"I hereby ratify"

President of the Republic of Armenia

R. Kocharyan

12 April 2003

GOVERNMENT OF THE REPUBLIC OF ARMENIA

DECISION

No 347-N of 27 March 2003

"ON APPROVING THE PROCEDURE FOR COMPULSORY PRELIMINARY (WHEN BEING EMPLOYED) AND PERIODIC MEDICAL EXAMINATION  OF HEALTH CONDITION; THE LIST OF SPHERES OF ACTIVITIES, WHEREIN THE PERSONS ENGAGED ARE SUBJECT TO COMPULSORY EXAMINATION OF HEALTH CONDITION, AS WELL AS THE LIST OF THE VOLUME AND FREQUENCY OF MEDICAL EXAMINATION; THE LIST OF INDIVIDUAL SANITARY (MEDICAL) RECORD AND OF NAMES OF PERSONS SUBJECT TO MEDICAL EXAMINATION; THE FORMS OF THE DECISION ON TEMPORARILY SUSPENDING A PERSON FROM WORK"

(title edited by No 823-N of 6 July 2007)

In accordance with Article 22 of the Law of the Republic of Armenia "On ensuring sanitary-epidemiological safety of the population of the Republic of Armenia" and Article 20 of the Law of the Republic of Armenia "On medical aid and services for the population", the Government of the Republic of Armenia hereby decides:

To approve:

(1) the procedure for compulsory preliminary (when being employed) and periodic medical examination of health condition, pursuant to Annex No 1;

(2) the list of spheres of activities, wherein the persons engaged are subject to compulsory medical examination of health condition, and the list of volume and frequency of medical examination, pursuant to Annex No 2;

(3) the form of individual sanitary (medical) record, pursuant to Annex No 3;

(4) the form of the list of names of persons subject to medical examination, pursuant to Annex No 4;

(5) the form of the decision on temporarily suspending a person from work, pursuant to Annex No 5.

(Decision edited by No 823-N of 6 July 2007)

PROCEDURE

FOR COMPULSORY PRELIMINARY (WHEN BEING EMPLOYED) AND PERIODIC MEDICAL EXAMINATION OF HEALTH CONDITION

1. Persons being employed and working within the organisations referred to in the list approved under Annex No 2 to this Decision, as well as individual entrepreneurs shall be subject to compulsory medical examination.

(point 1 edited by No 823-N of 6 July 2007, amended by No 1518-N of 20 December 2018)

2. The process of medical examination shall be carried out by medical specialists, pursuant to the list approved under Annex No 2 to this Decision.

(point 2 edited by No 823-N of 6 July 2007, amended by No 1518-N of 20 December 2018)

3. Compulsory preliminary (when being employed) and periodic medical examination shall be conducted in an organisation providing medical aid and services with a licence to provide the relevant type of medical aid or service, issued as prescribed by law. In case the organisation providing medical aid and services does not have the licence for any type of medical aid or service in compliance with the requirements prescribed by Annex No 2 to this Decision, the relevant medical aid or service (including laboratory-instrumental examinations) shall be provided by another organisation, on a contractual basis, providing medical aid and services with a licence to provide the relevant type of medical aid or service, issued as prescribed by law.

(point 3 edited by No 823-N of 6 July 2007, amended by No 1514-N of 30 November 2017, edited by No 1518-N of 20 December 2018)

4. During medical examination, the general physician (family doctor) shall be obliged to:

(1) gather detailed information about the contagious diseases that the applicant has suffered from in the past;

(2) examine the condition of the internal organs of the applicant;

(3) refer the applicant to the required medical and laboratory-instrumental tests;

(4) in case the anamnesis contains an indication about the intestinal diseases that the applicant has suffered from in the past, a record on this shall be made in the referral of the laboratory.

(point 4 edited by No 823-N of 6 July 2007, No 1518-N of 20 December 2018)

5. The dermatovenerologist shall be obliged to:

(1) thoroughly examine the skin, the hair-covered surface and folds thereof, the nails, the visible mucosae;

(2) palpate the lymph nodes.

(3) (sub-point repealed by No 1518-N of 20 December 2018)

(4) (sub-point repealed by No 1518-N of 20 December 2018)

(5) (sub-point repealed by No 1518-N of 20 December 2018)

(6) (sub-point repealed by No 1518-N of 20 December 2018)

(7) (sub-point repealed by No 1518-N of 20 December 2018)

(point 5 edited by No 823-N of 6 July 2007, amended by No 1514-N of 30 November 2017, No 1518-N of 20 December 2018)

6. (point repealed by No 1518-N of 20 December 2018)

7. (point repealed by No 1518-N of 20 December 2018)

8. Laboratory-instrumental tests shall be conducted through the following methods:

(1) for syphilis — only by express-method, micro-precipitation reaction, the blood is taken only from the finger of the hand;

(2) for contact helminthoses — through examination of faeces and/or perianal scrape;

(3) for pathogenic agents and pathogenic Staphylococcus of contagious intestinal diseases — through bacteriological testing;

(4) for viral Hepatitis B and Hepatitis C — through rapid test-systems for serological test of the blood. Where positive result is recorded through the rapid test-system, the test shall continue through immunoferment analysis of the blood in order to avoid a false positive result;

(5) in case of indication, through microscopic observation of native scrapes for scabies and fungal diseases;

(6) for tuberculosis — through instrumental test of the lungs.

In case of diagnosis or suspicion of the "tuberculosis disease" through instrumental test, the person concerned shall be tested, and the final diagnosis shall be done in accordance with the order adopted by the authorised state administration body in the field of healthcare.

(point 8 edited by No 823-N of 6 July 2007, No 1518-N of 20 December 2018)

9. After conducting the required medical examination (tests), the medical specialist shall, in case of absence of contraindications, indicate his or her professional opinion in the sanitary (medical) record book of the person being tested:

(1) in the sanitary (medical) record book, the doctor conducting medical examination and/or laboratory test shall confirm the results of conduct of the test with a signature and shall indicate his or her name, surname, where the examination or test is conducted by another organisation providing medical aid and services, the results of the examination or test shall be confirmed with the seal of the legal person conducting the examination (test);

(2) where the sanitary (medical) record book does not comply with the form of Annex No 3, it shall be deemed to be invalid. In case of diagnosis of the diseases referred to in point 10 of this Procedure or detection of carrying of microbes, it shall be prohibited to work within the organisations and with the professions referred to in the list of compulsory medical examination approved by the Government of the Republic of Armenia. The director of the organisation providing medical aid and services shall immediately inform electronically or by phone or fax to the territorial subdivision of the Health and Labour Inspection Body, and then, within 24 hours, submit, in writing, information to the place of residence.

(point 9 edited by No 823-N of 6 July 2007, supplemented by No 140-N of 17 February 2011, amended by No 1514-N of 30 November 2017, edited by No 1518-N of 20 December 2018)

10. Persons working in organisations included in Annex No 2 to Decision of the Government of the Republic of Armenia No 347-N of 27 March 2003 and with relevant professions shall be suspended from work, prior to the end of the appropriate treatment and the negative result of laboratory tests, in case of detection of carrying of microbes and parasites and diagnosis of the following diseases:

(1) abdominal typhus, paratyphus, Salmonella, dysentery;

(2) hymenolepiasis, enterobiasis;

(3) syphilis;

(4) contagious skin diseases;

(5) lung tuberculosis and tuberculosis with swab, and lung tuberculosis with negative swab and extrapulmonary tuberculosis shall also be contraindication for working with newborn children, pre-primary and pre-school age children;

(6) having pathogenic Staphylococcus, purulent diseases of the skin, nasopharyngeal and mucous membrane of the eye (in spheres wherein employees are examined with regard to the mentioned diseases and carrying of microbes).

(point 10 edited by No 823-N of 6 July 2007, amended by No 1514-N of 30 November 2017, edited by No 1518-N of 20 December 2018)

10.1. With chronic viral Hepatitis B (in case viral load >2000 m/m after a laboratory test through the polymer chain reaction method) and with chronic viral Hepatitis C (in case of positive result of laboratory test through polymer chain reaction) it shall not be permitted to conduct invasive medical procedures at an organisation providing medical aid and services until the viral load <2000 m/m in case of chronic Hepatitis B, and the results of chronic Hepatitis C — sustained virologic response (negative result of Ribonucleic Acid (RNA) through the polymer chain reaction 24 weeks after the end of treatment). Bearers of the viral Hepatitis C antigen shall not be permitted to conduct invasive medical procedures at organisations providing haematological medical aid and services — at blood collection and transfusion outlets and units, at obstetric and gynaecological unit, including unit for newborns, surgeries, reanimation and dialysis, dental rooms and the room for interventions. At organisations providing medical aid and services, a patient with acute viral Hepatitis B or Hepatitis C working with blood, biological fluids substituting blood and other biological fluids, as well as conducting cosmetic interventions through violation of the integrity of skin and involvement of the deep layers of the skin at beauty salons (person conducting cosmetic interventions, a tattoo specialist, a manicurist, a pedicurist) shall be provided with medical aid and services by dentists in accordance with the national guidelines for conduct stipulated for every disease. They shall be permitted to work only after recovering, in the case of every separate disease, based on the negative results of the tests conducted after treatment of the particular disease as prescribed.

(point 10.1 supplemented by No 1518-N of 20 December 2018)

10.2. The contingent (personnel) being tested with respect to viral Hepatitis B shall also attach a statement of information on vaccinations received against viral Hepatitis B. Six months after ending the complete course (three-time) for vaccinations, the contingent, which is vulnerable from the perspective of viral Hepatitis B and Hepatitis C, shall be subject to the Hepatitis B Surface antigen test and the antibody titer test. In case the antigen is equal to or higher than the negative result and 10 international points of the antibodies, the latter shall not be subject to testing.

(point 10.2 supplemented by No 1518-N of 20 December 2018)

11. (point repealed by No 1518-N of 20 December 2018)

12. (point repealed by No 1518-N of 20 December 2018)

13. (point repealed by No 1518-N of 20 December 2018)

14. Persons working in food industry organisations and organisations equalled thereto, who have had contact with contagious patients at the workplace and place of residence, shall be subjected to medical tests, and supervision shall be exercised over them.

(point 14 edited by No 823-N of 6 July 2007)

15. Persons infected with helminthoses shall be subject to treatment in order to relieve themselves of bearing worms. Persons infected with helminthoses who are subject to treatment shall not be dismissed from work (except for the cases of hymenolepis and enterobiasis).

(point 15 edited by No 823-N of 6 July 2007, amended by No 1518-N of 20 December 2018)

16. The head of the institution providing medical aid and services shall be responsible for the quality and volume of medical examination, or another person responsible for conduct of medical examination shall be appointed under the order of the head of the organisation providing medical aid and services.

(point 16 edited by No 823-N of 6 July 2007, amended by No 1514-N of 30 November 2017, supplemented by No 1518-N of 20 December 2018)

17. The employer (director of organisation) shall be responsible for failure to subject the employees of the organisation to timely medical examinations as prescribed by this Decision, for admitting persons not having passed preliminary medical examination or persons with medical contraindications, as well as for permitting persons not having passed periodic medical examination or with medical contraindications to work. The responsible person appointed by the director of the organisation shall fill out the list of names of persons subject to medical examination in the format approved under Annex No 4 to Decision of the Government of the Republic of Armenia No 347-N of 27 March 2003. The employer shall ensure the employees of the organisation undergo preliminary and periodic medical examinations as prescribed by this Decision.

(point 17 edited by No 823-N of 6 July 2007, No 1518-N of 20 December 2018)

17.1. Expenses for compulsory medical examination shall be made at the expense of the employer. The expenses for compulsory medical examination made at the expense of the employer and the cases, terms of and procedure for exercising oversight over those expenses shall be implemented as prescribed by Article 20 of the Law of the Republic of Armenia "On medical aid and services for the population", Article 22 of the Law of the Republic of Armenia "On ensuring sanitary-epidemiological safety of the population of the Republic of Armenia" and part 6 of Article 249 of the Labour Code of the Republic of Armenia.

(point 17.1 supplemented by No 1518-N of 20 December 2018)

18. The head of the institution providing medical aid and services or the person responsible for medical examinations appointed under the order of the head shall, within a period of no later than three days upon completion of the medical examination, make an indication in the individual medical record book on permitting the person being employed or the employee to work. The indication shall be fixed with the round seal of the organisation providing medical aid and services.

(point 18 edited by No 823-N of 6 July 2007, supplemented by No 140-N of 17 February 2011, amended by No 1514-N of 30 November 2017, supplemented by No 1518-N of 20 December 2018)

18.1. The results of examination of persons subjected to periodic medical examinations at an organisation providing medical aid and services shall be filled out in the permanent ambulatory card (where the applicant is serviced at the given organisation providing medical aid and services) or the temporary ambulatory card of the person having applied for medical examination.

(point 18.1 supplemented by No 1518-N of 20 December 2018)

19. The Health and Labour Inspection Body shall, as prescribed by law, exercise oversight over fulfilment of the requirements of this Procedure, except for the cases provided for by point 21 of Annex No 1 to Decision of the Government of the Republic of Armenia No 347-N of 27 March 2003.

(point 19 edited by No 823-N of 6 July 2007, amended by No 1514-N of 30 November 2017, edited by No 1518-N of 20 December 2018)

20. Persons having not been subjected to preliminary and periodic medical examination, as well as where any one of the diseases referred to in points 10 and 10.1 of this Procedure were diagnosed as a result of medical examination, upon the decision of the head of the territorial centre of the Health and Labour Inspection Body, shall not be permitted to work until they are subjected to medical examination through the procedure prescribed, and in case of disease — until recovery, pursuant to Annex No 5.

(point 20 edited by No 823-N of 6 July 2007, amended by No 1514-N of 30 November 2017, No 1518-N of 20 December 2018)

21. The Food Safety Inspection Body shall, as prescribed by law, exercise oversight to make sure the sanitary (medical) record book of persons referred to in point 1 of Annex No 2 to Decision of the Government of the Republic of Armenia No 347-N of 27 March 2003, as well as persons referred to in point 2 who are undergoing internship within the organisations referred to in point 1 of Annex No 2 to the Decision, and persons referred to in points 8 and 10 of Annex No 2 to the Decision who have direct contact with food in the stages of production and/or circulation of the food product(s) is filled out and/or with regard to preliminary and periodic medical examination, as prescribed by the legislation of the Republic of Armenia. The procedure for conducting compulsory preliminary (when being employed) and periodic medical examination of health condition of people subject to the influence of harmful and hazardous factors in the industrial environment and in the working process, the lists of factors, nature of works being performed, volume of examination and medical contraindications and the procedure for hygienic characterisation of working conditions shall be prescribed by Decision of the Government of the Republic of Armenia No 1089-N of 15 July 2004.

(point 21 supplemented by No 267-N of 10 March 2011, edited by No 263-N of 19 March 2015, No 1518-N of 20 December 2018)

22. In case of absence of sanitary (medical) record book and/or where information on preliminary and periodic medical examination is not filled out therein as prescribed by the legislation of the Republic of Armenia, persons referred to in point 21 of this Procedure shall, upon the decision of the Food Safety Inspection Body of the Republic of Armenia, not be permitted to work until elimination of the violation through the procedure prescribed.

(point 22 supplemented by No 267-N of 10 March 2011, edited by No 263-N of 19 March 2015, amended by No 47-N of 14 January 2021)

(Annex edited by No 823-N of 6 July 2007, supplemented by No 140-N of 17 February 2011, No 267-N of 10 March 2011, edited by No 263-N of 19 March 2015, amended by No 1514-N of 30 November 2017, amended, edited, supplemented by No 1518-N of 20 December 2018, amended by No 47-N of 14 January 2021)

LIST

FOR COMPULSORY MEDICAL EXAMINATION

1. Medical workers of organisations providing psychiatric medical aid and services shall be subject to medical examination by a therapist and to a tuberculosis test when being employed and subsequently — once each year.

2. Besides the diseases specified in point 10 of Annex No 1, lung tuberculosis with negative swab and extrapulmonary tuberculosis are also contraindications for working with newborn children, pre-primary and pre-school age children.

3. Besides the specified frequency, the specified periodic examination may be organised and conducted also as extraordinary examination in case of risk of the spread of a contagious (including parasitic) disease, with epidemiological indication.

1. The date of the latest medical examinations and the date of the next scheduled medical examination shall be filled in the section "Timetable for Medical Examinations"

2. Upon necessity, additional information on the employee concerned, i.e. information on transfer or dismissal from work, shall be filled out in the section "Note".

Taking into account the aforementioned and guided by the Law of the Republic of Armenia "On ensuring sanitary-epidemiological safety of the population of the Republic of Armenia", paragraph "e" of sub-point 1 of point 11 of the Annex to Decision of the Prime Minister of the Republic of Armenia No 755-L of 11 June 2018 or point 7 of part 2 of Article 19 of the Law of the Republic of Armenia "On state supervision of food safety": (indicate relevant legal act)

DECIDED

citizen _________________________________________________________________

(name, father's name, surname)

who is ___________________________________________________________________,

(names of organisation, position held)

starting from _____________________ to not permit to work until _________________

_________________________________________________________________________

(indicate actions after which a person may be permitted to work)

________________________________________________________________________ .

is responsible for implementation of this Decision

_________________________________________________________________________

(name of organisation)

_________________________________________________________________________

(position, name, father's name, surname)

Place for Seal

_______________________________________________________________________

(name of authorised body)

_______________________________________________________________________

(name of administrative area)

head of territorial subdivision

_________________________________________________________________________

_________________________________________________________________________

I received the Decision _____________________________________________________

                          (position, name, father's name, surname)

_________________________________________________________________________

_____________________________________ 20

(date of receipt of the Decision)

Indication on sending the Decision by registered letter ___________________________

_________________________________________________________________________

The Decision is drawn up in __________ copies.

This Decision shall enter into force from the day following the notification thereon.

This Decision may be appealed to the superior body or through court procedure within 2 months from the day of entry into force of the Decision.

(Annex edited by No 823-N of 6 July 2007, No 1514-N of 30 November 2017, No 1518-N of 20 December 2018)

Published on a joint site 06.06.2024.