Form 315 for work injury. Accident: Documentation

Greetings, dear friends! Why are some medical organizations "pulling the rubber" with the issuance of certificates in the form 315 / y. I suggest you take a closer look at this topic.

I often heard from people that medical organizations do not issue (delay with issuing) a conclusion on the severity of injuries at work to representatives of the organization who apply to the medical organization where the victim entered (applied). These medical organizations refer, as a rule, to medical secrecy, saying that not everyone should know, etc.

Order of the Ministry of Health and Social Development of the Russian Federation of April 15, 2005 No. 275 “On the Forms of Documents Required for the Investigation of Industrial Accidents” (Registered in the Ministry of Justice of the Russian Federation on May 20, 2005 No. 6609)

In order to implement Article 229 Labor Code Russian Federation(Collected Legislation of the Russian Federation, 2002, No. 1 (Part I), Art. 3), Decree of the Government of the Russian Federation dated August 31, 2002 No. 653 “On the Forms of Documents Necessary for Investigation and Recording of Accidents at Work and on Features investigation of industrial accidents” (Sobraniye zakonodatelstva Rossiyskoy Federatsii, 2002, No. 36, art. 3497) and clause 5.2.68 of the Regulations on the Ministry of Health and social development of the Russian Federation, approved by Decree of the Government of the Russian Federation of June 30, 2004 No. 321 (Collected Legislation of the Russian Federation, 2004, No. 28, Article 2898), I order:
1. Approve:
1.2. Registration form No. 315 / y "Medical report on the nature of health injuries received as a result of an accident at work and their severity" in accordance with Appendix No. 1.
1.3. Accounting form No. 316 / y "Certificate of final diagnosis victim of an accident at work" in accordance with Appendix No. 2.
1.4. Filling recommendations accounting form No. 315 / y "Medical report on the nature of the injuries received as a result of an accident at work and their severity" in accordance with Appendix No. 3.
1.5. Recommendations for filling out the registration form No. 316 / y "Certificate of the final diagnosis of the victim of an accident at work" in accordance with Appendix No. 4.
2. Registration forms No. 315 / y "Medical report on the nature of the injuries received as a result of an accident at work and their severity", No. 316 / y "Certificate of the final diagnosis of the victim of an accident at work" and recommendations for filling them out, approved by this Order, to enter into force in in due course.

I found the order of the Ministry of Health and Social Development of Russia dated 02.05.2012 No. 441n “On approval of the procedure for issuing certificates and medical conclusions by medical organizations” (Registered in the Ministry of Justice of Russia on 05.29.2012 No. 24366), which also says that:

5. In cases part of 4 articles 13 federal law dated November 21, 2011 No. 323-FZ “On the fundamentals of protecting the health of citizens in the Russian Federation”, medical reports are issued without the consent of a citizen or his legal representative to bodies, organizations, courts that have the right to receive information about the fact that a citizen has applied for medical medical care, the state of his health and diagnosis, other information obtained during his medical examination and treatment, which constitute a medical secret.
6. In the event of the death of a citizen, a medical report on the cause of death and the diagnosis of the disease is issued to the spouse or close relative (children, parents, adopted children, adoptive parents, siblings, grandchildren, grandfather, grandmother), and in their absence to other relatives or legal representative deceased law enforcement, the body responsible for state control quality and safety medical activities, and the body that controls the quality and conditions of medical care, at their request.

There was also a question about taking blood samples for alcohol, upon admission of the victim at work. Links to normative legal act, which would oblige medical organizations to take an analysis, I did not find.

Maybe some of you know more about this issue? It will be interesting to know.

That's all for me. Until new notes!

ORDER OF THE MINISTRY OF HEALTH AND SOCIAL DEVELOPMENT OF THE RUSSIAN FEDERATION dated April 15, 2005 N 275 Registered in the Ministry of Justice of the Russian Federation on May 20, 2005 N 6609 ON THE FORMS OF DOCUMENTS REQUIRED FOR THE INVESTIGATION OF ACCIDENTS AT WORK , 2002, N 1 (part I), article 3), Decree of the Government of the Russian Federation of August 31, 2002 N 653 “On the forms of documents necessary for the investigation and accounting of industrial accidents and on the features of the investigation of industrial accidents ”(Collected Legislation of the Russian Federation, 2002, N 36, Art. 3497) and paragraph 5.2.68 of the Regulations on the Ministry of Health and Social Development of the Russian Federation, approved by the Decree of the Government of the Russian Federation of June 30, 2004

Form n 315 / y when registering an industrial injury

N 275 "On the forms of documents required for the investigation of accidents at work" In order to implement Article 229 of the Labor Code of the Russian Federation (Sobraniye Zakonodatelstva Rossiyskoy Federatsii, 2002, N 1 (Part I), Art. 3), Decrees of the Government of the Russian Federation dated August 31, 2002

N 653 "On the forms of documents necessary for the investigation and accounting of accidents at work and on the features of the investigation of accidents at work" (Collected Legislation of the Russian Federation, 2002, N 36, Art. 3497) and paragraph 5.2.68. Regulations on the Ministry of Health and Social Development of the Russian Federation, approved by the Decree of the Government of the Russian Federation of June 30, 2004

N 321 (Sobraniye zakonodatelstva Rossiyskoy Federatsii, 2004, N 28, art. 2898) I order: 1. Approve: 1.1.

Injury Severity Letter Form 315/y

N 321 (Sobraniye zakonodatelstva Rossiyskoy Federatsii, 2004, N 28, art. 2898), I order: 1. Approve: 1.2. Accounting form 315 / y "Medical report on the nature of the injuries received as a result of an accident at work and their severity" in accordance with Appendix 1.

Accounting form 316 / y "Certificate of the final diagnosis of the victim of an accident at work" in accordance with Appendix 2. 1.4. Recommendations for filling out the registration form 315 / y "Medical report on the nature of the injuries received as a result of an accident at work and their severity" in accordance with Appendix 3.

1.5. Recommendations for filling out the registration form 316 / y "Certificate of the final diagnosis of the victim of an accident at work" in accordance with Appendix 4. 2.

Work injury. certificate No. 315 from a medical institution

Appendix 2 to the Order of the Ministry of Health and Social Development of the Russian Federation dated April 15, 2005 N 275 Medical documentation Name of the medical Registration form 316 / for the organization (stamp) Approved by the Order of the Ministry of Health and Social Development of Russia dated April 15, 2005
N 275 CERTIFICATE ON THE FINAL DIAGNOSIS OF THE WORKING ACCIDENT Dana (last name, first name, patronymic, age, position (profession) and place of work of the victim) that he (she) underwent treatment: - in the period from " " 200_ to » » 200_ about (indicate all types of damage to health received as a result of an accident at work, and codes of diagnoses according to ICD-10) - in the period from » » 200_ to » » 200_ to about the treatment of a disease not related to an accident at work.

Attention

The issued registration form 315 / y “Medical report on the nature of health injuries received as a result of an accident at work and their severity” must have a stamp and seal medical organization, signature of the attending physician and the head of the department (or chief physician), date of issue. In case of hospitalization of the victim, the Medical Report is issued by the head of the department of the medical organization where the treatment is carried out.

About issued Medical report the attending physician makes an entry in the outpatient medical record (record form 025/y) or in the inpatient medical record (record form 003/y) indicating the date of issue.
N 275 RECOMMENDATIONS FOR FILLING OUT THE RECORD FORM 316 / U “CERTIFICATE ON THE FINAL DIAGNOSIS OF THE VICTIMIN OF AN OCCUPATIONAL ACCIDENT” Registration form 316 / y “Certificate of the final diagnosis of the victim of an accident at work” (hereinafter referred to as the Certificate) is filled out and handed over to the victim by a medical organization according to end of treatment. In the column "Dana" the surname, name, patronymic, age, position (profession) and place of work of the victim are indicated in full.
In the event that during the period of treatment of health damage received as a result of an accident at work, the victim was treated or examined for another disease not related to the health damage received during the duration of the disability certificate, then the periods of the victim’s stay on the disability certificate are indicated separately in the appropriate columns .

Important

Anton Khabirov 29.01.2015 comments 6 to be trained in Health, Safety, Environmental Protection and Civil Defense Greetings, dear friends! Anton Zhukov recently sent me a letter with some explanations about why some medical organizations are dragging their feet with issuing certificates in the form 315 / y. I suggest you take a look. Anton writes: I often heard from people that medical organizations do not issue (delay with issuing) a conclusion on the severity of injuries at work to representatives of the organization who apply to the medical organization where the victim entered (applied).

These medical organizations refer, as a rule, to medical secrecy, saying that not everyone should know, etc.
Registered with the Ministry of Justice of the Russian Federation on May 20, 2005 N 6609 In order to implement Article 229 of the Labor Code of the Russian Federation (Collected Legislation of the Russian Federation, 2002, N 1 (part I), Article 3), Decree of the Government of the Russian Federation of August 31, 2002 .

N 653 "On the forms of documents necessary for the investigation and accounting of accidents at work and on the features of the investigation of accidents at work" (Collected Legislation of the Russian Federation, 2002, N 36, Art. 3497) and clause 5.2.68 of the Regulations on the Ministry of Health and social development of the Russian Federation, approved by Decree of the Government of the Russian Federation of June 30, 2004 N 321 (Collected Legislation of the Russian Federation, 2004, N 28, art.

2898), I order: 1. Approve:1.2.
E OF ACCIDENTS AT THE WORK AND THEIR DEGREE OF GRAVITY Issued by (name of the organization (individual entrepreneur), at the request of which (th) a medical report is issued) that the victim (surname, name, patronymic, age, position (profession) of the victim) entered (name medical organization, structural unit where the victim was admitted, date and time of admission (appeal)) Diagnosis and diagnosis code according to ICD-10 (indicating the nature and localization of health injuries) According to the Scheme for determining the severity of health damage in industrial accidents, the indicated damage belongs to the category the severity of the injury: severe, mild, enter as necessary) Head of the department (or head physician) (signature) (last name, first name, patronymic) Attending physician Date (signature) (last name, first name, patronymic) M.P.
I AS A RESULT OF AN ACCIDENT AT WORK AND THEIR GRAVITY Issued by (name of organization ( individual entrepreneur), at the request of which a medical report is issued) stating that the victim (last name, first name, patronymic, age, position (profession) of the victim) entered (name of the medical organization, its structural unit where the victim entered, date and time of admission (appeal)) Diagnosis and diagnosis code according to ICD-10 (indicating the nature and localization of health injuries) According to the Scheme for determining the severity of health damage in case of accidents at work, the indicated damage belongs to the category (indicate the severity of the injury: severe, mild, enter if necessary) Head of the department ( or chief physician) (signature) (surname, name, patronymic) Attending physician Date (signature) (surname, name, patronymic) M.P.

"On the Forms of Documents Necessary for the Investigation and Accounting of Accidents at Work and on the Features of the Investigation of Accidents at Work" (Collected Legislation of the Russian Federation, 2002, N 36, Art. 3497) and paragraph 5.2.68 of the Regulations on the Ministry of Health and Social Development of the Russian Federation, approved by Decree of the Government of the Russian Federation of June 30, 2004 N 321 (Collected Legislation of the Russian Federation, 2004, N 28, Art. 2898), I order:

1. Approve:

1.2. Accounting form N 315 / y "Medical report on the nature of the injuries received as a result of an accident at work and their severity" in accordance with Appendix N 1.

1.3. Accounting form N 316 / y "Certificate of the final diagnosis of the victim of an accident at work" in accordance with Appendix N 2.

1.4. Recommendations for filling out the registration form N 315 / y "Medical report on the nature of the injuries received as a result of an accident at work and their severity" in accordance with Appendix N 3.

2. Accounting forms N 315 / y "Medical report on the nature of the injuries received as a result of an accident at work and their severity", N 316 / y "Certificate of the final diagnosis of the victim of an accident at work" and recommendations for filling them out, approved by this Order, put into effect in the prescribed manner.

Minister
M.Yu.ZURABOV

Appendix No. 1
to the Order
Ministry of Health
and social development
Russian Federation
dated April 15, 2005 N 275

Medical documentation Name of the medical record Form N 315 / for the organization (stamp) Approved by Order of the Ministry of Health and Social Development of Russia dated April 15, 2005 N 275 entrepreneur), at whose request a medical report is issued) stating that the victim __________________________________________ (last name, first name, patronymic, age, position (profession) __________________________________________________________________ of the victim) entered _____________________________________________________________ (name of the medical organization, its structural unit where he entered __________________________________________________________________ victim, date and time of admission (application)) Diagnosis and code diagnosis according to ICD-10 _____________________________ (indicating the nature and localization of injuries _________________________________________________________________ of health) __________________________________________________________________ __________________________________________________________________ According to the Scheme for determining the severity of damage to health in industrial accidents, the indicated damage belongs to the category ________________________________ (indicate the severity of the injury: _________________________________________________________________ severe, light, necessary - enter ) Head of the department ___________ ____________________________ (or chief physician) (signature) (last name, first name, patronymic) Attending physician ___________ ____________________________ Date (signature) (last name, first name, patronymic) M.P.

Appendix No. 2
to the Order
Ministry of Health
and social development
Russian Federation
dated April 15, 2005 N 275

Medical documentation Name of the medical Record form N 316 / for the organization (stamp) Approved by Order of the Ministry of Health and Social Development of Russia dated April 15, 2005 N 275 profession) __________________________________________________________________ and place of work of the victim) __________________________________________________________________ that he (she) underwent treatment: - in the period from "__" _________ 200_ to "__" __________ 200_ about ______________________________________________________________ (indicate all types of damage health, received as a result of __________________________________________________________________ accident at work, and codes of diagnoses according to ICD-10) __________________________________________________________________ _____ _______________________________________________________________ - in the period from "__" _________ 200_ to "__" __________ 200_ for the treatment of a disease not related to an accident at work. Consequences of an accident at work: recovery; recommended transfer to another job; established disability III, II, I groups; death (underline as appropriate). Head of the department ___________ ____________________________ (or chief physician) (signature) (last name, first name, patronymic) Attending physician ___________ ____________________________ Date (signature) (last name, first name, patronymic) M.P.

Appendix No. 3
to the Order
Ministry of Health
and social development
Russian Federation
dated April 15, 2005 N 275

RECOMMENDATIONS
ON FILLING IN THE ACCOUNTING FORM N 315 / U "MEDICAL CERTIFICATE ON THE NATURE OF HEALTH DAMAGES RESULTED AS A RESULT OF AN ACCIDENT AT PRODUCTION AND THEIR SERIOUS DEGREE"

Registration form N 315 / y "Medical report on the nature of the injuries received as a result of an accident at work and the degree of their severity" (hereinafter referred to as the Medical Report) is filled out in accordance with the Scheme for determining the severity of health damage in case of accidents at work, approved by the Order of the Ministry of Health and Social Development of Russia dated February 24, 2005 N 160 (registered with the Ministry of Justice of Russia on April 7, 2005 N 6478), and is issued at the request of an organization, an individual entrepreneur by a medical organization where the victim of an accident at work first applied for medical help (hereinafter referred to as the victim ) immediately upon receipt of the request.

In the columns "Issued", "that the victim entered" the full surname, name, patronymic, age, position (profession) of the victim, date and time of admission (appeal) to the medical organization are indicated in full.

The column "Diagnosis and diagnosis code according to ICD-10" contains a complete diagnosis indicating the nature and localization of health damage and the diagnosis code according to the International Classifier of Diseases (ICD-10), a conclusion on which category the existing damage to health belongs to.

The issued registration form N 315 / y "Medical report on the nature of the injuries received as a result of an accident at work and the degree of their severity" must have a stamp and seal of a medical organization, the signature of the attending physician and the head of the department (or chief physician), date of issue.

In case of hospitalization of the victim, the Medical Report is issued by the head of the department of the medical organization where the treatment is carried out.

The attending physician makes an entry about the issued Medical Report in the Outpatient Medical Record (recording form N 025 / y) or in the Medical Record of the inpatient (recording form N 003 / y) indicating the date of issue.

After the end of the treatment of the victim in the hospital in the Extract from medical card outpatient, inpatient (account form N 027 / y), a note is made on the nature of the health injuries received and their severity: at the time of admission and at the time of discharge from the hospital.

In the event that during the period of treatment of health damage received as a result of an accident at work, the victim was treated or examined for another disease not related to the health damage received during the duration of the disability certificate, then the periods of the victim’s stay on the disability certificate are indicated separately in the appropriate columns .

Types of damage to the health of the victim are indicated taking into account all injuries received as a result of an accident at work, including injuries indicated in the Extract from the medical card of an outpatient, inpatient patient "(account form N 027 / y).

The issued Certificate must have the stamp and seal of the medical organization, the signature of the attending physician and the head of the department (chief physician), and the date of issue.

The attending physician makes an entry about the Certificate issued by the attending physician in the Outpatient Medical Record (registration form N 025 / y) or the Medical Card of the inpatient (registration form N 003 / y) indicating the date of issue.

On the basis of the registration form N 316 / y "Certificate on the final diagnosis of the victim of an accident at work" (hereinafter referred to as the Certificate), the items are filled in, form 8 - "Report on the consequences of an accident at work and the measures taken", approved by the Decree of the Ministry of Labor of Russia dated 24 October 2002 N 73 (registered with the Ministry of Justice of Russia on December 5, 2002 N 3999).

MINISTRY OF HEALTH AND SOCIAL DEVELOPMENT
RUSSIAN FEDERATION

On the forms of documents required for the investigation of accidents at work

About the forms of documents required for the investigation
industrial accidents

In order to implement Article 229 of the Labor Code of the Russian Federation (Sobraniye Zakonodatelstva Rossiyskoy Federatsii, 2002, N 1 (Part I), Art. 3), Decree of the Government of the Russian Federation of August 31, 2002 N 653 "On the Forms of Documents Necessary for Investigation and accounting for industrial accidents and the specifics of investigating industrial accidents "(Sobraniye Zakonodatelstva Rossiyskoy Federatsii, 2002, N 36, Art. 3497) and paragraph 5.2.68 of the Regulations on the Ministry of Health and Social Development of the Russian Federation, approved by the Decree of the Government of the Russian Federation dated June 30, 2004 N 321 (Sobraniye zakonodatelstva Rossiyskoy Federatsii, 2004, N 28, art. 2898),

I order:

1. Approve:

1.2. Accounting form N 315 / y "Medical report on the nature of the injuries received as a result of an accident at work and their severity" in accordance with Appendix N 1.

1.3. Accounting form N 316 / y "Certificate of the final diagnosis of the victim of an accident at work" in accordance with Appendix N 2.

Minister
M.Yu.Zurabov

Registered
at the Ministry of Justice
Russian Federation
May 20, 2005
registration N 6609

Annex N 1. Medical report on the nature of health injuries received as a result of an accident at work and their severity

Appendix No. 1
to the order of the Ministry
health care
and social development
Russian Federation
dated April 15, 2005 N 275


Name of the medical organizations (stamp)	Medical documentation Accounting form N 315 / y

MEDICAL OPINION
about the nature of the injuries received as a result of an accident
accidents at work and their severity



	(name of the organization (individual entrepreneur), at the request of which a medical report is issued)
that the victim
		(last name, first name, patronymic, age, position


(profession) of the victim)
enrolled in
	(name of the medical organization, its structural

unit where the victim was admitted, date and time of admission (appeal)
Diagnosis and diagnosis code according to ICD-10
			(indicating the nature and location

health damage)


According to the Scheme for determining the severity of damage to health in case of accidents at work, the specified damage belongs to the category
(indicate the severity of the injury:

heavy, light)


Head of department (or head physician)
	(signature)	(Full Name)
Attending doctor
	(signature)	(Full Name)

Appendix N 2. Certificate of the final diagnosis of the victim of an accident at work

Appendix No. 2
to the order of the Ministry
health and
social development
Russian Federation
dated April 15, 2005 N 275


Name of the medical organizations (stamp)	Medical documentation Accounting form N 316 / y

REFERENCE
on the final diagnosis of the victim of an accident on
production

(last name, first name, patronymic, age, position (profession)

and place of work of the victim)

about the fact that he (she) was undergoing treatment:

Since "

about

(indicate all types of damage to health resulting from

accident at work, and codes of diagnoses according to ICD-10)

Since "

for the treatment of a disease not related to an accident at work.

Consequences of an accident at work: recovery; recommended transfer to another job; established disability III, II, I groups; death (underline as appropriate).


Head of department (or head physician)
	(signature)	(Full Name)
Attending doctor
	(signature)	(Full Name)

Appendix N 3

Appendix No. 3
to the order of the Ministry
health care
and social development
Russian Federation
dated April 15, 2005 N 275

Registration form N 315 / y "Medical report on the nature of health injuries received as a result of an accident at work and their severity" (hereinafter referred to as the Medical Report) is filled out in accordance with the Scheme for determining the severity of health damage in industrial accidents, approved by order of the Ministry of Health and Social Development of Russia dated February 24, 2005 N 160 (registered with the Ministry of Justice of Russia on April 7, 2005, registration N 6478), and is issued at the request of an organization, an individual entrepreneur by a medical organization where the victim of an accident at work first applied for medical help (hereinafter referred to as the victim ) immediately upon receipt of the request.

In the columns "Issued", "that the victim entered" the full name, first name, patronymic, age, position (profession) of the victim, date and time of admission (appeal) to the medical organization are indicated in full.

The column "Diagnosis and diagnosis code according to ICD-10" provides a complete diagnosis indicating the nature and localization of health damage and the diagnosis code according to the International Classification of Diseases (ICD-10), a conclusion on which category the existing damage to health belongs to.

The issued registration form N 315 / y "Medical report on the nature of the injuries received as a result of an accident at work and the degree of their severity" must have a stamp and seal of a medical organization, the signature of the attending physician and the head of the department (or chief physician), date of issue.

In case of hospitalization of the victim, the Medical Report is issued by the head of the department of the medical organization where the treatment is carried out.

The attending physician makes an entry about the issued Medical Report in the Outpatient Medical Record (recording form N 025 / y) or in the Medical Record of the inpatient (recording form N 003 / y) indicating the date of issue.

After the end of the treatment of the victim in the hospital, an extract from the medical record of an outpatient, inpatient patient (recording form N 027 / y) makes a note about the nature of the injuries received and their severity at the time of admission and at the time of discharge from the hospital.

Doctors of emergency and emergency medical care do not fill out the registration form N 315 / y "Medical report on the nature of the injuries received as a result of an accident at work and their severity."

Appendix N 4

Appendix No. 4
to the order of the Ministry
health care
and social development
Russian Federation
dated April 15, 2005 N 275

Registration form N 316 / y "Certificate of the final diagnosis of the victim of an accident at work" (hereinafter referred to as the Certificate) is filled out and handed over to the victim by a medical organization upon completion of treatment.

In the column "Dana" the surname, name, patronymic, age, position (profession) and place of work of the victim are indicated in full. In the event that during the period of treatment of health damage received as a result of an accident at work, the victim was treated or examined for another disease not related to the health damage received during the duration of the disability certificate, then the periods of the victim’s stay on the disability certificate are indicated separately in the appropriate columns .

Types of damage to the health of the victim are indicated taking into account all injuries received as a result of an accident at work, including injuries indicated in the Extract from the medical card of an outpatient, inpatient patient (recording form N 027 / y).

The issued Certificate must have the stamp and seal of the medical organization, the signature of the attending physician and the head of the department (chief physician), and the date of issue.

The attending physician makes an entry about the Certificate issued by the attending physician in the Outpatient Medical Record (registration form N 025 / y) or the Medical Card of the inpatient (registration form N 003 / y) indicating the date of issue.

On the basis of the registration form N 316 / y "Certificate on the final diagnosis of the victim of an accident at work", paragraphs 2, 3 of form 8 are filled in "Report on the consequences of an accident at work and the measures taken", approved by the Decree of the Ministry of Labor of Russia dated October 24, 2002 N 73 (registered with the Ministry of Justice of Russia on December 5, 2002, registration N 3999).

The text of the document is verified according to.

Order of the Ministry of Health and Social Development of the Russian Federation of April 15, 2005 N 275

On the forms of documents required for the investigation of accidents at work

In order to implement Article 229 of the Labor Code of the Russian Federation (Sobraniye Zakonodatelstva Rossiyskoy Federatsii, 2002, N 1 (Part I), Art. 3), Decree of the Government of the Russian Federation of August 31, 2002 N 653 "On the Forms of Documents Necessary for the Investigation and accounting of accidents at work and on the peculiarities of the investigation of accidents at work" (Collected Legislation of the Russian Federation, 2002, N 36, Art. 3497) and paragraph 5.2.68. Regulations on the Ministry of Health and Social Development of the Russian Federation, approved by Decree of the Government of the Russian Federation of June 30, 2004 N 321 (Collected Legislation of the Russian Federation, 2004, N 28, Art. 2898) I order:

1. Approve:

1.1. Accounting form N 315 / y "Medical report on the nature of health injuries received as a result of an accident at work and their severity" according to.

1.2. Accounting form N 316 / y "Certificate of the final diagnosis of the victim of an accident at work" according to.

MinisterM.Yu. Zurabov

Registration N 6609

Appendix No. 1

	Medical documentation
	Accounting form N 315 / y
Name of the medical	Approved by order
organizations (stamp)	Ministry of Health and Social Development of Russia


Medical opinion on the nature of health injuries received as a result of an accident at work and their severity

Issued by ____________________________________________________________________________
(name of the organization (individual entrepreneur), at the request of which (th) a medical certificate is issued)
about the fact that the victim __________________________________________________________
(last name, first name, patronymic, age, occupied
____________________________________________________________________________
position (profession) of the victim)
enrolled in _________________________________________________________________
(name of the medical organization, its structural

unit where the victim was admitted, date and time
_____________________________________________________________________________
receipts (circulations)
Diagnosis and diagnosis code according to ICD-10 _______________________________________________
(indicating the nature and
_____________________________________________________________________________
localization of damage to health)
_____________________________________________________________________________
_____________________________________________________________________________

According to the Scheme for determining the severity of damage to health in industrial accidents, the specified damage refers to

(indicate the severity of the injury:
_____________________________________________________________________________
heavy, light)

(or chief physician) (signature) (surname, name, patronymic)




M.P.

Appendix No. 2

	Medical documentation
	Accounting form N 316 / y
Name of the medical	Approved by order
organizations (stamp)	Ministry of Health and Social Development of Russia


Reference on the final diagnosis of the victim of an accident at work

Dana ____________________________________________________________________________
(last name, first name, patronymic, age, position
_____________________________________________________________________________
(profession) and place of work of the victim)
about the fact that he (she) was undergoing treatment:

about____________________________________________________________________
(indicate all types of damage to health resulting from
_____________________________________________________________________________
accident at work and codes of diagnoses according to ICD-10)
_____________________________________________________________________________
In the period from "______" ________________200__. according to "______" ____________________ 200__
for the treatment of a disease not related to an accident at work.
Consequences of an accident at work: recovery; recommended transfer to another job; established disability III, II, I groups; death (underline as appropriate)

Head of department _____________________________________________________________
(or chief physician) (signature) (surname, name, patronymic)

Attending doctor _______________________________________________________________
Date ________ (signature) (last name, first name, patronymic)

M.P.

Appendix No. 3

Medical report on the nature of the injuries received as a result of an accident at work and their severity

The column "Diagnosis and diagnosis code according to ICD-10" contains a complete diagnosis indicating the nature and localization of health damage and the diagnosis code according to the International Classification of Diseases (ICD-10), a conclusion on which category the existing damage to health belongs to.

In case of hospitalization of the victim, the Medical Report is issued by the head of the department of the medical organization where the treatment is carried out.

After the end of the treatment of the victim in the hospital, an extract from the medical record of an outpatient, inpatient patient (recording form N 027 / y) makes a note about the nature of the injuries received and their severity at the time of admission and at the time of discharge from the hospital.

Doctors of emergency and emergency medical care do not fill out the registration form N 315 / y "Medical report on the nature of the injuries received as a result of an accident at work and their severity."

Appendix No. 4

Certificate of the final diagnosis of the victim of an accident at work

In the column "Dana" the surname, name, patronymic, age, position (profession) and place of work of the victim are indicated in full. In the event that during the period of treatment of health damage received as a result of an accident at work, the victim was treated or examined for another disease not related to the health damage received during the duration of the disability certificate, then the periods of the victim’s stay on the disability certificate are indicated in the appropriate columns separately.

The issued Certificate must have the stamp and seal of the medical organization, the signature of the attending physician and the head of the department (chief physician), and the date of issue.

The attending physician makes an entry about the Certificate issued by the attending physician in the Medical Card of the outpatient (recording form N 025 / y) or the Medical card of the inpatient (recording form N 003 / y) indicating the date of issue.

Based on the registration form N 316 / y "Certificate on the final diagnosis of the victim of an accident at work", paragraphs 2, 3 of form 8 "Report on the consequences of an accident at work and the measures taken" are filled in, approved by resolution Ministry of Labor of Russia dated October 24, 2002 N 73 (registered with the Ministry of Justice of Russia on December 5, 2002, registration N 3999).

Form 315 for work injury. Accident: Documentation

Form n 315 / y when registering an industrial injury

Injury Severity Letter Form 315/y

Work injury. certificate No. 315 from a medical institution

RECOMMENDATIONS ON FILLING IN THE ACCOUNTING FORM N 315 / U "MEDICAL CERTIFICATE ON THE NATURE OF HEALTH DAMAGES RESULTED AS A RESULT OF AN ACCIDENT AT PRODUCTION AND THEIR SERIOUS DEGREE"

On the forms of documents required for the investigation of accidents at work

Annex N 1. Medical report on the nature of health injuries received as a result of an accident at work and their severity

Appendix N 2. Certificate of the final diagnosis of the victim of an accident at work

Appendix N 3

Appendix N 4

Appendix No. 1

Medical opinion on the nature of health injuries received as a result of an accident at work and their severity

Appendix No. 2

Reference on the final diagnosis of the victim of an accident at work

Appendix No. 3

Medical report on the nature of the injuries received as a result of an accident at work and their severity

Appendix No. 4

Certificate of the final diagnosis of the victim of an accident at work

RECOMMENDATIONS
ON FILLING IN THE ACCOUNTING FORM N 315 / U "MEDICAL CERTIFICATE ON THE NATURE OF HEALTH DAMAGES RESULTED AS A RESULT OF AN ACCIDENT AT PRODUCTION AND THEIR SERIOUS DEGREE"

Medical opinion
on the nature of health injuries received as a result of an accident at work and their severity

Reference
on the final diagnosis of the victim of an accident at work