Maritime Medical Guidelines & Regulatory Framework

All statutory maritime medical decisions are guided by international conventions and national regulations. However operational interpretation involves professional judgement based on vessel type, rank, voyage duration, medication stability and emergency management feasibility at sea.

1. Core International Framework

ILO IMO Medical Examination of Seafarers

ILO / IMO Guidelines for the Medical Examination of Seafarers (2013 Edition)

This document forms the global reference framework used by maritime medical examiners when determining operational fitness for sea duty.

Download Official ILO / IMO Guidelines

Maritime Labour Convention (MLC 2006)

The Maritime Labour Convention establishes the requirement for valid medical certification for seafarers and outlines minimum health standards applicable globally.

View MLC 2006 Information

STCW Convention

The Standards of Training Certification and Watchkeeping Convention includes provisions related to medical fitness for watchkeeping duties and operational safety.

View STCW Overview

2. Indian Regulatory Framework

Directorate General of Shipping – India

DG Shipping regulates medical certification for Indian seafarers undergoing Pre-Employment Medical Examination (PEME) and Re-Medical Examination (REME).

Visit DG Shipping Website

3. Flag State & Operational Variability

P&I Club Medical Risk Considerations

Protection & Indemnity Clubs monitor repatriation risk and medical claims. Their PEME guidance assists shipowners in managing medical risk exposure.

American Club PEME Guidance

If you want to estimate possible risk indicators before travelling for medical examination, try the PEME Risk Self-Assessment Tool

If you already have reports or borderline findings and want professional interpretation before booking your medical examination, you may request a structured case review here:

Review Your Eligibility Before Booking PEME