Regulations on the investigation and recording of occupational diseases. Changes have been made to the Regulations on the Investigation and Recording of Occupational Diseases! Regulations on the investigation of occupational diseases

c) students of educational organizations of higher education, professional educational organizations, students of general education organizations working under an employment contract during internship in organizations;

establishing the presence of an occupational disease

investigation of the circumstances and causes of occurrence

occupational disease

Judicial practice and legislation - Decree of the Government of the Russian Federation of December 15, 2000 N 967 (as amended on December 24, 2014) “On approval of the Regulations on the investigation and recording of occupational diseases”

A) an act on an industrial accident, the form of which is approved by Decree of the Ministry of Labor and Social Development of the Russian Federation of October 24, 2002 N 73 (registered by the Ministry of Justice of Russia on December 5, 2002 N 3999), or an act on a case of occupational disease, the form of which approved by Decree of the Government of the Russian Federation of December 15, 2000 N 967 (Collected Legislation, 2000, N 52, Art. 5149), or the conclusion of the state labor protection inspector, other officials (bodies) exercising control and supervision over the state of labor protection and compliance with labor legislation, on the causes of damage to health, or a medical report on an occupational disease, issued in accordance with the procedure in force before the entry into force of the Federal Law of July 24, 1998 N 125-FZ "On compulsory social insurance against accidents in production and occupational diseases", or a court decision establishing the fact of an accident at work or an occupational disease;

Valid Editorial from 15.12.2000

Decree of the Government of the Russian Federation of December 15, 2000 N 967 "ON APPROVAL OF THE REGULATIONS ON THE INVESTIGATION AND RECORDING OF OCCUPATIONAL DISEASES"

REGULATIONS ON INVESTIGATION AND RECORDING OF OCCUPATIONAL DISEASES

General provisions

1. These Regulations establish the procedure for investigating and recording occupational diseases.

2. In accordance with these Regulations, acute and chronic occupational diseases (poisonings) are subject to investigation and recording, the occurrence of which in workers and other persons (hereinafter referred to as workers) is caused by exposure to harmful production factors during the performance of their job duties or production activities on the instructions of the organization or individual entrepreneur.

3. Employees include:

a) employees performing work under an employment agreement (contract);

b) citizens performing work under a civil contract;

c) students of educational institutions of higher and secondary vocational education, students of educational institutions of secondary, primary vocational education and educational institutions of basic general education, working under an employment agreement (contract) during internship in organizations;

d) persons sentenced to imprisonment and forced to work;

e) other persons participating in the production activities of an organization or individual entrepreneur.

4. Acute occupational disease (poisoning) is understood as a disease that is, as a rule, the result of a single (for no more than one working day, one work shift) exposure of an employee to a harmful production factor (factors), resulting in temporary or permanent loss of professional ability to work.

A chronic occupational disease (poisoning) is understood as a disease that is the result of long-term exposure of an employee to a harmful production factor (factors), resulting in temporary or permanent loss of professional ability to work.

5. An occupational disease that occurs in an employee subject to compulsory social insurance against industrial accidents and occupational diseases is an insured event.

6. An employee has the right to personal participation in the investigation of an occupational disease that has occurred to him. At his request, his authorized representative may take part in the investigation.

7. When a preliminary diagnosis is made of an acute occupational disease (poisoning), the healthcare institution is obliged to send an emergency notification of the employee’s occupational disease to the state sanitary and epidemiological surveillance center that supervises the facility where the occupational disease occurred (hereinafter referred to as the state sanitary and epidemiological surveillance center). sanitary and epidemiological supervision), and a message to the employer in the form established by the Ministry of Health of the Russian Federation.

8. The Center for State Sanitary and Epidemiological Surveillance, which has received an emergency notification, within 24 hours from the date of its receipt begins to clarify the circumstances and causes of the disease, upon clarification of which it compiles a sanitary and hygienic characteristic of the employee’s working conditions and sends it to the state or municipal health care institution according to place of residence or place of attachment of the employee (hereinafter referred to as a health care institution). The sanitary and hygienic characteristics of working conditions are drawn up in a form approved by the Ministry of Health of the Russian Federation.

9. If the employer (his representative) disagrees with the content of the sanitary and hygienic characteristics of the employee’s working conditions, he has the right, by stating his objections in writing, to attach them to the characteristics.

10. A healthcare institution, based on clinical data on the employee’s health status and the sanitary and hygienic characteristics of his working conditions, establishes a final diagnosis - an acute occupational disease (poisoning) and draws up a medical report.

11. When a preliminary diagnosis is established - a chronic occupational disease (poisoning), a notification of the employee’s occupational disease is sent to the center of state sanitary and epidemiological surveillance within 3 days.

12. The Center for State Sanitary and Epidemiological Surveillance, within 2 weeks from the date of receipt of the notification, submits to the health care institution a sanitary and hygienic description of the employee’s working conditions.

13. A health care institution that has established a preliminary diagnosis of a chronic occupational disease (poisoning) is obliged to refer the patient within a month for outpatient or inpatient examination to a specialized treatment and preventive institution or its unit (occupational pathology center, clinic or department of occupational diseases of medical scientific organizations of clinical profile) (hereinafter referred to as the Center for Occupational Pathology) with the submission of the following documents:

a) an extract from the medical record of an outpatient and (or) inpatient;

b) information on the results of preliminary (upon employment) and periodic medical examinations;

c) sanitary and hygienic characteristics of working conditions;

d) a copy of the work book.

14. The Center for Occupational Pathology, based on clinical data of the employee’s health status and submitted documents, establishes a final diagnosis - a chronic occupational disease (including those that arose long after cessation of work in contact with harmful substances or production factors), draws up a medical report and 3- within a day, sends a corresponding notice to the center of state sanitary and epidemiological surveillance, the employer, the insurer and the health care institution that referred the patient.

15. A medical report on the presence of an occupational disease is issued to the employee against signature and sent to the insurer and to the health care institution that referred the patient.

16. The established diagnosis - acute or chronic occupational disease (poisoning) can be changed or canceled by the center of occupational pathology based on the results of additional research and examination. Consideration of particularly complex cases of occupational diseases is entrusted to the Center for Occupational Pathology of the Ministry of Health of the Russian Federation.

17. Notification of a change or cancellation of the diagnosis of an occupational disease is sent by the center of occupational pathology to the center of state sanitary and epidemiological supervision, the employer, the insurer and the health care institution within 7 days after the relevant decision is made.

18. Responsibility for timely notification of a case of acute or chronic occupational disease, the establishment, change or cancellation of a diagnosis rests with the head of the healthcare institution that established (cancelled) the diagnosis.

19. The employer is obliged to organize an investigation into the circumstances and causes of an occupational disease in an employee (hereinafter referred to as the investigation).

The employer, within 10 days from the date of receipt of notification of the final diagnosis of an occupational disease, forms a commission to investigate an occupational disease (hereinafter referred to as the commission), headed by the chief physician of the center of state sanitary and epidemiological surveillance. The commission includes a representative of the employer, a labor protection specialist (or a person appointed by the employer to be responsible for organizing work on labor protection), a representative of a health care institution, a trade union or other representative body authorized by employees.

Other specialists may participate in the investigation.

The employer is obliged to provide working conditions for the commission.

20. An occupational disease that occurs in an employee sent to perform work in another organization is investigated by a commission formed in the organization where the specified case of occupational disease occurred. The commission includes an authorized representative of the organization (individual entrepreneur) that sent the employee. Failure to arrive or untimely arrival of an authorized representative is not grounds for changing the timing of the investigation.

21. An occupational disease that arose in an employee while performing part-time work is investigated and recorded at the place where the part-time work was performed.

22. An investigation into the circumstances and causes of a chronic occupational disease (poisoning) in persons who, at the time of the investigation, do not have contact with the harmful production factor that caused this occupational disease, including non-workers, is carried out at the place of previous work with the harmful production factor.

23. To conduct an investigation, the employer is obliged:

a) submit documents and materials, including archival ones, characterizing working conditions at the workplace (site, workshop);

b) carry out, at the request of the commission members at their own expense, the necessary examinations, laboratory-instrumental and other hygienic studies in order to assess working conditions in the workplace;

c) ensure the safety and recording of investigation documentation.

24. During the investigation, the commission interviews the employee’s co-workers, persons who violated state sanitary and epidemiological rules, and receives the necessary information from the employer and the sick person.

25. To make a decision based on the results of the investigation, the following documents are required:

a) order to create a commission;

b) sanitary and hygienic characteristics of the employee’s working conditions;

c) information about medical examinations performed;

d) an extract from the logbooks for registering briefings and protocols for testing the employee’s knowledge of labor protection;

e) protocols of the employee’s explanations, interviews with persons who worked with him, and other persons;

f) expert opinions of specialists, results of research and experiments;

g) medical documentation on the nature and severity of damage caused to the employee’s health;

h) copies of documents confirming the issuance of personal protective equipment to the employee;

i) extracts from orders previously issued for this production (facility) by the center of state sanitary and epidemiological surveillance;

j) other materials at the discretion of the commission.

26. Based on the review of documents, the commission establishes the circumstances and causes of the employee’s occupational disease, identifies persons who committed violations of state sanitary and epidemiological rules, other regulations, and measures to eliminate the causes and prevent occupational diseases.

If the commission establishes that the gross negligence of the insured contributed to the occurrence or increase of harm caused to his health, then, taking into account the conclusion of the trade union or other representative body authorized by the insured, the commission establishes the degree of guilt of the insured (in percentage).

27. Based on the results of the investigation, the commission draws up a report on the case of occupational disease according to the attached form.

28. Persons taking part in the investigation are responsible, in accordance with the legislation of the Russian Federation, for the disclosure of confidential information obtained as a result of the investigation.

29. The employer, within a month after completion of the investigation, is obliged, on the basis of a report on a case of occupational disease, to issue an order on specific measures to prevent occupational diseases.

The employer informs the center of state sanitary and epidemiological supervision in writing about the execution of the commission’s decisions.

30. A report on a case of occupational disease is a document establishing the professional nature of the disease that occurred in an employee at a given production site.

31. A report on a case of occupational disease is drawn up within 3 days after the expiration of the investigation period in five copies intended for the employee, the employer, the center for state sanitary and epidemiological surveillance, the center for occupational pathology (health care institution) and the insurer. The act is signed by the members of the commission, approved by the chief physician of the center for state sanitary and epidemiological surveillance and certified by the seal of the center.

32. The report on a case of occupational disease sets out in detail the circumstances and causes of the occupational disease, and also indicates the persons who committed violations of state sanitary and epidemiological rules and other regulations. If the fact of gross negligence of the insured is established, which contributed to the occurrence or increase of harm caused to his health, the degree of his guilt established by the commission is indicated (as a percentage).

33. A report on a case of occupational disease, together with investigation materials, is stored for 75 years in the center of state sanitary and epidemiological surveillance and in the organization where the investigation of this case of occupational disease was carried out. In case of liquidation of the organization, the act is transferred for storage to the center of state sanitary and epidemiological supervision.

34. Occupational disease is taken into account by the center of state sanitary and epidemiological surveillance that conducted the investigation, in the manner established by the Ministry of Health of the Russian Federation.

35. Disagreements regarding the diagnosis of an occupational disease and its investigation are considered by the bodies and institutions of the state sanitary and epidemiological service of the Russian Federation, the Center for Occupational Pathology of the Ministry of Health of the Russian Federation, the federal labor inspectorate, the insurer or the court.

36. Persons guilty of violating the provisions of this Regulation are held accountable in accordance with the legislation of the Russian Federation.

Application
to the Regulations on the Investigation and
recording of occupational diseases

\r\nAPPROVED \r\nChief Physician of the Center \r\nState Sanitary \r\nEpidemiological Surveillance \r\n______________________________ \r\n(administrative territory) \r\n_____________________________ \r\n (Full name, signature ) \r\n"____" _____________ year \r\n \r\nSeal \r\n \r\n \r\n ACT \r\n about the case of occupational disease \r\n \r\n from "____ "_________________ year \r\n \r\n1. ________________________________________________________________ \r\n (last name, first name, patronymic and year of birth of the victim) \r\n2. Date of notification _____________________________________ \r\n (name of treatment and preventive \r\n institution, legal address) \r\n3. Final diagnosis ________________________________________ \r\n4. Name of the organization _______________________________________ \r\n (full name, industry \r\n ___________________________________________________________________ \r\n affiliation, form of ownership, legal address, OKPO codes, \r\n OKONKH) \r\n5. Name of workshop, site, production _______________________ \r\n6. Profession, position _________________________________________________ \r\n7. Total work experience ______________________________________________ \r\n8. Work experience in this profession _________________________________ \r\n9. Work experience under conditions of exposure to harmful substances and \r\nunfavorable production factors _________________________ \r\n ___________________________________________________________________ \r\n (types of work actually performed in special conditions not specified \r\n in the work book are entered with the note “according to the employee ") \r\n_________________________________________________________________________ \r\n_________________________________________________________________________ \r\n_________________________________________________________________________ \r\n_________________________________________________________________________ \r\n10. Start date of the investigation _____________________________________ \r\nThe commission consisting of \r\n________________________________________________________________________ \r\n was sent to the institution of the state service of medical and social \r\n examination) \r\n14. An occupational disease was detected during a medical examination, \r\nduring treatment (underline as appropriate) ________________________________ \r\n__________________________________________________________________________ \r\n15. Did the employee have a previously established occupational \r\ndisease, was he sent to the center of occupational pathology (to an \r\noccupational pathologist) to establish the occupational \r\ndisease _______________________________________________________ \r\n16. The presence of occupational diseases in a given workshop, site, \r\nproduction and/or professional group ______________________ \r\n17. The occupational disease arose under the circumstances and \r\nconditions: _________________________________________________________ \r\n (a full description of specific facts of non-compliance \r\n with technological regulations, \r\n ___________________________________________________________________ \r\n production process, violation of the transport regime \r\n operation is given technological equipment, \r\n__________________________________________________________________________ \r\n instruments, working tools; violation of labor conditions, \r\n emergency, failure \r\n________________________________________________________________________ \r\n protective equipment, lighting; non-compliance with technical rules \r\n safety, industrial sanitation; \r\n ___________________________________________________________________ \r\n imperfections of technology, mechanisms, equipment, working \r\n tools; inefficiency of systems \r\n__________________________________________________________________________ \r\n ventilation, air conditioning, protective equipment, \r\ n mechanisms, personal protective equipment; \r\n________________________________________________________________________ \r\n lack of measures and means of a rescue nature, information from the sanitary and hygienic \r\n ___________________________________________________________________ \r\n characteristics of the employee’s working conditions and other documents are provided) \r\n18. The cause of an occupational disease or poisoning \r\nwas: long-term, short-term (during a work shift), \r\none-time exposure to the human body of harmful \r\nproduction factors or substances _____________________________ \r\n (indicate quantitative and \r\n_________________________________________________________________________ \r\n r\n qualitative characteristics of harmful production factors in \r\n accordance with the requirements \r\n__________________________________________________________________________ \r\n hygienic criteria for assessing and classifying working conditions according to \r\n the hazard indicator \r\n__________________________________________________________________________ \r\n and the danger of production factors environment, severity and \r\n intensity of the labor process) \r\n19. Presence of employee guilt (in percentage) and its justification \r\n ___________________________________________________________________ \r\n ___________________________________________________________________ \r\n20. Conclusion: based on the results of the investigation, it has been established \r\nthat the present disease (poisoning) is occupational and \r\noccurred as a result of \r\n________________________________________. The immediate cause \r\n(specific circumstances and \r\n conditions are indicated) \r\nof the disease was _____________________________________________ \r\n (a specific harmful production \r\n factor is indicated) \r\n 21. Persons who committed violations of state regulations \r\n r\nsanitary and epidemiological rules and other regulations: \r\n__________________________________________________________________________ \r\n (Full name, indicating the provisions, rules and \r\n other acts violated by them) \r\n22. In order to eliminate and prevent occupational \r\ndiseases or poisonings, it is proposed: \r\n__________________________________________________________________________ \r\n23. Attached investigation materials \r\n ___________________________________________________________________ \r\n 24. Signatures of the commission members: \r\n \r\n Full name, date \r\n \r\n M.P. \r\n

GOVERNMENT OF THE RUSSIAN FEDERATION

RESOLUTION

ON APPROVAL OF THE REGULATIONS

ON INVESTIGATION AND RECORDING OF OCCUPATIONAL DISEASES

List of changing documents

28. Persons taking part in the investigation are responsible, in accordance with the legislation of the Russian Federation, for the disclosure of confidential information obtained as a result of the investigation.

29. The employer, within a month after completion of the investigation, is obliged, on the basis of a report on a case of occupational disease, to issue an order on specific measures to prevent occupational diseases.

The employer informs the center of state sanitary and epidemiological supervision in writing about the execution of the commission’s decisions.

Procedure for drawing up the act

about a case of occupational disease

5. Name of the workshop, site, production __________________

6. Profession, position _____________________________________________

7. Total work experience ________________________________________

8. Work experience in this profession ____________________________

9. Work experience under conditions of exposure to harmful substances and

unfavorable production factors ____________________

(types of work actually performed under special conditions,

not indicated in the work book, are entered with a note

"according to the worker")

______________________________________________________________

______________________________________________________________

______________________________________________________________

______________________________________________________________

10. Start date of the investigation ________________________________

The commission consisting of

Chairman ________________________________________________ and

(full name, position)

commission members

______________________________________________________________

(full name, position)

______________________________________________________________

an investigation into an occupational disease case was conducted

______________________________________________________________

(diagnosis)

and installed:

11. Date (time) of illness

______________________________________________________________

(to be completed in case of acute occupational disease)

12. Date and time of admission to the state center

sanitary and epidemiological surveillance notification of the case

occupational disease or poisoning _________________

______________________________________________________________

13. Information about

ability to work _____________________________________________

(able to work at his job, lost

______________________________________________________________

ability to work, transferred to another job, assigned

to the institution of the state medical service

social expertise)

14. An occupational disease was detected during medical

inspection, upon treatment (underline as appropriate) __________________

______________________________________________________________

15. Did the employee have previously established

occupational disease, whether you were sent to the center

professional pathology (to an occupational pathologist) for

establishing an occupational disease ___________________

16. Presence of occupational diseases in this workshop,

site, production and/or professional group ________

17. An occupational disease arose under circumstances

and conditions: ___________________________________________________

(a full description of specific facts is given

______________________________________________________________

non-compliance with technological regulations,

______________________________________________________________

production process, transport violations

______________________________________________________________

operating mode of technological equipment,

______________________________________________________________

devices, working tools; violations of the regime

______________________________________________________________

labor, emergency, failure

______________________________________________________________

protective equipment, lighting; non-compliance with technical rules

______________________________________________________________

safety, industrial sanitation;

______________________________________________________________

imperfections in technology, mechanisms, equipment,

______________________________________________________________

working tools; inefficiency of systems

______________________________________________________________

ventilation, air conditioning, protective equipment,

______________________________________________________________

mechanisms, personal protective equipment;

______________________________________________________________

lack of rescue measures and means,

______________________________________________________________

provides information from the sanitary and hygienic

______________________________________________________________

characteristics of the employee’s working conditions and other documents)

18. Cause of occupational disease or poisoning

served: long-term, short-term (during working

shifts), one-time exposure of the human body to harmful

production factors or substances _________________________________

(indicated

______________________________________________________________

quantitative and qualitative characteristics of harmful

______________________________________________________________

production factors according to requirements

______________________________________________________________

hygienic criteria for assessing and classifying conditions

______________________________________________________________

labor in terms of harmfulness and danger factors

______________________________________________________________

working environment, heaviness and tension

______________________________________________________________

labor process)

19. Presence of employee guilt (in percentage) and its justification

______________________________________________________________

______________________________________________________________

20. Conclusion: based on the results of the investigation

It has been established that the present disease (poisoning) is

professional and arose as a result

Direct

(specific circumstances are indicated

and conditions)

The cause of the disease was ______________________________

(specified harmful

production factor)

21. Persons who have committed violations of state sanitary

epidemiological rules and other regulations:

______________________________________________________________

(Full name, indicating the provisions violated by them,

rules and other acts)

22. In order to eliminate and prevent professional

diseases or poisonings are suggested:

______________________________________________________________

23. Attached investigation materials

______________________________________________________________

24. Signatures of commission members.

"On approval of the Regulations on the investigation and recording of occupational diseases"

(as amended as of January 7, 2015,
with changes and additions, included in the text,
according to the Decree of the Government of the Russian Federation dated December 24, 2014 No. 1469)

The Government of the Russian Federation decides:

1. Approve the attached Regulations on the investigation and recording of occupational diseases.

2. The Ministry of Health of the Russian Federation must provide explanations on the application of the Regulations on the investigation and recording of occupational diseases.

Regulations on the investigation and recording of occupational diseases

General provisions

1. These Regulations establish the procedure for investigating and recording occupational diseases.

2. In accordance with these Regulations, acute and chronic occupational diseases (poisonings) are subject to investigation and recording, the occurrence of which in workers and other persons (hereinafter referred to as workers) is caused by exposure to harmful production factors during the performance of their job duties or production activities on the instructions of the organization or individual entrepreneur.

3. Employees include:

a) employees performing work under an employment agreement (contract);

b) citizens performing work under a civil contract;

c) students of educational organizations of higher education, professional educational organizations, students of general education organizations working under an employment contract during internship in organizations;

d) persons sentenced to imprisonment and forced to work;

e) other persons participating in the production activities of an organization or individual entrepreneur.

4. Acute occupational disease (poisoning) is understood as a disease that is, as a rule, the result of a single (for no more than one working day, one work shift) exposure of an employee to a harmful production factor (factors), resulting in temporary or permanent loss of professional ability to work.

A chronic occupational disease (poisoning) is understood as a disease that is the result of long-term exposure of an employee to a harmful production factor (factors), resulting in temporary or permanent loss of professional ability to work.

5. An occupational disease that occurs in an employee subject to compulsory social insurance against industrial accidents and occupational diseases is an insured event.

6. An employee has the right to personal participation in the investigation of an occupational disease that has occurred to him. At his request, his authorized representative may take part in the investigation.

The procedure for establishing the presence of an occupational disease

7. When a preliminary diagnosis is made of an acute occupational disease (poisoning), the healthcare institution is obliged to send an emergency notification of the employee’s occupational disease to the state sanitary and epidemiological surveillance center that supervises the facility where the occupational disease occurred (hereinafter referred to as the state sanitary and epidemiological surveillance center). sanitary and epidemiological supervision), and a message to the employer in the form established by the Ministry of Health of the Russian Federation.

8. The Center for State Sanitary and Epidemiological Surveillance, which has received an emergency notification, within 24 hours from the date of its receipt begins to clarify the circumstances and causes of the disease, upon clarification of which it compiles a sanitary and hygienic characteristic of the employee’s working conditions and sends it to the state or municipal health care institution according to place of residence or place of attachment of the employee (hereinafter referred to as a health care institution). The sanitary and hygienic characteristics of working conditions are drawn up in a form approved by the Ministry of Health of the Russian Federation.

9. If the employer (his representative) disagrees with the content of the sanitary and hygienic characteristics of the employee’s working conditions, he has the right, by stating his objections in writing, to attach them to the characteristics.

10. A healthcare institution, based on clinical data on the employee’s health status and the sanitary and hygienic characteristics of his working conditions, establishes a final diagnosis - an acute occupational disease (poisoning) and draws up a medical report.

11. When a preliminary diagnosis is established - a chronic occupational disease (poisoning), a notification of the employee’s occupational disease is sent to the center of state sanitary and epidemiological surveillance within 3 days.

12. The Center for State Sanitary and Epidemiological Surveillance, within 2 weeks from the date of receipt of the notification, submits to the health care institution a sanitary and hygienic description of the employee’s working conditions.

13. A health care institution that has established a preliminary diagnosis of a chronic occupational disease (poisoning) is obliged to refer the patient within a month for outpatient or inpatient examination to a specialized treatment and preventive institution or its unit (occupational pathology center, clinic or department of occupational diseases of medical scientific organizations of clinical profile) (hereinafter referred to as the Center for Occupational Pathology) with the submission of the following documents:

a) an extract from the medical record of an outpatient and (or) inpatient;

b) information on the results of preliminary (upon employment) and periodic medical examinations;

c) sanitary and hygienic characteristics of working conditions;

d) a copy of the work book.

14. The Center for Occupational Pathology, based on clinical data of the employee’s health status and submitted documents, establishes a final diagnosis - a chronic occupational disease (including those that arose long after cessation of work in contact with harmful substances or production factors), draws up a medical report and 3- within a day, sends a corresponding notice to the center of state sanitary and epidemiological surveillance, the employer, the insurer and the health care institution that referred the patient.

15. A medical report on the presence of an occupational disease is issued to the employee against signature and sent to the insurer and to the health care institution that referred the patient.

16. The established diagnosis - acute or chronic occupational disease (poisoning) can be changed or canceled by the center of occupational pathology based on the results of additional research and examination. Consideration of particularly complex cases of occupational diseases is entrusted to the Center for Occupational Pathology of the Ministry of Health of the Russian Federation.

17. Notification of a change or cancellation of the diagnosis of an occupational disease is sent by the center of occupational pathology to the center of state sanitary and epidemiological supervision, the employer, the insurer and the health care institution within 7 days after the relevant decision is made.

18. Responsibility for timely notification of a case of acute or chronic occupational disease, the establishment, change or cancellation of a diagnosis rests with the head of the healthcare institution that established (cancelled) the diagnosis.

The procedure for investigating the circumstances and causes of an occupational disease

19. The employer is obliged to organize an investigation into the circumstances and causes of an occupational disease in an employee (hereinafter referred to as the investigation).

The employer, within 10 days from the date of receipt of notification of the final diagnosis of an occupational disease, forms a commission to investigate an occupational disease (hereinafter referred to as the commission), headed by the chief physician of the center of state sanitary and epidemiological surveillance. The commission includes a representative of the employer, a labor protection specialist (or a person appointed by the employer to be responsible for organizing work on labor protection), a representative of a health care institution, a trade union or other representative body authorized by employees.

Other specialists may participate in the investigation.

The employer is obliged to provide working conditions for the commission.

20. An occupational disease that occurs in an employee sent to perform work in another organization is investigated by a commission formed in the organization where the specified case of occupational disease occurred. The commission includes an authorized representative of the organization (individual entrepreneur) that sent the employee. Failure to arrive or untimely arrival of an authorized representative is not grounds for changing the timing of the investigation.

21. An occupational disease that arose in an employee while performing part-time work is investigated and recorded at the place where the part-time work was performed.

22. An investigation into the circumstances and causes of a chronic occupational disease (poisoning) in persons who, at the time of the investigation, do not have contact with the harmful production factor that caused this occupational disease, including non-workers, is carried out at the place of previous work with the harmful production factor.

23. To conduct an investigation, the employer is obliged:

a) submit documents and materials, including archival ones, characterizing working conditions at the workplace (site, workshop);

b) carry out, at the request of the commission members at their own expense, the necessary examinations, laboratory-instrumental and other hygienic studies in order to assess working conditions in the workplace;

c) ensure the safety and recording of investigation documentation.

24. During the investigation, the commission interviews the employee’s co-workers, persons who violated state sanitary and epidemiological rules, and receives the necessary information from the employer and the sick person.

25. To make a decision based on the results of the investigation, the following documents are required:

a) order to create a commission;

b) sanitary and hygienic characteristics of the employee’s working conditions;

c) information about medical examinations performed;

d) an extract from the logbooks for registering briefings and protocols for testing the employee’s knowledge of labor protection;

e) protocols of the employee’s explanations, interviews with persons who worked with him, and other persons;

f) expert opinions of specialists, results of research and experiments;

g) medical documentation on the nature and severity of damage caused to the employee’s health;

h) copies of documents confirming the issuance of personal protective equipment to the employee;

i) extracts from orders previously issued for this production (facility) by the center of state sanitary and epidemiological surveillance;

j) other materials at the discretion of the commission.

26. Based on the examination of documents, the commission establishes the circumstances and causes of the employee’s occupational disease, identifies persons who committed violations of state sanitary and epidemiological rules, other regulations, and measures to eliminate the causes and prevent occupational diseases.

If the commission establishes that the gross negligence of the insured contributed to the occurrence or increase of harm caused to his health, then, taking into account the conclusion of the trade union or other representative body authorized by the insured, the commission establishes the degree of guilt of the insured (in percentage).

27. Based on the results of the investigation, the commission draws up a report on the case of occupational disease according to the attached form.

28. Persons taking part in the investigation are responsible, in accordance with the legislation of the Russian Federation, for the disclosure of confidential information obtained as a result of the investigation.

29. The employer, within a month after completion of the investigation, is obliged, on the basis of a report on a case of occupational disease, to issue an order on specific measures to prevent occupational diseases.

The employer informs the center of state sanitary and epidemiological supervision in writing about the execution of the commission’s decisions.

The procedure for registering a report on a case of occupational disease

30. A report on a case of occupational disease is a document establishing the professional nature of the disease that occurred in an employee at a given production site.

31. A report on a case of occupational disease is drawn up within 3 days after the expiration of the investigation period in five copies intended for the employee, the employer, the center for state sanitary and epidemiological surveillance, the center for occupational pathology (health care institution) and the insurer. The act is signed by the members of the commission, approved by the chief physician of the center for state sanitary and epidemiological surveillance and certified by the seal of the center.

32. The report on a case of occupational disease sets out in detail the circumstances and causes of the occupational disease, and also indicates the persons who committed violations of state sanitary and epidemiological rules and other regulations. If the fact of gross negligence of the insured is established, which contributed to the occurrence or increase of harm caused to his health, the degree of his guilt established by the commission is indicated (as a percentage).

33. A report on a case of occupational disease, together with investigation materials, is stored for 75 years in the center of state sanitary and epidemiological surveillance and in the organization where the investigation of this case of occupational disease was carried out. In case of liquidation of the organization, the act is transferred for storage to the center of state sanitary and epidemiological supervision.

34. Occupational disease is taken into account by the center of state sanitary and epidemiological surveillance that conducted the investigation, in the manner established by the Ministry of Health of the Russian Federation.

35. Disagreements regarding the diagnosis of an occupational disease and its investigation are considered by the bodies and institutions of the state sanitary and epidemiological service of the Russian Federation, the Center for Occupational Pathology of the Ministry of Health of the Russian Federation, the federal labor inspectorate, the insurer or the court.

36. Persons guilty of violating the provisions of this Regulation are held accountable in accordance with the legislation of the Russian Federation.

Application

to the Regulations on Investigation and Recording
occupational diseases

"On approval of the Regulations on the investigation and recording of occupational diseases"

The Government of the Russian Federation decides:

1. Approve the attached Regulations on the investigation and recording of occupational diseases.

2. The Ministry of Health of the Russian Federation must provide explanations on the application of the Regulations on the investigation and recording of occupational diseases.

Chairman of the Government

Russian Federation M. Kasyanov

Position

on investigation and recording of occupational diseases

General provisions

1. These Regulations establish the procedure for investigating and recording occupational diseases.

2. In accordance with these Regulations, acute and chronic occupational diseases (poisonings) are subject to investigation and recording, the occurrence of which in workers and other persons (hereinafter referred to as workers) is caused by exposure to harmful production factors when they perform job duties or production activities on the instructions of an organization or individual entrepreneur.

3. Employees include:

a) employees performing work under an employment agreement (contract);

b) citizens performing work under a civil contract;

c) students of educational institutions of higher and secondary vocational education, students of educational institutions of secondary, primary vocational education and educational institutions of basic general education, working under an employment agreement (contract) during internship in organizations;

d) persons sentenced to imprisonment and forced to work;

e) other persons participating in the production activities of an organization or individual entrepreneur.

4. Acute occupational disease (poisoning) is understood as a disease that is, as a rule, the result of a single (for no more than one working day, one work shift) exposure of an employee to a harmful production factor (factors), resulting in temporary or permanent loss of professional ability to work.

A chronic occupational disease (poisoning) is understood as a disease that is the result of long-term exposure of an employee to a harmful production factor (factors), resulting in temporary or permanent loss of professional ability to work.

5. An occupational disease that occurs in an employee subject to compulsory social insurance against industrial accidents and occupational diseases is an insured event.

6. An employee has the right to personal participation in the investigation of an occupational disease that has occurred to him. At his request, his authorized representative may take part in the investigation.

The procedure for establishing the presence of an occupational disease

7. When a preliminary diagnosis is made of an acute occupational disease (poisoning), the healthcare institution is obliged to send an emergency notification of the employee’s occupational disease to the state sanitary and epidemiological surveillance center that supervises the facility where the occupational disease occurred (hereinafter referred to as the state sanitary and epidemiological surveillance center). sanitary and epidemiological supervision), and a message to the employer in the form established by the Ministry of Health of the Russian Federation.

8. The Center for State Sanitary and Epidemiological Surveillance, which has received an emergency notification, within 24 hours from the date of its receipt begins to clarify the circumstances and causes of the disease, upon clarification of which it compiles a sanitary and hygienic characteristic of the employee’s working conditions and sends it to the state or municipal health care institution according to place of residence or place of attachment of the employee (hereinafter referred to as a health care institution). The sanitary and hygienic characteristics of working conditions are drawn up in a form approved by the Ministry of Health of the Russian Federation.

9. If the employer (his representative) disagrees with the content of the sanitary and hygienic characteristics of the employee’s working conditions, he has the right, by stating his objections in writing, to attach them to the characteristics.

10. A healthcare institution, based on clinical data on the employee’s health status and the sanitary and hygienic characteristics of his working conditions, establishes a final diagnosis - an acute occupational disease (poisoning) and draws up a medical report.

11. When a preliminary diagnosis is established - a chronic occupational disease (poisoning), a notification of the employee’s occupational disease is sent to the center of state sanitary and epidemiological surveillance within 3 days.

12. The Center for State Sanitary and Epidemiological Surveillance, within 2 weeks from the date of receipt of the notification, submits to the health care institution a sanitary and hygienic description of the employee’s working conditions.

13. A health care institution that has established a preliminary diagnosis of a chronic occupational disease (poisoning) is obliged to refer the patient within a month for outpatient or inpatient examination to a specialized treatment and preventive institution or its unit (occupational pathology center, clinic or department of occupational diseases of medical scientific organizations of clinical profile) (hereinafter referred to as the Center for Occupational Pathology) with the submission of the following documents:

a) an extract from the medical record of an outpatient and (or) inpatient;

b) information on the results of preliminary (upon employment) and periodic medical examinations;

c) sanitary and hygienic characteristics of working conditions;

d) a copy of the work book.

14. The Center for Occupational Pathology, based on clinical data of the employee’s health status and submitted documents, establishes a final diagnosis - a chronic occupational disease (including those that arose long after cessation of work in contact with harmful substances or production factors), draws up a medical report and 3- within a day, sends a corresponding notice to the center of state sanitary and epidemiological surveillance, the employer, the insurer and the health care institution that referred the patient.

15. A medical report on the presence of an occupational disease is issued to the employee against signature and sent to the insurer and to the health care institution that referred the patient.

16. The established diagnosis - acute or chronic occupational disease (poisoning) can be changed or canceled by the center of occupational pathology based on the results of additional research and examination. Consideration of particularly complex cases of occupational diseases is entrusted to the Center for Occupational Pathology of the Ministry of Health of the Russian Federation.

17. Notification of a change or cancellation of the diagnosis of an occupational disease is sent by the center of occupational pathology to the center of state sanitary and epidemiological supervision, the employer, the insurer and the health care institution within 7 days after the relevant decision is made.

18. Responsibility for timely notification of a case of acute or chronic occupational disease, the establishment, change or cancellation of a diagnosis rests with the head of the healthcare institution that established (cancelled) the diagnosis.

The procedure for investigating the circumstances and causes of an occupational disease

19. The employer is obliged to organize an investigation into the circumstances and causes of an occupational disease in an employee (hereinafter referred to as the investigation).

The employer, within 10 days from the date of receipt of notification of the final diagnosis of an occupational disease, forms a commission to investigate an occupational disease (hereinafter referred to as the commission), headed by the chief physician of the center of state sanitary and epidemiological surveillance. The commission includes a representative of the employer, a labor protection specialist (or a person appointed by the employer to be responsible for organizing work on labor protection), a representative of a health care institution, a trade union or other representative body authorized by employees.

Other specialists may participate in the investigation. The employer is obliged to provide working conditions for the commission.

20. An occupational disease that occurs in an employee sent to perform work in another organization is investigated by a commission formed in the organization where the specified case of occupational disease occurred. The commission includes an authorized representative of the organization (individual entrepreneur) that sent the employee. Failure to arrive or untimely arrival of an authorized representative is not grounds for changing the timing of the investigation.

21. An occupational disease that arose in an employee while performing part-time work is investigated and recorded at the place where the part-time work was performed.

22. An investigation into the circumstances and causes of a chronic occupational disease (poisoning) in persons who, at the time of the investigation, do not have contact with the harmful production factor that caused this occupational disease, including non-workers, is carried out at the place of previous work with the harmful production factor.

23. To conduct an investigation, the employer is obliged:

a) submit documents and materials, including archival ones, characterizing working conditions at the workplace (site, workshop);

b) carry out, at the request of the commission members at their own expense, the necessary examinations, laboratory-instrumental and other hygienic studies in order to assess working conditions in the workplace;

c) ensure the safety and recording of investigation documentation.

24. During the investigation, the commission interviews the employee’s co-workers, persons who violated state sanitary and epidemiological rules, and receives the necessary information from the employer and the sick person.

25. To make a decision based on the results of the investigation, the following documents are required:

a) order to create a commission;

b) sanitary and hygienic characteristics of the employee’s working conditions;

c) information about medical examinations performed;

d) an extract from the logbooks for registering briefings and protocols for testing the employee’s knowledge of labor protection;

e) protocols of the employee’s explanations, interviews with persons who worked with him, and other persons;

f) expert opinions of specialists, results of research and experiments;

g) medical documentation on the nature and severity of damage caused to the employee’s health;

h) copies of documents confirming the issuance of personal protective equipment to the employee;

i) extracts from orders previously issued for this production (facility) by the center of state sanitary and epidemiological surveillance;

j) other materials at the discretion of the commission.

26. Based on the examination of documents, the commission establishes the circumstances and causes of the employee’s occupational disease, identifies persons who committed violations of state sanitary and epidemiological rules, other regulations, and measures to eliminate the causes and prevent occupational diseases.

If the commission establishes that the gross negligence of the insured contributed to the occurrence or increase of harm caused to his health, then, taking into account the conclusion of the trade union or other representative body authorized by the insured, the commission establishes the degree of guilt of the insured (in percentage).

27. Based on the results of the investigation, the commission draws up a report on the case of occupational disease according to the attached form.

28. Persons taking part in the investigation are responsible, in accordance with the legislation of the Russian Federation, for the disclosure of confidential information obtained as a result of the investigation.

29. The employer, within a month after completion of the investigation, is obliged, on the basis of a report on a case of occupational disease, to issue an order on specific measures to prevent occupational diseases.

The employer informs the center of state sanitary and epidemiological supervision in writing about the execution of the commission’s decisions.

The procedure for registering a report on a case of occupational disease

30. A report on a case of occupational disease is a document establishing the professional nature of the disease that occurred in an employee at a given production site.

31. A report on a case of occupational disease is drawn up within 3 days after the expiration of the investigation period in five copies intended for the employee, the employer, the center for state sanitary and epidemiological surveillance, the center for occupational pathology (health care institution) and the insurer. The act is signed by the members of the commission, approved by the chief physician of the center for state sanitary and epidemiological surveillance and certified by the seal of the center.

32. The report on a case of occupational disease sets out in detail the circumstances and causes of the occupational disease, and also indicates the persons who committed violations of state sanitary and epidemiological rules and other regulations. If the fact of gross negligence of the insured is established, which contributed to the occurrence or increase of harm caused to his health, the degree of his guilt established by the commission is indicated (as a percentage).

33. A report on a case of occupational disease, together with investigation materials, is stored for 75 years in the center of state sanitary and epidemiological surveillance and in the organization where the investigation of this case of occupational disease was carried out. In case of liquidation of the organization, the act is transferred for storage to the center of state sanitary and epidemiological supervision.

34. Occupational disease is taken into account by the center of state sanitary and epidemiological surveillance that conducted the investigation, in the manner established by the Ministry of Health of the Russian Federation.

35. Disagreements regarding the diagnosis of an occupational disease and its investigation are considered by the bodies and institutions of the state sanitary and epidemiological service of the Russian Federation, the Center for Occupational Pathology of the Ministry of Health of the Russian Federation, the federal labor inspectorate, the insurer or the court.

36. Persons guilty of violating the provisions of this Regulation are held accountable in accordance with the legislation of the Russian Federation.

Application

to the Regulations on Investigation and Recording

occupational diseases

I approve

Chief physician of the center

state

sanitary-epidemiological

supervision

(administrative territory)

___________________________________________

(Full name, signature)

"____"_______________ year

Seal

Act

about a case of occupational disease

from "___"_________________year

1. ______________________________________________________________________

(last name, first name, patronymic and year of birth of the victim)

2. Date of notification _____________________________________________________

(name of medical institution, legal address)

3. Final diagnosis ________________________________________________

4. Name of organization _____________________________________________

(full name, industry affiliation,

form of ownership, legal address, OKPO, OKONH codes)

5. Name of the workshop, site, production _____________________________

6. Profession, position________________________________________________________________

7. Total work experience______________________________________________________________

8. Work experience in this profession_____________________________________________

9. Work experience under conditions of exposure to harmful substances unfavorable

production factors _______________________________________________

_________________________________________________________________________

(types of work actually performed under special conditions not specified in

work book, entered with the note “according to the employee”)

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

10. Start date of the investigation__________________________________________________________

The commission consisting of

Chairman __________________________________________________________ and

(full name, position)

members of the commission __________________________________________________________

(full name, position)

_________________________________________________________________________

an investigation into an occupational disease case was carried out ____________

(diagnosis)

and installed:

11. Date (time) of illness _____________________________________________________

(to be completed in case of acute occupational disease)

12. Date and time of receipt at the state center

sanitary and epidemiological surveillance notification of the case

occupational disease or poisoning___________________________

_________________________________________________________________________

13. Information about

ability to work ______________________________________________________________

(able to work at his job, lost ability to work,

_________________________________________________________________________

transferred to another job, sent to an institution

_________________________________________________________________________

State Service for Medical and Social Expertise)

14. An occupational disease was detected during a medical examination, when

address (underline as appropriate) __________________________________________

_________________________________________________________________________

15. Did the employee have a previously established professional

disease, whether you were sent to the center of occupational pathology (to a doctor -

occupational pathologist) to establish an occupational disease ____________

16. Presence of occupational diseases in this workshop, area,

production and/or professional group ____________________________

17. The occupational disease arose due to circumstances

conditions: ______________________________________________________________

(a full description of specific facts of non-compliance with technological

_________________________________________________________________________

regulations, production process, transport violations

_________________________________________________________________________

operation of technological equipment, devices, workers

_________________________________________________________________________

tools; violation of the work regime, emergency situation, exit from

_________________________________________________________________________

building protective equipment, lighting; non-compliance with technical rules

_________________________________________________________________________

safety, industrial sanitation; imperfections of technology,

_________________________________________________________________________

mechanisms, equipment, working tools; inefficiency

_________________________________________________________________________

operation of ventilation systems, air conditioning, protective equipment,

_________________________________________________________________________

mechanisms, personal protective equipment; lack of measures and means

_________________________________________________________________________

rescue nature, information from the sanitary and hygienic

_________________________________________________________________________

characteristics of the employee’s working conditions and other documents)

18. The cause of occupational disease or poisoning was:

long-term, short-term (during the work shift), one-time

impact on the human body of harmful production factors or

substances _________________________________________________________________

(indicate quantitative and qualitative

_________________________________________________________________________

characteristics of harmful production factors in accordance

_________________________________________________________________________

with the requirements of hygienic criteria for assessing and classifying conditions

_________________________________________________________________________

labor in terms of harmfulness and danger of production factors

_________________________________________________________________________

environment, severity and intensity of the labor process)

19. Presence of employee guilt (in percentage) and its justification

_________________________________________________________________________

_________________________________________________________________________

20. Conclusion: based on the results of the investigation, it was established that

the present disease (poisoning) is occupational and arose in

result _____________________________________________________. Direct

(specific circumstances and conditions are indicated)

The cause of the disease was __________________________________________

(a specific harmful production factor is indicated)

21. Persons who committed violations of state

sanitary and epidemiological rules and other regulations:

_________________________________________________________________________

(Full name, indicating the provisions, rules and other acts violated by them)

22. For the purpose of eliminating and preventing occupational diseases or

poisoning is suggested: ________________________________________________

23. Attached investigation materials

_________________________________________________________________________

24. Signatures of the commission members:

Full name, date