Health protection, medical care, welfare <strong>and</strong> social security protectionwhen completed, <strong>and</strong> its contents shall be kept confidential <strong>and</strong> shall only be used tofacilitate the treatment of seafarers.3. Each Member shall adopt laws <strong>and</strong> regulations establishing requirements foron-board hospital <strong>and</strong> medical care facilities <strong>and</strong> equipment <strong>and</strong> training on ships thatfly its flag.4. National laws <strong>and</strong> regulations shall as a minimum provide for the followingrequirements:(a) all ships shall carry a medicine chest, medical equipment <strong>and</strong> a medical guide, thespecifics of which shall be prescribed <strong>and</strong> subject to regular inspection by the competentauthority; the national requirements shall take into account the type of ship,the number of persons on board <strong>and</strong> the nature, destination <strong>and</strong> duration ofvoyages <strong>and</strong> relevant national <strong>and</strong> international recommended medical st<strong>and</strong>ards;(b) ships carrying 100 or more persons <strong>and</strong> ordinarily engaged on internationalvoyages of more than three days’ duration shall carry a qualified medical doctorwho is responsible for providing medical care; national laws or regulations shallalso specify which other ships shall be required to carry a medical doctor, takinginto account, inter alia, such factors as the duration, nature <strong>and</strong> conditions of thevoyage <strong>and</strong> the number of seafarers on board;(c) ships which do not carry a medical doctor shall be required to have either at leastone seafarer on board who is in charge of medical care <strong>and</strong> administering medicineas part of their regular duties or at least one seafarer on board competent toprovide medical first aid; persons in charge of medical care on board who are notmedical doctors shall have satisfactorily completed training in medical care thatmeets the requirements of the International <strong>Convention</strong> on St<strong>and</strong>ards of Training,Certification <strong>and</strong> Watchkeeping for Seafarers, 1978, as amended (“STCW”);seafarers designated to provide medical first aid shall have satisfactorily completedtraining in medical first aid that meets the requirements of STCW;national laws or regulations shall specify the level of approved training requiredtaking into account, inter alia, such factors as the duration, nature <strong>and</strong> conditionsof the voyage <strong>and</strong> the number of seafarers on board; <strong>and</strong>(d) the competent authority shall ensure by a prearranged system that medical adviceby radio or satellite communication to ships at sea, including specialistadvice, is available 24 hours a day; medical advice, including the onward transmissionof medical messages by radio or satellite communication between a ship<strong>and</strong> those ashore giving the advice, shall be available free of charge to all shipsirrespective of the flag that they fly.Guideline B4.1 – Medical care on board ship <strong>and</strong> ashoreGuideline B4.1.1 – Provision of medical care1. When determining the level of medical training to be provided on board shipsthat are not required to carry a medical doctor, the competent authority should requirethat:(a)ships which ordinarily are capable of reaching qualified medical care <strong>and</strong> medicalfacilities within eight hours should have at least one designated seafarer with theapproved medical first-aid training required by STCW which will enable suchpersons to take immediate, effective action in case of accidents or illnesses likely55
<strong>Maritime</strong> <strong>Labour</strong> <strong>Convention</strong>, 2006to occur on board a ship <strong>and</strong> to make use of medical advice by radio or satellitecommunication; <strong>and</strong>(b) all other ships should have at least one designated seafarer with approved trainingin medical care required by STCW, including practical training <strong>and</strong> trainingin life-saving techniques such as intravenous therapy, which will enable the personsconcerned to participate effectively in coordinated schemes for medical assistanceto ships at sea, <strong>and</strong> to provide the sick or injured with a satisfactoryst<strong>and</strong>ard of medical care during the period they are likely to remain on board.2. The training referred to in paragraph 1 of this Guideline should be based onthe contents of the most recent editions of the International Medical Guide for Ships,the Medical First Aid Guide for Use in Accidents Involving Dangerous Goods, theDocument for Guidance – An International <strong>Maritime</strong> Training Guide, <strong>and</strong> the medicalsection of the International Code of Signals as well as similar national guides.3. Persons referred to in paragraph 1 of this Guideline <strong>and</strong> such other seafarersas may be required by the competent authority should undergo, at approximately fiveyearintervals, refresher courses to enable them to maintain <strong>and</strong> increase their knowledge<strong>and</strong> skills <strong>and</strong> to keep up-to-date with new developments.4. The medicine chest <strong>and</strong> its contents, as well as the medical equipment <strong>and</strong>medical guide carried on board, should be properly maintained <strong>and</strong> inspected at regularintervals, not exceeding 12 months, by responsible persons designated by the competentauthority, who should ensure that the labelling, expiry dates <strong>and</strong> conditions ofstorage of all medicines <strong>and</strong> directions for their use are checked <strong>and</strong> all equipmentfunctioning as required. In adopting or reviewing the ship’s medical guide used nationally,<strong>and</strong> in determining the contents of the medicine chest <strong>and</strong> medical equipment, thecompetent authority should take into account international recommendations in thisfield, including the latest edition of the International Medical Guide for Ships, <strong>and</strong>other guides mentioned in paragraph 2 of this Guideline.5. Where a cargo which is classified dangerous has not been included in the mostrecent edition of the Medical First Aid Guide for Use in Accidents Involving DangerousGoods, the necessary information on the nature of the substances, the risks involved, thenecessary personal protective devices, the relevant medical procedures <strong>and</strong> specific antidotesshould be made available to the seafarers. Such specific antidotes <strong>and</strong> personalprotective devices should be on board whenever dangerous goods are carried. This informationshould be integrated with the ship’s policies <strong>and</strong> programmes on occupationalsafety <strong>and</strong> health described in Regulation 4.3 <strong>and</strong> related Code provisions.6. All ships should carry a complete <strong>and</strong> up-to-date list of radio stations throughwhich medical advice can be obtained; <strong>and</strong>, if equipped with a system of satellite communication,carry an up-to-date <strong>and</strong> complete list of coast earth stations through whichmedical advice can be obtained. Seafarers with responsibility for medical care ormedical first aid on board should be instructed in the use of the ship’s medical guide<strong>and</strong> the medical section of the most recent edition of the International Code of Signalsso as to enable them to underst<strong>and</strong> the type of information needed by the advising doctoras well as the advice received.Guideline B4.1.2 – Medical report form1. The st<strong>and</strong>ard medical report form for seafarers required under Part A of thisCode should be designed to facilitate the exchange of medical <strong>and</strong> related informationconcerning individual seafarers between ship <strong>and</strong> shore in cases of illness or injury.56
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the Convention regarding the need f
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oard ships but are not directly inv
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supervisory system (a system establ
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A16. How does the MLC, 2006 make it
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A19. What will happen to the mariti
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B. Questions about the workers andt
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authority?] as qualified to issue s
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C1.3.b. Does this training requirem
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It may be useful to also consider t
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equirements for upgrading or promot
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C2.3.h. Do the hour of rest and hou
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C3. Title 3 Accommodation, recreati
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y berths and lockers, chests of dra
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C4.1.b. Must every ship have a ship
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• the cost of safeguarding the pr
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(b) facilities for sports and outdo
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• Sickness benefit• Unemploymen
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agreed upon international standards
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provisions of Regulation 5.1.3 and
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C5.1.o. What is the period of valid
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(b)(c)to carry out any examination,
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prevents ships being delayed by unn
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certificate and DMLC should be the
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C5.2.q. Are complaints confidential
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INTERNATIONAL LABOUR CONFERENCECont
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Maritime Labour Convention, 2006MAR
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Maritime Labour Convention, 2006(b)
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Appendix B5-IDeclaration of Maritim