#### § 10.302 Medical and physical requirements.

###### Cross Reference

Link to an amendment published at [89 FR 76346](https://www.federalregister.gov/citation/89-FR-76346), Sept. 17, 2024.

(a) To qualify for a medical certificate, a mariner must provide evidence of meeting the medical and physical standards in this section on a CG-719-K or CG-719-K/E, as appropriate. The Coast Guard retains final authority for determining whether a mariner is medically and physically qualified. Columns 2 through 5 of Table 1 to [paragraph (a)](/on/2024-09-23/title-46/section-10.302#p-10.302(a)) of this section provide the specific exam, test, or demonstrations required to obtain the corresponding credential listed in column 1. Further clarifications of the requirements contained in the table are found throughout this subpart.

(b) Any required test, exam, or demonstration must have been performed, witnessed, or reviewed by a licensed medical doctor, licensed physician assistant, licensed nurse practitioner, or a designated medical examiner. All licensed medical practitioners must hold a valid license issued in the United States. Medical examinations for Great Lakes Pilots must be conducted by a licensed medical doctor in accordance with the physical exam requirements in [46 CFR 402.210](/on/2024-09-23/title-46/section-402.210).

Table 1 to [§ 10.302](/on/2024-09-23/title-46/section-10.302)(a)—Medical and Physical Requirements for Mariner Endorsements

| 1 Credential | 2 Vision test | 3 Hearing test | 4 General medical exam | 5 Demonstration of physical ability |
| --- | --- | --- | --- | --- |
| (1) Deck officer, including pilot | § 10.305(a) | § 10.306 | § 10.304(a) | § 10.304(c) |
| (2) Engineering officer | § 10.305(b) | § 10.306 | § 10.304(a) | § 10.304(c) |
| (3) Radio officer | § 10.305(b) | § 10.306 | § 10.304(a) | § 10.304(c) |
| (4) Offshore installation manager, barge supervisor, or ballast control operator | § 10.305(b) | § 10.306 | § 10.304(a) | § 10.304(c) |
| (5) Able seaman | § 10.305(a) | § 10.306 | § 10.304(a) | § 10.304(c) |
| (6) QMED | § 10.305(b) | § 10.306 | § 10.304(a) | § 10.304(c) |
| (7) Able seafarer deck | § 10.305(a) | § 10.306 | § 10.304(a) | § 10.304(c) |
| (8) RFPNW | § 10.305(a) | § 10.306 | § 10.304(a) | § 10.304(c) |
| (9) Able seafarer engine | § 10.305(b) | § 10.306 | § 10.304(a) | § 10.304(c) |
| (10) RFPEW | § 10.305(b) | § 10.306 | § 10.304(a) | § 10.304(c) |
| (11) Electro-technical rating | § 10.305(b) | § 10.306 | § 10.304(a) | § 10.304(c) |
| (12) Tankerman | § 10.305(b) | § 10.306 | § 10.304(a) | § 10.304(c) |
| (13) Lifeboatman and Proficiency in survival craft and rescue boats other than fast rescue boats (PSC) | § 10.305(b) | § 10.306 | § 10.304(a) | § 10.304(c) |
| (14) Lifeboatman-Limited and Proficiency in survival craft and rescue boats other than fast rescue boats—limited (PSC—limited) | § 10.305(b) | § 10.306 | § 10.304(a) | § 10.304(c) |
| (15) Fast Rescue Boat | § 10.305(b) | § 10.306 | § 10.304(a) | § 10.304(c) |
| (16) Food handler serving on vessels to which STCW does not apply | | | § 10.304(b) | |
| (17) Food handler serving on vessels to which STCW applies | | | § 10.304(b) | § 10.304(c) |
| (18) Ratings, including entry level, serving on vessels to which STCW applies, other than those listed above | | | | § 10.304(c) |
| (19) Ratings, including entry level, serving on vessels to which STCW does not apply, other than those listed above | | | | |
| (20) Vessel security officer | § 10.305(a) | § 10.306 | § 10.304(a) | § 10.304(c) |