Only the Danish version is authentic.
Chapter A IX B
1 September 2007

Technical regulation on
occupational health in ships

CHAPTER IX
Examinations, Medical Treatment
and Ship Medicine
Part B
Regulation 1
Regulation 2
Regulation 3
Regulation 4
Regulation 5
Regulation 6
Regulation 7
Regulation 8
Regulation 9
Regulation 10
Regulation 11
Regulation 12
Regulation 13
Appendix 1
Appendix 2
Appendix 3
Appendix 4
Appendix 5
Appendix 6

Medical treatment and medicine on board ships ........... 2
Application .................................................................... 2
Inventories, medical books, etc. .................................... 2
Amount of medicaments and medical equipment ......... 3
Supplement for inventories A, B and C......................... 3
Purchase, shipment and delivery of medicaments
and medical equipment.................................................. 5
Storage and inspection of medicaments and medical
equipment on board ....................................................... 6
Medical examiners ........................................................ 7
Radio Medical Denmark................................................ 7
Medical treatment.......................................................... 7
The distribution of medicaments ................................... 8
Training and education.................................................. 8
Duties............................................................................. 9
Greenland ...................................................................... 9
Provisions on mobile resuscitation equipment andoxygen cylinders.......................................................... 10
Educational requirements ............................................ 11
Lifting stretcher ........................................................... 12
Medicine and medical equipment for MOB boats....... 13
Protection and first-aid equipment on board ships
with a risk of contamination with war gas:
Supplement type G ...................................................... 14
Supplement for medicaments and medical equipment
for the coast rescue vessels of the Danish Maritime
Safety Administration: Supplement type F ................. 15

Chapter A IX B

Part B

Medical treatment and medicine on board ships

Regulation 1
1

2

3

Application

This technical regulation shall apply to all ships, except:.1

Open vessels.

.2

Ships engaged on voyages of no more than 30 minutes’
duration.

.3

Pleasure yachts used for non-commercial purposes and notmanned by a professional crew.

.4

Tow boats and other vessels operating in port areas.

.5

Warships.

If the operational use of the ship renders it necessary, the Danish
Maritime Authority may, regardless of the exceptions stipulated
in paragraph (1), stipulate more detailed regulations on theequipment of a ship or type of ship with:.1

Medicaments, medical equipment and training.

.2

Treatment rooms, including their arrangement and facilities.

These provisions implement the European Council Directive
92/29/EEC on the minimum safety and health requirements for
improved medical treatment on board vessels, Official Journal
1992, L 113 p. 19.

Regulation 2
1

Regulation 1

Inventories, medical books, etc.

All ships shall carry medicaments and medical equipment theextent of which shall be determined by means of the typedesignations A, B and C, cf. regulation 3, and supplement types
CR, P, M, F and G, cf. regulation 4.
Any ship authorised for the carriage of dangerous goods shall
supplement medicaments and medical equipment, cf. regulation
4 on dangerous goods.

2

For the relevant type designation and supplement type, apublication “Inventory, Control Document and User Instructions
for the Contents of Ship’s Medicine Chest”, shall be carried on
board, hereinafter referred to as the inventory.

3

Inventories of the type designations and supplement types
mentioned in paragraph (1) are published as special publications
with the following title on the front page: “Inventory, Control
Document and User Instructions for Medicaments and Medical
Equipment category A”, respectively B, C and supplement typeCR and P. In addition, a joint inventory of all type designations ispublished called “Joint Inventory of Medicaments and Medical
Equipment on board Ships”. Supplement types M, F and G are
mentioned in the appendix of this publication.

4

Ships that shall be provided with either an inventory type A or B
shall carry a copy of the medical book authorised by the Danish
Maritime Authority and a copy of this technical regulation.
Furthermore, the ship shall carry the Radio Medical record
authorised by the Danish Maritime Authority for use on board
ships in case of illness and accidents, including temperaturetables and diagnosis forms.
The above shall also apply to ships assigned type C andsupplement type P.

2

Chapter A IX B

Regulation 2

5

Ships that shall be provided with an inventory type A shall carrya copy of the medical book and inventory A (User Instructions)in English if non Danish-speaking crewmembers are engaged.

6

The publications mentioned in regulation 2(2) shall not exclude
the use of an electronic medium on the precondition that it ispossible to read the publication on board.

Regulation 3
1

Amount of medicaments and medical equipment

The quantity of medicaments and medical equipment to be
carried on board depends on the ship´s trade area and the numberof persons on board as stipulated below:
Type A:
Ships used for navigation or fishing at sea that are fit for long
voyages.
Passenger ships holding a permit to carry more than 100
passengers and engaged on voyages of more than 4 hours’duration.
Type B:
Ships navigating off the coasts of the EU countries and Norway
at a distance of less than 150 nautical miles from the nearest portthat has the necessary medical equipment. This stipulation may
be extended to include ships navigating at a distance of less than
175 nautical miles from the nearest port that has the necessary
medical equipment if the ship is within the radius of rescue
helicopters at all times.
Type C:
Ships navigating in sea area A1 at a distance of no more than 25
nautical miles from the coasts of the EU/EEC countries.

2

Mobile resuscitation equipment, cf. appendix 1, is included in
types A and B. As regards type C, mobile resuscitationequipment is included if:.1

The ship is classified according to the IMDG Code andcarries dangerous goods.

.2

Supplement type P is required.

3

The medicaments and medical equipment shall be available in
the prescribed quantities at the beginning of any voyage. Any
medicaments or medical equipment used during a voyage shallbe replaced at the first given opportunity.

4

The prescribed quantities of medicaments and medical
equipment are minimum quantities. The master of the ship shalldecide in each individual case whether or not to carry a greater
quantity than that stipulated in the ship’s inventory.

Regulation 4
1

Supplement for Inventories A, B and C

Life boats and liferafts: Supplement type CR.1A ship’s life boats and liferafts shall be equipped withmedicaments and medical equipment as stipulated in the
publication Supplement Type CR. The publication
Supplement Type CR may apply to all the life boats andliferafts of a ship. This publication shall be available onboard.

3

Chapter A IX B

2

.2

Medicaments and medical equipment for life boats andliferafts shall be kept in a water-proof packing labelled in an
conspicuous way: ”Supplement Type CR” and with theexpiration date for the medicament that expires first.

.3

Medicaments of supplement type CR which are delivered inglass containers shall be coated.

.4Supplement type CR shall include waterproof user
instructions authorised by the Danish Maritime Authority,
published as a special publication entitled ”Inventory of
medicaments for life boats and liferafts”. The waterproof
user instructions shall be packed in the CR chest.

.5

The inspection of medicaments and medical equipment shallbe carried out in connection with the statutory service
inspections of life boats and liferafts.

.6

In exceptional cases, the inspection may be postponed for aperiod of no more than 5 months.

Passenger ships: Supplement type P.1

A passenger ship shall, as part of its medical equipment,
carry a first-aid bag and supplementary medicaments if:
.1

3

4

The passenger ship holds a permit to carry more than
100 passengers and is engaged on voyages of more than
30 minutes’ duration.

.2

The contents of the first-aid bag and the supplementary
medicaments are stipulated in a special publication entitled“Inventory, Control Document and User Instructions for
medicaments and equipment in first-aid bags (type P)”. The
content of supplement type P shall be provided, whenpossible, from the ship’s other supply of medicaments andmedical equipment.

.3

The publication mentioned in paragraph (2) shall be on
board the passenger ships mentioned in paragraph (1.1).

Ships with requirements of a MOB boat: Supplement type M.1

The ship’s Man-Overboard-Boats (MOB boats) shall beequipped with medical equipment as prescribed in appendix
4 supplement type M.

.2

The equipment shall, when possible, be provided from theship’s other supply.

.3

If the MOB boat also functions as a life boat, it shall beequipped with medicaments and medical equipment
equivalent to a life boat supplement type CR.

Vessels with a risk of contamination with war gas:
Supplement type G.1

5Regulation 4

Fishing vessels that fish with tools touching the bottom of
the sea or nets firmly placed on the bottom of the sea, rescue
vessels, fishing inspection vessels and environment vessels
shall, in the areas mentioned in appendix 5 where there is arisk of contamination with war gas, be equipped withprotective equipment and first-aid equipment as stipulated inappendix 5.

Supplement for ships carrying dangerous goods:.1

A ship holding a permit to carry dangerous goods, classified
according to the IMDG Code ("International Maritime
Dangerous Goods Code"), shall in addition to regulation

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Chapter A IX B

Regulation 42(1) carry medicaments and medical equipment inaccordance with the supplement lists in force at any time,
included in “Inventory, Control Document and User
Instructions on Medicaments and Medical Equipment TypeA”, respectively, B and C.
.2

6

Ships carrying dangerous goods, cf. the IMDG Code and BC
Code, shall carry a copy of the MFAG ("Medical First Aid
Guide for Use in Accidents Involving Dangerous Goods")
in force at all times.

The coast rescue vessels of the Danish Maritime Safety
Administration: Supplement type F.1

The coast rescue vessels of the Danish Maritime Safety
Administration which are equipped with medicaments andmedical equipment according to type C shall be
supplemented with the medicaments and medical equipment
mentioned in appendix 6.

Regulation 5

Purchase, shipment and delivery of medicaments andmedical equipment

1

In accordance with the Danish Medicines Agency’s Order onship masters’ and shipowners’ import of medicaments on calls at
a foreign port, the first purchase of medicaments prescribed for
new buildings and ships that are flagged in shall be from a
Danish pharmacy.

2

The ship’s medicine chest may be filled at a pharmacy in another
EU/EEC country or third country on the condition that thecorrect labelling is made, cf. the inventory for the relevant type
A, B, C, and supplement type CR, P, and dangerous goods, andappendix 3, appendix 4, appendix 5 and appendix 6.

3

The Danish Medicines Agency may require shipowners and shipmasters to document that the purchase of medicaments will be
used for the prevention of disease and treatment of persons onboard.

4

The purchase of medicaments and medical equipment shall be
requested in writing by the shipowner or master. The requisition
shall contain information on the type designation and supplement
type concerned with the purchase or the supplementation.

5

The pharmacy shall deliver the medicaments listed in theinventories on the request of the shipowner or master.

6

Medicaments shall be delivered with printed or type-written
information in accordance with the guidelines in the inventories.

7

The pharmacy shall draw up documentation for the delivered
medicaments and medical equipment which shall accompany thedelivery.

8

When shipping the medicaments and medical equipment, thepharmacy shall ensure that they are properly packed and secured
against the weather and condensed moisture.

9

The pharmacy shall ensure that medicaments that have special
requirements regarding storage temperature are stored properly
until the ship receives the medicaments.

10

At the time of delivery, medicaments and sterile medical
equipment shall have at least 70% of their shelf-life.

5Chapter A IX B

Regulation 5

11

Medicaments shall comply with the standard of the WHO issueof the "Certification Scheme on the Quality of Pharmaceutical
Products Moving in International Commerce" at the time inquestion.

12

Medical equipment shall be CE-marked. Information about the
medical equipment shall be in Danish or English.

13

Manufacturers of inflatable liferafts and managers of service
stations carrying out inspection and re-packing of rafts may, inwriting and on presentation of a permit issued by the Danish
Medicines Agency, request the medicaments prescribed forliferafts.

14

Concerning ships that require a stretcher, the requirements areprescribed in appendix 3.

Regulation 6

Storage and inspection of medicaments and medical
equipment on board

1

Only medicaments and medical equipment forming part of the
ship’s supplies in accordance with the inventory and supplement
inventories in force and the supplement types mentioned inregulation 4 shall be on board.

2

Medicaments and medical equipment shall be arranged andnumbered in accordance with the instructions given in theinventory in force and in the medical book authorised by theDanish Maritime Authority.

3

Medicaments and sterile medical equipment shall be kept in theoriginal packing.

4

Medicaments and medical equipment shall be stored in a placethat is well protected against moisture, extreme cold and heat.
The storage requirements stipulated in the user guidelines of theinventories shall be observed.

5

Insecticides and antiseptics with corrosive properties may not be
stored with medicaments and medical equipment.

6

All crewmembers shall at engagement inform the ship master ormedical examiner of any prescriptive medicaments that havebeen brought on board.

7

Prescriptive medicaments that are brought along shall be enteredin the inventory and on the medical examiner´s request be
deposited together with the ship´s other supply of medicaments.

8

Medicaments and medical equipment shall be inspected at least
once a year on the master´s initiative. The inspection shall be
documented, and this documentation shall be dated by the shipmaster.

9

The purpose of the inspection is to supplement the supply of
medicaments and medical equipment and to ensure that the
durability has not been surpassed and that the equipment or
packing is not damaged or corroded.

10

If there is any doubt as to the quality of a medicament or piece ofequipment, this shall be replaced.

6

Chapter A IX B

11

Regulation 6

When receiving medicaments and medical equipment from a
pharmacy, the ship master or medical examiner shall check thatthe supplementation is in order in accordance with the inventory
in force, that the medicaments are provided with text according
to the instruction in regulation 5(6), that the product’s durability
complies with the provision, cf. regulation 5(9) and (10), and thatthe packing is intact and without damage from moisture, cf.
regulation 5(8).

Regulation 7

Medical examiners

1

The medical examiner shall have at least 24 months of
documented sailing time or hold a valid certificate ofcompetence. In fishing vessels with a length below 9 metres, themedical examiner shall meet the requirements for navigatingsuch vessels.

2

Persons holding a Danish authorisation as either a nurse or adoctor may serve as medical examiners without having thesailing time or holding the certificate of competence required inparagraph (1) if they have completed one of the supplementarytraining programmes authorised by the Danish Maritime
Authority.

Regulation 8

Radio Medical Denmark1

The doctors at Radio Medical Denmark have the medical
responsibility for the treatment given on their initiative.

2

In addition to the provisions of the Medical Act, medical advice
offered by Radio Medical Denmark shall be in accordance withthe guidelines laid down in the Radio Medical Instructions issued
by the Danish Maritime Authority, in the medical bookauthorised by the Danish Maritime Authority and in theguidelines of the inventories.

Regulation 9

Medical treatment

1

The medical treatment on board shall be arranged and carried out
according to the instructions given in the medical bookauthorised by the Danish Maritime Authority.

2

In the cases described in the medical book authorised by theDanish Maritime Authority and in the medical record, themedical examiner shall, when possible, consult Radio Medical
Denmark for medical advice. He/she may refrain from consulting
Radio Medical Denmark for medical advice only after having
examined the patient.

3

The medical examiner shall have the responsibility that Radio
Medical records are kept on:

4.1

Every examination.

.2

Every prescription from Radio Medical.

.3

Every treatment.

.4

Every issue of medicaments.

.5

The cases described in the medical book authorised by
the Danish Maritime Authority.

Further information, examinations and treatment shall be
supplied after prescriptions from Radio Medical Denmark.

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Chapter A IX B

Regulation 95Medical records and Radio Medical records shall be kept out ofreach of others than the shipmaster or medical examiner.

6

The patient shall have the right of access to his own medical
records and Radio Medical records.

7

At discharge, seafarers shall be given their own medical records
and Radio Medical records. Passengers shall be given their own
records at the end of the voyage.

8

After discharge or the end of the voyage respectively, a copy ofthe medical records and Radio Medical records shall be kept for
one year or until the ship is sold, etc., whereafter the documents
shall be destroyed.

Regulation 10 The distribution of medicaments
1

Medicaments may be distributed only by the ship master ormedical examiner.

2

Medicaments and equipment may be distributed only to persons
on board for whose care and condition of health the master is
responsible according to maritime law.

3

Before any medicaments are distributed, the special instructions
under regulation 9, the instructions of the user guidelines and on
the label of the medicament shall be observed.

4

If the medicament is not taken immediately after distribution, it
should be distributed in a suitable package labelled with its nameand the recommended dose.

5

Medicaments shall, when possible, not be taken until Radio
Medical Denmark has been consulted for medical advice.

6

In acute life-threatening situations and the like where it is notpossible to consult Radio Medical Denmark immediately, thenecessary medication and other treatment should be given after a
total assessment of the patient’s state. In such cases, the reasons
hereof shall be recorded in the logbook or, if such is not kept, inthe survey book. The records shall not contain confidential
information.

Regulation 11 Training and education
1

The shipowner shall ensure that the master and the medical
examiner have finished one of the training programmes approvedby the Danish Maritime Authority in accordance with the supply
of medicaments and medical equipment that shall be carried on
board.

2

The training programme mentioned in paragraph (1) shall berenewed every fifth year. The training programme shall berenewed at least every other year if the place of engagement is apassenger ship equipped with type C and supplement type P.

3

The Danish Maritime Authority shall lay down detailed
regulations on supplementary training in accordance with the
supply of medicaments and medical equipment carried on board
and in consideration of the risks that may occur and inconsideration of the special needs of the ship, cf. appendix 2.

4

The Danish Maritime Authority shall lay down requirements forequipment, facilities and training of teachers at institutes that
educate and train medical examiners as well as the content andextent of the educations.

8

Chapter A IX B

Regulation 12

Regulation 12 Duties
1

The shipowner shall ensure that the master and the medical
examiner on board have been instructed about and have thepossibility of meeting the obligations that rest with themaccording to this part.

2

The master and the person responsible for the medical treatment
shall ensure that the ship is provided with medicaments andequipment as prescribed in regulations 2, 3, and 4.

3

In cases where the Danish Maritime Authority is responsible foror launches health-promoting or informative campaigns, theshipowner and the master shall ensure that the material publishedin connection with such campaigns is made easily accessible tothe crew.

Regulation 13 Greenland
1

This part, with the following deviations, shall apply toGreenland:.1.2

On board ships registered in Greenland, the following
shall be available in Greenlandic:.1

Inventories for types A, B and C mentioned inregulation 2(1)-(6).

.2Supplement type CR mentioned in regulation 4,
including waterproof user directions.

.3

Supplement type P mentioned in regulation 4.

.4

The medical book mentioned in regulation 2 and aset of Radio Medical´s medical journals for use on
board ships in cases of illness and accidents aswell as this part of the regulations.

.5

The information about medicaments mentioned inregulation 5(6).
Instead of the stipulation in regulation 3(1) anddependent on the trade area and the number of persons
on board, ships registered in Greenland shall be provided
with the following medicaments and medical equipment:

Inventory A:
Ships used for navigation or fishing more than 200 nautical miles
from the Greenland coasts (the base line).
Ships used for navigation or fishing on voyages north of Thuleand south of Scoresbysund.
Inventory B:
Ships used for navigation or fishing at a distance of less than 200
nautical miles from the Greenland coasts (the base line) south ofThule and south of Scoresbysund.
Ships used for navigation or fishing in the waters between Island
and Greenland (the Denmark Strait).
Passenger ships holding a permit to carry fewer than 100
passengers and engaged on voyages of more than 4 hours’duration. These passenger ships shall also be provided with afirst-aid bag. Supplement Inventory P.

9Chapter A IX B

Regulation 13

Inventory C:
Ships used for navigation or fishing at a distance of less than 30
nautical miles from Greenland coasts (the base line) south ofThule and south of Scoresbysund.
.3

Instead of what is stipulated in regulation 5(2),medicaments shall be purchased from hospitals
appointed by the Greenland Home Rule. Medicaments
reserved for pharmacies may also be purchased frompharmacies in the European Union and in the EEC
countries.

.4

The permit to purchase medicaments prescribed forliferafts mentioned in regulation 5(3) shall be requested
from the Directorate responsible for Greenland.

.5

Instead of what is stipulated in regulation 10(5),medicaments that are normally handed out only by adoctor or hospital in Greenland may, when possible, be
used only after advice from Radio Medical Denmark or
medical expert assistance from the Greenland healthsystem. Medicaments that normally require advice fromdoctors are listed in the user directions under remarks.

.6

Instead of what is stipulated in regulation 10(6), thenecessary medication may be given according to a
concrete assessment of the patient´s state in acute, lifethreatening situations and the like where it is notpossible to get advice from Radio Medical Denmark or
medical expert assistance from the Greenland healthsystem. In such cases, the reason for this shall berecorded in the logbook or, if a logbook is not kept, inthe survey book.

.7

The training and education required in regulation 11
shall not apply to ships carrying inventory type C.

Appendix 1

Provisions on mobile resuscitation equipment andoxygen cylinders

1.1

The mobile resuscitation equipment consists of an oxygen
cylinder fitted with a reduction valve, flow regulator, ventilation
bag with an adult mask and associated tubing.

1.2

The flow regulator shall, as a minimum, be capable of dosing theamount of oxygen in the interval between 0-1-2-3-6-9-12 and 15
litres of oxygen per minute.

1.3

Spare gaskets shall be available for oxygen cylinders with a pinsystem.

1.4

Furthermore, a tongue depressor and mechanical suction withassociated suction catheter and a reservoir shall be available. The
suction shall be capable of operating without the use of theoxygen cylinder.

1.5

The equipment shall contain clear operating instructions andfirst-aid instructions in case of heart failure.

2

The mobile resuscitation equipment shall be assembled and readyfor use in an easily portable object.

10Chapter A IX B

Appendix 1

3The oxygen in the ship’s medicine chest is medical oxygen.
When a specific amount of oxygen is stipulated in the inventory
for the medicine chest – such as 4 litres in a B chest - this means
4 litres of oxygen below a pressure of at least 200 bar,corresponding to 800 litres “oxygen for use”.

4

The oxygen cylinders of the mobile resuscitation equipment shallbe able to contain between 2 and 4 litres. At a pressure of 200
bar, this is equal to the following content at atmosphericpressure:
2 litre cylinder 2 x 200 = 400 litres
4 litre cylinder 4 x 200 = 800 litres

5

The oxygen in the mobile resuscitation equipment shall be
divided in 2 cylinders of 2-4 litres. One shall be placed with theresuscitation equipment ready for use.

6

The mobile resuscitation equipment shall be tested and subjected
to inspection at least every 3 months. The inspection shall be
documented and certified by the master.

7

Oxygen cylinders shall be pressure-tested every tenth year.

Appendix 2

Educational requirements

The ship’s
approved trade
area

Types

Training
certificate
Types

Supplementary training

Trade on all seas

A

A

Entry to supplementary training
type A requires training certificate
type A which shall be repeatedevery 5 years at the latest, cf. therules in force from the Danish
Maritime Authority

Up to 150
nautical miles

B

A or B

Entry to supplementary training for
medicine chest type B requires
training certificate A or B whichshall be repeated every 5 years at
the latest, cf. the rules in force fromthe Danish Maritime Authority

C

A, B or C

Entry to supplementary training for
medicine chest type C requires
training certificate type A, B or C
which shall be repeated every 5
years, cf. the rules in force form theDanish Maritime Authority(up to 175
nautical miles byhelicopter
coverage fromthe coasts of theEU)
Up to 20
nautical miles
from the coast

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Appendix 2

Ferries and Passenger ships
The ship’s approved tradearea

Type andsupplement
type

Supplementary training

Up to 20 nautical miles fromthe coast and with more than
100 passengers and engaged
on voyages of more than 30
minutes’ duration

C+P

Entry to supplementarytraining for medicine chest
type C + P requires training
certificate type A, B or C
Shall be repeated every 2
years, cf. the rules in force
from the Danish Maritime
Authority

Appendix 3

Lifting stretcher

1

On board ships where a stretcher is required, there shall be a
spinal board and a suitable lifting stretcher for transport of the
spinal board.

2

The spinal board shall have the following specifications:.1

Measurements:
Useful length: minimum 1830 mm and maximum 1980mm
Width: minimum 400 mm and maximum 500 mm
Depth: maximum 70 mm (folded).2

Own weight:
The spinal board´s own weight shall be a low as possible
and maximum 8 kg.

.3Carrying capacity:
The carrying capacity shall be minimum 150 kg.

.4Construction:
The spinal board shall be a robust lightweight
construction with at least 3 handles on each long side
and at least 1 handle on the foot and the head of the
spinal board.
The handles shall be easy to reach and provide a secure
hold when lifting, lowering and carrying the spinal
board.

.5

The surface of the spinal board:
The surface of the spinal board shall be designed tohinder fluid penetration and to provide maximum
support for the head, back, neck and stomach. The
material shall be easy to clean, washable and containmineral oil. It shall be able to stand temperatures of+70C to-30 °C.

.6Fastening device:
There shall be at least 4 quick-release means of securing
the patient.

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Chapter A IX B

.7

Appendix 3

Flammability – toxic burning gas:
There shall not be smouldering or ignition by flame
during an exercise in accordance with EN 1021-1.

.8

Deformation of the spinal board:
The spinal board shall not be severely bent or breakduring a test in accordance with EN 1865:2 000, chapter
5.7.1.

.9

Torsion:The spinal board shall not be severely bent during a testin accordance with EN 1865:2000, chapter.5.7.2.

3

Requirements for suitable lifting stretcher for transport of the
spinal board:.1

The stretcher shall be equipped with at least 3 handles oneach long side and at least 1 handle on the foot and thehead of the stretcher.

.2

The handles shall be easy to reach and provide a secure
hold when lifting, lowering and carrying the stretcher.

.3

The surface of the stretcher shall be designed to hinder
fluid penetration. The material shall be easy to clean,
washable and contain mineral oil. It shall be able tostand temperatures of +70 °C to -30 °C.

.4

The stretcher shall be equipped with harness forhorizontal and vertical lift.

.5

There shall be at least 4 quick-release means of securing
the patient.

.6

Foot rest for support during vertical lift.

.7

The stretcher’s own weight shall be as low as possible.

.8

The carrying capacity shall be minimum 150 kg.

Appendix 4

Medicine and medical equipment for MOB-boats:

Supplement type M
1

According to provisions of SOLAS, the LSA Code, chapter III,certain large ships shall carry a Man-Overboard-Boat (MOBboat). These boats shall be equipped with first-aid equipmentwith a relatively limited content as part of the ship’s complete
equipment.

2

The contents shall, as minimum, be as follows:

2 Pressure dressings, approximately 8 cm
2 Absorbing dressings, approximately 20 x 30 cm
2 Unsterile elastic gauze bandages, approximately 4 cm x 4 m
2 triangle scarves (Mitella)
1 pair of solid clothing scissors
2 Unsterile disposable gloves, X-large
1 Pocket mask
3

The medical equipment shall be packed in a suitable andwaterproof container/bag which is labelled with an expiration
date.

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Chapter A IX B

Appendix 4

4The medical equipment shall be tested and inspected at least oncea year. The inspection shall be documented and the
documentation shall be available to the Danish Maritime
Authority.

5

The Danish Maritime Authority will accept one of the market’s
first-aid boxes or a box packed by the crew of the ship if thecontents correspond with the above.

Appendix 5

1

Protection and first-aid equipment on board ships
with a risk of contamination with war gas:
Supplement type G:

Areas included in supplement, cf. regulation 44
Area A
Restricted by:
Meridians 18° 30' east and 20° 00' east, and latitudes 55° 50'
north and 56° 40' north.
Area B
Restricted by:
Meridians 14° 30' east and 16° 30' east, and latitudes 54° 50'
north and 55° 30' north.
Area C
Limited by:
Meridians 10° 00' east and 10° 20' east, and latitudes 54° 45'
north and 54° 52' north.

2

Protective equipment and first-aid equipment

2.1

Ships mentioned in regulation 4(4) shall carry the following
protective equipment for every 3 crew member:.1

One full mask which complies with the European
standard EN 136: class 3 with attached filters. The filter
shall comply with the European standard EN 141: The
filters shall be classified A2B2E2K2-P3.

2.2

One pair of butyl rubber gloves that are at least 36 cm long foreach crew member. The width of the gloves shall be between
0.30 – 0.50 mm

2.3First-aid equipment which consist of:
One pack of tongue spatulas
Liquid soap, 0.5 litres
100 Disposable sponges
The instructions: “First-aid in case of war gasses”

Additional first-aid equipment in area C
3When ships mentioned in regulation 4(4) are in area C, the firstaid equipment shall also contain the following for every 3 crew
members: 10 injection syringes with fixed needles (auto injector)
containing injection fluid the equivalent of 2.0 mg atropine
sulphate and 220 mg obidoxim chloride per syringe. The
injection syringes shall be labelled with an instruction.

4

Storage of the equipment:

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Chapter A IX B

Appendix 5

Respirator and filter shall be stored in a suitable container, andthe first-aid equipment shall be stored in a box labelled “gas firstaid equipment”. The complete equipment shall be stored
somewhere on the ship that is easily accessible and offers some
protection from moisture, cold and heat.
5

The duties of the master
It is the responsibility of the master that the equipment is labelledwith expiration dates at the time of purchase, and that theequipment is replaced no later than on the expiration dates.

Appendix 6

1

Supplement for medicaments and medical equipment
for the coast rescue vessels of the Danish Maritime
Safety Administration: Supplement type F

The coast rescue vessels of the Danish Maritime Safety
Administration which are equipped with medicaments andmedical equipment in accordance with type C shall also have thefollowing supplies:
1 Mobile resuscitation equipment in accordance with theregulations on mobile resuscitation equipment and oxygen
cylinders in force of the Danish Maritime Authority, cf. appendix
1.
2 Inter-surgical masks, model no. 1115.
1 Tongue depressor, size 2.
1 Tongue depressor, size 3.
1 Tongue depressor, size 4.
1 pair of solid clothing scissors.
1 Inflatable splint, senior, the entire leg.
1 Inflatable splint, senior, the entire arm.
1 stiff neck collar which can be set in different positions.
4 hypothermia blankets.

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