EE KT Ship Seafarers Medical Examination Report/Certificate 2014-2025 free printable template

SEAFARERS MEDICAL EXAMINATION REPORT/CERTIFICATE This certificate is issued by authority of the Maritime Administrator and in compliance with the requirements of the Medical Examination (Seafarers)

How to fill out seafarers medical fitness certificate form

How to fill out EE KT Ship Seafarers Medical Examination Report/Certificate

1. Obtain the EE KT Ship Seafarers Medical Examination Report/Certificate form from a designated medical examiner or maritime authority.
2. Fill in personal details such as name, date of birth, nationality, and address in the designated fields.
3. Provide your seafarer identification number or other relevant identification if required.
4. Answer all medical history questions truthfully, including previous illnesses, surgeries, and current medications.
5. Undergo the physical examination by a certified medical examiner, which often includes checking height, weight, vision, hearing, and general health.
6. Perform any necessary laboratory tests or screenings as required (e.g., blood tests, urine tests).
7. Have the medical examiner complete the appropriate sections of the report based on the examination findings.
8. Sign and date the report, affirming the accuracy of the information provided.
9. Submit the completed report to the relevant maritime authority or employer as directed.

Who needs EE KT Ship Seafarers Medical Examination Report/Certificate?

1. All seafarers working on board commercial vessels.
2. Individuals seeking employment in the maritime industry.
3. Crew members who are renewing their medical fitness certificates.
4. Those transitioning to different roles within maritime services that require medical clearance.

People Also Ask about seafarer medical certificate

What happens in Eng 1 medical?

The appointment should take around 30-40 minutes and the medical is non-invasive. The doctor will ask for a urine sample so that your kidney function and blood sugar levels can be tested, they will measure your height and weight, take your blood pressure, listen to your lungs as well as check your ears nose and throat.

How do I get an ML5 certificate?

To Complete a ML5 Medical Certificate you will need to be assessed by a doctor who will verify that your fitness and current state of health.

How do I get a seafarer medical certificate?

Before you apply Download a copy of the Candidate Document Number Application form. Complete the application. Find 2 pieces of valid I.D. from this list: Passport. Seafarer's Identity Document. Bring your completed application and 2 pieces of I.D. to the nearest Transport Canada Marine Safety Office.

What does a seafarer's medical consist of?

The ENG1 Medical takes about 45 minutes to complete. You will need to take a form of ID (passport or driving license) and any glasses you use for reading with you. The Doctor will measure your height, weight, and blood pressure and ask for a urine sample, to check for diabetes.

How do I become an ML5?

To Complete a ML5 Medical Certificate you will need to be assessed by a doctor who will verify that your fitness and current state of health.

What disqualifies you from being a merchant marine?

Crimes Against Persons: Homicide (intentional) 7 years 20 years. Homicide (unintentional) 5 years 10 years. Assault (aggravated) 5 years 10 years. Assault (simple) 1 year 5 years. Sexual Assault (rape, child molestation) 5 years 10 years. Robbery 5 years 10 years. Other crimes against persons 2 Vehicular Crimes.

What is a ML5?

The purpose of the ML5 form is to obtain a factual report of your medical history and present state of health, enabling your doctor to decide on your fitness to navigate safely and undertake emergency duties. Complete Part A of the form (but do not sign the declaration until you are with the doctor).

What is PEME medical?

Post-exertional malaise (PEM) Post-exertional malaise (PEM) is the worsening of symptoms following even minor physical or mental exertion, with symptoms typically worsening 12 to 48 hours after activity and lasting for days or even weeks.

Who needs ML5?

You need an ML5 medical certificate if you're: the master of a passenger ship that does not go to sea (Class IV or V) the master of a commercial vessel that does not go to sea. the master or a crew member of a small commercial vessel certificated for Area Category 2 to 6 (no more than 60 miles from a safe haven)

How do you pass PEME?

Do not drink coffee or alcohol in the hours prior the exam, as they cause hypertension. Drink more water in the days prior PEME, to help your body get rid of the toxins you have consumed. Take care of your mouth hygiene before the exam. Go to a dentist for a provisional check and teeth cleaning.

What does medically certified mean?

Medical certification means a written statement signed by a registered practicing physician or other licensed medical practitioner certifying incapacitation, and the period of incapacitation while receiving professional treatment.

What are the documents required for seafarers?

Documents for seafarers Medical certificates. Competence endorsements. Employment agreements.

What is a marine medical exam?

From: Transport Canada A marine medical certificate is a document that proves that a seafarer meets the required medical and physical standards required by Canadian law. Seafarers must hold either a Marine Medical Certificate or Provisional Medical Certificate and show it when asked.

What are the medical requirements for seaman?

There are as follows; Eyes examination. Body marks and operations. Infections or transferable diseases. Ear Disease. Weight, hight and mental check.

What does a Norwegian medical consist of?

The purpose of the examination is to ensure that you are medically fit for service on board on Norwegian ships and mobile offshore units, c.f. Section 1 in the Health Regulations. The seafarer's doctor shall check your vision/color vision, hearing, your physical capability, and check any use of medication etc.

What is a merchant mariner medical certificate?

A medical certificate is a document that serves as proof that a mariner meets the required medical and physical standards, per the publication of the Federal Register (FR).

Why are you applying for a medical certificate or clearance?

The purpose of a medical clearance is to identify specific health needs and medical conditions that may require specialty management, follow-up or monitoring. Additionally, the scope and frequency of the required follow-up must be determined.

What is Panama medical for seafarers?

How is a Panama Seafarer medical assessment conducted? A medical exam very similar to an ENG1 requires: Checking your height, weight, blood pressure, and examining your physical condition to determine your fitness level. Testing your eye sight (before and after you put on glasses) and your colour vision.

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What is EE KT Ship Seafarers Medical Examination Report/Certificate?

The EE KT Ship Seafarers Medical Examination Report/Certificate is a document that certifies the medical fitness of seafarers to work on ships, ensuring they meet health and safety standards required for maritime operations.

Who is required to file EE KT Ship Seafarers Medical Examination Report/Certificate?

Seafarers who are seeking employment or are currently employed on ships are required to file the EE KT Ship Seafarers Medical Examination Report/Certificate to confirm their medical fitness.

How to fill out EE KT Ship Seafarers Medical Examination Report/Certificate?

To fill out the EE KT Ship Seafarers Medical Examination Report/Certificate, a qualified medical professional must conduct a thorough examination of the seafarer, completing all sections of the report regarding the seafarer's health, medical history, and any relevant test results.

What is the purpose of EE KT Ship Seafarers Medical Examination Report/Certificate?

The purpose of the EE KT Ship Seafarers Medical Examination Report/Certificate is to ensure the health and safety of seafarers at sea, minimizing the risk of medical emergencies and protecting both the crew and the vessel.

What information must be reported on EE KT Ship Seafarers Medical Examination Report/Certificate?

The report must include the seafarer's personal information, medical history, results of physical examinations, any relevant laboratory test results, assessments of fitness for duty, and the medical professional's signature and credentials.