The basis for completing the study is the direction of the unified form, which is issued by the employer.

The document indicates the details of the organization and the applicant, the department and position of the employee, the nature of the upcoming activity and the associated risks, the name and address of the medical institution, the type of examination required (it will be preliminary when hiring). We tell you more about what the referral form for a medical examination looks like here.

The employee must come to the medical organization and present a passport and referral.

The patient is issued an outpatient card and a health passport, and is assigned to undergo certain specialists (endocrinologist, neurologist, psychiatrist, etc.) and examinations (tests, fluorogram, etc.). We described in a separate article where you can undergo a medical examination, which doctors you need to visit and what tests you need to take.

The result of the examination is the receipt of a conclusion in 2 copies, one of which is attached to the outpatient card, and the second remains with the patient and is given to them at the place of presentation.

The conclusion required for employment is a certificate of the unified form - 086/у.

Time to complete

From the point of view of labor legislation, there is no clear deadline for undergoing a medical examination when applying for a job. no more than 3-5 business days to complete all examinations

When registering with an organization, a citizen writes an application, but he is considered officially employed only after signing a bilateral employment contract.

A preliminary inspection must be completed before signing the contract.

For this reason, the absence of a conclusion on the completion of a medical examination within the time period specified by the employer is grounds for refusal of appointment to a position. As a rule, the established period is no more than one week.

Medical certificate upon hiring

Article 213 of the Labor Code of the Russian Federation states that the employer is responsible for organizing a medical examination during employment, issues a referral for a medical examination upon hiring and pays its cost.

The latest regulatory documents provide for medical examinations during employment with the presentation of a referral issued by the employer. The referral must contain information about the organization where the employee is applying, and about the applicant himself, as well as the following data:

• form of ownership and activity of the employer in accordance with OKVED (All-Russian Classifier of Types of Economic Activities)}
• medical institution, its address and code in accordance with OGRN (main state registration number)}
• type of medical examination (preliminary or periodic)}
• name of the department where the employee will work}
• occupation}
• dangerous and harmful production conditions.

The employer's representative must sign the referral; next to the signature, his full name and position must be indicated. The company that issues the referral is required to keep strict records of these documents. Anyone undergoing a medical examination for employment must present a referral from their employer to the clinic.

Article 213 of the Labor Code of the Russian Federation states that a mandatory medical examination when hiring is carried out in order to identify the professional suitability of employees and increase the prevention of occupational diseases. Persons under 18 years of age must strictly undergo a preliminary medical examination before employment in any organization or company (Articles 69 and 266 of the Labor Code of the Russian Federation).

The legislation specifies the following types of activities where a medical examination is required when hiring:

• work that is performed in difficult or dangerous conditions}
• food production, catering establishments
• trade}
• water supply networks, wastewater treatment plants, etc.}
• medical and children's institutions}
• work on a rotational basis}
• activities in the Far North}
• drivers of all types of transport, train drivers and aircraft crews}
• sport}
• Customs}
• emergency services}
• courts}
• general educational institutions}
• dormitories}
• laundries}
• hairdressing and beauty salons.

The list of specialties for which it is necessary to undergo a medical examination is given in Article 213 of the Labor Code of the Russian Federation, and is specified in more detail in Order of the Ministry of Health and Social Development of the Russian Federation dated April 12, 2011 N 302n.

A mandatory medical examination includes examination by a neurologist, otolaryngologist, surgeon, ophthalmologist and gynecologist (for women), as well as fluorography and a general analysis of urine and blood.

Managers of some enterprises have the right to demand that clinics with which they enter into an agreement to conduct professional examinations add other doctors to the general list, for example, specialists in drug addiction or skin diseases, etc.

d. The list of necessary analyzes can also be expanded at the request of the enterprise.

For those who get a job in government agencies, it is necessary to undergo examination by only two doctors - a narcologist and a psychiatrist. Physical disabilities are not considered an obstacle to work in government agencies, and therefore are not required to be examined by other medical professionals.

In order to protect the health of citizens, prevent the spread and occurrence of various types of occupational or infectious diseases, employees of certain industries, professions, enterprises, organizations and institutions, the list of which is determined by Russian labor legislation, must provide a medical certificate when applying for a job, as well as in the course of activities - repeated certificates at certain intervals. In this case, initial examinations by doctors are carried out to determine whether the candidate’s health status corresponds to the work assigned.

In cases where the law requires a medical examination, the above requirements are unconditional, and the employer is responsible for their compliance and the allocation of funds for the completion of such examinations by his employees.

So, according to Art. 69 of the Labor Code of the Russian Federation, a medical certificate when applying for a job must be presented:

• employed minors;
• other citizens in the cases provided for by the Labor Code of the Russian Federation:

1. persons whose work is associated with dangerous and harmful working conditions and those involved in heavy work, as well as those employed in the transport industry;
2. employees of public catering organizations, trade and food industry, medical institutions, water supply facilities, children's institutions, as well as some other areas;

• other citizens in cases established by other Federal Laws.

Hiring a minor citizen of the Russian Federation

A medical certificate for employment as a teenager must be presented in the form of a medical professional advisory opinion, drawn up in accordance with the order of the USSR Ministry of Health dated 04.10.

1980 No. 1030 form No. 086/u, which is still in use today.

This medical document is also called a “certificate of professional suitability”, since it contains a doctor’s opinion that confirms the professional suitability of the subject for the type of activity in question.

For minor citizens, a medical certificate for work can be obtained from any medical institution that has a license to conduct primary and periodic medical examinations.

Passage order

The list of medical institution specialists that need to be completed varies depending on the position occupied by the future employee.

The list also differs depending on the gender of the employee.

Standard list of doctors during a medical examination when applying for a job:

1. ophthalmologist;
2. otolaryngologist;
3. surgeon;
4. psychiatrist;
5. therapist.

Women are usually scheduled for an examination by a gynecologist. A medical examination by a gynecologist when applying for a job is mandatory according to the order of the Ministry of Health and Medical Industry of the Russian Federation dated March 14, 1996 (as amended on February 6, 2001).

The specialist examines the woman, takes bacteriological and cytological tests. If an examination by a gynecologist is mandatory due to a profession that requires an annual examination, the woman cannot refuse this procedure.

If you refuse a medical examination by a gynecologist, the employer may not hire you.

Some vacancies require a psychiatric examination upon hiring.

What tests are taken when applying for a job? During the preliminary medical examination, the future employee must take a blood test and a urine test, as well as undergo fluorography and an electrocardiogram.

After undergoing an examination by all specialists and taking tests, the employee should obtain a conclusion from a general practitioner. How long is a medical examination valid for hiring? The certificate is valid from six months to a year, depending on the form.

If during this period the person was seriously ill or underwent surgery, then the certificate is considered cancelled. In this case, it is necessary to undergo a new medical examination.

Information contained in the medical certificate form No. 086/u

An employee of the organization's personnel service should especially carefully consider whether the medical certificate form is filled out correctly when hiring a minor. This document must contain information about past illnesses and data on the applicant’s state of health at the time of the examination.

In general, you can obtain a medical certificate of form No. 086/u by visiting:

• surgeon;
• ENT doctor;
• ophthalmologist;
• neurologist;
• therapist.

In rare cases, given the specifics of the upcoming activity, employers require

, in particular, narcologist, psychiatrist, dermatovenerologist, etc.

This form of medical certificate is filled out when hiring a therapist, who, like all other specialists, having drawn up a conclusion, must certify it with his seal.

This document must indicate the date of the last fluorographic examination and affix the stamp of the head physician of the medical institution.

If any of this data is missing, or the seal is illegible, the medical certificate may be considered invalid.

As is clear from the above, this form of medical certificate for employment is intended for employed teenagers and applicants.

Its significant drawback is that the points of the certificate form do not provide for an indication of the position (profession) of the person being examined, the characteristics of the upcoming work, a list of dangerous and harmful factors of production origin and work that the minor will encounter in the course of performing his job function.

Taking this into account, employers and medical institutions may stipulate (agreed on) forms of documents (referrals, medical reports, etc.) in contracts for initial and periodic medical examinations.

), used in employee surveys, and the sequence of filling them out. It is also acceptable to use forms developed by other institutions and organizations, including higher ones.

In which institutions can you obtain a medical certificate for employment?

For a preliminary medical examination upon employment, the employer issues a referral indicating the name and address of the medical institution for this procedure.

Contracts are most often concluded between an employer and a medical institution licensed to conduct medical examinations.

If no agreement has been concluded between the employer and the medical institution, then the future employee undergoes a preliminary examination by specialists in any medical institution licensed to carry out these procedures.

City, district, republican, and village clinics have such a license. When contacting private medical centers and clinics, it is necessary to clarify the availability of such a document.

Based on the results of the initial medical examination, an examination of the professional suitability of the subject is carried out. The right to carry out this examination is granted to a medical institution of any organizational and legal form if its license specifies this type of activity as permitted.

But: a potential employee may not be sent for a medical examination to every medical institution, even if the latter has the “correct” license.

The licenses of individual health care facilities contain a certain reservation, namely: examination of professional suitability as a type of medical activity applies only to the contingent assigned to a given health care facility.

That is why you should pay special attention to the issue of choosing a medical organization to which employees will be sent for examination.

Almost all outpatient clinics of the municipal (state) healthcare system have a license to conduct medical examinations.

Source: https://ozerkivrn.ru/meditsinskaya-spravka-prieme-rabotu/

Schedule a repeat medical examination

A repeated medical examination upon hiring is appointed by the enterprise's human resources department for the following reasons:

1. During the period of validity of the medical examination upon employment, the person suffered a serious illness or surgery. In this case, it becomes necessary to undergo a new examination and obtain a fresh conclusion. Changes in a person’s health status that occur after receiving the certificate may lead to his professional unsuitability in the chosen field. For this reason, past results become irrelevant.
2. During the validity period of the certificate, the person changed his place of employment. For example, an employee underwent examination in the direction of the organization, but after receiving the certificate he changed his mind about working in the chosen place. A person can bring the remaining medical report with a valid expiration date to a new place, but, as a rule, human resources departments refuse to accept such a certificate. This is due to different working conditions, with different requirements for the list of examinations and examinations by specialists.

For objective reasons, the employer doubts the reliability of data on the health status of the future employee.

A repeat examination is scheduled to verify the results obtained. Often it includes examination by additional specialists, new tests, etc.

A person is being examined in a medical facility other than the one to which he was referred.

In most cases, human resources departments do not accept certificates obtained from third-party medical institutions.

From our separate publications, you can find out not only which employees are required to undergo a medical examination, but also who must pay for this procedure - the applicant or the employer.

How long does a medical examination last for work?

The validity period of certificate 086/у is six months, and after this period the employee is required to undergo examination again by specialists from a medical institution.

In addition, in some cases, for example, if an employee has suffered a serious illness or surgery while the medical certificate is valid, it is canceled even though the six-month period from the date of its issue has not yet expired.

And the employee is sent for re-examination.

Separately, it should be noted that the question often arises: “How long is a medical certificate for work valid if employment is carried out in an organization other than the one sending for the medical examination?”

In this case, it is very difficult to talk about any period of validity of this document, since often the personnel services of companies do not recognize as valid medical certificates that were not received in their direction.

The crust itself does not have an expiration date if it corresponds to the currently accepted state standard. The validity period of the medical book refers to the medical examination, which confirms that the employee is healthy and can perform his duties without negative consequences for others.

A person who has not been tested on time can infect others through contact.

Therefore, a medical examination must be carried out regularly, and its results must be recorded in the medical record. Most often, it is valid for a year, then the examination must be repeated.

The law distinguishes 2 types of frequency when issuing a medical record:

• when applying for a job - preliminary examination; Next, we suggest you familiarize yourself with which doctors you need to go through for a medical book.
• annual during professional activities - annual examination.

When preparing a medical document, employees must undergo hygienic training courses, the so-called sanitary minimum. They have their own frequency:

1. Annually for workers in every way connected with food and the education system.
2. Once every two years for other areas.

The frequency of medical examinations is established by the legislative List. For example, kindergarten teachers are required to undergo bacteriological tests 4 times a year, and specialists in children's industries - annually.

Important: When an employee is dismissed, the document does not lose its legality. This also does not affect the expiration date of the medical book. It remains with the owner and is presented to the new employer.

How long does it take to get tested?

The speed of obtaining test results depends on the workload and capabilities of the laboratory of the medical institution - the average time is 3 days.

Private clinics process applications faster.

But not a single list of tests can be completed in a day - this is a sign of fraud.

Each professional sector has its own list of mandatory tests and examinations in the city clinic.

All of them have their own deadlines, after which they must be repeated without fail.

Trade in industrial goods, utilities, pharmacists:

• flura, therapist - annually;
• vaccination against diphtheria - once every decade;
• dermatologist, smear, blood RW - 2 times a year.

Medical staff:

1. Flura, therapist, HIV analysis, HCV, HBS, staphylococcus - annually.
2. Vaccination against diphtheria - once every decade.
3. Dermatologist, smear, RW blood - 2 times a year.

Trade in food products, preschool institutions:

• flura, therapist, I/helminths and enterobiasis - annually;
• I/helminths and enterobiasis - once a year, for preschool institutions and pre-school institutions - four times a year;
• vaccination against diphtheria - once every decade;
• dermatologist, smear, blood RW – 2 times a year;
• typhoid fever, intestinal infections - upon hiring.

Dairy, meat, cream and confectionery production:

1. Flura, therapist, I/helminths and enterobiasis, brucellosis, staphylococcus - annually.
2. Vaccination against diphtheria - once every decade.
3. Dermatologist, smear, RW blood - 2 times a year.
4. Typhoid fever, intestinal infections - upon admission (when changing places, the result is transferred).

Depending on the specifics of the work, a medical book has a different expiration date.

What will happen if the document is late?

The effect of the medical book must be controlled by the employer, because it is he who is responsible for it before the law.

The results of the examinations should not be overdue - the owner of the medical book will not be allowed to take the next hygiene course.

The administration of the organization bears full responsibility for persons who do not undergo a medical examination on time (Administrative Code Article 5.27):

• recovery of 1000 - 5000 rubles for an official;
• recovery of 1000 – 5000 rubles for individual entrepreneurs;
• recovery of 30,000 - 50,000 rubles for a legal entity.

The citizen faces a warning or a fine of 100 to 500 rubles.

Attention: If, during the implementation of core activities, harm is caused to the health of the consumer and it turns out that the reason for this is an overdue medical examination, the punishment will be determined by other articles, including the Criminal Code of the Russian Federation.

Is it possible to extend?

The expression “extension of a medical record” is incorrect, since it implies a repeated medical examination.

The employee is required to take tests again and see specialists to confirm his professional fitness for health. The following documents are required:

1. Passport.
2. An old sanknizhka.
3. Vaccination certificate.
4. Outpatient card.

Repeated medical examination and registration of the book proceed according to the standard procedure.

When renewing your medical book, you do not need to purchase a new form. Marks are placed in an old book indicating the date of the examination.

A new form is issued if the previous document runs out of free fields to fill out or replaces the lost one.

How long is a medical card valid? This certificate is not limited in its validity period. However, an employee's health changes and requires periodic monitoring.

The employer is responsible for ensuring compliance with all established standards and paying for the medical examination; responsibility for an expired document will also fall on him.

Source: https://gost-63.ru/skolko-deystvuet-medosmotr-rabotu/

Time for re-examination

The timing of re-inspections is set by the employer and usually does not exceed one week.

The reluctance of a job applicant to re-receive a valid medical examination for work within the established time frame leads to a refusal to employ him.

Thus, a valid pre-employment medical examination is a prerequisite in cases established by law.

The result of passing a medical examination when applying for a job is to receive a certificate in a unified form that has an expiration date.