Pre-sea and periodic medical fitness examinations form for 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling in your personal information, including your family name, given names, date of birth, sex, home address, seaman service book number, nationality, type of ship, and trade area.
  3. In section A, provide a personal declaration regarding your medical history. Carefully indicate 'Yes' or 'No' for each condition listed. If you answer 'Yes' to any question, be prepared to provide additional details.
  4. Proceed to the medical examination section. Mark whether this is a pre-sea or periodic examination and complete the required tests such as visual acuity and hearing assessments.
  5. Fill out the results of any diagnostic tests performed and include comments from the medical examiner regarding your fitness for service at sea.
  6. Finally, ensure that both you and a witness sign the document where indicated before saving or exporting your completed form.

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The maritime medical examination involves answering a questionnaire and a physical check, testing your health in relation the work you do. At the end you will be advised with the results. In normal circumstances the maritime medical examination is valid for two years.
The ILO DG Shipping medical exam is a mandatory medical examination prescribed by the Directorate General of Shipping, Government of India, in accordance with ILO/IMO/MLC 2006 standards. It certifies that a seafarer or maritime worker is medically fit to work on board ships.
The period of validity of the medical certificate will remain in force for a maximum period of 02 years from the date on which it is issued, unless the seafarer is under the age of 18 years, in which case the maximum period of validity is one year.
The purpose of a medical examination is to ensure that you are medically fit for service on board. The seafarers doctors shall examine your vision/colour vision, hearing, your physical capability, and shall check any use of medication etc.
PEME C for Serving Seafarers 40 Years Old and Above (Modified) Medical History and Complete Physical Examination. Visual Acuity (Far and Near Vision) Color Perception Test (Ishihara) Audiometry (Pure Tone) Routine Urinalysis. Stool Examination (for food handlers) Complete Blood Count and Blood Typing. Chest X-ray (PA View)

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These tests ensure that a seafarer is physically and mentally fit to work onboard a ship: Basic Medical Tests: 1. Physical Examination Height, weight, BMI Blood pressure, pulse rate General physical condition (vision, hearing, skin, etc.) 2. Chest X-ray To check for tuberculosis or other lung conditions.
Common Reasons for Failing a Safety Critical Medical Vision or Hearing Impairment. Cardiovascular Issues. Respiratory Problems. Musculoskeletal Disorders. Mental Health Concerns. Positive Drug or Alcohol Screen. Recent Accidents or Health-Related Absence.

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