КОНВЕНЦИЯ 2006 ГОДА О ТРУДЕ В МОРСКОМ СУДОХОДСТВЕ. Конвенция. Международная организация труда. 23.02.06

Standard A4.1
                Medical care on board ship and ashore

     1.  Each  Member  shall ensure that measures providing for health
protection  and  medical  care,  including  essential dental care, for
seafarers  working  on  board  a  ship that flies its flag are adopted
which:
     (a) ensure the application to seafarers of any general provisions
on  occupational  health protection and medical care relevant to their
duties,  as  well  as  of special provisions specific to work on board
ship;
     (b) ensure that seafarers are given health protection and medical
care as comparable as possible to that which is generally available to
workers  ashore,  including  prompt access to the necessary medicines,
medical  equipment  and  facilities for diagnosis and treatment and to
medical information and expertise;
     (c)  give seafarers the right to visit a qualified medical doctor
or dentist without delay in ports of call, where practicable;
     (d)  ensure  that,  to  the  extent  consistent with the Member`s
national law and practice, medical care and health protection services
while  a  seafarer  is  on  board ship or landed in a foreign port are
provided free of charge to seafarers; and
     (e) are not limited to treatment of sick or injured seafarers but
include  measures  of  a preventive character such as health promotion
and health education programmes.
     2.  The competent authority shall adopt a standard medical report
form  for  use by the ships` masters and relevant onshore and on-board
medical personnel. The form, when completed, and its contents shall be
kept  confidential  and shall only be used to facilitate the treatment
of seafarers.
     3.  Each  Member  shall  adopt  laws and regulations establishing
requirements  for  on-board  hospital  and medical care facilities and
equipment and training on ships that fly its flag.
     4.  National  laws and regulations shall as a minimum provide for
the following requirements:
     (a) all ships shall carry a medicine chest, medical equipment and
a  medical  guide,  the  specifics  of  which  shall be prescribed and
subject to regular inspection by the competent authority; the national
requirements  shall  take into account the type of ship, the number of
persons  on  board and the nature, destination and duration of voyages
and relevant national and international recommended medical standards;
     (b)  ships carrying 100 or more persons and ordinarily engaged on
international  voyages of more than three days` duration shall carry a
qualified  medical  doctor  who  is  responsible for providing medical
care;  national  laws  or  regulations  shall also specify which other
ships  shall  be  required  to  carry  a  medical  doctor, taking into
account,  inter  alia,  such  factors  as  the  duration,  nature  and
conditions of the voyage and the number of seafarers on board;
     (c)  ships  which do not carry a medical doctor shall be required
to  have  either  at  least  one seafarer on board who is in charge of
medical  care  and  administering  medicine  as  part of their regular
duties  or at least one seafarer on board competent to provide medical
first  aid;  persons  in  charge  of medical care on board who are not
medical  doctors  shall  have  satisfactorily  completed  training  in
medical   care  that  meets  the  requirements  of  the  International
Convention  on  Standards  of Training, Certification and Watchkeeping
for  Seafarers,  1978,  as  amended  ("STCW"); seafarers designated to
provide medical first aid shall have satisfactorily completed training
in  medical  first  aid  that meets the requirements of STCW; national
laws  or  regulations  shall  specify  the  level of approved training
required  taking  into  account,  inter  alia,  such  factors  as  the
duration,  nature  and  conditions  of  the  voyage  and the number of
seafarers on board; and
     (d)  the competent authority shall ensure by a prearranged system
that  medical  advice  by radio or satellite communication to ships at
sea, including specialist advice, is available 24 hours a day; medical
advice, including the onward transmission of medical messages by radio
or  satellite communication between a ship and those ashore giving the
advice, shall be available free of charge to all ships irrespective of
the flag that they fly.