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Seafarers medical certificate

Seafarer medical certificate form 2026

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The document is a Seafarer's Medical Certificate, issued on October 5, 2012, which certifies that a seafarer has passed the required medical examinations in accordance with the ILO Maritime Labor Convention 2006. It includes sections for personal information, medical history, examination results by a medical practitioner, and declarations by the seafarer regarding their health status. The certificate assesses fitness for duty and requires disclosure of any medical conditions that may affect employment.

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Click ‘Get Form’ to open the seafarer medical certificate in the editor.
Begin by filling in your personal details, including your name, address, date of birth, and nationality. Ensure accuracy as this information is crucial for identification.
Indicate whether you are a new hire and provide the ship's name along with the issue and expiration dates of the certificate.
In the section for medical history, answer all questions regarding past and present medical conditions honestly. If any condition applies, mark 'Yes' and provide explanations where required.
Once you have completed your section, ensure that a qualified medical practitioner fills out their part of the form after conducting a thorough examination.
Review all entries for accuracy before saving or exporting your completed form. Utilize our platform’s features to sign electronically if needed.

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What medical is required for seafarers?

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)

What is the physical test for seaman?

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.

What is a seafarers medical exam?

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.

How to get a seafarers medical fitness certificate?

To qualify for a medical certificate, a mariner must provide evidence of meeting the medical and physical standards on a CG-719-K or CG-719-K/E, as appropriate..

What can cause you to fail a medical?

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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