The Ministry of Labor did not classify working conditions in intensive care as harmful without taking into account additional factors

Thus, the order stipulates that the classification of working conditions for employees of intensive care units, operating rooms and intensive care units to a certain class will depend on the duties they perform. For example, the final class of working conditions for the parameters of intensity of such employees is increased by one level if they are engaged in the provision of specialized, including high-tech medical care or perform manipulations aimed at saving the lives and health of citizens. During the public discussion, the representative of the Trade Union of Healthcare Workers of the Russian Federation Yuri Guznaev proposed to stipulate that the working conditions of doctors of these specializations should be set at no lower than 3.1, which corresponds to harmful working conditions of the first degree. However, the department did not take this remark into account.

The regulator added a clarification to the order that the medical organization where the inspection is being conducted must provide the experts conducting the special assessment of working conditions with sanitary clothing (gown, shoe covers, cap, mask). During the public discussion, it was proposed to impose such an obligation on the employers of the employees conducting the inspection.

The draft thematic order was submitted for public discussion in early February 2025. The developed document largely repeated the provisions of the current order, as indicated by the Ministry of Labor itself. In the middle of the same month, 13 proposals from registered users of the Federal Portal of draft regulatory legal acts were published . Six of them were eventually taken into account, one was taken into account partially, the rest were rejected.

Among the rejected proposals was one that indicated the redundancy or impossibility of fulfilling the requirements for assessing the injury risk of a workplace. The authors of such amendments, in particular, cited the lack of a specific methodology for assessing this provision.