1. SESSION 8
TITLE 4 – HEALTH PROTECTION, MEDICAL CARE,WELFARE AND SOCIAL SECURITY PROTECTION

2. AIMS To discuss the MLC,2006 requirements associated with:
medical care on board ship and ashore;
shipowners liability;
health and safety protection and accident prevention;
access to shore based welfare facilities; and
Social security. RP

3. MEDICAL CARE ON BOARD SHIP AND ASHORE (Regulation 4. 1, Standard A4
MEDICAL CARE ON BOARD SHIP AND ASHORE (Regulation 4.1, Standard A4.1, Guideline B4.1)
Purpose:
To protect the health of seafarers and ensure their prompt access to medical care on board ship and ashore. RP

4. Basic requirements Health protection and medical care
Standard medical report form
Hospital & medical care facilities on board
Medicine chest; medical equipment and guide
Qualified medical doctor (ships with 100+ persons & ordinarily engaged in international voyages of 3+ days).
Medical assistance (on shore) to other ships. RP

5. Basic requirements Seafarers permitted to go ashore for treatment
Cost of medical care to be met by shipowner

6. Preparing for inspectionRP

7. DMLC – PART II This section should cover:
The provision of on board medical care including the medical chest and who is responsible for maintaining same.
Who is responsible for providing on board medical care.
Confirmation that the person(s) responsible for providing on board medical care is trained (including refresher training).

8. SHIPOWNERS’ LIABILITY (Regulation 4.2, Standard A4.2, Guideline B4.2)
Purpose:
To ensure that seafarers are protected from the financial consequences of sickness, injury or death occurring in connection with their employment RP

9. SEAFARER COMPENSATION (Regulation 2.6, Standard A2.6, Guideline B2.6)
Purpose:
To ensure that seafarers are protected from the financial consequences of sickness, injury or death occurring in connection with their employment RP

10. Basic requirements When does this liability arise?
Financial security for death or long-term disability
Period during which medical expenses must be covered
Burial expenses
Payment of wages during sick leave
Exemption clauses
Safeguarding property RP

11. Preparing for inspectionRP

12. HEALTH AND SAFETY PROTECTION AND ACCIDENT PREVENTION (Regulation 4
HEALTH AND SAFETY PROTECTION AND ACCIDENT PREVENTION (Regulation 4.3, Standard A4.3, Guideline B4.3)
Purpose: To ensure that seafarers’ work environment on board ships promotes occupational safety and health. RP

13. Basic requirements
On-board policy & programme to promote OSH and prevent accidents, injuries & diseases; prevention or reduction of exposure; continuous improvement; risk evaluation; training; preventative measures; inspection for unsafe conditions
Regard for international instruments; safety culture on board; special attention for the under-18s; safety committee where ship has 5+ seafarers
Investigation and reporting of occupational accidents, injuries, diseases and identified hazards; protection of seafarers’ personal data
Warning seafarers of particular hazards RP

14. Detailed guidance ILO Codes of Practice COSWP
Risk assessment and reduction of exposure: “the preventative principle”
Exposure to noise and vibration
Personal protective equipment
Guarding of machinery
Reporting and investigation of accidents
Development and content of protection and prevention programmes
Training and instruction of seafarers RP

15. Safety and health of young seafarers
Restrictions on work
Training in OSH and accident prevention RP

16. Preparing for inspectionRP

17. DMLC – PART II The following should be included:
If a ship has 5 or more seafarers then a safety committee is required. The composition of the safety committee and the frequency of meetings together with the responsibilities of the master, safety officer and safety representatives.
Details of the on board programmes for the prevention of occupational accidents, injuries and diseases and for continuous improvement in occupational health and safety.
Details of the adoption, the effective implementation and promotion of occupational safety and health policies and programmes.
The procedure for generating risk assessments (including those for young seafarers) and how frequently they are reviewed.
The precautions taken to prevent occupational accidents, injuries and diseases.
The procedure for investigating, reporting and correcting unsafe conditions.
The procedure for investigating, reporting on board occupational accidents.
Details of the type of work that seafarers under the age of 18 are prohibited from undertaking.

18. ACCESS TO SHORE-BASED WELFARE FACILITIES (Regulation 4. 4, Standard A4
ACCESS TO SHORE-BASED WELFARE FACILITIES (Regulation 4.4, Standard A4.4, Guideline B4.4)
Purpose:
To ensure that seafarers working on board a ship have access to shore-based facilities and services to secure their health and well-being RP

19. SOCIAL SECURITY (Regulation 4.5, Standard A4.5, Guideline B4.5)
Purpose:
To ensure that measures are taken with a view to providing seafarers with access to social security protection RP

20. Basic requirements
Payment of any mandatory contributions RP