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Coast Guard Requirements by Vessel Type
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Coast Guard Requirements by Vessel Type

US Coast Guard medical and first aid requirements for each vessel type, from towing vessels and small passenger vessels to tankers, offshore supply vessels, MODUs and research vessels.
15 articles
Reviewed by Ann Jarris MD, FACEP
Primary sources cited
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About this category

What medical equipment and guides must a ship carry?

Under MLC 2006 Standard A4.1(4)(a), every ship must carry a medicine chest, medical equipment and a medical guide, inspected at regular intervals and at least once every 12 months. Contents are set by the flag state using the WHO International Medical Guide for Ships. Vessels holding controlled substances also need a DEA-registered medical officer under 21 CFR 1301.25.
Sources: MLC 2006 Standard A4.1 and Guideline B4.1.1 (ILO), WHO International Medical Guide for Ships 3rd edition and its Quantification Addendum, 21 CFR 1301.25 (eCFR).
Start here

The guide operators open first

MOST READ · GUIDE

21 CFR 1301.25 explained, for the people who have to comply with it

The whole rule, paragraph by paragraph: who it applies to, the three medical officer conditions, and both annual reports.
All guide articles

Everything in Guide

Foreign Flag Ships in US Ports, Discovery Health MD

Three US medical rules reach your foreign flag vessel, and your flag state compliance answers none of them

Commercial Diving Medical Rules, Discovery Health MD

46 CFR 197.314 requires a medical kit approved by a physician, and never says which physician

Great Lakes Vessel Medical Rules, Discovery Health MD

The medicine chest statute excepts Canadian ports, so it misses the lakes, and the duty that does reach you costs a hundred times more

Tank Barge Medical Rules, US, Discovery Health MD

Move the same chemical from an oceangoing barge to an inland one and the antidote requirement disappears

Tank Vessel Medical Rules, US, Discovery Health MD

The US tank vessel rulebook has one medical requirement, and it is a room with a bathtub

Offshore Supply Vessel Medical Requirements, Sub L, Discovery Health MD

Offshore supply vessel medical requirements, and the rule that is not in Subchapter L

Deepwater Port First Aid Rules, Discovery Health MD

A US rule still tells offshore operators to buy a 1984 pamphlet, and the manned test is not a headcount

Gas Carrier Medical Equipment Rules, Discovery Health MD

Six of the eight safety equipment sections are medical, and two of them are separate duties

Chemical Tanker Antidote Rules, Discovery Health MD

A US regulation makes the IMO antidote guide binding, and then says two words about the first aid kit

Sailing School Vessel Medical Rules, Discovery Health MD

One sentence governs medical care on a vessel full of teenagers

Research Vessel Medical Requirements, Discovery Health MD

The rule is named for scientific personnel and then counts only the crew

Small Passenger Vessel Medical Rules, Subchapter T, Discovery Health MD

Small passenger vessel medical requirements, and the ISO standard at the end of the chain

Ship Hospital Space Requirements Under 46 CFR, Discovery Health MD

Ship hospital space requirements, and the twelve person threshold that decides them

MODU Medical Requirements Under 46 CFR, Discovery Health MD

MODU medical requirements, and why the international rules you will be shown mostly do not reach you

Towing Vessel Medical Requirements, 46 CFR Subchapter M, Discovery Health MD

Towing vessel medical requirements under Subchapter M, and the section search results keep missing

Common questions

Answers operators and search engines look for

Reading about compliance is not the same as being compliant

Tell us your vessels, flags and routes. A physician reviews your controlled substances, medicine chest and regulatory picture and shows you the gaps.

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