Order No. 29n: control of pre-employment and periodic medical examinations
Practical material for the occupational medicine physician: how to check the referral, the scope of examinations, the document set, and the final materials of a medical examination.
Occupational medicine physician / medical activity administrator together with an IT analyst
Order 29n sets the procedure for medical examinations of workers, and pre-employment and periodic medical examinations generate a large set of interrelated data: the employer's referral, harmful and hazardous factors, the list of examinations, specialists' conclusions, test results, and final documents. Control of medical examinations is complicated by the fact that the completeness of a case depends simultaneously on the worker's category, the factors of the working environment, and current regulatory requirements. Manual cross-checking increases the workload of the occupational medicine physician and creates a risk of a missed document or examination.
Digital control should begin by formalizing the requirements of Order No. 29n and related regulatory documents as verifiable conditions. The information system matches information about the worker, factors, and types of work with the documents actually submitted, and checks for the presence of mandatory tests, timing, and logical consistency. AI is useful for extracting information from unstructured conclusions, but numerical and formal criteria are best checked with software rules. The final decision on medical contraindications and fitness for work is made by the authorized physician or committee.
In CheckAIMed, the set of documents for a medical examination can be assembled as a single case for analysis. The system checks for the required information and tests, matches documents against the configured criteria, and generates an analytical summary that lists sources and missing data. Consolidated analytics helps identify recurring problems by employer, unit, factor, and type of work. This makes it possible to use IT not for an automated fitness-for-work decision, but to improve the completeness of materials prepared for the professional opinion.
Important. CheckAIMed does not automatically issue clearance for work, does not establish a contraindication, and does not replace the occupational medicine physician or the medical board. Information on Order of the Russian Ministry of Health No. 29n of 28.01.2021 was verified as of the publication date; if the regulation changes, this material will be updated without changing the page address.
Regulatory information verified: October 13, 2026. Before applying it in a specific case, it must be checked against the current version of the regulations and local documents.
What is important to check under Order No. 29n
Order of the Russian Ministry of Health No. 29n of 28.01.2021 regulates the procedure for mandatory pre-employment and periodic medical examinations of workers, the list of medical contraindications, and the requirements for documenting results. For the occupational medicine physician, what matters is not only the correctness of an individual conclusion but also the completeness of the whole case: whether the referral, factors, and types of work match the scope of examinations, the specialists' conclusions, and the final documents.
When preparing a medical examination under Order No. 29n, the current version of the document must be used. Ministry of Health Order 29n on medical examinations should be read together with the organization's local documents: internal control begins with the employer's source data and ends with checking the consistency of all documents. An incomplete referral, a missed examination, or a contradiction between documents requires professional assessment before the final conclusion is issued.
Referral for a medical examination under Order No. 29n
The referral for a medical examination under Order No. 29n is the source document for determining the scope of examinations. Before starting work with the patient, check the information on the worker, the position, the structural unit (if applicable), the harmful and hazardous occupational factors, and the types of work performed. The soundness of the set of examinations and specialists depends on the completeness of these data.
A pre-employment examination is carried out on hiring, based on the employer's referral. For a periodic examination, the named list, the schedule, and the materials of previous examinations are also important. The checklist on this page is for information only and is not a universal form: working conditions and the employer's local documents must be verified separately.
Check whether the document set is sufficient for the final conclusion. Your ticks are stored only in your browser; no data is sent to the server.
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Request the referral or check that it states the details, position, and worker's data.
Cross-check the referral against the employer's documents and data on working conditions.
Match the factors and types of work against current regulatory requirements and the local examination route.
Check that the conclusions are present and linked to a single medical examination case.
Clarify any missing tests, their deadlines, and that they belong to the specific worker.
Check the dates of the referral, tests, examination, and final documents.
Cross-check the position, factors, dates, and conclusions across all documents of the case.
Check that the conclusion for the worker is complete and, for a periodic examination, that the data for the final summary report are in place.
The set has gaps. Before preparing the final conclusion, check the source of the missing information: the employer's referral, test results, specialists' conclusions, or the details of the final document. The decision on fitness for work and contraindications is made by the authorized physician or the medical commission.
The checklist is complete. Carry out the final professional assessment and prepare the documents in accordance with the applicable requirements.
Order 29n: pre-employment and periodic medical examinations
Parameter
Pre-employment medical examination
Periodic medical examination
When it is carried out
Carried out on hiring.
Carried out during employment.
Basis
Basis: the employer's referral.
Basis: the named list, the schedule, and the referral.
What is checked
Checks whether the person is suited to the intended work.
Assesses the state of health over time and the effect of occupational factors.
Result
Result: a medical conclusion.
Result: documents for the worker and a summary final report.
Periodic medical examinations are aimed at dynamic monitoring of workers' health, early detection of signs of exposure to harmful factors, and the formation of risk groups for occupational diseases. Order 29n on medical examinations of workers sets the general procedure, while the completeness of a specific case depends on the factors and types of work.
Control of the final report of a periodic medical examination
The final report is the summary result of a periodic medical examination. Before approval, it is advisable to check the consistency of the number of workers, data on contraindications, recommendations, the need for additional examination, follow-up care, and preventive measures. The results should also be compared separately with the recommendations of the previous final report.
Digital document checking helps to identify incomplete fields, logical inconsistencies, and recurring documentation defects in advance. The clinical assessment of results, the preparation of conclusions, and the decision on the worker are made by the occupational medicine physician and the medical commission.
How CheckAIMed is used
With a large flow of examinations, CheckAIMed can combine the referral, the conclusions of specialist physicians, test results, and final forms into a single case for analysis. The system compares the documents against configured criteria, flags missing information, timing inconsistencies, and contradictions between documents, and then generates an analytical summary for the expert physician.
This helps to organize internal quality control of medical documentation before the final materials are prepared. The physician receives a structured list of questions for professional review, and the manager receives summary analytics of recurring defects by employer, factor, unit, and type of work. The decision on medical contraindications and fitness for work is always made by the authorized physician or commission.
What is checked
Document set
Mandatory tests
Timing
Hazardous and dangerous factors
Types of work
Data sources
Questions and answers
Which changes to Order No. 29n are relevant in 2026?
Changes to Order 29n on medical examinations in 2026 must be verified against the official source: legal reference systems list the version of 29.04.2026. The version verification date for this page is October 13, 2026. We do not paraphrase changes without verification: before applying them in a specific case, check the current version of Order 29n on medical examinations against the 2026 changes and the organization's local documents. The link to the regulatory source is below on this page.
How do you prepare a referral for a medical examination under Order No. 29n?
The referral is issued by the employer. It is important for the physician and the medical examination service to check the information on the worker, the position, the structural unit (if applicable), the harmful and hazardous occupational factors, and the types of work performed. The checklist on this page is a control list of questions, not a universal form: the content and form of the referral must be checked against the applicable requirements and local documents.
How does a pre-employment medical examination differ from a periodic one?
A pre-employment examination is carried out on hiring, based on the employer's referral; it checks whether the person is suited to the intended work, and the result is a medical conclusion. A periodic examination is carried out during employment, based on the named list, the schedule, and the referral; it assesses the state of health over time and the effect of occupational factors, and the result is documents for the worker and a summary final report.
Which physicians and examinations are required under Order No. 29n?
The set of specialists and examinations depends on the harmful and hazardous occupational factors, the types of work, and the worker's category. For this reason, we do not publish a simplified universal list: the scope of examinations is determined by the current version of the regulations and the examination route of the medical organization.
Which documents make up the document set for a periodic medical examination?
Depending on applicability, these are the employer's referral, the named list and the schedule, laboratory and instrumental test results, conclusions of specialist physicians, final documents for the worker, and materials for the final report. For workers' medical examinations, the set is checked for completeness and consistency before the final conclusion is prepared.
Can AI be used to control medical examinations?
AI and software rules are used as a tool for analyzing documentation: they compare the documents of a single case against configured criteria and flag missing information and contradictions. AI does not decide on fitness for work or on medical contraindications; that decision is made by the authorized physician or the medical commission.
Regulatory source: Order of the Russian Ministry of Health No. 29n of 28.01.2021 "On approval of the Procedure for conducting mandatory pre-employment and periodic medical examinations of workers…" — the official legal information portal (search by the order's details). Verification date: October 13, 2026.
Author: occupational medicine physician / medical activity administrator together with an IT analyst. Source: Order of the Russian Ministry of Health No. 29n of 28.01.2021.
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