DRAFT
The Merchant Shipping (Medical Examination)
Rules, 2013
MINISTRY OF SHIPPING
(Shipping Wing)
New Delhi, the ------------------------------G.S.R. -----(-): In exercise of the powers conferred by sub-section (3) of Section 98 and
Section 458 of Merchant Shipping Act, 1958 (44 of 1958) and in super session of the
Merchant Shipping (Medical Examination) Rules 2000, except as respects things done or
omitted to be done before such supersession, the Central Government hereby makes the
following rules namely:
Part- I
Preliminary
1. Short title and Commencement - (i) these rules, may be called Merchant Shipping
(Medical Examination) Rules, 2013;
(ii) These rules shall come into force on the date of their publication in the Official
Gazette.
2. Application- unless otherwise specified, these rules shall apply to “the person” as
defined in section 3(l) of these rules;
3. Definitions – (i) In these rules, unless the context otherwise requires:
(a) "Act" means the Merchant Shipping Act, 1958 (44 of 1958);
(b) “Approved” means approved by the Directorate General of Shipping;
(c) “Approving Authority” means the Nautical Advisor to the Government of India who
is authorized to issue approval or withdraw or suspend approval to the medical
examiner;
(d) “Competent Authority” means the Director General of Shipping appointed
under section 7 of the act;
(e) “Convention” means the Standards of Training, Certification and Watch Keeping
(STCW) convention 1978 as amended by the 2010 protocol and Maritime Labor
Convention, 2006;
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(f) “Examinee” means any person taking certificate of Competency/Proficiency
examination and seeking relevant endorsement under the STCW rules;
(g) “Guidelines” means guidelines developed by the Organization with respect to
medical examination of seafarer and person, medical guide for ships and all other purposes
under these rules;
(h) “Medical examiner” means a qualified Medical Practitioner under the Indian
Medical Council Act, 1956(102 of 1956) and authorized by the Competent Authority;
(i) “Merchant shipping notice” means a notice issued by the Director General as
such;
(j) New Entrant means any person undergoing any training at the maritime training
Institute, ashore or on ship;
(k) “Organization” means the following;
i) “International Maritime Organization (IMO)” or
ii) “International Labor Organization (ILO)” or
iii) “World Health Organization (WHO)” as the case may be;
(l)“Person” means
seamen, examinee, and
New entrant, master ,seafarer , apprentice, young person,
supernumerary;
(m) "Schedule” means Schedule appended to these rules;
(n) “Seafarer” means any person who is employed or engaged or works in any
capacity on board Indian ships, or other than an Indian ships;
(o) “Supernumerary” means any person who is part of ship’s complement on board
but not employed or engaged or works in any capacity on the business of an Indian
ships, or other than an Indian ships; and
(ii) Words and expressions used have not defined but defined in the act &
conventions shall have meanings respectively assigned to them in the acts and
convention.
4. Exemptions in respect of validity of Medical Certificate – the Competent Authority
as deemed necessary may permit the person not more than three months to work or stay on
board without a valid medical certificate or until the next port of call where the person
concerned can obtain a medical certificate from a qualified Medical examiner.
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Part- II
Approval of Medical Examiner & Conduct of Medical Examination
5. Approval of Medical Examiner - (i) the Competent Authority shall under these
rules approve such numbers of Medical Examiners at the ports or places, as it thinks fit;
(ii) The Approving Authority shall approve those Medical Examiner who shall fulfill
the conditions as specified in Schedule III, Schedule IV & Schedule V as the case may be;
(iii) The Medical Examiner shall submit an application in prescribed format as
specified in schedule I for the initial and renewal approval and fee prescribed in rule 14(iii)
for the type of approval requested; and
(iv)
The approved Medical Examiner shall conduct the medical examination
conforming to the medical standards as specified in Schedule – VII/X & XI of these Rules.
6. Type of Medical Examination-(i) the persons shall be subjected to the following
types of medical examination(i) a pre sea medical examination , those conducted before the person embarks upon
a seafaring career; and
(ii) a periodic medical examination , those conducted either before the person
reports to a ship or at periodic interval during the person’s seafaring career.
7. Functions of Medical Examiners- The medical examiner shall perform the following functions,(i) The purpose of the medical examination whether the person is returned after illness, continuing
health problems and if so, conducts the examination accordingly;
(ii) Verify the identity of the persons to be examined through the number of his Continuous Discharge
Certificate (CDC) /Seamen Identification Document (SID), passport or other relevant
documents issued by the concerned Authorities;
(iii) Establish the person’s position on board a ship or ashore in consonance with the skills required in
the discharge of his function;
(iv) Collect information from the person’s on his previous medical history;
(v) Take declaration from the person’s in prescribed format as specified in schedule VIII;
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(vi) Review medical history of the person or medical records and the declaration made by the person as
specified in schedule VIII and thereafter proceed for medical examination;
(vii) On the basis of expert opinions relating to medical problems, further investigation and treatment
may be prescribed;
(viii) Verify the results of clinical tests if conducted;
(ix) Conduct medical examinations of the persons as per the medical standards’ specified in schedule
VII, X and XI;
(x) Issue medical certificate in English to the persons in the prescribed format as specified in schedule
IX;
(xi) Mark the medical examination documents “CONFIDENTIAL” and retain the same for period of
10 years;
(xii) Comply with relevant provisions of the Merchant Shipping Act, 1958 and these rules including
the notifications issued by the Competent Authority and submit periodical returns in the
prescribed format as specified in schedule XII
8. Validity of Medical Examination Certificate- (i) Subject to the conditions specified by the
medical examiner, a medical certificate including color visions test shall be valid for
maximum period of 1 year in respect of:
(a) person’s under age of 18 year for the purpose of pre-sea or periodical examination as
the case may be; and
(b) Supernumerary undergoing periodical examination for the purpose of joining the ship.
(ii) Subject to the conditions specified by the medical examiner, a medical certificate
including color visions test shall be valid for maximum period of 2 years in respect of:
(a) New entrant undergoing Pre-Sea medical examination;
(b) Person’s undergoing periodical examination for the purpose of engagement on board
a ship; and
(c) Person’s undergoing periodical examination for the purpose of certificate of
competency/Proficiency and other endorsements.
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(iii) A copy of valid Medical certificate including the color vision test compliance shall be
acceptable by the assessment centers of the DGS or other centers declared by the
Competent Authority as the case may be for the purpose of certificate of competency
Examination/endorsements ; and
(iv) If the medical certificate of person’s expires in the course of the voyage, such certificate
shall continue to remain in force or valid until vessel’s arrival at the next port of call
wherever the facility of qualified Medical examiner available.
9. Validation of Medical Certificate- The medical examination certificate issued to the
person shall be deemed to be valid for all the purposes.
Part III
Appellate Authority and Appeal Procedures
10. Appointment of Appellate Authority for re-examination-(i) The Competent Authority
shall, by an order in writing constitute an appellate authority at such ports or places, as it
thinks fit comprising of not less than three specialists in any branch of Medical Science
and a assessor(s) (having knowledge and understanding of maritime field and ship’s
operations ) if considered necessary ;
(ii) The Panel of specialist constituting the appellate authority shall be drawn by the
Competent Authority in consultation with the representative organizations of shipowners or his agent, other professional bodies recognized by the Competent
Authority. No person in the employment of any owner or agent of a ship or of
representative organizations of ship-owners or agents or professional bodies or
seafarers’ representative or of the persons shall be empanelled in the constituting
such appellate authority; and
(iii) The members of the Appellate Authority shall be remunerated with fees and
TA/DA as prescribed by the Competent Authority;
11. Appeal Procedures for re-examination and review(i)
the
aggrieved person may , within a period of sixty days from the date on
which he is declared unfit by the medical examiner, appeal against such
decision to the appellate authority through the Director , Seaman employment
Office(SEO). Provided that an appeal may be admitted after the expiry of the
period of sixty days if the appellant satisfies the appellate authority that he
had sufficient cause for not making such appeal within the prescribed period;
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(ii)
Every appeal made under this rule shall be accompanied by a copy of the
order appealed against and the prescribed fee;
(iii)
On receipt of the appeal, the Director, Seamen’s Employment Office (SEO) in
consultation with the Competent Authority shall refer it to the appellate
authority immediately and if ordered inform the person and the Competent
Authority of place of his examination by the appellate authority. The date and
time of his examination shall be decided by the Appellate Authority.
(iii) The Appellate Authority, before disposing of an appeal, shall give a reasonable
opportunity of being heard to the appellant;
(iv) An appeal shall be disposed of as expeditiously as possible but within a period of
sixty days from the date of filing of the appeal;
(v)
The decision of the appellate authority shall be binding on the person as well
as owner or agent of the ship or the training institute or others concerned as
the case may be;
(vi)
The person may apply to the Director, Seaman’s Employment Office with the
prescribed fee within a period of one year from the date on which the appellate
authority had declared him permanently unfit for reviewing his case if he has
obtained a certificate of fitness from a medical specialist in that branch of
medical science to which his ailment relates. A copy of such application shall
be endorsed to the Competent Authority and the concerned ship owner or his
agent or the training institute or other concerned entity as the case may be.
Provided that the Director, Seamen’s Employment Office (SEO) in consultation
with the Competent Authority may admit any such review application made
after the said period of one year if he is satisfied that the person had sufficient
cause for not making the application within the same period.
(vii)
The Director, Seamen Employment Office (SEO) in consultation with the
Competent Authority shall refer the review application to the Appellate
Authority. The Director, Seamen Employment Office and the appellate
authority shall follow the same procedure as applicable to the appeal cases
Part-IV
Miscellaneous
12. Maintenance of Medical Records and Periodical Returns by the Approved Medical
examiner-(i) the approved Medical examiner shall maintain medical records of the
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medical examinations conducted by him with copies of Medical Certificate issued;
and
(ii) the medical examiner shall also send half yearly returns to the Competent
Authority in the prescribed format as specified in schedule XII.
13. Suspension and Cancellation of approval-(i) The Approving Authority upon
receipt of any complaint in writing from any person, ship-owner, his agent, training
institute or other entity concerned including the medical examiner relating to the conduct of
medical examination and any other contravention of the provisions of these rules shall
investigate into such complaints.
(ii) The Approving Authority shall authorize concerned Principal Officer, Mercantile
Marine Department (MMD), District to conduct investigation in to such complaints.
In doing so, he may request a member of the concerned academic council or other
authorized official or recognized bodies to accompany the investigating team
identified by him;
(iii) A report of investigation shall be submitted by the concerned Principal Officer,
MMD, District to the Approving Authority along with findings and recommendations
at the earliest but not later than 60 working days from the date of completion of the
investigation;
(iv)
Approved Medical examiners or others involved in the conduct or process of
medical examination who are found to be observing unethical means or
committing professional misconduct or having male-fide intentions shall be
dealt with the provisions of the act or these rules or the provisions of the
notifications issued by the Competent Authority as the case may be. Medical
examiners shall have their approval either suspended or withdrawn by the
Approving Authority if proved to have committed such acts. Others involved in
such
acts
shall
face
an
appropriate
disciplinary/legal
action
after
investigation. For the purpose of any inquiry or appeal, the Approving
Authority shall give such Medical examiner or others, an opportunity of
making a defence either in person or through authorized representative;
(v)
The aggrieved medical examiner or others may appeal against the decision of
the approving authority within 15 days from the date of passing such order of
suspension or cancellation of approval or other disciplinary/legal action in
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case of others effected by the approving authority decision as the case may
be to the Competent Authority; and
(vi)
The Competent Authority shall dispose of such cases as per the procedure set
out in rule 11 and his decision shall be binding on the Medical Examiner or
others involved in such complaints.
14. Fee Structure -(i) The ship owner or his agent or the training institute or the
persons shall pay the following fee to the medical examiner for the type of medical
examination conducted by him,(a) Medical examination/investigation and issuance of medical certificate- not more
than Rs 1000/- per person;
(b) Physical clinical examination with medical certificate not less than- Rs.500/- per
person; and
(c) Issuance of duplicate certificate- Rs.100/- per person
(ii) The person making application for appeal or review shall submit a demand draft
from any nationalized bank drawn in favor of the Director, Seamen Employment
Office(SEO) for the amount as set out below,(a) Appeal against the decision of the medical examiner- Rs.2000/- per case; and
(b) Application for the Review case – Rs. 2000/- per case
(iii) The medical examiner seeking approval of the Competent Authority shall
submit
a demand draft from any nationalized bank drawn in favor of Directorate General of
Shipping, Mumbai, for the amount set out below,(a) Initial approval - Rs.25,000/- per case ;
(b) Renewal approval- Rs.10,000/- per case; and
(c) Issuance of duplicate letter of approval- Rs.1000/- per copy
15. Penalties and disciplinary actions-(i) Whoever contravenes any of the relevant
provisions of the Merchant Shipping Act, 1958, these rules and any notification
issued by the Competent Authority in respect of medical examination shall be liable
to punishment as specified 436 of Merchant Shipping Act, 1958.
16.
Review of the provisions of these Rules- The Competent Authority in
consultation with ship owner or his agent, training institute, the person and
seafarers representative and other entities shall keep the provisions of these rule
under review and
may issue Merchant Shipping Notice(s) for
all the purposes
under these rules as deemed necessary.
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17. Repeal and savings- (i) The Merchant Shipping (Medical Examination) Rules,
2000 are hereby repealed;
(ii) All medical reports & certificates under the repealed rules shall be deemed to have
been issued under the corresponding provisions of these rules, provided such
certificates shall be renewed within the period of 6 months from the date of
promulgation of these rules; and
(iii) The approved medical examiners under the repealed rules shall be deemed to
have been approved under the corresponding provisions of these rules, provided such
approval shall be renewed within the period of 6 months from the date of
promulgation of these rules.
Sd/( ……………….)
Joint Secretary to the Govt. of India
List of Schedules
Schedule I- Application for initial and renewal Approval;
Schedule II- Affidavit format;
Schedule III- Conditions of Initial Approval to the Medical examiner;
Schedule IV- Conditions for renewal approval to the Medical Examiner;
Schedule V- Check List for initial Approval to the Medical Examiner;
Schedule VI- Format for Letter of approval;
Schedule VII – Medical Standards to conduct medical examination;
Schedule VIII- Format for Medical Examination (Person’s Declaration);
Schedule IX- Format for Medical Certificate to the Person;
Schedule X – Minimum in service eyesight standards;
Schedule XI - Assessment of minimum entry level and in service physical
abilities; and
Schedule XII – Half Yearly Returns
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Schedule I
[See rule 5(ii)]
Application for initial and renewal Approval
Photograph
(size)e
3.5
3.5
To
Directorate General of Shipping
Date _________________
Jahaz Bhavan,
Place ________________
Walchand Hirachand Marg,
Ballard Estate,
Mumbai- 400 001.
[Kind Attn: Approving Authority -Nautical Adviser to the Government of India].
[Subject: - Initial / Renewal approval to Medical examiner -regarding].
Sir,
I, Dr.
__________________________________ wish to apply for the initial / renewal
approval to conduct medical examination at _____________facility(s)[details of each facility
attached herewith]. A copy of my Bio-data along with other relevant documents pertaining
to academic and professional qualification, experience, previous letter of approval if issued,
proof of age etc and check list duly self certified and filled in are enclosed.
2.
I declare that no legal cases or complainants from the persons are pending
against me in any Indian and overseas in the competent courts of Jurisdiction.
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3. I also confirm to extend all co-operation to the authorized official of the Approving
Authority in course approval process or thereafter and the arrangement to conduct the
inspection for the purpose of approval shall be at my cost and risk.
4. You are therefore, requested to issue a letter of approval to enable me to perform
the function of Medical examiner at the facility(s) stated above for the purpose of medical
examination.
Yours faithfully,
(Dr._____________________)
Name:__________________
Medical Council of India Registration No.__________
Date of issue: __________________
(delete as applicable)
Enclosures:
1.
Copy of valid Medical Council of India Registration Certificate;
2.
Copy of bio-data with supporting documents including an affidavit;
3.
Copy of check list duly filled in and self attested with relevant information;
4.
Copy of proof of age;
5.
Copy of previous letter of approval, if applicable; [Note:- A copy of above mentioned
documents shall be duly self certified ]
6.
Two passport size photograph (3.5 x 3.5 cm);
7.
3 specimen signature on clinic letterhead (furnishing full style);
8.
A proof for medical fitness issued by any Government Hospital or by the approved
medical examiner whose approval and registration is valid;
9.
10.
Proof of submission of periodical returns;
Declaration that no outstanding disciplinary action and legal action is pending in any
jurisdiction in India and overseas; and
11.
Confirmation with evidence that applicant is continuously up graded/updated in
current medicines & medical science as per the best medical practices in India and
overseas.
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Schedule II
(See rule 5(ii)))
AFFIDAVIT
I, Dr. ______________, Regn. No. ______, (State/Centre) Medical Council of
India, valid till_______ , age ____ years, Indian Resident, operate medical facility(s)at
______________, do hereby on solemn affirmation as under:
1.
I am fully conversant with the applicable Indian Maritime Laws relating to ship
board operations and medical examination’s entire process of examination of person and
have good understanding in the following areas:
(i)
(ii)
(iii)
(iv)
(v)
(vi)
(vii)
Living and working conditions on board sea going merchant ships of
various
types
gained
through
special
instructions/attended
occupational/Maritime medicine/health related courses or other means as
prescribed by the medical council of India or relevant association or
through self efforts or others means(delete as applicable);
Medical publications “The International Medical guide for ships or an
equivalent national medical guide for use on ships or others;
Conventions on Standard of Training, Certification and Watch-keeping
(STCW) 1995 Regulation, I/9-Medical Examination & Maritime Labour
,2006- Regulation 1.2 - Medical Certificate;
Guidelines on “Medical Examination of Seafarers” issued by ILO/IMO
given in ILO/IMO/JMS/2011/12 document;
Relevant provisions of Merchant Shipping Act, 1958;
Merchant Shipping (Medical Examination) Rules and DGS/M.S. Notices on
Medical Examination and Sight test issued from time to time as available
on DGS website www.dgshipping.com ;www.dgshipping.gov.in;
Procedure to deal with appeal cases and appellate authority.
2. I state that the contents of this affidavit are true and correct to my knowledge.
Solemnly affirmed in _______ on dd/mm/yyyy
(Place)
Before me
Attested
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Schedule III
(See rule 5(iii))
Conditions for approval to Medical Examiners
1.
1.1.
Medical examiners seeking approval shall fulfill following conditions,Be a qualified medical examiner currently accredited by the Indian medical
council registration authority for the place where he is working and his age
not to exceed 75 years on the date of submission of application;
1.2.
Be experienced (minimum 5 years) in general and occupational medicine or
maritime occupational medicine for conducting medical fitness examination of
persons, however competence in maritime health is desirable as it improves
quality of assessment;
1.3.
Have the requisite clean
declared medical facilities and equipments as
specified in schedule V within the limits of city or town to carry out medical
fitness examination, which are conveniently situated for easy access by the
persons;
1.4.
Confirm that he enjoys professional independence from ship-owners, the
person and their representatives in exercising their medical judgment in terms
of the medical examination procedures;
1.5
Submit along with the application with prescribed fee, an affidavit confirming
the, means used in acquiring the understanding of knowledge of ship board
activities, in the prescribed form as in Schedule -II;
1.6
Be well conversant with at least Hindi or English language; and
1.7
Submits all supporting documents duly self attested.
Schedule IV
(See rule 5(iii))
Conditions for Renewal of approval to Medical Examiners
1. Medical examiners seeking renewal of approval shall fulfill following conditions,1.1
1.2
Age shall be below 75 years on the date of submission of application;
Certificate of Registration shall be valid;
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1.3
Periodical returns for the previous years submitted;
1.4
No disciplinary or legal proceedings are pending in any jurisdiction;
1.5
Conditions specified in the letter of approval if issued are complied with;
1.6
continuously up gradation/up-date with current medicines & medical science
as per the best medical practices in India and overseas; and
1.7
Applications with the prescribed fee, an affidavit as specified in schedule II
and checklist as specified in schedule V and other documents are submitted.
Schedule V
[See rule 5 (ii) ]
Check List for Approval of Approval to Medical Examiner
(To be duly filled in by the applicant)
PART A
1 Name of the applicant2 Date of birth3 Name & address of medical facility at which medical examination to be conducted
PART B
4
Educational qualification with certified copies as attachment-
5
Professional qualification with certified copies as attachment-
6
IMC registration number-
7
Details of experience including experience on ships or in lieu adequate knowledge
on living and working condition on board merchant ships
8
Details of qualified support staff having adequate experience in providing medical
services to the person-
9
Details of other doctors, managerial, Para-medical and clerical staff including
consultants-
10 Details of the clinic(numbers) and laboratory facilities(numbers) – adequate area
to accommodate medicals officer, staff, record room, waiting area for person & list
of medical examination facilities at the clinic –
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11 List of clients giving evidence of integrity, goodwill and understanding of seafaring
profession 11.1
11.2
11.3
(For official purpose (only) - to be filled by the inspecting team)
(Note: The inspecting team is advised to give clear recommendations for
approval or specify the reasons for rejection or re-inspection).
Names of inspecting team
1.
Team leader
2.
Member
3.
Member
Remarks of the Inspecting TeamRecommendations of the Inspecting team-
Date
Official Seal
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Schedule VI
(See rule 5 (ii))
Format for Letter of Approval
(No.DGS/Medical/_______)
Reference No. --------To,
Dr
[Sub: Letter of Approval to Dr.
, Registration No. ---
]
-----------------------------------------------------------------------------------------------Sir,
In response to your application No.__________ dated
and subsequently
fulfilling the conditions for the approval as specified in schedule III/IV as the case
may be , the Approving Authority is pleased to accord approval to you as Medical
examiner in accordance with the provision
of Merchant Shipping Act, 1958 and
these rules.
2. You are therefore permitted to conduct medical examination in accordance with the
relevant provisions of these rules and other national and International laws
applicable, including any notification issued by Competent Authority from time to
time in this regard for the following facility,2.1 Name & full style of the facility:
3. Your name along with contact details given by you in the application / check list shall
be displayed on the DGS Website at the earliest. This approval shall remain valid for --years till ----------- subject to the compliance with the following conditions.
1.
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2.
3.
4. The Approving Authority in the event of non-compliance of the conditions has the
right to suspend or cancel this letter of approval or convey any adverse report against you
to the concerned authorities after giving an opportunity to you to defend. However, you have
the right to appeal to the Competent Authority against such decision.
Yours faithfully,
(Authorized Official of Approving Authority)
(Delete as applicable)
cc:
1. All Principals Officers, MMD, District;
2. All Indian High Commissions;
3. Director General, Indian Coast Guard;
4. Ministry of Health/Ministry of Labor/Ministry of Home Affairs/Ministry of
Defense/Ministry of External Affairs; and
5. INSA/FOSMA/MASSA/ICSSA/NUSI/FUSI/MUI/IPA/Maritime Boards/Customs
Schedule –VII
[See rule 7(ix)]
Medical standards for medical examination of Person
1.
Pre-sea/Periodical Medical Examination- The person shall undergo the
following physical clinical examination before obtaining medical certificate from the medical
examiner,-
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1.1.
Physical Examination: which may inter-alia include examination of organ or organ
systems with available applicable tools/equipment with medical facility of the
approved medical examiner such as;
1.1.1 Anatomy- Head, eyes, ears, nose, mouth, throat, neck, chest, abdomen, skin
and limbs;
1.1.2 Vital signs - Blood pressure, pulse rate and body temperature;
1.1.3 Vital
Systems-
nervous/sense
Respiratory,
organs,
digestive,
cardiovascular/circulatory,
gastrointestinal,
endocrine,
musculoskeletal
and
genitourinary;
1.1.4 Other Observations- Infectious (HIV/AIDS)/DNA if requested by the applicant
and Parasitic Diseases, Allergy, Malignant Neoplasm, Immunity disorders,
diseases of blood and forming organs, mental disorders, oral health,
pregnancy and skin;
1.1.5 General appearance- Posture, expression, restlessness, speech (impairment),
behavior and sweating tendency of the body including weight and height.
1.2
Prescribed physical fitness Standards - The medical examiner shall be guided by
the following standards 1.2.1- For New Entrant and the person desiring to join a particular department for
the first time, the minimum requirements shall be as follows1.2.1.1
Height 157 cms (5’2”);
1.2.1.2
Weight 48 kgs (105lbs);
(i) Provided that weight shall be proportionate to height and in
conformance to the best
practices in the medical field and 10% reduction may be acceptable by the Competent
Authority on merit of the case; and
(ii) Provided in case of new entrant hailing from Lakshadweep, Amindevi, the Andaman’s
and Nicobar Islands and Gorkhas, Nepalese, Assamesse and other hilly areas notified by
the Central Government including the Nagaland, Mizoram, Meghalaya, Arunachal Pradesh,
Manipur, Tripura, Garhwal, Sikkim and the female applicants the height and weight may be
reduced by 5cm(2”) and 3 kgs respectively;
1.2.1.3- Chest-minimum 74cm (29”) with expansion range of 5cm (2”);
1.2.1.4- Age – minimum age shall be 16 years;
1.2.1.5-Skin- There shall be no evidence of acute or chronic skin disease or
chroniculcoration;
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1.2.1.6- Speech- speech shall be without impediment or loss of speech is not
acceptable;
1.2.1.7- Alimentary system- shall have number of natural teeth (in healthy state) for
mastication; spleen shall not be enlarged, liver not tender, no oral sepsis, no hernia;
1.2.1.8- Cardio Vascular System- There shall be no sign of any cardio vascular
disease. Blood pressure shall not exceed 85 diastolic and 140 systolic, cases of low
blood pressure (i.e systolic below 100) shall be rejected;
1.2.1.9- Respiratory System- There shall be no deformity of chest which may cause
impediment to breathing. The person shall be free from all diseases of respiratory
system;
1.2.1.10- Genito Urinary – There shall be no evidence of genito urinary disease or
any abonormailty;
1.2.1.11-Skeltel System- The functions of all limbs shall be within normal limits and
there shall be no evidence of serious deformity of the spinal column of the
extremities;
1.2.1.12- Nervous System- There shall be no evidence of any disease of nervous
system or of any mental disease;
1.2.1.13-Glandular system- There shall be no evidence of tuberculosis or other
disease of the glandular system including the endocrine glands
1.2.2- For the person joining ship subsequent to the first entry
,the standards of
physical fitness for examination shall be as follows;
1.2.2.1- Chest-minimum 74cm (29”) with expansion range of 5cm (2”);
1.2.2.2- Age – maximum age of retirement shall be 58 years above this age
necessary requirements of the flag administration shall be followed;
1.2.2.3-Skin- cases of acute skin diseases, chronic active skin disease and chronic
ulceration should be declared “temporarily unfit”. Cases of non-infectious and non
active skin diseases should be considered;
1.2.2.4- Speech- In case of gross impediment to speech, caused as a result of some
disease, the person should be declared temporarily unfit. Minor defects in speech not
effecting his efficiency may be considered;
1.2.2.5- Alimentary system- should have number of natural teeth (in healthy state)
for mastication; spleen should not be enlarged and no evidence of tenderness be
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present, liver may be palpable, but no evidence of tenderness be present, no evidence
of gross oral sepsis be present, should not be suffering from diabetes;
1.2.2.6- Cardio Vascular System- There should be no sign of gross arteriosclerosis
and evidence of enlargement of heart or chronic heart disease. The blood pressure
should be as follows-Systolic in principle 100 plus age, 150 up to 35 years and 170
for above 35 years of age. Maximum diastolic should be 100;
1.2.2.7- Respiratory System- There shall be no deformity of chest which may cause
impediment to breathing. The person shall be free from all diseases of respiratory
system. In the event of any such disease the person should declared temporarily
unfit;
1.2.2.8- Genito Urinary – There shall be no evidence of genito urinary disease or any
abnormality In the event of any such disease the person should declared temporarily
unfit;
1.2.2.9-Skeltel System- The functions of all limbs shall be within normal limits and
there shall be no evidence of serious deformity of the spinal column of the
extremities;
1.2.2.10- Nervous System- There shall be no evidence of any disease of nervous
system or of any mental disease In the event of any such disease the person should
declared temporarily unfit;
1.2.2.11-Glandular system- There shall be no evidence of tuberculosis or other
disease of the glandular system including the endocrine glands.
Notwithstanding anything contained in these rules, Competent Authority may relax
requirements of standards if the person concerned is considered physically fit to
perform his assigned functions ashore or on ship and is constitutionally fit with no
physical defects.
1.3- Mandatory Clinical Tests
1.3.1 Minimum clinical tests to include pulse rate and blood pressure and the
following1.3.1.1- Complete Blood Count (Hb, TWBC, ESR);
1.3.1.2- Routine Urine (Albumin, Sugar and microscopic);
1.3.1.3- Blood Sugar;
1.3.1.4- Audiometry;
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- 20 -
1.3.1.5- Vision Test (Distant, Near, Color);
1.3.1.6- Chest X-ray (Large Plate);
1.3.1.7- Electrocardiogram (ECG); and
1.3.1.8- Pregnancy tests for female person if applicable
1.4
Vision Standards for Pre-sea Medical Examination- There shall be no evidence of
any morbid condition of either eye or of the lids of either eye which may be liable to
risk of aggravation or recurrence. The persons under this category shall fulfill
following standards1.4.1- Deck Department personnel’s performing Navigation, Cargo, Ship, Operations
and emergency functions including Officers Trainees/Apprentice, Deck and
General Purpose (GP) Rating and others discharging such functions in this
Department shall maintain:
1.4.1.1
Distance form vision (unaided 1.0 *(6/6) in better eye and 0.67*(6/9)
in other eye; and
1.4.1.2
Normal color vision shall be tested by Ishihara test chart.
1.4.2- Engine Department Personnel’s performing marine engineering, electrical,
electronic, control engineering and maintenance and repair including Officers
Trainees/Apprentice ,GP Rating in the capacity of Engine Room Rating and
others discharging such functions in this Department shall maintain:
1.4.2.1
Distance form vision (unaided 0.5 *(6/12) in each eye or 0.67*(6/9)
in better eye and 0.33 *(6/18) in other eye; and
1.4.2.2
Normal color vision shall be tested by Ishihara test chart.
1.4.3 – Catering/Hospitality
Department
personnel’s
performing
cooking
and
husbandry functions including Officers Trainees/Apprentices, GP ratings in
the capacity of saloon ratings and others discharging such functions in this
Department shall maintain:
1.4.3.1
Distance form vision (unaided 0.33 *(6/18) in each eye or 0.5*(6/12)
in better eye and 0.25*(6/24) in other eye; and
1.4.3.2
Normal color vision shall be tested by Ishihara test chart.
1.4.4- Radio Officers or Audio officers, Electrical Officer/Electronic Officer and other
personnel’s performing Radio communication functions
including Officers
Trainees and others discharging such functions shall maintain:
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1.4.4.1
Distance form vision (unaided 0.5 *(6/12) in each eye or 0.67*(6/9)
in better eye and 0.33*(6/18) in other eye; and
1.4.4.2
Normal color vision shall be tested by Ishihara test chart.
1.5 Vision Standards for Periodical Medical Examination- As per Appendix A of
ILO/IMO/JMS/2011/12 & STCW Code table A-I/9 - Testing of distance vision, near
vision, color vision, visual field & limitation to night visions shall be verified;
1.6
General Hearing standards for Pre Sea and Periodical medical Examination - As
per Appendix B of ILO/IMO/JMS/2011/12 - Use of audiometer, standardized tests
that measure impairment to speech recognition shall be employed; the following
specific standards may be taken into consideration during such examination:
1.6.1- Pre Sea Examination1.6.1.1- un aided average threshold at least 30db in the better ear and an average of
40db(unaided) in the less good ear within the frequencies 500, 1000, 2000 and
3000hz(approximately equivalent to speech-hearing distances of 3 meters and
2meters respectively) and/or functional speech discrimination less than 90% at 55db
in both ears; and
1.6.1.2- Hearing shall be good in both ears and no sign of supportive disease are
present in either of the ears. No hearing aid shall be permitted.
1.6.2-Periodical Examination1.6.2.1- un aided average threshold at least 30db in the better ear and an average of
40db(unaided) in the less good ear within the frequencies 500, 1000, 2000 and
3000hz(approximately equivalent to speech-hearing distances of 3 meters and
2meters respectively) and/or functional speech discrimination less than 80% at 55db
in both ears;
1.6.2.2- seafarers undertaking deck/bridge duties shall be able to hear whispered
speech at a distance of 3 meters and others at a distance of 5 meters on each side;
1.6.2.3- There shall be no sign of supportive disease present in either of the ears and
hearing aids shall not be permitted but in exceptional cases with the approval of the
competent authority and recommendation of the medical examiner/owner, it may be
considered with conditions specified, taking into account the age, operational area of
the vessel and position on board the vessel etc.
1.6.3- Other requirements-
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1.6.3.1- Hearing examination shall be made by a pure tone audiometer. Other
effective assessment method using the validated and standardized tests that measure
impairment to speech recognition may also be supplemented if deemed necessary. In
addition, speech and whisper testing assessment shall also be used for practical
assessment.
1.7
Physical capability requirements- As per Appendix C of ILO/IMO/JMS/2011/12 &
STCW Code table B-I/9, the functioning of vital system of the human body
demonstrates the state of good health of persons and therefore, the medical examiner
shall also be guided by the standards specified in para 1.2 above;
1.8
Testing for the presence of Drug and Alcohol- As per guiding procedures of ILOWHO for maritime Industry and should be conducted if the ship-owner or his agent
or training institute requests;
1.9
Application of Tests- In addition to the minimum tests prescribed in para 1.3, the
ship owner or his agent or the training institutes or other entity may conduct tests
stated in Appendix A-E of ILO/IMO/JMS/2011/12 at their own cost and risk as per
the requirements of relevant contract of employment/ Collective Bargaining
Agreement [CBA].
2. Additional medical examination for the person concerned2.1
Person on board tankers engaged in the carriage of cargsergenic cargoes
namely Benzene (F), Butane, Diesel oil for marine engines as prescribed by the
organization (IMO) upon sign off or seafarers arrival in India shall undergo
medical examination at ship owners cost that may include blood and liver
function tests including blood count evaluation.
3.
Vaccination requirements for the person3.1.
Obligatory vaccination - Seafarers shall be vaccinated according to the
requirements indicated in the WHO publication, International Travel & Health;
vaccination requirement and health advice updated periodically.
3.2.
Yellow fever vaccination- This requirement is often strictly enforced for
persons arriving from Asia, Africa or South America. The period of validity of
the certificate is only valid if it conforms to the WHO model if the vaccine
has
been approved by the WHO, and if it is administered by an approval Yellow
Fever Vaccination Centre. The period of validity of the certificate against yellow
Desktop/revised medical rules fold.
- 23 -
fever is 10 years, beginning 10days after vaccination. If the person is
revaccinated before the end of this period, the validated is extended for a
further 10 years from the date of the vaccination. If the vaccination is recorded
on a new certificate, the person should be advised to retain the old certificate
for 10days while the new certificate becomes valid. Responsibility to provide
immunization shall rest with either with the ship owner or his agent or
training institute others as the case may be;
3.3
Non-obligatory voluntary immunization for person-(i) these immunizations are
not required according to the International Health Regulations of the WHO.
The following immunizations are recommendatory in nature and should be
taken at the request of the ship owner or his agent or the training institute or
others as the case may be,3.3.1 – Viral Hepatitis Type A (infectious hepatitis, epidemic hepatitis)
3.3.2- Viral Hepatitis Type B (serum hepatitis) with booster at 12 months;
3.3.3- Tetanus with booster doses is required every 8-10 years; and
3.3.4- Poliomyelitis with reimmunization, by a booster dose of the oral polio
vaccine is recommended every 5 years.
Schedule -VIII
[See rule 7 (v)]
PHOTOGRAPH
FORMAT FOR MEDICAL EXAMINATION (PERSON’S DECLARATION)
A. Important Notes:
I.
The persons shall not suppress medical information and declare correct and
proper medical information to the approved medical examiner to the best of
his knowledge and belief and such declaration shall be filled-by him before the
approved medical examiner himself so that medical examination is conducted
in objective and structured manner conforming to STCW, 1978 as amended
and MLC, 2006 Convention.
Desktop/revised medical rules fold.
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II.
In case of any wrongful Act or misrepresentation/suppression of material
fact(s) of information, the persons shall be fully responsible/liable for the
consequences/ damages / penalties as per the provisions or the applicable
laws.
B. Person’s Information
5.
1.
Name (last, first, middle): _____________________________________________
2.
Date of birth (day/month/year):
3.
Sex:
4.
Home address: _______________________________________________________
.. /.. /….
__ Male __ Female
Method of confirmation of identity, e.g. Passport No./Seafarer’s book No. or other
relevant identity document No.: _____
6.
Department (deck/engine/radio/food handling/other): _____
7.
Routine and emergency duties (if known): _____
8.
Type/name of ship (e.g. container, tanker, passenger if applicable): _____
9.
Trade area (e.g. Harbour/coastal, tropical, worldwide if applicable): _____
C. Person’s personal declaration
(Assistance should be offered by medical staff)
10.
Have you ever had any of the following conditions?
Conditions

Eye/vision problem

High blood pressure

Heart/vascular disease

Heart surgery

Varicose veins/piles

Asthma/bronchitis

Blood disorder

Diabetes

Thyroid problem

Digestive disorder

Kidney problem

Skin problem

Allergies

Infectious/contagious diseases
Desktop/revised medical rules fold.
Yes
No
- 25 -

Hernia

Genital disorder

Pregnancy

Sleep problem

Do you smoke, use alcohol or drugs?

Operation/surgery

Epilepsy/seizure

Dizziness/fainting

Loss of consciousness

Psychiatric problems

Depression

Attempted suicide

Loss of memory

Balance problem

Severe headaches

Ear (hearing, tinnitus)/nose/throat problem

Restricted mobility

Back or joint problem

Amputation

Fractures/dislocations
If you answered “yes” to any of the above questions, please give details:
11. Additional questions

Yes
Have you ever been signed off as sick or repatriated from
a ship on medical grounds or otherwise?

Have you ever been hospitalized?

Have you ever been declared unfit for sea duty?

Has your medical certificate even been restricted or revoked?

Are you aware that you have any medical problems,
diseases or illnesses?
Desktop/revised medical rules fold.
- 26 -
No

Do you feel healthy and fit to perform the duties of your
designated position/occupation?

Are you allergic to any medication?
Comments:
12. Additional questions

Yes
No
Are you taking any non-prescription or prescription
medications?
If yes, please list the medications taken, and the purpose(s) and dosage(s):
I hereby certify that the personal declaration above is a true statement to the best of
my knowledge.
Signature of examinee: _______________________Date (day/month/year): ../../….
Witnessed by (signature): ___________ Name (typed or printed): _________________
I hereby authorize the release of all my previous medical records from any health
professionals, health institutions and public authorities to
Dr
______________________ (the approved medical practitioner).
Signature of examinee: _______________________ Date (day/month/year): ../../….
Witnessed by (signature): ___________ Name (typed or printed): _________________
Date and contact details for previous medical examination (if known): _________
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------13.

MEDICAL EXAMINATION (Medical Standard as prescribed in schedule ).
Sight
Use of glasses or contact lenses: Yes/No (if yes, specify which type and for what
purpose)
___________________________________________________________________________
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
Visual acuity
___________________________________________________________________________
Unaided
Right eye
Left eye
Binocular
Aided
Right eye Left eye Binocular
___________________________________________________________________________
Distant
Near
___________________________________________________________________________

Visual fields
__________________________________________________________________________
Normal
Defective
________________________________________________________________________
Right eye
Left eye
___________________________________________________________________________

Colour vision

Hearing
___________________________________________________________________________
Pure tone and audiometry (threshold values in dB)
___________________________________________________________________________
500 HZ
1 000 HZ
2 000 HZ
3 000 HZ
______________________________________________________________________________
Right ear
Left ear
______________________________________________________________________________

Speech and whisper test (metres)
______________________________________________________________________________
Normal
Whisper
______________________________________________________________________________
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Right ear
Left ear
______________________________________________________________________________
14.
Clinical findings
Height: _____ (cm) Weight: _____ (kg)
Pulse rate: _____/(minute) Rhythm: _____
Blood pressure: Systolic: _____ (mm Hg) Diastolic: _____ (mm Hg)
Urinalysis: Glucose: _____ Protein: _____ Blood: _____
______________________________________________________________________________
Normal
Abnormal
______________________________________________________________________________
Head
Sinuses, nose, throat
Mouth/teeth
Ears (general)
Tympanic membrane
Eyes
Ophthalmoscopy
Pupils
Eye movement
Lungs and chest
Breast examination
Heart
Skin
Varicose veins
Vascular (inc. pedal pulses)
Abdomen and viscera
Hernia
Anus (not rectal exam)
G-U system
Upper and lower extremities
Spine (C/S, T/S and L/S)
Neurologic (full/brief)
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Psychiatric
General appearance
15.
Chest X-ray
Results:
16.
Other diagnostic test(s) and result(s):
Test:
Result:
Medical practitioner’s comments and assessment of fitness, with reasons for
any limitations:
Note- A reports of the prescribed tests if conducted shall be attached with this
declaration.
17.
Assessment of fitness for service at sea
On the basis of the examinee’s personal declaration, my clinical examination
and the diagnostic test results recorded above, I declare the examinee medically:
-
t
fit
for
look-
Other
services
(training/examination)
Deck service Engine service
Catering service
Other services
Fit
Unfit
Without restrictions
Describe restrictions (e.g., specific position, type of ship, trade area & others as
applicable):
Medical certificate’s date of expiration (day/month/year): ______/______/______
Date medical certificate issued (day/month/year):
______/______/______
Number of medical certificate: ________________________________________________
Signature of approved medical examiner: _____________________________________
Approved Medical examiner information (name, license number, approval number,
address):
______________________________________________________________________________
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______________________________________________________________________________
______________________________________________________________________________
Schedule IX
(See Rule 7(ix))
FORMAT MEDICAL CERTIFICATE IN COMPLIANCE WITH INDIAN MERCHANT
SHIPPING ACT, 1958, STCW, 1978 CONVENTION AS AMENDED BY 2010(PROTOCOL)
& MLC, 2006 CONVENTION.
OFFICE OF DIRECTORATE GENERAL OF INDIA (DGS), INDIAN MARITIME
ADMINSTRATION, GOVERNMENT OF INDIA
CONFIDENTIAL DOCUMENT
REPUBLIC OF INDIA
(Authorizing Authority)
APPROVED MEDICAL EXAMINER NAME AND ADDRESS
A. Person’s and Employer’s Information
Middle /Last Name
First Name
Position applied for
ID (Passport/Discharge book) No:
Photo
Date of Birth
Sex
Ship owners Name
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Nationality
RPS Provider Name
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B. Declaration of the approved Medical Examiner of DGS
1. I have evaluated the above-named seafarer/ new entrant/person after establishing his
identity as per the identification documents as mentioned in schedule VI. On the basis
of the seafarer’s/ new entrant /Person personal declaration, my clinical examination
(tests if conducted), the diagnostic test results obtained, and in consideration of the
essential requirements of the position applied for, in my opinion is (a)
(b)
that the hearing meets the required STCW standards section A-I/9:-
Yes / No
Unaided hearing is satisfactory
Yes / No
(c)
Visual acuity meets the required STCW Code standards section A-I/9
Yes / No
(d)
Colour Vision meets the required STCW Code standards section A-I/9
Yes / No
(Testing only required every 6 years)
(e)
Date of last color vision test ( Day/Month/Year)
….………..
(f) Fit for look out duty
Yes / No
(g) No. limitation or restrictions on fitness
Yes / No
(if no “ specify limitations or restrictions
(h) Is the seafarer free from any medical condition likely to be aggravated by Service at
sea or to render the seafarer unfit for such service or to endanger the health of other
persons on board :
Yes / No
(i) Date of examination:
(Day/Month/Year)
………………
(j) Expiry date of certificate: (Day/Month/Year)
…………………
C. Details of Issuing Authority
3. This seafarer/new entrant is UNFIT FOR DUTY**/FIT FOR DUTY IN DECK/
ENGINE/SALOON/
RADIO/OTHER
EPARTMENTS
WITH
/
RESTRICTIONS*AS MENTIONED BELOW,
* This Medical Certificate is issued with following restrictions
** Reasons for being unfit
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WITHOUT
Approved Medical Examiner Signature::_______________________
Stamp (Registration No. &
of
the
empanelled
Official
DGS approval no. ------ Validity of approval) – Details
medical
examiners
www.dgshipping.com/www.dgshipping.gov.in.
are
available
(For
on
the
DGS
website
purpose
of
PSC/FSI/Statutory Audits or verification by the Competent Authorities of other
Maritime States etc)
Approved Medical Examiner Name Printed:___________________________
Date :
Valid till:
Note : This certificate is issued by the authority of the Directorate General of
Shipping, Mumbai, Indian Maritime Administration and in compliance with the
requirements of the Merchant Shipping Act, 1958, STCW 1978 as amended by
2010 Protocol and MLC, 2006.
D. Person’s Signature
I acknowledge, that I have been advised of the content of the medical certificate & of the
right to a review in accordance with paragraph (6) of section A-I/9 of STCW Code.
Person’s Signature:
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Schedule X
(See rule 7(ix))
Minimum in service eyesight standards for seafarers and testing methods and
frequency etc.
Table A-I/9
Minimum in-service eyesight standards for seafarers
STCW
Category
Distance vision
Convention
of seafarer
Aided
Near immediate vision
regulation
Colo
Visual
Night
Diplopia (double
ur
fields
blindnes
vision)
visio
s
n
One
Other
eye
eye
Both
together,
eyes
aided
or
Vision
required
for
navigation
(e.g.
unaided
I/11
Masters,
II/1
deck
ship’s
II/2
officers
chart
II/3
and
publication
II/4
ratings
use
II/5
required
instrumentation
and
necessar
VII/
to
equipment,
and
y
undertake
identification of aids to
function
n look-out
navigation)
s
2
0.5
0.5
and
nautical
See
Normal
Vision
No significant
Note
Visual
required
condition evident.
5
fields
to
reference,
of
perform
bridge
all
duties
in
darknes
s
without
compro
mise
I/11
2
All
00.4
0.4
Vision required to read
See
Sufficie
Vision
No significant
instruments
Note
nt
required
condition evident
6
visual
to
fields
perform
II/1
engineer
II/2
officers,
proximity,
II/3
electro-
equipment,
II/4
technical
identify
II/5
officers,
components
VII/
electro-
necessary
technical
Desktop/revised medical rules fold.
in
to
close
operate
and
to
systems,
as
all
necessar
y
function
- 34 -
ratings
s
in
and
darknes
ratings
s
forming
without
part of an
compro
engine-
mise
room
watch
I/11
IV/2
G
MDSS
0
0.4
0.4
0Vision required to read
instruments
Radio
proximity,
operators
equipment,
identify
components
in
to
close
operate
and
to
systems,
S
Sufficie
Vision
S
nt
required
ee
visual
to
Note
fields
perform
6
as
necessary
No significant condition evid
all
necessar
y
function
s
in
darknes
s
without
compro
mise
Note :-
1) Values given in Snellen decimal notation.
2) A value of at least 0.7 in one eye is recommended to reduce the risk of undetected
underlying eye disease
3) As defined in the International Recommendations for colour vision Requirements
for Transport by the Commission Internationale de 1’Eclairage (CIE-143-2001).
4) Subject to assessment by a clinical vision specialist where indicated by initial
examination findings.
5) CIE colour vision standard 1or 2.
6) CIE colour vision standard 1, 2 or 3.
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Schedule XI
(See rule 7(ix))
Table A-I/9
Assessment of minimum entry level and in-service physical abilities for seafarers
Shipboard task, function Relative
event or condition
physical A medical examiner should
ability
be
satisfied
that
the
candidate
Routine movement around Maintain balance and Has no disturbance in sense
vessel:
move with agility climb of balance.
Does not have
- on moving deck
up and down vertical any impairment or disease
- between levels
ladders and stairways that
- between compartments
step over comings (e.g., movements
prevents
relevant
and
physical
600 mm high) open activities.
and
close
watertight Is, without assistance, able
doors
to:
-climb vertical ladders and
Note 1 applies to this row
stairways
-step over high sills
-manipulate
door
closing
system
Routine tasks on board:
Strength, dexterity and Does
- Use of hand tools
stamina to manipulate impairment
- Movement of ship’s stores
mechanical
- Overhead work
Lift, pull and carry a reduces
- Valve operation
load (e.g., 18 kg)
- Standing a four hour
watch
not
devices medical
have
or
a
diagnosed
condition
ability
defined
to
that
perform
routine duties essential to the
Reach upwards safe operation of the vessel
Stand,
Desktop/revised medical rules fold.
walk
and
Has ability to:
- 36 -
-
Working
in
confined remain
spaces
alarms,
alert
for
an
extended period
Responding
warnings
Work
Verbal move
restricted
600mm
x
distinguish
and
-
fulfill
hearing
authority or take account of
signals
warnings
-
hold
normal
and conversation
Give a
Note 1 applies to clear
spoken
description
duties
Don a lifejacket
or immersion suit
- Escape
- Fire-fighting
eyesight
objects, International guidelines
instructions
on board:
fulfill
standards set by competent
Visually
shapes
-
openings standards (A-I/9-1)
600mm)
Hear
- enter confined space
through
(e.g.,
Emergency
arms
in an extended period
constricted spaces and
this row
with
- stand and walk for
and
communication
work
raised
to
instructions
-
-
Escape
Does
defined
not
have
impairment
a
or
from diagnosed medical condition
smoke-filled spaces
that
- Evacuation
reduces
perform
ability
emergency
to
duties
essential to the safe operation
of the vessel.
Take
fire-fighting
including
part
in
duties,
use
vessel
procedures
part
-
don
lifejacket
or
of immersion suit
breathing apparatus
Take
Has ability to:
- crawl
in
- feel for differences in
evacuation temperature
-
handle
fire-fighting
equipment
-
wear
breathing
apparatus (where required as
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part of duties)
Notes:1) Rows 1 and 2 of the above table describe (a) ordinary shipboard tasks, functions, events and conditions, (b) the corresponding
physical abilities which may be considered necessary for the safety of a seafarer, other crew members and the ship, and (c) high level
criteria for use by Medical examiners assessing medical fitness, bearing in mind the different duties of seafarers and the nature of
shipboard work for which they will be employed.
2) Rows 3 of above table describes (a) ordinary shipboard tasks, functions, events and conditions (b) the corresponding physical
abilities which shall be considered necessary for the safety of a seafarer, other crew members and the ship, and (c) high level criteria
for use by Medical examiners assessing medical fitness, bearing in mind the different duties of seafarers in the nature of shipboard
work for which they will be employed.
3) This table is not intended to address all possible shipboard conditions or potentially disqualifying medical conditions. Parties shall
specify physical abilities applicable to the category of seafarers (such as “Deck Officer” and “Engine Rating”).
The special
circumstances of individuals and for those who have specialized or limited duties should receive due consideration.
4) If in doubt, the Medical examiner should quantify the degree or severity of any relevant impairment by means of objective tests,
whenever appropriate tests are available, or by referring the candidate for further assessment.
5) The term “assistance” means the use of another person to accomplish the task.
6) The term “emergency duties” is used to cover all standard emergency response situations such as abandon ship or fire fighting as
well as the procedures to be followed by each seafarer to secure personal survival.
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Schedule XII
(See rule 7 (xii))
Half Yearly Returns Format (15th July and 15 January)
SUMMARY OF MEDICAL EXAMINATION CONDUCTED FOR THE PERIOD
FROM ------------ TO ---------S
Na
Dat
r.
me of the e
No
seafarer
.
M
of ale
/ DC
Birth/Ran
Femal
k
e
No.
C
Pre
sea
Na
/ me
Fit
of or
If
Unfit unfit
If
referred
Periodic or Company
Temporar
reason(s
to
additional
/training
y
)
examinatio
institute
/Perman
unfitnes
ent
n
or others
ent
s
Authorit
for Compet
y
Signature of the Medical examiner:Name of the Medical examiner:-
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Registration No-
Validity-
DGS approval number-
Validity-
Name and full style the facility(s)******
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Desktop/revised medical rules fold.
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