and hygienic certification.

Reference: The list of diseases that are contraindications for employment is regulated by Order No. 302n dated April 12, 2011 of the Ministry of Health and Social Development of the Russian Federation.

How much does it cost to obtain a medical card in St. Petersburg?

One of the most pressing issues is the cost of obtaining a medical record. Many people are interested in how and where they can get a new medical (sanitary) book for employment in St. Petersburg for free, or if not, then how much does a personal medical (sanitary) book cost in 2019?

Neither for employment in St. Petersburg, nor for work in any other constituent entity of the Russian Federation, it is impossible to obtain an LMK form for free. It is necessary to contact medical institutions authorized by Rospotrebnadzor or the territorial branch of the SES (addresses can be found on the Internet), where you can officially obtain a medical book for a fee. The cost of the form is low and, as a rule, does not exceed 350 rubles. How much does it cost to obtain a medical certificate?

This type of examination is not included in the framework of state and territorial programs for the provision of free medical care to citizens and the compulsory medical insurance program. Therefore, the cost of obtaining a personal medical record will depend not only on the scope of the required examination, but also on the pricing policy of the healthcare institution where the employee will undergo a medical examination.

According to the Labor Code of the Russian Federation and Federal Law dated March 30, 1999. No. 52, the employer is obliged to provide conditions for the timely completion of medical examinations by its employees and to pay for them. Therefore, having completed the registration of a medical book for work, it makes sense to keep the client agreement with the medical institution and the receipt confirming the expenses in order to write an application addressed to the manager with a request for reimbursement of expenses. Thus, the cost of the medical examination will be reimbursed to the employee.