Decree No. 449 / 2025 Coll.
Decree amending Decree No. 79 / 2013 Coll., on the implementation of certain provisions of Act No. 373 / 2011 Coll., on specific health services (Decree on occupational medical services and certain types of assessment care), as amended
Valid
Order
Effective from 01.01.2026
Text versions:
01.01.2026
07.11.2025
449
DECLARATION
of 17 October 2025
amending Decree No. 79 / 2013 Coll., on the implementation of certain provisions of Act No. 373 / 2011 Coll., on Specific Health Services, (Decree on occupational medical services and certain types of assessment), as amended
The Ministry of Health provides, pursuant to § 95 (1) for the implementation of § 52 (a), (c) and (d) and § 60 and in agreement with the Ministry of Education, Youth and Sports pursuant to § 95 (2) for the implementation of § 52 (b) of Act No. 373 / 2011 Coll., on Specific Health Services, as amended by Act No. 202 / 2017 Coll. and Act No. 290 / 2025 Coll.:
Decree No. 79 / 2013 Coll., on the implementation of certain provisions of Act No. 373 / 2011 Coll., on Specific Health Services (Decree on Professional Medical Services and Certain Types of Assessment Care), as amended by Decree No. 436 / 2017 Coll., Decree No. 452 / 2022 Coll. and Decree No. 11 / 2024 Coll., is amended as follows:
1. footnote 1 shall read:
"(1) Article 9 (1) and (2) of Council Directive 90 / 270 / EEC of 29 May 1990 on minimum health and safety requirements for work with imaging units (fifth individual Directive within the meaning of Article 16 (1) of Directive 89 / 391 / EEC). The first subparagraph of Article 8 (1) of Directive 2002 / 44 / EC of the European Parliament and of the Council of 25 June 2002 on minimum health and safety requirements against exposure of workers to risks related to physical agents (vibrations) (16th individual Directive within the meaning of Article 16 (1) of Directive 89 / 391 / EEC). Article 10 (2) of Directive 2003 / 10 / EC of the European Parliament and of the Council on minimum health and safety requirements against exposure of workers to risks related to physical agents (noise) (17th individual Directive within the meaning of Article 16 (1) of Directive 89 / 391 / EEC). Article 14 (1), (2) and (4), points 1 and 2 of Annex II and Annex IIIa to Directive 2004 / 37 / EC of the European Parliament and of the Council of 29 April 2004 on the protection of workers from risks related to exposure to carcinogens, mutagens or reprotoxic substances at work (Sixth individual Directive within the meaning of Article 16 (1) of Council Directive 89 / 391 / EEC) (Codified version), as amended by Directive (EU) 2017 / 2398 of the European Parliament and of the Council, Directive (EU) 2022 / 431 and Directive (EU) 2024 / 869 of the European Parliament and of the Council. Article 18 (1), first to third subparagraphs, Article 19 (2) and point 3 of Annex I to Directive 2009 / 148 / EC of the European Parliament and of the Council of 30 November 2009 on the protection of workers from the risks associated with exposure to asbestos at work (codified version), as amended by Regulation (EU) 2019 / 1243 of the European Parliament and of the Council and Directive (EU) 2023 / 2668 of the European Parliament and of the Council. Article 45 (3) (a) and (b), Article 45 (4) and Article 49 of Council Directive 2013 / 59 / Euratom of 5 December 2013 laying down basic safety standards for the protection against exposure to ionising radiation and repealing Directives 89 / 618 / Euratom, 90 / 641 / Euratom, 96 / 29 / Euratom, 97 / 43 / Euratom and 2003 / 122 / Euratom. Point 1 of the Annex to Council Directive 2014 / 112 / EU of 19 December 2014 implementing the European Agreement on the adaptation of certain aspects of the organisation of working time in the inland waterway transport sector, concluded by the European Union of Inland Navigation (EBU), the European Maritime Captains Organisation (ESO) and the European Transport Workers' Federation (ETF). ';
2. in Article 2 (a) (2), the words "No 1" shall be inserted after the words "in accordance with the Annex."
3. In Paragraph 5 (2), at the end of point (c), the word "a 'is replaced by a comma.
4. In Article 5, at the end of paragraph 2, the dot is replaced by "a 'and the following point (e) is added:
"(e) copies of the records of risky work, if requested by the provider of occupational medical services."
5. The following Section 5a is inserted after Section 5:
Replacement procedures, organisation and conduct of occupational medical services when declaring an emergency state, a state of danger, a state of war or a regulation of emergency measures in the event of an epidemic and the risk of its occurrence
(1) In order to ensure the provision of occupational medical services in the event of a declaration of emergency status, a state of danger, a state of war or an order of emergency measures in the event of an epidemic and a danger of its occurrence, provided that such conditions and measures are declared for the whole territory of the Czech Republic (hereinafter referred to as "the states or measures'), unless otherwise specified below, they shall be carried out as follows:
(a) entry medical examinations shall not be carried out for persons whose employment relationship or similar employment relationship arises during the period of the condition or measure and whose work is, under the Public Health Protection Act, in the first and second categories and if the activity for which the medical conditions are laid down in Annex 1 to this Decree or other legislation is not part of that work; entry inspections which have not been carried out because of a declared condition or measure shall be carried out within 90 days of the day following the end of the condition or measure;
(b) periodic examinations shall not be carried out in accordance with Article 11 for works classified in categories 1 and 2 under the Public Health Protection Act, unless the activity for which the medical fitness conditions are set out in Annex 1 to this Decree or other legislation is part; periodic examinations which have not been carried out because of a declared condition or measure shall be carried out within 180 days of the day following the date of completion of the condition or measure,
(c) supervision in accordance with Article 3 (2) shall not be carried out in the workplace; supervision which has not been carried out because of a declared condition or measure shall be carried out within 90 days of the day following the date of completion of the condition or measure;
(d) advice shall be carried out only in such a way as to enable a remote connection through communication technologies; in the case of a condition or measure declared due to a worsening epidemiological situation, advice shall be given with a focus on this situation in relation to health protection at the workplace.
(2) The provision of occupational medical services may also be carried out through standard procedures during the duration of the condition or measure, by mutual written agreement between the provider of occupational medical services and the employer, with a view to protecting the health of workers and the nature of the condition or measure. ';
6. In Article 6 (1), the words "or for education, including the simultaneous assessment of medical fitness for practical instruction and practical training," shall be inserted after the words "medical fitness for education," and the words "No 1 to this decree."
7. In Article 6 (5), the words "and shall be based on the information contained in the application referred to in Article 8 (2) 'are deleted.
8. In Paragraph 7 (2) (c), the words "this Order 'are replaced by the words" No 1 to this Order'.
9. In Article 7 (5), the words "this Order 'are replaced by the words" No 1 to this Order'.
10. In Paragraph 10 (2), the words "or before the transfer of a staff member to work other than that carried out under different conditions from that for which the staff member's medical fitness has been assessed. Different conditions mean an increase in risk factors by at least one or a change in risk factors or, where appropriate, classification for the performance of risk labour '.
11. in Article 11 (2) (a) of the introductory part of the provision, the word "to" shall be replaced by "her" and the word "in writing" shall be inserted after the word "staff member."
12. in Paragraph 11 (2) (b) of the introductory part of the provision, the word "to" shall be replaced by "her" and the word "in writing" shall be inserted after the word "staff member."
13. in Article 11 (4), the words "this Order" are replaced by the words "No 1 to this Order."
14. In Article 11 (5), the words "risk or 'are replaced by the words" risk or if it is a risk or work'.
15. in Article 11 (6) (a) (1):
"1. entry or emergency inspections pursuant to § 12 (2) (e), § 12 (2) (f) (3), § 12 (2) (g) or § 12 (3) (a) or"
16. in Article 12 (1):
"(1) An emergency inspection shall be carried out to establish the health status of the worker under consideration in the case of:
(a) a reasonable assumption that there has been a loss or change of medical fitness for work;
(b) the inclusion of an employee in a risk factor not yet taken into account;
(c) an increase in the risk level of the risk factor already taken into account; or
(d) the transfer of a staff member to work which is carried out under different conditions from that on which the staff member's medical fitness has been assessed; the following point is inserted:
17. in Article 12 (2) (e), the word "or" shall be deleted;
18. in Paragraph 12 (2) (f) (3):
'3. for other reasons, unless the reasons in points 1 and 2 are concerned, for a period of more than 6 months, with the exception of the performance of work in the first category under the Law on Public Health and not in the case of work or activity involving a professional risk, or in the absence of any other legislation (5), or in the absence of interruption of work due to the drawing up of maternity or parental leave or unpaid leave immediately following the taking of parental leave; ';
19. In Article 12, at the end of paragraph 2, the dot is replaced by "or 'and the following point (g) is added:
"(g) the staff member has been assigned to a risk factor not yet taken into account or before transferring the staff member to another work in respect of work carried out under different conditions from that on which the staff member's medical fitness has been assessed.";
20. in Article 12 (4) (b), the words "or (g)" shall be inserted after the words "or (f) (3)."
21. In Paragraph 14 (2) of the introductory part of the provision, the words "the Order" are replaced by the words "No 1 to the Order."
22. in Article 14a (1), the words "or a medical examination of a candidate for secondary or higher education, including a simultaneous assessment of medical fitness for practical instruction and practical training," shall be added at the end of the text of point (a).
23. in Article 14a (1) (b), the words "or when the medical assessment of a person preparing to pursue a profession was carried out in the framework of the assessment of medical fitness for education, including the simultaneous assessment of medical fitness for practical instruction and practical training" shall be added at the end of the text of point 2.
24. in Article 14a (2), the words "the medical examination referred to in paragraph 1 (b) (1) may also be carried out at the end of the text of point (a)."
25. in Article 14a (2), the words "shall be added at the end of the text referred to in point (b); according to the previous sentence, it shall be treated mutatis mutandis in the case of a request for medical examination by the school director referred to in paragraph 1 (b)."
26. in Paragraph 15 (1) (a), the words "or an undertaking natural person" shall be added at the end of the text of point 1.
27. in Article 15 (1) (c), the words "weekly working time" shall be inserted after the words "weekly working time," after the words "working time," the words "shift time," and the words "critical risk factors of working conditions" shall be inserted after the words "and other facts, if relevant for medical assessment,";
28. in Article 15a (2) of the introductory part of the provision, the words "(a), (b) and (d)" shall be deleted;
29. in Article 15a (2) (d), the words "if the application referred to in Article 8 (1) (b) (2) or (c)" are replaced by the words "and other facts if they are relevant for the medical assessment."
30. in Article 15a, the following paragraph 3 is added:
"(3) The application shall include the particulars referred to in paragraphs 1 and 2 (d) when a parallel assessment of the medical fitness for practical training is carried out in the framework of the assessment of the medical fitness for training of the applicant. ';
31. the words "and the particulars referred to in Article 15 (1)" shall be inserted after the words "health documents26)."
32. in Article 16, points (a) and (b) are deleted;
Points (c) to (e) shall be renumbered (a) to (c).
33. In Paragraph 16, the current text becomes paragraph 1 and the following paragraph 2 is added:
"(2) The model medical opinion on fitness for work is set out in Annex 2 to this Decree; Such a model shall not apply to medical assessments of medical fitness for work where the medical assessment requirements are governed by other legislation. ';
34. in Article 17 (2) (a), the words "and other facts, if relevant for medical assessment" shall be inserted after the words "critical risk factors of working conditions."
35. In Article 17, paragraphs 3 and 4 are added:
"(3) Where, in the context of the assessment of the medical fitness for education by the applicant for the training, a simultaneous assessment of the medical fitness for practical instruction and practical training is carried out, the medical assessment of the medical fitness for training, including a parallel assessment for practical teaching and practical training, other than those required by the legislation governing the formalities and content of the medical documents26), the data referred to in paragraphs 1 (b) and (c) and 2 shall be included.
(4) The model of medical assessment on medical fitness for practical instruction and practical training is set out in Annex 3 to this Decree; Such a model shall not apply to medical assessments of medical fitness for practical instruction and practical training where the medical assessment requirements are governed by other legislation. ';
36. In Annex I, point 2.1. The following heading 2.1.1 is inserted after subpoint 8:
"2.1.1. Medical examinations for works classified as risk categories for lead."
37. In point 2.1 of Part I of the Annex, the following point 2.1.2 is inserted after point 2.1.1:
"2.1.2. Medical examinations for works not classified as hazardous to lead
Entry examination: basic examinations and other professional examinations according to the nature and extent of the risk involved
Periodic examination: basic examination and other expert examination according to the nature and extent of the risk involved, plumbemia; the examination of plumbemia is followed by the legislation laying down conditions for health at work18)
Periodic inspection times: 1x per 2 years
Output examination: examination in the range of periodical examination including examination of plumbemia
Subsequent tours: 0 '.
38. In point 2.21 of Part I of the Introductory Part of the Provisions, the word "Isocyanates' is replaced by" Diisocyanates' and the words "if the substance or mixture is marked with EUH204 'are added at the end of the text of the Introductory Part of the provisions of point 2.21.
39. In point 2.21 of Part I of the Annex A subheading 1 is replaced by "diisocyanates'.
40. In point 2.21 of the Annex to Part I, the word "isocyanates' is replaced by" diisocyanates'.
41. In point 3.10 of the Annex to Part I. "Entry inspection ', the words" from 50 years of age of stress ECG' are deleted.
42. In the row "Periodic inspection 'of the Annex to Part I, point 3.10, the words" for persons over 50 years of age of stress ECG' are deleted.
43. In point 4.1 of Part I of the Annex. A is replaced by a dot at the end of point 4 and point 5 is deleted.
44. In point 4.1 of Part I of the Annex. B is replaced by a comma at the end of point 7 and the following point 8 is added:
"8. morbid obesity with BMI over 40."
45. In the Annex to point 4.1 of Part I., in the rows "Entry inspection 'and" Periodic inspection', the words ", for persons over 50 years of age, load ECG 'are deleted.
46. In the Annex to Part II (2) of the Introductory Part of the Provisions, the words "and hand and motor hoists 27) 'shall be inserted after the words" crane operators' and the words ", persons carrying out revisions and testing of dedicated technical hoists' shall be added at the end of the text of the Introductory Part of the provisions of point 2 '.
Footnote 27 reads:
"(27) Government Decree No. 193 / 2022 Coll., on reserved technical lifting equipment and safety requirements, as amended."
47. In Part II of the Annex, at the end of the introductory part of the provisions of point 5, the words ", persons conducting revisions and tests of dedicated technical gas, electrical and pressure equipment, assembly and repair of dedicated technical gas equipment 'are added.
48. In point 11 of Part II of the Annex, the words "services and 'are replaced by the words" services or', the words "forming part of which 'are replaced by the words" for' and the words "under Part I. 'are deleted.
49. In point 11 of the Annex to Part II of the title following the introductory part of the provision, the words "as referred to in Part I. 'are deleted.
50. In Annex II (11) (1) to (5):
"1. chemicals or mixtures having one or more of the following dangerous properties according to the directly applicable European Union Regulation on the classification, labelling and packaging of substances and mixtures (16);
(a) carcinogen of categories 1A and 1B (H350, H350i);
(b) germ cell mutagen of categories 1A and 1B (H340),
(c) reproductive toxicity categories 1A and 1B including developmental (H360, H360F, H360D, H360FD, H360Fd, H360Df),
(d) respiratory sensitisation of categories 1A and 1B (H334);
(e) skin sensitisation of categories 1A and 1B (H317);
(f) specific target organ toxicity after single exposure to categories 1A and 1B (H370),
(g) acute toxicity of categories 1 and 2 (H300, H310, H330),
2. electric arc welding with respect to inhalation exposure, including stainless steel welding;
3. vibration with transmission to the upper extremities,
4. working positions;
5. local muscle load. '
51. In point 11 of Part II of the Annex, points 6 to 30 are deleted.
52. in the Annex to Part II, point 12 is added:
'12. Testing for tuberculosis when assessing medical fitness for persons applying for employment from countries with tuberculosis higher than 40 cases per 100 000 inhabitants, regardless of the category of work
Entry search: chest flap. "
53. The Annex shall be renumbered Annex 1 and Annexes 2 and 3 shall be added as follows:
"Annex No 2
Model medical opinion on fitness for work
Příloha č. 3
Annex No 3
Model medical assessment on medical fitness for practical instruction and practical training
"
Transitional provision
A person recognised as fit for health under Decree No 79 / 2013 Coll., as effective before the date of entry into force of this Decree, and who is engaged in an activity involving exposure to risk factors which, at the time of their occurrence, exclude or restrict medical fitness to work under Annex 1 to Decree No 79 / 2013 Coll., as effective from the date of entry into force of this Decree, where a person has not yet been subjected to a medical examination for the purpose of assessing medical fitness for work under Decree No 79 / 2013 Coll., as effective from the date of entry into force of that Decree until 6 months after the date of entry into force of that decree.
Efficacy
This Decree shall take effect on 1 January 2026.
Minister:
Prof. MUDr. Válek, CSc., MBA, EBIR, v. r.
Sign in for notes, favorites and notifications
Regulation Information
| Citation | Decree No. 449 / 2025 Coll., amending Decree No. 79 / 2013 Coll., on the Implementation of Certain Provisions of Act No. 373 / 2011 Coll., on Specific Health Services, (Decree on Professional Medical Services and Certain Types of Assessment Care), as amended |
|---|---|
| Regulation Type | Order |
| Author | - |
| Collection | Code of Laws |
| Date of Promulgation | 07.11.2025 |
|---|---|
| Effective from | 01.01.2026 |
| Effective until | - |
| Status | Valid |
The regulation text is for informational purposes only.
Comments 0