ORDIN Nr.

1260/1390 din 10 octombrie 2013

pentru aprobarea Normelor metodologice privind examinarea medical i psihologic a
personalului cu atribuii n sigurana transporturilor i periodicitatea examinrii
EMITENT: MINISTERUL TRNS!ORTURILOR
Nr. 1.260 din 10 octombrie 2013
MINISTERUL S"N"T"#II
Nr. 1.390 din 1$ noiembrie 2013
!U%LI&T 'N: MONITORUL O(I&IL NR. )*6 din * decembrie 2013
'n temei+, -re.ederi,or /rt. 10 ,it. b1 2i c1 din Ordon/n3/ de +r4en35 / 6+.ern+,+i nr. $/2013
-ri.ind reor4/ni7/re/ re3e,ei 8/nit/re -ro-rii / Mini8ter+,+i Tr/n8-ort+ri,or 2i -entr+
modi9ic/re/ Le4ii nr. 9*/2006 -ri.ind re9orm/ :n domeni+, 85n5t53ii; /,e /rt. * /,in. <01 din
=ot5r>re/ 6+.ern+,+i nr. 20/2013 -ri.ind or4/ni7/re/ 2i 9+nc3ion/re/ Mini8ter+,+i
Tr/n8-ort+ri,or; c+ modi9ic5ri,e 2i com-,et5ri,e +,terio/re; -rec+m 2i /,e /rt. ) /,in. <01 din
=ot5r>re/ 6+.ern+,+i nr. 100/2010 -ri.ind or4/ni7/re/ 2i 9+nc3ion/re/ Mini8ter+,+i S5n5t53ii;
c+ modi9ic5ri,e 2i com-,et5ri,e +,terio/re;
mini8tr+, tr/n8-ort+ri,or 2i mini8tr+, 85n5t53ii emit +rm5tor+, ordin:
RT. 1
Se /-rob5 Norme,e metodo,o4ice -ri.ind e?/min/re/ medic/,5 2i -8i@o,o4ic5 / -er8on/,+,+i
c+ /trib+3ii :n 8i4+r/n3/ tr/n8-ort+ri,or 2i -eriodicit/te/ e?/min5rii; -re.57+te :n /ne?/ c/re
9/ce -/rte inte4r/nt5 din -re7ent+, ordin.
RT. 2
!re7ent+, ordin 8e -+b,ic5 :n Monitor+, O9ici/, /, Rom>niei; !/rte/ I.
RT. 3
L/ d/t/ intr5rii :n .i4o/re / -re7ent+,+i ordin 8e /bro45 Ordin+, mini8tr+,+i ,+cr5ri,or
-+b,ice; tr/n8-ort+ri,or 2i ,oc+in3ei nr. 00)/2003 -entr+ /-rob/re/ In8tr+c3i+ni,or -ri.ind
e?/min/re/ medic/,5 2i -8i@o,o4ic5 / -er8on/,+,+i din tr/n8-ort+ri c+ re8-on8/bi,it53i :n
8i4+r/n3/ circ+,/3iei 2i / n/.i4/3iei; -rec+m 2i or4/ni7/re/; 9+nc3ion/re/ 2i com-onen3/
comi8ii,or medic/,e 2i -8i@o,o4ice de 8i4+r/n3/ circ+,/3iei; -+b,ic/t :n Monitor+, O9ici/, /,
Rom>niei; !/rte/ I; nr. 360 din 2$ m/i 2003.
-. Mini8tr+, tr/n8-ort+ri,or;
&ri8ti/n Mi@/i M/rine8c+;
8ecret/r 4ener/, /dA+nct
-. Mini8tr+, 85n5t53ii;
R/ed r/9/t;
8ecret/r de 8t/t
NEB 1
NORME METODOLO6I&E
-ri.ind e?/min/re/ medic/,5 2i -8i@o,o4ic5 / -er8on/,+,+i c+ /trib+3ii :n 8i4+r/n3/
tr/n8-ort+ri,or 2i -eriodicit/te/ e?/min5rii
!RTE I
E?/min/re/ medic/,5 2i -8i@o,o4ic5 / -er8on/,+,+i c+ /trib+3ii :n 8i4+r/n3/ tr/n8-ort+ri,or 2i
-eriodicit/te/ e?/min5rii
RT. 1
<11 E?/min/re/ medic/,5 2i -8i@o,o4ic5 e8te ob,i4/torie -entr+ 9+nc3ii,e c+ /trib+3ii :n
8i4+r/n3/ tr/n8-ort+ri,or 2i 8e e9ect+e/75 -entr+:
/1 /dmitere/ :n +nit53i,e de -re45tire <c/,i9ic/re1 -entr+ 9+nc3ii c+ /trib+3ii :n 8i4+r/n3/
tr/n8-ort+ri,orC
b1 /n4/A/re/ :ntrDo 9+nc3ie c+ /trib+3ii :n 8i4+r/n3/ tr/n8-ort+ri,orC
c1 e?/min/re/ -eriodic5 / -er8on/,+,+i c+ /trib+3ii :n 8i4+r/n3/ tr/n8-ort+ri,orC
d1 8c@imb/re/ 9+nc3iei c+ /trib+3ii :n 8i4+r/n3/ tr/n8-ort+ri,or :n c/7+, :n c/re b/rem+,
medic/, 2i/8/+ -8i@o,o4ic e8te 8+-erior 9/35 de ce, 8t/bi,it -entr+ 9+nc3i/ de3in+t5 /nteriorC
e1 contro,+, medic/, 2i -8i@o,o4ic ,/ termene,e de re.i7+ire 8t/bi,ite de comi8ii,e medic/,e 2i
-8i@o,o4ice :n 8i4+r/n3/ tr/n8-ort+ri,or -entr+ -er8on/,+, c/re / ob3in+t /.i7 re8tricti..
<21 L/ 8o,icit/re/ -er8o/ne,or A+ridice /n4/A/to/re 8/+ / or4/ne,or de in8-ec3ie 2i contro,
-entr+ 8i4+r/n3/ tr/n8-ort+ri,or 8e e9ect+e/75 e?/min/re/ 8+-,iment/r5; medic/,5 2i/8/+
-8i@o,o4ic5. So,icit/re/ 8e 9/ce /t+nci c>nd 8e con8t/t5 c5 -er8on/,+, c+ /trib+3ii :n 8i4+r/n3/
tr/n8-ort+ri,or /re +n com-ort/ment necore8-+n75tor ,/ ,oc+, de m+nc5; / -rod+8 /ccidente;
-re7int5 /9ec3i+ni c/re in9,+en3e/75 c/-/cit/te/ de m+nc5 2i/8/+ / bene9ici/t de concedii
medic/,e -re,+n4ite de -e8te 60 de 7i,e.
<31 E?/min/re/ -8i@o,o4ic5 / -er8on/,+,+i c+ /trib+3ii :n 8i4+r/n3/ tr/n8-ort+ri,or n+ 8e
-o/te e9ect+/ 95r5 +n /.i7 medic/, ./,/bi,.
RT. 2
E?/min/re/ medic/,5 2i -8i@o,o4ic5 -eriodic5 / -er8on/,+,+i :nc/dr/t :n 9+nc3ii c+ /trib+3ii
:n 8i4+r/n3/ tr/n8-ort+ri,or; -e 4r+-e de .>r8t5; 8e ./ e9ect+/ /8t9e,:
/1 -entr+ -er8on/,+, c+ re8-on8/bi,it53i :n 8i4+r/n3/ circ+,/3iei 9ero.i/re; 4r+-/ de .>r8t/
c+-rin85 :ntre 1$ 2i ** de /ni; 8e .or e9ect+/ contro,+, medic/, -eriodic 2i contro,+, -8i@o,o4ic
,/ inter./, de 3 /ni; i/r -entr+ 4r+-/ de .>r8t5 de -e8te ** de /ni; contro,+, medic/, -eriodic 8e
./ e9ect+/ ,/ inter./, de +n /n 2i contro,+, -8i@o,o4ic ,/ inter./, de 2 /niC
b1 -entr+ tr/n8-ort+, r+tier ,/ 4r+-/ de .>r8t5 1$ D 6* /ni 8e .or e9ect+/ contro,+, medic/,
-eriodic 2i contro,+, -8i@o,o4ic ,/ inter./, de +n /nC
c1 -entr+ -er8on/,+, n/.i4/nt m/ritim 8+b 1$ /ni; contro,+, medic/, -eriodic 2i -8i@o,o4ic 8e
./ e9ect+/ /n+/,C
d1 -er8on/,+, n/.i4/nt m/ritim; 4r+-/ de .>r8t5 c+-rin85 :ntre 1$ 2i 0* de /ni; ./ e9ect+/
contro,+, medic/, -eriodic 2i contro,+, -8i@o,o4ic ,/ inter./, de 2 /niC
e1 -entr+ 4r+-/ de .>r8t5 -e8te 0* de /ni ,/ -er8on/,+, n/.i4/nt m/ritim; contro,+, medic/,
-eriodic 2i contro,+, -8i@o,o4ic 8e .or e9ect+/ ,/ inter./, de +n /nC -entr+ -i,o3ii m/ritimi -e8te
.>r8t/ de 6* de /ni e8te ob,i4/tori+ c/ ,/ contro,+, medic/, -eriodic 85 8e e9ect+e7e 2i EE6 ,/
e9ortC
91 -entr+ -er8on/,+, n/.i4/nt -entr+ n/.e,e de n/.i4/3ie interio/r5; contro,+, medic/,
-eriodic 2i contro,+, -8i@o,o4ic 8e .or e9ect+/ /8t9e,:
D -entr+ /n4/A/re 2i/8/+ ,/ 8c@imb/re/ :n 9+nc3ie; contro,+, medic/, 2i -8i@o,o4ic ./ 9i
./,/bi, ->n5 ,/ :m-,inire/ .>r8tei de *0 de /niC
D :ntre *0 de /ni 2i 6* de /ni contro,+, medic/, 2i -8i@o,o4ic 8e ./ e9ect+/ din * :n * /niC
D d+-5 :m-,inire/ .>r8tei de 6* de /ni contro,+, medic/, 2i -8i@o,o4ic 8e ./ e9ect+/ /n+/,C
41 -er8on/,+, /eron/+tic ci.i,; e?c,+8i. -er8on/,+, /eron/+tic n/.i4/nt ci.i, 2i -er8on/,+,
o-er/ti. de diriA/re 2i contro, /, tr/9ic+,+i /eri/n; 4r+-/ de .>r8t5 c+-rin85 :ntre 1$ 2i ** de /ni;
./ e9ect+/ contro,+, medic/, -eriodic 2i contro,+, -8i@o,o4ic ,/ inter./, de 2 /ni; i/r -e8te
.>r8t/ de ** de /ni contro,+, medic/, -eriodic 2i contro,+, -8i@o,o4ic 8e .or e9ect+/ /n+/,.
RT. 3
<11 E?/min/re/ medic/,5 2i -8i@o,o4ic5 -eriodic5 :n .edere/ ob3inerii certi9ic5rii medic/,e
2i -8i@o,o4ice -entr+ -er8on/,+, /eron/+tic n/.i4/nt ci.i, c+ bre.et/,icen35 de 9+nc3ion/re 2i
-entr+ -er8on/,+, o-er/ti. de diriA/re 2i contro, /, tr/9ic+,+i /eri/n 8e e9ect+e/75; con9orm
re4,ement5ri,or ,e4/,e :n .i4o/re; de c5tre e?/min/torii /eromedic/,i 8/+ centre,e medic/,e
/eron/+tice; d+-5 c/7; /+tori7/te 8/+ rec+no8c+te de +torit/te/ eron/+tic5 &i.i,5 Rom>n5.
<21 !roced+r/ e,/bor/t5 de +torit/te/ eron/+tic5 &i.i,5 Rom>n5 -entr+ /-,ic/re/
re4,ement5ri,or -re.57+te ,/ /,in. <11 8e /.i7e/75 de Mini8ter+, Tr/n8-ort+ri,or; -rin Direc3i/
medic/,5; 2i de Mini8ter+, S5n5t53ii; -rin Direc3i/ de /8i8ten35 medic/,5 2i -o,itici -+b,ice.
RT. 0
<11 E?/min/re/ medic/,5 / -er8o/ne,or c+ /trib+3ii :n 8i4+r/n3/ tr/n8-ort+ri,or 8e e9ect+e/75
:n 8co-+, .eri9ic5rii 8t5rii de 85n5t/te; / de-i8t5rii -recoce / /9ec3i+ni,or medic/,e
incom-/tibi,e c+ 9+nc3i/ -entr+ c/re 8e 8o,icit5 e?/min/re/; -rec+m 2i -entr+ -re.enire/
/-/ri3iei /ce8tor /9ec3i+ni.
<21 E?/min/re/ -8i@o,o4ic5 / -er8o/ne,or c+ /trib+3ii :n 8i4+r/n3/ tr/n8-ort+ri,or 8e
e9ect+e/75 :n 8co-+, e./,+5rii c/-/cit53i,or co4niti.e <-erce-3ie; memorie; 4>ndire1; / ce,or
motrice <re/cti.it/te; coordon/re1 2i / ce,or inte4r/ti.e </ten3ie; emoti.it/te; moti./3ie;
8tr+ct+r5 /tit+din/,D./,oric51; -rec+m 2i /, -8i@odi/4no7ei /-tit+din/, 8-eci9ice de ,+cr+ -rin
8im+,/to/re 2i /-/r/te de te8t/re -8i@o,o4ic5 /8i8t/t5 de c/,c+,/tor; con9orm 9+nc3iei -entr+
c/re 8e 8o,icit5 e?/min/re/.
<31 E?/min/re/ medic/,5 2i -8i@o,o4ic5 / -er8on/,+,+i c+ /trib+3ii :n 8i4+r/n3/
tr/n8-ort+ri,or 8e e9ect+e/75 de c5tre 8-eci/,i2ti ce 8+nt membri /i comi8ii,or medic/,e 2i
-8i@o,o4ice :n 8i4+r/n3/ tr/n8-ort+ri,or.
<01 Direc3i/ de 8-eci/,it/te din Mini8ter+, Tr/n8-ort+ri,or ./ 3ine o e.iden35 / 8-eci/,i2ti,or
rec+no8c+3i -e c/re o ./ -+ne ,/ di8-o7i3i/ /+torit53i,or com-etente din /,te 8t/te; ,/ cerere.
RT. *
<11 S/,/ri/3ii c+ /trib+3ii :n 8i4+r/n3/ tr/n8-ort+ri,or /+ ob,i4/3i/ 85 8e -re7inte ,/
e?/min/re/ -eriodic5 medic/,5 2i -8i@o,o4ic5 ,/ d/t/ 8t/bi,it5; con9orm -ro4r/m5rii.
<21 Ne-re7ent/re/ -er8on/,+,+i c+ /trib+3ii :n 8i4+r/n3/ tr/n8-ort+ri,or ,/ contro,+, -eriodic
,/ termen+, -reci7/t; din c/+7e im-+t/bi,e 8/,/ri/t+,+i; im-,ic5; d+-5 e?-ir/re/ ./,/bi,it53ii
/.i7+,+i; retr/4ere/ tem-or/r5 de ,/ e?ercit/re/ 9+nc3iei de c5tre cond+c5tor+, -er8o/nei
A+ridice /n4/A/to/re; :n b/7/ com+nic5rii -rimite de ,/ comi8i/ medic/,5 2i/8/+ -8i@o,o4ic5 :n
8i4+r/n3/ tr/n8-ort+ri,or.
RT. 6
<11 Do./d/ :nde-,inirii condi3ii,or de /-tit+dine medic/,5 2i -8i@o,o4ic5 8e 9/ce -rin /.i7e
medic/,e 2i -8i@o,o4ice e,iber/te de comi8ii,e medic/,e 2i/8/+ -8i@o,o4ice :n 8i4+r/n3/
tr/n8-ort+ri,or; con9orm b/reme,or de /-tit+dine 8t/bi,ite -rin ordin /, mini8tr+,+i
tr/n8-ort+ri,or.
<21 F/,/bi,it/te/ /.i7e,or medic/,e 2i -8i@o,o4ice -entr+ tr/n8-ort+, 9ero.i/r 2i n/./,
m/ritim ob3in+te -entr+ 9orm/re -ro9e8ion/,5 n+ -o/te de-52i 2 /ni; -erio/d5 :n c/re -ot
inter.eni modi9ic5ri :n 8tr+ct+r/ /-tit+din/,5 medic/,5/-8i@o,o4ic5.
<31 D/c5 /.i7e,e de /-tit+dine medic/,5 2i -8i@o,o4ic5 -entr+ tr/n8-ort+, 9ero.i/r 2i n/./,
m/ritim emi8e :n .edere/ 9orm5rii -ro9e8ion/,e n+ con3in /,te recom/nd5ri; /ce8te /.i7e .or 9i
./,/bi,e 2i :n .edere/ /n4/A5rii -er8o/nei -e 9+nc3i/ -entr+ c/re / 9o8t e?/min/t5 -entr+
9orm/re -ro9e8ion/,5; d/c5 8e :nc/dre/75 :n termen+, -re.57+t ,/ /,in. <21.
RT. )
<11 &onte8t/re/ /.i7+,+i medic/, 8/+ -8i@o,o4ic 8e -o/te 9/ce :n termen de m/?im+m 30 de
7i,e ,/ direc3i/ de 8-eci/,it/te din Mini8ter+, Tr/n8-ort+ri,or de c5tre -er8o/n/ A+ridic5
/n4/A/to/re; ,/ 8o,icit/re/ 8cri85 / -er8o/nei 9i7ice; 8/+; :n c/7+, /n4/A5rii; do/r de c5tre
-er8o/n/ 9i7ic5.
<21 Direc3i/ de 8-eci/,it/te din Mini8ter+, Tr/n8-ort+ri,or ./ com+nic/; :n termen de * 7i,e;
/cord+, -entr+ ree?/min/re/ medic/,5 8/+ -8i@o,o4ic5: -er8o/nei 9i7ice 8o,icit/nte; -er8o/nei
A+ridice /n4/A/to/re; &omi8iei centr/,e medic/,e 2i -8i@o,o4ice :n 8i4+r/n3/ tr/n8-ort+ri,or din
c/dr+, S-it/,+,+i &,inic &( nr. 1 Gittin4 2i comi8iei medic/,e 2i/8/+ -8i@o,o4ice :n 8i4+r/n3/
tr/n8-ort+ri,or c/re / dec,/r/tDo in/-t5.
<31 &omi8i/ centr/,5 medic/,5 2i -8i@o,o4ic5 :n 8i4+r/n3/ tr/n8-ort+ri,or ./ com+nic/
-er8o/nei A+ridice /n4/A/to/re d/t/ -ro4r/m5rii c/7+,+i -entr+ ree?/min/re.
<01 Ne-re7ent/re/ -er8o/nei dec,/r/te in/-t5 ,/ d/t/ 8t/bi,it5 95r5 moti.e obiecti.e 8/+
re9+7+, intern5rii :n 8-it/, -entr+ e?/min/re d+ce ,/ -ierdere/ /-rob5rii de ree?/min/re.
<*1 &omi8i/ medic/,5 2i/8/+ -8i@o,o4ic5 :n 8i4+r/n3/ tr/n8-ort+ri,or ./ tr/n8mite &omi8iei
centr/,e medic/,e 2i -8i@o,o4ice :n 8i4+r/n3/ tr/n8-ort+ri,or; ->n5 ,/ d/t/ -ro4r/m/t5 -entr+
ree?/min/re; doc+ment/3i/ medic/,5 8/+ -8i@o,o4ic5 :n c/re .or 9i r/-ort/te moti.e,e c/re /+
cond+8 ,/ 8t/bi,ire/ /.i7+,+i conte8t/t.
<61 D+-5 ree?/min/re/ c/7+,+i ,/ &omi8i/ centr/,5 medic/,5 2i -8i@o,o4ic5 :n 8i4+r/n3/
tr/n8-ort+ri,or; c/re ./ /.e/ ,oc :n termen de m/?im+m 1* 7i,e de ,/ d/t/ -rimirii /-rob5rii de
ree?/min/re; /.i7+, medic/, de9initi. ./ 9i e,iber/t 2i 8emn/t de c5tre -re2edinte,e comi8iei :n
* e?em-,/re. Un e?em-,/r /, /.i7+,+i medic/, ./ 9i :nm>n/t -er8o/nei 9i7ice e?/min/te; /,
doi,e/ e?em-,/r ./ 9i tr/n8mi8 +nit53ii /n4/A/to/re; /, trei,e/ e?em-,/r ./ 9i -58tr/t ,/ do8/r+,
-er8on/, din 9i2ier+, de 8i4+r/n3/ tr/n8-ort+ri,or; /, -/tr+,e/ e?em-,/r 8e ./ tr/n8mite direc3iei
de 85n5t/te -+b,ic5 A+de3ene// m+nici-i+,+i %+c+re2ti; c/re :, ./ com+nic/ medic+,+i de
9/mi,ie; 2i +,tim+, e?em-,/r ./ 9i tr/n8mi8 /+torit53ii de contro, din domeni+, tr/n8-ort+ri,or.
.i7+, -8i@o,o4ic de /-tit+dine 8e e,ibere/75 :n 0 e?em-,/re 2i 8e 8emne/75 de c5tre
-re2edinte,e comi8iei 2i -8i@o,o4+, e?/min/tor. Un e?em-,/r /, /.i7+,+i -8i@o,o4ic e8te
tr/n8mi8 +nit53ii /n4/A/to/re :n m/?im+m * 7i,e ,+cr5to/re de ,/ d/t/ emiterii /.i7+,+i; /,
doi,e/ e?em-,/r ./ 9i :nm>n/t -er8o/nei 9i7ice e?/min/te; /, trei,e/ e?em-,/r ./ 9i -58tr/t ,/
do8/r+, -er8on/, din 9i2ier+, de 8i4+r/n3/ tr/n8-ort+ri,or 2i /, -/tr+,e/ e?em-,/r ./ 9i tr/n8mi8
/+torit53ii de contro, din domeni+, tr/n8-ort+ri,or.
RT. $
<11 L/ recom/nd/re/ comi8ii,or medic/,e 2i/8/+ -8i@o,o4ice :n 8i4+r/n3/ tr/n8-ort+ri,or;
-er8o/ne,e dec,/r/te in/-te; retr/8e tem-or/r 8/+ c+ /.i7 re8tricti. -entr+ 8i4+r/n3/
tr/n8-ort+ri,or .or +rm/ tr/t/ment -entr+ rec+-er/re; -rin intern/re ori /mb+,/tori+; 8/+ .or
bene9ici/ de con8i,iere -8i@o,o4ic5 :n .edere/ o-timi75rii 2i inte4r5rii 8ocio-ro9e8ion/,e;
-rec+m 2i / reorient5rii -ro9e8ion/,e :n c/dr+, ,/bor/to/re,or de -8i@o,o4ie /4re/te de
Mini8ter+, Tr/n8-ort+ri,or.
<21 D+-5 rec+-er/re; -er8on/,+, c+ /trib+3ii :n 8i4+r/n3/ tr/n8-ort+ri,or 8e ./ -re7ent/ :n
mod ob,i4/tori+ ,/ comi8ii,e medic/,e :n 8i4+r/n3/ tr/n8-ort+ri,or; :n termen de ) 7i,e; :n
.edere/ ree./,+5rii /-tit+dinii medic/,e.
RT. 9
!er8o/ne,e A+ridice /n4/A/to/re /+ +rm5to/re,e ob,i4/3ii:
/1 85 /8i4+re -/rtici-/re/ -er8on/,+,+i /n4/A/t :n 9+nc3ii c+ /trib+3ii :n 8i4+r/n3/
tr/n8-ort+ri,or ,/ e?/min/re/ medic/,5 2i -8i@o,o4ic5 -eriodic5C
b1 85 +ti,i7e7e -er8on/,+, c+ /trib+3ii :n 8i4+r/n3/ tr/n8-ort+ri,or n+m/i con9orm /.i7e,or
medic/,e 2i -8i@o,o4ice de3in+teC
c1 85 /8i4+re e.iden3/ 2i -58tr/re/ /.i7e,or de /-tit+dine/in/-tit+dine medic/,5 2i
-8i@o,o4ic5; -e -erio/d/ ./,/bi,it53ii /ce8tor/.
!RTE IID
. Metode,e +ti,i7/te ,/ e?/min/re/ medic/,5 / -er8on/,+,+i c+ /trib+3ii :n 8i4+r/n3/
tr/n8-ort+ri,or -entr+ 8-eci/,it53i,e medic/,e ob,i4/torii
1. Medicin5 intern5
E?/men+, de medicin5 intern5 con8t5 :n /n/mne75; e?/men c,inic 4ener/,; /n/,i7e
-/r/c,inice ob,i4/torii :n8cri8e :n 9i2/ medic/,5 ti- de 8i4+r/n3/ tr/n8-ort+ri,or; re8-ecti.
@emo,e+co4r/m/ com-,et5; 4,icemie; +ree; cre/tinin5; 9ibrino4en; 66T D 4/m/4,+t/mi,D
tr/n8-e-tid/75; co,e8tero, tot/,; e?/men 8+m/r +rin5; te8t 8ero,o4ic -entr+ ,+e8 D FDRL; te8t
=IF. E,ectroc/rdio4r/m/ 8e e9ect+e/75 ,/ /n4/A/re 2i /-oi ,/ contro/,e,e -eriodice d+-5
:m-,inire/ .>r8tei de 00 de /ni. D/c5 e?i8t5 indicii/8+8-ici+ni c,inice; 8e -ot 8o,icit/ /n/,i7e de
,/bor/tor -entr+ determin/re/ to?ico,o4ic5 / -re7en3ei dro4+ri,or.
!entr+ -reci7/re/ di/4no8tic+,+i; / 8t/di+,+i 2i e.o,+3iei +nor /9ec3i+ni medic/,e; :n .edere/
8t/bi,irii /-tit+dinii/in/-tit+dinii -entr+ e?ercit/re/ 9+nc3ii,or c+ /trib+3ii :n 8i4+r/n3/
tr/n8-ort+ri,or; 8e .or +ti,i7/ in.e8ti4/3ii,e -/r/c,inice 8+-,iment/re 8t/bi,ite de medic+,
e?/min/tor. L/ recom/nd5ri,e /ce8t+i/ 8e -ot e9ect+/ R? -+,mon/r5; eco4r/9ie /bdomin/,5;
-rec+m 2i /,te in.e8ti4/3ii c,inice 2i -/r/c,inice.
2. &@ir+r4ie 4ener/,5
E?/men+, con8t5 din /n/mne75 -entr+ con8emn/re/ /ntecedente,or c@ir+r4ic/,e <o-er/torii;
tr/+m/tice; con4enit/,e1 2i e?/men+, c,inic 4ener/, -entr+ e.iden3iere/ /9ec3i+ni,or in./,id/nte
c@ir+r4ic/,e 8/+ dob>ndite; /9ec3i+ni,or /rteri/,e 2i .eno/8e -eri9erice; 8om/tice 8/+ .i8cer/,e;
+ti,i7>nd+D8e ,/ nece8it/te 2i in.e8ti4/3ii,e -/r/c,inice core8-+n75to/re.
!entr+ com-,et/ e,+cid/re; c/7+ri,e .or 9i :ndr+m/te; d+-5 c/7; ,/ medici de /,te 8-eci/,it53i
c@ir+r4ic/,e :nr+dite <+ro,o4ie; orto-edie 8/+ 4ineco,o4ie1.
3. O9t/,mo,o4ie
E?/men+, o9t/,mo,o4ic ./ determin/:
D /c+it/te/ .i7+/,5: e?/min/re/ ,/ o-toti- ETRDS: di8t/n35 <1;0C minim+m 0;* -entr+ oc@i+,
m/i 8,/b1; /-ro/-e <8+9icient5 c+ 2i 95r5 /A+tor1; c+ 2i 95r5 corec3ie <m/?im+m: @i-ermetro-ie
H*/; mio-ie D)C oc@e,/rii 8+nt /+tori7/3i d/c5 8+nt .eri9ic/3i -eriodic de +n 8-eci/,i8t1C
D te8t/re/ .ederii binoc+,/re -rin 8+-re8ie monoc+,/r5 <te8t Gort@1: e?i8tent5C
D te8t/re/ ec@i,ibr+,+i oc+,omotor :n -o7i3ie -rim/r5 <&o.er te8t1C moti,it/te oc+,/r5C
D ten8i+ne/ intr/oc+,/r5 <8e ./ determin/ ob,i4/tori+ ,/ e?/min/3ii de -e8te 00 de /ni1C
D c>m- .i7+/, <-erimetr+ com-+teri7/t1C
D e?/men 9+nd de oc@i <o9t/,mo8co- 8/+ ,enti,e bicon.e?e1C
D 8im3 crom/tic <te8t I8i@/r/; R/bIin; /nom/,o8co-; crom/to8co-1 D te8t+, 8e b/7e/75 -e
rec+no/2tere/ c+,ori,or +nice 2i n+ -e di9eren3e,e re,/ti.eC
D 8en8ibi,it/te/ ,/ contr/8t <t/be,e !e,,i D Rob8on1: b+n5.
0. Otorino,/rin4o,o4ie
E?/men+, ORL con8t5 :n: /n/mne75 2i e?/men c,inic obiecti. 2i 9+nc3ion/,.
E?/men+, c,inic con8t5 :n in.e8ti4/re/ con9orm te@nici,or c,/8ice de e?/min/re <rino,o4ie;
9/rin4o,/rin4o,o4ie 2i oto,o4ie1.
E?/men+, 9+nc3iei /+diti.e 8e 9/ce -rin:
/1 /c+metrie 9onic5 D -rin .oce/ 2o-tit5 2i .oce/ de con.er8/3ieC
D ton/,it/te :n/,t5C
D ton/,it/te Ao/85C
b1 /+diometri/ 8e ./ 9/ce t+t+ror c/ndid/3i,or ,/ /dmitere/ :n 2co,i de c/,i9ic/re :n 8i4+r/n3/
tr/n8-ort+ri,or; ,/ /n4/A/re 2i -entr+ contro,+, -eriodic. +7+, 8+9icient e8te con9irm/t de
/+dio4r/m5 d/c5 -er8o/n/ e?/min/t5 -o/te -+rt/ o con.er8/3ie te,e9onic5; /+de 8+nete,e de
/.erti7/re 2i me8/Ae,e r/dio. De9icien3/ de /+7 n+ treb+ie 85 9ie m/i m/re de 0* d% ,/ 2.000 =7
-entr+ +rec@e/ c/re /re ce/ m/i 8,/b5 cond+cere /eri/n5 / 8+net+,+i. 'n 4ener/,; de9icien3/ de
/+7 n+ treb+ie 85 9ie m/i m/re de 00 d% ,/ *00 2i 1.000 =7C
c1 e?/men+, .e8tib+,/r 8e ./ 9/ce c+ /A+tor+, -robe,or 8-ont/ne.
Se -ot e9ect+/ e?/mene 9+nc3ion/,e 8+-,iment/re:
D im-ed/n3/C
D e?/men .e8tib+,/r c+ -robe -ro.oc/teC
D e,ectroni8t/4mo4r/9ieC
D -oten3i/,e de tr+nc@iC
D te8t5ri /,er4o,o4ice 2i im+no,o4iceC
D e?/mene r/dio,o4ice.
*. Ne+ro,o4ie
E?/men+, ne+ro,o4ic 8e e9ect+e/75 -entr+ de-i8t/re/ e.ent+/,e,or -/r/,i7ii -eri9erice 8/+ de
ner.i cr/nieni; /tro9ii m+8c+,/re; de9orm5ri /,e 8c@e,et+,+i.
E?/men+, com-,et ./ c+-rinde:
D e?/min/re/ -o7i3iei 8t/tice 2i / mer8+,+i; ec@i,ibr+, :n -o7i3ie 8t/tic5 2i :n mer8; -rob/
Romber4; /tit+dini -/rtic+,/reC
D moti,it/te/ /cti.5 8e4ment/r5: 9or3/ m+8c+,/r5 8e4ment/r5C
D moti,it/te -/8i.5D@i-ertonii; contr/ct+ri D -re7en3/ +nor mi2c5ri in.o,+nt/re; -/r3i/,e 8/+
4ener/,i7/teC
D re9,e?e,e o8teotendino/8e: -re7en35; inten8it/te; 8imetrieC
D re9,e?e c+t/n/te; -,/nt/re: re/c3ie; 8imetrieC
D 8en8ibi,it/te 8+-er9ici/,5 <t/cti,5 2i d+rero/851C
D 8en8ibi,it/te -ro9+nd5 <mio/rtroc@inetic51C
D coordon/re/ mi2c5ri,or <-rob/ inde?Dn/8; c5,c>iD4en+nc@i1.
E?/men+, ner.i,or cr/nieni: moti,it/te oc+,/r5; 8imetrie 9/ci/,5; ni8t/4m+8; de4,+ti3ie;
9on/3ie; mi2c5ri,e 2i tro9icit/te/ ,imbii.
Forbire/: de-i8t/re/ t+,b+r5ri,or /9/7ice; e?-re8i.e 8/+ 8en7ori/,e.
In.e8ti4/3ii,e -/r/c,inice 8+-,iment/re: r/dio4r/9ie cr/ni/n5; 2/ t+rce/8c5;
e,ectroence9/,o4r/m5; 9+nd de oc@i; e,ectromio4r/m5; .ite7/ de cond+cere motorie 2i .ite7/ de
cond+cere 8en7iti.5; e?/men Do--,er -entr+ ./8e,e m/ri <:n condi3ii de 8-it/,i7/re1.
6. !8i@i/trie
E?/men+, -8i@ic e,ement/r c+-rinde: /8-ect+, 4ener/,; /n/mne7/ c+ e./,+/re/ -erce-3iei;
/ten3iei; memoriei; 4>ndirii; /9ecti.it53ii; com-ort/ment+,+i; .oin3ei; ritm+,+i nictemer/,;
,o4icii /c3i+ni,or; tim-+,+i de re/c3ie; con2tien3ei; criticii bo,ii.
E?/men -8i@o,o4ic c,inic
Di/4no8tic/re/ t+,b+r5ri,or -8i@ice 8e ./ 9/ce con9orm criterii,or intern/3ion/,e :n .i4o/re.
%. Metodo,o4i/ de e./,+/re -8i@o,o4ic5 +ti,i7/t5 :n e?/min/re/ -8i@o,o4ic5 / -er8on/,+,+i
c+ /trib+3ii :n 8i4+r/n3/ tr/n8-ort+ri,or
Obiecti.e,e e./,+5rii
I. St/bi,ire/ 8t/di+,+i de m/t+rit/te -8i@ic5 2i / e?i8ten3ei/ine?i8ten3ei c/-/cit53i,or
/-tit+din/,D/tit+din/,e nece8/re inte4r5rii :n 9+nc3ii,e c+ /trib+3ii :n 8i4+r/n3/ tr/n8-ort+ri,or
Se +rm5re8c /8-ecte,e:
1. -8i@o8om/tice: ton+8 din/micoDener4etic; ti-+, de 8i8tem ner.o8; .it/,it/te; de7.o,t/re
-8i@ocon8tit+3ion/,5C
2. co4niti.D/-tit+din/,e: c/-/cit/te/ de -re,+cr/re / in9orm/3iei; de :n.53/re 2i de
c/-it/,i7/re / in9orm/3iei; de re7o,./re / -rob,eme,or -r/ctice; te@nice; .erb/,D/b8tr/cte;
8oci/,eC -/rtic+,/rit53i,e /ten3iei 2i memoriei; re-re7ent/re/ 8-/3i/,5; /-reciere/ .ite7e,or 2i
di8t/n3e,orC
3. -8i@omotrice: coordon/re/ oc+,omotorie; or4/ni7/re/ /bi,it53i,or motorii; re/cti.it/te/
com-,e?5C
0. moti./3ion/,D/9ecti.e: m/t+rit/te; re/cti.it/te emo3ion/,5; di8-o7i3ii,e /9ecti.e domin/nte;
moti.e,e /cti.it53ii; intere8e,e domin/nte; ni.e,+, de /8-ir/3ieC
*. c/-/cit/te/ re4,/torie: -er8e.eren3/; 8-irit+, de or4/ni7/re 2i di8ci-,in/; /tit+dine/ 9/35 de
/cti.it/te 2i 4r/d+, de inde-enden35C
6. -8i@ore,/3ion/re/: 8oci/bi,it/te; mod+, de / 8e r/-ort/ ce,or,/,3i; de / re7o,./ con9,icte,e
inter-er8on/,e; 8ti,+, 2i c/-/cit/te/ de /+to/9irm/re; 8im3+, ci.ic.
II. St/bi,ire/ ni.e,+,+i com-eten3ei /-tit+din/,D/tit+din/,e 8-eci9ice 9+nc3iei c+
re8-on8/bi,it53i :n 8i4+r/n3/ circ+,/3iei 8o,icit/te
Se e./,+e/75:
1. c/-/cit/te/ de di.er8i9ic/re / /cti.it53ii 2i de inter/c3i+ne / c+no2tin3e,or 2i de-rinderi,or
:n e?ercit/re/ +nei /cti.it53i: /bi,it53i :n re7o,./re/ -rob,eme,or /di/cente /cti.it53ii -rinci-/,e;
/cti.i8m+,; ni.e,+, in8er3iei 8oci/,e; ni.e,+, to,er/n3ei 2i /4re/bi,it53ii :n re,/3ii,e c+ cei,/,3iC
2. c/-/cit/te/ identi9ic5rii 8/rcini,or 2i / de9inirii im-ort/n3ei: ni.e,+, /n4/A5rii -er8on/,e :n
/cti.it/te; 8-irit+, de ini3i/ti.5 2i :ncredere/ :n 8ine; re8-on8/bi,it/te/; con2tienti7/re/
im-ort/n3ei 9+nc3iei -ri.ind im-/ct+, /8+-r/ de8tin+,+i 2i .ie3ii /,tor o/meni.
E./,+/re/ -8i@o,o4ic5 ./ 3ine cont de r/-ort+, c/re 8e 8t/bi,e2te :ntre 8t/nd/rde,e
oc+-/3ion/,e 8-eci9ice -o8t+,+i/,oc+,+i de m+nc5; re7+,t/te din /n/,i7/ -8i@o,o4ic5 / m+ncii;
din 9i2/ -o8t+,+i; 2i 8t/nd/rd+, minim/, de cerin3e -8i@o,o4ice.
E?/min/re/ -8i@o,o4ic5 treb+ie 85 +rm5re/8c5; de /8emene/; -8i@odi/4no7/ /-tit+din/,
8-eci9ic5 de ,+cr+; -rin 8im+,/to/re 2i /-/r/te de te8t/re -8i@o,o4ic5 /8i8t/t5 de c/,c+,/tor;
con9orm 9+nc3iei -entr+ c/re 8e 8o,icit5 e?/min/re/.
E./,+/re/ -8i@o,o4ic5 / -er8on/,+,+i c+ /trib+3ii :n 8i4+r/n3/ tr/n8-ort+ri,or e8te +n -roce8
de +rm5rire ,on4it+din/,5 / /ce8t+i/; 2i n+ 8ec.en3i/,5. Totod/t5; /ce/8t5 e./,+/re -8i@o,o4ic5
./ con8tit+i -+nct+, de -,ec/re -ri.ind e,/bor/re/ +nor 8tr/te4ii de recom/nd/re -entr+
con8i,iere/ -8i@o,o4ic5 e9ect+/t5 /n4/A/t+,+i; -rec+m 2i -entr+ -ro4r/me ed+c/ti.e de
im-,ement/re / +nei cond+ite -ro9e8ion/,e /dec./te; :n .edere/ cre2terii 8i4+r/n3ei
tr/n8-ort+ri,or.
Metode de e./,+/re -8i@o,o4ic5
1. Te8te de inte,i4en35 -ri.ind /-tit+dini,e inte,ect+/,e 4ener/,e; te8te de /-tit+dini te@nice 2i
mec/nice
2. Te8te de in.e8ti4/3ie / c/-/cit53ii de e9ort 2i / /-tit+dini,or 8-eci/,e:
D te8te de /ten3ie re9erito/re ,/ concentr/re; di8trib+ti.it/te; 9,e?ibi,it/te; 8t/bi,it/te 2i
re7i8ten3/ ,/ 9/ctori -ert+rb/toriC
D -robe -8i@omotorii re9erito/re ,/ re/cti.it/te/ 8im-,5 2i com-,et5; ni.e,+, de7.o,t5rii
/bi,it53i,or motorii; c/,it53i,e re/cti.it53ii <r/-idit/te; -reci7ie; corectit+dine; /+tocontro,1;
ni.e,+, 8en8ibi,it53ii .i7+/,e; /+diti.e; Iine8te7ice.
3. Te8te de -er8on/,it/te <c@e8tion/re; te8te -roiecti.e; te8te 8it+/3ion/,e1 -ri.ind:
D ec@i,ibr+, emo3ion/,; /+tocontro,+,; re8-on8/bi,it/te/C
D 8i8tem+, de /tit+dini 2i /8-ir/3ii; ni.e,+, intere8e,or 2i moti./3iei .oc/3ion/,eC
D inte4r/re/ 8oci/,5 2i /tit+dini,e inter-er8on/,e.
0. Ob8er./3i/ 8+biect+,+i 8+b /8-ect con8tit+3ion/, 2i com-ort/ment/, c+ re9erire ,/:
D 8im-tom/tic/ 8t/bi,5 D ti- con8tit+3ion/,; /8-ecte 9i7ionomiceC
D 8im-tom/tic/ din/mic5 D 3in+t/; mimic/; modi9ic5ri .e4et/ti.e; .orbireC
D din/mic/ de com-ort/ment :n tim-+, e?/min5rii.
*. n/mne7//Inter.i+, c+-rin7>nd d/te 4ener/,e c+ -ri.ire ,/ e.enimente,e -rinci-/,e /,e
tr/8e+,+i e?i8ten3i/, 2i c+ -ri.ire ,/ e.enimente,e cr+ci/,e din .i/3/ -er8on/,5 2i
8ocio-ro9e8ion/,5
6. n/,i7/ 2i e./,+/re/ /cti.it53ii -ro9e8ion/,e
!entr+ mod+, de tr/n8-ort r+tier 2i -entr+ -er8on/,+, /eron/+tic nen/.i4/nt e8te ob,i4/torie
/dmini8tr/re/ / minim+m * -robe de e./,+/re -8i@o,o4ic5 c/re 85 +rm5re/8c5 /8-ecte,e
8-eci9ice e?i4en3e,or 9+nc3ii,or re8-ecti.e; con9orm 9i2ei -o8t+,+i 2i -8i@o-ro9e8io4r/mei; i/r
-entr+ mod+ri,e de tr/n8-ort 9ero.i/r 2i n/./, e8te ob,i4/torie /dmini8tr/re/ / minim+m )
-robe de e./,+/re -8i@o,o4ic5.
Ob8er./3ie
Inter-ret/re/ d/te,or ob3in+te -rin di9erite metode 2i -robe de e./,+/re -8i@o,o4ic5 ./
re8-ect/ -rinci-i+, intercore,5rii com-,e?e / t+t+ror 9+nc3ii,or 2i 8tr+ct+ri,or -er8on/,it53ii 2i
c/r/cter+, 8i8temic /, /cti.it53ii -ro9e8ion/,e :n r/-ort c+ c/re 8e 9/ce in.e8ti4/3i/ -8i@o,o4ic5.
.i7+, -8i@o,o4ic ./ re-re7ent/ o re9,ect/re / d/te,or -+nct+/,e ob3in+te :n +rm/
e?/men+,+i -8i@o,o4ic r/-ort/te ,/ cerin3e,e 9+nc3iei -entr+ c/re 8D/ 95c+t e?/min/re/; -rec+m
2i o re9,ect/re / din/micii e.o,+ti.e / c/r/cteri8tici,or -8i@o,o4ice e.iden3i/te :n conte?t+,
e?ercit5rii 9+nc3iei -ro9e8ion/,e.
&/r/cteri8tici,e -8i@o,o4ice e./,+/te :n 9+nc3ie de ni.e,+, e?/min5rii
1. E?/min/re/ ,/ 2co,/ri7/re/9orm/re -ro9e8ion/,5 +rm5re2te:
D -re7en3/ +n+i -oten3i/, /-tit+din/, 2i /tit+din/, de b/75 im-,ic/t :n /cti.it/te/ 8-eci9ic5 din
-er8-ecti./ -o8ibi,it53i,or de /ntren/re; ed+c/re; in8tr+ire 2i 9orm/re.
2. E?/min/re/ ,/ /n4/A/re/re/n4/A/re +rm5re2te:
D determin/re/ 2i e./,+/re/ 4r/d+,+i de re-re7ent/re / 8tr+ct+ri,or /-tit+din/,D/tit+din/,e 2i /
mod+,+i c+m /ce8te/ 8+nt din/mic /n4ren/te :n 8tr+ct+r/ re/,5 / -ro9e8iei.
3. E?/min/re/ ,/ men3inere/ :n 9+nc3ie <contro, -eriodic1 +rm5re2te:
D 4r/d+, de de7.o,t/re 2i -er9ec3ion/re /-tit+din/,5 -e b/7/ /c+m+,5rii de e?-erien35; 4r/d+,
de con8er./re / 9+nc3ion/,it53ii 8tr+ct+rii -8i@ocom-ort/ment/,e di/4no8tic/te /nterior;
e./,+/re/ din/micii 9/ctori,or -8i@ici :n r/-ort c+ .>r8t/; 8o,icit5ri,e ,oc+,+i de m+nc5; ti-+, de
tr/n8-ortC
D con8t/t/re/ +nor modi9ic5ri c/: +7+r/ -recoce; obo8e/,/ c+m+,/t5 etc.; ce -ot /ntren/
di89+nc3ii /,e 8i8tem+,+i; /t>t ,/ ni.e, /-tit+din/, <de9icit de com+t/re / /ten3iei; deterior/re/
c/-/cit53ii de or4/ni7/re / /cti.it53ii; di9ic+,t53i :n ,+/re/ deci7iei; /9ect/re/ -8i@omotricit53ii1;
c>t 2i ,/ ni.e, /tit+din/,Dc/r/cteri/, </4re8i.it/te 8/+ /n?iet/te; dimin+/re/ /cti.i8m+,+i 8oci/,
2i / 8oci/bi,it53ii1.
0. E?/min/re/ ,/ conte8t/3ie +rm5re2te:
D m58+r/ :n c/re ine9icien3/ :n -,/n /-tit+din/,D/tit+din/, con8t/t/t5 ,/ e?/min/re/ /nterio/r5
8D/ d/tor/t +nor c/+7e -8i@ice 8tr+ct+r/,e 8/+ / 9o8t de n/t+r5 conA+nct+r/,5C
D con8t/t/re/ 8it+/3iei :n c/re ni.e,+, +nor/ dintre /-tit+dini n+ 8e ridic5 ,/ 4r/d+, de
de7.o,t/re nece8/r; indi.id+/,i7/t 2i :n 9+nc3ie de e?-erien3/ -ro9e8ion/,5C
D d/c5 e?i8t5 -o8ibi,it53i com-en8/torii 8/+ 9orm/ti.e :n -,/n /-tit+din/,C
D d/c5 moti./3i/; ec@i,ibr+, -8i@ic; c/-/cit/te/ de / 8e mobi,i7/ inter.in 9/.ori7/nt :n
-58tr/re/ c/,it53ii com-ort/ment+,+i -ro9e8ion/,.
*. E?/min/re/ ,/ 8e8i7/re /re c/r/cter 8trict indi.id+/,i7/t; de-endent de 8it+/3i/ c/re
im-+ne in.e8ti4/3i/ -8i@o,o4ic5; 2i ./ +rm5ri 8t/bi,ire/ c/+7e,or com-ort/ment+,+i de.i/nt 8/+
/,e 8c5derii im-ort/nte / e9icien3ei -ro9e8ion/,e. ce/8t5 e?/min/re 8e e9ect+e/75 -e b/7/ +nor
8o,icit5ri 8cri8e din -/rte/ /n4/A/tor+,+i 8/+ / /,tor or4/ni8me /bi,it/te 2i ./ c+-rinde
moti./re/ -entr+ c/re 8e 8o,icit5 ree./,+/re/; :n8o3it5 de doc+mente,e con8t/t/to/re.
DDDDDDDDDDDDDDD