08.04.2021
We give the employer the medical in a sealed envelope
Upon entering the job, the employee provides in a sealed envelope to the employer a completed card for preliminary medical examination and copies of expert decisions of the Territorial Expert Medical Commission (TEMC) or the National Medical Expert Commission (NEMC), when such documents are available.
The employer submits the documents to the occupational medicine service servicing the storage facility.
This envisages a draft Ordinance on the conditions for carrying out the obligatory preliminary and periodic medical examinations of employees, uploaded for public discussion.
It also states that the following are subject to mandatory preliminary medical examination:
The draft ordinance provides for the possibility for the doctor performing the obligatory examination in case of suspicion of an occupational disease to refer the employee for specialized examinations and consultations, both to a medical institution for hospital care, which has a structure for occupational diseases, and to any other medical institution in the country with possibilities for diagnostic clarification, which will facilitate and expand the access of employees to qualified medical care, reads the reasons for the ordinance.
The draft ordinance sets out the requirements for initial and periodic medical examinations of employees over 18 years of age. The requirements for entering the results of the performed obligatory preliminary and periodic inspections in the respective map model, introduced by the ordinance, remain unchanged compared to those that are valid so far.
It regulates the obligation of the employer to ensure the conduct of periodic medical surveillance of employees, as well as ensuring the timely appearance of persons subject to periodic medical surveillance.
The requirement aims to ensure the timely and regular conduct of the required examinations of all employees.
The project regulates a list of harmful factors for health and safety, which require mandatory preliminary and periodic medical examinations of employees, doctors who perform them and the frequency of mandatory periodic examinations, which determine the specific requirements. to the obligatory examinations and examinations, as well as the periodicity for their carrying out in relation to the various harmful factors for the health.
It is proposed to introduce a list of relative medical contraindications for entering a profession (position, production activity) with harmful factors for health and safety, which has been updated in accordance with modern conditions and achievements of medical science.
Contraindications that have been identified as restrictive for employment have been dropped from the current list, given the current available opportunities for therapeutic response and compensation of disease symptoms to achieve physiological norms, as well as the potential impact of the work environment and work process and occupational and work-related diseases.
Based on the results of the performed obligatory medical examinations, a conclusion is provided for the suitability of the person to perform a certain profession (position, production activity) to be prepared by the occupational medicine service.
In the presence of a disease, it is planned to assess the type of the disease, the stage of its development, the conditioned functional deficit and the possibility of progression under the specific working conditions.
The draft ordinance provides for occupational health services to assist employers in fulfilling their obligations under the ordinance, including recommending additional medical examinations and/or examinations at intervals other than those specified in the ordinance, in increasing the exposure to harmful factors above the normatively established limit values and updated risk assessment.
