Cabinet of Ministers Regulations No. 57 in Riga 2008 February 5 (pr. 7. § 34) rules on health checks for drivers and people who want to get the qualifications of drivers, as well as early testing of health expenditure in the order Issued under the Road Traffic Act, article 18.7 fifth, sixth, seventh and eighth 1. General questions 1. determines: 1.1. procedures carried out health checks for drivers and people who want to get a qualification of drivers;
1.2. the medical pretindikācij of driving;
1.3. the order in which the driver sends to the early health check, if there is a reasonable suspicion that the driver is driving the medical pretindikācij;
1.4. the procedures for withdrawing driving rights for persons who have a medical pretindikācij in driving, as well as the arrangements for the submission of medical reference to recover management rights;
1.5. procedures shall be borne by the drivers early health checks. 2. the provisions do not apply to bicycle drivers. 2. Procedure for conducting health checks for drivers and people who want to get a driving qualification 2.1. the objective of the health check, the doctor who performed it, and the health check supporting documents 3. First, current and early health checks aim to assess the driving or the State of health of the person wishing to obtain a driver's qualifications (hereinafter the applicant), and to determine whether the vehicle operator or applicant does not have this provision in annex 1 medical pretindikācij for the driving of vehicles. 4. Health check found the driver or the applicant's compliance with the State of health of the relevant category of vehicle reference or acknowledge a medical opinion on medical pretindikācij of the vehicle (further-). 5. Medical reference is a mandatory document (annex 2). Medical reference driver or applicant shall be issued, if the health check is not found in vehicles will allow the medical pretindikācij. Medical reference is valid until the specified date or new medical reference or an opinion in accordance with the procedure laid down in these provisions. 6. the opinion (annex 3) the driver shall be issued to the applicant, or if the health check has found medical pretindikācij of driving. 7. The provisions referred to in paragraph 10 of the family doctor or a doctor, or the Commission, this rule 15.1. referred to a specialized medical board, setting the current time of the health check, the Highway Traffic Act specified health checks can reduce the recurrence of the reasons (for example, there are certain predictable outbreaks of disease, the deterioration of health status), but it may not be less than a year. 8. Reinstall the driver or the applicant's health check, if a first or early in the regular health check found medical pretindikācij driving, performing at the medical institution, which was found in the medical indications for against driving unless the driver is to re-register or other family physician or the Medical Commission is eliminated. The medical establishment, in which the doctor has been eliminated, the Commission, not later than within three working days of the dissolution of the fact, notify the road traffic safety Directorate and the State technical supervisory agency. 9. the month of May to challenge the doctor's or the decision of the Commission shall submit the relevant application to the health inspection. Health inspection in a month of the decision of the administrative procedure law may appeal to the Court. 2.2. Procedure for conducting driving and an applicant or a current first health check 10. driving and first-time applicant or routine health check after she made medical reference check and or opinion gives family physicians whose patients list a driver or applicant is registered and where the health care he has at least six months (the doctor), or medical institution established a Commission of doctors headed by a family doctor or internist and composed of a neurologist, opthalmologist, otorinolaringolog, or traumatolog of ortopēd surgeon, psychiatrist and narkolog. 11. A first-time or regular health checks by the doctor or doctors during the Commission: 11.1. evaluate driving medical pretindikācij and, if necessary, the driver or the applicant to designate additional investigations, as well as other specialties require doctor advice. The doctor, giving medical reference or take into account the opinion of a psychiatrist and narkolog the certificate of the driver or of the applicant's State of health. If necessary, the doctor or the applicant driver posted to the doctor;
11.2. fill out driver's or applicant's health check card (annex 4) which adds the persons concerned or the outpatient card 15 years stored in a medical institution, in which the doctor;
11.3. applications or drivers need vision correction or protective equipment, hearing aids, prostheses or orthoses, as well as custom vehicle, medical reference mark shall be made on additional management features. If the doctor or doctors, the Commission finds that the person require custom TRANS portlīdzekl, person draws national agency "social inclusion". State Agency "social integration Centre" opinion indicating the specific rules referred to in annex 5, for information or code restrictions. 12. If a first-time or current health examination, the doctor or the doctor, the driver or the Commission the applicant finds medical pretindikācij driving, doctor or doctor the Commission not later than two working days after the opinion is issued shall notify the road traffic safety Directorate and the State technical supervision of the agency that the driver of the vehicle or the applicant has found medical pretindikācij of driving. 13. If a first-time or current health examination, the doctor or the doctor's Commission or the driver determines the applicant medical pretindikācij driving and issued a medical doctor or physician inquiries, the Commission within 10 days after the issue of the medical inquiry submit Road Safety Directorate and the State technical supervisory agency specified in the relevant medical reference data. 2.3. Procedure take driving early health screening 14. Of early health checks sent to the driver of the vehicle to which the Republic of Latvia has been issued driving licences, if there is reasonable suspicion that a driver has a medical pretindikācij of driving. 15. Early health check out: 15.1 medical institution created a specialized medical board, if the driver of the vehicle is driven under the influence of alcoholic beverages, drugs, or other intoxicating substances. The Commission is made up of: 15.1.1. two narkolog;
15.1.2. the psychiatrist;
15.1.3. family doctor or internist;
15.1.4. a neurologist;
15.1.5. the ophthalmologist;
15.1.6. otorinolaringolog;
15.1.7. surgeon or traumatolog in ortopēd;
15.2. the rules referred to in paragraph 10, the Commission, if the doctor has a reasonable suspicion that the driver is driving the medical pretindikācij. 16. driving early health screening specialist medical Commission or the doctor in addition to the Commission of these provisions as specified in point 15 of taken the case, also based on the driver's request. 17. early health check To see if the driver has no medical vehicle will allow for driving pretindikācij, a physician performs this provision, the Commission referred to in paragraph 11, but a specialized medical board (in addition to the provisions in paragraph 11 of the following): 17.1. ensure driver's State inspection;
17.2. evaluate mental state;
17.3. If necessary, investigate, using psychological and nostisko tests, psihodiag carried out a study of the biochemical and chemical toxicological studies, as well as the control of breath alcohol concentration in the air and/or blood. 18. Medical inquiries or opinion on early health check found the driver's State of health is issued after all necessary medical preventive measures, but not later than 30 days after the arrival of the driver before a medical examination. 19. After the early health checks in the specialized medical board or Commission shall issue a new physician medical reference or opinion. 20. Specialized medical board or Commission which issued the doctor's medical opinion, the reference or two working days after the opinion of the medical service of the inquiries or notify the road traffic safety Directorate and the State technical supervision agency of driving early health examination results. 3. The order in which the driver sends to the early health check 21 right to send the driver to an early health checks, if there is reasonable suspicion that a driver has a medical indication for against driving, is the national police chiefs of territorial administration or his Deputy. 22. the national police officer making a decision on sending the driver to the early health check, presented it to the specified pattern forms (annex 6) in duplicate. One copy remains in the body, which the officer made a decision on sending the driver to the early health screening, the other-in the possession of the driver, which is sent to an early health check. 23. the decision on sending the driver to the early health screening is a typographical, numbered a mandatory document. 24. the national police officer, sending the driver to the early health checks, if there is reasonable suspicion that a driver has a medical pretindikācij in driving, the decision shall state the grounds on which it is based. 25. the national police officer who acted as a driver sent to an early health checks, ensure that the information on the decision within two working days (in accordance with the agreement between the national police, the road traffic safety Directorate and the State technical supervisory agency for the exchange of information) is entered in the road traffic safety Directorate kept in the vehicle and the driver of the national registry and the State technical supervision of the Agency maintain its head in the technical and informational system. 26. it is the responsibility of the driver to appear on early health screening during the month after the decision to send the driver to an early health screening notification, except in the case of administrative violation imposed administrative penalty-7.2.1.*during*the*calibration*phase*of*the*substitution*method* dzekļ driving disqualification. 27. a driver who is convicted of driving under the influence of alcoholic beverages, drugs, or other intoxicating substances, to recover driving rights of early health check arrives no earlier than after the expiry of the term of imprisonment. 28. Where the driver in accordance with the procedure laid down in these provisions and in no time made a routine health screening or early health checks, according to the Highway Traffic Act article 30 4 of the second paragraph of point driver is prohibited from using driving rights. 4. Procedures shall be borne by the drivers early health checks for expenses 29. the driver or a third person (natural or legal person who, in the driver's seat makes payments to medical authority) covers the early costs of health checks in the following cases: 29.1. If the driver of the vehicle is driven under the influence of alcoholic beverages, drugs, or other intoxicating substances impression;
29.2. If there is reasonable suspicion that the driver is in the electronic check against the medic, indicating the vehicle;
3. If the health check is performed early, on the basis of the driver's request. 30. the amount of the payment for early health checks shall be determined in accordance with the hospital's approved price list. The driver or a third person before the early launching of health check in the hospital's contribution to the amount in cash and receive the mandatory receipt. The receipt shall indicate the hospital's properties, driver's name, surname and personal code, as well as the service type and the amount of the duty. 31. where these rules 29.2. in the case referred to in subparagraph the transport driver for pretindikācij are not medical transport driving, he has a right to seek reimbursement of the administrative procedure law. 5. the procedure for withdrawing driving rights for persons who have a medical pretindikācij in driving for 32. If the driver is found medical antidotes cations, road safety Directorate and the State technical supervision of the Agency, on the basis of the doctor, the doctor or the Medical Commission of the information provided by the Commission (12 and 20 of these rules), as well as the Highway Traffic Act article 29 third, vehicles and their drivers in the national register or, where appropriate, the technical and informational system of drivers kept on driving disqualification on a specific person. 33. Road Traffic Safety Directorate and the State technical supervisory agency within three working days notify the relevant register registered driver for the fact that, on the basis of the doctor, the doctor or the Medical Commission of the information provided by the Commission on the driver perceived pretindikācij of the Highway Traffic Act and article 29 of the third, he is disqualified from driving. 34. If the driver's health check found medical pretindikācij of driving, and driving licences is located next to the driver, he shall be obliged within 10 days to pass invalid driver's license Road Safety Directorate or the State technical supervision agency. 35. If, on the basis of the health check to the medical indications identified driving, State police driver robbed the driver's licence, shall send it to the Directorate of road safety or national technical supervision agency. 36. Road Traffic Safety Directorate and the State technical supervisory agency that rule 34 and 35 above, in the order received a driving licence shall be destroyed. 37. A Person who is found in the health check of the medical pretindikācij for driving on, renew driving right and get a driver's license can only after the corresponding specialized medical board, the Commission or the doctor doctor who has carried out a health inspection of this person is not established by the medical pretindikācij of transport driving and is issued a medical reference. 6. concluding issues 38. This rule 15.1. referred to specialized medical Commission may establish only those medical institutions using the online data transmission, can provide the information referred to in these provisions the transfer of road traffic safety Directorate and the State technical supervisory agency. 39. The provisions for the exchange of information between doctors or commissions that take the driver's health check, the road safety Directorate, national technical supervision agency and the national police with the January 1, 2009 is an online data transmission mode. 40. Medical inquiries, issued up to the effective date of the rules shall be valid until the date specified in them or new medical reference or an opinion. Informative reference to European Union directive rules included provisions deriving from Council of 29 July 1991, the provisions of Directive 91/439/EEC on driving licences. Prime Minister i. Godmanis traffic Minister a. shlesers annex 1: Cabinet of Ministers of 5 February 2008. Regulations No 57 of medical pretindikācij for driving on i. neurological diseases and syndromes of the Central and peripheral 1 nervous system processes or endure the disease and the consequences of the operation, which gets the following: 1.1 the movement function disorders: 1.1.1. Central and peripheral parēz; 1.1.2. ataxia; 1.1.3. parkinsonism, hyperkinesis (ekstrapiramidāl disorders); 1.1.4. nervous system damage syndrome the muscles (myopathy, miastēnij, miotonij); 1.2. the sensory disorder expressed; 1.3. the highest function of the nervous system disorders (dementia, aphasia, agnosia and other disturbances). Notes: a) authorized to drive in some cases, given the extent of the disruption the locale and, if it does not affect driving safety. You can set limits in the permit, specifying the type of vehicle modifications, orthopaedic accessories that can be used. Requires regular medical check-ups after one to two years; (b)) of the Highway Traffic Act, article 18.7 of the fourth part of the category referred to in paragraph 2 of drivers are not allowed to drive if they have this 1.1 and 1.3 of annex referred to in point pretindikācij. If it is pretindikācij referred to in 1.2, requires individual approach with a higher prasīgum (expert opinion) (exception does not apply to public passenger vehicle drivers). 2. the Epileptisk attack (a disease, syndrome) and other disturbances of consciousness, fainting and seizures. Notes: (a)) of the Highway Traffic Act, article 18.7 of the fourth part of the category referred to in paragraph 1, drivers of vehicles allowed to drive only by competent specialists perform examinations and regular medical check-ups. Qualified specialists will decide on epilepsy or other disturbances of consciousness, or consciousness, its clinical form and the effectiveness of the treatment (for example, there have been no attacks in the last two or more years); (b)) of the Highway Traffic Act, article 18.7 of the fourth part of the category referred to in paragraph 2, the drivers are not allowed to drive.   II. Mental disturbance 3. Severe mental disorder resulting from endogenous or exogenous organic changes. 4. Mental retardation. 5. With age or personality disorder linked to severe behavioral problems, which have seriously reduced the judgment, reaction and adaptation capabilities. Note the. Authorized to drive in exceptional cases in accordance with the opinion of the psychiatrist, but not longer than one year, making regular checks to a specialist.   III. Alcohol, the illicit manufacture of narcotic drugs or psychotropic substances (excluding tobacco) excessive, harmful use or dependence 6. The illicit manufacture of narcotic drugs or psychotropic substances, harmful excessive use. Note the. The vehicle is allowed to drive only on objective evidence one year period of abstinence, a check at the specialist and other special medical check-ups. 7. The illicit manufacture of narcotic drugs or psychotropic substances. Note the. The vehicle is allowed to drive only after treatment and objectively proven period of abstinence, if the check has been carried out at specialist and other special medical check-ups. 8. Alcohol dependence. Note the. The vehicle is allowed to drive only after treatment and objectively proven period of abstinence, repeat the applicant's health check after one to two years.   IV. Oral Diseases 9. Diabetes mellitus, which is used in the treatment of insulin preparations. Notes: (a)) of the Highway Traffic Act, article 18.7 of the fourth part of the category referred to in paragraph 1 the driver of vehicles allowed to drive, if he is at least a year of care, visit endokrinolog endokrinolog, at least once every six months and provide opinion endokrinolog, the driver is allowed to drive. Endokrinolog, giving the opinion of the family doctor, a doctor or medical specialist for the Commission, the Commission shall assess the diabetes complications and their severity, the degree of risk of hypoglycemia, diabetes patients practical skills and knowledge of the symptoms of hypoglycemia and hypoglycemia recognition, first aid in case of hypoglycemia and Glycemic self-control personal use means. Routine health check runs once every two years; (b)) of the Highway Traffic Act, article 18.7 of the fourth part of the category referred to in paragraph 2, the driver of vehicles permitted to drive in certain exceptional cases, if the driver is in the care of endokrinolog for at least one year and attend at least four endokrinolog months and endokrinolog has delivered an opinion that allowed the driver to drive the vehicle. Endokrinolog, giving the opinion of the family doctor, a doctor or medical specialist for the Commission, the Commission shall assess the diabetes complications and their severity, the degree of risk of hypoglycemia, diabetes patients practical skills and knowledge of the symptoms of hypoglycemia and hypoglycemia recognition, first aid in case of hypoglycemia and Glycemic self-control personal use means. Routine health check runs once a year. 10. Q-myocardial infarction within the last three months. (IV) class load and peace in unstable angina, angina episodes (more than twice a year). 11. Heart Rhythm disturbances with bouts of unconsciousness. Patients with implanted defibrillators for kardioverter-that heart rate correction need elektroimpuls therapy. 12. Arterial hypertension grade 2 and 3 with frequent hypertensive crises (more than four last year or hypertensive crisis with brain vascular disorders-last semester). 13. any other oral disease, which is a reasonable prognosis for the disease severity or sudden deterioration can cause brain disorders or otherwise endanger road safety. Note the. The Highway Traffic Act, article 18.7 of the fourth part of the category referred to in paragraph 2 of the driver is not allowed to drive a motor vehicle if: (a)) blood and hematopoietic organs disease occurs with anēmisk or hemorrhagic syndrome; b) chronic kidney disease occurs with kidney failure, which is manifested by urēmisk toxicity.   V. 14. Visual impairment of the Highway Traffic Act, article 18.7 of the fourth part of the category referred to in paragraph 1 for the drivers: 14.1 binocular Visual acuity less than 0.5 (also see corrective lenses), using both eyes at once; 14.2. the horizontal field of vision of less than 120; 14.3. only the blind eye Visual acuity lower than 0.6 (also see corrective lenses). Note the. The Intraokulār adjustment is not considered a correction. 15. The Highway Traffic Act, article 18.7 quarter referred to in paragraph 2, the category drivers: 15.1. Visual acuity less than 0.8 in the eye with the best vision and less than 0.5 the eye with the worst vision (also see corrective lenses); 15.2. change the FOV or persistent diplopia. Note: see a) If corrective lenses are used to attain the Visual acuity of 0.8 and 0.5 respectively, unadjusted for the sight in each eye must be 0.05 or the minimum acuity (0.8 and 0.5 respectively) must be achieved with glasses that strength does not exceed plus or minus four dioptres or with the help of contact lenses (uncorrected vision 0.05); (b) adjustment intraokulār) will not be considered.   Vi. Hearing impaired 16. Complete deafness in one ear, and hear the voice of speech with other ear within three meters, "whispered a voice not hear feet away or not hear the speech voice with each ear two meters. 17. Chronic unilateral or bilateral purulent, negative otitis media with holesteatom, granulācij or polip. 18. Chronic purulent complications after a mastoidīt, mastoidektomij (cyst, fistula). Notes: (a)) of the Highway Traffic Act, article 18.7 of the fourth part of the category referred to in paragraph 1, drivers of vehicles permitted to drive the vehicle; (b)) of the Highway Traffic Act, article 18.7 of the fourth part of the category referred to in paragraph 2, drivers of vehicles permitted to drive the vehicle, taking into account the severity of the disturbance, as well as determining the periodicity of checks of health after one to two years. Authorized to drive after the surgery made inflammatory if strutošan has not been at least half a year.   VII. Injuries and their consequences 19. Sedentary scars and wounds, which have impaired hand or foot movements, a pronounced neck movement restrictions, not properly healed fractures, sustained changes in large joints, which greatly interfered with foot and hand movements, as well as the persistent changes in the spine, which has impaired its movement. 20. One of the hands or legs, hands or feet as well as deformation, which is significantly impaired their movement. 21. Two or more fingers of the right hand or lack the right arm, or immobility of the flexion Contracture with complete one-finger bending. 22. Three or more fingers of the left hand for lack or left hand immobility, or Contracture with at least one toe bending, as well as the legs more than 10 cm. abbreviation remarks: (a)) of the Highway Traffic Act, article 18.7 of the fourth part of the category referred to in paragraph 1, drivers of vehicles in some cases allowed to drive. The vehicle can be controlled with one amputēt Shin, if amputation of trunk is at least 1/3 of the lower leg and the knee joint amputēt feet in full motion, but saved with his foot when the foot of the abbreviation-no atrofisk and no bone, muscle, soft tissue and joints of the fault, and is stored in the movement. Foot overall length shall be not less than 75 cm (from the heel bone to the thigh bone in the middle of a large wart); (b)) of the Highway Traffic Act, article 18.7 of the fourth part of the category referred to in paragraph 2, the drivers are not allowed to drive a motor vehicle if there is a lack of movement or considerable restriction of both hand-two hand arm and finger joints Contracture, ankiloz, span and the retention of objects, or ankiloz's Contracture (also functionally advantageous position) both of the shoulder, elbow and arm joints, first and second finger's lack of both hands one hand, and the foot is the abbreviation for 10 cm. traffic Minister a. shlesers annex 2 Cabinet-February 5, 2008, regulations No 57 medical referral traffic a. the Minister shlesers annex 3 of the Cabinet of Ministers of 5 February 2008. Regulations No 57 opinion on medical pretindikācij of driving traffic Minister a. shlesers annex 4 of the Cabinet of Ministers of 5 February 2008. Regulations No 57 health check card traffic Minister a. shlesers annex 5 cabinet-February 5, 2008, the rules and restrictions for more information no 57 codes restriction codes for further information and stating that transport, the driver must use : 1. Vision Correction and/or protection (e.g., glasses, contact lenses) (01).
2. Hearing aid accessories (02).
3. prostheses/orthoses Members (03).
4. the custom vehicle: 4.1 custom transmission (10);
4.2. custom clutch (15);
4.3. adjust the brake system (20);
4.4. custom Accelerator (25);
4.5. the service braking system and the custom Accelerator (30);
4.6. custom enhancements (for example, light, window Wiper/washer, Horn, direction indicators switches) (35);
4.7. adjust the steering (40);
4.8. custom rear-view mirror (s) (42);
4.9. adjusted for the driver's seat (43);
4.10. custom motorcycles (subcode use obligatory): 4.10.1. single operated brake (44.01);
4.10.2 custom hand-operated front wheel brakes (44.02);
4.10.3. custom foot-operated rear wheel brakes (44.03);
4.10.4. custom Accelerator handle (44.04);
' 4.10.5. custom with hand-operated transmission and clutch (No 44.05);
4.10.6. custom rear-view mirror (s) (No 44.06);
4.10.7. custom warning signals (e.g. light direction indicators, stop lights) (44.07);
4.10.8. driver's seat positioned at a height to, sitting on a motorcycle, while both legs could keep on the ground (44.08);
4.11. allowed to drive a motorcycle with a sidecar (45);
4.12. authorized to drive to a specific vehicle/chassis number (vehicle identification number, VIN) (50);
4.13. authorized to drive to a national registration number (51). Traffic Minister a. shlesers annex 6 Cabinet-February 5, 2008, regulations No 57 decision on sending the driver to the early health check traffic Minister a. shlesers