1992L0029—EN—20.11.2003—001.001—1
This document is meant purely as a documentation tool and the institutions do not assume any liability for its contents
►B COUNCILDIRECTIVE92/29/EEC
of31March1992
ontheminimumsafetyandhealthrequirementsforimprovedmedicaltreatmentonboardvessels
(OJL113,30.4.1992,p.19)
Amendedby:
OfficialJournal
No page date
►M1Regulation (EC) No 1882/2003 of the European Parliament and of the
Councilof29September2003L284 1 31.10.2003
▼B
COUNCILDIRECTIVE92/29/EEC
of31March1992
on the minimum safety and health requirements for improved
medical treatmentonboardvessels
THECOUNCILOFTHEEUROPEANCOMMUNITIES,
Having regard to the Treaty establishing the European Economic
Community,andinparticularArticle118athereof,
HavingregardtotheproposalfromtheCommission(1),drawnupafter
consultation with the Advisory Committee on Safety, Hygiene andHealthProtectionatWork,
IncooperationwiththeEuropeanParliament(
2),
Having regard to the Opinion of the Economic and Social
Committee(3),
WhereastheCommissioncommunicationonitsprogrammeconcerning
safety, hygiene and health at work(4) envisages measures to ensure
medicaltreatmentatsea;
Whereas the safety and health of workers on board a vessel, which
constitutes a workplace involving a wide range of risks, bearing inmind, inter alia, its geographical isolation, where appropriate, requirespecialattention;
Whereas vessels should have adequate medical supplies, kept in good
order and checked at regular intervals, so that workers can obtain the
necessarymedicaltreatmentatsea;
Whereas, in order to ensure appropriate medical treatment at sea,
training and information of seafarers should be encouraged as regardstheuseofmedicalsupplies;
Whereastheuseoflong-distancemedical-consultationmethodsconsti-
tutesanefficientwayofcontributingtotheprotectionofthesafetyandhealthofworkers,
HASADOPTEDTHISDIRECTIVE:
Article 1
Definitions
For the purposes of this Directive, the following terms shall have the
followingmeanings:
(a)vessel:any vessel flying the flag of a Member State or registered
under the plenary jurisdiction of a Member State, seagoing orestuary-fishing,publiclyorprivatelyowned,excluding:
— inlandnavigationvessels,
— warships,— pleasure boats used for non-commercial purposes and not
mannedbyprofessionalcrews,
— tugsoperatinginharbourareas.
Vessels shall be classed in three categories in accordance with
AnnexI;
(b)worker:any person carrying out an occupation on board a vessel,
including trainees and apprentices, but excluding port pilots and1992L0029—EN—20.11.2003—001.001—2
(1) OJNoC183,24.7.1990,p.6and
OJNoC74,20.3.1991,p.11.
(2) OJNoC48,25.2.1991,p.154and
OJNoC326,16.12.1991,p.72.
(3) OJNoC332,31.12.1990,p.165.
(4) OJNoC28,3.2.1988,p.3.
▼B
shore personnel carrying out work on board a vessel at the quay-
side;
(c)Owner:theregisteredownerofavesselunlessthatvesselhasbeen
chartered by demise or is managed, either wholly or in part, by a
natural or legal person other than the registered owner under the
termsofamanagement agreement; inthatcasetheownershallbeconstruedasthedemisecharterer ornatural orlegal personmana-gingthevesselasappropriate;
(d)medical supplies: medicines, medical equipment and antidotes, a
non-exhaustivelistofwhichisgiveninAnnexII;
(e)antidote:a substance used to prevent or treat a harmful effect or
effects, direct or indirect, of one or more substances included onthelistofdangeroussubstancesinAnnexIII.
Article 2
Medicines andmedical equipment—Sick-bay—Doctor
EachMemberStateshalltakethemeasuresnecessarytoensurethat:
1. (a) every vesselflyingitsflagorregistered underitsplenary juris-
diction alwayscarries onboardmedical supplieswhichmeet at
least,intermsofquality,thespecificationsofAnnexIIsections
IandIIforthecategoryofvesseltowhichitbelongs;
(b) the quantities of medicinal products and medical equipment to
be carried depend on the nature of the voyage — in particularportsofcall, destination, duration —the typeortypesofworktobecarriedoutduringthevoyage,thenatureofthecargoandthenumberofworkers;
(c) thecontentofthemedicinesandmedicalequipmentincludedin
the medical supplies shall be detailed on a checklist corre-
spondingatleasttothegeneral frameworklaiddowninAnnex
IV,sectionsA,BandCII1andII2;
2. (a) for each of its life-rafts and life-boats, every vessel flying its
flag or registered under its plenary jurisdiction carries a water-tight medicine chest at least containing the medical suppliesspecifiedinAnnexII,sectionsIandII,forcategoryCvessels;
(b) the content of these chests is also detailed on the checklist
referredtoinparagraph1(c);
3. every vessel flying its flag or registered under its plenary jurisdic-
tion, of more than 500 gross registered tonnes, with a crew of 15
or more workers and engaged on a voyage of more than three
days,hasasick-bayinwhichmedicaltreatmentcanbeadministeredundersatisfactorymaterialandhygienicconditions;
4. every vessel flying its flag or registered under its plenary jurisdic-
tion, with a crew of 100 or more workers and engaged on aninternational voyage of more than three days, has a doctor respon-sibleforthemedicalcareoftheworkersonboard.
Article 3
Antidotes
EachMemberStateshalltakethemeasuresnecessarytoensurethat:
1. anyvesselflyingitsflagorregisteredunderitsplenaryjurisdiction
and carrying any of the dangerous substances listed in Annex III
carries on board medical supplies including at least the antidotes
listedinSectionIIIofAnnexII;
2. any ferry-type vesselsflying its flag or registered under its plenary
jurisdiction,whoseconditionsofoperationdonotalwaysallowittoknow well enough in advance the nature of the dangeroussubstances being transported, has on board medical suppliesincludingatleasttheantidoteslistedinsectionIIIofAnnexII.
However, on a regular where the crossing is due to last less than
two hours, the antidotes may be limited to those which have to be1992L0029—EN—20.11.2003—001.001—3
▼B
administeredincasesofextremeemergencywithinaperiodoftime
notexceedingthenormaldurationofthecrossing;
3. the contents of the medical supplies, as regards antidotes, shall be
detailedonachecklistcorrespondingatleasttothegeneralframe-worklaiddowninAnnexIV,sectionsA,BandC,II3.
Article 4
Allocationofresponsibilities
EachMemberStateshalltakethemeasuresnecessarytoensurethat:1. (a) the provision and replenishment of the medical supplies of any
vessel flying its flag or registered under its plenary jurisdiction
are undertaken on the exclusive responsibility of the owner,
withoutanyexpensetotheworkers;
(b) the management of the medical supplies is placed under the
responsibility of the captain of the vessel; he may, without
prejudice to this responsibility, delegate the use and mainte-
nanceofthemedical suppliestooneormoreworkersspeciallydesignatedbyreasonoftheircompetence;
2. the medical supplies are maintained in good condition and replen-
ished and/or replaced as soon as possible, and in every case as a
prioritypartofnormalrevictuallingprocedures;
3. in an emergency established by the captain as far as possible after
havingobtainedamedicalopinion,therequiredmedicines,medical
equipmentandantidoteswhicharenotavailableonboardaremade
availableassoonaspossible.
Article 5
Informationandtraining
EachMemberStateshalltakethemeasuresnecessarytoensurethat:1. medical supplies are accompanied by one or more guides to their
use, including instructions for use of at least the antidotes requiredinAnnexIIsectionIII;
2. allpersonsreceivingprofessionalmaritimetrainingandintendingto
work on board ship have been given basic training in the medicaland emergency measures to be taken immediately in the event ofanaccidentorseriousmedicalemergency;
3. thecaptainandanyworkerorworkerstowhomhedelegatestheuse
of the medical supplies pursuant to Article 4 (1) (b) have receivedspecialtrainingupdatedperiodically,atleasteveryfiveyears,takinginto account the specific risks and needs connected with the
different categories of vessel and in accordance with the general
guidelinessetoutinAnnexV.
Article 6
Medical consultationsbyradio
1. Toensurebetteremergency treatment forworkers,eachMember
Stateshalltakethemeasuresnecessarytoensurethat:
(a) one or more centres are designated to provide workers with free
medicaladvicebyradio;
(b) someofthedoctorsprovidingtheirservicesfortheradioconsulta-
tion centres have been trained in the special conditions prevailingonboardship.
2. In order to optimize the advice given, the radio consultation
centres may keeppersonal medical records,withthe agreement oftheworkersconcerned.1992L0029—EN—20.11.2003—001.001—4
▼B
Suchrecordsshallremainconfidential.
Article 7
Inspection
1. Each Member State shall take the measures necessary to ensure
thatacompetentpersonoracompetentauthoritycarriesoutanannual
inspectiontocheckthatonboardallvesselsflyingitsflag:
— themedicalsuppliesmeettheminimumrequirementsofthisDirec-
tive;
— the checklist provided for in Article 2 (1) (c) confirms that the
medicalsuppliescomplywiththoseminimumrequirements;
— themedicalsuppliesarecorrectlystored;— anyexpirydateshavebeenrespected.
2. Inspections of the medical supplies stored on life-rafts shall be
carriedoutinthecourseofthoselife-rafts'annualmaintenance.
Those inspections may exceptionally be postponed for up to five
months.
Article 8
Committee
1. TheCommissionshallbeassistedbyacommitteewithaviewto
thestrictlytechnicaladaptationoftheAnnexestothisDirectiveinthe
light of technical progress or changes in international regulations or
specificationsandnewfindingsinthisfield.
2. Articles 5and7ofDecision 1999/468/EC(
1)shallapply,having
regardtotheprovisionsofArticle8thereof.
TheperiodlaiddowninArticle5(6)ofDecision1999/468/ECshallbe
setatthreemonths.
3. TheCommitteeshalladoptitsrulesofprocedure.
Article 9
Finalprovisions
1. Member States shall bring into force the laws, regulations and
administrative provisions necessary to comply with this Directive by31 December 1994. They shall forthwith inform the Commission
thereof.
When Member States adopt these measures, such measures shall
contain a reference to this Directive or shall be accompanied by suchreference ontheoccasionoftheirofficial publication. ThemethodsofmakingsuchareferenceshallbelaiddownbytheMemberStates.
2. MemberStatesshallcommunicatetotheCommissionthetextsof
the provisions of national law which they have already adopted orwhichtheyadoptinthefieldgovernedbythisDirective.
3. MemberStatesshallreporttotheCommissioneveryfiveyearson
theimplementationofthisDirective,givingtheviewsofthetwosidesofindustry.
The Commission shall inform the European Parliament, the Council,
the Economic and Social Committee and the Advisory Committee for
Safety,HygieneandHealthatWorkthereof.
4. The Commission shall report at least every five years to the
European Parliament, the Council and the Economic and Social1992L0029—EN—20.11.2003—001.001—5
(1) CouncilDecision1999/468/ECof28June1999layingdowntheprocedures
forthe exercise ofimplementing powersconferred onthe Commission(OJ
L184,17.7.1999,p.23).▼M1
▼B
▼B
CommitteeontheimplementationofthisDirective,takingintoaccount
paragraphs1,2and3.
Article 10
ThisDirectiveisaddressedtotheMemberStates.1992L0029—EN—20.11.2003—001.001—6
▼B
ANNEX I
CATEGORIESOFVESSELS
(Article1(a))
A. Sea-goingorsea-fishingvessels,withnolimitationonlengthoftrips.
B. Sea-goingorsea-fishingvesselsmakingtripsoflessthan150nauticalmiles
fromthenearestportwithadequatemedicalequipment(1).
C. Harbourvessels,boatsandcraftstayingveryclosetoshoreorwithnocabin
accommodationotherthanawheelhouse.1992L0029—EN—20.11.2003—001.001—7
(1) Category B shall be extended to sea-going or sea-fishing vessels which make trips of
lessthan175nauticalmilesfromthenearestportwithadequatemedicalequipmentand
whichremaincontinuouslywithinrangeofhelicopterrescueservices.To this end, each Member State shall forward up-to-date information on the areas inwhich routine helicopter rescue services are provided,andthecircumstances inwhichtheyoperate:
(a) totheotherMemberStatesandtheCommission;and
(b) tothecaptainsofvesselsflyingitsflagorregisteredunderitsplenaryjurisdiction
whoare,orarelikelytobe,concerned byapplicationofthefirstsubparagraphofthisfootnote; theinformationshall be forwardedinthe mostappropriate way,forexample through radio-consultation centres, rescue coordination centres or coastal
radiostations.
▼B
ANNEX II
MEDICALSUPPLIES(NON-EXHAUSTIVELIST)
(Article1(d))
I. MEDICINES
Categories of vessels
ABC
1.Cardiovascular
(a) Cardio-circulatoryanaleptics—Sympathomimetics ××
(b) Anti-anginapreparations ×××
(c) Diuretics ××
(d) Anti-haemorrhagics including uterotonics if there are women on
board ×××
(e) Anti-hypertensive ×
2.Gastro-intestinalsystem
(a) Medicinesforgastricandduodenaldisorders
— HistamineH2receptoranti-ulcerantagonists ×
— Anti-acidmucousdressings ××
(b) Anti-emetics ×××
(c) Lubricantlaxatives ×
(d) Anti-diarrhoeals ×××
(e) Intestinalantiseptics ××
(f) Haemorrhoidpreparations ××
3.Analgesicsandanti-spasmodics
(a) Analgesics,anti-pyreticsandanti-inflammatorypreparations ×××
(b) Powerfulanalgesics ××
(c) Spasmolytics ××
4.Nervoussystem
(a) Anxiolytics ××
(b) Neuroleptics ××
(c) Seasicknessremedies ×××
(d) Anti-epileptics ×
5.Anti-allergicsandanti-anaphylactics
(a) H1Anti-histaminics ××
(b) Injectableglucocorticoids ××
6.Respiratorysystem
(a) Bronchiospasmpreparations ××
(b) Anti-tussives ××
(c) Medicinesusedforcoldsandsinusitis ××
7.Anti-infection
(a) Antibiotics(atleasttwofamilies) ××1992L0029—EN—20.11.2003—001.001—8
▼B
Categories of vessels
ABC
(b) Anti-bacterialsulphamide ××
(c) Urinaryantiseptics ×
(d) Anti-parasitics ××
(e) Intestinalanti-infectives ××
(f) Anti-tetanusvaccinesandimmunoglobulins ××
8.Compounds promoting rehydration, caloric intake and plasma
expansion ××
9.Medicinesforexternaluse
(a)Skin medicines
— Antisepticsolutions ×××
— Antibioticointments ××
— Anti-inflammatoryandanalgesicointments ××
— Anti-mycoticskincreams ×
— Burnpreparations ×××
(b)Eye medicines
— Antibioticdrops ××
— Antibioticandanti-inflammatorydrops ××
— Anaestheticdrops ××
— Hypotonicmyoticdrops ××
(c)Ear medicines
— Antibioticsolutions ××
— Anaestheticandanti-inflammatorysolutions ××
(d)Medicines for oral and throat infections
— Antibioticorantisepticmouthwashes ××
(e)Local anaesthetics
— Localanaestheticsusingfreezing ×
— Localanaestheticsgivenbysubcutaneousinjection ××
— Dentalanaestheticandantisepticmixtures ××1992L0029—EN—20.11.2003—001.001—9
▼B
II. MEDICALEQUIPMENT
Categories of vessels
ABC
1.Resuscitationequipment
— Manualresuscitationappliance ××
— Appliance for the administration of oxygen with pressure-redu-
cing valve such that ship's industrial oxygen can be used, or
oxygencontainer ×× (1)
— Mechanicalaspiratortoclearupperrespiratorypassages ××
— Cannulaformouth-to-mouthresuscitation ×××
2.Dressingandsuturingequipment
— Disposablesuturestaplerorsuturekitwithneedles ××
— Adhesiveelasticbandage ×××
— Gauzestrips ×
— Tubulargauzeforfingerbandages ×
— Sterilegauzecompresses ×××
— Cottonwool ××
— Sterilesheetforburnsvictims ××
— Triangularsling ××
— Disposablepolyethylenegloves ×××
— Adhesivedressings ×××
— Sterilecompressionbandages ×××
— Adhesivesuturesorzincoxidebandages ×××
— Non-absorbablesutureswithneedles ×
— Vaselinegauze ××
3.Instruments
— Disposablescalpels ×
— Stainless-steelinstrumentbox ××
— Scissors ××
— Dissectingforceps ××
— Haemostaticclamps ××
— Needleforceps ×
— Disposablerazors ×
4.Examinationandmonitoringequipment
— Disposabletonguedepressors ××
— Reactivestripsforurineanalysis ×
— Temperaturecharts ×
— Medicalevacuationsheets ××
— Stethoscope ××
— Aneroidsphygmomanometer ××
— Standardmedicalthermometer ××
— Hypothermicthermometer ××
5.Equipmentforinjection,perfusion,punctureandcatheterization
— Bladderdrainageinstruments ×
— Rectaldripset ×1992L0029—EN—20.11.2003—001.001—10
▼B
Categories of vessels
ABC
— Disposablefilterinfusor ×
— Urinedrainagebag ×
— Disposablesyringesandneedles ××
— Catheter ×
6.Generalmedical equipment
— Bedpan ×
— Hot-waterbottle ×
— Urinebottle ×
— Icebag ×
7.Immobilizationandsettingequipment
— Malleablefingersplint ××
— Malleableforearmandhandsplint ××
— Inflatablesplint ××
— Thighsplint ××
— Collarforneckimmobilization ××
— Thomassplintordimplemattress ×
8.Disinfection,disinsectizationandprophylaxis
— Water-disinfectioncompound ×
— Liquidinsecticide ×
— Powderinsecticide ×
(1) Undertheconditionsofuseprescribedbynationallawsand/orpractices.
III. ANTIDOTES
1.Medicines
— General
— Cardio-vascular— Gastro-intestinalsystem
— Nervoussystem
— Respiratorysystem— Anti-infective— Forexternaluse
2.Medical equipment
— Necessaryfortheadministrationofoxygen(includingmaintenancerequi-
sites)
NoteForthedetailedimplementation ofSectionIII,MemberStatesmayrefertothe
IMO Medical First Aid Guide for use in accidents involving dangerous goods
(MFAG) contained in the 1990 consolidated edition of the IMO International
MaritimeDangerousGoodsCode.
AnyadaptationofSectionIIIinimplementationofArticle8maytakeaccount,
inter alia,ofanyupdatingoftheMFAG.1992L0029—EN—20.11.2003—001.001—11
▼B
ANNEX III
DANGEROUSSUBSTANCES
(Article1(e)andArticle3(1))
The substances listed in this Annex are to be taken into account in whatever
formtheyarecarriedonboard,includingtheformofwasteorcargoresidues.
— Explosivesubstancesandobjects,
— Gases:compressed,liquifiedordissolvedunderpressure,— Inflammableliquids,— Inflammablesolids,— Substancesliabletospontaneouscombustion,— Substanceswhich,oncontactwithwater,giveoffinflammablegases,— Combustiblesubstances,— Organicperoxides,— Toxicsubstances,— Infectioussubstances,
— Radioactivesubstances,
— Corrosivesubstances,— Various dangerous substances, i.e. any other substances which experience
hasshown,ormayshow,tobedangerous,sothattheprovisionsofArticle
3needtobeapplied.
NoteForthedetailedimplementationofthisAnnex,MemberStatesmayrefertothe
1990consolidatededitionoftheIMOInternational MaritimeDangerousGoods
Code.
AnyadaptationofthisAnnexinimplementationofArticle8maytakeaccount,
inter alia,ofanyupdatingoftheIMOInternationalMaritimeDangerousGoods
Code.1992L0029—EN—20.11.2003—001.001—12
▼B
ANNEX IV
GENERAL FRAMEWORK FOR THE INSPECTION OF VESSELS'
MEDICALSUPPLIES
(Article2(1)(c),Article3(3))
SECTIONA. CATEGORYAVESSELS
I.Detailsofthevessel
Name:…
Flag:…Homeport:…
II.Medical supplies
Quantities
requiredQuantities
actually
carriedon
boardRemarks
(inparti-
cular,any
expirydate)
1. MEDICINE
1.1.Cardiovascular
(a) Cardio-circulatory analeptics—Sympatho-
mimetics 000
(b) Anti-anginapreparations 000
(c) Diuretics 000
(d) Anti-haemorrhagicsincludinguterotonicsif
therearewomenonboard 000
(e) Anti-hypertensive 000
1.2.Gastro-intestinalsystem
(a) Medicines for gastric and duodenal disor-
ders
— Histamine H2receptor anti-ulcer
antagonists 000
— Anti-acidmucousdressings 000
(b) Anti-emetics 000
(c) Lubricantlaxatives 000
(d) Anti-diarrhoeals 000
(e) Intestinalantiseptics 000
(f) Haemorrhoidpreparations 000
1.3.Analgesicsandanti-spasmodics
(a) Analgesics, anti-pyretics and anti-inflam-
matorypreparations 000
(b) Powerfulanalgesics 000
(c) Spasmolytics 000
1.4.Nervoussystem
(a) Anxiolytics 000
(b) Neuroleptics 000
(c) Seasicknessremedies 000
(d) Anti-epileptics 0001992L0029—EN—20.11.2003—001.001—13
▼B
Quantities
requiredQuantities
actually
carriedon
boardRemarks
(inparti-
cular,any
expirydate)
1.5.Anti-allergicsandanti-anaphylactics
(a) H1Anti-histaminics 000
(b) Injectableglucocorticoids 000
1.6.Respiratorysystem
(a) Bronchiospasmpreparations 000
(b) Anti-tussives 000
(c) Medicinesusedforcoldsandsinusitis 000
1.7.Anti-infection
(a) Antibiotics(atleasttwofamilies) 000
(b) Anti-bacterialsulphamide 000
(c) Urinaryantiseptics 000
(d) Anti-parasitics 000
(e) Intestinalanti-infectives 000
(f) Anti-tetanusvaccinesandimmunoglobulins 000
1.8.Compounds promoting rehydration, caloric
intakeandplasmaexpansion 000
1.9.Medicinesforexternaluse
(a)Skin medicines
— Antisepticsolutions 000
— Antibioticointments 000
— Anti-inflammatoryandanalgesicoint-
ments 000
— Anti-mycoticskincreams 000
— Burnpreparations 000
(b)Eye medicines
— Antibioticdrops 000
— Antibiotic and anti-inflammatory
drops 000
— Anaestheticdrops 000
— Hypotonicmyoticdrops 000
(c)Ear medicines
— Antibioticsolutions 000
— Anaesthetic and anti-inflammatory
solutions 000
(d)Medicines for oral and throat infections
— Antibioticorantisepticmouthwashes 000
(e)Local anaesthetics
— Localanaestheticsusingfreezing 000
— Local anaesthetics given by subcuta-
neousinjection 000
— Dental anaesthetic and antiseptic
mixtures 0001992L0029—EN—20.11.2003—001.001—14
▼B
Quantities
requiredQuantities
actually
carriedon
boardRemarks
(inparti-
cular,any
expirydate)
2. MEDICALEQUIPMENT
2.1.Resuscitationequipment
— Manualresuscitationappliance 000
— Appliancefortheadministrationofoxygen
with pressure-reducing valve such that
ship's industrial oxygen can be used, or
oxygencontainer 000
— Mechanicalaspiratortoclearupperrespira-
torypassages 000
— Cannulaformouth-to-mouthresuscitation 000
2.2.Dressingandsuturingequipment
— Disposablesuturestaplerorsuturekitwith
needles 000
— Adhesiveelasticbandage 000
— Gauzestrips 000
— Tubulargauzeforfingerbandages 000
— Sterilegauzecompresses 000
— Cottonwool 000
— Sterilesheetforburnsvictims 000
— Triangularsling 000
— Disposablepolyethylenegloves 000
— Adhesivedressings 000
— Sterilecompressionbandages 000
— Adhesivesuturesorzincoxidebandages 000
— Non-absorbablesutureswithneedles 000
— Vaselinegauze 000
2.3.Instruments
— Disposablescalpels 000
— Stainless-steelinstrumentbox 000
— Scissors 000
— Dissectingforceps 000
— Haemostaticclamps 000
— Needleforceps 000
— Disposablerazors 000
2.4.Examinationandmonitoringequipment
— Disposabletonguedepressors 000
— Reactivestripsforurineanalysis 000
— Temperaturecharts 000
— Medicalevacuationsheets 000
— Stethoscope 000
— Aneroidsphygmomanometer 000
— Standardmedicalthermometer 000
— Hypothermicthermometer 0001992L0029—EN—20.11.2003—001.001—15
▼B
Quantities
requiredQuantities
actually
carriedon
boardRemarks
(inparti-
cular,any
expirydate)
2.5.Equipment for injection, perfusion, puncture
andcatheterization
— Bladderdrainageinstruments 000
— Rectaldripset 000
— Disposablefilterinfusor 000
— Urinedrainagebag 000
— Disposablesyringesandneedles 000
— Catheter 000
2.6.Generalmedical equipment
— Bedpan 000
— Hot-waterbottle 000
— Urinebottle 000
— Icebag 000
2.7.Immobilizationandsettingequipment
— Malleablefingersplint 000
— Malleableforearmandhandsplint 000
— Inflatablesplint 000
— Thighsplint 000
— Collarforneckimmobilization 000
— Thomassplintordimplemattress 000
2.8.Disinfection,disinsectizationandprophylaxis
— Water-disinfectioncompound 000
— Liquidinsecticide 000
— Powderinsecticide 000
3. ANTIDOTES
3.1. General 000
3.2. Cardio-vascular 000
3.3. Gastro-intestinalsystem 000
3.4. Nervoussystem 000
3.5. Respiratorysystem 000
3.6. Anti-infective 000
3.7. Forexternaluse 000
3.8. Other 000
3.9. Necessaryfortheadministrationofoxygen 000
Venueanddate:…
Captain'ssignature:…
Approvalofthecompetentpersonorauthority:…1992L0029—EN—20.11.2003—001.001—16
▼B
SECTIONB. CATEGORYBVESSELS
I.Detailsofthevessel
Name:…
Flag:…
Homeport:…
II.Medical supplies
Quantities
requiredQuantities
actually
carriedon
boardRemarks
(inparti-
cular,any
expirydate)
1. MEDICINE
1.1.Cardiovascular
(a) Cardio-circulatory analeptics—Sympatho-
mimetics 000
(b) Anti-anginapreparations 000
(c) Diuretics 000
(d) Anti-haemorrhagicsincludinguterotonicsif
therearewomenonboard 000
1.2.Gastro-intestinalsystem
(a) Medicines for gastric and duodenal disor-
ders
— Anti-acidmucousdressings 000
(b) Anti-emetics 000
(c) Anti-diarrhoeals 000
(d) Intestinalantiseptics 000
(e) Haemorrhoidpreparations 000
1.3.Analgesicsandanti-spasmodics
(a) Analgesics, anti-pyretics and anti-inflam-
matorypreparations 000
(b) Powerfulanalgesics 000
(c) Spasmolytics 000
1.4.Nervoussystem
(a) Anxiolytics 000
(b) Neuroleptics 000
(c) Seasicknessremedies 000
1.5.Anti-allergicsandanti-anaphylactics
(a) H1Anti-histaminics 000
(b) Injectableglucocorticoids 000
1.6.Respiratorysystem
(a) Bronchiospasmpreparations 000
(b) Anti-tussives 000
(c) Medicinesusedforcoldsandsinusitis 0001992L0029—EN—20.11.2003—001.001—17
▼B
Quantities
requiredQuantities
actually
carriedon
boardRemarks
(inparti-
cular,any
expirydate)
1.7.Anti-infection
(a) Antibiotics(atleasttwofamilies) 000
(b) Anti-bacterialsulphamide 000
(c) Anti-parasitics 000
(d) Intestinalanti-infectives 000
(e) Anti-tetanusvaccinesandimmunoglobulins 000
1.8.Compounds promoting rehydration, caloric
intakeandplasmaexpansion 000
1.9.Medicinesforexternaluse
(a)Skin medicines
— Antisepticsolutions 000
— Antibioticointments 000
— Anti-inflammatoryandanalgesicoint-
ments 000
— Burnpreparations 000
(b)Eye medicines
— Antibioticdrops 000
— Antibiotic and anti-inflammatory
drops 000
— Anaestheticdrops 000
— Hypotonicmyoticdrops 000
(c)Ear medicines
— Antibioticsolutions 000
— Anaesthetic and anti-inflammatory
solutions 000
(d)Medicines for oral and throat infections
— Antibioticorantisepticmouthwashes 000
(e)Local anaesthetics
— Local anaesthetics given by subcuta-
neousinjection 000
— Dental anaesthetic and antiseptic
mixtures 000
2. MEDICALEQUIPMENT
2.1.Resuscitationequipment
— Manualresuscitationappliance 000
— Appliancefortheadministrationofoxygen
with pressure-reducing valve such that
ship's industrial oxygen can be used, or
oxygencontainer 000
— Mechanicalaspiratortoclearupperrespira-
torypassages 000
— Cannulaformouth-to-mouthresuscitation 0001992L0029—EN—20.11.2003—001.001—18
▼B
Quantities
requiredQuantities
actually
carriedon
boardRemarks
(inparti-
cular,any
expirydate)
2.2.Dressingandsuturingequipment
— Disposablesuturestaplerorsuturekitwith
needles 000
— Adhesiveelasticbandage 000
— Sterilegauzecompresses 000
— Cottonwool 000
— Sterilesheetforburnsvictims 000
— Triangularsling 000
— Disposablepolyethylenegloves 000
— Adhesivedressings 000
— Sterilecompressionbandages 000
— Adhesivesuturesorzincoxidebandages 000
— Vaselinegauze 000
2.3.Instruments
— Stainless-steelinstrumentbox 000
— Scissors 000
— Dissectingforceps 000
— Haemostaticclamps 000
2.4.Examinationandmonitoringequipment
— Disposabletonguedepressors 000
— Medicalevacuationsheets 000
— Stethoscope 000
— Aneroidsphygmomanometer 000
— Standardmedicalthermometer 000
— Hypothermicthermometer 000
2.5.Equipment for injection, perfusion, puncture
andcatheterization
— Disposablesyringesandneedles 000
2.6.Immobilizationandsettingequipment
— Malleablefingersplint 000
— Malleableforearmandhandsplint 000
— Inflatablesplint 000
— Thighsplint 000
— Collarforneckimmobilization 000
3. ANTIDOTES
3.1. General 000
3.2. Cardio-vascular 000
3.3. Gastro-intestinalsystem 000
3.4. Nervoussystem 000
3.5. Respiratorysystem 000
3.6. Anti-infective 000
3.7. Forexternaluse 000
3.8. Other 0001992L0029—EN—20.11.2003—001.001—19
▼B
Quantities
requiredQuantities
actually
carriedon
boardRemarks
(inparti-
cular,any
expirydate)
3.9. Necessaryfortheadministrationofoxygen 000
Venueanddate:…
Captain'ssignature:…Authorizationbycompetentpersonorauthority:…1992L0029—EN—20.11.2003—001.001—20
▼B
SECTIONC. CATEGORYCVESSELS
I.Detailsofthevessel
Name:…
Flag:…Homeport:…
II.Medical supplies
Quantities
requiredQuantities
actually
carriedon
boardRemarks
(inparti-
cular,any
expirydate)
1. MEDICINE
1.1.Cardiovascular
(a) Anti-anginapreparations 000
(b) Anti-haemorrhagicsincludinguterotonicsif
therearewomenonboard 000
1.2.Gastro-intestinalsystem
(a) anti-emetics 000
(b) anti-diarrhoeals 000
1.3.Analgesicsandanti-spasmodics
— Analgesics, anti-pyretics and anti-inflam-
matorypreparations 000
1.4.Nervoussystem
— Seasicknessremedies 000
1.5.Medicinesforexternaluse
— Skinmedicines
— Antisepticsolutions 000
— Burnpreparations 000
2. MEDICALEQUIPMENT
2.1.Resuscitationequipment
— Cannulaformouth-to-mouthresuscitation 000
2.2.Dressingandsuturingequipment
— Adhesiveelasticbandage 000
— Sterilegauzecompresses 000
— Disposablepolyethylenegloves 000
— Adhesivedressings 000
— Sterilecompressionbandages 000
— Adhesivesuturesorzincoxidebandages 000
3. ANTIDOTES
3.1. General 000
3.2. Cardio-vascular 0001992L0029—EN—20.11.2003—001.001—21
▼B
Quantities
requiredQuantities
actually
carriedon
boardRemarks
(inparti-
cular,any
expirydate)
3.3. Gastro-intestinalsystem 000
3.4. Nervoussystem 000
3.5. Respiratorysystem 000
3.6. Anti-infective 000
3.7. Forexternaluse 000
3.8. Other 000
3.9. Necessaryfortheadministrationofoxygen 000
Venueanddate:…
Captain'ssignature:…Authorizationofthecompetentpersonorauthority:…1992L0029—EN—20.11.2003—001.001—22
▼B
ANNEX V
MEDICAL TRAINING OF THE CAPTAIN AND DESIGNATED
WORKERS
(Article5(3))
I. 1. Basicunderstandingofphysiology,symptomatologyandtherapeutics.
2. Elements of preventive medicine, notably individual and collective
hygiene,andelementsofpossibleprophylacticmeasures.
3. Ability to perform basic types of treatment and supervise emergency
disembarkationatsea.
Person responsible for treatment aboard category A vessels should if
possiblereceivetheirpracticaltraininginhospitals.
4. Detailed knowledge of how to use the various remote medical consulta-
tionfacilities.
II. Thistraining shouldtake account oftheprogrammes ofinstruction detailed
inrelevantrecentinternationaldocuments.1992L0029—EN—20.11.2003—001.001—23