ILO:s konvention (nr 164) om hälsoskydd och sjukvård för sjömän, Genéve den 8 oktober 1987, SÖ 1990:4
Sveriges överenskommelser
med främmande makter
ISSN 0284-1967 U tgiven a v u trikesd ep a rtem en tet SÖ 1990:4
Nr 4
ILO:s konvention (nr 164) om hälsoskydd och sjukvård
för sjömän.
Genéve den 8 oktober 1987
R e g e r in g e n b e s lö t d e n 13 d e c e m b e r 19 8 9 a tt r a ti f i c e r a k o n v e n ti o n e n . R a ti f i k a t i o n s i n s t r u m e n t e t d e p o n e r a d e s d e n 21 f e b r u a r i 1 9 9 0 h o s I n t e r n a tio n e l la a r b e t s b y r å n s g e n e r a ld i r e k tö r . K o n v e n t io n e n t r ä d e r i k r a f t f ö r S v e rig e d e n 21 f e b r u a r i 1 991. R ik s d a g s b e h a n d lin g : P r o p . 1 9 8 8 /8 9 :1 2 2 , 1 9 8 9 /9 0 : T U 4 , r s k r . 1 9 8 9 /
2C O N V E N T IO N (No. 164) C O N C E R N IN G H EA LTH P R O T E C T IO N AND M E D IC A L CARE FO R SEA FA R ER S
T he G en eral C onference o f the In tern atio n al L ab o u r O rganisation, Having been convened at G en ev a by the G overning Body o f the In tern atio n al L ab o u r Office, and having m et in its Seventy-fourth Session on 24 S eptem ber 1987, and N öting the provisions of the M edical E xam ination (S eafarers) C o nvention, 1946, the A ccom m odation of C rew s C onvention (R evised), 1949, the Accom m odation o f Crew s (S upplem entary Provisions) C o nvention, 1970, the Ships’ M edicine C hests R eco m m en d atio n , 1958, the M edical A dvice at Sea R ecom m endation, 1958, and the P revention o f A ccidents (S eafarers) C o n vention and R ecom m endation, 1970, and
N öting the term s o f the In tern atio n al C onvention on S tandards o f Training, C ertification and W atchkeeping for S eafarers, 1978, as regards training in m edical aid in the case o f accidents o r illnesses th at are likely to occur on board ship, and N öting th at for the success o f action in the field o f health pro tectio n and m edical care for seafarers, it is im p o rtan t th at d o s e co -operation be m aintained in their respective fields betw een the In tern atio n al L ab o u r O rganis a tio n , the In tern atio n al M aritim e O rganization and the World H ealth O rganization, and N öting that the follow ing stan d ard s havé accordingly been fram ed with the co o p e ratio n of the In tern atio n al M aritim e O rganization and the W orld H ealth O rganization, and that it is p roposed to seek th eir continuing co-operation in the application o f these stan d ard s, and H aving decided up cn the ad option o f certain proposals with regard to health p ro tectio n and m edical care for seafarers, which is the fo u rth item on the agenda o f the session, and Having d eterm in ed that these proposals shall take the form o f an in ternational C o nvention, adopts this eighth day o f O cto b er o f the year o n e th o u san d nine h u n d red and eighty-seven the following C onvention which may be cited as the H ealth P rotec tion and M edical C are (S eafarers) C o nvention, 1987:
Article 1 1. T his C onvention applies to every seagoing ship w h eth er publicly o r privately ow ned, which is registered in the territo ry o f any M em b er fo r which the C onvention is in force and which is ordinarily engaged in com m ercial m aritim e navigation.
2. To the extent it deem s practicable. a fte r co nsultation with the re p re se n ta tive organisations o f fishing-vessel ow ners and fisherm en, the co m p eten t au thority shall apply the provisions o f this C onvention to com m ercial m aritim e fishing.
3. In the event o f d o ubt as to w h eth er o r not any ships are to be regarded as engaged in com m ercial m aritim e navigation o r com m ercial m aritim e fishing fo r the purpose o f this C o nvention, the question shall be d eterm in ed by the com petent au th o rity after consultation with the organisations o f shipow ners, seafarers and fisherm en co n cem ed .
4. F or the purpose o f this C onvention the term “ se a fa re r" m eans any person who is em ployed in any capacity on b o ard a seagoing ship to which this C onvention applies.
3E ffect shall be given to this C o n v en tio n by n ational laws o r regulations, collective ag reem en ts, w orks rules, a rb itratio n aw ards o r co u rt decisions o r o th e r m eans ap p ro p ria te to national conditions.
A r tid e 3
E ach M em b er shall by n ational law s o r regulations m ake shipow ners responsible for keep in g ships in p ro p e r sanitary and hygienic conditions.
A r tid e 4
E ach M em b er shall ensure th at m easures providing for h ealth p ro tectio n and m edical care for seafarers o n b o a rd ship are a d o p te d w h ich -
(a) en su re the application to seafarers o f any general provisions on occupational h ealth p ro tectio n and m edical care relev an t to the seafaring profession, as well as o f special provisions p eculiar to w ork o n b o a r d ; (b) aim at providing seafarers with h e alth p ro tectio n and m edical care as com parable as possible to th at w hich is generally available to w orkers a s h o r e ;
(c) g u a ran tee seafarers the right to visit a d o c to r w ithout delay in po rts o f call w here p ra c tic a b ie ; (d) en su re th a t, in accordance w ith n ational law and practice, m edical care and health p ro tectio n while a sea fa re r is serving o n articles are p ro v id ed free o f charge to s e a fa re rs ; (e) are n o t lim ited to trea tm e n t o f sick o r in ju red seafarers b u t include m easures of a prev en tiv e ch aracter, and dev o te p articu lar atte n tio n to the dev elo p m en t of h ealth p ro m o tio n and h ealth ed u catio n p rogram m es in o rd e r th at seafarers them selves m ay play an active p a rt in reducing the incidence o f ill-health am ong th eir num ber.
A r tid e 5
1. E very ship to which this C o n v en tio n applies shall be re q u ire d to carry a m edicine chest.
2. T h e c o n ten ts o f the m edicine chest an d the m edical eq u ip m en t c arried on b o a rd shall b e prescribed by the co m p e ten t au th o rity taking in to account such factors as the type o f ship, the n u m b er o f persons on b o a rd and the n atu re, destin atio n an d d u ratio n o f voyages. 3. In ad o p tin g o r review ing th e n atio n al provisions concerning th e co n ten ts of the m edicine chest and the m edical e q u ip m e n t carried o n b o a rd , the co m p eten t au th o rity shall tak e in to account in te rn atio n al reco m m en d atio n s in this h eld , such as the m o st recen t ed itio n o f the International M edical G uide fo r S hips and the L ist o f Essential D rugs published by the W orld H ealth O rg an izatio n , as well as advances in m edical know ledge an d a p p ro v ed m eth o d s o f trea tm e n t.
4. T h e m edicine chest and its co n te n ts as well as the m edical eq u ip m en t carried on b o a rd shall be properly m ain tain ed and inspected at reg u lar intervals, not exceeding 12 m o n th s, by responsible p erso n s desig n ated by the co m p eten t a u th o rity , w ho shall ensure th at the expiry d ates an d conditions o f storage o f all m edicines are checked.
5. T h e c o m p eten t au th o rity shall en su re th at the c o n ten ts o f the m edicine chest are listed and labelled with generic nam es in add itio n to any b ra n d nam es used, expiry d ates and conditions o f sto rag e, and th at they conform to the m edical guide used nationally. 6. T h e c o m p e ten t au th o rity shall en su re th at w here a cargo w hich is classified d an g ero u s has n o t b een included in the m ost recen t ed itio n o f the M edical First
4A id G uide fo r Use in A ccidenis involving Dangerous G oods published by the In tern atio n al M aritim e O rganization. the necessary inform ation on the n atu re of the substances, the risks involved, the necessary personal protective devices, the relevant m edical pro ced u res and specific a n tid o tes is m ade available to the master, seafarers and o th e r in terested persons. Such specific an tid o tes and personal p ro tective devices shall be on b oard w henever d an g ero u s goods are carried.
7. In cases of urgent necessity and w hen a m edicine prescribed by qualified m edical personne! for a seafarer is not available in the m edicine chest, the shipow ner shall take all necessary steps to o btain it as soon as possible.
A rticle 6 1. E very ship to which this C onvention applies shall be req u ired to carry a s h ip s m edical guide a d o p te d by the co m p eten t authority.
2. T he m edical guide shall explain how the co n ten ts o f the m edicine chest are to be used and shall be designed to enable persons o th er th ån a d o cto r to care for the sick o r injured o n b oard b o th with and w ithout m edical advice by radio or satellite com m unication. 3. In ad opting o r review ing the ship s m edical guide used nationally, the co m p eten t au th o rity shall take into account in tern atio n al reco m m en d atio n s in this field, including the m ost recent edition o f the International M edical G uide fo r Ships and the M edical First A id G uide fo r Use in A ccidents involving D angerous G oods. A rticle 7 1. T he co m p eten t authority shall ensure by a p rearran g ed system th at m edical advice by rad io o r satellite com m unication to ships at sea, including specialist advice, is available at any h o u r o f the day o r night.
2. Such m edical advice, including the on w ard transm ission of m edical messages by rad io o r satellite com m unication betw een a ship and those ashore giving the advice, shall be available free o f charge to all ships irrespective o f the tern to ry in which they are registered. 3. W ith a view to ensuring th at optim um use is m ade o f facilities available for m edical advice by rad io o r satellite co m m u n icatio n - (a) all ships to which this C onvention applies which are eq u ip p ed with radio installations shall carry a com plete list o f radio stations thro u g h which m edical advice can be o b ta in e d ;
(b) all ships to which this C onvention applies which are eq u ip p ed with a system of satellite com m unication shall carry a com plete list o f coast e arth stations thro u g h which m edical advice can be o b ta in e d ;
(c) the lists shall be kept up to date and in the custody of the person on board responsible for com m unication duties. 4. S eafarers on b o ard requesting m edical advice by radio o r satellite com m uni cation shall be instructed in the use o f the ship's m edical guide and the m edical section o f the m ost recent edition o f the International C ode o f Signals published by the In tern a tio n a l M aritim e O rganization so as to en ab le them to u n d e rstan d the type o f inform ation needed by the advising d o c to r as well as th e advice received.
5. T he co m p eten t au th o rity shall ensure that doetors providing m edical advice in accordance with this A rticle receive ap p ro p riate training and are aw are of shipboard conditions.
A rticle 8
1. A ll ships to which this C onvention applies carrying 100 o r m ore seafarers and o rdinarily engaged on in tern atio n al voyages o f m ore th ån th ree d ay s’ d u ratio n
5shall carry a m edical d octor as a m em b er of the crew responsible for providing m edical care.
2. N ational laws o r regulations shall d eterm in e which o th e r ships shall be req u ired to carry a m edical d octor as a m em b er of the crew . taking in to account. in ter alia. such factors as the d u ra tio n , n a tu re and conditions o f the voyage and the n u m b er o f seafarers on board.
A r tid e 9
1. A ll ships to which this C o nvention applies and which do n ot carry a d octor shall carry as m em bers of the crew one o r m ore specified persons in charge of m edical care and the adm inistering of m edicines as p art o f th eir reg u lar duties.
2. P ersons in charge of m edical care o n b o ard who are not doetors shall havé satisfactorily com pleted a course a p p ro v ed by the co m p eten t au th o rity o f th eo retical and applied training in m edical skills. This course shall c o m p rise-
(a) för ships o f less th ån 1,600 gross to n n ag e w hich ordinarily are capable of reaching qualified m edical care and m edical facilities w ithin eight hours, e lem en tary training which will en ab le such persons to tak e im m ediate, effective action in case o f accidents o r itlnesses likely to occur on b o ard ship and to m ake use of m edical advice by radio o r satellite c o m m u n ica tio n ;
(b) for all o th er ships. m ore advanced m edical training, including practical training in the em ergency/casualty d e p artm e n t of a hospital w here practicable and training in life-saving techniques such as intravenous th erap y , which will en ab le the persons c o n cem ed to particip ate effectively in co -o rd in ated schem es för m edical assistance to ships at sea, and to provide the sick o r injured with a satisfactory stan d ard o f m edical care d uring the p erio d they are likely to rem ain on board. W h erev er possible, this training shall be provided u n d er the supervision o f a physician with a th orough know ledge and understanding o f the m edical problem s and circum stances relating to the seafaring profession, including expert know ledge o f rad io o r satellite com m unication m edical services.
3. T he courses referred to in this A rticle shall be based o n the co n ten ts o f the m ost recen t edition o f the International M edical G uide fo r Ships, the M edical First A id G uide fo r Use in A ccidents involving Dangerous G oo d s, the D ocum ent fo r G uidance ■ A n International M aritim e Training G uide published by the In te rn a tional M aritim e O rg an izatio n . and the m edical section o f the International C ode o f Signals as well as sim ilar national guides.
4. P ersons re fe rre d to in p arag rap h 2 o f this A rticle and such o th e r seafarers as may be req u ired by the co m p eten t au th o rity shall und erg o refresh er courses to enable them to m aintain and increase th eir know ledge and skills and to keep ab reast o f new d evelopm ents, at approxim ately five-year intervals.
5. A ll seafarers, during their m aritim e vocational training, shall receive instruetion on the im m ediate action th a t should be tak en on en co u n terin g an accident o r o th e r m edical em ergency on b o ard .
6. In add itio n to the person o r persons in charge of m edical care on b o ard , a specified crew m em b er o r crew m em b ers shall receive elem en tary training in m edical care to enable him o r them to tak e im m ediate effective action in case of accidents o r illnesses likely to occur on b o ard ship.
A rticle 10 A ll ships to which this C onv en tio n applies shall provide all possible m edical assistance, w here practicable, to o th e r vessels w hich may req u est it.
61. In any ship o f *'00 o r m ore gross to n n ag e, carrying 15 o r m o re seafarers and engaged in a voyage o f m ore th ån th ree d ay s’ d u ra tio n , se p a ra te h ospital accomm odation shall be provided. T he co m p eten t au th o rity m ay relax this req u irem en t in respect o f ships engaged in coastal trade.
2. In any ship o f betw een 200 an d 500 gross tonnage and in tugs this A rticle shall be applied w here reaso n ab le and practicable. 3. T his A rticle does not apply to ships prim arily p ro p elled by sail.
4. T he hospital accom m odation shall be suitably situ ated . so th at it is easy of access and so th at the occupants m ay be com fortably h oused and may receive p ro p e r a tte n tio n in all w eathers. 5. T he hospital accom m odation shall be so designed as to facilitate co n su lta tion and the giving o f m edical first aid. 6. The arran g em en t o f the e n tra n ce , b e rth s, lighting, ven tilatio n , h eating and w ater supply shall be designed to ensure the com fort an d facilitate the trea tm e n t o f the occupants. 7. T he n u m b er o f hospital b erth s req u ire d shall be prescrib ed by the com pe ten t authority. 8. W ater closet accom m odation shall be prov id ed fo r the exclusive use o f the o ccupants o f the hospital accom m odation, e ith e r as p a rt o f the accom m odation o r in d o s e proxim ity th ere to . 9. H ospital accom m odation shall n ot be used for o th er th ån m edical purposes.
A r tid e 12 1. A sta n d ard m edical re p o rt form for seafarers shall be a d o p te d by the c o m p eten t au th o rity as a m odel for use by sh ip s’ d o eto rs, m asters o r persons in charge o f m edical care on b o ard a n d hospitals o r doetors ashore. 2. T he form shall be sp e d a lly designed to facilitate the exchange o f m edical and re lated inform ation con cem in g individual seafarers b etw een ship and shore in cases o f illness o r injury. 3. T he inform ation co n tain ed in the m edical re p o rt form shall be k ep t confid en tial and shall be used för no o th e r pu rp o se th ån to fa d lita te the trea tm e n t o f seafarers.
A r tid e 13 1. M em bers for which this C onv en tio n is in force shall co -o p erate with one a n o th e r in pro m o tin g p ro tectio n o f the h ealth o f seafarers and m edical care for th em on b o a rd ship. 2. Such co -o p eratio n m ight cover the follow ing m a tte r s : (a) developing and co-ordinating search and rescue efforts and arranging pro m p t m edical help an d evacuation at sea for the seriously ill o r injured on b o a rd a ship thro u g h such m eans as periodic ship position rep o rtin g system s, rescue coo rd in atio n c en tres and em ergency h elico p ter services, in conform ity w ith the provisions o f the In tern a tio n a l C o nvention o f M aritim e Search and R escue, 1979, and the M erchan! Ship Search and R escue M anual and IM O Search and R escue M anual d ev elo p ed by the In tern a tio n a l M aritim e O rg a n iz a tio n ;
(b) m aking optim um use o f fishing vessels c an y in g a d o cto r and stationing ships at sea which can provide hospital and rescue fa cilitie s;
7(c) com piling and m aintaining an in tern atio n al list o f d oetors and m edical care facilities available world-w ide to provide em ergency m edical care to s e a fa re rs ;
(d) landing seafarers in p o rt fo r em ergency tr e a tm e n t; (e) re p atriatin g seafarers h ospitalised a b ro ad as soon as practicab le, in accordance with th e m edical advice o f the d o eto rs responsible för the case. which takes into account the se a fa re r's wishes and n e e d s ; (f) arranging personal assistance for seafarers during rep atria tio n , in accordance with the m edical advice o f the d o eto rs responsible for the case, which takes in to account the seafareris wishes and n e e d s ; fg) e n d eav o u rin g to set up h e alth c en tres for seafarers to -
(i) co n d u ct research o n the h ealth statu s, m edical trea tm e n t and preventive h ealth care o f se a fa re rs; (ii) train m edical and h ealth service staff in m aritim e m e d ic in e ;
(h) collecting and evaluating statistics con cem in g o ccupational accidents, diseases and fatalities to seafarers and integ ratin g and harm onising th em with any existing n ational system o f statistics on o ccupational accidents, diseases and fatalities covering o th er categories o f w o rk e rs ;
(i) organising intern atio n al exchanges o f technical in form ation, train in g m aterial an d p erso n n el, as well as in te rn atio n al training courses, sem inars and working g ro u p s ; (j) providing all seafarers with special curative and preventive h ealth and m edical services in p o rt, o r m aking available to th em general h e alth , m edical and reh ab ilitatio n se rv ice s;
(k) arranging för the rep atriatio n o f the bodies o r ashes, in accordance with the w ishes o f the next o f kin. o f deceased seafarers as soon as practicable.
3. In tern a tio n a l co -o p eratio n in the held o f h ealth p ro tectio n and m edical care fö r seafarers shall be based on bilateral o r m ultilateral ag reem en ts o r consultations am ong M em bers.
A rticle 14 T h e form al ratiheations o f this C o n v en tio n shall be com m u n icated to the D ire cto r-G e n era l o f the In tern atio n al L ab o u r Office for registration.
A r tid e 15
1. T his C o nvention shall be binding only up o n those M em bers o f the In te rn a tional L ab o u r O rganisation w hose ratih eatio n s havé b een registered with D irector- G en eral.
2. It shall com e into force twelve m onths a fte r the dale o n which the ratih ea tions o f tw o M em bers havé been reg istered w ith the D ire cto r-G e n era l. 3. T h ereafter. this C o nvention shall com e into force for any M em b er twelve m o n th s a fte r the date on which its ratih eatio n has b een registered.
A r tid e 16
1. A M em b er which has ra tih ed this C onv en tio n may d en o u n ce it a fte r the ex p iratio n o f ten years from the date o n which the C o n v en tio n hrst com es into force, by an act com m unicated to the D irecto r-G en eral of the In tern atio n al L ab o u r O fhce for registration. Such d en u n ciatio n shall not tak e effect until one year a fte r the date o n which it is registered.
2. E ach M em b er which has ratified this C onv en tio n and w hich does not. w ithin the year follow ing the ex p iratio n o f the p eriod o f ten years m en tio n ed in the
8preceding p arag rap h , exercise the right o f denunciation provided for in this A r tid e , will be b ound for a n o th e r p eriod of ten years an d , tb ereafter, may denounce this C onvention at the expiration of each period o f ten years u n d er the term s provided for in this A rtid e .
Article 17 1. T he D irecto r-G en eral o f the In tern atio n al L ab o u r Office shall notify all M em bers o f the In tern atio n al L ab o u r O rganisation o f the registration o f all ratifications and ^denunciations com m unicated to him by the M em bers o f the O rganisation. 2. W hen notifying the M em bers o f the O rganisation o f the registration o f the second ratification com m unicated to him . the D irecto r-G en eral shall draw the atten tio n o f the M em bers o f the O rganisation to the date upon which the C onven tion will com e into force. Article 18
T he D irecto r-G en eral of the In tern atio n al L ab o u r Office shall com m unicate to the S ecretary-G eneral of the U n ited N ations for registration in accordance with A rticle 102 o f the C h a rte r of the U nited N ations full particulars o f all ratifications and acts o f d enunciation registered by him in accordance with the provisions o f the preceding A rtid e s .
Article 19
A t such tim es as it may consider necessary the G o v em in g B ody o f the In tern atio n al L ab o u r Office shall p resen t to the G en eral C onference a rep o rt on the w orking o f this C onvention and shall exam ine the desirability o f p la d n g on the agenda o f the C onference the question of its revision in w hole o r in p art.
A rticle 20 1. Should the C onference adopt a new C onvention revising this C onvention in w hole o r in p a rt. th en , unless the new C onvention otherw ise p ro v id es-
(a) the ratification by a M em ber o f the new revising C onvention shall ipso jure involve the im m ediate d enunciation o f this C o nvention, notw ithstanding the provisions o f A rticle 16 above, if and w hen the new revising C onvention shall havé com e into fo rce; (b) as from the date w hen the new revising C o nvention com es into force this C onvention shall cease to be o p en to ratification by the M em bers.
2. This C onvention shall in any case rem ain in force in its actual form and co n ten t fö r those M em bers which havé ratified it b u t havé n ot ratified the revising C onvention. A rticle 21
T he English and French versions o f the text o f this C onvention are equally authoritative.
9( Ö v e r s ä ttn in g )
ILO:s konvention (nr 164) om hälsoskydd och sjukvård för sjömän
I n te r n a tio n e lla a r b e ts o r g a n is a tio n e n s a llm ä n n a k o n fe re n s , s o m a v s ty re ls e n fö r I n te r n a tio n e lla a r b e ts b y r å n h a r s a m m a n k a lla ts till G e n é v e o c h d ä r s a m la ts d e n 2 4 s e p te m b e r 1987 till s itt s ju ttio f jä r d e m ö te , so m b e a k ta r b e s tä m m e ls e r n a i 1946 å rs k o n v e n tio n o m lä k a r u n d e r s ö k n in g a v s jö m ä n , 1949 å rs k o n v e n tio n o m b e s ä ttn in g s b o s tä d e r (r e v id e r a d ) , 1970 å rs k o n v e n tio n o m b e s ä ttn in g s b o s tä d e r (tillä g g s b e s tä m m e ls e r), 1958 å rs re k o m m e n d a tio n o m s k e p p s a p o te k , 1958 å rs r e k o m m e n d a tio n o m m e d ic in s k r å d g iv n in g till sjö ss s a m t 1970 å rs k o n v e n tio n o m fö reb y g g a n d e a v o ly ck sfall (sjö fo lk ) o c h r e k o m m e n d a tio n o m fö re b y g g a n d e a v y r k e s s k a d o r (sjö fo lk ), s o m b e a k ta r b e s tä m m e ls e r n a i 1978 å rs in te r n a tio n e lla k o n v e n tio n o m n o r m e r f ö r sjö fo lk s u tb ild n in g , c e r tif ie r in g o c h v a k th å lln in g , s å v itt a v s e r s ju k v å r d s u tb ild n in g i h ä n d e ls e a v o ly c k o r e lle r s ju k d o m a r so m k a n in trä ffa o m b o r d p å fa rty g , so m b e a k ta r a tt d e t fö r fra m g å n g m e d å tg ä r d e r i fråg a o m h ä ls o s k y d d och s ju k v å r d fö r s jö m ä n ä r v ik tig t a tt n ä r a s a m a r b e te u p p r ä tth å lls m e lla n I n te r n a tio n e lla a r b e ts o r g a n is a tio n e n , I n te r n a tio n e lla s jö f a r ts o r g a n is a tio n e n s a m t V ä r ld s h ä ls o o rg a n is a tio n e n in o m d e s s a o r g a n is a tio n e r s r e s p e k tiv e v e rk s a m h e ts o m r å d e n , so m b e a k ta r a tt fö lja n d e n o r m e r i e n lig h e t d ä r m e d h a r u ta r b e ta ts i s a m a r b e te m e d I n te r n a tio n e lla s jö f a r ts o r g a n is a tio n e n o c h V ä r ld s h ä ls o o rg a n is a tio n e n o c h a tt a v s ik te n ä r a tt sö k a f o r ts a tt s a m a r b e te m e d d e s s a o rg a n is a tio n e r v id tillä m p n in g e n a v d e ssa n o r m e r , s o m h a r b e s lu ta t a tt a n ta v is s a fö rsla g a n g å e n d e h ä ls o s k y d d o c h s ju k v å rd fö r s jö m ä n , v ilk e n fråg a ä r d e n fjä rd e p u n k te n p å m ö te ts d a g o rd n in g , o ch so m h a r b e s tä m t a tt d e ssa fö rsla g sk all ta fo rm e n a v e n in te r n a tio n e ll k o n v e n tio n , a n ta r d e n n a d e n å tto n d e d a g e n i o k to b e r m å n a d n itto n h u n d r a å ttio s ju f ö lja n d e k o n v e n tio n , so m k a n k a lla s 1987 å rs k o n v e n tio n o m h ä ls o s k y d d och s ju k v å r d fö r s jö m ä n :
A r tik e l 1 1. D e n n a k o n v e n tio n ä r tillä m p lig p å v a ije s jö g å e n d e fa rty g , v a re sig i o ffe n tlig e lle r p r iv a t ägo, so m ä r re g is tre ra t in o m e tt te r r ito r iu m so m tillh ö r e n m e d le m fö r v ilk e n k o n v e n tio n e n ä r i k r a ft o c h s o m n o r m a lt ä r s y s se ls a tt i h a n d e ls s jö f a r t. 2. I d e n u ts tr ä c k n in g d e n b e d ö m e r d e t v a ra p r a k tis k t m ö jlig t sk all b e h ö rig m y n d ig h e t, e f te r s a m rå d m e d fis k e fa rty g s ä g a rn a s o c h y r k e s fis k a rn a s r e p re s e n ta tiv a o r g a n is a tio n e r , tillä m p a b e s tä m m e ls e r n a i d e n n a k o n v e n tio n p å y rk e sfisk e till h a v s. 3. O m d e t v id tillä m p n in g a v d e n n a k o n v e n tio n r ä d e r tv e k a n o m h u r u v id a fa rty g sk a ll a n s e s v a ra sy s s e ls a tta i h a n d e ls s jö f a r t e lle r y rk e s fis k e till h a v s, sk all frå g a n a v g ö ra s a v b e h ö rig m y n d ig h e t e f te r s a m r å d m e d v e d e r b ö r a n d e re d a re -, sjö fo lk s- o ch y rk e s fis k a ro rg a n is a tio n e r. 4. I d e n n a k o n v e n tio n a v s e s m e d ” s jö m a n ” v a rje p e rs o n so m ä r a n s tä lld i n å g o n b e f a ttn in g o m b o r d p å e tt sjö g å e n d e fa rty g , p å v ilk e t d e n n a k o n v e n tio n ä r tillä m p lig .
A r tik e l 2 D e n n a k o n v e n tio n skall ges v e rk a n g e n o m n a tio n e lla la g a r e lle r fö re s k rif te r , k o lle k tiv a v ta l, a rb e ts re g le r, s k ilje d o m a r e lle r d o m s to ls a v g ö r a n d e n e lle r p å a n n a t s ä tt so m ä r lä m p lig t m e d h ä n s y n till n a tio n e lla fö rh å lla n d e n .
10V a rje m e d le m sk all g e n o m n a tio n e lla la g a r e lle r fö r e s k r if te r g ö ra r e d a r n a a n s v a rig a fö r a tt fa rty g e n s s a n itä r a o c h h y g ie n isk a f ö r h å lla n d e n ä r tillfre d s s tä lla n d e .
A r tik e l 4 V a rje m e d le m sk all s ä k e rs tä lla a tt s å d a n a å tg ä r d e r v id ta s a n g å e n d e h ä ls o s k y d d o c h s ju k v å rd fö r s jö m ä n o m b o r d p å fa rty g so m a ) s ä k e rs tä lle r tillä m p n in g e n p å s jö m ä n a v a llm ä n n a b e s tä m m e ls e r o m h ä ls o s k y d d i a r b e te t o ch o m s ju k v å rd so m k a n v a ra av b e ty d e ls e fö r s jö m a n s y rk e t s a m t a v s ä rs k ild a b e s tä m m e ls e r so m ä r s p e c ifik a fö r s k e p p s tjä n s te n ; b ) s y fta r till a tt tillh a n d h å lla s jö m ä n h ä ls o s k y d d o ch s ju k v å rd so m ä r så j ä m f ö r b a r a so m m ö jlig t m e d d e t sk y d d o ch d e n v å rd so m v a n lig e n fin n s a tt tillg å fö r a rb e ts ta g a r e i la n d ; c) tillf ö r s ä k r a r s jö m ä n r ä tt a tt, d ä r så ä r m ö jlig t, u ta n d rö js m å l b e sö k a lä k a re i h a m n a r so m fa rty g e t a n lö p e r; d ) s ä k e rs tä lle r a tt, i e n lig h e t m e d n a tio n e ll lag o c h p ra x is , s ju k v å rd och h ä ls o s k y d d fö r s jö m ä n , m e d a n d e tjä n s tg ö r o m b o r d o c h ä r u p p ta g n a i sjöm a n s r u lla n , tillh a n d a h å lls d e m k o s tn a d s f r itt; e ) in te ä r b e g rä n s a d e till b e h a n d lin g av s ju k a e lle r s k a d a d e s jö m ä n u ta n o c k så o m f a t t a r å tg ä r d e r a v fö reb y g g a n d e k a r a k tä r s a m t ä g n a r s ä rs k ild u p p m ä r k s a m h e t å t u tv e c k lin g av p ro g ra m fö r f r ä m ja n d e av h ä ls a o c h u tb ild n in g i h ä ls o frå g o r, så a tt s jö m ä n n e n sjä lv a sk all k u n n a sp e la e n a k tiv roll fö r a tt in o m sin k å r m in s k a fö re k o m s te n a v o h ä ls a .
A r tik e l 5 1. V a rje fa rty g , p å v ilk e t d e n n a k o n v e n tio n ä r tillä m p lig , sk all m e d fö ra e tt s k e p p s a p o te k . 2. S k e p p s a p o te k e ts in n e h å ll o c h d e n m e d ic in s k a u tr u s tn in g so m sk all m e d fö ra s o m b o r d sk all fö re s k riv a s a v d e n b e h ö rig a m y n d ig h e te n , m e d b e a k ta n d e av s å d a n a f a k to r e r so m fa rty g e ts ty p , a n ta le t p e r s o n e r o m b o r d s a m t re s o rn a s a r t, m ål o ch v a ra k tig h e t. 3. V id a n ta g a n d e e lle r ö v e rsy n a v d e n a tio n e lla b e s tä m m e ls e r n a o m s k e p p s a p o te k e ts in n e h å ll o c h d e n m e d ic in s k a u tr u s tn in g so m m e d fö rs o m b o rd sk all d e n b e h ö rig a m y n d ig h e te n b e a k ta in te r n a tio n e lla r e k o m m e n d a tio n e r p å d e tta o m rå d e , så so m d e n s e n a s te u p p la g a n a v ” I n te r n a tio n a l M e d ica l G u id e fo r S h ip s ” o c h ” L ist o f E sse n tia l D ru g s ” , v ilk a p u b lic e ra s a v V ä rld s h ä ls o o rg a n is a tio n e n , lik s o m ä v e n fra m s te g in o m d e n m e d ic in s k a v e te n s k a p e n o ch b e p r ö v a d e b e h a n d lin g s m e to d e r. 4. S k e p p s a p o te k e t o ch d e ss in n e h å ll lik s o m d e n m e d ic in s k a u tr u s tn in g som m e d fö rs o m b o r d skall u n d e r h å lla s p å v e d e rb ö rlig t s ä tt o ch in s p e k te ra s m ed j ä m n a m e lla n ru m , ej ö v e rs tig a n d e to lv m å n a d e r , a v a n s v a rig a p e r s o n e r som u ts e tts a v d e n b e h ö rig a m y n d ig h e te n o c h so m sk all se till a tt a lla läk e m ed e l k o n tr o lle r a s m e d a v s e e n d e p å s ista f ö r b ru k n in g s d a g o ch la g rin g s fö re s k rifte rn a. 5. D e n b e h ö rig a m y n d ig h e te n sk all s ä k e rs tä lla a tt in n e h å lle t i s k e p p s a p o te k et fö rte c k n a s o c h ä r fö rs e tt m ed e tik e tte r so m u p p ta r g e n e ris k a n a m n u tö v e r fö r e k o m m a n d e f a b rik a tn a m n s a m t s is ta fö rb ru k n in g s d a g o ch lag rin g sfö re s k rifte r. M y n d ig h e te n sk all ä v e n se till a tt in n e h å lle t i s k e p p s a p o te k e t ö v e r e n s s tä m m e r m e d d e n s ju k v å r d s h a n d le d n in g so m a n v ä n d s n a tio n e llt. 6. D e n b e h ö rig a m y n d ig h e te n sk all s ä k e rs tä lla a tt, d å e n last so m k las sific e ra s so m fa rlig ej ä r u p p ta g e n i d e n s e n a s te u p p la g a n a v ” M e d ic a l F ir s t A id G u id e fo r U se in A c c id e n ts in v o lv in g D a n g e ro u s G o o d s ” , so m u tg es av I n te r n a tio n e lla s jö fa rts o rg a n is a tio n e n , n ö d v ä n d ig in f o r m a tio n o m s u b s ta n s e rn a s n a tu r , a k tu e lla risk e r, n ö d v ä n d ig p e rs o n lig s k y d d s u tru s tn in g , tillä m p liga b e h a n d lin g s m e to d e r o c h s ä rs k ild a m o tg ifte r g ö rs tillg än g lig a fö r b e fä l h a v a r e n . s jö m ä n n e n o c h a n d r a in tre s s e ra d e p e rs o n e r. S å d a n a s ä rs k ild a m o t g ifte r o c h så d a n p e rs o n lig s k y d d s u tru s tn in g sk all f in n a s o m b o r d n ä rh e ls t fa rlig t g o d s tr a n s p o r te r a s .
117. 1 fall a v tr ä n g a n d e b e h o v o c h n ä r e tt lä k e m e d e l, so m o r d in e r a s en s jö m a n av k v a lific e ra d m e d ic in s k p e rs o n a l, in te fin n s tillg än g lig t i s k e p p s a p o te k e t, skall r e d a r e n v id ta alla n ö d v ä n d ig a å tg ä r d e r fö r a tt a n sk a ffa d e tta lä k e m e d e l så s n a r t so m m ö jlig t.
A r tik e l 6 1. V a rje fa rty g , p å v ilk e t d e n n a k o n v e n tio n ä r tillä m p lig , sk all m e d fö ra en s ju k v å r d s h a n d le d n in g fö r fa rty g a n ta g e n av d e n b e h ö rig a m y n d ig h e te n . 2. A v s ju k v å r d s h a n d le d n in g e n sk all fra m g å h u r in n e h å lle t i s k e p p s a p o te k e t sk all a n v ä n d a s . D e n sk all v a ra u tf o r m a d så a tt d e n m ö jlig g ö r fö r p e rs o n e r, so m ej ä r lä k a re , a tt ta v å rd o m s ju k a e lle r s k a d a d e o m b o r d b å d e m e d o ch u ta n m e d ic in s k rå d g iv n in g v ia r a d io e lle r s a te llitk o m m u n ik a tio n . 3. V id a n ta g a n d e e lle r ö v e rsy n a v d e n s ju k v å r d s h a n d le d n in g fö r fa rty g so m a n v ä n d s n a tio n e llt skall d e n b e h ö rig a m y n d ig h e te n b e a k ta in te r n a tio n e lla r e k o m m e n d a tio n e r p å d e tta o m r å d e , bl. a. d e n s e n a s te u p p la g a n a v ” I n te r n a tio n a l M e d ic a l G u id e fo r S h ip s ” o c h ” M e d ic a l F ir s t A id G u id e fo r U s e in A c c id e n ts in v o lv in g D a n g e ro u s G o o d s ” .
A r tik e l 7 1. D e n b e h ö rig a m y n d ig h e te n sk all g e n o m e tt i fö rv ä g a n o r d n a t sy ste m s ä k e rs tä lla a tt m e d ic in s k rå d g iv n in g v ia r a d io e lle r s a te llitk o m m u n ik a tio n till fa rty g till sjö ss, in k lu s iv e s p e c ia lis trå d g iv n in g , ä r tillg än g lig v a rje tim m a p å d y g n e t. 2. S å d a n m e d ic in s k rå d g iv n in g , in k lu s iv e v id a r e s ä n d n in g a v m e d ic in s k a m e d d e la n d e n v ia ra d io e lle r s a te llitk o m m u n ik a tio n m e lla n e tt fa rty g o ch d e p e r s o n e r i la n d so m g e r r å d e n , sk all v a ra tillg än g lig a v g ifts fritt fö r alla farty g , o a v s e tt i v ilk e t te r r ito r iu m d e ä r re g is tre ra d e . 3. F ö r a tt d e re s u rs e r so m ä r tillg än g lig a fö r m e d ic in s k rå d g iv n in g v ia ra d io e lle r s a te llitk o m m u n ik a tio n sk all u tn y ttja s p å b ä s ta m ö jlig a s ä tt skall a) a lla fa rty g , p å v ilk a d e n n a k o n v e n tio n ä r tillä m p lig o ch s o m ä r u tr u s ta d e m e d ra d io a n lä g g n in g , m e d fö ra en fu lls tä n d ig f ö rte c k n in g ö v e r r a d io s ta tio n e r g e n o m v ilk a m e d ic in s k r å d g iv n in g k a n e rh å lla s; b ) a lla fa rty g , p å v ilk a d e n n a k o n v e n tio n ä r tillä m p lig o c h so m ä r u tr u s ta d e m e d e tt sy s te m fö r s a te llitk o m m u n ik a tio n , m e d fö ra e n fu lls tä n d ig fö rte c k n in g ö v e r k u s tjo r d s ta tio n e r g e n o m v ilk a m e d ic in s k r å d g iv n in g k a n e rh å lla s; c) f ö rte c k n in g a rn a h å lla s a k tu e lla o c h fö rv a ra s a v d e n p e rs o n so m h a r a n s v a re t fö r r a d io - e lle r s a te llitk o m m u n ik a tio n e r n a o m b o rd . 4. S jö m ä n o m b o r d , so m b e g ä r m e d ic in s k r å d g iv n in g v ia r a d io e lle r s a te llit k o m m u n ik a tio n , sk all in s tr u e r a s i a n v ä n d a n d e t av s ju k v å r d s h a n d le d n in g e n fö r fa rty g o c h d e t m e d ic in s k a a v s n itte t i d e n s e n a s te u p p la g a n a v ” I n te r n a tio nal C o d e o f S ig n a ls” so m u tg es a v I n te r n a tio n e lla s jö f a r ts o r g a n is a tio n e n , så a tt d e t sk all b li m ö jlig t fö r d e m a tt fö rs tå v a d slags in f o r m a tio n d e n rå d g iv a n d e lä k a re n b e h ö v e r, lik so m ä v e n d e m o tta g n a rå d e n . 5. D e n b e h ö rig a m y n d ig h e te n sk all se till a tt lä k a re , s o m tillh a n d a h å lle r m e d ic in s k rå d g iv n in g i e n lig h e t m e d d e n n a a rtik e l, e rh å lle r lä m p lig u tb ild n in g o c h ä r m e d v e tn a o m f ö rh å lla n d e n a p å farty g .
A r tik e l 8 1. A lla fa rty g , p å v ilk a d e n n a k o n v e n tio n ä r tillä m p lig o c h so m m e d fö r m in s t 100 s jö m ä n o ch v a n lig e n ä r s y s se ls a tta i in te r n a tio n e lla re s o r av m e r ä n tr e d y g n s v a ra k tig h e t, sk all so m b e s ä ttn in g s m e d le m m e d fö ra e n lä k a re , a n sv a rig fö r a tt tillh a n d a h å lla s ju k v å rd . 2. N a tio n e lla lag a r e lle r fö re s k rifte r sk all re g le ra v ilk a a n d r a fa rty g so m sk all m e d f ö r a en lä k a re so m b e s ä ttn in g s m e d le m , m e d b e a k ta n d e a v b la n d a n n a t s å d a n a fa k to re r so m re s a n s v a ra k tig h e t, a r t o ch v illk o r s a m t a n ta le t s jö m ä n o m b o rd .
12A r tik e l 9 1. A lla fa rty g , p å v ilk a d e n n a k o n v e n tio n ä r tillä m p lig o c h so m in te m e d fö r e n lä k a re , sk all so m b e s ä ttn in g s m e d le m m a r m e d fö ra e n e lle r flera sä rsk ilt u ts e d d a p e r s o n e r so m h a r till u p p g ift a tt, in o m ra m e n fö r s in a re g u ljä ra tjä n s te å lig g a n d e n , s k ö ta s ju k v å rd o c h d e la u t lä k e m e d e l. 2. P e r s o n e r m ed u p p g ift a tt s k ö ta s ju k v å rd o m b o r d , v ilk a in te ä r lä k a re , sk all m e d tillf r e d s s tä lla n d e re s u lta t h a g e n o m g å tt en a v d e n b e h ö rig a m y n d ig h e te n g o d k ä n d k u rs in n e f a tta n d e te o re tis k o c h tillä m p a d u tb ild n in g i m e d i c in s k a fä rd ig h e te r. D e n n a k u rs sk all o m f a tta a ) m e d a v s e e n d e p å fa rty g m e d b r u tto d r ä k tig h e t u n d e r s tig a n d e 1 6 0 0 , v ilk a v a n lig e n k a n n å k v a lific e ra d s ju k v å rd o c h m e d ic in s k a re s u rs e r in o m å tta tim m a r , g ru n d lä g g a n d e u tb ild n in g so m sk all g ö ra d e t m ö jlig t a tt o m e d e lb a rt v id ta e ffe k tiv a å tg ä r d e r i h ä n d e ls e a v o ly c k o r e lle r s ju k d o m a r so m k a n in trä ffa o m b o r d p å fa rty g o c h a tt a n v ä n d a sig a v m e d ic in s k rå d g iv n in g v ia r a d io e lle r s a te llitk o m m u n ik a tio n ; b ) m e d a v s e e n d e p å a lla a n d r a fa rty g , m e r a v a n c e r a d m e d ic in s k u tb ild n in g , in n e f a tta n d e p ra k tis k u tb ild n in g v id a k u ta v d e ln in g e n p å e tt s ju k h u s , d ä r så ä r m ö jlig t, o c h u tb ild n in g i liv r ä d d n in g s te k n ik e r , så so m in tr a v e n ö s b e h a n d lin g , v ilk e n u tb ild n in g sk all g ö ra d e t m ö jlig t fö r b e r ö rd a p e r s o n e r a tt e ffe k tiv t d e lta i s a m o r d n a d v e rk s a m h e t fö r m e d ic in s k a s s is ta n s å t fa rty g till sjö ss och a tt ge s ju k a e lle r s k a d a d e s ju k v å rd m e d e n tillf r e d s s tä lla n d e s ta n d a r d u n d e r d e n tid so m d e f ö r v ä n ta s bli k v a r o m b o r d . N ä rh e ls t d e t ä r m ö jlig t sk all d e n n a u tb ild n in g ges u n d e r ö v e rin s e e n d e av en lä k a re so m h a r in g å e n d e k u n s k a p o m o c h fö rs tå e ls e fö r d e m e d ic in s k a p ro b le m o c h fö rh å lla n d e n so m h ä n f ö r sig till s jö m a n s y rk e t, in k lu s iv e e x p e r tk u n s k a p o m m e d ic in s k a å tg ä r d e r v ia ra d io e lle r s a te llitk o m m u n ik a tio n . 3. D e k u rs e r so m a v s e s i d e n n a a rtik e l sk all g r u n d a s p å in n e h å lle t i d en s e n a s te u tg å v a n a v ” I n te r n a tio n a l M e d ic a l G u id e fo r S h ip s ” , a v ” M e d ica l F irs t A id G u id e fo r U se in A c c id e n ts in v o lv in g D a n g e ro u s G o o d s ” , av ” D o c u m e n t fo r G u id a n c e — A n I n te r n a tio n a l M a r itim e T ra in in g G u id e ” , so m h a r u tg iv its av In te r n a tio n e lla s jö f a r ts o r g a n is a tio n e n , a v d e t m e d ic in s k a a v s n itte t i ” I n te r n a tio n a l C o d e o f S ig n a ls” s a m t a v lik n a n d e n a tio n e lla h a n d le d n in g a r. 4. P e r s o n e r so m a v se s i p u n k t 2 i d e n n a a rtik e l o c h s å d a n a s jö m ä n i ö v rig t s o m d e n b e h ö rig a m y n d ig h e te n b e s tä m m e r sk all g e n o m g å fo rtb ild n in g s k u r ser, m e d o m k rin g fem å rs m e lla n r u m , fö r a tt g ö ra d e t m ö jlig t fö r d e m a tt v id m a k th å lla o ch u tö k a s in a k u n s k a p e r o c h f ä rd ig h e te r o c h a tt h å lla sig å jo u r m e d u tv ec k lin g e n . 5. A lla s jö m ä n skall u n d e r sin u tb ild n in g i s jö m a n s y rk e t e rh å lla in s tru k tio n o m d e o m e d e lb a ra å tg ä r d e r so m sk all v id ta s i h ä n d e ls e a v en o ly ck a e lle r a n n a n n ö d s itu a tio n a v m e d ic in s k n a tu r o m b o rd . 6. U tö v e r d e n e lle r d e p e r s o n e r so m h a r till u p p g ift a tt s k ö ta s ju k v å rd o m b o r d , sk all en e lle r flera sä rsk ilt u ts e d d a b e s ä ttn in g s m e d le m m a r e rh å lla g ru n d lä g g a n d e u tb ild n in g i s ju k v å rd fö r a tt d e sk all bli i s tå n d a tt o m e d e lb a rt v id ta e ffe k tiv a å tg ä r d e r i h ä n d e ls e av o ly c k o r e lle r s ju k d o m a r so m k an in trä ffa o m b o r d p å farty g .
A r tik e l 10 A lla farty g , p å v ilk a d e n n a k o n v e n tio n ä r tillä m p lig , sk all, n ä r d e t ä r p r a k tis k t m ö jlig t, ge all m ö jlig m e d ic in s k a s s is ta n s å t a n d r a fa rty g so m b e g är d e t.
A r tik e l I I 1. P å v a rje fa rty g m e d en b r u tto d r ä k tig h e t o m m in s t 500, s o m m e d fö r m in s t 15 s jö m ä n o c h s y s se ls ä tts i en re sa a v m e r ä n tr e d y g n s v a ra k tig h e t, sk all e tt s ä rs k ilt sju k fö rlä g g n in g s u try m m e tillh a n d a h å lla s . D e n b e h ö rig a m y n d ig h e te n få r g ö ra u n d a n ta g frå n d e tta k ra v i fråg a o m fa rty g sy s s e ls a tta i k u s ttra fik .
132. P å v a rje fa rty g m ed en b r u tto d r ä k tig h e t o m m e lla n 2 0 0 o ch 500 sa m t på b o g s e rfa rty g sk all d e n n a a rtik e l tillä m p a s d ä r d e t ä r rim lig t o c h g e n o m fö r b a rt. 3. D e n n a a rtik e l ä r ej tillä m p lig p å fa rty g so m h u v u d s a k lig e n f ra m d riv s m ed segel. 4. S ju k fo rlä g g n in g s u try m m e t sk all v a ra lä m p lig t b e lä g e t, så a tt d e t k a n n å s lätt o c h d e in ta g n a k an få b e k v ä m t logi o c h v e d e rb ö rlig tillsy n i alla v ä d e r. 5. S ju k fo rlä g g n in g s u try m m e t sk all v a ra u tf o r m a t p å s å d a n t s ä tt a tt k o n s u l ta tio n e r o c h m e d d e la n d e av m e d ic in s k fö rs ta h jä lp u n d e r lä tta s . 6. In g å n g e n , v å r d p la ts e r n a , b e ly s n in g e n , v e n tila tio n e n , u p p v ä r m n in g e n o c h v a tte n fö r s ö r jn in g e n sk all h a s å d a n u tf o r m n in g a tt d e in ta g n a p a tie n te r n a s b e k v ä m lig h e t tillg o d o se s o ch d e r a s b e h a n d lin g u n d e r lä tta s . 7. A n ta le t e rfo rd e rlig a v å r d p la ts e r sk all fö re s k riv a s a v d e n b e h ö rig a m y n d ig h e te n . 8. V a tte n to a le ttu tr y m m e sk all tillh a n d a h å lla s fö r a tt a n v ä n d a s e n b a r t a v d e i s ju k fo rlä g g n in g s u try m m e t in ta g n a p a tie n te r n a , a n tin g e n so m en del a v d e tta u tr y m m e e lle r i d e ss o m e d e lb a r a n ä rh e t. 9. S ju k fo rlä g g n in g s u try m m e t sk all in te a n v ä n d a s fö r a n n a t ä n s ju k v å rd s ä n d a m å l.
A r tik e l 12 1. E tt s ta n d a r d is e r a t m e d ic in s k t r a p p o r tf o r m u lä r fö r s jö m ä n sk all a n ta s av d e n b e h ö rig a m y n d ig h e te n so m m o d e ll fö r a tt a n v ä n d a s a v s k e p p s lä k a re , b e fä lh a v a re e lle r p e rs o n e r m e d u p p g ift a tt s k ö ta s ju k v å rd o m b o r d o ch a v s ju k h u s e lle r lä k a re i lan d . 2. F o r m u lä r e t sk all v a ra s ä rs k ilt u tf o r m a t fö r a tt u n d e r lä tta u tb y te av m e d ic in s k o c h d ä rm e d s a m m a n h ä n g a n d e in fo r m a tio n a n g å e n d e e n s k ild a s jö m a n m e lla n fa rty g o ch la n d i fall a v s ju k d o m e lle r sk a d a . 3. D e n in f o r m a tio n so m d e t m e d ic in s k a r a p p o rtf o r m u lä r e t in n e h å lle r sk all h å lla s k o n fid e n tie ll o ch sk all in te a n v ä n d a s fö r n å g o t a n n a t ä n d a m å l ä n a tt u n d e r lä tta b e h a n d lin g e n av s jö m ä n .
A r tik e l 13 1. M e d le m m a r, fö r v ilk a d e n n a k o n v e n tio n ä r i k ra ft, sk all s a m a r b e ta m e d v a r a n d r a fö r a tt frä m ja h ä ls o sk y d d fö r s jö m ä n o c h s ju k v å rd av d e ssa o m b o rd p å farty g . 2. S å d a n t s a m a r b e te k an o m f a tta fö lja n d e : a) a tt u tv e c k la o c h s a m o r d n a s jö r ä d d n in g s in s a ts e r o ch o r d n a m e d o m e d e l b a r s ju k h jä lp fö r o c h h ä m tn in g till sjö ss a v a llv a rlig t s ju k a e lle r s k a d a d e o m b o r d p å e tt fa rty g g e n o m s å d a n a m e d e l so m sy s te m fö r p e r io d is k ra p p o rte rin g a v fa rty g s p o s itio n e r, r ä d d n in g s c e n tr a le r o c h h e lik o p te r tjä n s t fö r n ö d s i
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tu a tio n e r , i ö v e re n s s tä m m e ls e m e d b e s tä m m e ls e r n a i 1979 å rs in te r n a tio n e lla s jö r ä d d n in g s k o n v e n tio n sa m t ” M e rc h a n t S h ip S e a rch a n d R e sc u e M a n u a l” o ch ” IM O S e a rch a n d R e sc u e M a n u a l” , so m u ta r b e ta ts av In te r n a tio n e lla s jö f a r ts o r g a n is a tio n e n ; b) a tt p å b ä s ta s ä tt u tn y ttja fisk e farty g , so m m e d fö r lä k a re , o c h till sjö ss s ta tio n e r a d e fa rty g , so m k a n tillh a n d a h å lla s ju k h u s - o c h rä d d n in g s re s u rs e r;
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c) a tt s a m m a n s tä lla och h å lla å j o u r en in te r n a tio n e ll f ö rte c k n in g ö v e r lä k a re o c h s ju k v å r d s r e s u r s e r tillg än g lig a r u n to m i v ä rld e n fö r a tt ge s ju k v å rd åt s jö m ä n i n ö d s itu a tio n e r ; d ) a tt la n d s ä tta s jö m ä n i h a m n fö r a k u tb e h a n d lin g ; e) a tt s ä n d a h e m s jö m ä n so m ta g its in p å s ju k h u s u to m la n d s , så s n a rt d e t k a n sk e. i e n lig h e t m e d d e n m e d ic in s k a rå d g iv n in g e n frå n d e lä k a re so m h a r a n s v a re t fö r fallet o c h m ed b e a k ta n d e a v s jö m a n n e n s ö n s k e m å l o c h b e h o v ; 0 a tt o r d n a m e d p e rs o n lig h jä lp å t s jö m ä n u n d e r h e m tr a n s p o r te n , i e n lig h e t m e d d e n m e d ic in s k a rå d g iv n in g e n frå n d e lä k a re so m h a r a n s v a re t fö r fa llet o c h m ed b e a k ta n d e a v s jö m a n n e n s ö n s k e m å l o c h b e h o v ; g) a tt e f te r s tr ä v a a tt u p p r ä tta h ä ls o c e n tr a le r fö r s jö m ä n fö r a tt
141) b e d r iv a fo rs k n in g o m h ä ls o s ta tu s , lä k a r b e h a n d lin g o ch fö re b y g g a n d e h ä ls o v å rd i fråg a o m s jö m ä n ; 2) u tb ild a s ju k v å rd s - o ch f r is k v å rd s p e rs o n a l i ä m n e t s jö fa rts m e d ic in ; h ) a tt in s a m la o ch u tv ä r d e r a s ta tis tik a n g å e n d e a rb e ts o ly c k o r, a r b e ts s ju k d o m a r o ch d ö d sfa ll b la n d s jö m ä n o ch a tt in te g re ra o ch h a r m o n is e r a d e n m ed b e fin tlig a n a tio n e lla sy ste m fö r s ta tis tik o m a rb e ts o ly c k o r, a r b e ts s ju k d o m a r o c h d ö d s fa ll, so m a v s e r a n d r a k a te g o rie r av a rb e ts ta g a re ; i) a tt a n o r d n a så v ä l in te r n a tio n e llt u tb y te a v te k n is k in f o r m a tio n , u tb ild n in g s m a te ria l o ch u tb ild n in g s p e rs o n a l so m in te r n a tio n e lla u tb ild n in g s k u rs e r, s e m in a r ie r o c h a rb e ts g ru p p e r; j ) a tt ge a lla s jö m ä n sä rs k ild v å r d a n d e o c h fö re b y g g a n d e h ä ls o s e rv ic e och m e d ic in s k s e rv ic e i h a m n e lle r a tt g ö ra a llm ä n h ä ls o s e rv ic e , m e d ic in s k se r v ice o c h r e h a b ilite iin g s s e rv ic e tillg än g lig fö r d e m ; k) a tt o m b e s ö rja h e m s ä n d n in g av lik e t e lle r a sk a n e f te r a v lid n a s jö m ä n så s n a rt so m m ö jlig t, i e n lig h e t m e d d e n ä r m a s te a n h ö rig a s ö n s k e m å l. 3. In te r n a tio n e llt s a m a r b e te p å o m r å d e t h ä ls o s k y d d o ch s ju k v å rd fö r sjö m ä n sk all g ru n d a s p å b ila te ra la e lle r m u ltila te ra la ö v e r e n s k o m m e ls e r e lle r ö v e rlä g g n in g a r m e lla n m e d le m m a rn a .
A r tik e l 14 R a tif ik a tio n s in s tr u m e n t a v s e e n d e d e n n a k o n v e n tio n skall s ä n d a s till I n te r n a tio n e lla a r b e ts b y r å n s g e n e r a ld ir e k tö r fö r re g is tre rin g .
A r tik e l 15 1. D e n n a k o n v e n tio n sk all v a ra b in d a n d e e n d a s t fö r d e m e d le m m a r av I n te r n a tio n e lla a rb e ts o r g a n is a tio n e n v ilk a s r a tif ik a tio n e r h a r re g is tre ra ts h os g e n e ra ld ire k tö re n . 2. D e n tr ä d e r i k ra ft to lv m å n a d e r e f te r d e n d a g , d å r a tif ik a tio n e r frå n tv å m e d le m m a r h a r re g is tre ra ts h o s g e n e ra ld ire k tö re n . 3. D ä r e f te r tr ä d e r d e n n a k o n v e n tio n i k ra ft fö r v a rje m e d le m to lv m å n a d e r e f te r d e n d a g , d å d e ss r a tif ik a tio n h a r re g is tre ra ts .
A r tik e l 16 1. E n m e d le m so m h a r ra tif ic e r a t d e n n a k o n v e n tio n k a n säga u p p d en s e d a n tio å r fö rflu tit frå n d e n d ag , d å k o n v e n tio n e n fo rst tr ä d e r i k ra ft, g e n o m e n s k riv e ls e so m s ä n d s till In te r n a tio n e lla a r b e ts b y r å n s g e n e r a ld ir e k tö r fö r re g is tre rin g . S å d a n u p p s ä g n in g skall in te tr ä d a i k ra ft f ö rrä n e tt å r e f te r d en d a g , d å d e n h a r re g is tre ra ts . 2. V a rje m e d le m , so m h a r r a tific e ra t d e n n a k o n v e n tio n o c h so m in te , in o m d e t å r so m fö lje r p å u tg å n g e n a v d e n i fö re g å e n d e p u n k t n ä m n d a tio å r s p e r io d e n , u tn y ttja r sin rä tt till u p p s ä g n in g e n lig t d e n n a a rtik e l, ä r b u n d e n u n d e r y tte rlig a re en tio å r s p e r io d o ch k a n d ä r e f te r , p å d e i d e n n a a rtik e l fö re s k riv n a v illk o re n , säg a u p p d e n n a k o n v e n tio n v id u tg å n g e n a v v a rje tio å r s p e r io d .
A r tik e l 17 1. I n te r n a tio n e lla a r b e ts b y r å n s g e n e r a ld ir e k tö r skall u n d e r r ä tta alla m e d le m m a r a v I n te r n a tio n e lla a rb e ts o r g a n is a tio n e n o m re g is tre rin g e n a v alla r a tif ik a tio n e r o ch u p p s ä g n in g a r so m g e n e r a ld ir e k tö r e n h a r ta g it e m o t från o rg a n is a tio n e n s m e d le m m a r. 2. N ä r g e n e r a ld ir e k tö r e n u n d e r r ä t ta r o r g a n is a tio n e n s m e d le m m a r o m re g is tre rin g e n av d e n a n d r a ra tif ik a tio n e n i o r d n in g e n so m h a n h a r ta g it e m o t, sk all h a n fä s ta m e d le m m a r n a s u p p m ä r k s a m h e t p å d e n d a g , d å k o n v e n tio n e n t r ä d e r i k ra ft.
15I n te r n a tio n e lla a r b e ts b y r å n s g e n e r a ld ir e k tö r sk all, fö r re g is tre rin g en lig t a rtik e l 102 i F ö r e n ta n a tio n e rn a s s ta d g a , lä m n a F ö r e n ta n a tio n e rn a s g e n e ra l s e k re te ra re fu lls tä n d ig a u p p ly s n in g a r o m s a m tlig a r a tif ik a tio n e r o c h u p p s ä g n in g a r so m h a r re g is tre ra ts h o s h o n o m en lig t b e s tä m m e ls e r n a i fö re g å e n d e a rtik la r.
A r tik e l 19 V id d e t id p u n k te r , d å I n te r n a tio n e lla a r b e ts b y r å n s sty re ls e f in n e r d e t n ö d v ä n d ig t, sk all d e n a v lä m n a r a p p o rt till d e n a llm ä n n a k o n fe re n s e n o m d e n n a k o n v e n tio n s tillä m p n in g o ch u n d e rs ö k a o m d e t fin n s a n le d n in g a tt fö ra u p p fråg a n o m r e v id e rin g a v k o n v e n tio n e n , h e lt e lle r d e lv is , p å k o n fe re n s e n s d a g o rd n in g .
A r tik e l 2 0 1. O m k o n fe re n s e n a n ta r en ny k o n v e n tio n v a rig e n o m d e n n a k o n v e n tio n h elt e lle r d e lv is re v id e r a s o c h d e n n y a k o n v e n tio n e n in te f ö re s k riv e r a n n a t, skall a ) en m e d le m s ra tif ik a tio n a v d e n n y a k o n v e n tio n e n , u ta n h in d e r av b e s tä m m e ls e r n a i a rtik e l 16 o v a n , a n s e s m e d f ö r a o m e d e lb a r u p p s ä g n in g a v
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d e n n a k o n v e n tio n , o m o ch n ä r d e n n y a k o n v e n tio n e n h a r tr ä t t i k ra ft; b ) fr å n d e n d a g , d å d e n n y a k o n v e n tio n e n tr ä d e r i k ra ft, d e n n a k o n v e n tio n u p p h ö r a a tt v a r a ö p p e n fö r r a tif ik a tio n a v m e d le m m a r n a . 2. D e n n a k o n v e n tio n sk all lik v ä l fö rb li g ä lla n d e till fo rm o c h in n e h å ll fö r d e m e d le m m a r so m h a r ra tif ic e r a t d e n m e n in te h a r r a tif ic e r a t d e n n y a k o n v e n tio n e n .
A r tik e l 21 D e e n g e ls k a o c h fra n s k a v e r s io n e r n a a v d e n n a k o n v e n tio n s te x t h a r lik a g iltig h et.
N orstedts Tryckeri, Stockholm 1990