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Medical Certificates for Seafarers

medical certificate is a must-have document for every seafarer. It proves you’re fit to work at sea. But the requirements can vary widely depending on the flag statetype of vessel, and even the shipping company. In this article, we’ll break down everything you need to know about medical certificates for seafarers, including MLC requirementsflag state rules, and company-specific tests.


General MLC Requirements

The Maritime Labour Convention (MLC 2006) sets the global standard for seafarer medical certificates. Here’s what you need to know:

  • The certificate must confirm you’re medically fit for duties.
  • It should be issued by an approved medical practitioner.
  • The certificate is valid for 2 years (1 year for those under 18).
  • It must include tests for vision, hearing, and overall health.
  • Drug and alcohol testing is mandatory under MLC for all seafarers.

For more details on MLC requirements, visit the International Labour Organization (ILO) website.


Flag State Requirements

Different flag states have their own rules. Here are some examples:

  1. Bahamas:
    • Requires a medical certificate compliant with MLC 2006.
    • The certificate must be issued by an approved doctor.
    • Validity is 2 years for most seafarers.
    • Drug and alcohol tests are mandatory.
  2. Norway:
    • Known for having strict medical standards.
    • Requires additional tests like ECG, chest X-rays, and blood tests.
    • Validity is 2 years but can be shorter for older seafarers.
    • Urine tests for drugs are often required.
  3. Liberia:
    • Follows MLC standards but requires a Liberian-approved medical form.
    • The certificate must be signed by an approved physician.
    • Drug screening is mandatory.

Company and Ship-Specific Requirements

Shipping companies and specific vessels may have additional requirements. Examples include:

  1. Cruise Ships:
    • Cruise lines often require medical certificates from P&I Club-approved medical centers.
    • These centers ensure compliance with international standards.
    • Additional tests like drug screening and psychological evaluations may be required.
    • Some companies require annual medical checks.
  2. Offshore Vessels:
    • Companies may require OGUK (Oil & Gas UK) or NOGEPA (Netherlands) medical certificates.
    • These include tests for fitness, lung function, and drug/alcohol screening.
    • Blood tests for specific health markers may be required.
  3. Gas Carriers and Passenger Ships:
    • Additional tests for respiratory health and psychological fitness.
    • Some companies require annual drug and alcohol tests.

Country-Specific Requirements

Some countries have their own medical standards for seafarers. Examples include:

  1. UK ENG1:
    • Required for seafarers working on UK-flagged ships.
    • Includes tests for vision, hearing, and general fitness.
    • Issued by an MCA-approved doctor.
    • Drug and alcohol tests are mandatory.
  2. Australia:
    • Requires a Marine Order 76 medical certificate.
    • Includes tests for physical and mental fitness.
    • Urine tests for drugs are often required.
  3. USA:
    • Requires a US Coast Guard medical certificate.
    • Includes tests for vision, hearing, and drug screening.

Most Strict Medical Certificates

Some flag states are known for their strict requirements:

  • Norway: Requires ECG, chest X-rays, and detailed health checks.
  • Denmark: Similar to Norway but with additional mental health evaluations.
  • Marshall Islands: Requires a comprehensive medical exam every 2 years, including blood and urine tests.

Global Medical Centers

To find approved medical centers worldwide, check these resources:


Key Takeaways

  • Always check the flag statevessel type, and company requirements.
  • Ensure your medical certificate is issued by an approved doctor or medical center.
  • Drug and alcohol tests are mandatory under MLC and often required by companies.
  • Keep track of the validity period to avoid delays in joining a ship.

By understanding these requirements, you can ensure your medical certificate meets all standards. Stay fit, stay compliant, and sail safely! 🚢

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