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Official Authorizations: ANC • DSP Bucharest • ISCIR • OSH
+40 745 957 630 [email protected]
Medical Protocols & Employee Health Surveillance

Complete Occupational Medicine Services under G.D. no. 355/2007

Occupational health encompasses specialized medical activities dedicated to preventing occupational diseases, monitoring biological and clinical compatibility between employees and job requirements, and maintaining work capacity in full health safety.

Standardized Fitness Certificates
Quarterly CSSM Attendance
Full Medical Liability
Compliance Guarantee 100% AUDIT READY
Occupational medicine clinical room equipped with modern diagnostic instruments in Bucharest
Examination Request Risk factor identification form
Targeted Investigations According to job-specific annexes
Medical Conclusion Fit / Conditionally Fit / Unfit
ITM / DSP Reports Annual workplace health summary
Mandatory Clinical Examination Structure

Types of Medical Examinations Provided

Every examination is performed in strict accordance with Annex 1 of G.D. 355/2007, guaranteeing the legal validity of fitness certificates during any ITM inspection or system audit.

Art. 13 - 17 GD 355

Pre-Employment Medical Examination

Evaluates the candidate's anatomical and psychophysiological compatibility with the occupational risks of the future role prior to signing the employment contract.

Mandatorily includes:

• Complete occupational anamnesis and general clinical exam

• Mandatory hazard-specific paraclinical investigations

• Issuance of the fitness certificate in 4 copies

Art. 18 - 19 GD 355

Workplace Adaptation Medical Examination

Performed as indicated by the occupational medicine physician within the first 30 days of employment to monitor biological adaptation in high-risk roles.

Specific objectives:

• Verifying physiological tolerance to identified hazards

• Early detection of overexertion symptoms

• Ergonomic workstation adjustment before chronic onset

Art. 20 - 22 GD 355

Periodic Medical Examination

Ensures continuous surveillance of employee health at legally mandated intervals (annually or biannually), identifying potential health changes at preclinical stages.

Schedule & Management:

• Proactive notification of due dates across the company

• Specific tests (ECG, spirometry, audiometry, blood glucose)

• Renewal of fitness certificates without halting production

Art. 23 - 24 GD 355

Return-to-Work Medical Examination

Mandatory after a work interruption of at least 90 days for medical reasons or 6 months for any other reason, confirming that returning to the role does not endanger the employee's health.

Application context:

• Following extended sick leave or surgical procedures

• Returning from maternity / parental leave

• Determining any required temporary work restrictions

Art. 35 - 37 GD 355

Workplace & Risk Factor Monitoring

Conducting assessment visits at client premises, identifying and quantifying physical, chemical, and biological hazards as well as neuropsychic or musculoskeletal strain.

Field activities:

• Checking occupational hazards and workplace microclimate

• Preparing summary risk exposure sheets

• Technical and organizational recommendations to reduce exposure

Art. 40 - 42 GD 355

Ergonomic Counseling & Vocational Reintegration

Direct consulting to adapt workstations to employees' anatomical characteristics and coordinate rehabilitation for staff with reduced work capacity.

Integrated interventions:

• Ergonomic audit for static postures (VDT, offices, assembly lines)

• Guidance for reintegrating workers with conditional fitness

• Preventive postural ergonomics and hygiene programs

Medical Authority & Institutional Dialogue

Role of the Occupational Medicine Specialist Physician

The occupational medicine physician is not merely a signer of administrative documents, but the primary technical and medical advisor to company management and the Occupational Safety and Health Committee (CSSM).

Quarterly CSSM Meetings

Active and mandatory participation in all quarterly CSSM meetings, presenting morbidity reports and health remediation measures to the committee.

Fitness Certificate

Sovereign medical decision regarding work capacity: fit, conditionally fit, temporarily unfit, or permanently unfit, backed by rigorous clinical justification.

Occupational Diseases

Identifying, reporting, and declaring suspected occupational diseases or work-related conditions to the Public Health Directorate (DSP) according to legal methodology.

Annual Health Report

Preparing the annual workforce health synthesis, highlighting morbidity trends, sick leave days, and required prophylactic measures.

Medical Accountability Pyramid
ITM • DSP Audit
Direct assistance during inspections conducted by the Territorial Labor Inspectorate (ITM).
Completion of BP1 reporting forms and legal-medical advisory for management.
Flexible Logistics Organization

Tailored to Your Organization's Structure

We offer full flexibility through examinations in our own clinic network or by dispatching mobile medical teams directly to the employer's work sites.

Examinations at Expert Center Medical Clinics

Ideal for companies with ongoing hiring, administrative staff, or continuous recruitment flows. Fast scheduling with average wait times under 15 minutes.

  • Dedicated consultation room equipped with high-precision instruments
  • Blood collection and clinical testing in the same location
  • Easy access and parking for candidates

On-Site Mobile Medical Unit & Team

Designed for teams of 20+ employees, factories, logistics hubs, and construction sites, eliminating employee travel downtime.

  • Portable medical equipment (audiometer, spirometer, ECG)
  • Schedule adapted to your company's shift rotations
  • Zero disruption to productive operational activity

Request a Tailored Occupational Medicine Quote

Rates are calculated transparently based on employee headcount, occupational risk factors, and geographic distribution of work sites.

Guaranteed response within 24 business hours
Combined packages: Occupational Medicine + OSH & Emergency Preparedness
Direct consultation: +40 745 957 630
B2B Request Form under GD 355/2007

Complete your company details to receive our technical and financial proposal.

Secure transmission to [email protected]

Transparency, Compliance & Medical Data Protection

We guarantee strict protection of medical confidentiality under Patient Rights Law no. 46/2003 and Regulation (EU) 2016/679 (GDPR).

Confidentiality of Medical Records

The employer receives exclusively the Fitness Certificate stating the final conclusion. Clinical diagnoses, individual medical files, and paraclinical results are subject to strict medical secrecy and cannot be disclosed to management.

40-Year Legal Archiving

Occupational medicine files are retained under Ministry of Health and DSP regulations for at least 40 years after occupational exposure ends, ensuring continuous legal protection for both employee and company.

ITM Compliance & Representation

All procedures are aligned with ITM inspector and DSP hygiene physician requirements. During official inspections, Expert Center provides immediate documentary support and medical justification of issued fitness certificates.