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DRAFTThe Merchant Shipping (Medical Examination)

Rules, 2013MINISTRY OF SHIPPING (Shipping Wing)

New Delhi, the -------------------------------

G.S.R. -----(-): In exercise of the powers conferred by sub-section (3) of Section 98 and Section 458 of Merchant Shipping Act, 1958 (44 of 1958) and in super session of the Merchant Shipping (Medical Examination) Rules 2000, except as respects things done or omitted to be done before such supersession, the Central Government hereby makes the following rules namely:

Part- IPreliminary

1. Short title and Commencement - (i) these rules, may be called Merchant Shipping (Medical Examination) Rules, 2013;(ii) These rules shall come into force on the date of their publication in the Official Gazette.2. Application- unless otherwise specified, these rules shall apply to “the person” as defined in section 3(l) of these rules;3. Definitions – (i) In these rules, unless the context otherwise requires:(a) "Act" means the Merchant Shipping Act, 1958 (44 of 1958); (b) “Approved” means approved by the Directorate General of Shipping;(c) “Approving Authority” means the Nautical Advisor to the Government of India who is authorized to issue approval or withdraw or suspend approval to the medical examiner;

(d) “Competent Authority” means the Director General of Shipping appointed under section 7 of the act;

(e) “Convention” means the Standards of Training, Certification and Watch Keeping (STCW) convention 1978 as amended by the 2010 protocol and Maritime Labor Convention, 2006;

Desktop/revised medical rules fold. - 1 -

(f) “Examinee” means any person taking certificate of Competency/Proficiency examination and seeking relevant endorsement under the STCW rules;

(g) “Guidelines” means guidelines developed by the Organization with respect to medical examination of seafarer and person, medical guide for ships and all other purposes under these rules;

(h) “Medical examiner” means a qualified Medical Practitioner under the Indian Medical Council Act, 1956(102 of 1956) and authorized by the Competent Authority;

(i) “Merchant shipping notice” means a notice issued by the Director General as such;

(j) New Entrant means any person undergoing any training at the maritime training Institute, ashore or on ship;

(k) “Organization” means the following;i) “International Maritime Organization (IMO)” or ii) “International Labor Organization (ILO)” or iii) “World Health Organization (WHO)” as the case may be;(l)“Person” means New entrant, master ,seafarer , apprentice, young person,

seamen, examinee, and supernumerary; (m) "Schedule” means Schedule appended to these rules; (n) “Seafarer” means any person who is employed or engaged or works in any capacity on board Indian ships, or other than an Indian ships;(o) “Supernumerary” means any person who is part of ship’s complement on board but not employed or engaged or works in any capacity on the business of an Indian ships, or other than an Indian ships; and(ii) Words and expressions used have not defined but defined in the act & conventions shall have meanings respectively assigned to them in the acts and convention.4. Exemptions in respect of validity of Medical Certificate – the Competent

Authority as deemed necessary may permit the person not more than three months to work or stay on board without a valid medical certificate or until the next port of call where the person concerned can obtain a medical certificate from a qualified Medical examiner.


Part- IIApproval of Medical Examiner & Conduct of Medical Examination

5. Approval of Medical Examiner - (i) the Competent Authority shall under these rules approve such numbers of Medical Examiners at the ports or places, as it thinks fit;

(ii) The Approving Authority shall approve those Medical Examiner who shall fulfill the conditions as specified in Schedule III, Schedule IV & Schedule V as the case may be;

(iii) The Medical Examiner shall submit an application in prescribed format as specified in schedule I for the initial and renewal approval and fee prescribed in rule 14(iii) for the type of approval requested; and

(iv) The approved Medical Examiner shall conduct the medical examination conforming to the medical standards as specified in Schedule – VII/X & XI of these Rules.

6. Type of Medical Examination-(i) the persons shall be subjected to the following types of medical examination-

(i) a pre sea medical examination , those conducted before the person embarks upon a seafaring career; and

(ii) a periodic medical examination , those conducted either before the person reports to a ship or at periodic interval during the person’s seafaring career.

7. Functions of Medical Examiners- The medical examiner shall perform the following functions,-

(i) The purpose of the medical examination whether the person is returned after illness, continuing

health problems and if so, conducts the examination accordingly;

(ii) Verify the identity of the persons to be examined through the number of his Continuous Discharge

Certificate (CDC) /Seamen Identification Document (SID), passport or other relevant

documents issued by the concerned Authorities;

(iii) Establish the person’s position on board a ship or ashore in consonance with the skills required in

the discharge of his function;

(iv) Collect information from the person’s on his previous medical history;

(v) Take declaration from the person’s in prescribed format as specified in schedule VIII;


(vi) Review medical history of the person or medical records and the declaration made by the person as

specified in schedule VIII and thereafter proceed for medical examination;

(vii) On the basis of expert opinions relating to medical problems, further investigation and treatment

may be prescribed;

(viii) Verify the results of clinical tests if conducted;

(ix) Conduct medical examinations of the persons as per the medical standards’ specified in schedule

VII, X and XI;

(x) Issue medical certificate in English to the persons in the prescribed format as specified in schedule

IX;

(xi) Mark the medical examination documents “CONFIDENTIAL” and retain the same for period of

10 years;

(xii) Comply with relevant provisions of the Merchant Shipping Act, 1958 and these rules including

the notifications issued by the Competent Authority and submit periodical returns in the

prescribed format as specified in schedule XII

8. Validity of Medical Examination Certificate- (i) Subject to the conditions specified by the medical examiner, a medical certificate including color visions test shall be valid for maximum period of 1 year in respect of:(a) person’s under age of 18 year for the purpose of pre-sea or periodical examination as the case may be; and (b) Supernumerary undergoing periodical examination for the purpose of joining the ship.(ii) Subject to the conditions specified by the medical examiner, a medical certificate including color visions test shall be valid for maximum period of 2 years in respect of:

(a) New entrant undergoing Pre-Sea medical examination;(b) Person’s undergoing periodical examination for the purpose of engagement on

board a ship; and


(c) Person’s undergoing periodical examination for the purpose of certificate of competency/Proficiency and other endorsements.

(iii) A copy of valid Medical certificate including the color vision test compliance shall be acceptable by the assessment centers of the DGS or other centers declared by the Competent Authority as the case may be for the purpose of certificate of competency Examination/endorsements ; and (iv) If the medical certificate of person’s expires in the course of the voyage, such certificate shall continue to remain in force or valid until vessel’s arrival at the next port of call wherever the facility of qualified Medical examiner available. 9. Validation of Medical Certificate- The medical examination certificate issued to the person shall be deemed to be valid for all the purposes.

Part IIIAppellate Authority and Appeal Procedures

10. Appointment of Appellate Authority for re-examination-(i) The Competent Authority shall, by an order in writing constitute an appellate authority at such ports or places, as it thinks fit comprising of not less than three specialists in any branch of Medical Science and a assessor(s) (having knowledge and understanding of maritime field and ship’s operations ) if considered necessary ;

(ii) The Panel of specialist constituting the appellate authority shall be drawn by the Competent Authority in consultation with the representative organizations of ship-owners or his agent, other professional bodies recognized by the Competent Authority. No person in the employment of any owner or agent of a ship or of representative organizations of ship-owners or agents or professional bodies or seafarers’ representative or of the persons shall be empanelled in the constituting such appellate authority; and (iii) The members of the Appellate Authority shall be remunerated with fees and TA/DA as prescribed by the Competent Authority;

11. Appeal Procedures for re-examination and review-(i) the aggrieved person may , within a period of sixty days from the date on

which he is declared unfit by the medical examiner, appeal against such decision to the appellate authority through the Director , Seaman employment Office(SEO). Provided that an appeal may be admitted after the expiry of the period of sixty days if the appellant satisfies the appellate


authority that he had sufficient cause for not making such appeal within the prescribed period;

(ii) Every appeal made under this rule shall be accompanied by a copy of the order appealed against and the prescribed fee;

(iii) On receipt of the appeal, the Director, Seamen’s Employment Office (SEO) in consultation with the Competent Authority shall refer it to the appellate authority immediately and if ordered inform the person and the Competent Authority of place of his examination by the appellate authority. The date and time of his examination shall be decided by the Appellate Authority.

(iii) The Appellate Authority, before disposing of an appeal, shall give a reasonable opportunity of being heard to the appellant;(iv) An appeal shall be disposed of as expeditiously as possible but within a period of sixty days from the date of filing of the appeal; (v) The decision of the appellate authority shall be binding on the person as

well as owner or agent of the ship or the training institute or others concerned as the case may be;

(vi) The person may apply to the Director, Seaman’s Employment Office with the prescribed fee within a period of one year from the date on which the appellate authority had declared him permanently unfit for reviewing his case if he has obtained a certificate of fitness from a medical specialist in that branch of medical science to which his ailment relates. A copy of such application shall be endorsed to the Competent Authority and the concerned ship owner or his agent or the training institute or other concerned entity as the case may be. Provided that the Director, Seamen’s Employment Office (SEO) in consultation with the Competent Authority may admit any such review application made after the said period of one year if he is satisfied that the person had sufficient cause for not making the application within the same period.

(vii) The Director, Seamen Employment Office (SEO) in consultation with the Competent Authority shall refer the review application to the Appellate Authority. The Director, Seamen Employment Office and the appellate authority shall follow the same procedure as applicable to the appeal cases

Part-IV


Miscellaneous12. Maintenance of Medical Records and Periodical Returns by the Approved Medical examiner-(i) the approved Medical examiner shall maintain medical records of the medical examinations conducted by him with copies of Medical Certificate issued; and (ii) the medical examiner shall also send half yearly returns to the Competent Authority in the prescribed format as specified in schedule XII. 13. Suspension and Cancellation of approval-(i) The Approving Authority upon

receipt of any complaint in writing from any person, ship-owner, his agent, training institute or other entity concerned including the medical examiner relating to the conduct of medical examination and any other contravention of the provisions of these rules shall investigate into such complaints.

(ii) The Approving Authority shall authorize concerned Principal Officer, Mercantile Marine Department (MMD), District to conduct investigation in to such complaints. In doing so, he may request a member of the concerned academic council or other authorized official or recognized bodies to accompany the investigating team identified by him;(iii) A report of investigation shall be submitted by the concerned Principal Officer, MMD, District to the Approving Authority along with findings and recommendations at the earliest but not later than 60 working days from the date of completion of the investigation;(iv) Approved Medical examiners or others involved in the conduct or process of

medical examination who are found to be observing unethical means or committing professional misconduct or having male-fide intentions shall be dealt with the provisions of the act or these rules or the provisions of the notifications issued by the Competent Authority as the case may be. Medical examiners shall have their approval either suspended or withdrawn by the Approving Authority if proved to have committed such acts. Others involved in such acts shall face an appropriate disciplinary/legal action after investigation. For the purpose of any inquiry or appeal, the Approving Authority shall give such Medical examiner or others, an opportunity of making a defence either in person or through authorized representative;


(v) The aggrieved medical examiner or others may appeal against the decision of the approving authority within 15 days from the date of passing such order of suspension or cancellation of approval or other disciplinary/legal action in case of others effected by the approving authority decision as the case may be to the Competent Authority; and

(vi) The Competent Authority shall dispose of such cases as per the procedure set out in rule 11 and his decision shall be binding on the Medical Examiner or others involved in such complaints.

14. Fee Structure -(i) The ship owner or his agent or the training institute or the persons shall pay the following fee to the medical examiner for the type of medical examination conducted by him,-(a) Medical examination/investigation and issuance of medical certificate- not more than Rs 1000/- per person; (b) Physical clinical examination with medical certificate not less than- Rs.500/- per person; and(c) Issuance of duplicate certificate- Rs.100/- per person(ii) The person making application for appeal or review shall submit a demand draft from any nationalized bank drawn in favor of the Director, Seamen Employment Office(SEO) for the amount as set out below,-(a) Appeal against the decision of the medical examiner- Rs.2000/- per case; and(b) Application for the Review case – Rs. 2000/- per case(iii) The medical examiner seeking approval of the Competent Authority shall submit a demand draft from any nationalized bank drawn in favor of Directorate General of Shipping, Mumbai, for the amount set out below,-(a) Initial approval - Rs.25,000/- per case ; (b) Renewal approval- Rs.10,000/- per case; and(c) Issuance of duplicate letter of approval- Rs.1000/- per copy

15. Penalties and disciplinary actions-(i) Whoever contravenes any of the relevant provisions of the Merchant Shipping Act, 1958, these rules and any notification issued by the Competent Authority in respect of medical examination shall be liable to punishment as specified 436 of Merchant Shipping Act, 1958.16. Review of the provisions of these Rules- The Competent Authority in consultation with ship owner or his agent, training institute, the person and


seafarers representative and other entities shall keep the provisions of these rule under review and may issue Merchant Shipping Notice(s) for all the purposes under these rules as deemed necessary.17. Repeal and savings- (i) The Merchant Shipping (Medical Examination) Rules, 2000 are hereby repealed;(ii) All medical reports & certificates under the repealed rules shall be deemed to have been issued under the corresponding provisions of these rules, provided such certificates shall be renewed within the period of 6 months from the date of promulgation of these rules; and(iii) The approved medical examiners under the repealed rules shall be deemed to have been approved under the corresponding provisions of these rules, provided such approval shall be renewed within the period of 6 months from the date of promulgation of these rules.

Sd/-( ……………….)

Joint Secretary to the Govt. of India

List of SchedulesSchedule I- Application for initial and renewal Approval; Schedule II- Affidavit format;Schedule III- Conditions of Initial Approval to the Medical examiner;Schedule IV- Conditions for renewal approval to the Medical Examiner;Schedule V- Check List for initial Approval to the Medical Examiner;Schedule VI- Format for Letter of approval;Schedule VII – Medical Standards to conduct medical examination;Schedule VIII- Format for Medical Examination (Person’s Declaration);Schedule IX- Format for Medical Certificate to the Person;Schedule X – Minimum in service eyesight standards;Schedule XI - Assessment of minimum entry level and in service physical abilities; and


Schedule XII – Half Yearly Returns

*****************

Schedule I[See rule 5(ii)]

Application for initial and renewal Approval

Photograph (size)e3.53.5

ToDirectorate General of Shipping Date _________________Jahaz Bhavan, Place ________________Walchand Hirachand Marg,Ballard Estate,Mumbai- 400 001.

[Kind Attn: Approving Authority -Nautical Adviser to the Government of India].[Subject: - Initial / Renewal approval to Medical examiner -regarding].

Sir,I, Dr. __________________________________ wish to apply for the initial / renewal

approval to conduct medical examination at _____________facility(s)[details of each facility attached herewith]. A copy of my Bio-data along with other relevant documents pertaining to academic and professional qualification, experience, previous letter of


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approval if issued, proof of age etc and check list duly self certified and filled in are enclosed.

2. I declare that no legal cases or complainants from the persons are pending against me in any Indian and overseas in the competent courts of Jurisdiction.

3. I also confirm to extend all co-operation to the authorized official of the Approving Authority in course approval process or thereafter and the arrangement to conduct the inspection for the purpose of approval shall be at my cost and risk.

4. You are therefore, requested to issue a letter of approval to enable me to perform the function of Medical examiner at the facility(s) stated above for the purpose of medical examination.

Yours faithfully,

(Dr._____________________)Name:__________________Medical Council of India Registration No.__________Date of issue: __________________

(delete as applicable)Enclosures: 1. Copy of valid Medical Council of India Registration Certificate;2. Copy of bio-data with supporting documents including an affidavit;3. Copy of check list duly filled in and self attested with relevant information;4. Copy of proof of age;5. Copy of previous letter of approval, if applicable; [Note:- A copy of above

mentioned documents shall be duly self certified ]6. Two passport size photograph (3.5 x 3.5 cm);7. 3 specimen signature on clinic letterhead (furnishing full style);8. A proof for medical fitness issued by any Government Hospital or by the approved

medical examiner whose approval and registration is valid;9. Proof of submission of periodical returns;


10. Declaration that no outstanding disciplinary action and legal action is pending in any jurisdiction in India and overseas; and

11. Confirmation with evidence that applicant is continuously up graded/updated in current medicines & medical science as per the best medical practices in India and overseas.

Schedule II(See rule 5(ii)))

AFFIDAVIT

I, Dr. ______________, Regn. No. ______, (State/Centre) Medical Council of India, valid till_______ , age ____ years, Indian Resident, operate medical facility(s)at ______________, do hereby on solemn affirmation as under:

1. I am fully conversant with the applicable Indian Maritime Laws relating to ship board operations and medical examination’s entire process of examination of person and have good understanding in the following areas:

(i) Living and working conditions on board sea going merchant ships of various types gained through special instructions/attended occupational/Maritime medicine/health related courses or other means as prescribed by the medical council of India or relevant association or through self efforts or others means(delete as applicable);

(ii) Medical publications “The International Medical guide for ships or an equivalent national medical guide for use on ships or others;

(iii) Conventions on Standard of Training, Certification and Watch-keeping (STCW) 1995 Regulation, I/9-Medical Examination & Maritime Labour ,2006- Regulation 1.2 - Medical Certificate;

(iv) Guidelines on “Medical Examination of Seafarers” issued by ILO/IMO given in ILO/IMO/JMS/2011/12 document;

(v) Relevant provisions of Merchant Shipping Act, 1958;(vi) Merchant Shipping (Medical Examination) Rules and DGS/M.S. Notices on

Medical Examination and Sight test issued from time to time as available on DGS website www.dgshipping.com ;www.dgshipping.gov.in;

(vii) Procedure to deal with appeal cases and appellate authority.

2. I state that the contents of this affidavit are true and correct to my knowledge.


http://www.dgshipping.com/


Solemnly affirmed in _______ on dd/mm/yyyy (Place)

Before meAttested

Schedule III(See rule 5(iii))

Conditions for approval to Medical Examiners

1. Medical examiners seeking approval shall fulfill following conditions,- 1.1. Be a qualified medical examiner currently accredited by the Indian medical

council registration authority for the place where he is working and his age not to exceed 75 years on the date of submission of application;

1.2. Be experienced (minimum 5 years) in general and occupational medicine or maritime occupational medicine for conducting medical fitness examination of persons, however competence in maritime health is desirable as it improves quality of assessment;

1.3. Have the requisite clean declared medical facilities and equipments as specified in schedule V within the limits of city or town to carry out medical fitness examination, which are conveniently situated for easy access by the persons;

1.4. Confirm that he enjoys professional independence from ship-owners, the person and their representatives in exercising their medical judgment in terms of the medical examination procedures;

1.5 Submit along with the application with prescribed fee, an affidavit confirming the, means used in acquiring the understanding of knowledge of ship board activities, in the prescribed form as in Schedule -II;

1.6 Be well conversant with at least Hindi or English language; and 1.7 Submits all supporting documents duly self attested.

Schedule IV(See rule 5(iii))

Conditions for Renewal of approval to Medical Examiners


1. Medical examiners seeking renewal of approval shall fulfill following conditions,-1.1 Age shall be below 75 years on the date of submission of application;1.2 Certificate of Registration shall be valid;1.3 Periodical returns for the previous years submitted;1.4 No disciplinary or legal proceedings are pending in any jurisdiction;1.5 Conditions specified in the letter of approval if issued are complied with;1.6 continuously up gradation/up-date with current medicines & medical science

as per the best medical practices in India and overseas; and1.7 Applications with the prescribed fee, an affidavit as specified in schedule II

and checklist as specified in schedule V and other documents are submitted.

Schedule V[See rule 5 (ii) ]

Check List for Approval of Approval to Medical Examiner

(To be duly filled in by the applicant)PART A1 Name of the applicant-2 Date of birth-3 Name & address of medical facility at which medical examination to be

conductedPART B4 Educational qualification with certified copies as attachment-5 Professional qualification with certified copies as attachment-6 IMC registration number-7 Details of experience including experience on ships or in lieu adequate

knowledge on living and working condition on board merchant ships 8 Details of qualified support staff having adequate experience in providing

medical services to the person-


9 Details of other doctors, managerial, Para-medical and clerical staff including consultants-

10 Details of the clinic(numbers) and laboratory facilities(numbers) – adequate area to accommodate medicals officer, staff, record room, waiting area for person & list of medical examination facilities at the clinic –

11 List of clients giving evidence of integrity, goodwill and understanding of seafaring profession -

11.1 11.2 11.3 (For official purpose (only) - to be filled by the inspecting team)(Note: The inspecting team is advised to give clear recommendations for approval or specify the reasons for rejection or re-inspection).Names of inspecting team 1. Team leader 2. Member 3. MemberRemarks of the Inspecting Team-

Recommendations of the Inspecting team-

Date Official Seal Place


Schedule VI(See rule 5 (ii))

Format for Letter of Approval

(No.DGS/Medical/_______)Reference No. ---------

To,Dr

[Sub: Letter of Approval to Dr. , Registration No. --- ] ------------------------------------------------------------------------------------------------

Sir,In response to your application No.__________ dated and subsequently

fulfilling the conditions for the approval as specified in schedule III/IV as the case may be , the Approving Authority is pleased to accord approval to you as Medical examiner in accordance with the provision of Merchant Shipping Act, 1958 and these rules.

2. You are therefore permitted to conduct medical examination in accordance with the relevant provisions of these rules and other national and International laws applicable, including any notification issued by Competent Authority from time to time in this regard for the following facility,-



2.1 Name & full style of the facility: 3. Your name along with contact details given by you in the application / check list shall be displayed on the DGS Website at the earliest. This approval shall remain valid for --- years till ----------- subject to the compliance with the following conditions.

1.2.3.4. The Approving Authority in the event of non-compliance of the conditions has

the right to suspend or cancel this letter of approval or convey any adverse report against you to the concerned authorities after giving an opportunity to you to defend. However, you have the right to appeal to the Competent Authority against such decision.

Yours faithfully,

(Authorized Official of Approving Authority)

(Delete as applicable)

cc:1. All Principals Officers, MMD, District;2. All Indian High Commissions;3. Director General, Indian Coast Guard;4. Ministry of Health/Ministry of Labor/Ministry of Home Affairs/Ministry of

Defense/Ministry of External Affairs; and5. INSA/FOSMA/MASSA/ICSSA/NUSI/FUSI/MUI/IPA/Maritime Boards/Customs

Schedule –VII[See rule 7(ix)]

Medical standards for medical examination of Person


1. Pre-sea/Periodical Medical Examination- The person shall undergo the following physical clinical examination before obtaining medical certificate from the medical examiner,-1.1. Physical Examination: which may inter-alia include examination of organ or

organ systems with available applicable tools/equipment with medical facility of the approved medical examiner such as;1.1.1 Anatomy- Head, eyes, ears, nose, mouth, throat, neck, chest, abdomen,

skin and limbs;1.1.2 Vital signs - Blood pressure, pulse rate and body temperature; 1.1.3 Vital Systems- Respiratory, cardiovascular/circulatory, endocrine,

nervous/sense organs, digestive, gastrointestinal, musculoskeletal and genitourinary;

1.1.4 Other Observations- Infectious (HIV/AIDS)/DNA if requested by the applicant and Parasitic Diseases, Allergy, Malignant Neoplasm, Immunity disorders, diseases of blood and forming organs, mental disorders, oral health, pregnancy and skin;

1.1.5 General appearance- Posture, expression, restlessness, speech (impairment), behavior and sweating tendency of the body including weight and height.

1.2 Prescribed physical fitness Standards - The medical examiner shall be guided by the following standards - 1.2.1- For New Entrant and the person desiring to join a particular department for the first time, the minimum requirements shall be as follows- 1.2.1.1 Height 157 cms (5’2”); 1.2.1.2 Weight 48 kgs (105lbs); (i) Provided that weight shall be proportionate to height and in conformance to the best practices in the medical field and 10% reduction may be acceptable by the Competent Authority on merit of the case; and (ii) Provided in case of new entrant hailing from Lakshadweep, Amindevi, the Andaman’s and Nicobar Islands and Gorkhas, Nepalese, Assamesse and other hilly areas notified by the Central Government including the Nagaland, Mizoram, Meghalaya, Arunachal


Pradesh, Manipur, Tripura, Garhwal, Sikkim and the female applicants the height and weight may be reduced by 5cm(2”) and 3 kgs respectively; 1.2.1.3- Chest-minimum 74cm (29”) with expansion range of 5cm (2”); 1.2.1.4- Age – minimum age shall be 16 years; 1.2.1.5-Skin- There shall be no evidence of acute or chronic skin disease or chroniculcoration;

1.2.1.6- Speech- speech shall be without impediment or loss of speech is not acceptable;1.2.1.7- Alimentary system- shall have number of natural teeth (in healthy state)

for mastication; spleen shall not be enlarged, liver not tender, no oral sepsis, no hernia;1.2.1.8- Cardio Vascular System- There shall be no sign of any cardio vascular

disease. Blood pressure shall not exceed 85 diastolic and 140 systolic, cases of low blood pressure (i.e systolic below 100) shall be rejected;1.2.1.9- Respiratory System- There shall be no deformity of chest which may cause impediment to breathing. The person shall be free from all diseases of respiratory system;1.2.1.10- Genito Urinary – There shall be no evidence of genito urinary disease or any abonormailty;1.2.1.11-Skeltel System- The functions of all limbs shall be within normal limits and there shall be no evidence of serious deformity of the spinal column of the extremities;1.2.1.12- Nervous System- There shall be no evidence of any disease of nervous system or of any mental disease;1.2.1.13-Glandular system- There shall be no evidence of tuberculosis or other disease of the glandular system including the endocrine glands

1.2.2- For the person joining ship subsequent to the first entry ,the standards of physical fitness for examination shall be as follows; 1.2.2.1- Chest-minimum 74cm (29”) with expansion range of 5cm (2”);

1.2.2.2- Age – maximum age of retirement shall be 58 years above this age necessary requirements of the flag administration shall be followed;


1.2.2.3-Skin- cases of acute skin diseases, chronic active skin disease and chronic ulceration should be declared “temporarily unfit”. Cases of non-infectious and non active skin diseases should be considered;1.2.2.4- Speech- In case of gross impediment to speech, caused as a result of

some disease, the person should be declared temporarily unfit. Minor defects in speech not effecting his efficiency may be considered;1.2.2.5- Alimentary system- should have number of natural teeth (in healthy

state) for mastication; spleen should not be enlarged and no evidence of tenderness be present, liver may be palpable, but no evidence of tenderness be present, no evidence of gross oral sepsis be present, should not be suffering from diabetes;1.2.2.6- Cardio Vascular System- There should be no sign of gross arteriosclerosis and evidence of enlargement of heart or chronic heart disease. The blood pressure should be as follows-Systolic in principle 100 plus age, 150 up to 35 years and 170 for above 35 years of age. Maximum diastolic should be 100;1.2.2.7- Respiratory System- There shall be no deformity of chest which may cause impediment to breathing. The person shall be free from all diseases of respiratory system. In the event of any such disease the person should declared temporarily unfit;1.2.2.8- Genito Urinary – There shall be no evidence of genito urinary disease or any abnormality In the event of any such disease the person should declared temporarily unfit;1.2.2.9-Skeltel System- The functions of all limbs shall be within normal limits and there shall be no evidence of serious deformity of the spinal column of the extremities;1.2.2.10- Nervous System- There shall be no evidence of any disease of nervous system or of any mental disease In the event of any such disease the person should declared temporarily unfit;1.2.2.11-Glandular system- There shall be no evidence of tuberculosis or other disease of the glandular system including the endocrine glands. Notwithstanding anything contained in these rules, Competent Authority may relax requirements of standards if the person concerned is considered physically fit to


perform his assigned functions ashore or on ship and is constitutionally fit with no physical defects.

1.3- Mandatory Clinical Tests1.3.1 Minimum clinical tests to include pulse rate and blood pressure and the following-

1.3.1.1- Complete Blood Count (Hb, TWBC, ESR); 1.3.1.2- Routine Urine (Albumin, Sugar and microscopic); 1.3.1.3- Blood Sugar; 1.3.1.4- Audiometry; 1.3.1.5- Vision Test (Distant, Near, Color); 1.3.1.6- Chest X-ray (Large Plate); 1.3.1.7- Electrocardiogram (ECG); and 1.3.1.8- Pregnancy tests for female person if applicable 1.4 Vision Standards for Pre-sea Medical Examination- There shall be no

evidence of any morbid condition of either eye or of the lids of either eye which may be liable to risk of aggravation or recurrence. The persons under this category shall fulfill following standards-1.4.1- Deck Department personnel’s performing Navigation, Cargo, Ship,

Operations and emergency functions including Officers Trainees/Apprentice, Deck and General Purpose (GP) Rating and others discharging such functions in this Department shall maintain:

1.4.1.1 Distance form vision (unaided 1.0 *(6/6) in better eye and 0.67*(6/9) in other eye; and

1.4.1.2 Normal color vision shall be tested by Ishihara test chart. 1.4.2- Engine Department Personnel’s performing marine engineering, electrical,

electronic, control engineering and maintenance and repair including Officers Trainees/Apprentice ,GP Rating in the capacity of Engine Room Rating and others discharging such functions in this Department shall maintain:

1.4.2.1 Distance form vision (unaided 0.5 *(6/12) in each eye or 0.67*(6/9) in better eye and 0.33 *(6/18) in other eye; and

1.4.2.2 Normal color vision shall be tested by Ishihara test chart.


1.4.3 – Catering/Hospitality Department personnel’s performing cooking and husbandry functions including Officers Trainees/Apprentices, GP ratings in the capacity of saloon ratings and others discharging such functions in this Department shall maintain:

1.4.3.1 Distance form vision (unaided 0.33 *(6/18) in each eye or 0.5*(6/12) in better eye and 0.25*(6/24) in other eye; and

1.4.3.2 Normal color vision shall be tested by Ishihara test chart. 1.4.4- Radio Officers or Audio officers, Electrical Officer/Electronic Officer and other

personnel’s performing Radio communication functions including Officers Trainees and others discharging such functions shall maintain:

1.4.4.1 Distance form vision (unaided 0.5 *(6/12) in each eye or 0.67*(6/9) in better eye and 0.33*(6/18) in other eye; and

1.4.4.2 Normal color vision shall be tested by Ishihara test chart. 1.5 Vision Standards for Periodical Medical Examination- As per Appendix A of

ILO/IMO/JMS/2011/12 & STCW Code table A-I/9 - Testing of distance vision, near vision, color vision, visual field & limitation to night visions shall be verified;

1.6 General Hearing standards for Pre Sea and Periodical medical Examination - As per Appendix B of ILO/IMO/JMS/2011/12 - Use of audiometer, standardized tests that measure impairment to speech recognition shall be employed; the following specific standards may be taken into consideration during such examination:

1.6.1- Pre Sea Examination- 1.6.1.1- un aided average threshold at least 30db in the better ear and an average

of 40db(unaided) in the less good ear within the frequencies 500, 1000, 2000 and 3000hz(approximately equivalent to speech-hearing distances of 3 meters and 2meters respectively) and/or functional speech discrimination less than 90% at 55db in both ears; and

1.6.1.2- Hearing shall be good in both ears and no sign of supportive disease are present in either of the ears. No hearing aid shall be permitted.

1.6.2-Periodical Examination- 1.6.2.1- un aided average threshold at least 30db in the better ear and an average

of 40db(unaided) in the less good ear within the frequencies 500, 1000, 2000 and 3000hz(approximately equivalent to speech-hearing distances of 3 meters and


2meters respectively) and/or functional speech discrimination less than 80% at 55db in both ears;

1.6.2.2- seafarers undertaking deck/bridge duties shall be able to hear whispered speech at a distance of 3 meters and others at a distance of 5 meters on each side;

1.6.2.3- There shall be no sign of supportive disease present in either of the ears and hearing aids shall not be permitted but in exceptional cases with the approval of the competent authority and recommendation of the medical examiner/owner, it may be considered with conditions specified, taking into account the age, operational area of the vessel and position on board the vessel etc.

1.6.3- Other requirements- 1.6.3.1- Hearing examination shall be made by a pure tone audiometer. Other

effective assessment method using the validated and standardized tests that measure impairment to speech recognition may also be supplemented if deemed necessary. In addition, speech and whisper testing assessment shall also be used for practical assessment.

1.7 Physical capability requirements- As per Appendix C of ILO/IMO/JMS/2011/12 & STCW Code table B-I/9, the functioning of vital system of the human body demonstrates the state of good health of persons and therefore, the medical examiner shall also be guided by the standards specified in para 1.2 above;

1.8 Testing for the presence of Drug and Alcohol- As per guiding procedures of

ILO-WHO for maritime Industry and should be conducted if the ship-owner or his agent or training institute requests;

1.9 Application of Tests- In addition to the minimum tests prescribed in para 1.3, the ship owner or his agent or the training institutes or other entity may conduct tests stated in Appendix A-E of ILO/IMO/JMS/2011/12 at their own cost and risk as per the requirements of relevant contract of employment/ Collective Bargaining Agreement [CBA].

2. Additional medical examination for the person concerned- 2.1 Person on board tankers engaged in the carriage of cargsergenic cargoes

namely Benzene (F), Butane, Diesel oil for marine engines as prescribed by the organization (IMO) upon sign off or seafarers arrival in India shall


undergo medical examination at ship owners cost that may include blood and liver function tests including blood count evaluation.

3. Vaccination requirements for the person-3.1. Obligatory vaccination - Seafarers shall be vaccinated according to the

requirements indicated in the WHO publication, International Travel & Health; vaccination requirement and health advice updated periodically.

3.2. Yellow fever vaccination- This requirement is often strictly enforced for persons arriving from Asia, Africa or South America. The period of validity of the certificate is only valid if it conforms to the WHO model if the vaccine has been approved by the WHO, and if it is administered by an approval Yellow Fever Vaccination Centre. The period of validity of the certificate against yellow fever is 10 years, beginning 10days after vaccination. If the person is revaccinated before the end of this period, the validated is extended for a further 10 years from the date of the vaccination. If the vaccination is recorded on a new certificate, the person should be advised to retain the old certificate for 10days while the new certificate becomes valid. Responsibility to provide immunization shall rest with either with the ship owner or his agent or training institute others as the case may be;

3.3 Non-obligatory voluntary immunization for person-(i) these immunizations are not required according to the International Health Regulations of the WHO. The following immunizations are recommendatory in nature and should be taken at the request of the ship owner or his agent or the training institute or others as the case may be,-

3.3.1 – Viral Hepatitis Type A (infectious hepatitis, epidemic hepatitis) 3.3.2- Viral Hepatitis Type B (serum hepatitis) with booster at 12 months; 3.3.3- Tetanus with booster doses is required every 8-10 years; and 3.3.4- Poliomyelitis with reimmunization, by a booster dose of the oral polio

vaccine is recommended every 5 years.

Schedule -VIII[See rule 7 (v)]


PHOTOGRAPH

FORMAT FOR MEDICAL EXAMINATION (PERSON’S DECLARATION) A. Important Notes:

I. The persons shall not suppress medical information and declare correct and proper medical information to the approved medical examiner to the best of his knowledge and belief and such declaration shall be filled-by him before the approved medical examiner himself so that medical examination is conducted in objective and structured manner conforming to STCW, 1978 as amended and MLC, 2006 Convention.

II. In case of any wrongful Act or misrepresentation/suppression of material fact(s) of information, the persons shall be fully responsible/liable for the consequences/ damages / penalties as per the provisions or the applicable laws.B. Person’s Information

1. Name (last, first, middle): _____________________________________________2. Date of birth (day/month/year): .. /.. /….3. Sex: __ Male __ Female4. Home address: _______________________________________________________

5. Method of confirmation of identity, e.g. Passport No./Seafarer’s book No. or other relevant identity document No.: _____6. Department (deck/engine/radio/food handling/other): _____7. Routine and emergency duties (if known): _____8. Type/name of ship (e.g. container, tanker, passenger if applicable): _____9. Trade area (e.g. Harbour/coastal, tropical, worldwide if applicable): _____

C. Person’s personal declaration(Assistance should be offered by medical staff)10. Have you ever had any of the following conditions?Conditions Yes No

Eye/vision problem High blood pressure Heart/vascular disease Heart surgery


Varicose veins/piles Asthma/bronchitis Blood disorder Diabetes Thyroid problem Digestive disorder Kidney problem Skin problem Allergies Infectious/contagious diseases Hernia Genital disorder Pregnancy Sleep problem Do you smoke, use alcohol or drugs? Operation/surgery Epilepsy/seizure Dizziness/fainting Loss of consciousness Psychiatric problems Depression Attempted suicide Loss of memory Balance problem Severe headaches Ear (hearing, tinnitus)/nose/throat problem Restricted mobility Back or joint problem Amputation Fractures/dislocations

If you answered “yes” to any of the above questions, please give details:


11. Additional questions Yes No Have you ever been signed off as sick or repatriated from

a ship on medical grounds or otherwise? Have you ever been hospitalized? Have you ever been declared unfit for sea duty? Has your medical certificate even been restricted or revoked? Are you aware that you have any medical problems,

diseases or illnesses? Do you feel healthy and fit to perform the duties of your

designated position/occupation? Are you allergic to any medication?

Comments:

12. Additional questions Yes No

Are you taking any non-prescription or prescription medications?

If yes, please list the medications taken, and the purpose(s) and dosage(s):

I hereby certify that the personal declaration above is a true statement to the best of my knowledge.

Signature of examinee: _______________________Date (day/month/year): ../../….Witnessed by (signature): ___________ Name (typed or printed): _________________

I hereby authorize the release of all my previous medical records from any health professionals, health institutions and public authorities to Dr ______________________ (the approved medical practitioner).

Signature of examinee: _______________________ Date (day/month/year): ../../….


Witnessed by (signature): ___________ Name (typed or printed): _________________Date and contact details for previous medical examination (if known): _________--------------------------------------------------------------------------------------------------------------------

--------------------------------------------------------------------------------13. MEDICAL EXAMINATION (Medical Standard as prescribed in schedule ).

SightUse of glasses or contact lenses: Yes/No (if yes, specify which type and for what

purpose)___________________________________________________________________________

Visual acuity___________________________________________________________________________

Unaided AidedRight eye Left eye Binocular Right eye Left eye Binocular

___________________________________________________________________________DistantNear

___________________________________________________________________________ Visual fields

__________________________________________________________________________ Normal Defective________________________________________________________________________

Right eyeLeft eye

___________________________________________________________________________ Colour vision

Not tested Normal Doubtful Defective

Hearing ___________________________________________________________________________

Pure tone and audiometry (threshold values in dB)


___________________________________________________________________________ 500 HZ 1 000 HZ 2 000 HZ 3 000 HZ

______________________________________________________________________________Right earLeft ear

______________________________________________________________________________ Speech and whisper test (metres)

______________________________________________________________________________Normal Whisper

______________________________________________________________________________Right earLeft ear______________________________________________________________________________14. Clinical findingsHeight: _____ (cm) Weight: _____ (kg) Pulse rate: _____/(minute) Rhythm: _____Blood pressure: Systolic: _____ (mm Hg) Diastolic: _____ (mm Hg)Urinalysis: Glucose: _____ Protein: _____ Blood: ___________________________________________________________________________________

Normal Abnormal______________________________________________________________________________HeadSinuses, nose, throatMouth/teethEars (general)Tympanic membraneEyesOphthalmoscopyPupilsEye movementLungs and chestBreast examinationHeart


SkinVaricose veinsVascular (inc. pedal pulses)Abdomen and visceraHerniaAnus (not rectal exam)G-U systemUpper and lower extremitiesSpine (C/S, T/S and L/S)Neurologic (full/brief)PsychiatricGeneral appearance

15. Chest X-ray Not performed Performed on (day/month/year): ../../….Results:

16. Other diagnostic test(s) and result(s):Test: Result:

Medical practitioner’s comments and assessment of fitness, with reasons for any limitations:

Note- A reports of the prescribed tests if conducted shall be attached with this declaration.

17. Assessment of fitness for service at seaOn the basis of the examinee’s personal declaration, my clinical

examination and the diagnostic test results recorded above, I declare the examinee medically:Fit for look-out duty Not fit for look-out duty Other services

(training/examination)Deck service Engine service Catering service Other services

Fit Unfit


Without restrictions with restrictions Visual aid required Yes No

Describe restrictions (e.g., specific position, type of ship, trade area & others as applicable):

Medical certificate’s date of expiration (day/month/year): ______/______/______Date medical certificate issued (day/month/year): ______/______/______Number of medical certificate: ________________________________________________Signature of approved medical examiner: _____________________________________Approved Medical examiner information (name, license number, approval number,

address):__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Schedule IX(See Rule 7(ix))

FORMAT MEDICAL CERTIFICATE IN COMPLIANCE WITH INDIAN MERCHANT SHIPPING ACT, 1958, STCW, 1978 CONVENTION AS AMENDED BY

2010(PROTOCOL) & MLC, 2006 CONVENTION.OFFICE OF DIRECTORATE GENERAL OF INDIA (DGS), INDIAN MARITIME

ADMINSTRATION, GOVERNMENT OF INDIACONFIDENTIAL DOCUMENT

REPUBLIC OF INDIA(Authorizing Authority)

APPROVED MEDICAL EXAMINER NAME AND ADDRESS

A. Person’s and Employer’s Information

Middle /Last Name First Name


Photo

Position applied for ID (Passport/Discharge book) No:

Date of Birth Sex Nationality

Ship owners Name RPS Provider Name

B. Declaration of the approved Medical Examiner of DGS

1. I have evaluated the above-named seafarer/ new entrant/person after establishing his identity as per the identification documents as mentioned in schedule VI. On the basis of the seafarer’s/ new entrant /Person personal declaration, my clinical examination (tests if conducted), the diagnostic test results obtained, and in consideration of the essential requirements of the position applied for, in my opinion is -

(a) that the hearing meets the required STCW standards section A-I/9:- Yes / No(b) Unaided hearing is satisfactory Yes / No(c) Visual acuity meets the required STCW Code standards section A-I/9 Yes / No(d) Colour Vision meets the required STCW Code standards section A-I/9 Yes / No

(Testing only required every 6 years) (e) Date of last color vision test ( Day/Month/Year) ….………..

(f) Fit for look out duty Yes / No(g) No. limitation or restrictions on fitness Yes / No

(if no “ specify limitations or restrictions (h) Is the seafarer free from any medical condition likely to be aggravated by Service

at sea or to render the seafarer unfit for such service or to endanger the health of other persons on board : Yes / No

(i) Date of examination: (Day/Month/Year) ………………


(j) Expiry date of certificate: (Day/Month/Year) …………………

C. Details of Issuing Authority3. This seafarer/new entrant is UNFIT FOR DUTY**/FIT FOR DUTY IN DECK/

ENGINE/SALOON/ RADIO/OTHER EPARTMENTS WITH / WITHOUT RESTRICTIONS*AS MENTIONED BELOW,

* This Medical Certificate is issued with following restrictions

** Reasons for being unfit

Approved Medical Examiner Signature::_______________________ Official Stamp (Registration No. & DGS approval no. ------ Validity of approval) – Details of the empanelled medical examiners are available on DGS website www.dgshipping.com/www.dgshipping.gov.in. (For the purpose of PSC/FSI/Statutory Audits or verification by the Competent Authorities of other Maritime States etc)

Approved Medical Examiner Name Printed:___________________________

Date :

Valid till:

Note : This certificate is issued by the authority of the Directorate General of Shipping, Mumbai, Indian Maritime Administration and in compliance with the requirements of the Merchant Shipping Act, 1958, STCW 1978 as amended by 2010 Protocol and MLC, 2006.


http://www.dgshipping.gov.in/

http://www.dgshipping.com/

D. Person’s Signature

Schedule X(See rule 7(ix))

Minimum in service eyesight standards for seafarers and testing methods and frequency etc.

Table A-I/9Minimum in-service eyesight standards for seafarers

STCW Convention regulation

Category of seafarer

Distance vision Aided

Near immediate vision Colour vision

Visual fields

Night blindness

Diplopia (double vision)

One eye

Other eye

Both eyes together, aided or unaided

I/11II/1II/2II/3II/4II/5VII/2

Masters, deck officers and ratings required to

0.5 0.5 Vision required for ship’s navigation (e.g. chart and nautical publication reference, use of bridge instrumentation and equipment, and

See Note 5

Normal Visual fields

Vision required to perform all necessary

No significant condition evident.


I acknowledge, that I have been advised of the content of the medical certificate & of the right to a review in accordance with paragraph (6) of section A-I/9 of STCW Code.

Person’s Signature:

undertaken look-out duties

identification of aids to navigation)

functions in darkness without compromise

I/11II/1II/2II/3II/4II/5VII/2

All engineer officers, electro-technical officers, electro-technical ratings and ratings forming part of an engine-room watch

00.4

0.4 Vision required to read instruments in close proximity, to operate equipment, and to identify systems, components as necessary

See Note 6

Sufficient visual fields

Vision required to perform all necessary functions in darkness without compromise

No significant condition evident

I/11IV/2

GMDSS Radio operators

00.4

00.4

Vision required to read instruments in close proximity, to operate equipment, and to identify systems, components as necessary

SS ee Note 6

Sufficient visual fields

Vision required to perform all necessary functions in darkness without compromise

No significant condition evident

Note :- 1) Values given in Snellen decimal notation.2) A value of at least 0.7 in one eye is recommended to reduce the risk of

undetected underlying eye disease


3) As defined in the International Recommendations for colour vision Requirements for Transport by the Commission Internationale de 1’Eclairage (CIE-143-2001).

4) Subject to assessment by a clinical vision specialist where indicated by initial examination findings.

5) CIE colour vision standard 1or 2.6) CIE colour vision standard 1, 2 or 3.

Schedule XI(See rule 7(ix))

Table A-I/9Assessment of minimum entry level and in-service physical abilities for seafarers

Shipboard task, function event or condition

Relative physical ability

A medical examiner should be satisfied that the candidate

Routine movement around vessel:- on moving deck- between levels- between compartments

Maintain balance and move with agility climb up and down vertical ladders and stairways step over comings (e.g., 600 mm high) open and

Has no disturbance in sense of balance. Does not have any impairment or disease that prevents relevant movements and physical activities.Is, without assistance, able


Note 1 applies to this row

close watertight doors to:-climb vertical ladders and stairways -step over high sills-manipulate door closing system

Routine tasks on board:- Use of hand tools - Movement of ship’s stores- Overhead work- Valve operation- Standing a four hour watch- Working in confined spaces

- Responding to alarms, warnings and instructions

- Verbal communication

Note 1 applies to this row

Strength, dexterity and stamina to manipulate mechanical devices Lift, pull and carry a load (e.g., 18 kg)

Reach upwards Stand, walk and remain alert for an extended period

Work in constricted spaces and move through restricted openings (e.g., 600mm x 600mm)

Visually distinguish objects, shapes and signals Hear warnings and instructions Give a clear spoken description

Does not have a defined impairment or diagnosed medical condition that reduces ability to perform routine duties essential to the safe operation of the vessel

Has ability to:- work with arms

raised- stand and walk for

an extended period- enter confined space- fulfill eyesight

standards (A-I/9-1) - fulfill hearing

standards set by competent authority or take account of International guidelines

- hold normal conversation

Emergency duties on board:

- Escape

Don a lifejacket or immersion suit

Escape from

Does not have a defined impairment or diagnosed medical condition


- Fire-fighting- Evacuation

smoke-filled spaces

Take part in fire-fighting duties, including use of breathing apparatus

Take part in vessel evacuation procedures

that reduces ability to perform emergency duties essential to the safe operation of the vessel.

Has ability to:- don lifejacket or

immersion suit- crawl- feel for differences in

temperature- handle fire-fighting

equipment- wear breathing

apparatus (where required as part of duties)

Notes:-1) Rows 1 and 2 of the above table describe (a) ordinary shipboard tasks, functions, events and conditions, (b) the corresponding physical abilities which may be considered necessary for the safety of a seafarer, other crew members and the ship, and (c) high level criteria for use by Medical examiners assessing medical fitness, bearing in mind the different duties of seafarers and the nature of shipboard work for which they will be employed. 2) Rows 3 of above table describes (a) ordinary shipboard tasks, functions, events and conditions (b) the corresponding physical abilities which shall be considered necessary for the safety of a seafarer, other crew members and the ship, and (c) high level criteria for use by Medical examiners assessing medical fitness, bearing in mind the different duties of seafarers in the nature of shipboard work for which they will be employed. 3) This table is not intended to address all possible shipboard conditions or potentially disqualifying medical conditions. Parties shall specify physical abilities applicable to the category of seafarers (such as “Deck Officer” and “Engine Rating”). The special circumstances of individuals and for those who have specialized or limited duties should receive due consideration. 4) If in doubt, the Medical examiner should quantify the degree or severity of any relevant impairment by means of objective tests, whenever appropriate tests are available, or by referring the candidate for further assessment.5) The term “assistance” means the use of another person to accomplish the task.6) The term “emergency duties” is used to cover all standard emergency response situations such as abandon ship or fire fighting as well as the procedures to be followed by each seafarer to secure personal survival.


Schedule XII(See rule 7 (xii))

Half Yearly Returns Format (15th July and 15 January) SUMMARY OF MEDICAL EXAMINATION CONDUCTED FOR THE PERIODFROM ------------ TO ----------

Sr. No.

Name of the seafarer

Date of Birth/Rank

Male / Female

CDC No.

Pre sea / Periodic or additional examination

Name of Company /training institute or others

Fit or Unfit Temporary /Permanent

If unfit reason(s) for unfitness

If referred to Competent Authority

Signature of the Medical examiner:-Name of the Medical examiner:-


Registration No- Validity-DGS approval number- Validity-Name and full style the facility(s)-

******


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