Agreement on compliance with the sanitary and epidemiological regime. Production control in medical organizations and sanitary and epidemiological support of the facility. Basic methods of disinsection of modern SES

1.1. Name, address of the enterprise, operating hours. Location (detached building, built-in).

1.2. Availability of notification of the start of business activities.

1.3. The area of ​​the enterprise, the number of seats, the number of personnel, the use of teenagers and foreign labor.

1.4. Assortment list of products sold.

1.5. Availability of a production control program, its implementation, keeping logs. Availability of an agreement with an accredited laboratory for laboratory research and instrumental measurements.

2. Sanitary and technical condition.

2.1. The sanitary and technical condition of the premises (production, utility, hall for visitors), refrigeration, trade and technological equipment.

2.2. Is repair necessary, is there sufficient sanitary equipment (washing baths in washing departments, in-shop equipment), is there a backup hot water supply.

2.3. Compliance with water supply and sewerage requirements.

2.4. Compliance with the requirements for ventilation, air conditioning, heating of premises (availability of documents confirming the serviceability and efficiency of the ventilation system; date of the last disinfection of the ventilation system). If the enterprise is located in a residential building, evaluate the placement and effective operation of the ventilation system. The presence of local exhaust systems with preferential exhaust in the zone of maximum contamination above equipment and washing baths, which are sources of increased emissions of moisture, heat, and gases.

2.5. Finishing facilities.

3. Requirements for the arrangement and maintenance of premises.

3.1. Sanitary maintenance of premises (production, utility, hall for visitors), refrigeration, trade and technological equipment.

3.2. Availability of conditions for maintaining consistency technological processes(no counter flows or crossovers of raw and prepared food products, clean and dirty dishes, staff and visitors).

3.3. Correspondence of the set and area of ​​premises to the capacity of the enterprise.

3.4. Compliance of the range of products sold with existing capabilities, set of premises, and availability refrigeration equipment enterprises.

3.5. Availability of bactericidal lamps in workshops (areas) for preparing cold dishes.

3.6. Availability of conditions for collecting garbage and food waste (bins for collecting food waste in production premises, a refrigerator for storing food waste, garbage containers). Agreement for the removal of garbage and food waste.

3.7. Disinfection regime of the enterprise (disinfectants and detergents used, schedule of sanitary days).

3.8. Availability of premises for storing and processing cleaning equipment; storage conditions for cleaning equipment for sanitary facilities, presence of signal markings.

3.9. Carrying out measures for disinsection and deratization of premises (frequency, date of last treatment).

3.10. Availability of wardrobe (hangers), bathroom. hand washing stations and sinks for visitors (availability of soap, toilet paper, etc.).

4 . Requirements for equipment, inventory, utensils and containers.

4.1. Equipping the organization with refrigeration, technological equipment, inventory, kitchen and tableware.

4.2. The presence and use of separate technological equipment, and in universal machines - replaceable mechanisms for grinding raw and cooked food products, as well as for raw semi-finished products and ready-made culinary semi-finished products.

4.3. Availability of markings on cutting equipment.

4.4. Compliance with the regime for washing kitchen/dining utensils (are there enough washing baths for washing kitchen utensils, dishes, the presence of a dishwasher, the presence of instructions on the rules of washing dishes, the detergents used, the presence of certificates of state registration for detergents and disinfectants).

4.5. Availability of conditions for storing and processing trays.

4.6. Availability of storage conditions disposable tableware, availability of accompanying documentation.

5. Requirements for receiving and storing food products.

5.1. Acceptance of products and implementation of incoming inspection (availability of accompanying documentation, certificates of conformity, declarations of conformity, state registration certificates, etc.). Pursuant to the order of Rospotrebnadzor dated August 19, 2014. No. 976 “On measures to implement the Presidential Decree Russian Federation dated 08/06/2014 No. 560”, etc. take measures to identify and remove from circulation products prohibited for import.

5.2. Compliance of product labeling with the requirements of TR CU 022/2011 “Food products regarding their labeling”, including: TR CU 021/2011 “On safety food products", TR CU 023/2011 "Technical regulations for juice products from fruits and vegetables", TR CU 024/2011 "Technical regulations for fat and oil products", TR CU 007/2011 "On the safety of products intended for children and adolescents", TR TS 033/2013 "On the safety of milk and dairy products", TR TS 034/2013 "On the safety of meat and meat products".

5.3. Compliance with the conditions and periods of storage of food products (compliance with the conditions for defrosting frozen products).

5.4. Availability of measuring instruments for monitoring the temperature and humidity conditions of food storage.

6. Requirements for processing of raw materials and production of products.

6.1. Equipment production premises(availability of a sufficient amount of heating and refrigeration equipment, production tables; availability of conditions for maintaining the flow of technological processes). Availability of conditions for processing vegetables, fruits, eggs.

6.2. Availability at the enterprise technical documentation (technological maps, technical and technological maps, etc.), developed in established by law order for the production of these products.

6.3. Compliance with the conditions for preparing deep-fried dishes (assessing the quality of deep-fried fats, maintaining an accounting log, having an agreement at the enterprise for the removal and disposal of waste fat).

6.4. Availability at the enterprise of a magazine for organoleptic assessment of the quality of dishes and culinary products; correct filling.

7. Requirements for the sale of ready-made dishes.

7.1. Compliance with the conditions and deadlines for the sale of ready-made dishes (Check the readiness of hot dishes with a device that measures the temperature inside the product).

7.2. When distributing ready-made take-away dishes, indicate in what form (dressing of salad products with sauces, availability of individual consumer packaging for sauces, etc.) and packaging (presence of disposable consumer packaging made from materials approved for contact with food products), whether there is a marking.

7.3. Use of disposable gloves for each type of food, when serving and portioning.

8. Requirements for the provision of services Catering.

8.1. Form of service at the enterprise.

8.2. Availability of information for consumers (information stand, book of reviews and suggestions, rules for the provision of public catering services, etc.).

8.5. A sign indicating ownership and operating hours.

8.6. The presence in the hall of control scales (certificate of their verification) or another opportunity to provide the consumer with the opportunity to check the volume (weight) of food service products offered to him.

8.7. Availability of visual, accessible and reliable information for consumers about the services provided, ensuring the possibility of their the right choice, which should contain:

• list of services and conditions for their provision;
• prices in rubles and terms of payment for services;
• brand name of the proposed catering products, indicating the methods of preparing dishes and the main ingredients included in them;
• information on the weight (volume) of servings of ready-made food products, the capacity of the drink offered and the volume of its servings;
• information on the nutritional value of public food products (calorie content, protein, fat, carbohydrate content, as well as vitamins, macro- and microelements when added during the preparation of public food products) and composition (including the name of food additives used in the manufacturing process, biologically active additives, information on the presence of components in food products obtained using genetically modified organisms.

8.8. The prices in the menu correspond to those indicated on the cash receipt.

9. Working conditions; personal hygiene of staff.

9.1. Availability of personal medical records for employees, timely completion of periodic medical examinations.

9.2. Involving cleaning companies in the work (indicating their names, the list of positions in which cleaning personnel are used, the percentage of the permanent personnel of the enterprise).

9.3. Registration of daily inspections of exposed body surfaces of catering workers.

9.4. Sanitary facilities for workers (dressing rooms; sanitary facilities - availability of soap, towels, toilet paper; sinks for washing hands in production and living areas; storage conditions for clean and dirty sanitary clothing).

9.5. Organization of centralized washing of sanitary clothing.

9.6. Organization of meals for employees.

9.7. Availability of a first aid kit medical care.

10. Compliance Federal Law from 02/23/2013 No. 15-FZ "On protecting the health of citizens from the effects of environmental tobacco smoke and the consequences of tobacco consumption"

10.1 Smoking is prohibited in the premises of a public catering establishment; to indicate areas where smoking is prohibited, a smoking ban sign is placed (presence of a sign, no ashtrays, smoking prohibited on the summer area).

Sanitary and epidemiological requirements for business activities require compliance with sanitary standards, according to which the presence of synanthropic insects in the premises is unacceptable and requires regular measures for their destruction, as well as the existence of an agreement with a specialized organization for the provision of services

Compliance with these obligations is regulated by the following documents:

• 1. Federal Law of June 30, 1999 N 52-FZ “On the sanitary and epidemiological welfare of the population” (as amended and supplemented).
• 2. “Regulations on state sanitary and epidemiological regulation” dated July 24, 2000. Delay or absence of a pest control contract is a serious reason for Rospotrebnadzor authorities to suspend or completely terminate the organization’s activities. Tax and fine sanctions are used much less frequently as punishment for erring entrepreneurs.

The importance of a pest control contract

Sanitary maintenance of an enterprise is not only the responsibility of the owner, imposed on him by the Rospotrebnadzor authorities, but also an opportunity to protect his business from the harmful activities of insects and rodents, bacteria and viruses.

In particular, disinfestation is the destruction of pests in a room. The scale of insect pest activity should not be underestimated. Insects indoors mean not only the spread of infections and bacteria, but also damage to company property and goods offered to consumers. The presence of insects at an enterprise causes significant damage to the organization’s reputation, this is especially true for companies involved in the food supply, distribution or production of food products.

Comprehensive disinfection of the premises is the only reliable way out of the situation. Depending on the type of insecticide chosen, the protective effect can last up to six months.

Disinsection methods

Modern companies, specializing in the provision of sanitary and epidemiological services to the population, use new methods of insect control and insecticides that do not have a negative effect on people (drugs of hazard classes IV and V). That is why professional pest control does not require a complete suspension of business activity for a significant period.

The main methods of disinfestation of modern SES:

• Fumigation or gas treatment of the premises;
• Treatment using cold or hot fog generators;
• Application of aerosol or wet chemicals;
• Coolant.

An adequate method of insect control is selected based on the characteristics commercial enterprise. Often, a combination of several methods is used to achieve a 100% result.

Contract parameters

As mentioned above, a disinfestation contract is the only document that can confirm to the Rospotrebnadzor authorities the owner’s prudent attitude towards compliance with the sanitary and epidemiological regime at the enterprise.

What is a pest control contract? This document is a formalized agreement to carry out processing on the company's premises. The agreement is concluded between the executing company and the customer company, sealed with the signature of a representative of each party and the seals of the organizations.

The pest control agreement specifies:

• Legal details each side;
• Interval for performing disinfestation procedures (for contracts involving long-term maintenance);
• The pest control contract must indicate the area to be treated;
• To be negotiated additional conditions, of interest to the customer.

You can conclude a pest control contract for either one-time or annual maintenance. A long-term service agreement is a more rational way out of the situation, since this document may be required at any time.

Special offer for concluding an agreement from the company “SES-DOK”

The SES-DOK company has been specializing in sanitary and epidemiological services for private and corporate clients. Especially to solve the difficulties faced by entrepreneurs, we have developed a special package of services, one of which is the preparation of a contract for pest control.

What our specialists can help you with:

• Search for reliable partners;
• Preparation of a package of necessary documentation;
• Drawing up an agreement that takes into account the interests of the customer;
• Support of documents in Rospotrebnadzor authorities.

Our employees are well acquainted with high requirements requirements of the Rospotrebnadzor inspection for the preparation of reporting documentation. Their qualified assistance at all stages will help you calmly overcome all scheduled and unscheduled inspections.

You can find additional information about other services in other sections of our website or contact us by phone number. A competent specialist will provide advice and accept the application.

"SES-DOK" has been on the market for many years and provides services for registration and maintenance of sanitary documentation. During this time, we have earned a positive reputation among our clients.

These checks are not a private matter: since the Federal Service for Supervision of Consumer Rights Protection and Human Welfare began to report directly to the Government of Russia and was endowed with broader powers, its territorial departments have become more active, and public catering establishments and beauty industry enterprises.

Moreover, in their public statements, top officials Federal service for supervision in the field of consumer rights protection and human well-being have repeatedly stated that it is non-compliance sanitary rules leads to the massive spread of hepatitis B and C and HIV infection.

Inspections of clinics and beauty salons show that the wave of attention of managers and specialists to sanitary issues, raised in 2010 (after the publication of new sanitary rules and regulations, , ) has subsided and everything is going as usual again - inspectors find tufts of hair behind the heating radiators in the hairdressing salon, syringes are thrown into the household waste bin, and medical records do not contain stamps indicating that they have undergone regular preventive examinations.

At the same time, the Federal Law “On the Sanitary and Epidemiological Welfare of the Population” still asserts the personal responsibility of the manager for the sanitary condition of the facility. In Russian legislation, fines for violations in the field of sanitary and epidemiological welfare of the population are determined by Article 6.3 of the Code of Administrative Offenses, which also introduces a measure of liability:

“Violation of legislation in the field of ensuring the sanitary and epidemiological well-being of the population, expressed in violation of existing sanitary rules and hygienic standards, failure to comply with sanitary, hygienic and anti-epidemic measures, -

entails a warning or the imposition of an administrative fine on citizens in the amount of one hundred to five hundred rubles; for officials - from five hundred to one thousand rubles; on persons carrying out entrepreneurial activity without forming a legal entity - from five hundred to one thousand rubles or administrative suspension of activities for a period of up to ninety days; for legal entities - from ten thousand to twenty thousand rubles or administrative suspension of activities for a period of up to ninety days.”

Let's see in what case the head of a cosmetology clinic can shift responsibility to this very “official”?

You can transfer powers only by organizing internal document flow. That is, the head of a clinic or beauty salon writes orders for the organization, approves the production control program, issues the necessary accounting logs for the work and concludes with third parties all service contracts (removal of medical and household waste, disinfection, deratization, removal of mercury-containing lamps, etc.), appoints an employee responsible for compliance with the rules (again by order of the organization) and includes these responsibilities in his job description!

If the manager did not do this, then he himself will be responsible for the sanitary and epidemiological regime.

However, until now, many managers, even after purchasing internal control and accounting logs, concluding agreements with third-party organizations and approving a production control program, “get” fines, and even worse – punishment in the form of closure for 90 days.

In the city of Semiluki unscheduled inspection Rospotrebnadzor in the Zolotaya Rybka beauty salon found, among other violations, the absence of a developed production control program.

Employees of Rospotrebnadzor in Ugra, when inspecting the Glamor beauty salon, discovered that there was no quality control of sterilization and disinfection of instruments; There are no medical records with data on the results medical examination and sanitation and hygiene training.

The Department of Rospotrebnadzor in the Novgorod region conducted a number of inspections in beauty salons. Among the violations: lack permitting documents for cosmetics, log books and control of disinfectants and sterilization, production control programs.

Let's ask ourselves the question, why is this happening?

Everything is done as usual, that is, unprofessionally, without knowledge of regulations, without taking into account important organizational details, and the inspectors can see this with the naked eye. They have become skilled in this matter over many years!

Let's analyze typical mistakes:

The organization has a production control program and the person responsible for it was once approved, but at the time of the inspection he was already fired, and the contracts for servicing the clinic are overdue, moreover, there is not a single work acceptance certificate that would confirm that these works were carried out under contracts.

In order to monitor compliance with sanitary and epidemiological regulations, the clinic must regularly keep logs. Let's list some of them:

• Logbook for registration and control of ultraviolet bactericidal installation.
• Logbook of operation of air, (steam) autoclave sterilizers).
• Log of receipt and consumption of disinfectants for carrying out disinfection measures at facilities.
• Log book for general cleaning.
• Logbook for recording the quality of pre-sterilization treatment.

Typically, beauty salons purchase such magazines from companies that supply disinfectants. But you also need to learn how to fill them out. We don’t study and receive the following comments during an inspection by Rospotrebnadzor:

• There is a logbook for registration and control of the ultraviolet bactericidal installation, but there is only one for the entire establishment, although there are three installations. And working time tracking turns out to be a fiction. Meanwhile, the lamps must be changed when the power resource runs out, which is measured by operating time.
• Most often, a log of disinfectant consumption is not kept at all. The reason is simple: employees do not understand how to calculate this very expense, although everything is written in the instructions. Has anyone read it? No, although in addition to calculations, it also contains important information on safety precautions (it is included in the instructions for occupational safety in the workplace, but few people know about this either!)
• Classics of the genre! The data in the logbook for recording the quality of pre-sterilization treatment and the logbook for the operation of air and steam (autoclave) sterilizers do not match the dates. It turns out that some instruments were disinfected, but completely different ones were sterilized. But here we are dealing with two logs that record the steps of the same process - processing tools.
• Thermal indicators are not stuck to the sterilizer work log, and workers sometimes don’t even know why they need these stickers. Moreover, they do not understand that after sterilization the temperature indicator changes color and, therefore, this change is the only confirmation of the sterilization process. However, we see magazines in which these stickers are present, but have not changed color, that is, they have not undergone heat treatment

There are dozens of these and other equally offensive and annoying mistakes. It is clear that employee training is needed. It is clear that managers must first be trained.

That is why we invite all responsible owners, managers of clinics and beauty salons to , where a separate report “Sanitary and epidemiological regime in the clinic and registration of measures to comply with it in special journals” will be devoted to this topic.

Moreover, the workbooks for participants will provide basic accounting and control logs and examples of how to fill them out.

Federal Law No. 294-FZ of December 26, 2008 “On the protection of the rights of legal entities and individual entrepreneurs in the exercise of state control (supervision) and municipal control” (as amended on July 28, 2012) limits the frequency of scheduled state supervision for treatment and preventive organizations (LPO) engaged in medical activities, up to two times every three years. At the same time, a huge responsibility falls on the shoulders of individual entrepreneurs and legal entities to organize independent production control, the purpose of which in healthcare facilities is to ensure safe conditions for the implementation of the diagnostic and treatment process for patients and medical personnel.

Regulatory basis of production control

There are two types of control over compliance with sanitary rules and the implementation of sanitary and anti-epidemic (preventive) measures: external and internal. External control is carried out by territorial departments, territorial bodies of Rospotrebnadzor as planned - twice every three years or as extraordinary (unscheduled) - based on epidemiological indications, complaints, emergency situations, verification of orders, decisions of judicial authorities and prosecutors. Internal control (production) can be either visual or laboratory-instrumental.

In accordance with Art. 11 of Federal Law No. 52-FZ of March 30, 1999 “On the sanitary and epidemiological welfare of the population” (as amended on June 25, 2012; hereinafter referred to as Federal Law No. 52-FZ) a legal entity and an individual entrepreneur are obliged:

• comply with the requirements of sanitary legislation, as well as resolutions and instructions of officials exercising federal state sanitary and epidemiological supervision;
• develop and carry out sanitary and anti-epidemic (preventive) measures, ensure the safety of the work performed and services provided for human health;
• carry out production control over compliance with sanitary rules, including through laboratory research and testing;
• promptly inform institutions of the state sanitary and epidemiological service about emergency situations, violations of technological processes that create a threat to the sanitary and epidemiological well-being of the population;
• carry out hygienic training of workers.

Almost all provisions of Art. 11 of Federal Law No. 52-FZ are provided for by the production control plan. In the Letter of Rospotrebnadzor dated April 13, 2009 No. 01/4801-9-32 “About standard programs production control" a plan for laboratory and instrumental research on production control for a multidisciplinary hospital was proposed - the so-called basic plan. On its basis, it is possible to develop plans for laboratory and instrumental research on production control for medical facilities of almost any profile.

The said Letter lists the organizations in which not required carrying out laboratory and instrumental research within the framework of the production control program. These are medical and pharmaceutical organizations without parenteral interventions, without the use of medical instruments and equipment, without the use of therapeutic and diagnostic devices that are sources of ionizing and non-ionizing radiation, and, finally, not working with microorganisms of pathogenicity groups 1–4.

Scope and objects of production control

Production control in a hospital-type hospital covers all areas of the institution’s life, including its sanitary and technical condition and maintenance, the correctness of space-planning decisions, the organization of nutrition for patients and staff, compliance with the anti-epidemic, including disinfection and sterilization, regime, deratization and disinfestation work, disposal of medical waste and improvement of the territory of medical facilities, working conditions of medical personnel, their protection from harmful physical, chemical and biological factors of the hospital environment. The production control plan, at the suggestion of hospital epidemiologists, also included a section on anti-epidemic measures in the event of the introduction of infectious diseases, primarily acute intestinal, droplet infections, including diphtheria, measles, influenza, meningitis, tuberculosis, parenteral viral hepatitis, as well as on the prevention of major groups of purulent-septic infectious diseases caused by opportunistic microorganisms.

Production control is based on objective assessments the listed factors Therefore, to ensure it, it is necessary to provide various laboratory and instrumental studies. Organization of necessary laboratory research and testing is carried out legal entity(individual entrepreneur) independently or with the assistance of a laboratory accredited in the prescribed manner.

Main objects of laboratory and instrumental control are:

• studying objects of the intrahospital environment through swabs, collecting material (medical products, dosage forms) for sanitary and bacteriological studies and sterility;
• study of air, tap water and water for the production of injection solutions;
• bacteriological testing of sterilizing equipment;
• measurements of artificial illumination, microclimate parameters, noise levels from ventilation and medical-diagnostic installations, levels of non-ionizing and ionizing radiation from medical-diagnostic equipment.

All these studies are carried out with a frequency regulated by the relevant regulatory documents, a link to which is indicated in the production control plan in a special column.

A legal entity is obliged to create an instructional and methodological base at the facility. Therefore, a list of all necessary regulatory documentation is attached to the production control plan (legislation of the Russian Federation in the field of ensuring sanitary and epidemiological well-being, state standards, officially published sanitary norms and rules, instructions and other instructional and methodological documents).

Responsibility for the development, organization and compliance with production control rests with the head of the health care facility. He appoints by order those responsible for implementing sanitary and anti-epidemic (preventive) measures and maintaining production control. The number of this order is entered on the title page.

Responsibility for carrying out production control is indicated in job descriptions workers. The head of the health care facility organizes special professional training for officials carrying out production control. Lists of employees for training and certification are compiled. The responsible person monitors compliance with the recertification deadlines.

Production control plan

The production control plan includes a title part, which contains complete information about the legal entity, including:

• certificate of state registration;
• lease contract;
• information on the number of employees, including those related to the decreed contingent;
• availability of a license, sanitary and epidemiological conclusion for types of medical or pharmaceutical activities;
• listing of contracts for the treatment of household and medical waste, washing of linen and workwear;
• information about periodic inspections medical personnel, disinfestation and deratization, disinfection and cleaning of the ventilation system, etc.

The plan indicates: the name of the activities, the responsible person, links to existing regulations, due date and completion mark.

Sections of the plan include a hygienic assessment of the following harmful factors in the production environment of health care facilities of a physical, chemical and biological nature:

• building materials used in the construction, repair and reconstruction of medical facilities;
• compliance with the disinfection and sterilization regime in health care facilities;
• the state of the laundry facility, disinfection and washing of linen;
• occupational morbidity of personnel with the appointment of a set of preventive and anti-epidemic measures;
• correspondence sanitary rules drinking water, the air environment of the medical facility and sources of ionizing and non-ionizing radiation (generating, non-generating);
• quality of disinfection measures;
• maintaining the territory of the healthcare facility in accordance with the requirements of sanitary regulations.

When violations of sanitary rules are detected at a facility, the production control plan provides for measures aimed at eliminating them, including:

• suspension or termination of the facility’s activities;
• informing territorial department Rospotrebnadzor about what happened, including measures taken to eliminate violations of sanitary rules;
• other activities, the implementation of which is necessary for effective control over compliance with sanitary rules and hygienic standards, implementation of sanitary and anti-epidemic (preventive) measures, depending on the specifics of the activity being carried out, the work performed and the service provided.

So, production control covers all areas of ensuring the activities of health care facilities. The frequency of monitoring on various issues, depending on the epidemiological significance, ranges from daily to monthly and annual.

Sanitary and epidemiological support

IN modern conditions The role of health care providers’ own control and interest in compliance with the anti-epidemic regime, which has a direct impact on the quality of medical care, is increasing. However, the management of healthcare facilities does not always have the opportunity to engage in day-to-day monitoring of compliance with the anti-epidemic regime. In this regard, sanitary and epidemiological support of the facility becomes in demand.

Under sanitary and epidemiological support you should understand the method of organizing internal control over compliance with sanitary rules, during which wide range methods, including the use of laboratory and instrumental research. The purpose of such support is to promote the creation of an effective system of preventive and anti-epidemic measures that ensure safe conditions carrying out the diagnostic and treatment process in the interests of a legal entity and individual entrepreneur.

During sanitary and epidemiological support are being implemented:

• checking compliance of medical facilities with current sanitary standards;
• checking compliance with the anti-epidemic, including disinfection and sterilization regime;
• informing the head of the healthcare facility about the sanitary and technical condition and maintenance of the facility, violations of the anti-epidemic regime;
• development of proposals and recommendations for bringing healthcare facilities into compliance with sanitary standards and monitoring their implementation;
• consulting department heads, specialists and health care workers on issues of sanitation, hygiene and epidemiology, including on organizing the prevention of nosocomial infections, changing the functional purpose of premises, planning decisions, organizing air exchange, handling medical waste, disinfection and sterilization regime, organizing anti-epidemic measures at case of infection in health care facilities, immunization of employees and other areas of activity;
• hygiene training for employees;
• organization of preparation for Rospotrebnadzor inspections, support of inspections;
• representing the interests of a legal entity and individual entrepreneur in court within its competence, etc.

The difference between inspections during sanitary and epidemiological support and control by supervisory authorities is that the specialist carrying out the support protects the interests of a legal entity and an individual entrepreneur. Its goal is to help a legal entity and individual entrepreneur establish an anti-epidemic regime in an institution, identify violations, propose ways to eliminate them and monitor implementation. This allows the manager, using the experience and qualifications of a specialist, to establish effective control over the implementation of sanitary standards and rules in individual departments and in the institution as a whole. Using information from sanitary and epidemiological support, management can quickly and timely implement the necessary changes within the institution, i.e., make management decisions.

Sanitary and epidemiological support is carried out under agreements with legal entities and individual entrepreneurs. Currently, federal government institutions are the most prepared for this activity—hygiene and epidemiology centers. The contract can be one-time (drawn up for each examination) or long-term (for a year, defining the number of visits, volume and frequency of laboratory and instrumental studies).

The accompanying specialist not only identifies errors in the system of preventive and anti-epidemic measures and gives qualified advice on these issues, but can also organize appropriate consultations with highly specialized specialists.

A sanitary and epidemiological support specialist is responsible for fulfilling his duties to a legal entity or individual entrepreneur, and he is obliged, like a doctor of any other specialty, to maintain the confidentiality of information.

Sanitary and epidemiological support can be carried out as part of the production control program. At the same time, a sanitary and epidemiological support plan can be developed based on the applicant’s requests.

The sanitary and epidemiological support program may include:

• examination of medical facilities;
• development of a production control program;
• hygienic assessment of medical facilities for the preparation of instrumental and other types of examinations;
• laboratory research and instrumental measurements;
• hygienic training and education of workers;
• written and oral consultations on anti-epidemic and preventive measures (in case of the introduction of infectious diseases, infection of an employee, drawing up various documents, etc.).

Thus, a specialist providing sanitary and epidemiological support actually performs the functions of a hospital epidemiologist at the facility, but unlike a hospital epidemiologist, a specialist (sanitary doctor or epidemiologist) is not administratively subordinate to the head of the institution.

KHRAPUNOVA I. A., head Department of Hygiene, Medical Institution of the Federal Budgetary Institution of Health "Center for Hygiene and Epidemiology in Moscow", Associate Professor of the Department of Epidemiology and Evidence-Based Medicine of the First Moscow State Medical University named after. I. M. Sechenova, dr med. sciences

Agreement No. ____

To provide a range of sanitary and epidemiological services

Moscow "___" ________ 2012

________________________________________________________________________ , hereinafter referred to as “Customer”, represented by _______________________________________________, acting on the basis _________________, on the one hand, and

Limited Liability Company "Carpe Diem" hereinafter referred to as the "Contractor", represented by General Director Simonenko Alisa Sergeevna, acting on the basis of the Charter, on the other hand, have entered into this agreement as follows.

1.1. The Customer instructs, and the Contractor assumes obligations to carry out pest control work at the Customer’s Facilities at the addresses:

- with total area ______________________sq. m..used for ____________,

- ______________________________________________, with total area ______________________sq. m.. used under ____________,(hereinafter referred to as works), namely:

1.1.1. inspection of the Customer's Property to determine its infestation with insects, rodents, and microorganisms;

1.1.2. carrying out disinsection, disinfection, deratization at the Customer's Site.

1.2. The work is carried out by the Contractor within the time limits established in the application.

Performer based on:

Law of the Russian Federation “On the sanitary and epidemiological welfare of the population” of March 30, 1999, Order of the mayor of 07/02/98, “On strengthening measures for the prevention of hemorrhagic fever with renal syndrome (HFRS), other natural focal infections and rodent control in the city Moscow",

Resolution of the Chief State Sanitary Doctor for Moscow No. 8 dated May 29, 2000.

“On sanitary certification of an object subject to disinfestation and deratization, taking into account addition No. 16\.1-272 dated 08/11/00. “on the use of old-style facility sanitary passport forms”,

Sanitary and epidemiological rules SP3.5.3.1129-02 “Sanitary and epidemiological requirements for deratization”,

Sanitary and epidemiological rules SP 3.5.1378-03 “Sanitary and epidemiological requirements for the organization and implementation of disinfection activities”,

Sanitary and epidemiological rules and regulations SanPin 3.5.2.1376-03 “Sanitary and epidemiological requirements for the organization and implementation of disinfestation measures against synanthropic arthropods”, as well as current sanitary

epidemiological rules, in accordance with the type of activity of the Customer,

Decrees of the Moscow government dated December 30, 2003. “On improving the organization and implementation of disinfection, disinfestation and deratization measures at Moscow facilities”

2. Obligations of the Contractor

2.1. The Contractor undertakes to carry out disinfection and disinfestation work using modern means authorized by the Ministry of Health of the Russian Federation, and in accordance with the schedule approved by both parties for each facility.

2.2. The performer is obliged to carry out internal control the quality of the work being carried out, informing the Customer about its results and advising the Customer on sanitary and preventive measures that increase the efficiency of the work being carried out.

2.3. The Contractor is obliged to familiarize the Customer with the safety rules for using disinfectants to combat rodents (insects, bacteria).

3. Responsibilities of the Customer.

3.1. The Customer designates by order a responsible person who is present while the Contractor carries out the work, certifies its completion by signing Certificates of Work Completed, indicating the fact of work completion, with a mark in the sanitary passport of the facility (for catering facilities) and the Customer is responsible for failure to complete the work schedule for reasons , depending only on the Customer.

3.2. The Customer complies with all the Contractor’s instructions that contribute to the effectiveness of the work carried out in specified deadlines, in accordance with SP 3.5.3.1129-02, as well as SanPiN 3.5.2.1376-03, provides sanitary hours for carrying out disinfection measures.

3.3. The Customer complies with all personal and public safety measures specified by the Contractor.

3.4. The customer provides access to all premises, the necessary lighting (basements, garbage chambers, technical corridors, utility rooms), electrical safety, drainage and cleaning of basements, serviceability of steps, railings, floors and other necessary labor protection and safety conditions for carrying out disinfection work.

3.5. The Customer ensures the safety of fishing gear and equipment used by the Contractor during disinfection.

3.6. The customer operates the facilities where disinfection work is carried out in accordance with existing sanitary standards.

4. Terms of payment.

4.1. The total cost of work carried out under this agreement from the moment of signing is ________________ (amount in words) rubles __________ kopecks is not subject to VAT.

4.2. Procedure for payment for work under this contract:

4.3. If it is necessary to carry out additional work related to changes in sanitary conditions at the facilities or the expiration of paid stages of work, additional work is paid for separately, on the basis of additional agreements to this agreement.

4.4. In the event of a change in the cost of work related to inflation processes and not dependent on the activities of the Contractor, the change in prices for work occurs by agreement of the parties on the basis additional agreement to this agreement.

4.5. Payment for all work under this agreement is made by bank transfer.

5. Responsibility of the parties.

5.1. In case of insufficient efficiency of the work carried out by the Contractor, the Customer has the right during each quarterly period require the Contractor to carry out free of charge additional work necessary to achieve the level of quality specified in this agreement.

5.2. In case of violation by the Customer of the agreed schedule and scope of work carried out, or incomplete processing of the object (at the Customer’s request), the Customer has no right to demand from the Contractor the quality of work specified in the contract, as well as in the event of the Customer’s failure to comply with current sanitary standards or the Contractor’s instructions that contribute to the efficiency of the work being carried out.

5.3. For violation of the terms of this agreement, the Parties are responsible in accordance with the current legislation of the Russian Federation and the terms of this agreement.

6. Conditions for delivery and acceptance of work under the contract.

6.1. All work under this agreement can be completed ahead of schedule, also by signing the Work Acceptance Certificate.

6.2. If there are no objections to the content of the act, the Customer signs it immediately, and if there are objections in writing, within five days he submits a reasoned refusal to sign the said act.

6.3. In the event of an unmotivated refusal by the Customer to sign the act, a note to this effect is made in it and the act is signed by the Contractor.

7. Special conditions.

7.1. Any changes and additions to this agreement are valid if

they are made in writing and signed by both parties.

7.2. All disputes and disagreements that may arise from this agreement or in connection with it will, if possible, be resolved through negotiations between the parties.

7.3. If disagreements cannot be resolved through negotiations, they are subject to resolution by state arbitration bodies.

7.4 The contract period is 12 (Twelve) months.

8. Addresses and details of the parties.

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