Minister-Chief

of Staff of the Government

of the Republic of Armenia

M. Topuzyan

1.

CHEMICAL

1.1.

Nitric acid, ammonia, nitrogen oxides

production and application, processes related to their detachment

general practitioner, otolaryngologist

external respiratory function

(a) widespread subatrophic changes in the upper respiratory tract, hyperplastic laryngitis; (b) chronic bronchitis, bronchial asthma, bronchiectasis

1.2.

Acrylic and methacrylic acids, esters, nitriles thereof

production and application of acrylonitrile, methyl-methacrylate, etc.

general practitioner, otolaryngologist, dermatologist-venereologist

erythrocytes, leukoformula, bilirubin

(a) widespread subatrophic changes in the upper respiratory tract, hyperplastic laryngitis; (b) chronic bronchitis, bronchial asthma, chronic pneumonia

1.3.

Amino-nitro-, nitroso-, nitrochloro- compounds of aromatic series

production and application of trinitrotoluene, dinitrochlorobenzene, dinitrophenol, aniline, dinitrobenzene, etc., urotropine

general practitioner, neurologist, ophthalmologist, urologist (for workers in contact with aniline dyes)

erythrocytes, reticulocytes, bilirubin and alanine transaminase in the blood, biomicroscopy (in case of contact with toluene nitro derivatives), urine analysis

(a) hemoglobin concentration for men — less than 130 g/l, for women — less than 120 g/l, leukocytes — less than 180,000; (b) chronic diseases of the liver and biliary system; (c) cataract in case of contact with toluene nitro compounds; (d) chronic diseases of the anterior segment of the eye (eyelids, conjuctiva, cornea, lacrimal ducts); (e) allergic diseases, including of skin; (f) chronic inflammatory diseases of the bladder (for workers in contact with aniline dyes)

1.4.

Amino-compounds of fatty series and their derivatives, ethyleneimine and other iminium compounds

production and application

general practitioner, otolaryngologist, dermatologist-venereologist

leukoformula, reticulocytes

(a) widespread subatrophic changes in the upper respiratory tract, hyperplastic laryngitis; (b) chronic bronchitis, chronic pneumonia; (c) chronic recurring skin diseases

1.5.

Barium and its compounds

(a) production of barium-soluble compounds and application thereof; (b) production of barium-insoluble compounds and application thereof

general practitioner, otolaryngologist

X-ray examination of the lungs (for occupations related to dust)

chronic bronchitis, bronchial asthma, chronic pneumonia

1.6.

Amines of aromatic series, benzidine and its compounds, dianisidine-toluidine and its compounds, naphthylamines

production and application, including laboratory activities, application of dyes created on the basis thereof

urologist, general practitioner

cystoscopy — once a year, general urine analysis — twice a year

(a) kidney and urinary tract diseases; (b) precancerous diseases

1.7.

Benzene and its derivatives (toluene, xylene, styrene, etc.). Halogen derivatives of the aromatic series. Benzene homologues, chlorinated benzylidene

(a) production and application of benzene; (b) production and application of homologues and derivatives of benzene (isopropylbenzene, styrene, toluene, etc.)

general practitioner, neurologist, obstetrician-gynaecologist

erythrocytes, reticulocytes, leukoformula, thrombocytes

(a) Women are not allowed to participate in works related to the production of benzene; (b) hemoglobin concentration for men — less than 130 g/l, for women — less than 120 g/l, leukocytes — less than 4.5*10, thrombocytes — less than 180,000; (c) benign tumors of genital organs in case of working with benzene; (d) menstrual dysfunction accompanied by dysfunctional uterine bleeding; (e) toxicomania, drug addiction

1.8.

Azo dyes, anthraquinone, phthalocyanine dyes

production and application

general practitioner, dermatologist-venereologist, obstetrician-gynaecologist

erythrocytes, reticulocytes

(a) chronic, recurring skin diseases; (b) chronic, frequently exacerbating liver diseases

1.9.

Beryllium and its compounds

production and application of metallic beryllium and its compounds, preparation of frit, mechanical processing of ceramic items made of beryllium oxide, alloys containing beryllium, production and application

general practitioner

leukoformula

(a) allergic diseases; (b) chronic, recurring skin diseases; (c) widespread subatrophic changes in the upper respiratory tract. Hyperplastic laryngitis (when working with soluble beryllium compounds); (d) chronic diseases of the anterior segment of eyes (eyelids, conjuctiva, cornea, lacrimal ducts) (when working with soluble beryllium compounds)

1.10.

Beta-naphthol

production and application

general practitioner, dermatologist-venereologist

General urine analysis

(a) chronic kidney diseases; (b) chronic, recurring skin diseases

1.11.

Bromine and its compounds

production and application

general practitioner, otolaryngologist, dermatologist-venereologist

X-ray examination of lungs

(a) widespread subatrophic changes of all parts of the upper respiratory tract; (b) chronic bronchitis, bronchial asthma, chronic pneumonia; (c) chronic, recurring skin diseases

1.12.

Halogen derivatives of carbohydrates of the fatty series

production and application of dichloroethane, carbon tetrachloride, vinyl chloride, methyl chloride, chloroform bromoethyl, trichloroethylene, chloroprene, etc. (including laboratory work)

general practitioner, neurologist, dermatologist-venereologist, ophthalmologist, obstetrician-gynaecologist

bilirubin and alanine transaminase in the blood

(a) polyneuropathy; (b) chronic diseases of the liver and biliary tract; (c) diseases of respiratory organs and cardiovascular system that hinder working with a gas mask; (d) chronic diseases of the anterior segment of eyes (eyelids, conjuctiva, cornea, lacrimal ducts); (e) oily seborrhea, diseases of the follicular apparatus of the skin; (f) toxicomania

1.13.

Hydrazine and its compounds

production and application

general practitioner, neurologist, obstetrician-gynaecologist

bilirubin and alanine transaminase in the blood

(a) chronic diseases of the liver and biliary tract; (b) diseases of respiratory organs and cardiovascular system that hinder working with a gas mask; (c) chronic, recurring skin diseases

1.14.

Dimethylformamide, dimethylacetamide and other amides of fatty acids

production and application

general practitioner, neurologist, otolaryngologist, dermatologist-venereologist, obstetrician-gynaecologist

bilirubin and alanine transaminase in the blood

(a) chronic diseases of the peripheral nervous system; (b) chronic, recurring skin diseases

1.15.

Isocyanates

production and application

general practitioner, otolaryngologist, neurologist, dermatologist-venereologist

erythrocytes, leukoformula

(a) widespread subatrophic changes in the upper respiratory tract; (b) allergic diseases, including of skin

1.16.

Artificial and synthetic filaments

(a) production; (b) mechanical processing, dying; (c) preparation and application of fat burners

general practitioner, otolaryngologist, neurologist, dermatologist-venereologist

leukoformula

(a) widespread subatrophic changes in the upper respiratory tract, hyperplastic rhinitis, laryngitis; (b) allergic diseases, including of skin

1.17.

Cadmium and its compounds

production and application

general practitioner, otolaryngologist

X-ray examination of the lungs, external respiratory function (for occupations related to dust), general urine analysis

(a) widespread subatrophic diseases of all parts of the upper respiratory tract. Deviated nasal septum with respiratory function impairment; (b) chronic bronchitis, bronchial asthma, chronic pneumonia; (c) chronic kidney diseases

1.18.

Coke gas and other products of coking

production of coke and coke gas, search for products of coking, double distillation of carbohydrates searched, distillation and processing of coal tars within coke chemical plants

general practitioner, otolaryngologist, ophthalmologist, dermatologist-venereologist

external respiratory function, X-ray examination of lungs, erythrocytes, thrombocytes

(a) widespread subatrophic changes of all parts of the upper respiratory tract; (b) chronic bronchitis, bronchial asthma, chronic pneumonia; (c) hemoglobin concentration for men — less than 130 g/l, for women — less than 120 g/l, leukocytes per liter — less than 4,5.102, thrombocytes — less than 180,000; (d) chronic, recurring skin diseases; (e) chronic diseases of the anterior segment of eyes (eyelids, conjuctiva, cornea, lacrimal ducts)

1.19.

Organic compounds of silicium and fat burners on the basis thereof

production and application

general practitioner, dermatologist-venereologist, otolaryngologist (when working with fat burners), ophthalmologist

leukoformula

(a) widespread subatrophic changes of all parts of the upper respiratory tract, hyperplastic laryngitis; (b) chronic bronchitis, bronchial asthma, chronic pneumonia; (c) allergic diseases (when working with fiberglass fat burners), including skin; (d) chronic diseases of the anterior segment of eyes (eyelids, conjuctiva, cornea, lacrimal ducts)

1.20.

 Lithium and its compounds

production and application

general practitioner, ophthalmologist, otolaryngologist, dermatologist-venereologist

erythrocytes, leukoformula, general urine analysis, electrocardiogram

general medical contraindications

1.21.

Manganese and its compounds

(a) production and application of manganese oxides, welding materials (electrodes, flux cored wire, filler metals); smelting of manganese metals and other metals containing more than 10% manganese, production of organic manganese compounds; (b) mining and processing of ore, use of organic manganese compounds

neurologist, general practitioner, dermatologist-venereologist, otolaryngologist

X-ray examination of the lungs, external respiratory function (for occupations related to dust), leukoformula

(a) chronic diseases of the peripheral nervous system; (b) chronic bronchitis, bronchial asthma, chronic pneumonia; (c) allergic diseases; (d) diseases of the central nervous system

1.22.

Methanol

production and application, processes related to its release

general practitioner, neurologist, ophthalmologist

ophthalmic fundus examination

(a) diseases of the optic nerve and retina; (b) alcoholism, drug addiction, toxicomania

1.23.

Arsenic and its compounds

production and application of organic and non-organic arsenic compounds, processes related to its release

general practitioner, neurologist, otolaryngologist, dermatologist-venereologist

(a) chronic, subatrophic changes in the upper respiratory tract; (b) chronic bronchitis, bronchial asthma, chronic pneumonia; (c) chronic diseases of the peripheral nervous system; (d) chronic, recurring skin diseases; (e) malignant tumors of any location

1.24.

Nickel and its compounds

production and application

general practitioner, otolaryngologist, dermatologist-venereologist, obstetrician-gynaecologist

X-ray examination of the lungs, external respiratory function (for occupations related to dust), leukoformula

(a) diseases of respiratory organs and cardiovascular system that hinder working with a gas mask; (b) chronic hyperplastic rhinitis, laryngitis (in the works of electric production of nickel); (c) allergic diseases; (d) malignant tumors of any location; (e) chronic lung diseases (when working in nickel production)

1.25.

Organic accelerators, stimulants of vulcanisation, anti-aging substances, etc.

production and application of captax, altax, thiuram, neozone D, etc.

general practitioner, neurologist, dermatologist-venereologist

leukoformula, blood bilirubin, external respiratory function

(a) chronic bronchitis, chronic pneumonia; (b) allergic diseases

1.26.

Hydrogen peroxide

production and application

general practitioner, otolaryngologist, dermatologist-venereologist

(a) widespread subatrophic changes in the upper respiratory tract; (b) chronic bronchitis, bronchial asthma, chronic pneumonia; (c) chronic, recurring skin diseases

1.27.

Pesticides

production and application of organochlorine, organophosphorus, carbamic acid derivatives, organometallic and other pesticides, including storage in warehouses and sales

general practitioner, dermatologist-venereologist, odontologist (when working with organomercuric pesticides), ophthalmologist, otolaryngologist, obstetrician-gynaecologist

cholinesterase activity in blood plasma (when working with organophosphorus compounds, methylcarbonic acids), compare the results of the study with the initial cholinesterase activity before working with pesticides; mercury in urine (when working with organomercuric compounds), methemoglobin (when working with nitrophenol compounds), bilirubin and alanine transaminase in blood, general urine analysis (when working with all pesticides)

(a) chronic inflammatory diseases of the peripheral nervous system; (b) chronic diseases of the liver and biliary tract; (c) allergic diseases, including of skin; (d) widespread subatrophic changes in the upper respiratory tract; (e) cochlear neuritis; (f) chronic diseases of the anterior segment of eyes (eyelids, conjuctiva, cornea, lacrimal ducts)

1.28.

Platinum metals, gold, silver, their compounds and alloys

production and application

general practitioner, otolaryngologist, dermatologist-venereologist, ophthalmologist

leukoformula, external respiratory function, X-ray examination of lungs

(a) allergic diseases, including of skin; (b) chronic diseases of the anterior segment of eyes (eyelids, conjuctiva, cornea, lacrimal ducts); (c) chronic bronchitis, chronic pneumonia

1.29.

Marginal and non-marginal hydrocarbons

 (a) exploitation, repair of boreholes and equipment during extraction of oil; refinement of high-sulphurous and sulphurous oils, natural gas, pyrobenzene; selective purification of oils, pyrolysis, purification of oil and gas from hydrogen sulphide; cleaning of oil reservoirs; extraction and ozokerite production, production of various synthetic substances (phenol, acetone, synthetic fatty acids and spirits), etc.. Supporting processes related to sampling, laboratory control of intermediate and final products, raw materials (high-sulphurous oils, natural gas); (b) exploitation and repair of boreholes, i.e. refinement of low-sulphurous oils and natural gas during extraction of oil; regeneration of automobile and aviation oils; processes related to detachment and application of marginal and non-marginal hydrocarbons (production of polyethylene, divinyl, isoprene, etc.)’ production of bitumen, oils, paraffins and application thereof. All supporting processes related to sampling and laboratory control of raw materials, intermediate and final products (low-sulphurous oils, natural gas), production of oils, paraffins and application thereof.

general practitioner, neurologist, otolaryngologist, ophthalmologist

leukoformula, X-ray examination of lungs, external respiratory function

(a) hyperplastic laryngitis; (b) chronic bronchitis, bronchial asthma, chronic pneumonia; (c) chronic kidney diseases; (d) chronic skin diseases, including precancerous (hyperkeratosis, dyskeratosis) diseases; (e) chronic diseases of the liver and biliary tract; (f) chronic diseases of the anterior segment of eyes (eyelids, conjuctiva, cornea, lacrimal ducts); (g) chronic diseases of the peripheral nervous system; (h) drug addiction, toxicomania

1.30.

Rare alkaline-earth elements

production related to detachment of dusts from rare alkaline-earth elements and their compounds

general practitioner, otolaryngologist

erythrocytes, thrombocytes

chronic bronchitis, bronchial asthma, chronic pneumonia

1.31.

Mercury and its compounds

(a) mercury extraction, smelting and other processes related to its production and purification from impurities, its application for the extraction of gold and other metals; production of mercury thermometers, fluorescent lamps and other physical and phototechnical devices, dyes, organomercury compounds; production by mercury electrolysis. Work with devices in contact with open mercury, production of mercury fulminate; work with mercury rectifiers, current converters, pumps, use as catalysts in chemical processes; application of organomercury compounds; (b) production of closed mercury devices and work with them, use of mercury fulminate in underground mines; work with mercury amalgams in dental offices; production of pharmaceutical and cosmetic preparations containing mercury

neurologist, general practitioner, dermatologist-venereologist, odontologist, obstetrician-gynaecologist

determination of mercury in urine

(a) chronic diseases of the peripheral nervous system; (b) dental and jaw diseases (chronic gingivitis, stomatitis, periodontitis); (c) chronic, frequently recurring skin diseases

1.32.

Lead and its non-organic compounds

 (a) lead casting from ore and concentrates; obtainment of lead-containing pigments, white dyes, and chromic dyes; metal coating with lead in confined spaces; rolling, pressing, lead coating of products; mechanical and manual refinement of lead, agglomeration, grouting of bearings; production of lead accumulators; lead-bath annealing; production of lead-containing dyes, glazes, enamels; production and refinement of lead-containing glass and fiberglass; welding and cutting of surfaces covered with lead-containing base paints; painting works, i.e. preparation of products from lead with the constant use of lead paints. Production and application of piezoceramics and glass-crystal cement; (b) lead ore enrichment; crushing, mixing and other processes with the formation of dust containing lead sulfide; small-scale lead casting, soldering works; printing production (linotype works, hand typesetting, etc.)

general practitioner, neurologist

the number of erythrocytes, reticulocytes, erythrocytes with basophilic granules, aminolevulinic acid or coproporphyrin in the urine

(a) hemoglobin concentration for men — less than 130 g/l, for women — less than 120 g/l; (b) chronic diseases of the peripheral nervous system; (c) chronic liver diseases with frequent exacerbations

1.33.

Selenium, tellurium and their compounds

production and application

general practitioner, dermatologist-venereologist

(a) chronic bronchitis, bronchial asthma, chronic pneumonia; (b) chronic, recurring skin diseases

1.34.

Sulphur and its compounds

production and application of organosulphur compounds, sulphonate moulds, methyl sulphur compounds, sulphur and sulphuric acids, processes related to detachment of sulphur and sulphuric anhydride, hydrogen sulphide

general practitioner, otolaryngologist, ophthalmologist

X-ray examination of lungs, external respiratory function

(a) widespread subatrophic changes in the upper respiratory tract; (b) chronic bronchitis, bronchial asthma, chronic pneumonia; (c) chronic diseases of the anterior segment of eyes (eyelids, conjuctiva, cornea, lacrimal ducts); (d) allergic diseases, including of skin (when working with methyl sulphur compounds)

1.35.

Carbon disulfide

production and application, processes related to its detachment

neurologist, general practitioner, ophthalmologist

electrocardiogram

(a) chronic diseases of the peripheral nervous system; (b) diseases of respiratory organs and cardiovascular system that hinder working with a gas mask; (c) chronic diseases of the anterior segment of eyes (eyelids, conjuctiva, cornea, lacrimal ducts)

CYANIDE

1.36.

Hydrocyanic acid, its compounds, cyanamides, etc.

production and application

general practitioner and ophthalmologist

(a) diseases of respiratory organs and cardiovascular system that hinder working with a gas mask; (b) chronic diseases of the anterior segment of eyes (eyelids, conjuctiva, cornea, lacrimal ducts)

1.37.

Synthetic rubber

production of synthetic rubber and refinement thereof (preparation of rubber mixtures, vulcanisation of rubber)

general practitioner, neurologist (in case of contact with chloroprene), dermatologist-venereologist

erythrocytes, leukoformula, thrombocytes, bilirubin and alanine transaminase in the blood (in case of contact with styrene and chloroprene)

allergic diseases, including of skin

1.38.

Synthetic detergents

production of sulphanole, alkylamides, sodium sulphate, chlorination of paraffinic hydrocarbon fractions, etc.

general practitioner, otolaryngologist, dermatologist-venereologist

leukoformula

(a) allergic diseases, including of skin; (b) chronic bronchitis, chronic pneumonia

1.39.

Synthetic resins and plastics, based on the following substances:

1.39.1.

styrene

production of polyether resins, varnishes and adhesives, glass plastics, etc. based on polymers and copolymers. Refinement of resins and plastics. Application of varnishes, resins, adhesives

general practitioner, neurologist

erythrocytes, thrombocytes, leukoformula

(a) hemoglobin concentration for men — less than 130 g/l, for women — less than 120 g/l, leukocytes per liter — less than 4,5.10, thrombocytes — less than 180,000; (b) allergic diseases (when working with polyether resins and varnishes and hot pressing of plastics)

1.39.2.

phenol and formaldehyde

production of resins, varnishes, adhesives, etc., refinement of compacted powder, compacted substances

general practitioner, otolaryngologist, dermatologist-venereologist, ophthalmologist, obstetrician-gynaecologist

leukoformula, X-ray examination of lungs, external respiratory function

(a) deviated nasal septum with respiratory function impairment; (b) widespread subatrophic changes in the upper respiratory tract; (c) chronic bronchitis, chronic pneumonia; (d) allergic diseases; (e) chronic diseases of the anterior segment of eyes (eyelids, conjuctiva, cornea, lacrimal ducts)

1.39.3.

organosilicon compounds

production of resins, varnishes, liquid silicones, refinement of polymers, compacted substances, application of varnishes, greases, resins, etc.

general practitioner, otolaryngologist, dermatologist-venereologist

leukoformula, X-ray examination of lungs, external respiratory function

(a) subatrophic changes in the upper respiratory tract. Hyperplastic laryngitis; (b) chronic bronchitis, bronchial asthma, chronic pneumonia; (c) allergic diseases when working with fiberglass oil impregnations

1.39.4.

isocyanates

production, refinement, application of polyurethanes, polyurethane foams, polyurea, etc.

general practitioner, neurologist, dermatologist-venereologist

leukoformula, X-ray examination of lungs, external respiratory function

allergic diseases

1.39.5.

fluoroorganic compounds

production of polymers (flouroplastics) and copolymers, thermal and mechanical refinement of fluoroplastics

general practitioner, neurologist, dermatologist-venereologist, otolaryngologist, ophthalmologist

X-ray examination of lungs, external respiratory function

(a) subatrophic changes in the upper respiratory tract. Deviated nasal septum with nasal respiratory function impairment. Hyperplastic laryngitis; (b) chronic diseases of the peripheral nervous system; (c) chronic bronchitis, bronchial asthma, chronic pneumonia; (d) chronic, frequently recurring skin diseases; (e) chronic diseases of the anterior segment of eyes (eyelids, conjuctiva, cornea, lacrimal ducts)

1.39.6.

vinyl chloride and vinylidene chloride

production of polymers and copolymers, perchlorovinyl, adhesives, varnishes, etc., refinement of resins and plastics, application of adhesives, varnishes, etc.

general practitioner, neurologist, dermatologist-venereologist, surgeon

erythrocytes, leukoformula, bilirubin and alanine transaminase in the blood, wrist X-ray imaging once every 3 years in case of more than 10 years of service

(a) obliterating endarteritis, Raynaud’s disease, peripheral angiospasm; (b) chronic diseases of the peripheral nervous system; (c) allergic diseases; (d) precancerous diseases

1.39.7.

acrylic and methacrylic acids

production and refinement of polymers and copolymers, application of emulsions, varnishes, dyes, etc.

general practitioner, neurologist, otolaryngologist, dermatologist-venereologist

erythrocytes, leukoformula

(a) chronic bronchitis, chronic pneumonia; (b) widespread subatrophic changes of all parts of the upper respiratory tract. Hyperplastic laryngitis; (c) allergic diseases

1.39.8.

dibasic acids of amino acids, diamines

production and refinement of polyamides, application of adhesives, etc.

general practitioner, otolaryngologist, dermatologist-venereologist (when working with hexamethylenediamine)

erythrocytes, leukoformula (when working with hexamethylenediamine)

(a) widespread subatrophic changes in the mucous membranes of the upper respiratory tract, hyperplastic laryngitis; (b) chronic bronchitis, bronchial asthma; (c) allergic diseases in case of contact with hexamethylenediamine

1.39.9.

epichlorohydrin

production and application of epoxide resins and the plastics, isolating substances based thereon

general practitioner, neurologist, dermatologist-venereologist

leukoformula

allergic diseases

1.39.10.

aliphatic and non-marginal carbohydrates (polyethylene, polypropylene)

production and application of polymers and copolymers

general practitioner, neurologist, otolaryngologist

allergic diseases

1.40.

slate resins

production and application, processes related to their detachment

general practitioner, otolaryngologist, dermatologist-venereologist, ophthalmologist

leukoformula, X-ray examination of lungs

(a) widespread subatrophic changes of the upper respiratory tract. Hyperplastic laryngitis; (b) allergic diseases; (c) skin diseases associated with high sensitivity to sunlight (solar eczema, solar urticaria, etc.); (d) skin cancer diseases (hyperkeratosis, dyskeratosis); (e) fatty seborrhea, diseases of the follicular apparatus of the skin; (f) chronic diseases of the anterior segment of eyes (eyelids, conjuctiva, cornea, lacrimal ducts)

1.41.

Antimony and its compounds

obtainment, refinement, application

general practitioner, otolaryngologist, dermatologist-venereologist

(a) widespread subatrophic changes in the upper respiratory tract. Hyperplastic laryngitis; (b) chronic, frequently exacerbating diseases of the bronchopulmonary system; (c) chronic, recurring skin diseases

1.42.

Thallium and its compounds

production and application, single-crystal growth

general practitioner, otolaryngologist, dermatologist-venereologist, neurologist, odontologist, ophthalmologist

(a) chronic diseases of the peripheral nervous system; (b) chronic gingivitis, stomatitis, periodontitis; (c) chronic diseases of the anterior segment of eyes (eyelids, conjuctiva, cornea, lacrimal ducts); (d) widespread subatrophic changes in the mucous membranes of the upper respiratory tract

1.43.

Lead tetraethyl

production of lead tetraethyl and ethyl fluid; mixing ethyl fluid with fuel; application of ethylated gasoline; testing, repair, dismantling, washing of aircraft and automobile engines; refueling of aircraft and other vehicles; filling, emptying of ethylated gasoline at non-mechanised stations; cleaning of equipment and containers at oil depots, gasoline storage facilities and refueling stations

neurologist, general practitioner

nervous system diseases

1.44.

Metals: cobalt, vanadium, molybdenum, titanium, zirconium, tungsten and their compounds

obtainment and application of cobalt and its compounds; obtainment of pentavalent vanadium; production of ferrovanadium; refinement of vanadium-containing slag; production and application of molybdenum and tungsten and their compounds; refinement of titanium; recovery of metallic titanium and its compounds; obtainment and application of tungsten-cobalt alloys, zirconium and its compounds

general practitioner, otolaryngologist, dermatologist-venereologist

leukoformula, X-ray examination of the lungs, external respiratory function (for occupations related to dust), electrocardiogram (when working with cobalt)

(a) widespread subatrophic changes in the upper respiratory tract. Hyperplastic laryngitis; (b) chronic bronchitis, chronic pneumonia; (c) allergic diseases; (d) myocardial dystrophy of any origin (in case of working with cobalt)

1.45.

Ursol and ursol dyes

ursol and production of ursol dyes, dyeing of furs

general practitioner, otolaryngologist, dermatologist-venereologist, ophthalmologist

leukoformula

(a) allergic diseases, including of skin; (b) widespread subatrophic changes in the upper respiratory tract, hyperplastic laryngitis; (c) chronic bronchitis, chronic pneumonia, bronchial asthma; (d) chronic diseases of the anterior segment of eyes (eyelids, conjuctiva, cornea, lacrimal ducts)

1.46.

Pharmacological agents

production of pharmaceutical forms of morphine and its derivatives, vitamins, sulphanilamides, pyrazolones, antitumor and hormonal preparations, neuroleptics, anti-coagulants, tranquilisers (fluothane)

general practitioner, otolaryngologist, dermatologist-venereologist, gynaecologist, neurologist

leukoformula, erythrocytes, bilirubin and alanine transaminase in the blood (when working with fluothane), examination of vestibular apparatus

(a) dysfunction of the olfactory analyser (anosmia); (b) dysfunction of vestibular apparatus, including Meniere’s disease; (c) allergic diseases, including of skin; (d) chronic diseases of the anterior segment of eyes (eyelids, conjuctiva, cornea, lacrimal ducts); (e) dyshormonal disorders; (f) alcoholism, drug addiction, toxicomania

1.47.

Phenols and their derivatives

production and application

general practitioner, otolaryngologist, ophthalmologist, dermatologist-venereologist

external respiratory function

(a) chronic diseases of the upper respiratory tract and bronchopulmonary apparatus; (b) allergic diseases, including of skin; (c) chronic diseases of the anterior segment of eyes (eyelids, conjuctiva, cornea, lacrimal ducts);

1.48.

Formaldehyde and other aldehydes of the fatty series

production and application, processes related to their detachment

general practitioner, otolaryngologist, dermatologist-venereologist, ophthalmologist, obstetrician-gynaecologist

external respiratory function, leukoformula

(a) chronic diseases of the upper respiratory tract and bronchopulmonary system; (b) allergic diseases, including of skin; (c) chronic diseases of the anterior segment of eyes (eyelids, conjuctiva, cornea, lacrimal ducts);

1.49.

Phosphorus and its compounds

production of yellow phosphorus, its compounds, organophosphorus compounds, including plasticisers

general practitioner, odontologist, neurologist, otolaryngologist, ophthalmologist

X-ray imaging of jaws (when working with yellow phosphorus), in case of more than 5 years of service — once every 3 years; plasma cholinesterase activity (in case of contact with organophosphorus compounds)

(a) diseases of oral cavity (multiple tooth decay, chronic gingivitis, stomatitis, periodontitis); (b) subatrophic changes in the upper respiratory tract. Hyperplastic laryngitis; (c) chronic bronchitis, chronic pneumonia, bronchial asthma; (d) chronic diseases of the anterior segment of eyes (eyelids, conjuctiva, cornea, lacrimal ducts); (e) chronic diseases of the peripheral nervous system; (f) chronic diseases of musculoskeletal system with damage to the bone structure; (d) chronic diseases of the liver and biliary system

1.50.

Phthalic acid, phthalic anhydride and its compounds

production and application

general practitioner, neurologist, otolaryngologist, ophthalmologist

(a) chronic diseases of the peripheral nervous system; (b) widespread subatrophic changes in the upper respiratory tract. Hyperplastic laryngitis; (c) chronic bronchitis, chronic pneumonia, bronchial asthma; (d) allergic diseases, including of skin (in case of contact with phthalic anhydride); (e) chronic diseases of the anterior segment of eyes (eyelids, conjuctiva, cornea, lacrimal ducts)

1.51.

Fluorine and its compounds

 production and application of fluorine and its compounds; extraction and application of aluminium; processes with detachment of fluorine and its compounds

general practitioner, otolaryngologist, neurologist, odontologist, dermatologist-venereologist, ophthalmologist, surgeon

X-ray examination of lungs, external respiratory function, in case of more than 7 years of service — once every 3 years; X-ray imaging of tubular bones

(a) widespread subatrophic changes of the upper respiratory tract, hyperplastic laryngitis; deviated nasal septum with nasal respiratory function impairment; (b) chronic diseases of the peripheral nervous system; (c) chronic bronchitis, chronic pneumonia, bronchial asthma; (d) diseases of oral cavity (chronic gingivitis, stomatitis, pathology of the hard tissue of teeth, periodontitis); (e) chronic, recurring skin diseases; (f) chronic diseases of the anterior segment of eyes (eyelids, conjuctiva, cornea, lacrimal ducts) with damage to the bone structure

1.52.

Furans and their derivatives, furfural, tetrahydrofuran, etc.

production and application

general practitioner, otolaryngologist, dermatologist-venereologist, ophthalmologist

(a) hyperplastic laryngitis; (b) chronic diseases of the anterior segment of eyes (eyelids, conjuctiva, cornea, lacrimal ducts); (c) chronic, frequently recurring skin diseases

1.53.

Chlorine and its compounds, mixtures containing chlorine

production and application

general practitioner, otolaryngologist, dermatologist-venereologist, ophthalmologist

X-ray examination of lungs, external respiratory function

(a) widespread subatrophic changes in the upper respiratory tract. Hyperplastic laryngitis; (b) chronic bronchitis, chronic pneumonia, bronchial asthma; (c) chronic diseases of the anterior segment of eyes (eyelids, conjuctiva, cornea, lacrimal ducts); (d) chronic, recurring skin diseases

1.54.

Chloronaphthalene and its compounds (halowax), naphthalines (naphthalene, chloronaphthalenes and their compounds, hydroxynaphthol and naphthol)

production and application

general practitioner, neurologist, dermatologist-venereologist, obstetrician-gynaecologist

leukoformula, bilirubin and alanine transaminase in the blood

a) chronic diseases of nervous system; (b) chronic diseases of the liver and biliary system; (c) oily seborrhea, chronic diseases of the follicular apparatus of the skin; (d) allergic diseases, including of skin

1.55.

Chromium, chromic acid, its compounds and alloys

production and application (including chrome-containing substances in the form of extraneous ingredients)

general practitioner, otolaryngologist, dermatologist-venereologist

leukoformula, X-ray examination of lungs

(a) subatrophic diseases of the upper respiratory tract, nasal septum deviations with nasal respiratory function impairment; (b) allergic diseases, including of skin; (c) chronic bronchitis, chronic pneumonia; (d) chronic diseases of the anterior segment of eyes (eyelids, conjuctiva, cornea, lacrimal ducts); (e) presence of tumors of any location, even if based on medical history

2. BIOLOGICAL

2.1.

Antibiotics

production and application in medical practice and pharmacy organisations

general practitioner, dermatologist-venereologist, otolaryngologist, obstetrician-gynaecologist

leukoformula, general urine analysis

(a) allergic diseases; (b) frequently exacerbating chronic bronchitis, chronic pneumonia; (c) candidiasis, mycoses, dysbacteriosis

2.2.

Industrial fungi, protein-vitamin concentrates, feed yeasts, compound feed

production and application of microbial synthesis products

general practitioner, dermatologist-venereologist, otolaryngologist, obstetrician-gynaecologist

leukoformula

(a) allergic diseases; (b) chronic bronchitis, chronic pneumonia; (c) subatrophic changes of the upper respiratory tract; (d) candidiasis and other mycoses

2.3.

Enzyme preparations, biostimulants

production and application in medical practice, pharmacy organisations, agriculture and other sectors of national economy

general practitioner, dermatologist-venereologist, otolaryngologist, obstetrician-gynaecologist

leukoformula

(a) allergic diseases; (b) subatrophic changes of all parts of the upper respiratory tract

2.4.

Diagnostic and treatment allergens, blood products, immunobiological preparations

production

general practitioner, dermatologist-venereologist, otolaryngologist, obstetrician-gynaecologist

leukoformula

allergic diseases

2.5.

Substance infected with bacteria and helminths

work in contact with substance infected with bacteria, work in contact with substance infected with helminths and contagious patients

general practitioner

leukoformula, laboratory tests for helminthiasis

general medical contraindications

2.5.1.

causative agents of brucellosis

livestock farms (regardless of the epizootic status for brucellosis); organisations processing raw materials and products of animal origin

general practitioner, where necessary, specialists according to clinical symptoms (neurologist, surgeon, gynecologist, urologist, etc.)

blood test according to Hedelson’s reaction. In case of a positive result or upon detection of symptoms suspicious for brucellosis, and all subsequent clinical and laboratory examinations to deny or confirm brucellosis

persons under the age of 18, pregnant women, and nursing mothers will be prohibited to be hired in works posing risk of infection with brucellosis. It is prohibited also to use seasonal workers in the slaughter of animals that have tested positive for brucellosis and in the processing of products made therefrom

2.5.2.

causative agents of Q fever

livestock farms in areas vulnerable to Q fever, organisations processing raw materials and products from agricultural animals infected with Q fever

general practitioner

blood test based on complement fixation reaction with antigen derived from Burnett’s coxae

3. INDUSTRIAL AEROSOLS

3.1.

Abrasives and products containing abrasives

production, refinement of abrasives (electrocorundum: normal, white, chrome, monocorundum), carbide, boron, borazon, refinement and application of silicone carbide, etc.

general practitioner, otolaryngologist, ophthalmologist, dermatologist-venereologist

X-ray examination of lungs, external respiratory function

The list of contraindications for items 3.1, 3.2, 3.3, 3.4, 3.5, 3.6, 3.7, 3.8 of the section “Industrial Aerosols”: (a) widespread subatrophic changes in the upper respiratory tract, nasal septum deviations interfering with nasal respiratory function; (b) chronic diseases of the bronchopulmonary system, pulmonary tuberculosis; (c) chronic diseases of the anterior segment of eyes (eyelids, conjuctiva, cornea, lacrimal ducts); (d) chronic, frequently recurring skin diseases; (e) allergic diseases in case of working with dusty polymeric substances of animal and plant origin, metal-allergens; for certain works specified in item 3.8, it is necessary to take into account the contraindications as per the complex of hazardous and harmful work factors

3.2.

Containing silicon (free and amorphous silicon dioxide)

exploration, mountain borehole works, open and underground extraction, drilling of mineral, non-mineral fossils, carbon, and processing thereof. Casting production of silicon, glass, dinas, aerosil, silicon carbide, copper-silicon alloy, silumin, etc. (soil preparation, moulding, pouring, cutting, polishing and cleaning of mould). Sandblasting works for cleaning of buildings

general practitioner, otolaryngologist, ophthalmologist, dermatologist-venereologist

X-ray examination of lungs, external respiratory function

3.3.

Metals and their alloys

dry grinding of metals and their alloys; processes for obtaining metal powders, obtaining metal powders and objects made therefrom

general practitioner, otolaryngologist, ophthalmologist, dermatologist-venereologist

X-ray examination of lungs, external respiratory function

3.4.

Silicates and silicate-containing substances: (a) asbestos-containing substances (asbestos content: 10% or more); (b) asbestos-containing substances (asbestos content: not more than 10%); (c) other silicate-containing substances

research, extraction and refinement of asbestos in asbestos mines. Obtainment and refinement of artificial asbestos. Production and refinement of asbestos-cement, asbestos-bakelite, asbestos-rubber. Production and refinement of glass fibers and mineral fibers, cement, clays, fireclay, bauxite, nepheline syenites, distensillimanite, olivine, apatites, dunite, chrommagnesite, forsterite, limestone, barite, cotlenite, infusorial earth, tufa, pumice, perlite, iron ore concentrates, agglomerate (in metallurgy), etc.

general practitioner, otolaryngologist, ophthalmologist, dermatologist-venereologist

X-ray examination of lungs, external respiratory function

3.5.

Carbohydrates

(a) coal mining, refinement and application; (b) production of black carbon, artificial graphite, coke (oil, tar, shale production). Production and application of artificial diamonds

general practitioner, otolaryngologist, ophthalmologist, dermatologist-venereologist

X-ray examination of lungs, external respiratory function

3.6.

Powder of plant and animal origin

refinement of cotton, flax, hemp, wool, ambary, jute, grains, tobacco, timber, turf and hops. Production of paper, natural silk, etc.

general practitioner, otolaryngologist, ophthalmologist, dermatologist-venereologist

X-ray examination of lungs, external respiratory function, leukoformula

3.7.

Powder of non-organic luminophores (including cadmium content less than 5.9%)

production and application

general practitioner, otolaryngologist, ophthalmologist, dermatologist-venereologist

X-ray examination of lungs, external respiratory function

3.8.

Welding aerosol (a) containing manganese (more than 20%), nickel, chromium fluoride compounds, beryllium; (b) containing manganese (up to 20%), iron oxides, aluminum, molybdenum, vanadium, magnesium, titanium, tungsten

electric arc, flame, gas flame welding, contact, butt welding (with fusion), electro-slag welding of metals of medium and high qualification, including welding, overlay welding and cutting of stainless steels, welding and overlay welding of cast iron with nickel and nickel-copper electrodes and wires, welding and cutting of beryllium and its alloys; welding, overlay welding and cutting of carbon, including galvanised steels, aluminium, copper, titanium and alloys based thereon; welding, overlay welding and cutting of cast iron with iron and iron-vanadium electrodes and wires

general practitioner, neurologist, otolaryngologist, odontologist (in case of contact with welding aerosols containing fluorine compounds), dermatologist-venereologist, obstetrician-gynaecologist, number of reticulocytes, basophilic granular erythrocytes, aminolevulinic acid or coproporphyrin in urine in case of exposure to aerosols containing mercury

X-ray examination of lungs, X-ray scanning of tubular bones (in case of welding aerosols containing fluorine compounds, and more than 7 years of service), external respiratory function, leukoformula — in case of exposure to aerosols containing allergen metals (chromium, nickel, cobalt, beryllium, manganese, etc.), number of erythrocytes

4. PHYSICAL

4.1.

Ionising radiation, radioactive substances and sources of ionising radiation

all types of works associated with radioactive substances and sources of ionising radiation

general practitioner, neurologist, ophthalmologist, otolaryngologist, dermatologist-venereologist, obstetrician-gynaecologist

hemoglobulin, erythrocytes, thrombocytes, leukoformula, electrocardiogram, external respiratory function, X-ray examination of lungs

(a) hemoglobin concentration for men — less than 130 g/l, for women — less than 120 g/l, leukocytes — less than 4.5*10 g/l, thrombocytes — less than 180,000; (b) obliterating endarteritis, angiospasms of peripheral vessels, Raynaud’s disease; (c) precancerous diseases prone to malignant transformation and recurrence, benign tumors; (d) benign neoplasms that interfere with wearing personal protective equipment and caring for skin coverings; (e) radiation disease of 2-4 degrees of severity or the presence of persistent consequences (in case of radiation disease of the first degree of severity, suitability is determined individually); (f) chronic purulent diseases of paranasal sinuses, chronic inflammation of the middle ear with frequent exacerbations (in case of atrophic processes, suitability is determined individually); (g) chronic infectious and fungal diseases of the skin; (h) visual acuity with correction — not less than 0.5 D in one eye and 0.2 D in the other eye, myopia with a normal fundus — up to 10.0 D, hypermetroopia — 8.0 D, astigmatism — not more than 3.0 D; (i) cataract

4.2.

Non-ionising laser beams

every type of works with lasers

general practitioner, neurologist, ophthalmologist, dermatologist-venereologist, obstetrician-gynaecologist

erythrocytes, thrombocytes, leukoformula, electrocardiogram

(a) chronic, recurring skin diseases; (b) visual acuity reduction of less than 0.6 D in one eye and less than 0.5 D in the other eye (visual acuity is determined by correction); refractive errors within the following limits: myopia — not more than 6.0 D, in the case of a normal fundus of the eye — up to 10.0 D, depending on correction of hypermetropia — up to 6.0 D, complex myopia and hypermetropia astigmatism in the meridian of greater significance — not more than 3.0 D, simple myopia, simple hypermetropia astigmatism — not more than 3.0 D; (c) cataract

electromagnetic (radiofrequency electromagnetic fields) - 30 megaHerz - 300 hegaHertz frequencies (extremely high frequency), range of frequencies lower than 30 megaHertz (high frequency, medium frequency, low frequency, very low frequency, medium low frequency, extremely low frequency, permanent electric and permanent magnetic fields)

all types of works with sources of electromagnetic energy in the specified range; all types of works with sources of electric and magnetic fields

general practitioner, neurologist, ophthalmologist

erythrocytes, thrombocytes, leukoformula, electrocardiogram

4.3.

Shock at work

all types of work activity related to local shock and general shock exposure

general practitioner, neurologist, otolaryngologist, surgeon, obstetrician-gynaecologist, ophthalmologist

freezing test, shock sensitivity, examination of vestibular apparatus (in case of general shock exposure)

(a) obliterating endarteritis, Raynaud’s disease, peripheral angiospasms; (b) chronic diseases of the peripheral nervous system; (c) dysfunction of the vestibular apparatus of any etiology, including Meniere’s disease; (d) anomalies of the position of the female genital organs. Chronic inflammatory diseases of the uterus and appendages with frequent exacerbations; (e) high and complicated myopia (above 8.0 D).

4.4.

Industrial noise

all types of work activities associated with exposure to intense industrial noise, as well as significant strain on the auditory analyser — from 81 to 99 decibels, 100 decibels and more

general practitioner, otolaryngologist, neurologist

audiometry, examination of vestibular apparatus

(a) persistent hearing loss of any etiology, even in one ear; (b) otosclerosis and other chronic ear diseases with an unfavourable prognosis; (c) dysfunction of the vestibular apparatus of any etiology, including Meniere’s disease; (d) hypertonia

4.5.

Ultrasound (tactile)

works with ultrasound defectoscopes and medical apparatus

general practitioner, neurologist, surgeon, obstetrician-gynaecologist

freezing test, shock sensitivity

(a) chronic diseases of the peripheral nervous system; (b) obliterating endarteritis, Raynaud’s disease, peripheral angiospasm

4.6.

High atmospheric pressure

works in caissons, barochambers, diving works

general practitioner, otolaryngologist, neurologist, ophthalmologist, surgeon

X-ray examination of lungs, examination of vestibular apparatus, electrocardiogram

(a) pronounced developmental defects of the musculoskeletal system and consequences of injuries; (b) chronic otitis, atrophic scars of eardrums, chronic eustachitis; (c) chronic diseases of the upper respiratory tract, bronchopulmonary system; (d) dysfunction of the vestibular apparatus, including Meniere’s disease; (e) any eye disease that leads to a persistent impairment of visual function: visual acuity — below 0.8 D in one eye and below 0.5 D in the other eye (without correction); (f) chronic diseases of the central and peripheral nervous system; (g) heart diseases, regardless of the degree of their compensation; (h) hernias with a tendency to be ringed; (i) varicose veins, hemorrhoids, obliterating endarteritis; (j) hypertonia; (k) alcoholism, drug addiction, toxicomania

4.7.

Low temperature

works in conditions of constant low air temperature in industrial buildings and in the working zone (lower than the permissible values)

general practitioner, neurologist, surgeon, obstetrician-gynaecologist

freezing test

(a) chronic diseases of the peripheral nervous system; (b) obliterating endarteritis, Raynaud’s disease, peripheral angiospasms; (c) pronounced varicose veins; (d) chronic inflammatory diseases of the uterus and appendages with frequent exacerbations

4.8.

High temperature and intensive thermal radiation

all types of works in conditions of constant low temperature, radiations in the working zone (exceeding the upper limits of the permissible value)

general practitioner, ophthalmologist, dermatologist-venereologist

(a) visual acuity with correction — less than 0.5 D in one eye and less than 0.2 D in the other eye; (b) narrowing of the visual field by 20%; (c) cataract; (d) chronic, recurring skin diseases

4.9.

High eye strain

all types of works related to increase of eye strain: (a) high precision works with an object up to 0,15 mm and with an object of 0,15 up to 0,3 mm; (b) works with strained vision of 3rd and 4th degree of precision (0,5-1mm) and works related to tracking a video screen and other means of displaying information

ophthalmologist

visual acuity test

 (a) visual acuity with correction: during the initial examination — less than 1.0 D, during the repeated periodic medical examination — less than 0.8 D in one eye and 0.5 D in the other eye; (b) refractive error: during the initial examination — myopia: more than 2.0 D, astigmatism: more than 0.50 D, during the repeated examination — myopia; (c) more than 6.0 D, astigmatism — more than 2.0 D, hypermetropia — 4.0 D; (d) lack of binocular vision; (e) reduced accommodation below age standards; (f) lagophthalmos; (g) chronic diseases of the anterior segment of eyes (eyelids, conjuctiva, cornea, lacrimal ducts); (h) diseases of the optic nerve, retina; (i) glaucoma (a) visual acuity with correction — not lower than 0.5 D in one eye, 0.2 D in the other eye; (b) refraction: myopia — higher than 6.0 D, hypermetropia — higher than 4.0 D, astigmatism — higher than 2.0 D; (c) lack of binocular vision; (d) reduced accommodation below age standards; (e) lagophthalmos; (f) chronic diseases of the anterior segment of the eye; (g) diseases of the optic nerve, retina; (h) glaucoma

5.

Physical overload

(a) works related to transportation of loads during a shift, manually (load mass in kg) or by applying effort — by kg; constantly performed: men — more than 30 kg, women — more than 7 kg, in case of shifting to other work for women — more than 10 kg, in case of lifting the load to a height of more than 1.5 meters — more than 7 kg; in case of lifting to a level significantly lower than the floor or working surface, for men — more than 5 tonnes, for women — more than 2 tonnes; (b) works related to being in a prolonged forced position, including standing; works related to local, muscular tension, mainly of the wrist and forearm muscles; (c) regular holding of the load, mass in a hanging state, with both hands — more than 10 kg for men and more than 7 kg for women, or with one hand — more than 5 kg for men, more than 3 kg for women; (d) works related to pronounced periodic body bends (more than 30 degrees from vertical position as assessed by eye): more than 300 times per shift; being in a forced working position (kneeling, crouching, lying, leaning forward, hanging, standing) for more than 50% of the time per shift; works related to overstrain of the vocal apparatus: teaching, communication, vocal-speaking, acting; works at a telephone station

neurologist, surgeon, obstetrician-gynaecologist, general practitioner, otolaryngologist

dynamometry

(a) diseases of the musculoskeletal system with impaired function; (b) chronic diseases of the peripheral nervous system; (c) obliterating endarteritis, peripheral angiospasm; (d) pronounced varicose veins of the lower extremities, thrombophlebitis, hemorrhoids; (e) pronounced enteroptosis, hernias between the rectum; (f) anomalies of the position of the female genital organs; (g) chronic inflammatory diseases of the uterus and appendages with frequent exacerbations;

chronic diseases associated with impaired function of the hearing aid (chronic laryngitis, pharyngitis, etc.)

Works associated with sensual, emotional, tense and risk factors

6.

works at an altitude, works on a crane, works related to lifting, as well as maintenance of crane structures

general practitioner, neurologist, ophthalmologist, psychiatrist (only for works on a crane), otolaryngologist, obstetrician-gynaecologist

examinations of vestibular apparatus

1. Where crane operators of automobile or crawler cranes are also drivers, it is necessary to use the list of medical contraindications for drivers: (a) hernias interfering with work and with a tendency to be ringed; benign tumors interfering with work of moderate severity; (b) chronic diseases of the peripheral nervous system; (c) obliterating endarteritis; (d) pronounced venous dilation; thrombophlebitis of lower extremities, hemorrhoids; (e) persistent unilateral and bilateral hearing loss of any etiology (with a whisper — not less than 3 m); (f) dysfunction of the vestibular apparatus, including Meniere’s disease; (g) diseases of visual organs: visual acuity without correction — less than 0.5 D in one eye and less than 0.2 D in the other eye, visual field limitation — more than 20 degrees, untreatable dacryocystitis and incurable lacrimation; (h) epilepsy and syncopal states; (i) anomalies of female genital organs. Chronic inflammatory diseases of the uterus and appendages with frequent exacerbations. 2. Elevator operators and attendants of high-speed elevators (there are no contraindications for employing elevator operators of ordinary elevators): (a) dysfunction of the vestibular apparatus, including Meniere’s disease; (b) persistent hearing loss of any etiology (whispering — less than 3 m); (c) visual acuity with correction — less than 0.5 D in one eye and less than 0.2 D in the other eye, or 0.7 D in the absence of binocular vision

7.

Personnel on duty servicing electrical equipment operating at 127 V and higher voltage, who perform operational shutdowns therein, including in the electrical equipment (personnel performing adjustment, installation work and high-voltage tests in electrical equipment). Personnel performing works under voltage of 127 V and higher

general practitioner, neurologist, ophthalmologist, otolaryngologist

visual acuity and vestibular apparatus tests

(a) unilateral or bilateral hearing loss of any etiology (whispering — less than 3 m), except for repair and operation works of electronic computing machines; (b) visual acuity with correction — less than 0.5 D in one eye, less than 0.2 D in the other eye; (c) persistent lacrimation not amenable to treatment; (d) visual field limitation more than 20 degrees; (e) dysfunction of the vestibular apparatus; (f) alcoholism, drug addiction, toxicomania (individually)

8.

state forest protection, logging, forest timber delivery, transportation and primary processing works

general practitioner, neurologist, otolaryngologist, surgeon

examination of vestibular apparatus

(a) pronounced varicose veins; thrombophlebitis of lower extremities, hemorrhoids; (b) obliterating endarteritis; (c) hernias; (d) chronic diseases of the peripheral nervous system; (e) persistent hearing loss of any etiology (whispering — less than 3 m); (f) dysfunction of the vestibular apparatus; (g) visual acuity with correction — less than 0.5 D in one eye, less than 0.2 D in the other eye

9.

works in oil and gas production, including shift work in the Far North and equivalent regions, in deserts and other remote and sparsely populated areas, as well as during offshore drilling

general practitioner, neurologist, ophthalmologist, otolaryngologist, psychiatrist, dermatologist-venereologist

general urine analysis, electrocardiogram, examination of vestibular apparatus

(a) chronic diseases of the peripheral nervous system; (b) obliterating endarteritis, pronounced varicose veins, thrombophlebitis, hemorrhoids with frequent exacerbations and bleeding; (c) hernias with a tendency to be ringed, rectal prolapse; (d) persistent hearing loss for any reason (whispering — less than 3 m); (e) dysfunction of the vestibular apparatus, including Meniere’s disease; (f) acute atrophic changes in all parts of the upper respiratory tract; (g) visual acuity with correction — less than 0.5 D in one eye, less than 0.2 D in the other eye (during underground work — without correction); (h) persistent lacrimation not amenable to treatment; (i) chronic skin diseases with frequent exacerbations; (j) gastric and duodenal ulcer disease

10.

all types of underground works

11.

works at hydrometeorological stations, communication structures located in polar, high-mountainous, forest and other remote and sparsely populated areas, in difficult climatic and geographical conditions

12.

geological, topographic, construction and other works in remote, sparsely populated, difficult-to-access, tundra and swampy and mountainous areas of the country (including the shift expedition method)

13.

pressure vessel operators

general practitioner, ophthalmologist, otolaryngologist

tests of visual acuity and fundus of the eye

(a) visual acuity with correction — less than 0.5 D in one eye, less than 0.2 D in the other eye; (b) visual field limitation of more than 20 degrees; (c) persistent lacrimation not amenable to treatment; (d) persistent unilateral and bilateral hearing loss of any etiology (whispering — less than 3 m);

14.

machine operator (stokers), boiler room operators, gas control service workers

general practitioner, ophthalmologist, otolaryngologist

X-ray examination of lungs, examination of vestibular apparatus

(a) the list of contraindications “a”, “b”, “c” and “d” in column 6 of point 13; (b) dysfunction of the vestibular apparatus; (c) pronounced forms of diseases of the upper respiratory tract and respiratory organs with impaired functions; (d) chronic, recurring skin diseases; (e) diseases interfering with working with a gas mask (for gas control workers)

15.

works related to the use of explosives, works in explosive and fire-hazardous industries of the economy

general practitioner, neurologist, psychiatrist, ophthalmologist, otolaryngologist

(a) organic diseases of the central nervous system with an unfavourable course; (b) diseases of the peripheral nervous system; (c) persistent unilateral and bilateral hearing loss of any etiology (whispering — less than 3 m); (d) persistent lacrimation not amenable to treatment; (e) alcoholism, drug addiction, toxicomania

16.

employees of militarised security, special communications service, cashiers, employees of the State Bank System of the Republic of Armenia and of other agencies and services, who are allowed to carry and use firearms

general practitioner, neurologist, otolaryngologist, ophthalmologist, psychiatrist, surgeon, dermatologist-venereologist

examination of visual acuity, electrocardiogram

(a) absence of extremities, wrists, feet; (b) diseases of peripheral vessels, obliterating endarteritis, varicose veins, etc.; (c) chronic diseases of the peripheral nervous system; (d) chronic skin diseases with frequent exacerbations; (e) visual acuity with correction — less than 0.5 D in one eye, less than 0.2 D in the other eye, or 0.7 D in one eye in the absence of vision in the other eye; (f) persistent hearing loss of any etiology (perception of whispered speech — less than 3 m); (g) organic diseases of the central nervous system; (h) alcoholism, drug addiction, toxicomania

17.

gas rescue service, gas rescue volunteer groups, militarised units and detachments for the prevention and elimination of emergence of gas and oil open fountains, mountain, mountain rescue militarised groups of ministries and agencies, fire protection

general practitioner, otolaryngologist, neurologist, ophthalmologist, surgeon, psychiatrist

X-ray examination of the lungs, electrocardiogram, general urine analysis, examination of vestibular apparatus

(a) chronic diseases of the peripheral nervous system; (b) alcoholism, drug addiction, toxicomania; (c) mental illnesses (even in remission); (d) all diseases of the cardiovascular system, even with the presence of compensation; (e) all chronic diseases of the respiratory organs; (f) diseases of the teeth, oral cavity (absence of teeth, which interferes with gripping objects, devices with the lips, presence of removable prostheses, alveolar pyorrhea, stomatitis, periodontitis, ankylosis of the lower jaw, contractures, jaw arthritis); (g) general physical underdevelopment and underdevelopment of the musculoskeletal system; (h) chest deformity that interferes with breathing and makes it difficult to work with a gas mask; (i) abdominal cavity diseases that cause disorders of function thereof or make physical work difficult; (j) any disease with impaired functions of the spine, upper and lower extremities; (k) benign tumors interfering with working with a gas mask; (l) hernias (all types); (m) obliterating endarteritis, varicose veins and trophic ulcers of lower extremities, thrombophlebitis, hemorrhoids; (n) deviation of the nasal septum with nasal respiratory function impairment; (o) common changes in the upper respiratory tract; (p) chronic diseases of the middle ear; (q) hearing loss (even in one ear) of any etiology (perception of whispered speech — less than 3 m); (r) dysfunction of the vestibular apparatus; (s) visual acuity reduction below 0.8 D in one eye and below 0.5 D in the other eye (correction is not allowed); (t) chronic diseases of lacrimal ducts, eyelids, organic defects of eyelids that prevent their complete closure, free movement of the eyeball; (u) limitation of the visual field by more than 10 degrees; (v) diabetes mellitus

18.

works on mechanical equipment (lathes, milling and other machines, stamping presses)

general practitioner, otolaryngologist, neurologist, ophthalmologist

examination of vestibular apparatus

(a) visual acuity with correction — less than 0.5 D in one eye and less than 0.2 D in the other eye; (b) dysfunction of the vestibular apparatus; (c) epilepsy and syncopal state

19.

works directly related to the movement of transport, including in-plant works (self-rising crane drivers, electric cart drivers, controllers, etc.)

general practitioner, neurologist, ophthalmologist, otolaryngologist

examinations of vestibular apparatus

(a) dysfunction of the vestibular apparatus, including Meniere’s disease; (b) persistent unilateral or bilateral hearing impairment of any etiology (whispering — less than 3 m); (c) diseases of visual organs: visual acuity with correction — less than 0.5 D in one eye and less than 0.2 D in the other eye, persistent lacrimation not amenable to treatment, photosensitivity disorder (for workers using colour signals), visual field limitation of more than 20 degrees