S.I. No. 506 of 1997. EUROPEAN COMMUNITIES (MINIMUM SAFETY AND HEALTH REQUIREMENTS FOR IMPROVED MEDICAL TREATMENT ON BOARD VESSELS) REGULATIONS, 1997
I, MICHAEL WOODS, Minister for the Marine and Natural Resources, in exercise of the powers conferred on me by section 3 of the European Communities Act, 1972 (No. 27 of 1972), and for the purpose of giving full effect to Council Directive 92/29/EEC 1 of 31 March 1992, hereby make the following Regulations:- (1) O.J. No. L113 of 30.4.92, p.19 1.
(1) These Regulations may be cited as the European Communities (Minimum Safety and
Health Requirements for Improved Medical Treatment on Board Vessels) Regulations, 1997.
(2) These Regulations shall come into operation on the 31st day of December, 1997.
"captain of a vessel" means the person for the time being having the command or charge of a vessel and includes the master and, in the case of a fishing vessel, the skipper ;. "category of vessel" has the meaning assigned to it by Regulation 3(5);.
"the Council Directive" means Council Directive No. 92/29/EEC of 31 March, 1992; 2O. J No. L113 of 30.4.92, p.19 "the Minister" means the Minister for the Marine and Natural Resources.
A word or expression that is used in these Regulations and is also used in the
Council Directive, has, unless the contrary intention appears, the same meaning in these Regulations that it has in the Council Directive.
( a ) a reference to a Regulation or a Schedule is a reference to a Regulation of or a
Schedule to these Regulations unless it is indicated that reference to some other Regulations is intended, and.
( b ) a reference to a paragraph or a subparagraph, is a reference to the paragraph or the
subparagraph of the Regulation in which the reference occurs unless it is indicated that reference to some other provision is intended.
( a ) provide that vessel with not less than the quantities of the medicines and medical
equipment that are specified in the Second Schedule for the category of vessel to which the vessel concerned belongs, and.
( b ) take all measures that are necessary to ensure that the medicines and medical
equipment referred to in subparagraph (a) are carried on board the vessel concerned at all times.
(2) The owner of a vessel that is equipped with a life-raft or lifeboat or both shall.
( a ) provide that life-raft or lifeboat with a watertight medicine chest containing not
less than the quantities of the medicines and medical equipment that are specified in the Second Schedule for category C vessels, and.
( b ) take all measures that are necessary to ensure that the watertight medicine chest,
referred to in subparagraph (a), is carried on each life-raft or lifeboat or both at all times.
(3) The owner of a vessel shall provide the vessel concerned with a sickbay in which
medical treatment can be administered under satisfactory material and hygienic conditions if the
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( a ) is of 5 00 or more gross tonnes, .
( b ) has a crew of 15 or more members, and .
( c ) is engaged on a voyage of more than 3 days.
( a ) has a crew of 100 or more workers, and.
( b ) engages on an international voyage of more than 3 days,
shall ensure that a medical doctor is on the vessel to provide medical care for the workers during the voyage.
(5) In these Regulations "category of vessel" means the category of vessel specified in the
The owner of a vessel carrying a dangerous substance shall -
( a ) provide that vessel, including a life-raft or lifeboat that is attached to it, with not
less than the quantities of the antidotes that are specified in the Second Schedule for the category of vessel to which the vessel concerned belongs, and.
( b ) take all measures that are necessary to ensure that the antidotes referred to in
paragraph (a) are carried on board the vessel concerned at all times.
An owner of a ferry-type vessel who has reasonable cause to believe that a
dangerous substance may from time to time be carried on that ferry-type vessel shall provide it with not less than the quantities of the antidotes that are specified for that ferry-type vessel in the Second Schedule for the category of vessel to which the ferry-type vessel concerned belongs.
Paragraph (2) shall not apply to a ferry-type vessel if the journey of the ferry-type
vessel concerned is less than 2 hours duration, but the owner of that ferry-type vessel shall, in relation to the antidotes specified for such ferry-type vessel in the Second Schedule for the category of vessel to which ferry-type vessel concerned belongs, provide the antidotes so specified which are required to be administered—
( a ) in cases of extreme emergency, and.
( b ) within a period of time that does not exceed the normal duration of such journey.
In this Regulation "dangerous substance" means a dangerous substance that is
The owner of a vessel shall provide that vessel with the most recent edition of the
guide to the use of the medicines, medical equipment and antidotes that is specified in the Fourth Schedule for the category of vessel to which the vessel concerned belongs.
The owner of a vessel that is equipped with a life-raft or lifeboat or both shall
provide each such life-raft or lifeboat with the most recent edition of the guide to the use of the medicines, medical equipment and antidotes that is specified for category C vessels in the Fourth Schedule.
The owner of a vessel shall take all necessary measures to ensure that the guide
to the use of the medicines, medical equipment and antidotes that is referred to in paragraph (1) for such vessel, and where necessary the guide referred to in paragraph (2), is carried on board that vessel at all times. 6.
The provision or replenishment, in accordance with these Regulations, of-
( a ) the medicines, medical equipment, antidotes and guide in accordance with these
( b ) a sickbay in accordance with Regulation 3 (3), and .
( c ) a medical doctor in accordance with Regulation 3(4),.
shall be made at the expense of the owner of the vessel concerned.
Notwithstanding the quantities of the medicines, medical equipment and
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antidotes specified in these Regulations for each category of vessel the owner of a vessel, when making provision for such medicines, medical equipment and antidotes in accordance with these Regulations, shall have regard to-
( b ) the ports of call, destination and duration of the voyage,
( c ) the type of work that is to be carried out on board the vessel during the voyage,
( d ) the nature of the cargo on board the vessel, and
( e ) the number of workers on board the vessel.
The captain of a vessel shall ensure that the medical supplies that are specified
under these Regulations for the vessel concerned are -
( a ) correctly stored on the vessel and maintained in good condition, and.
( b ) replenished or, where necessary, replaced in the course of the normal revictualling
The captain of a vessel shall ensure that the guide to the use of medicines,
medical equipment and antidotes that is referred to in Regulation 5 shall be -
( a ) maintained in good condition, and
( b ) kept within reasonable proximity to the medical supplies on board the vessel
The captain of a vessel shall keep a checklist of the medical supplies that are
specified for the vessel concerned, including any life-raft or lifeboat, in the form specified in the Fifth Schedule for the category of vessel to which the vessel concerned belongs.
Without prejudice to paragraph (1), (2) and (3), the captain of a vessel may
delegate some or all of the functions specified to a worker specially designated by reason of his or her competence. 8.
The captain of a vessel shall take all necessary measures to ensure that any medical
supplies which are not on board the vessel and in respect of which that captain received medical advice concerning a medical emergency which has occurred on board the vessel and are required for the purposes of such medical emergency are obtained as soon as possible. 9.
The Minister may designate a radio medical consultation centre to provide
workers with free medical advice by radio.
Where the Minister designates a centre referred to in paragraph (1) and that
centre, with the agreement of the worker concerned whether express or implied, keeps personal medical records, the centre shall ensure the confidentiality of such records.
Where the Minister designates a centre referred to in paragraph (1), such
designation shall be published in Iris Oifigiúil and may be published in any other publication, as in the opinion of the Minister, is appropriate. 10.
A person who contravenes a provision of—
( a ) paragraph (1), (2), (3) or (4) of Regulation 3,
( b ) paragraph (1), (2) or (3) of Regulation 4,
( d ) paragraph (1), (2) or (3) of Regulation 7, or
shall be guilty of an offence and shall be liable on summary conviction to a fine not exceeding £1,500.
In proceedings for contravention of Regulation 5 the onus of proof in relation to
any question concerning whether the edition of the guide provided is or was the most recent edition shall lie on the person against whom the proceedings are brought.
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Where an offence under these Regulations is committed by a body corporate and
is proved to have been so committed with the consent, connivance or approval of, or to be attributable to, any neglect on the part of a person, being a director, manager, secretary or other officer of the body corporate, or a person who was purporting to act in any such capacity, that person as well as the body corporate shall be guilty of an offence and shall be liable to be proceeded against and punished as if he or she were guilty of the first-mentioned offence.
A prosecution under these Regulations may be brought by the Minister.
Category of Vessel Description of Vessel A
Seagoing or sea-fishing vessels, with no limitation on length of trips.
Seagoing or sea-fishing vessels making trips of
( a ) less than 150 nautical miles from the nearest port with adequate medical equipment, and
( b ) less than 175 nautical miles from the nearest port with adequate medical equipment and
which remain continuously within range of the helicopter rescue services.
a ) Harbour vessels, boats and craft staying within 30 nautical miles of the shore or with no
cabin accommodation other than a wheelhouse, and
Regulation 3 Quantities Code Categor Cardiovascular
Glyceryl trinitrate sublingual 0.5mg tablets
or sublingual spray 0.4mg/metered dose
Phytomenadione 2mg/ml x 0.5ml ampule (if
Ergometrine maleate 0.5mg injection, oxytocin 5
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Gastrointestinal System
Aluminium hydroxide 400mg (minimum content)
Metoclopramide hydrochloride 10mg ampule
Lactulose 3.1g/5mls (minimum concentration) x
Bismuth oxide anti-haemorrhoidal suppositories
Analgesics and Anti-spasmolytics
Morphine tartrate or sulphate 10mg ampule (IM)
4. Nervous
Chlorpromazine hydrochloride 25mg/ml x 2ml
Anti-allergies and Anti-anaphylactics 6. Respiratory
Salbutamol inhaler 0.1mg metered dose x 200
Dextromethorphan hydrobromide 7.5mg/5mls
7. Anti-infection
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Anti-tetanus immunoglobulin injection 250 units
Compounds Promoting Rehydration, Caloric Intake and Plasma Expansion
Oral rehydration salts containing at least glucose
90mmol/L, sodium 35mmol/L, potassium 20mmol/L when diluted in 1 litre of water
Medicines for External Use Medicines
Chlorhexidine gluconate (minimum concentration
Silver sulphadiazine 1% x 25g (minimum amount)
Medicines
Dexamethasone 0.05%, Framycetin sulphate
Medicines
Dexamethasone 0.05%, Framycetin sulphate
Medicines for Oral and Throat Infections
Chlorhexidine gluconate (minimum concentration
9.5 Local Anaesthetics
Lignocaine hydrochloride injection 2%, 2mls
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Minimum Quantities E.1. Resuscitation Equipment
Manual resuscitation device i.e. bag and mask
Oxygen container/concentrator or pressure
reducing valve if ship's oxygen can be used
Mouth to mouth resuscitator device (Brook's
Dressing and Suturing Equipment
Suture stapler or suturing needle and thread
Sterile gauze compresses (90cm x 1 metre)
Adhesive elastic dressings (i.e. plasters)
Sterile compression bandages (10cm x 3m)
E.3. Instruments
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Examination and Monitoring Equipment
Reactive urine analysis strips (glucose, blood,
Equipment for Injection, Perfusion, Puncture and Catheterisation
Bladder drainage set (bag, spigots, tube)
Disposable filter infusor (blood filter)
Disposable syringes (2ml, 5ml, 10ml) and
Catheter e.g. Foley type size 16, 5ml balloon
Pre-injection swabs with isopropyl alcohol bp
General Medical Equipment Immobilisation and Setting Equipment Disinfection, Disinsectisation and Prophylaxis
Water disinfection compound (sufficient for 50
Liquid insecticide for spraying (250 mls)
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Minimum Quantities
Chlorpromazine hydrochloride 25mg injection
Dimercaprol 50mg/ml in 2ml ampule (injection)
Methylene blue 1% 10ml ampule or prefîlled
See the International Maritime Dangerous Goods Code (Supplement).
The substances listed in this Schedule are to be taken into account in whatever form they are carried on board, including the form of waste or cargo residues,- explosive substances and objects, gases: compressed, liquified or dissolved under pressure, inflammable liquids, inflammable solids, substances liable to spontaneous combustion, substances which, on contact with water, give off inflammable gases, combustible substances, organic peroxides, toxic substances, infectious substances, radioactive substances, corrosive substances, and various dangerous substances, that is to say, any other substances which experience has shown, or may show, to be dangerous, so that the provisions of Regulation 4 need to be applied.
GUIDES TO THE USE OF THE MEDICINES, MEDICAL EQUIPMENT AND ANTIDOTES
Category of Guide or guides required for category of vessel
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Ship's Captain's Medical Guide published by HMSO,
(1) Ship's Captain's Medical Guide published by HMSO, or
The Department of the Marine and Natural Resources (in
conjunction with the Health and Safety Authority) guide
to medical supplies for category C vessels and one of the
First Aid at Sea, published by International Log Book, or
First Aid Manual published by St. John's Ambulance .
CHECKLIST FOR THE INSPECTION OF MEDICAL SUPPLIES CHECKLIST FOR CATEGORY A VESSELS Details of the vessel II Medical Supplies 1. MEDICINES actually carried on board 1. Cardiovascular
injection, oxytocin 5 units/ml 1ml ampule (if women on board)
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2. Gastro-intestinal Analgesics and Anti- spasmolytics 4. Nervous Anti-allergies and Anti- anaphylactics
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6. Respiratory 7. Anti-infection 8. Compounds Promoting Rehydration, Caloric Intake and Plasma Expansion
Oral rehydration salts containing at least glucose 90mmol/L, sodium 35mmol/L, potassium 20mmol/L when diluted in 1 litre of water
Medicines for External Use Medicines
(minimum concentration 0.05%) (minimum volume 12mls)
Irish Statute Book 1922 - 1998 Irish Government 1999
Medicines Medicines Medicines for Oral and Throat Infections 9.5 Local Anaesthetics 2. MEDICAL EQUIPMENT Quantities Quantities Remarks (in required actually particular, carried on any expiry E.1. Resuscitation Equipment
pressure reducing valve if ship's oxygen can be used
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Dressing and Suturing Equipment E.3. Instruments Examination and Monitoring Equipment
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Equipment for Injection, Perfusion, Puncture and Catheterisation General Medical Equipment Immobilisation and Setting Equipment Disinfection, Disinsectisation and Prophylaxis
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3. ANTIDOTES Code Antidotes Quantity Quantity Remarks (in required actually particular, carried on any expiry CHECKLIST FOR CATEGORY B VESSELS Details of the vessel II Medical Supplies 1. MEDICINES actually carried on board 1. Cardiovascular
injection, oxytocin 5 units/ml 1 ml ampule (if women on board)
2. Gastrointestinal
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suppositories or preparation tube Analgesics and Anti- spasmolytics 4. Nervous Anti-allergies and Anti- anaphylactics 6. Respiratory 7. Anti-infection
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8. Compounds Promoting Rehydration, Caloric Intake and Plasma Expansion
least glucose 90mmol/L, sodium 35mmol/L, potassium 20mmol/L when diluted in 1 litre of water
Medicines
(minimum concentration 0.05%) (minimum volume 12mls)
Medicines Medicines Medicines for Oral and Throat Infections
Irish Statute Book 1922 - 1998 Irish Government 1999
(minimum concentration 0.5%) (minimum volume 12mls)
9.5 Local Anaesthetics 2. MEDICAL EQUIPMENT Quantities Quantities Remarks (in required actually particular, carried on any expiry E.1. Resuscitation Equipment
pressure reducing valve if ship's oxygen can be used
Dressing and Suturing Equipment
Irish Statute Book 1922 - 1998 Irish Government 1999
E.3. Instruments Examination and Monitoring Equipment Equipment for Injection, Perfusion, Puncture and Catheterisation Immobilisation and Setting Equipment 3. ANTIDOTES Code Antidotes Quantity Quantity Remarks (in required actually particular, carried on any expiry
Irish Statute Book 1922 - 1998 Irish Government 1999
CHECKLIST FOR CATEGORY C VESSELS Details of the vessel Medical Supplies 1. MEDICINES Quantities Quantities Remarks (in required actually particular, carried on any expiry Cardiovascular
injection, oxytocin 5 units/ml 1ml ampule (if women on board)
2. Gastrointestinal Analgesics and Anti-spasmolytics 4. Nervous Medicines for External Use Medicines
concentration 0.05%) (minimum volume 12mls)
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Medicines for Oral and Throat Infections
concentration 0.05%) (minimum volume 12mls)
2. MEDICAL EQUIPMENT Q ( u i a n n t p i a t r i t e i s c u r l e a q r u , i r a e n d y e x p i r y d a t e ) E.1. Resuscitation Equipment
device (Brook's airway or Laerdal face-mask)
Dressing and Suturing Equipment
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3. ANTIDOTES Code Antidotes Quantity Quantity required actually carried (in on board particular, any expiry date)
GIVEN under my Official Seal, this 16th day of December, 1997.
Minister for the Marine and Natural Resources.
These Regulations give effect to Council Directive 92/29/EEC concerning the minimum health and safety requirements for improved medical treatment on board vessels. They make it obligatory to provide certain medical facilities on board seagoing vessels. The Regulations also provide for the establishment of a radio medical consultation service to seafarers.
Irish Statute Book 1922 - 1998 Irish Government 1999
Publications of Lian Yu as of 1 July 2011 1. Zhu, L.; Brian, C.; Swallen, S. F.; Straus, P. T.; Ediger, M. D.; Yu, L. Surface Diffusion of an Organic Glass. Phys. Rev. Lett. 2011 , 106 , 256103-1 to 256103-4. 2. Cai, T.; Zhu, L.; Yu, L. Crystallization of Organic Glasses: Effects of Polymer Additives on Bulk and Surface Crystal Growth in Amorphous Nifedipine. Pharm. Res. 2011 , in
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