In the absence of agreement from the bodies mentioned in article R. 4623-5 or from the employer, changes of sector and assignment of the occupational health physician are carried out with the authorisation of the Labour Inspector issued after obtaining the opinion of the Occupational Health Inspector.
An annual document setting out these changes, as well as any other change of assignment in a company or establishment with at least fifty employees, is made available to the Regional Director of Companies, Competition, Consumption, Labour and Employment and to the Labour Inspector.
The number of employees and the fact that the threshold of fifty employees has been exceeded are determined in accordance with the procedures set out in article L. 130-1 of the Social Security Code. When the company has several establishments, the number of employees is calculated for each establishment.