C4.1.e. Does the MLC, 2006 contain a model form for the standard medical report form to be used on board ships?

There is no model in the MLC, 2006 for the standard medical report form, which countries must adopt in accordance with Standard A4.1, paragraph 2, for use by the ships’ masters and relevant onshore and on-board medical personnel. The purpose of the form is explained in Guideline B4.1.2, paragraph 1, namely to facilitate the exchange of medical and related information concerning individual seafarers between ship and shore in cases of illness or injury.

While no particular form is required under the MLC, 2006, the third edition of the International Medical Guide for Ships 64 , published in 2010 by the World Health Organization (WHO) on behalf of the WHO, ILO and IMO, contains a form for this purpose in Annex A.


Medical care on board ship and ashore