Periodic OVP employees shall be performed periodically. This shall be determined by the employer in carrying out the occupational environmental risk assessment. Read more about OVP in the Labour Protection Law and Cabinet Regulation No. 219 of 10 March 2009. Procedures for the Performance of a Mandatory Health Inspectorate.

The costs related to THE employed OVP are borne by the employer. If THE OVP has been carried out before the commencement of a legal or civil service relationship, the costs shall be borne by the person concerned, by mutual agreement, by his or her own resources or by the employer.

Opinion of the family doctor on the eligibility of the health status of the worker for the work to be performed

There are other types OF OVP with a view to protecting public health for persons working in works related to potential risks to the health of others. Since 31.07.2018., the requirement regarding the provision of a person's medical book to employees has been replaced by an opinion issued by a family doctor regarding the conformity of a person to perform work duties No 027/u).

In future, THE OVP should be carried out by staff working or in training practice in works in which the employee is in regular close contact or episodically close contact with the child at the indoor premises and carrying out work duties at the child education institution, at the place of providing the child supervision service, at the child camp, in a social care and rehabilitation institution or in a medical facility. OVP should also be carried out by food workers employed in one of the stages of the food chain (including drinking water) in which there is direct contact with bulk food. Repeat annual OVP should only be performed by persons employed at work, in direct contact with children, with a view to screening for their TB.

The employer may not employ an employee who has been infected with an infectious disease, as that worker may pose a risk to the health of other people. For more detailed information on the employer's and worker's responsibilities, the frequency, extent of periodic checks, and the groups of employees who are required to perform these checks, see Cabinet Regulation No. 447 of 24 July 2018.

Optical means

If the compulsory health inspection (OVP) shows that the worker needs special visual correction tools (glasses, contact lenses), the company must have procedures for paying them, in accordance with Job protection requirements when working on the display 12 and 14. On the need for visual adjustment tools, the doctor will mark ON THE OVP card.

Regulatory enactments prescribe that the employer shall determine the procedures for the purchase of special medically optical visual adjustment products (glasses, contact lenses) in the agenda regulations or collective agreement.

Compulsory vaccination, arodising and grafting passport

Depending on the specific nature of the work, employees can be exposed to an increased risk of infections on a daily basis. In such cases, attention should be paid to the need for vaccination and the requirements.

The employer shall be obliged to:

• assess the risk of infection at the workplace and clearly inform the employee of the rights and obligations related to vaccination;
• ensure free vaccination (including repeated) against these infectious diseases, in line with the risk of infection;
• text-align: justifycontrol vaccination of workers and check grafting passports;

Arodinfection is an infectious disease with which a person may become infected if, in the performance of his or her duties, he or she comes into contact with infectious disease agents or carriers.

For the prevention of infection, workers shall be required to vaccinate against the following infectious diseases:

• Hepatitis B;
• Anti-rabies;
• Against yellow fever;
• Against tick encephalitis.

If the employer has not provided the employee with the possibility of receiving vaccination, the employee has the right to refuse to perform such work duties which expose him or her to the risk of infection with the referred to infectious diseases.

If you belong to a group of persons to be vaccinated, (Cabinet Regulation No. 330 Paragraphs 33 to 37) You are obliged to present an grafting passport at the request of the employer, the Health Inspectorate and officials of the State Labour Inspectorate, as well as epidemiologists of the Centre for Disease Prevention and Control.

If you are ill and unable to perform your duties, go to your doctor to design a sick-leave sheet (sick-leave).

The incapacity sheet shall be issued:

• in the event of a disease or injury related to loss of capacity;
• if it is necessary to receive medical or preventive medical treatment;
• if isolation during quarantine is required;
• if it is necessary to undergo treatment in a rehabilitation institution during recovery after the disease;
• in the context of stationary protestations or orthoses;
• in the context of an on-site investigation;
• a person who is caring for a sick child;
• during maternity leave.

E-Workspace Page

The opening, extension and closure of the e-workforce sheet shall be carried out by the patient's family doctor or treating physician. Sick leaves shall be opened, extended and closed only electronically.

After closing the e-incapacity sheet, the patient should no longer submit it to the employer (or all employers, if any) in paper form. If the employer wishes to verify the fact that the e-Disability Sheet is opened, at the request of the patient, the doctor or patient may authorize himself or herself e-Health Portal and print or send this information to your employer's email.

Once you have recovered and are ready to return to work, the doctor who has opened the e-disability page will also close it – information about it will be sent automatically to your employer. Your employer will see this information in your VID EDS in the profile the day following the closure of the e-incapacity sheet.

Important! Only one e-disability page can be opened in the eHealth system! Thus, in order for the doctor to open a new e-incapacity sheet, the previous one must be closed!

Information on your e-incapacity pages, their status, incapacity periods, registration numbers, etc. is available in e-service Sick sick leaves received.

You can also view your e-incapacity pages by copying eveseliba.gov.lv, under the heading “Disability leaves”.

Read more about e-disability pages in a life situation Sick leaves and treatment in case of illness and e-Health Portal.

Sickness and sickness allowance

If the duration of the disease is up to 10 days, you will be given a sick-leave sheet A. This means that the sickness money will be paid by your employer. The sickness allowance shall be paid for the days (hours) on which the worker would have had to work, not less than 75% for days 2 and 3 and not less than 80% for the day of sickness 4.

The e-incapacity sheet A must be paid to the employer by the date of the next payout.

For a sickness period exceeding 10 days, you will be granted sick leave B for which you can claim sickness benefits from the VSAA.

This can be done by:

• using an e-service E-Supply to SSIA Services, when selecting “E-provision for sickness benefit”, complete it and submit it;

• by writing application, secure signatures   electronic signature and send to the SSIA  e-address or pasts@vsaa.gov.lv;
• on-site at the SSIA or National and Local Government Unified Customer Service Centers;
• by mailing a completed application to the SSIA.

The sickness allowance (for sick sheet A) and the sickness allowance (for incapacity sheet B) shall be calculated from the gross salary. So pay attention to whether your employer pays social insurance contributions for you. To check this:

• open e-service Information on social security contributions and periods of insurance, fill it in and submit it;

• inscriptions application, secure signatures  electronic signature and send to the SSIA  e-address or to pasts@vsaa.gov.lv;
• on-site at the SSIA or National and Local Government Unified Customer Service Centers.

You can use the State Revenue Service (SRS) to verify your disease-related data in the national registers. Electronic declaration system (EDS) and under the “Reports” section, information is to be considered, including “Employee Disability Sheet Data” and “National Social Insurance Charges Calculated by Employers”, etc. Information on social contributions is important because it depends not only on sickness benefits, but also on the amount of other benefits and pensions.

For more on sickness benefits, read mana.latvija.lv in a life situation Sick leaves and treatment in case of illness and e-Health Portal.

Long-term illness

If the employee is suffering continuously and does not work for more than six months, the employer may take a decision to terminate the employment legal relationship. If a person has not been sick for a while during a half-year period, then all periods of sickness shall be summed up. In general, such diseasement shall not exceed one year over a period of three years.

The only exception is that during sickness, maternity leave and the period of incapacity for work caused by an accident at work or occupational disease should not be included. Upon termination of the employment relationship on the basis of long-term incapacity, the employer shall be obliged to pay the severance allowance to the employee.

If the worker has been suffering continuously for more than 6 months, the sickness allowance shall be paid for a period of not more than 26 weeks in the event of breaks, not exceeding 52 weeks over a period of three years. On the basis of the opinion of the Commission for Health and Health Examiner Doctors (SMCAHCWA), the cost of continuous sickness benefit may be extended, but not more than 52 weeks from the first day of incapacity for work. In such cases, the treating physician shall send the patient to SMCAHCWA, which shall decide on the extension of the incapacity or the identification of the disability. A disability expert-examination may apply for:

• using the e-service Application FOR Disability Examiner;

1. by writing application by signing with a secure  electronic signature and sending to SMCAHCWA  e-address or to pasts@vdeavk.gov.lv;
2. in the presence of one of the SMCAHCWA departments
3. by mail to one of the following SMCAHCWA departments.

The application shall be accompanied such documents (electronically scanned or original):

1. referral of the family or treating doctor to the commission;
2. other medical documents of a person, if the family or treating doctor or the person himself considers it necessary for an expert-examination of disability;
3. a functional capacity self-assessment questionnaire (for a person aged 18).

Information on disability decisions (whether existing or existing), opinions and recommendations can be obtained in e-service My data SMCAHCWA where it is possible to find out about the information stored in SMCAHCWA Disability Information System.

The e-service may:

1. get information about your disability status.
2. access their disability assessment decisions and opinions;
3. manage YOUR INFORMATION TO THE SMCAHCWA;
4. set up settings for automatic receipt of disability expiration information or expiration of a disabled certificate.

An accident at work shall be the damage or death caused to the health of an insured person, if the cause thereof is an exceptional event occurred during one working day (change) which occurred in the performance of his or her duties, as well as in the course of action to save any person or property and to prevent danger threatening them.

Incident recording

In the event of an accident at the workplace, the worker shall:

• to go to a doctor to investigate the injury and to create an incapacity sheet, if necessary, informing the doctor that the accident occurred at work and during work;
• it must be verified that the accident has been officially registered and notified to the State Labour Inspectorate. This can be done by:

• via e-service Notice on an accident at work;

1. by writing an application, by signing with a secure  electronic signature and sending to the SLI  e-address or to vdi@vdi.gov.lv;
2. in the presence of one of the SLI departments
3. by mail to one of the following SLI departments.

Following an accident investigation, you may receive an accident investigation act investigated by the SLI:

• receipt of an investigation into an accident at work drawn up by the e-service Reception of an investigative act drawn up by the Labour Inspection about the occurrence of accidents at work ;

1. by writing an application, by signing with a secure  electronic signature and sending to the SLI  e-address or to vdi@vdi.gov.lv;
2. in the presence of one of the SLI departments
3. by mail to one of the following SLI departments.

After receiving the act, you can claim insurance reimbursement. An act regarding an accident occurring at work, if it has occurred as a result of exposure to factors in the work environment, shall be received by the State Labour Inspectorate in an electronic format by the SSIA. The State Social Insurance Agency (VSAA) shall apply for insurance compensation:

• inscriptions application, secure signatures  electronic signature and send to the SSIA  e-address or to pasts@vsaa.gov.lv;
• on-site at the SSIA or National and Local Government Unified Customer Service Centers;
• sending by mail to SSIA.

Benefits and rewards in the event of an accident at work

The employer shall be obliged to pay to a person who has suffered an accident at work:

• sickness allowance for the first 10 calendar days of not less than 80 per cent of the average monthly earnings;
• a lump-sum allowance in the amount of one monthly salary, if, due to the fault of the employer, the employee has suffered serious bodily injury as a result of an occupational accident.

In all cases of legally formed work, the social protection of the worker is guaranteed by national law. In accordance with the Law On mandatory social insurance against accidents at work and occupational diseases, the State Social Insurance Agency shall grant to an employee who has suffered in an accident occurring at work:

• Sickness benefits;
• Compensation for loss of capacity;
• Compensation for the survivor;
• Reimbursement of additional costs;
• Funeral allowance.

Read more about insurance claims related to occupational accident or occupational disease on the SSIA website.

Occupational diseases are diseases specific to certain categories of workers caused by physical, chemical, hygienic, biological and psychological factors in the working environment. A decision on the diagnosis of an occupational disease shall be taken medical commission.

The SAA shall be paid:

• Sickness benefits;
• Compensation for loss of capacity;
• Compensation for the survivor;
• Reimbursement of additional costs;
• Funeral allowance.

In requesting insurance compensation due to an occupational disease, the State Social Insurance Agency (SSIA) shall submit:

• application the granting of reimbursement;
• an opinion regarding an occupational disease, issued in conformity with the regulatory enactments regarding the procedures for the investigation and registration of occupational diseases.

An application and the necessary documents for the granting of insurance claims may be submitted on a optional basis:

• using an e-service E-Supply to SSIA Services, when selecting “E-provision for sickness benefit”, complete it and submit it;

• by writing application, secure signatures  electronic signature and send to the SSIA  e-address or pasts@vsaa.gov.lv;
• on-site at the SSIA or National and Local Government Unified Customer Service Centers;
• by mailing a completed application to the SSIA.

In cases of insurance, where the State Commission of Health and Capability Examiner Doctors (SMCAHCWA) determines a loss of capacity of more than 25%, a remuneration for the loss of capacity shall be granted to the insured person of the SSIA. This remuneration shall be paid for each month from the date of establishment of the loss of capacity, taking into account the loss of capacity of the person and the average monthly salary of insurance contributions. Information on a person's disability and opinions SHALL be transmitted electronically to the SSIA on the day following the decision. SMCAHCWA issue a disability decision and a% loss of capacity.

Remuneration for the treatment and rehabilitation expenditures in connection with accidents at work or occupational disease

The State Social Insurance Agency (SSIA) shall compensate for additional expenses incurred due to an accident at work or occupational disease. The SAA shall reimburse the costs of treatment and rehabilitation, as well as other costs (such as medicaments, travel expenses) related to the treatment of an injury or occupational disease.

Read more about insurance claims related to occupational accident or occupational disease on the SSIA website.

Compulsory health insurance

Health insurance is subject to all workers and self-employed workers who actually made mandatory contributions to health insurance.

1% of the total compulsory contribution rate is directed to the financing of healthcare services.

Employer's health insurance

The purchase and assignment of health insurance policies at each workplace may vary as it is the voluntary choice of the employer. Therefore, the procedures for the granting of policies are generally laid down in the institution's internal documentation, to which and in which cases the policy is granted, the amount paid by the employer or the co-payment of the employee is intended.

Advice on both labour law and labour protection issues State Labour Inspectorate, developed by the SLI e-services available to employers and workers.

If the employer infringes the employment rights of the employee, or labour protection requirements in your workplace, or you've noticed any wrongdoing elsewhere, you can report it to the NSA:

• using the e-service Application for the Labour Inspectorate and receipt of the reply of the Labour Inspectorate;

1. by writing an application, by signing with a secure  electronic signature and sending to the SLI  e-address or to vdi@vdi.gov.lv;
2. in the presence of one of the SLI departments
3. by mail to one of the following SLI departments.

It is important to remember that, in the event of any need or problem, the employer should first be contacted, or confidants in the workplace. Only if the employer does not respond to the request, refuses to address the situation, or if there are other reasons to resolve the problem, contact the appropriate authority for assistance. An opinion from the NSA on the fact of the health and safety hazards of an employee at work may be received:

• using e-service Opinion on the health and safety hazards of the employee at work;

1. by writing an application, by signing with a secure  electronic signature and sending to the SLI  e-address or to vdi@vdi.gov.lv;
2. in the presence of one of the SLI departments
3. by mail to one of the following SLI departments.

The complaint must be answered by the employer not later than seven days after receipt of the complaint. If you then want to turn to the NSA, save a copy of your complaint or submission, or provide other evidence for correspondence with your employer.

In the case of questions, it is recommended to refer to the doctor who issued the sick leave, has carried out a mandatory health check or an investigation of the occupational diseases of a person. If there are issues or uncertainties regarding the procedures for the issuance of the sick leave, THE results of THE OVP or the decision regarding the determination of the occupational disease may be referred to the Health Inspectorate by means of the e-service Application to the Labour Inspectorate and receipt of the reply of the Labour Inspectorate. Similarly, with an application, you can report to the NSA on irregularities you are observing at the workplace or elsewhere.

The State Labour Inspectorate (SLI)

The State Social Insurance Agency (SSIA)

The National Health Service (NHS)

The State Revenue Service (SRS)

The State Medical Commission for the Assessment of Health Condition and Working Ability (SMCAHCWA)

The Health Inspectorate (HI)

Sick leave and action in the event of illness

Health information for me or children

State-paid medicine