{"id":"F2006B00720","name":"Marine Orders - Part 9: Health-Medical Fitness, Issue 5 (Order No. 22 of 1999)","slug":"marine-orders-part-9-health-medical-fitness-issue-5-order-no-22-of-1999","collection":"legislative_instrument","jurisdiction":"commonwealth","status":"repealed","isInForce":false,"actNumber":null,"makingDate":null,"administeringDepartment":null,"currentVersion":{"id":40762,"registerId":"commonwealth-F2006B00720-current","compilationNumber":null,"startDate":"2026-04-01","status":"Repealed","reasons":null,"registeredAt":null},"sections":[{"sectionNumber":"Table of Contents","sectionType":"part","heading":"Table of Contents","content":"# Table of Contents\n\n1 Interpretation\n\n2 Purpose and application\n\n3 Review of decisions\n\n4 Penal provisions\n\n5 Requirement to be medically fit\n\n6 Evidence of medical fitness\n\n7 Certificate of Medical Fitness\n\n8 Aids to vision or hearing\n\nAppendix 1 Medical certificate evidencing fitness for work in a sea-going vessel\n\nAppendix 2 Guidelines for the medical examination of seafarers and coastal pilots\n\nAppendix 3 Form of Certificate of Medical Fitness\n\nPrevious issues \nIssue 1, Order No. 6 of 1983 \nIssue 2, Order No. 5 of 1985 \nIssue 3, Order No. 5 of 1988 \nIssue 4, Order No. 1 of 1993 \n—Amended by Order No. 4 of 1993","sortOrder":0},{"sectionNumber":"Issue 5, Order No. 22 of 1999―Amended by","sectionType":"part","heading":"Issue 5, Order No. 22 of 1999―Amended by Order No. 5 of 2001","content":"| MARINE ORDERSPart 9Health – Medical FitnessIssue 5Compilation No. 1________________________________This compilation was prepared on 4 January 2007 taking into account amendments up to Marine Orders Part 9: Health – Medical Fitness, Issue 5 (Amendment) (Order No. 12 of 2006).Prepared by the Australian Maritime Safety Authority, Canberra. |\n| -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |\n\n# Table of Contents\n\n1 Interpretation\n\n2 Purpose and application\n\n3 Review of decisions\n\n4 Penal provisions\n\n5 Requirement to be medically fit\n\n6 Evidence of medical fitness\n\n7 Certificate of Medical Fitness\n\n8 Aids to vision or hearing\n\nAppendix 1 Medical certificate evidencing fitness for work in a sea-going vessel\n\nAppendix 2 Guidelines for the medical examination of seafarers and coastal pilots\n\nAppendix 3 Form of Certificate of Medical Fitness\n\nPrevious issues \nIssue 1, Order No. 6 of 1983 \nIssue 2, Order No. 5 of 1985 \nIssue 3, Order No. 5 of 1988 \nIssue 4, Order No. 1 of 1993 \n—Amended by Order No. 4 of 1993\n\n## Issue 5, Order No. 22 of 1999 \n―Amended by Order No. 5 of 2001\n\n## ―Amended by Order No. 12 of 2006","sortOrder":1},{"sectionNumber":"―Amended by Order No. 12 of 2006","sectionType":"part","heading":"―Amended by Order No. 12 of 2006","content":"| MARINE ORDERSPart 9Health – Medical FitnessIssue 5Compilation No. 1________________________________This compilation was prepared on 4 January 2007 taking into account amendments up to Marine Orders Part 9: Health – Medical Fitness, Issue 5 (Amendment) (Order No. 12 of 2006).Prepared by the Australian Maritime Safety Authority, Canberra. |\n| -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |\n\n# Table of Contents\n\n1 Interpretation\n\n2 Purpose and application\n\n3 Review of decisions\n\n4 Penal provisions\n\n5 Requirement to be medically fit\n\n6 Evidence of medical fitness\n\n7 Certificate of Medical Fitness\n\n8 Aids to vision or hearing\n\nAppendix 1 Medical certificate evidencing fitness for work in a sea-going vessel\n\nAppendix 2 Guidelines for the medical examination of seafarers and coastal pilots\n\nAppendix 3 Form of Certificate of Medical Fitness\n\nPrevious issues \nIssue 1, Order No. 6 of 1983 \nIssue 2, Order No. 5 of 1985 \nIssue 3, Order No. 5 of 1988 \nIssue 4, Order No. 1 of 1993 \n—Amended by Order No. 4 of 1993\n\n## Issue 5, Order No. 22 of 1999 \n―Amended by Order No. 5 of 2001\n\n## ―Amended by Order No. 12 of 2006","sortOrder":2},{"sectionNumber":"1","sectionType":"part","heading":"Interpretation","content":"## 1 Interpretation\n\n1.1 In this Part, unless the contrary intention appears, the following definitions apply:\n\nAMSA means the Australian Maritime Safety Authority;\n\napplicant means a person who applies for a Certificate of Medical Fitness under 7.1;\n\nCertificate of Medical Fitness means a Certificate of Medical Fitness issued in accordance with this Part;\n\ncoastal pilot means a person who is performing, or intends to perform, the duties of a licensed pilot for the purposes of Part VIIA of the Great Barrier Reef Marine Park Act 1975 or Part IIIA of the Navigation Act 1912;\n\nholder, in relation to a certificate, means the person identified as holder by that certificate;\n\nManager means the Manager, Ship Operations and Qualifications, in AMSA, or in respect of any particular function, a suitably qualified person appointed by the Manager, Ship Operations and Qualifications, to carry out that function;\n\nseafarer means a person serving or intending to serve on a ship to which Part II of the Navigation Act applies and includes a master, officer or seaman but does not include a pilot, a person who is not a member of the crew of the ship, a supernumerary, or special personnel as defined in section 283 of the Navigation Act;\n\nsea-going vessel, for the purposes of the ILO Convention, means:\n\n (a) a trading ship on an overseas or interstate voyage; or\n (b) a trading ship of 500 tons gross tonnage or more on a voyage:\n (i) that is not an overseas or interstate voyage; and\n (ii) in the course of which it is not at all times capable, at normal operating speed, of returning to its port of departure in 6 hours or less or reaching its intended next port of call in 6 hours or less;\n\nseaman includes a person engaged on a ship in a trainee capacity, other than a sail trainee as defined in Marine Orders, Part 52;\n\n \nSTCW Code means the Code referred to in the STCW Convention;\n\nSTCW Convention means the International Convention on Standards of Training, Certification and Watchkeeping for Seafarers, 1978, as amended;\n\nthe ILO Convention means the Medical Examination (Seafarers) Convention 1946 adopted by the General Conference of the International Labour Organization on 29 June 1946; and\n\nvalid, in relation to a certificate, means a certificate that is current and that has not been cancelled.\n\n1.2 In this Part:\n\n (a) headings and sub-headings are part of the Part;\n (b) each Appendix is part of the Part;\n (c) a note included in the text and printed in italics is not part of the Part.","sortOrder":3},{"sectionNumber":"2","sectionType":"part","heading":"Purpose and application","content":"## 1 Interpretation\n\n1.1 In this Part, unless the contrary intention appears, the following definitions apply:\n\nAMSA means the Australian Maritime Safety Authority;\n\napplicant means a person who applies for a Certificate of Medical Fitness under 7.1;\n\nCertificate of Medical Fitness means a Certificate of Medical Fitness issued in accordance with this Part;\n\ncoastal pilot means a person who is performing, or intends to perform, the duties of a licensed pilot for the purposes of Part VIIA of the Great Barrier Reef Marine Park Act 1975 or Part IIIA of the Navigation Act 1912;\n\nholder, in relation to a certificate, means the person identified as holder by that certificate;\n\nManager means the Manager, Ship Operations and Qualifications, in AMSA, or in respect of any particular function, a suitably qualified person appointed by the Manager, Ship Operations and Qualifications, to carry out that function;\n\nseafarer means a person serving or intending to serve on a ship to which Part II of the Navigation Act applies and includes a master, officer or seaman but does not include a pilot, a person who is not a member of the crew of the ship, a supernumerary, or special personnel as defined in section 283 of the Navigation Act;\n\nsea-going vessel, for the purposes of the ILO Convention, means:\n\n (a) a trading ship on an overseas or interstate voyage; or\n (b) a trading ship of 500 tons gross tonnage or more on a voyage:\n (i) that is not an overseas or interstate voyage; and\n (ii) in the course of which it is not at all times capable, at normal operating speed, of returning to its port of departure in 6 hours or less or reaching its intended next port of call in 6 hours or less;\n\nseaman includes a person engaged on a ship in a trainee capacity, other than a sail trainee as defined in Marine Orders, Part 52;\n\n \nSTCW Code means the Code referred to in the STCW Convention;\n\nSTCW Convention means the International Convention on Standards of Training, Certification and Watchkeeping for Seafarers, 1978, as amended;\n\nthe ILO Convention means the Medical Examination (Seafarers) Convention 1946 adopted by the General Conference of the International Labour Organization on 29 June 1946; and\n\nvalid, in relation to a certificate, means a certificate that is current and that has not been cancelled.\n\n1.2 In this Part:\n\n (a) headings and sub-headings are part of the Part;\n (b) each Appendix is part of the Part;\n (c) a note included in the text and printed in italics is not part of the Part.\n\n## 2 Purpose and application\n\n### 2.1 Purpose\n\nThis Part:\n\n (a) for the purposes of subsection 15(2) of the Navigation Act 1912, prescribes matters relating to the health of persons performing, or intending to perform, the duties of a qualified master, officer or seaman;\n (b) for the purposes of section 124 of the Navigation Act 1912, makes provision for and in relation to the medical examination of, and the issue of certificates to, masters and seamen and persons proposing to engage in employment as masters or seamen; and\n (c) for the purposes of section 134 of the Navigation Act 1912, makes provision for and in relation to giving effect to the ILO Convention.\n (e) for the purposes of section 186C of the Navigation Act 1912, makes provision for and in relation to the health of pilots;\n (f) gives effect to regulation I/9 annexed to the STCW Convention and section B-I/9 of the STCW Code.\n\n### 2.2 Application\n\nThis Part applies to: \n\n (a) a person employed, or proposing to engage in employment, on a ship to which section 124 of the Navigation Act applies;\n \n (b) a person performing, or intending to perform, the duties of a coastal pilot;\n (c) a person employed, or proposing to engage in employment, on a sea-going vessel registered in Australia:\n (i) that is not a ship to which section 124 of the Navigation Act applies; and\n (ii) in respect of which a law of a State or of the Northern Territory does not give effect to the ILO Convention; and\n (d) an applicant for the issue or revalidation of certificates under Marine Orders, Part 3.\n\n## 3 Review of decisions\n\n### 3.1 Reviewable decisions\n\nApplication may be made to the Administrative Appeals Tribunal for review of a decision by the Manager:\n\n (a) requiring a person to obtain a new Certificate of Medical Fitness under 7.5.2 or 7.5.3;\n (b) refusing to accept a certificate as equivalent under 7.10.3.\n\n### 3.2 Statement to accompany notices\n\nIf a person making a decision referred to in 3.1 gives to a person whose interests are affected by the decision notice in writing of the decision, the notice must:\n\n (a) include a statement to the effect that, if the person is dissatisfied with the decision, application may, subject to the Administrative Appeals Tribunal Act 1975, be made to the Administrative Appeals Tribunal for review of the decision; and\n (b) except where subsection 28(4) of that Act applies, also include a statement to the effect that the person may request a statement under section 28 of that Act.\n\n### 3.3 Validity of decisions\n\nFailure to comply with 3.2 in relation to a decision does not affect the validity of that decision.\n\n## 4 Penal provisions\n\nProvisions 5.1, 5.2, 5.3, 7.8, 7.9 and 8 are penal provisions.\n\nNote: Regulation 4 of the Navigation (Orders) Regulations provides:\n\n‘4. A person who contravenes a provision of an order made under subsection 425(1AA) of the Act that is expressed to be a penal provision is guilty of an offence and is punishable on conviction: \n(a) if the offender is a natural personby a fine not exceeding $2,000; or \n(b) if the offender is a body corporateby a fine not exceeding $5,000.\n\n## 5 Requirement to be medically fit\n\n5.1 A person must not perform duties as a seafarer, or be taken into employment to perform duties as a seafarer, on a ship to which section 124 of the Navigation Act applies unless that person is medically fit to perform those duties.\n\n5.2 A person must not perform the duties of a coastal pilot unless that person is medically fit to perform those duties.\n\n5.3 A person must not be employed on a sea-going vessel registered in Australia:\n\n (a) that is not a ship to which section 124 of the Navigation Act applies; and\n (b) in respect of which a law of a State or of the Northern Territory does not give effect to the ILO Convention;\n unless that person is medically fit for that employment.\n\n## 6 Evidence of medical fitness\n\n6.1 A person is medically fit for the purposes of 5.1 or 5.2 if that person:\n\n (a) has a valid Certificate of Medical Fitness; and\n (b) there is no evidence that his or her medical condition has altered since the previous medical examination to an extent that would make him or her unfit for the duties to be performed.\n\n6.2 A person is medically fit for the purposes of 5.3 if that person:\n\n (a) has a valid:\n \n (i) Certificate of Medical Fitness; or\n (ii) certificate issued by a qualified medical practitioner in accordance with Appendix 1; and\n (b) there is no evidence that his or her medical condition has altered since the previous medical examination to an extent that would make him or her unfit for the duties to be performed.\n\n### 7 Certificate of Medical Fitness\n\n### 7.1 Application for Certificate of Medical Fitness\n\nA person requiring a Certificate of Medical Fitness must apply to a Medical Inspector of Seamen.\n\nNote: Under s.123 of the Navigation Act, Medical Inspectors of Seamen are appointed by AMSA. No person will be appointed unless he or she is registered as a medical practitioner in a State or Territory of Australia. Preference is given to a person who either has a Fellowship of the Australasian Faculty of Occupational Medicine (AFOM), or is a trainee of AFOM and works under the direct supervision of a Fellow. The names of Medical Inspectors of Seamen may be obtained from any AMSA office.\n\n### 7.2 Medical examination etc\n\nA Medical Inspector of Seamen is to conduct such examinations, tests and interviews and make such enquires in relation to an applicant as appear appropriate to determine whether the applicant is medically fit to perform the intended duties as a seafarer or as a coastal pilot on a ship.\n\n7.3 Determination of fitness\n\n7.3.1 In determining if an applicant is medically fit, a Medical Inspector of Seamen must, in addition to applying normal medical fitness considerations, have regard to the Guidelines for the medical examination of seafarers and coastal pilots, set out in Appendix 2, and any report from an independent panel of medical practitioners convened under 7.3.2.\n\nNote: Where an employer has additional fitness requirements for particular duties or voyages (such as for the handling of specific cargoes or voyages to the Antarctic), the employer should advise the Medical Inspector of Seamen of those requirements and request a supplementary report against them.\n\n7.3.2 If a person has been declared unfit for duty at sea, that person or his or her employer may apply for further examination by an independent panel of medical practitioners, of whom one must be an occupational physician and one a specialist physician/surgeon from the appropriate specialty.\n\nNote: The seafarer may bring further evidence of fitness for duty at sea, including medical reports from treating medical practitioners, for consideration by the independent panel.\n\n### 7.4 Issue of Certificate of Medical Fitness\n\n7.4.1 If a Medical Inspector of Seamen:\n\n (a) is satisfied as to the identity of an applicant;\n (b) is able to attest to the true state of the applicant’s health; and\n (c) determines that the applicant is medically fit to perform the proposed duties,\n\nhe or she is to issue to the applicant a Certificate of Medical Fitness in accordance with Appendix 3.\n\n7.4.2 If a Medical Inspector of Seamen:\n\n (a) is satisfied as to the identity of an applicant;\n (b) is able to attest to the true state of the applicant’s health; and\n (c) determines that the applicant is medically fit to perform duties other than those proposed,\n\nhe or she may issue to the applicant a Certificate of Medical Fitness in accordance with Appendix 3, endorsed to indicate the duty or duties for which the applicant is medically fit.\n\n7.5 Further examination\n\n7.5.1 A person who is refused a Certificate of Medical Fitness may make a second application.\n\n7.5.2 A seafarer who is the holder of a valid Certificate of Medical Fitness may at any time be required by the owner or master of a ship, or by the Manager, to obtain a new certificate where as a result of illness, injury or other cause it is believed the seafarer may no longer meet the standards specified in this Part.\n\n7.5.3 A coastal pilot who is the holder of a valid certificate of medical fitness may at any time be required by the Manager to obtain a new certificate where as a result of illness, injury or other cause it is believed the coastal pilot may no longer meet the standards specified in this Part.\n\n7.6 Period of validity of Certificate of Medical Fitness\n\n7.6.1 Except as provided in 7.6.2, 7.6.3, 7.6.5 and 7.6.6, and subject to 7.7, a Certificate of Medical Fitness is valid from the date of issue for a period of 2 years.\n\n7.6.2 Subject to 7.7, a Certificate of Medical Fitness in respect of a person who on the date of issue was:\n\n (a) less than 17 years of age; or\n (b) 54 years of age or more,\n\nis valid from the date of issue for a period of one year.\n\n7.6.3 An expired Certificate of Medical Fitness may be extended by the Manager for a period of 3 months from the date of its expiry if the holder is to be employed on a ship and;\n\n (b) the holder is unable to be issued with a new Certificate of Medical Fitness in accordance with this Part prior to the ship being taken to sea; and\n (c) the expired Certificate of Medical Fitness has not already been extended by virtue of this provision.\n\n7.6.4 A Certificate of Medical Fitness extended under 7.6.3 is not valid for use by a coastal pilot.\n\n7.6.5 If the period of validity of a Certificate of Medical Fitness expires during the course of a voyage, the Certificate of Medical Fitness continues to be valid until the end of that voyage, except for use by a coastal pilot.\n\n7.6.6 A Certificate of Medical Fitness may be issued for less than the full period if the Medical Inspector of Seamen considers it appropriate.\n\nNote: An example might be where a Medical Inspector of Seamen considers that a person, although fit at the time of the examination, needs to be re-examined to determine the continued efficacy of treatment for a condition.\n\n### 7.7 Cancellation\n\nA Certificate of Medical Fitness is deemed to be cancelled when the person to whom it is issued:\n\n (a) is issued with a later Certificate of Medical Fitness; or\n (b) is required in accordance with 7.5.2 or 7.5.3 to obtain a further Certificate of Medical Fitness.\n\n### 7.8 Production of Certificate of Medical Fitness\n\nA person required by Marine Orders to be the holder of a valid Certificate of Medical Fitness must not fail, except with reasonable excuse, to produce the certificate on demand to the owner or master of a ship on which the person serves or intends to serve, or to a surveyor.\n\n### 7.9 Delivery of cancelled Certificate of Medical Fitness\n\nA person whose Certificate of Medical Fitness is deemed to be cancelled under 7.7 must deliver the Certificate of Medical Fitness to the Manager on demand.\n\n## 8 Aids to vision or hearing\n\nA seafarer or coastal pilot whose Certificate of Medical Fitness indicates that an aid to vision or hearing was used for the purpose of being found fit must at all times when on duty on a ship use such aid or aids and, in the case of an aid to vision, keep a spare aid to vision available.\n\n\\* \\* \\* \\* \\* \\*","sortOrder":4},{"sectionNumber":"2.1","sectionType":"division","heading":"Purpose","content":"### 2.1 Purpose\n\nThis Part:\n\n (a) for the purposes of subsection 15(2) of the Navigation Act 1912, prescribes matters relating to the health of persons performing, or intending to perform, the duties of a qualified master, officer or seaman;\n (b) for the purposes of section 124 of the Navigation Act 1912, makes provision for and in relation to the medical examination of, and the issue of certificates to, masters and seamen and persons proposing to engage in employment as masters or seamen; and\n (c) for the purposes of section 134 of the Navigation Act 1912, makes provision for and in relation to giving effect to the ILO Convention.\n (e) for the purposes of section 186C of the Navigation Act 1912, makes provision for and in relation to the health of pilots;\n (f) gives effect to regulation I/9 annexed to the STCW Convention and section B-I/9 of the STCW Code.","sortOrder":5},{"sectionNumber":"2.2","sectionType":"division","heading":"Application","content":"### 2.2 Application\n\nThis Part applies to: \n\n (a) a person employed, or proposing to engage in employment, on a ship to which section 124 of the Navigation Act applies;\n \n (b) a person performing, or intending to perform, the duties of a coastal pilot;\n (c) a person employed, or proposing to engage in employment, on a sea-going vessel registered in Australia:\n (i) that is not a ship to which section 124 of the Navigation Act applies; and\n (ii) in respect of which a law of a State or of the Northern Territory does not give effect to the ILO Convention; and\n (d) an applicant for the issue or revalidation of certificates under Marine Orders, Part 3.","sortOrder":6},{"sectionNumber":"3","sectionType":"part","heading":"Review of decisions","content":"## 1 Interpretation\n\n1.1 In this Part, unless the contrary intention appears, the following definitions apply:\n\nAMSA means the Australian Maritime Safety Authority;\n\napplicant means a person who applies for a Certificate of Medical Fitness under 7.1;\n\nCertificate of Medical Fitness means a Certificate of Medical Fitness issued in accordance with this Part;\n\ncoastal pilot means a person who is performing, or intends to perform, the duties of a licensed pilot for the purposes of Part VIIA of the Great Barrier Reef Marine Park Act 1975 or Part IIIA of the Navigation Act 1912;\n\nholder, in relation to a certificate, means the person identified as holder by that certificate;\n\nManager means the Manager, Ship Operations and Qualifications, in AMSA, or in respect of any particular function, a suitably qualified person appointed by the Manager, Ship Operations and Qualifications, to carry out that function;\n\nseafarer means a person serving or intending to serve on a ship to which Part II of the Navigation Act applies and includes a master, officer or seaman but does not include a pilot, a person who is not a member of the crew of the ship, a supernumerary, or special personnel as defined in section 283 of the Navigation Act;\n\nsea-going vessel, for the purposes of the ILO Convention, means:\n\n (a) a trading ship on an overseas or interstate voyage; or\n (b) a trading ship of 500 tons gross tonnage or more on a voyage:\n (i) that is not an overseas or interstate voyage; and\n (ii) in the course of which it is not at all times capable, at normal operating speed, of returning to its port of departure in 6 hours or less or reaching its intended next port of call in 6 hours or less;\n\nseaman includes a person engaged on a ship in a trainee capacity, other than a sail trainee as defined in Marine Orders, Part 52;\n\n \nSTCW Code means the Code referred to in the STCW Convention;\n\nSTCW Convention means the International Convention on Standards of Training, Certification and Watchkeeping for Seafarers, 1978, as amended;\n\nthe ILO Convention means the Medical Examination (Seafarers) Convention 1946 adopted by the General Conference of the International Labour Organization on 29 June 1946; and\n\nvalid, in relation to a certificate, means a certificate that is current and that has not been cancelled.\n\n1.2 In this Part:\n\n (a) headings and sub-headings are part of the Part;\n (b) each Appendix is part of the Part;\n (c) a note included in the text and printed in italics is not part of the Part.\n\n## 2 Purpose and application\n\n### 2.1 Purpose\n\nThis Part:\n\n (a) for the purposes of subsection 15(2) of the Navigation Act 1912, prescribes matters relating to the health of persons performing, or intending to perform, the duties of a qualified master, officer or seaman;\n (b) for the purposes of section 124 of the Navigation Act 1912, makes provision for and in relation to the medical examination of, and the issue of certificates to, masters and seamen and persons proposing to engage in employment as masters or seamen; and\n (c) for the purposes of section 134 of the Navigation Act 1912, makes provision for and in relation to giving effect to the ILO Convention.\n (e) for the purposes of section 186C of the Navigation Act 1912, makes provision for and in relation to the health of pilots;\n (f) gives effect to regulation I/9 annexed to the STCW Convention and section B-I/9 of the STCW Code.\n\n### 2.2 Application\n\nThis Part applies to: \n\n (a) a person employed, or proposing to engage in employment, on a ship to which section 124 of the Navigation Act applies;\n \n (b) a person performing, or intending to perform, the duties of a coastal pilot;\n (c) a person employed, or proposing to engage in employment, on a sea-going vessel registered in Australia:\n (i) that is not a ship to which section 124 of the Navigation Act applies; and\n (ii) in respect of which a law of a State or of the Northern Territory does not give effect to the ILO Convention; and\n (d) an applicant for the issue or revalidation of certificates under Marine Orders, Part 3.\n\n## 3 Review of decisions\n\n### 3.1 Reviewable decisions\n\nApplication may be made to the Administrative Appeals Tribunal for review of a decision by the Manager:\n\n (a) requiring a person to obtain a new Certificate of Medical Fitness under 7.5.2 or 7.5.3;\n (b) refusing to accept a certificate as equivalent under 7.10.3.\n\n### 3.2 Statement to accompany notices\n\nIf a person making a decision referred to in 3.1 gives to a person whose interests are affected by the decision notice in writing of the decision, the notice must:\n\n (a) include a statement to the effect that, if the person is dissatisfied with the decision, application may, subject to the Administrative Appeals Tribunal Act 1975, be made to the Administrative Appeals Tribunal for review of the decision; and\n (b) except where subsection 28(4) of that Act applies, also include a statement to the effect that the person may request a statement under section 28 of that Act.\n\n### 3.3 Validity of decisions\n\nFailure to comply with 3.2 in relation to a decision does not affect the validity of that decision.\n\n## 4 Penal provisions\n\nProvisions 5.1, 5.2, 5.3, 7.8, 7.9 and 8 are penal provisions.\n\nNote: Regulation 4 of the Navigation (Orders) Regulations provides:\n\n‘4. A person who contravenes a provision of an order made under subsection 425(1AA) of the Act that is expressed to be a penal provision is guilty of an offence and is punishable on conviction: \n(a) if the offender is a natural personby a fine not exceeding $2,000; or \n(b) if the offender is a body corporateby a fine not exceeding $5,000.\n\n## 5 Requirement to be medically fit\n\n5.1 A person must not perform duties as a seafarer, or be taken into employment to perform duties as a seafarer, on a ship to which section 124 of the Navigation Act applies unless that person is medically fit to perform those duties.\n\n5.2 A person must not perform the duties of a coastal pilot unless that person is medically fit to perform those duties.\n\n5.3 A person must not be employed on a sea-going vessel registered in Australia:\n\n (a) that is not a ship to which section 124 of the Navigation Act applies; and\n (b) in respect of which a law of a State or of the Northern Territory does not give effect to the ILO Convention;\n unless that person is medically fit for that employment.\n\n## 6 Evidence of medical fitness\n\n6.1 A person is medically fit for the purposes of 5.1 or 5.2 if that person:\n\n (a) has a valid Certificate of Medical Fitness; and\n (b) there is no evidence that his or her medical condition has altered since the previous medical examination to an extent that would make him or her unfit for the duties to be performed.\n\n6.2 A person is medically fit for the purposes of 5.3 if that person:\n\n (a) has a valid:\n \n (i) Certificate of Medical Fitness; or\n (ii) certificate issued by a qualified medical practitioner in accordance with Appendix 1; and\n (b) there is no evidence that his or her medical condition has altered since the previous medical examination to an extent that would make him or her unfit for the duties to be performed.\n\n### 7 Certificate of Medical Fitness\n\n### 7.1 Application for Certificate of Medical Fitness\n\nA person requiring a Certificate of Medical Fitness must apply to a Medical Inspector of Seamen.\n\nNote: Under s.123 of the Navigation Act, Medical Inspectors of Seamen are appointed by AMSA. No person will be appointed unless he or she is registered as a medical practitioner in a State or Territory of Australia. Preference is given to a person who either has a Fellowship of the Australasian Faculty of Occupational Medicine (AFOM), or is a trainee of AFOM and works under the direct supervision of a Fellow. The names of Medical Inspectors of Seamen may be obtained from any AMSA office.\n\n### 7.2 Medical examination etc\n\nA Medical Inspector of Seamen is to conduct such examinations, tests and interviews and make such enquires in relation to an applicant as appear appropriate to determine whether the applicant is medically fit to perform the intended duties as a seafarer or as a coastal pilot on a ship.\n\n7.3 Determination of fitness\n\n7.3.1 In determining if an applicant is medically fit, a Medical Inspector of Seamen must, in addition to applying normal medical fitness considerations, have regard to the Guidelines for the medical examination of seafarers and coastal pilots, set out in Appendix 2, and any report from an independent panel of medical practitioners convened under 7.3.2.\n\nNote: Where an employer has additional fitness requirements for particular duties or voyages (such as for the handling of specific cargoes or voyages to the Antarctic), the employer should advise the Medical Inspector of Seamen of those requirements and request a supplementary report against them.\n\n7.3.2 If a person has been declared unfit for duty at sea, that person or his or her employer may apply for further examination by an independent panel of medical practitioners, of whom one must be an occupational physician and one a specialist physician/surgeon from the appropriate specialty.\n\nNote: The seafarer may bring further evidence of fitness for duty at sea, including medical reports from treating medical practitioners, for consideration by the independent panel.\n\n### 7.4 Issue of Certificate of Medical Fitness\n\n7.4.1 If a Medical Inspector of Seamen:\n\n (a) is satisfied as to the identity of an applicant;\n (b) is able to attest to the true state of the applicant’s health; and\n (c) determines that the applicant is medically fit to perform the proposed duties,\n\nhe or she is to issue to the applicant a Certificate of Medical Fitness in accordance with Appendix 3.\n\n7.4.2 If a Medical Inspector of Seamen:\n\n (a) is satisfied as to the identity of an applicant;\n (b) is able to attest to the true state of the applicant’s health; and\n (c) determines that the applicant is medically fit to perform duties other than those proposed,\n\nhe or she may issue to the applicant a Certificate of Medical Fitness in accordance with Appendix 3, endorsed to indicate the duty or duties for which the applicant is medically fit.\n\n7.5 Further examination\n\n7.5.1 A person who is refused a Certificate of Medical Fitness may make a second application.\n\n7.5.2 A seafarer who is the holder of a valid Certificate of Medical Fitness may at any time be required by the owner or master of a ship, or by the Manager, to obtain a new certificate where as a result of illness, injury or other cause it is believed the seafarer may no longer meet the standards specified in this Part.\n\n7.5.3 A coastal pilot who is the holder of a valid certificate of medical fitness may at any time be required by the Manager to obtain a new certificate where as a result of illness, injury or other cause it is believed the coastal pilot may no longer meet the standards specified in this Part.\n\n7.6 Period of validity of Certificate of Medical Fitness\n\n7.6.1 Except as provided in 7.6.2, 7.6.3, 7.6.5 and 7.6.6, and subject to 7.7, a Certificate of Medical Fitness is valid from the date of issue for a period of 2 years.\n\n7.6.2 Subject to 7.7, a Certificate of Medical Fitness in respect of a person who on the date of issue was:\n\n (a) less than 17 years of age; or\n (b) 54 years of age or more,\n\nis valid from the date of issue for a period of one year.\n\n7.6.3 An expired Certificate of Medical Fitness may be extended by the Manager for a period of 3 months from the date of its expiry if the holder is to be employed on a ship and;\n\n (b) the holder is unable to be issued with a new Certificate of Medical Fitness in accordance with this Part prior to the ship being taken to sea; and\n (c) the expired Certificate of Medical Fitness has not already been extended by virtue of this provision.\n\n7.6.4 A Certificate of Medical Fitness extended under 7.6.3 is not valid for use by a coastal pilot.\n\n7.6.5 If the period of validity of a Certificate of Medical Fitness expires during the course of a voyage, the Certificate of Medical Fitness continues to be valid until the end of that voyage, except for use by a coastal pilot.\n\n7.6.6 A Certificate of Medical Fitness may be issued for less than the full period if the Medical Inspector of Seamen considers it appropriate.\n\nNote: An example might be where a Medical Inspector of Seamen considers that a person, although fit at the time of the examination, needs to be re-examined to determine the continued efficacy of treatment for a condition.\n\n### 7.7 Cancellation\n\nA Certificate of Medical Fitness is deemed to be cancelled when the person to whom it is issued:\n\n (a) is issued with a later Certificate of Medical Fitness; or\n (b) is required in accordance with 7.5.2 or 7.5.3 to obtain a further Certificate of Medical Fitness.\n\n### 7.8 Production of Certificate of Medical Fitness\n\nA person required by Marine Orders to be the holder of a valid Certificate of Medical Fitness must not fail, except with reasonable excuse, to produce the certificate on demand to the owner or master of a ship on which the person serves or intends to serve, or to a surveyor.\n\n### 7.9 Delivery of cancelled Certificate of Medical Fitness\n\nA person whose Certificate of Medical Fitness is deemed to be cancelled under 7.7 must deliver the Certificate of Medical Fitness to the Manager on demand.\n\n## 8 Aids to vision or hearing\n\nA seafarer or coastal pilot whose Certificate of Medical Fitness indicates that an aid to vision or hearing was used for the purpose of being found fit must at all times when on duty on a ship use such aid or aids and, in the case of an aid to vision, keep a spare aid to vision available.\n\n\\* \\* \\* \\* \\* \\*","sortOrder":7},{"sectionNumber":"3.1","sectionType":"division","heading":"Reviewable decisions","content":"### 3.1 Reviewable decisions\n\nApplication may be made to the Administrative Appeals Tribunal for review of a decision by the Manager:\n\n (a) requiring a person to obtain a new Certificate of Medical Fitness under 7.5.2 or 7.5.3;\n (b) refusing to accept a certificate as equivalent under 7.10.3.","sortOrder":8},{"sectionNumber":"3.2","sectionType":"division","heading":"Statement to accompany notices","content":"### 3.2 Statement to accompany notices\n\nIf a person making a decision referred to in 3.1 gives to a person whose interests are affected by the decision notice in writing of the decision, the notice must:\n\n (a) include a statement to the effect that, if the person is dissatisfied with the decision, application may, subject to the Administrative Appeals Tribunal Act 1975, be made to the Administrative Appeals Tribunal for review of the decision; and\n (b) except where subsection 28(4) of that Act applies, also include a statement to the effect that the person may request a statement under section 28 of that Act.","sortOrder":9},{"sectionNumber":"3.3","sectionType":"division","heading":"Validity of decisions","content":"### 3.3 Validity of decisions\n\nFailure to comply with 3.2 in relation to a decision does not affect the validity of that decision.","sortOrder":10},{"sectionNumber":"4","sectionType":"part","heading":"Penal provisions","content":"## 4 Penal provisions\n\nProvisions 5.1, 5.2, 5.3, 7.8, 7.9 and 8 are penal provisions.\n\nNote: Regulation 4 of the Navigation (Orders) Regulations provides:\n\n‘4. A person who contravenes a provision of an order made under subsection 425(1AA) of the Act that is expressed to be a penal provision is guilty of an offence and is punishable on conviction: \n(a) if the offender is a natural personby a fine not exceeding $2,000; or \n(b) if the offender is a body corporateby a fine not exceeding $5,000.","sortOrder":11},{"sectionNumber":"5","sectionType":"part","heading":"Requirement to be medically fit","content":"## 5 Requirement to be medically fit\n\n5.1 A person must not perform duties as a seafarer, or be taken into employment to perform duties as a seafarer, on a ship to which section 124 of the Navigation Act applies unless that person is medically fit to perform those duties.\n\n5.2 A person must not perform the duties of a coastal pilot unless that person is medically fit to perform those duties.\n\n5.3 A person must not be employed on a sea-going vessel registered in Australia:\n\n (a) that is not a ship to which section 124 of the Navigation Act applies; and\n (b) in respect of which a law of a State or of the Northern Territory does not give effect to the ILO Convention;\n unless that person is medically fit for that employment.","sortOrder":12},{"sectionNumber":"6","sectionType":"part","heading":"Evidence of medical fitness","content":"## 6 Evidence of medical fitness\n\n6.1 A person is medically fit for the purposes of 5.1 or 5.2 if that person:\n\n (a) has a valid Certificate of Medical Fitness; and\n (b) there is no evidence that his or her medical condition has altered since the previous medical examination to an extent that would make him or her unfit for the duties to be performed.\n\n6.2 A person is medically fit for the purposes of 5.3 if that person:\n\n (a) has a valid:\n \n (i) Certificate of Medical Fitness; or\n (ii) certificate issued by a qualified medical practitioner in accordance with Appendix 1; and\n (b) there is no evidence that his or her medical condition has altered since the previous medical examination to an extent that would make him or her unfit for the duties to be performed.","sortOrder":13},{"sectionNumber":"7","sectionType":"division","heading":"Certificate of Medical Fitness","content":"## 1 Interpretation\n\n1.1 In this Part, unless the contrary intention appears, the following definitions apply:\n\nAMSA means the Australian Maritime Safety Authority;\n\napplicant means a person who applies for a Certificate of Medical Fitness under 7.1;\n\nCertificate of Medical Fitness means a Certificate of Medical Fitness issued in accordance with this Part;\n\ncoastal pilot means a person who is performing, or intends to perform, the duties of a licensed pilot for the purposes of Part VIIA of the Great Barrier Reef Marine Park Act 1975 or Part IIIA of the Navigation Act 1912;\n\nholder, in relation to a certificate, means the person identified as holder by that certificate;\n\nManager means the Manager, Ship Operations and Qualifications, in AMSA, or in respect of any particular function, a suitably qualified person appointed by the Manager, Ship Operations and Qualifications, to carry out that function;\n\nseafarer means a person serving or intending to serve on a ship to which Part II of the Navigation Act applies and includes a master, officer or seaman but does not include a pilot, a person who is not a member of the crew of the ship, a supernumerary, or special personnel as defined in section 283 of the Navigation Act;\n\nsea-going vessel, for the purposes of the ILO Convention, means:\n\n (a) a trading ship on an overseas or interstate voyage; or\n (b) a trading ship of 500 tons gross tonnage or more on a voyage:\n (i) that is not an overseas or interstate voyage; and\n (ii) in the course of which it is not at all times capable, at normal operating speed, of returning to its port of departure in 6 hours or less or reaching its intended next port of call in 6 hours or less;\n\nseaman includes a person engaged on a ship in a trainee capacity, other than a sail trainee as defined in Marine Orders, Part 52;\n\n \nSTCW Code means the Code referred to in the STCW Convention;\n\nSTCW Convention means the International Convention on Standards of Training, Certification and Watchkeeping for Seafarers, 1978, as amended;\n\nthe ILO Convention means the Medical Examination (Seafarers) Convention 1946 adopted by the General Conference of the International Labour Organization on 29 June 1946; and\n\nvalid, in relation to a certificate, means a certificate that is current and that has not been cancelled.\n\n1.2 In this Part:\n\n (a) headings and sub-headings are part of the Part;\n (b) each Appendix is part of the Part;\n (c) a note included in the text and printed in italics is not part of the Part.\n\n## 2 Purpose and application\n\n### 2.1 Purpose\n\nThis Part:\n\n (a) for the purposes of subsection 15(2) of the Navigation Act 1912, prescribes matters relating to the health of persons performing, or intending to perform, the duties of a qualified master, officer or seaman;\n (b) for the purposes of section 124 of the Navigation Act 1912, makes provision for and in relation to the medical examination of, and the issue of certificates to, masters and seamen and persons proposing to engage in employment as masters or seamen; and\n (c) for the purposes of section 134 of the Navigation Act 1912, makes provision for and in relation to giving effect to the ILO Convention.\n (e) for the purposes of section 186C of the Navigation Act 1912, makes provision for and in relation to the health of pilots;\n (f) gives effect to regulation I/9 annexed to the STCW Convention and section B-I/9 of the STCW Code.\n\n### 2.2 Application\n\nThis Part applies to: \n\n (a) a person employed, or proposing to engage in employment, on a ship to which section 124 of the Navigation Act applies;\n \n (b) a person performing, or intending to perform, the duties of a coastal pilot;\n (c) a person employed, or proposing to engage in employment, on a sea-going vessel registered in Australia:\n (i) that is not a ship to which section 124 of the Navigation Act applies; and\n (ii) in respect of which a law of a State or of the Northern Territory does not give effect to the ILO Convention; and\n (d) an applicant for the issue or revalidation of certificates under Marine Orders, Part 3.\n\n## 3 Review of decisions\n\n### 3.1 Reviewable decisions\n\nApplication may be made to the Administrative Appeals Tribunal for review of a decision by the Manager:\n\n (a) requiring a person to obtain a new Certificate of Medical Fitness under 7.5.2 or 7.5.3;\n (b) refusing to accept a certificate as equivalent under 7.10.3.\n\n### 3.2 Statement to accompany notices\n\nIf a person making a decision referred to in 3.1 gives to a person whose interests are affected by the decision notice in writing of the decision, the notice must:\n\n (a) include a statement to the effect that, if the person is dissatisfied with the decision, application may, subject to the Administrative Appeals Tribunal Act 1975, be made to the Administrative Appeals Tribunal for review of the decision; and\n (b) except where subsection 28(4) of that Act applies, also include a statement to the effect that the person may request a statement under section 28 of that Act.\n\n### 3.3 Validity of decisions\n\nFailure to comply with 3.2 in relation to a decision does not affect the validity of that decision.\n\n## 4 Penal provisions\n\nProvisions 5.1, 5.2, 5.3, 7.8, 7.9 and 8 are penal provisions.\n\nNote: Regulation 4 of the Navigation (Orders) Regulations provides:\n\n‘4. A person who contravenes a provision of an order made under subsection 425(1AA) of the Act that is expressed to be a penal provision is guilty of an offence and is punishable on conviction: \n(a) if the offender is a natural personby a fine not exceeding $2,000; or \n(b) if the offender is a body corporateby a fine not exceeding $5,000.\n\n## 5 Requirement to be medically fit\n\n5.1 A person must not perform duties as a seafarer, or be taken into employment to perform duties as a seafarer, on a ship to which section 124 of the Navigation Act applies unless that person is medically fit to perform those duties.\n\n5.2 A person must not perform the duties of a coastal pilot unless that person is medically fit to perform those duties.\n\n5.3 A person must not be employed on a sea-going vessel registered in Australia:\n\n (a) that is not a ship to which section 124 of the Navigation Act applies; and\n (b) in respect of which a law of a State or of the Northern Territory does not give effect to the ILO Convention;\n unless that person is medically fit for that employment.\n\n## 6 Evidence of medical fitness\n\n6.1 A person is medically fit for the purposes of 5.1 or 5.2 if that person:\n\n (a) has a valid Certificate of Medical Fitness; and\n (b) there is no evidence that his or her medical condition has altered since the previous medical examination to an extent that would make him or her unfit for the duties to be performed.\n\n6.2 A person is medically fit for the purposes of 5.3 if that person:\n\n (a) has a valid:\n \n (i) Certificate of Medical Fitness; or\n (ii) certificate issued by a qualified medical practitioner in accordance with Appendix 1; and\n (b) there is no evidence that his or her medical condition has altered since the previous medical examination to an extent that would make him or her unfit for the duties to be performed.\n\n### 7 Certificate of Medical Fitness\n\n### 7.1 Application for Certificate of Medical Fitness\n\nA person requiring a Certificate of Medical Fitness must apply to a Medical Inspector of Seamen.\n\nNote: Under s.123 of the Navigation Act, Medical Inspectors of Seamen are appointed by AMSA. No person will be appointed unless he or she is registered as a medical practitioner in a State or Territory of Australia. Preference is given to a person who either has a Fellowship of the Australasian Faculty of Occupational Medicine (AFOM), or is a trainee of AFOM and works under the direct supervision of a Fellow. The names of Medical Inspectors of Seamen may be obtained from any AMSA office.\n\n### 7.2 Medical examination etc\n\nA Medical Inspector of Seamen is to conduct such examinations, tests and interviews and make such enquires in relation to an applicant as appear appropriate to determine whether the applicant is medically fit to perform the intended duties as a seafarer or as a coastal pilot on a ship.\n\n7.3 Determination of fitness\n\n7.3.1 In determining if an applicant is medically fit, a Medical Inspector of Seamen must, in addition to applying normal medical fitness considerations, have regard to the Guidelines for the medical examination of seafarers and coastal pilots, set out in Appendix 2, and any report from an independent panel of medical practitioners convened under 7.3.2.\n\nNote: Where an employer has additional fitness requirements for particular duties or voyages (such as for the handling of specific cargoes or voyages to the Antarctic), the employer should advise the Medical Inspector of Seamen of those requirements and request a supplementary report against them.\n\n7.3.2 If a person has been declared unfit for duty at sea, that person or his or her employer may apply for further examination by an independent panel of medical practitioners, of whom one must be an occupational physician and one a specialist physician/surgeon from the appropriate specialty.\n\nNote: The seafarer may bring further evidence of fitness for duty at sea, including medical reports from treating medical practitioners, for consideration by the independent panel.\n\n### 7.4 Issue of Certificate of Medical Fitness\n\n7.4.1 If a Medical Inspector of Seamen:\n\n (a) is satisfied as to the identity of an applicant;\n (b) is able to attest to the true state of the applicant’s health; and\n (c) determines that the applicant is medically fit to perform the proposed duties,\n\nhe or she is to issue to the applicant a Certificate of Medical Fitness in accordance with Appendix 3.\n\n7.4.2 If a Medical Inspector of Seamen:\n\n (a) is satisfied as to the identity of an applicant;\n (b) is able to attest to the true state of the applicant’s health; and\n (c) determines that the applicant is medically fit to perform duties other than those proposed,\n\nhe or she may issue to the applicant a Certificate of Medical Fitness in accordance with Appendix 3, endorsed to indicate the duty or duties for which the applicant is medically fit.\n\n7.5 Further examination\n\n7.5.1 A person who is refused a Certificate of Medical Fitness may make a second application.\n\n7.5.2 A seafarer who is the holder of a valid Certificate of Medical Fitness may at any time be required by the owner or master of a ship, or by the Manager, to obtain a new certificate where as a result of illness, injury or other cause it is believed the seafarer may no longer meet the standards specified in this Part.\n\n7.5.3 A coastal pilot who is the holder of a valid certificate of medical fitness may at any time be required by the Manager to obtain a new certificate where as a result of illness, injury or other cause it is believed the coastal pilot may no longer meet the standards specified in this Part.\n\n7.6 Period of validity of Certificate of Medical Fitness\n\n7.6.1 Except as provided in 7.6.2, 7.6.3, 7.6.5 and 7.6.6, and subject to 7.7, a Certificate of Medical Fitness is valid from the date of issue for a period of 2 years.\n\n7.6.2 Subject to 7.7, a Certificate of Medical Fitness in respect of a person who on the date of issue was:\n\n (a) less than 17 years of age; or\n (b) 54 years of age or more,\n\nis valid from the date of issue for a period of one year.\n\n7.6.3 An expired Certificate of Medical Fitness may be extended by the Manager for a period of 3 months from the date of its expiry if the holder is to be employed on a ship and;\n\n (b) the holder is unable to be issued with a new Certificate of Medical Fitness in accordance with this Part prior to the ship being taken to sea; and\n (c) the expired Certificate of Medical Fitness has not already been extended by virtue of this provision.\n\n7.6.4 A Certificate of Medical Fitness extended under 7.6.3 is not valid for use by a coastal pilot.\n\n7.6.5 If the period of validity of a Certificate of Medical Fitness expires during the course of a voyage, the Certificate of Medical Fitness continues to be valid until the end of that voyage, except for use by a coastal pilot.\n\n7.6.6 A Certificate of Medical Fitness may be issued for less than the full period if the Medical Inspector of Seamen considers it appropriate.\n\nNote: An example might be where a Medical Inspector of Seamen considers that a person, although fit at the time of the examination, needs to be re-examined to determine the continued efficacy of treatment for a condition.\n\n### 7.7 Cancellation\n\nA Certificate of Medical Fitness is deemed to be cancelled when the person to whom it is issued:\n\n (a) is issued with a later Certificate of Medical Fitness; or\n (b) is required in accordance with 7.5.2 or 7.5.3 to obtain a further Certificate of Medical Fitness.\n\n### 7.8 Production of Certificate of Medical Fitness\n\nA person required by Marine Orders to be the holder of a valid Certificate of Medical Fitness must not fail, except with reasonable excuse, to produce the certificate on demand to the owner or master of a ship on which the person serves or intends to serve, or to a surveyor.\n\n### 7.9 Delivery of cancelled Certificate of Medical Fitness\n\nA person whose Certificate of Medical Fitness is deemed to be cancelled under 7.7 must deliver the Certificate of Medical Fitness to the Manager on demand.\n\n## 8 Aids to vision or hearing\n\nA seafarer or coastal pilot whose Certificate of Medical Fitness indicates that an aid to vision or hearing was used for the purpose of being found fit must at all times when on duty on a ship use such aid or aids and, in the case of an aid to vision, keep a spare aid to vision available.\n\n\\* \\* \\* \\* \\* \\*","sortOrder":14},{"sectionNumber":"7.1","sectionType":"division","heading":"Application for Certificate of Medical Fitness","content":"### 7.1 Application for Certificate of Medical Fitness\n\nA person requiring a Certificate of Medical Fitness must apply to a Medical Inspector of Seamen.\n\nNote: Under s.123 of the Navigation Act, Medical Inspectors of Seamen are appointed by AMSA. No person will be appointed unless he or she is registered as a medical practitioner in a State or Territory of Australia. Preference is given to a person who either has a Fellowship of the Australasian Faculty of Occupational Medicine (AFOM), or is a trainee of AFOM and works under the direct supervision of a Fellow. The names of Medical Inspectors of Seamen may be obtained from any AMSA office.","sortOrder":15},{"sectionNumber":"7.2","sectionType":"division","heading":"Medical examination etc","content":"### 7.2 Medical examination etc\n\nA Medical Inspector of Seamen is to conduct such examinations, tests and interviews and make such enquires in relation to an applicant as appear appropriate to determine whether the applicant is medically fit to perform the intended duties as a seafarer or as a coastal pilot on a ship.\n\n7.3 Determination of fitness\n\n7.3.1 In determining if an applicant is medically fit, a Medical Inspector of Seamen must, in addition to applying normal medical fitness considerations, have regard to the Guidelines for the medical examination of seafarers and coastal pilots, set out in Appendix 2, and any report from an independent panel of medical practitioners convened under 7.3.2.\n\nNote: Where an employer has additional fitness requirements for particular duties or voyages (such as for the handling of specific cargoes or voyages to the Antarctic), the employer should advise the Medical Inspector of Seamen of those requirements and request a supplementary report against them.\n\n7.3.2 If a person has been declared unfit for duty at sea, that person or his or her employer may apply for further examination by an independent panel of medical practitioners, of whom one must be an occupational physician and one a specialist physician/surgeon from the appropriate specialty.\n\nNote: The seafarer may bring further evidence of fitness for duty at sea, including medical reports from treating medical practitioners, for consideration by the independent panel.","sortOrder":16},{"sectionNumber":"7.4","sectionType":"division","heading":"Issue of Certificate of Medical Fitness","content":"### 7.4 Issue of Certificate of Medical Fitness\n\n7.4.1 If a Medical Inspector of Seamen:\n\n (a) is satisfied as to the identity of an applicant;\n (b) is able to attest to the true state of the applicant’s health; and\n (c) determines that the applicant is medically fit to perform the proposed duties,\n\nhe or she is to issue to the applicant a Certificate of Medical Fitness in accordance with Appendix 3.\n\n7.4.2 If a Medical Inspector of Seamen:\n\n (a) is satisfied as to the identity of an applicant;\n (b) is able to attest to the true state of the applicant’s health; and\n (c) determines that the applicant is medically fit to perform duties other than those proposed,\n\nhe or she may issue to the applicant a Certificate of Medical Fitness in accordance with Appendix 3, endorsed to indicate the duty or duties for which the applicant is medically fit.\n\n7.5 Further examination\n\n7.5.1 A person who is refused a Certificate of Medical Fitness may make a second application.\n\n7.5.2 A seafarer who is the holder of a valid Certificate of Medical Fitness may at any time be required by the owner or master of a ship, or by the Manager, to obtain a new certificate where as a result of illness, injury or other cause it is believed the seafarer may no longer meet the standards specified in this Part.\n\n7.5.3 A coastal pilot who is the holder of a valid certificate of medical fitness may at any time be required by the Manager to obtain a new certificate where as a result of illness, injury or other cause it is believed the coastal pilot may no longer meet the standards specified in this Part.\n\n7.6 Period of validity of Certificate of Medical Fitness\n\n7.6.1 Except as provided in 7.6.2, 7.6.3, 7.6.5 and 7.6.6, and subject to 7.7, a Certificate of Medical Fitness is valid from the date of issue for a period of 2 years.\n\n7.6.2 Subject to 7.7, a Certificate of Medical Fitness in respect of a person who on the date of issue was:\n\n (a) less than 17 years of age; or\n (b) 54 years of age or more,\n\nis valid from the date of issue for a period of one year.\n\n7.6.3 An expired Certificate of Medical Fitness may be extended by the Manager for a period of 3 months from the date of its expiry if the holder is to be employed on a ship and;\n\n (b) the holder is unable to be issued with a new Certificate of Medical Fitness in accordance with this Part prior to the ship being taken to sea; and\n (c) the expired Certificate of Medical Fitness has not already been extended by virtue of this provision.\n\n7.6.4 A Certificate of Medical Fitness extended under 7.6.3 is not valid for use by a coastal pilot.\n\n7.6.5 If the period of validity of a Certificate of Medical Fitness expires during the course of a voyage, the Certificate of Medical Fitness continues to be valid until the end of that voyage, except for use by a coastal pilot.\n\n7.6.6 A Certificate of Medical Fitness may be issued for less than the full period if the Medical Inspector of Seamen considers it appropriate.\n\nNote: An example might be where a Medical Inspector of Seamen considers that a person, although fit at the time of the examination, needs to be re-examined to determine the continued efficacy of treatment for a condition.","sortOrder":17},{"sectionNumber":"7.7","sectionType":"division","heading":"Cancellation","content":"### 7.7 Cancellation\n\nA Certificate of Medical Fitness is deemed to be cancelled when the person to whom it is issued:\n\n (a) is issued with a later Certificate of Medical Fitness; or\n (b) is required in accordance with 7.5.2 or 7.5.3 to obtain a further Certificate of Medical Fitness.","sortOrder":18},{"sectionNumber":"7.8","sectionType":"division","heading":"Production of Certificate of Medical Fitness","content":"### 7.8 Production of Certificate of Medical Fitness\n\nA person required by Marine Orders to be the holder of a valid Certificate of Medical Fitness must not fail, except with reasonable excuse, to produce the certificate on demand to the owner or master of a ship on which the person serves or intends to serve, or to a surveyor.","sortOrder":19},{"sectionNumber":"7.9","sectionType":"division","heading":"Delivery of cancelled Certificate of Medical Fitness","content":"### 7.9 Delivery of cancelled Certificate of Medical Fitness\n\nA person whose Certificate of Medical Fitness is deemed to be cancelled under 7.7 must deliver the Certificate of Medical Fitness to the Manager on demand.","sortOrder":20},{"sectionNumber":"8","sectionType":"part","heading":"Aids to vision or hearing","content":"## 8 Aids to vision or hearing\n\nA seafarer or coastal pilot whose Certificate of Medical Fitness indicates that an aid to vision or hearing was used for the purpose of being found fit must at all times when on duty on a ship use such aid or aids and, in the case of an aid to vision, keep a spare aid to vision available.\n\n\\* \\* \\* \\* \\* \\*","sortOrder":21},{"sectionNumber":"Appendix 1","sectionType":"part","heading":"Appendix 1","content":"## Appendix 1\n\n## Medical certificate evidencing fitness \nfor work in a sea-going vessel\n\n1. A medical certificate in respect of a person may only be issued by a duly qualified medical practitioner who, being satisfied after conducting such examinations, tests and interviews and making such enquires in relation to the person as appear appropriate, is satisfied that the person is medically fit to serve on a ship.\n\n2. In deciding on fitness for service, the medical practitioner is, in addition to normal medical fitness considerations, to have regard to the age of the person and the nature of the duties to be performed.\n\n3. A medical certificate is to attest:\n\n (a) that the hearing and sight of the person and, in the case of a person to be employed in the deck department, colour vision, are all satisfactory;\n (b) that the person is not suffering from any disease likely to be aggravated by, or to render the person unfit for, service at sea or likely to endanger the health of other persons on board.\n\n4. A medical certificate is to remain in force for a period not exceeding 2 years from the date on which it was granted.\n\n5. Colour vision needs to be examined only every 6 years.\n\n6. If the period of validity of a medical certificate expires in the course of a voyage, the certificate is to continue in force until the end of that voyage.\n\n7. A person who has been refused a medical certificate is entitled to a second examination by a medical practitioner who is independent of any shipowner or of any organisation of shipowners or seafarers.\n\n8. A person who is the holder of a valid medical certificate may at any time be required by the owner or master of a ship to obtain a new certificate where as a result of illness, injury or other cause it is believed the person may no longer meet appropriate minimum standards.\n\n\\* \\* \\* \\* \\*","sortOrder":22},{"sectionNumber":"Medical certificate evidencing fitness f","sectionType":"part","heading":"Medical certificate evidencing fitness for work in a sea-going vessel","content":"## Medical certificate evidencing fitness \nfor work in a sea-going vessel\n\n1. A medical certificate in respect of a person may only be issued by a duly qualified medical practitioner who, being satisfied after conducting such examinations, tests and interviews and making such enquires in relation to the person as appear appropriate, is satisfied that the person is medically fit to serve on a ship.\n\n2. In deciding on fitness for service, the medical practitioner is, in addition to normal medical fitness considerations, to have regard to the age of the person and the nature of the duties to be performed.\n\n3. A medical certificate is to attest:\n\n (a) that the hearing and sight of the person and, in the case of a person to be employed in the deck department, colour vision, are all satisfactory;\n (b) that the person is not suffering from any disease likely to be aggravated by, or to render the person unfit for, service at sea or likely to endanger the health of other persons on board.\n\n4. A medical certificate is to remain in force for a period not exceeding 2 years from the date on which it was granted.\n\n5. Colour vision needs to be examined only every 6 years.\n\n6. If the period of validity of a medical certificate expires in the course of a voyage, the certificate is to continue in force until the end of that voyage.\n\n7. A person who has been refused a medical certificate is entitled to a second examination by a medical practitioner who is independent of any shipowner or of any organisation of shipowners or seafarers.\n\n8. A person who is the holder of a valid medical certificate may at any time be required by the owner or master of a ship to obtain a new certificate where as a result of illness, injury or other cause it is believed the person may no longer meet appropriate minimum standards.\n\n\\* \\* \\* \\* \\*","sortOrder":23},{"sectionNumber":"Appendix 2","sectionType":"part","heading":"Appendix 2","content":"## Appendix 2\n\nGuidelines for the medical examination \nof seafarers and coastal pilots\n\nHow to use these guidelines\n\nThese guidelines should be read in full, at least once, at the time of issue.\n\nWhen a seafarer presents for a medical:\n\n| 1. Refer to the relevant job task analysis in Annex 1 of these Guidelines.2. Examine the person and note any abnormalities on either history or physical examination.3. If any abnormalities are detected, refer to the appropriate section in the guidelines.4. Complete the Certificate of Medical Fitness and make appropriate follow-up and referral arrangements for seafarers found to be temporarily or permanently unfit for duties.5. If unclear about administrative procedures, contact the Manager, Ship Operations and Qualifications at the Australian Maritime Safety Authority on: 1800 021 098. |\n| ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |\n\nContents","sortOrder":24},{"sectionNumber":"Part A Seafaring and medical fitness","sectionType":"subdivision","heading":"Part A Seafaring and medical fitness","content":"#### Part A Seafaring and medical fitness\n\n1. Introduction\n\n \\- Why is fitness important?\n \\- The work environment of seafarers\n\n2. Procedures\n\n \\- Frequency of health assessment\n \\- What information goes to the employer, AMSA and the seafarer?\n \\- Health assessment outcomes\n\n3. Forms\n\nPart B Medical standards\n\n1. Overview\n\n2. Obesity\n\n \\- Body morphology\n\n3. Eyes/vision\n\n \\- visual acuity\n \\- colour vision\n \\- Table 1: Seafarers’ visual standards\n\n4. Hearing, ear, nose and throat\n\n \\- Hearing standard\n \\- Table 2: Minimum standards of Hearing for Deck and Engine Departments\n \\- The conduct of the conversation test\n \\- Other ear, nose and throat conditions\n\n5. Cardiovascular\n\n \\- Ischaemic heart disease\n \\- Arrhythmia/pacemaker\n \\- Valvular heart disease\n \\- Cardiomyopathy\n \\- Aneurysms\n \\- Hypertension\n \\- Congenital heart disease\n \\- Peripheral circulation\n \\- Pulmonary circulation\n\n6. Respiratory\n\n \\- Pneumothorax\n \\- Asthma\n \\- Reduced lung function\n \\- Tuberculosis\n \\- Chest X-rays\n\n7. Gastrointestinal\n\n \\- Teeth and gums\n \\- Peptic ulcer\n \\- Liver and pancreas\n \\- Gall bladder disease\n \\- Hernia\n \\- Colostomies\n \\- Enteric diseases\n\n8. Genitourinary\n\n9. Neurological system\n\n \\- Epilepsy\n \\- Migraine\n \\- Stroke\n \\- Transient ischaemic attacks (TIAs)\n \\- Neuromuscular Disorders including Multiple Sclerosis, Parkinsonism\n\n10. Psychiatric conditions\n\n11. Prescribed medication, drugs and alcohol\n\n \\- Prescribed drugs\n \\- Table 3: Classes of drugs with potential to affect an individual’s skills to operate ships, boats, plant and equipment, including cranes\n \\- Illegal drugs\n \\- Alcohol\n\n12. Musculoskeletal\n\n13. Diabetes and endocrine\n\n \\- Diabetes mellitus\n \\- Thyroid disease\n \\- Adrenal disease\n\n14. Skin disorders\n\n \\- Infections\n \\- Dermatoses\n\n15. Haemopoietic\n\n16. Infectious diseases\n\n17. Neoplasms\n\nPart A Seafaring and Medical Fitness\n\n1 Introduction\n\nMarine Orders, Part 9 (Medical Fitness of Seafarers) is administered by the Australian Maritime Safety Authority. Part 9 makes provision for the issue of Certificates of Medical Fitness for duty at sea of seafarers (masters, mates, engineers and integrated ratings) and gives effect to Article 3 of ILO convention 73.\n\nThese guidelines have been compiled for the use of Medical Inspectors who are assessing an individual’s fitness to work at sea. The medical fitness standards have been developed in relation to the basic job task analyses in Annex 1 to these Guidelines. An employing company may have more stringent guidelines developed by its own occupational physician. Such guidelines will depend on the nature of the jobs and any specific equipment operated. Where such guidelines exist, they should be followed.\n\nWhile the final judgement on whether or not an applicant is fit to work in a \nparticular job at sea rests with the Medical Inspector, these guidelines draw attention to those conditions that have the potential to present a high level of risk in some circumstances.\n\n1.1 Why is fitness important?\n\n1.1.1 Employers have a duty of care to provide a safe work environment and protect the health, safety and welfare of employees. Employees similarly have a duty of care for their own safety and that of the people they work with and the community. Medical assessment of fitness is one aspect of meeting this duty of care.\n\n1.1.2 The primary objectives of a medical assessment of fitness for duty at sea are:\n\n| to ensure that individuals are fit to perform the essential tasks of their job at sea effectively |\n| --------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |\n| and |\n| to anticipate and, where possible, prevent the avoidable occurrence of ill-health offshore which could place individuals, their colleagues and emergency personnel at risk. |\n\n1.1.3 Medical conditions may impinge on work in the following areas:\n\n (a) the condition may limit, reduce or prevent an individual from performing the job effectively eg loss of mobility and dexterity making engine room work and other maintenance tasks difficult;\n (b) the condition may be made worse by the job eg an asthmatic exposed to allergens on a grain ship;\n (c) the condition may make it unsafe for the person to do the job eg liability to sudden loss of consciousness whilst transferring from a smaller vessel to a larger vessel by climbing a rope ladder;\n (d) the condition is likely to make it unsafe both for the individual and other crew eg a ships crane operator liable to sudden loss of consciousness; catering crew with infectious hepatitis or gastro-enteritis;\n (e) the condition is likely to make it unsafe for other shipping eg a master or mate who is at risk of sudden loss of consciousness due to a cardiac arrhythmia;\n (f) the condition, if it worsens, is one which will require emergency evacuation for medical treatment eg gastric ulcer haemorrhage.\n\n1.2 The work environment of seafarers\n\n1.2.1 Medical Inspectors should bear in mind the aspects of seafaring life, listed below, when assessing fitness for duty at sea.\n\n1.2.2 As ships often operate far offshore or in inaccessible areas, it is often difficult to replace seafarers who become injured or ill. Many ships have only the minimal number of persons on board necessary to operate the ship; thus the incapacitation of even one seafarer may place a substantial additional burden on his or her shipmates.\n\n1.2.3 Ships’ officers generally receive basic first-aid and other medical training, and ships are usually equipped with basic medical supplies. Nevertheless, it is often quite difficult to transport sick or injured seafarers ashore where they can be treated by qualified physicians. In some geographical areas, the closest medical care ashore may be well below the standard of the seafarer’s home country. It is therefore inadvisable and often unsafe to allow persons with certain medical conditions to become seafarers or to return to seagoing employment.\n\n1.2.4 Seafarers live close to each other at sea, often for long periods. Contagious diseases therefore may be a serious threat, endangering not only the health of other seafarers but also the safety of the ship and, where carried, passengers. It is particularly important that seafarers concerned with the preparation of food do not suffer from conditions which may be transmitted to others through their work.\n\n1.2.5 Seafarers should be medically fit to perform their normal duties correctly and to be able to respond to emergency situations (eg fighting fires, lowering lifeboats, assisting passengers).\n\n1.2.6 Seafarers should be able to adjust to the often violent motions of the ship, to be able to live and work in sometimes cramped spaces, to be able to climb ladders, to lift heavy weights and to be able to withstand exposure to harsh weather conditions on deck or excessive heat in the machinery spaces. They should not suffer from conditions which are exacerbated by air travel.\n\n1.2.7 Seafarers should be able to live and work closely with the same people for weeks and perhaps months on end and under occasionally stressful conditions. They should be capable of dealing effectively with isolation from family and friends and, in some cases, from persons of their own cultural background.\n\n1.2.8 Shipping operations and shipboard duties vary substantially. For a fuller understanding of physical demands of particular categories of work on board ship, the Medical Inspector should consult the employer.\n\n2 Procedures\n\n2.1 Frequency of health assessments\n\n2.1.1 All seafarers and coastal pilots should be assessed as to medical fitness for duties at sea:\n\n  less than 18 years of age: annually\n  18 - 54 years of age: two-yearly\n  55 years of age and over: annually with resting ECG (stress ECG, if in safety critical job and clinically indicated)\n  if there is a change in the medical condition of the employee\n  after prolonged sickness absence of 3 months or more due to injury or illness.\n\n2.2 What information goes to the employer, AMSA and the seafarer?\n\nConfidentiality\n\n2.2.1 The employer, AMSA and the applicant/seafarer will receive a copy of the Certificate of Medical Fitness.\n\n2.2.2 The Medical Inspector (or successor) should keep all the medical examination forms, including results of investigations in a confidential file, for a period of at least 30 years. This information is not to be released to any person, agency or employer without a signed consent form or as required by law.\n\n2.3 Health assessment outcomes\n\n2.3.1 An applicant or seafarer is either fit for the intended duties at sea or unfit.\n\n2.3.2 Those declared unfit may be temporarily or permanently unfit or may be fit for duties other than the intended duties.\n\n2.3.3 If temporarily unfit, the Medical Inspector should specify a minimum period after which the assessment can be reviewed.\n\n3 Forms\n\nThe form of the Certificate of Medical Fitness is prescribed in Appendix 3 to Marine Orders, Part 9. Other forms that may be found useful are available from AMSA, freecall 1800 021 098 or from the AMSA web site at [www.amsa.gov.au](http://www.amsa.gov.au).\n\nPart B Medical Standards\n\n1 Overview\n\n1.1 This section provides information and guidance on medical conditions which may affect individuals in the safe performance of their duties at sea.\n\n1.2 The medical standards attempt to be specific and give examples of tasks/jobs which may be affected. The standards cannot cover every clinical situation and the Medical Inspector should exercise judgement in relation to the key objective - maintaining safety. For example, could the condition cause sudden loss of control of a ship, or sudden loss of consciousness when working at heights, or interfere with the performance of emergency duties?\n\n1.3 Medical Inspectors should make a comprehensive medical assessment of overall health in the knowledge that errors or omissions of a critical task in some jobs can lead to serious consequences in terms of human health and life, environmental impact and/or major property loss.\n\n1.4 The critical time needed for treatment/access to appropriate land-based care is also a consideration when determining fitness.\n\n1.5 Medical Inspectors of Seafarers should consider what medical conditions could increase the probability of poor performance of critical tasks, and the probability and severity of the consequences when determining “Is this applicant medically fit for duty at sea?”.\n\n2. Obesity\n\nBody morphology\n\n2.1 As obesity can hamper evacuation procedures, persons with a body mass index of more than 30 kg/m2 should be able to demonstrate that they can climb ladders and fit through hatches. An Occupational Physician or an Occupational Therapist may need to conduct a functional assessment on board ship.\n\n2.2 A body mass index of more than 35 kg/m2 presents a high risk. Applicants in this category may need to undertake weight reduction and be reassessed. It should be noted that sleep apnoea is more common in those with morbid obesity, as are diabetes and hypertension.\n\n3. Eyes / vision\n\nVisual acuity\n\n3.1 Far vision is required for:\n\n (a) watchkeeping duties; and\n (b) control of ships, ships’ small craft and cranes.\n\n3.2 Near vision is required to read charts, weather maps, computer screens, monitors and instructions.\n\n3.3 Night and depth vision are required for watchkeeping and control of the ship (depth vision is especially important for operating cranes at close distances).\n\nColour vision\n\n3.4 Good colour vision is required for bridge watchkeeping duties to distinguish red and green port and starboard channel markers, navigation beacons and ships’ navigation lights. The ability to identify red, green and white navigation lights is an essential part of the job for masters, deck officers and seamen required to carry out lookout duties.\n\n3.5 Impaired colour vision presents a risk to engineers who may be required to distinguish the colours of electrical wiring in order to make proper electrical connections. As such, it presents a risk depending on the degree of impairment that may affect a person’s ability to perform his duties. However, engineers and ratings may provide evidence from a relevant employer that, within the last two years, impaired colour vision, if present, has not been found to affect their work.\n\n3.6 When testing colour vision, coloured lenses should not be worn by the seafarer.\n\nNote: The wearing of contact lenses or spectacles with chromagen lenses with red filters will increase the contrast of greens, yellows & browns, thus enabling a colour deficient seafarer to pass the Ishihara test. Unfortunately, these lenses are not sufficient to enable safe watchkeeping duties at sea.\n\n3.7 Information regarding colour vision impairment must be provided on the medical certificate to assist the employer to make an appropriate decision regarding engagement or continued employment.\n\nNote: Guidance on appropriate screening for colour vision is contained in Annex 2 of these Guidelines.","sortOrder":25},{"sectionNumber":"Annex 1","sectionType":"part","heading":"Annex 1","content":"## Annex 1\n\nJob task analyses\n\nTable 1 Master/Mate/Pilot\n\nTable 2 Chief Engineer/Engineer/ Electrician/Fitter\n\nTable 3 Chief Integrated Rating/Integrated Ratings\n\nTable 4 Chief Cook/Cook/Steward\n\nTable 5 Catering Attendant and Steward","sortOrder":26},{"sectionNumber":"Guidance in screening for colour vision","sectionType":"part","heading":"Guidance in screening for colour vision","content":"Annex 2\n\n# Guidance in screening for colour vision\n\n### 1 Need for good colour vision\n\n1.1 Deck officers need to be able to distinguish red, green and white navigation lights in order to be able to make correct decisions regarding the aspect of an approaching vessel, and regarding what action needs to be taken, if any, to avoid a collision. Confusion between such lights would lead to incorrect decisions being taken, with the potential for collision and resultant deaths, injuries and loss.\n\n1.2 Ratings on lookout duty similarly need to be able to distinguish red, green and white navigation lights in order to provide correct advice to the officer of the watch.\n\n1.3 Engineering officers and ratings on engine room duty need to be able to distinguish both warning lights (normally coloured red) from correct status lights (normally coloured white or green) and also need to be able to distinguish the colours of electrical wires when making connexions.\n\n2 Tests\n\n2.1 The Ishihara pseudoisochromatic tests should be used to screen seafarers in the deck and engine departments for colour vision impairment. If the tests indicate impaired colour vision, further testing should be carried out.\n\n2.2 In the case of persons in the deck department who are required to keep watches, the further test should use the Holmes-Wright Type B lantern test. This test is conducted by some ophthalmologists and the Schools of Optometry in various Universities.\n\n2.3 In the case of persons in the engine department whose duties may include making electrical connexions, the further test should be the UK Electricity Supply Industry Colour Vision Trade Test.\n\nNote: For information on where to refer seafarers with colour vision deficiencies, contact the Manager, Ship Operations and Qualification at the Australian Maritime Safety Authority, on 1800 021 098.\n\n### 3 Ishihara Test\n\n3.1 The Ishihara pseudoisochromatic tests (using either the full set of 38 plates or the abridged version of 24 plates) should be used.\n\n3.2 A satisfactory response on all plates on the first showing, or a single wrong response on first showing which is corrected on a second or third showing, should be considered to indicate ‘Normal’ colour vision. If the tests indicate impaired colour vision, further testing should be carried out.\n\n4 Holmes Wright Type B Lantern Test\n\n4.1 The lantern test is a practical test of a person's ability, in conditions simulated to represent a watchkeeping situation, to recognise and discriminate between navigation lights used at sea.\n\n4.2 A lantern test is conducted by means of a Holmes/Wright type B lantern, which projects red, green and white lights viewed indirectly through a polished mirror at a virtual distance of 6 metres from the eyes. The large aperture of the lantern projects one coloured light at a time and the small apertures project 2 coloured lights side by side at a time. Each full circuit of the lantern contains 9 settings of single large apertures or 9 settings of small apertures. The small apertures of the lantern show any combination of 2 of the 3 colours.\n\n4.3 A person who uses an aid to vision for a letter test is required to use the same aid to vision in the lantern test.\n\n4.4 A person who does not use an aid to vision for a letter test is not permitted to use an aid to vision in the lantern test.\n\n4.5 A person undergoing the lantern test must not wear a tinted aid to vision for the purpose of passing the test.\n\n4.6 The lantern test must be conducted in a room from which daylight is excluded.\n\n4.7 A person who requires to adapt to conditions of darkness is to be allowed up to 10 minutes complete or partial darkness in preparation for the lantern test.\n\n4.8 A person is considered to have passed the lantern test if he or she correctly names the colours of one full circuit of large apertures, 4 full circuits of small apertures shown in sequence, and 9 sets of small apertures shown at random.\n\n4.9 The procedures specified in 4.10 to 4.16 should be followed if a person undertaking the lantern test fails to achieve a pass in accordance with 4.8.\n\n4.10 At the first mistake in naming a colour correctly, the examiner must inform the person being tested of the mistake and continue the test, adding a further circuit.\n\n4.11 1f no further mistake is made in the test and the further circuit, the person being tested will be considered to have passed.\n\n4.12 If a second mistake is made, the procedure under 4.10 and 4.11 of this Appendix is to be repeated.\n\n4.13 If a third mistake is made, the test is to be repeated from the start after the person being tested has been given the opportunity to rest his or her eyes or regain composure.\n\n4.14 In repeating the test under 4.13, the examiner is to record the result but not inform the person being tested of mistakes being made.\n\n4.15 A person who in the repeated test under 4.13, correctly names all colours in accordance with 4.8 will be considered to have passed.\n\n4.16 A mistake of red for green or green for red in the repeated test under 4.13 means failure of the lantern test.\n\n4.17 A person who has failed the lantern test may request a further test.\n\n5 Colour Vision Trade Test\n\n5.1 When mistakes are made on the Ishihara pseudoisochromatic plates, this test should be used.\n\n5.2 The applicant should sit opposite the Medical Inspector in good natural light. One at a time, each of the coloured wires should be placed in front of the applicant on a flat surface. The applicant should be asked to identify the colour of the wire. Slowness in answering indicates difficulties. Care must be taken that the applicant cannot compare the colour of one wire with others.\n\n5.3 Applicants who wrongly identify a colour should be given an individual wire. The examiner should then present all nine wires to the applicant one at a time. The candidate should be asked to indicate when there is a match. All nine colours should be tested in this way.\n\n5.4 Failure to find a correct match shows unreliable colour vision.\n\n5.5 Matching colours correctly but wrongly identifying them singly, means mistakes will be made in identifying certain colours without comparing them with others.\n\n6 The apparatus required is:\n\n One centimetre of coloured plastic covered wire is exposed on a white card housed in a photographic colour transparency slide, size 5 x 5 cm, with a viewing window of 3.5 x 2.5 cm. Two complete sets of colours are made up (18 slides), these being housed in a slide magazine.\n\n For matching purposes 9 individual wires are to be available, one in each colour, each 2.5 cm long.\n\n Nine colours are to be used: white, black, yellow, red, grey, blue, orange, green and brown.\n\n All wires used should have the same diameter, which should be in the range 0.8 to 1.1 mm. Wire of 0.89 mm diameter is preferred, if available.\n\n\\* \\* \\* \\* \\* \\*","sortOrder":27},{"sectionNumber":"Appendix 3","sectionType":"part","heading":"Appendix 3","content":"## Appendix 3\n\nForm of Certificate of Medical Fitness\n\n```html\n

Certificate of Medical Fitness

Name

Sex

PIN

Last name

First names

Male

Female

Home address

Proof of identity

Photo driver’s licence

Passport

Other (specify)

I have evaluated the above-named applicant according to Marine Orders, Part 9, made under the Navigation Act 1912. On the basis of the applicant’s personal declaration, my clinical examination and diagnostic test results recorded on the medical examination form, I declare the applicant:

Fit

Unfit*

Deck Department

* If found unfit, please provide details and action taken (eg referral or any practical tests required before fitness can be

certified)

Fit

Unfit*

Engine Department

Fit

Unfit*

Catering Department

Fit

Unfit*

Other services

The applicant used aids to vision

Yes

No

Colour vision test done

Yes

No

Colour blind

Yes

No

The applicant used aids to hearing

Yes

No

Describe any restrictions (eg specific position, type of ship, trade area)

\n```\n\n```html\n

List any prescribed medications taken regularly

Date of birth

Date of expiry

Under 18/over 55

1 year medical

/

/

/

/

Day

Month

Year

18 - 55

2 years medical

Day

Month

Year

Date of examination
(day/month/year)

/ /

Place of examination

Place of examination

Official stamp

Name of Medical Inspector

Signature of Medical Inspector

of Medical

Inspector

I acknowledge that I have been advised of the content of the medical examination form.

Distribution of copies

Applicant’s signature

Original Applicant

Duplicate AMSA

Triplicate Medical Inspector

\n```","sortOrder":30},{"sectionNumber":"Certificate of Medical Fitness","sectionType":"part","heading":"Certificate of Medical Fitness","content":"## Certificate of Medical Fitness","sortOrder":31},{"sectionNumber":"Notes to Marine Orders Part 9, Issue 5","sectionType":"part","heading":"Notes to Marine Orders Part 9, Issue 5","content":"# Notes to Marine Orders Part 9, Issue 5\n\nNote 1\n\nMarine Orders Part 9, Issue 5 (in force under the Navigation Act 1912) as shown in this compilation comprise Order No.22 of 1999 amended as indicated in the Tables below.\n\nTable of Instruments\n\n| Number and year | Date of notification in Gazette / registration on the FRLI | Date of commencement | Application, saving or transitional provisions |\n| -------------------- | ---------------------------------------------------------- | -------------------- | ---------------------------------------------- |\n| Order No. 22 of 1999 | 12 January 2000 | 3 February 2000 | — |\n| Order No. 5 of 2001 | 28 February 2001 | 1 March 2001 | — |\n| Order No. 12 of 2006 | 3 October 2006 | 6 October 2006 | ― |\n\nTable Of Amendments\n\nad. = added or inserted am. = amended rep. = repealed rs. = repealed and substituted\n\n| Provision affected | How affected |\n| ------------------------------------------------- | ------------------------------------ |\n| 1.1: definition of coastal pilot | am. Order No. 12 of 2006 |\n| 7.3 …………………………………................................ | am. Order No. 5 of 2001 |\n| 7.4 …………………………………................................ | am. Order No. 5 of 2001 |\n| 7.10 …………………………………………………….. | rep. Order No. 5 of 2001 |\n| Appendix 2 …………………………………….……….. | am. Order No. 5 of 2001 (see Note 2) |\n| 4.1 of Appendix 2 ………………………………………. | am. Order No. 5 of 2001 |\n| Table 2 of Appendix 2 …………………………………. | am. Order No. 5 of 2001 |\n| 4.7 of Appendix 2 ………………………………………. | am. Order No. 5 of 2001 |\n| 7.9 of Appendix 2 ………………………………………. | am. Order No. 5 of 2001 |\n| Appendix 3 ……………………………………………... | am. Order No. 5 of 2001 (see Note 2) |\n| Appendix 4 …………………………………………..…. | am. Order No. 5 of 2001 (see Note 2) |\n| Provision affected | How affected |\n| Appendix 5 ..……………………………………………. | am. Order No. 5 of 2001 (see Note 2) |\n\nNote 2\n\nOrder No.5 of 2001 effected the following renaming of Appendixes:\n\nAppendix 3 of Order No.22 of 1999 was renamed Annex 1 to Appendix 2;\n\nAppendix 4 of Order No.22 of 1999 was renamed Appendix 3; and\n\nAppendix 5 of Order No.22 of 1999 was renamed Annex 2 to Appendix 2.","sortOrder":32}],"analysis":{"flash_summary":{"complexity_score":6,"scope_assessment":{"changed":true,"description":"The instrument has been amended since first made: Table of Amendments and Notes record changes to the definition of 'coastal pilot' (1.1; amended Order No. 12 of 2006), to determination and issuance procedures (7.3 and 7.4 amended by Order No. 5 of 2001) and to appendix structure and naming (Notes, Table Of Amendments). Those amendments refine coverage (explicitly include coastal pilots (2.1(e); 2.2(b))) and procedural detail but do not remove the core requirement that seafarers/pilots hold medical fitness certificates; they primarily broaden and clarify application and assessment processes (see Notes to Part 9 and Table Of Amendments)."},"complexity_factors":["Cross‑reference to multiple Acts and international instruments (Navigation Act provisions, ILO Convention, STCW) increases legal framing complexity (2.1).","Detailed medical standards and technical tests in Appendix 2 (vision, hearing, cardiovascular, psychiatric, drugs, etc.) create specialist, evidence‑heavy assessments.","Discretion given to Medical Inspectors and the AMSA Manager to determine fitness, impose shorter validity periods, require re‑examination and extend/ cancel certificates (7.2–7.7) increases administrative variance.","Multiple validity, extension and exception rules (age bands, voyage exceptions, 2‑year/1‑year/3‑month extensions, coastal pilot exclusions) complicate compliance (7.6).","Appeals limited to specific Manager decisions to the Administrative Appeals Tribunal; notice content rules affect procedural validity (3.1–3.3).","Penal provisions tied to several operational duties (performance, production, delivery of cancelled certificates, mandatory use of aids) create criminal/regulatory risk (4; 7.8–7.9; 8).","Overlapping application coverage (seafarers under s.124, sea‑going vessels where state law does not apply, coastal pilots, certificate revalidation applicants) complicates scope determinations (2.2).","Appendices and forms are prescri­bed and renamings/amendments appear in Notes, requiring attention to historical instrument changes for correct form use.","Employer obligations and potential additional employer standards (employers may impose supplementary fitness requirements) introduce private compliance layering (7.3 note).","Recordkeeping and confidentiality obligations (medical files retained, distribution of certificate copies) create long‑term administrative burdens (Appendix 2, 2.2.2)."],"plain_english_summary":"Marine Orders Part 9 requires people serving or seeking to serve as seafarers or coastal pilots to hold a valid Certificate of Medical Fitness. It sets who examines applicants (AMSA Medical Inspectors), what examinations and standards apply (including technical Guidelines at Appendix 2), how certificates are issued, renewed, extended or cancelled (7.4–7.7), appeal rights (3.1) and penal offences for non‑compliance (4; 7.8–7.9; 8). The compliance cost falls mainly on applicants and employers for medical examinations and recordkeeping; AMSA and the Manager decide fitness and may require re‑examination (7.2–7.5)."},"kimi_summary":{"_metrics":{"model":"kimi-k2.5","source":"moonshot-realtime","completionTokens":2091},"content_quality":"ok","complexity_score":5,"scope_assessment":{"changed":false,"description":"The legislation maintains its original scope of regulating medical fitness for seafarers and coastal pilots. Amendments appear limited to updating specific definitions (e.g., coastal pilot), medical examination procedures, and administrative details without expanding beyond the core maritime health and safety purpose."},"complexity_factors":["12 defined terms in section 1.1 including cross-references to Navigation Act 1912 and international conventions (ILO, STCW)","Multiple conditional validity periods based on age (under 18, 18-54, over 54) and employment type","Different evidentiary requirements for different vessel categories (section 124 ships vs other sea-going vessels)","Detailed medical standards in Appendix 2 covering 17 separate body systems and conditions","Administrative review provisions requiring specific notification statements (section 3)","Nested exceptions for certificate extensions and voyage continuity (clauses 7.6.3-7.6.5)","Cross-referencing between Appendices (e.g., Appendix 2 Annex 1 for job task analyses)"],"plain_english_summary":"This law sets mandatory medical fitness standards for seafarers and coastal pilots working on Australian ships or in Australian waters, requiring a Certificate of Medical Fitness issued by an AMSA-appointed medical inspector. Certificates typically last two years (one year for under‑18s or over‑54s) and cover vision, hearing, cardiac, metabolic, psychiatric and musculoskeletal fitness, including colour vision for navigation and engineering tasks.\n\nIt creates offences for working without a valid certificate, allows appeals to the AAT, and aims to prevent accidents, protect crew health, and meet international maritime obligations."}},"importantCases":[],"_links":{"self":"/api/acts/marine-orders-part-9-health-medical-fitness-issue-5-order-no-22-of-1999","history":"/api/acts/marine-orders-part-9-health-medical-fitness-issue-5-order-no-22-of-1999/history","analysis":"/api/acts/marine-orders-part-9-health-medical-fitness-issue-5-order-no-22-of-1999/analysis","conflicts":"/api/acts/marine-orders-part-9-health-medical-fitness-issue-5-order-no-22-of-1999/conflicts","importantCases":"/api/acts/marine-orders-part-9-health-medical-fitness-issue-5-order-no-22-of-1999/important-cases","documents":"/api/acts/marine-orders-part-9-health-medical-fitness-issue-5-order-no-22-of-1999/documents"}}