1. UK SEAFARER MEDICAL EXAMINATIONS IN CONTEXT
Julie Carlton
Seafarer Safety and Health Manager

2. International Context
ILO
Medical Examination (Seafarers) Convention 1946 (ILO 73)
Maritime Labour Convention, 2006 (MLC)
IMO:
Standards of Training, Certification and Watchkeeping 1978 (STCW)

3. ILO 73/MLC

4. ILO 73/MLC All seafarers - pre-condition of working at sea
2-year validity
Hearing, sight, colour vision
No disease
aggravated by service at sea, or
likely to render seafarer unfit, or
endanger the health of other persons on board

5. ILO 73/MLC
Seafarer means any person employed, engaged or working on a ship
Assessment for the particular job
Restrictions can be placed on duties, area of operation
Responsibility on seafarer and employer/ shipowner to comply with restrictions

6. STCW Primarily certificated seafarers
Medical fitness certificates as pre-qualification for Certificate of Competency
1st Issue
Revalidation

7. International standards
STCW Code A-I/9
physical capability for basic training (which includes fire fighting and basic sea survival)
adequate hearing and speech to communicate effectively and detect audible alarms

8. International standards
no medical condition
to prevent the effective and safe conduct of their routine and emergency duties on board
likely to be aggravated by service at sea or to render the seafarer unfit for such service or to endanger the health and safety of other persons on board; and
no medication with side effects impairing effective and safe performance of routine and emergency duties on board.

9. ILO/WHO Guidelines 1997
Guidelines for conducting pre-sea and periodic medical fitness examinations for seafarers
Guidance of competent authorities
Guidance for recognised medical practitioners
Minimum standards
Sample certificate

10. Guidelines on the medical examination of seafarers
IMO/ILO/JMS/2011/12

11. International standards
Port State Control
Recognised format
Completed fully and correctly
Risk of fraud/forgery
Mutual recognition
Reducing administrative burdens

12. Issues for MAT Increasing numbers of ENG1s New groups
Who are they being issued to?
New groups
Who is a seafarer?
Demand for/from more approvals
What are the implications?

13. Review of AD system What is the system for? Who should have access?
Should MCA recover costs?
If so, how would this be done fairly.
Do we need to change to take advantage of international developments?

14. Any questions