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Requirements for Organisation of Medical Care on Board Ships and List of Medical Equipment Required on Board Ships

Issuer:Minister of Health and Labour
Type:regulation
In force from:01.06.2016
In force until: In force
Translation published:12.08.2020

Requirements for Organisation of Medical Care on Board Ships and List of Medical Equipment Required on Board Ships

Passed 24.07.2014 No. 50
RT I, 29.07.2014, 4
Entry into force 01.08.2014

Amended by the following legal instruments (show)

PassedPublishedEntry into force
27.11.2015RT I, 02.12.2015, 201.06.2016

This Regulation is established under § 32 (2) of the Seafarers Employment Act.

§ 1.  Scope of application

  This Regulation is not applied to warships, border guard ships, recreational craft, harbour tugboats or pleasure boats used for non-commercial purposes.

§ 2.  Categories of ships

  For the purposes of this Regulation, ships are classified in the following categories:
 1) category A ships with no limitation on navigation area;
 2) category B ships making trips of no more than 150 nautical miles from the nearest port where health services are available;
 3) category C ships navigating on navigable inland waters and ships engaged in domestic voyages.

§ 3.  Organisation of medical care on board ship

 (1) For the provision of first aid and medical care, a crew member/members who has/have completed the training referred to in § 28 (3) of the Maritime Safety Act shall be on board.

 (2) A ship with 100 or more crew members on board and engaged on voyages of more than three days shall have a following person registered in the Health Board’s register of health care professionals:
 1) an emergency medicine doctor, or
 2) an anaesthesiologist, or
 3) a physician who has completed emergency medicine training at a level required for ambulance crews’ chief doctors.

 (3) Persons referred to in subsection (2) of this section are responsible for the provision of medical care on board ship.

§ 4.  Calling for ambulance crew

  The master of a ship shall call for an ambulance crew through the Joint Rescue Coordination Centre (JRCC) of the Police and Border Guard Board or the Emergency Response Centre (112) or a foreign country’s Maritime Rescue Coordination Centre (MRCC) when a crew member’s state of health warrants the calling for an ambulance crew.

§ 5.  Report

 (1) When an ambulance crew is called to a ship, an internationally recognised report to that effect shall be drawn up on the form provided for in Annex 1 to this Regulation.

 (2) The report shall be filled out in three copies, whereas Part I shall be completed by the master or their deputy, Part II by the provider of health services called to the ship and Part III by the master only if the crew member is signed off.

 (3) One copy of the report shall be given to the provider of health services called to the ship, one copy shall be given to the crew member in question and one copy shall be given to the master or, if this is not possible, sent to the agent or operator.

 (4) If possible, the copy of the report given to the master shall be filed in the medical log.

§ 6.  Sick bay

 (1) On board ships with a gross tonnage of more than 500 and carrying at least 15 crew members and engaged on a voyage of more than three days a sick bay used solely for the provision of medical care and for other medical purposes shall be available to the crew members.

 (2) The sick bay’s size, furnishing and number of berths shall be planned in consideration of the number of crew members, the length of the voyage and the navigation area.

 (3) The sick bay shall be located in the part of the ship where the rolling, noise, vibration and the effects of non-ionising radiation are the lowest. The sick bay must be easily accessible in all weather conditions, including with a stretcher.

 (4) The sick bay shall include sanitary facilities with at least one toilet bowl, a washbasin and a bathtub or a shower.

§ 7.  Medical log

 (1) Category A and B ships shall have a medical log kept by the provider of medical care.

 (2) A medical log entry shall be made when medical care is provided to a crew member, a crew member is referred to a health care provider or distant consultation is provided by a health care provider.

 (3) An entry concerning every procurement of medical equipment shall be made in the medical log. This entry shall include detailed information about the date of procurement and the quantity of medical equipment procured or a reference to the delivery note.

 (4) An entry concerning every medicine dispensed shall be made in the medical log. This entry shall include at least the following information: date, given name and surname of the person who was given a medicine or an antidote, name and quantity of the medicine or antidote, reason for dispensing, name of dispenser.

 (5) A report on medical equipment inspection results is an annex to the medical log.

 (6) Medical logs shall be retained for at least 2 years after the last entry.

§ 8.  Medical equipment

 (1) Ships shall carry medical equipment appropriate for their category according to Annexes 2 and 3 to this Regulation. In the event of more than 10 crew members, the quantities of the medical equipment and medicines set out in Annexes 2 and 3 shall be increased in proportion, rounded to the nearest whole number.
[RT I, 02.12.2015, 2 – entry into force 01.06.2016]

 (11) Category A and B ships shall be equipped with a defibrillator. The defibrillator shall be available within no more than 5 minutes as of the onset of sudden death.
[RT I, 02.12.2015, 2 – entry into force 01.06.2016]

 (2) The medical equipment of a ship carrying substances dangerous to health as defined under the International Maritime Dangerous Goods Code adopted by the International Maritime Organisation (IMO) shall include antidotes used in the event of an accident for preventing or treating the harmful effects of the relevant substance.

 (3) The medical equipment referred to in subsection (1) shall include a full list thereof and instructions for using the medical devices. The medicine indication and instruction for use shall be set out on the packaging information sheet.

 (4) The medical equipment of a life raft or life boat shall meet the requirements of the International Convention for the Safety of Life at Sea (SOLAS Convention).

§ 9.  Storage of medical equipment

 (1) If a ship is required to have a sick bay according to this Regulation, medical equipment shall be stored in the sick bay.

 (2) Medicines shall be kept in their original packaging. Every packaging shall be legibly labelled. Packaging shall set out the date of expiry.

 (3) Medicines shall be stored at room temperature, unless the packaging information sheet includes a note on special conditions.

 (4) Light-sensitive medicines shall be kept tightly sealed in a light-resistant packaging in a closed cabinet or a dark room. Where necessary, additional light-resistant packaging shall be used.

 (5) Highly volatile and moisture-sensitive medicines shall be stored in a cool place and tightly sealed. Hygroscopic medicines shall be stored in a hermetically sealed glass or plastic container and, where necessary, the cap shall be coated with paraffin. Disinfectants shall be stored hermetically sealed in a cool place and away from light and medicines.

 (6) If a ship is required to have a sick bay according to this Regulation, the sick bay shall include a refrigerator.

 (7) The medical equipment of a ship’s life rafts and life boats shall be stored in watertight packaging on the life boats and life rafts.

§ 10.  Procurement, renewal and replenishment of medical equipment

 (1) Before the start of a voyage, the doctor or the provider of medical care shall check the compliance of the medical equipment and, if necessary, submit to the master of the ship a request for renewing or replenishing the medical equipment.

 (2) This Regulation gives pharmacies a legal basis for dispensing prescription medicines set out in Annex 2 to this Regulation under a request to the master of a ship or a person authorised by the master of a ship.

§ 11.  Inspection of medical equipment

 (1) The compliance of medical equipment with the requirements of this Regulation shall be inspected by the Republic of Estonia Maritime Administration no less than once a year. An annual inspection may exceptionally be postponed for up to five months. The medical equipment of a life boat and life raft shall be inspected in the course of their annual maintenance.

 (2) An inspection shall determine:
 1) whether the medical equipment prescribed for a ship in the relevant category exists in the required quantity;
 2) whether the medical equipment expiration dates have been complied with;
 3) whether the medical equipment is properly labelled;
 4) whether the medical equipment is properly stored and maintained.

 (3) A report shall be drawn up for the inspection results.

§ 12.  Implementing provision

  The requirement for the existence of a pulse oximeter, defibrillator and EKG machine referred to in Annex 3 to the Regulation takes effect on 1 November 2014.


* The Regulation takes into account Council Directive 92/29/EEC on the minimum safety and health requirements for improved medical treatment on board vessels (OJ L 113, 30.04.1992, pp. 19–36) and Council Directive 2009/13/EC implementing the Agreement concluded by the European Community Shipowners’ Associations (ECSA) and the European Transport Workers’ Federation (ETF) on the Maritime Labour Convention, 2006, and amending Directive 1999/63/EC (OJ L 124, 20.05.2009, pp. 30–50).

Annex 1 Report

Annex 2 Medicines
[RT I, 02.12.2015, 2 - entry into force 01.06.2016]

Annex 3 Medical devices
[RT I, 02.12.2015, 2 - entry into force 01.06.2016]

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