Merchant Shipping (Maritime Labour Convention) (Medicines and Medical

Equipment) Regulations 2014

Table of Contents

Enacting Formula

1 Citation and commencement

2 Definitions

3 Application

4 Master’s and shipowner’s responsibilities

5 Medical guide

6 Medicines and medical equipment for foreign-going ships

7 Medicines and medical equipment for home-trade ships

8 Medicines and medical equipment for ships plying upon special limit
voyages

9 Ships carrying dangerous cargo

10 Ships without qualified medical practitioners

11 Ships with qualified medical practitioners

12 First-aid kit

13 Inspection of medicines and medical equipment

14 Medicine register and preservation of prescriptions

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 15 Alternative medicines and medical equipment

16 Standards of medicines kept on board

17 Packaging and labelling

18 Storage of medicines and medical equipment

19 Replenishment of dated medicine and medical equipment

20 Disposal of medicines and medical equipment

FIRST SCHEDULE

SECOND SCHEDULE Medicines and medical equipment to be carried on ships

carrying dangerous cargo

THIRD SCHEDULE Medicine register

FOURTH SCHEDULE Specification of insecticides and means of application

FIFTH SCHEDULE Disposal of medicines and medical equipment

No. S 181

MERCHANT SHIPPING (MARITIME LABOUR

CONVENTION) ACT 2014
(ACT 6 OF 2014)

MERCHANT SHIPPING (MARITIME LABOUR

CONVENTION) (MEDICINES AND MEDICAL EQUIPMENT)
REGULATIONS 2014

In exercise of the powers conferred by section 82 of the Merchant Shipping (Maritime

Labour Convention) Act 2014, the Maritime and Port Authority of Singapore, with the
approval of the Minister for Transport, hereby makes the following Regulations:

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Citation and commencement
1. These Regulations may be cited as the Merchant Shipping (Maritime Labour
Convention) (Medicines and Medical Equipment) Regulations 2014 and shall come into
operation on 1st April 2014.

Definitions
2. In these Regulations, unless the context otherwise requires —
“foreign-going ship” includes every ship employed in trading or going between
some place or places in Singapore and some place or places situated beyond the
limits prescribed for home-trade ships;
“home-trade ship” means a ship plying solely upon a home-trade voyage;
“home-trade voyage” means a voyage within the following limits:
an imaginary line drawn from a position in the Gulf of Martaban in latitude 16°
15′ north, longitude 96° east in a south-easterly direction to a position in
latitude 15° north, longitude 97° east, thence due south to a position in latitude
9° north, longitude 97° east, thence in a south-westerly direction to a position in
latitude 6° north, longitude 94° east, thence due south to a position latitude 4°
north, longitude 94° east, thence in a south-easterly direction to a position in
latitude 8° south, longitude 104° east, thence in an easterly direction to a
position in latitude 10° south, longitude 120° east, thence due east to a position
in latitude 10° south, longitude 125° east, thence due north to a position in
latitude 8° north, longitude 125° east, thence due west to a position in latitude
8° north, longitude 110° east, thence in a 315° direction (N.W. true) to the coast
of Vietnam, thence initially westward following the coasts of Vietnam,
Cambodia, Thailand, the West Malaysia and Myanmar to the starting point;
“medicine case” means a medicine case required to be kept on board a ship without
a qualified medical practitioner under regulation 10;
“medicine register” means a medicine register required to be kept on board a ship
under regulation 14;
“passenger” means a person carried on board a ship with the knowledge or consent
of the owner, manager, charterer, operator, agent or master of the ship, not
being —
(a) a person employed or engaged in any capacity on board the ship on the
business of the ship;
(b) a person on board the ship pursuant to an obligation imposed on the
master by any law (including a law of a country other than Singapore)

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 to convey persons left behind in any country on being shipwrecked,
distressed or by reason of circumstances that could not have been
prevented or forestalled by the owner, manager, charterer, operator,
agent or master of the ship;
(c) a person temporarily employed on the ship in port; or
(d) a child below one year of age;
“passenger ship” means a ship which carries more than 12 passengers;
“registered pharmacist” means a person who is registered as a pharmacist under the
Pharmacists Registration Act (Cap. 230) or a person who possesses such
qualification as may be approved by the Director;
“special limit voyage” means a voyage within the following limits:
from a point where the longitude 103° 00′ east cuts the west coast of Johor,
thence due south to latitude 00° 30′ north, thence due east to longitude 105° 00′
east, thence due north to latitude 01° 00′ north, thence to the point 02° 00′
north, 104° 15′ east, thence due west to the coast of Johor; and thence following
the coast of Johor westwards to the starting point.

Application
3. These Regulations shall apply to —
(a) all Singapore ships ordinarily engaged in commercial activities wherever
they may be; and
(b) all seafarers employed on ships referred to in paragraph (a).

Master’s and shipowner’s responsibilities

4.—(1) The master of a ship to which these Regulations apply shall ensure that the
provisions of these Regulations are complied with in relation to his ship.
(2) The shipowner of a ship to which these Regulations apply shall, upon the request
of the master of his ship, provide such assistance as is necessary for compliance with the
provisions of these Regulations in relation to his ship.
(3) Any person who contravenes paragraph (1) or (2) shall be guilty of an offence
and shall be liable on conviction to a fine not exceeding $2,000.
(4) It shall be a defence for any person charged for an offence under paragraph (3) to
prove —
(a) that the deficiency in medicines or medical equipment was caused by

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 medicines and medical equipment being used for their proper purposes and
that it has not been reasonably practicable to replace them; or
(b) that he took all reasonable precautions and exercised all due diligence to
avoid the commission of the offence.

Medical guide
5. Every ship shall carry on board a copy of the following:
(a) International Medical Guide for Ships;
(b) Ship Captain’s Medical Guide;
(c) Medical First Aid Guide for Use in Accidents Involving Dangerous Goods;
(d) Document for Guidance — An International Maritime Training Guide; and
(e) International Code of Signals.

Medicines and medical equipment for foreign-going ships

6. Every foreign-going ship shall keep on board —
(a) medicines in a medicine chest according to Scale A set out in Part I of the
First Schedule; and
(b) medical equipment set out in Part II of the First Schedule.

Medicines and medical equipment for home-trade ships

7. Every home-trade ship shall keep on board —
(a) medicines in a medicine chest according to Scale B set out in Part I of the
First Schedule; and
(b) medical equipment set out in Part II of the First Schedule.

Medicines and medical equipment for ships plying upon special limit voyages
8. Every ship plying solely upon a special limit voyage from the Port of Singapore
shall keep on board —
(a) medicines in a medicine chest according to Scale C set out in Part I of the
First Schedule; and
(b) medical equipment set out in Part II of the First Schedule.

Ships carrying dangerous cargo

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 9. Every ship carrying dangerous cargo shall, in addition to the medicines in the
medicine chest, and the medical equipment required to be carried under regulation 6, 7 or
8, carry on board such additional medicines and medical equipment as are specified in the
Second Schedule.

Ships without qualified medical practitioners

10.—(1) Every ship going to sea carrying more than 12 passengers but without a
qualified medical practitioner as a seafarer shall (in addition to the medicines in the
medicine chest and the medical equipment the ship is required to carry under
regulation 6, 7 or 8) carry in a medicine case the medicines and the medical equipment
specified in Part III of the First Schedule.
(2) Any item which cannot be included in the medicine case shall —
(a) where possible, be strapped to it; or
(b) otherwise, be kept in a place adjacent to the medicine case.
(3) The medicine case shall be locked, and be kept in a locked cabinet, and the key to
the medicine case shall be kept in the possession of the master or someone nominated by
him.
(4) The medicine case shall be labelled clearly as follows:
“The medicines in this case are to be used only by a qualified medical practitioner or a
person under the direct supervision of a qualified medical practitioner who is on board the
ship or who is conveying medical advice by radio or satellite communication.”.

Ships with qualified medical practitioners

11. There shall be kept on board every ship on a voyage on which a qualified medical
practitioner is engaged to provide medical care to persons on board, any additional
supplies which such medical practitioner may reasonably require having regard to the
size of the crew, the number of passengers on board and the intended voyage.

First-aid kit
12. Every ship that is a passenger ship shall carry one first-aid kit as specified in
Part IV of the First Schedule for every 100 passengers or fraction of that number, except
that no passenger ship shall be required to carry more than 3 kits per ship.

Inspection of medicines and medical equipment

13.—(1) For the purposes of section 30(2) of the Act, the medicines in the medicine
chest and medicine case, if any, the medical equipment and the first-aid kits on board a
ship shall be inspected at least once in every 12 months by a registered pharmacist.

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 (2) The registered pharmacist shall, if he is satisfied after the inspection that the ship
is provided with the medicines and medical equipment in accordance with the
appropriate scale as required under these Regulations, including such medicine case and
first-aid kits as may be required in accordance with the requirements of regulations 10
and 12, respectively, issue a certificate to that effect.
(3) The certificate issued under paragraph (2) shall contain the following details:
(a) the name of the ship;
(b) the trading area of the ship;
(c) the name and official seal of the registered pharmacist;
(d) the scale applied by the registered pharmacist for the inspection of the
medicines in the medicine chest and medical equipment carried on board;
(e) the number of first-aid kits carried on board, if applicable;
(f) the date of inspection; and
(g) the registered pharmacist’s certification that the contents of the medicines
in the medicine chest and the medicine case, if any, the medical equipment
and the first-aid kits, if any, are in a satisfactory condition.
(4) Upon completion of each inspection, the certificate referred to in paragraph (2)
shall be submitted by the master to the Director, for endorsement.
(5) The Director may, upon such conditions as he thinks fit, attest to his recognition
of such certificate by endorsing on the certificate or by providing a document attesting to
such recognition.
(6) The certificate shall be readily available for inspection on board the ship, and
shall be produced, on request, to seafarers employed on that ship, the Director, a person
authorised by the Director, a surveyor of ships and authorised officers in port States.

Medicine register and preservation of prescriptions

14.—(1) Every ship shall carry on board a medicine register containing the
information specified in the Third Schedule.
(2) An entry, signed by the master, shall be made in the medicine register of the
supply of any medicine on board the ship to any seafarer.
(3) The medicine register shall be preserved on board every ship for a period of
3 years from the date on which the last entry is made.
(4) Every prescription for the supply of any medicine or medical equipment for use
on board a ship shall be preserved for a period of 3 years from the date on which the last

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delivery under it was made.

Alternative medicines and medical equipment

15.—(1) Where any medicine required by these Regulations to be kept on board a
ship is not readily available for supply, the master shall obtain suitable alternatives from a
registered pharmacist or a qualified medical practitioner.
(2) Where any medical equipment required by these Regulations to be kept on board a
ship is not readily available for supply, the master shall obtain suitable alternatives from
a qualified medical practitioner and may, where the ship is not in Singapore, obtain
suitable alternatives from a registered pharmacist or a qualified medical practitioner.
(3) The shipowner of a ship to which these Regulations apply shall, upon the request
of the master of his ship, provide such assistance as is necessary to obtain suitable
alternatives for his ship in accordance with paragraph (1) or (2).

Standards of medicines kept on board

16. The contents of all medicines kept on board a ship in accordance with these
Regulations shall conform to the standards and requirements set out in the British
National Formulary or the British Pharmacopoeia or the European Pharmacopoeia or the
United States Pharmacopoeia.

Packaging and labelling

17.—(1) Without prejudice to any other written law, the container of any medicine or
medical equipment required by these Regulations to be kept on board a ship —
(a) shall bear a label stating, in English, the particulars specified in
paragraph (3);
(b) in the case of a container of tablets or capsules, shall be capable of re-
closure to prevent ingress of moisture;
(c) in the case of a container of disinfectant, shall not show deleterious
reaction with the disinfectant after storage in normal conditions for
6 months;
(d) in the case of insecticide, shall be air-tight, water-tight, packed in a suitable
and sturdy case and, if the container is a pressure canister, have a cap or
other means of protecting the valve against accidental opening when the
canister is not in use; and
(e) in the case of medicine or disinfectant not in the container supplied by its
manufacturer, shall be packed in a sturdy, brown-coloured or non-
translucent container.
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 (2) Any label referred to in paragraph (1)(a) shall either be firmly affixed to the
container and rendered resistant to moisture by varnish or other effective means or be an
integral part of the container.
(3) The particulars required by paragraph (1)(a) to be shown on labels are —
(a) the name by which the medicine is referred to in the First Schedule;
(b) any storage requirements laid down in any of the publications referred to in
these Regulations;
(c) if the medicine or medical equipment is perishable, the expiry date as
defined in regulation 19(1)(b);
(d) the name and address of the supplier of the medicine and medical
equipment, the product licence number and batch number;
(e) in the case of any container of a disinfectant or of an antiseptic prescribed
in the First Schedule, the dilution recommended for any purposes stated
thereon;
(f) in the case of any container of an insecticide prescribed in the First
Schedule, instructions for use and precautions to be taken as specified in
the Fourth Schedule; and
(g) in the case of a container of hypochlorite, a notice indicating that the
chemical may combust spontaneously and that the hypochlorite should be
stored in a cool dark place.

Storage of medicines and medical equipment

18.—(1) Any medicine and medical equipment shall be stored in accordance with the
instructions on its container.
(2) Any medicine and medical equipment shall, unless it is required to be kept in a
refrigerator or in a first-aid kit, be stored in a cool, dry, locked cabinet or locked
container.

Replenishment of dated medicine and medical equipment

19.—(1) Where —
(a) a ship is required to have on board any medicine and medical equipment in
accordance with these Regulations; and
(b) any label required by regulation 17(1)(a) to be borne by any container or
any medicine or medical equipment indicates a date after which the
medicine or medical equipment contained in it is not to be used (referred to

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 in this regulation as the expiry date),
that medicine and medical equipment shall be replaced at the earliest possible date after
the expiry date, and in any event within 3 months of the expiry date.
(2) Any medicine or medical equipment which has passed the expiry date shall, once
replacements have been obtained, or after 3 months, whichever is the earlier, be disposed
of in accordance with regulation 20.

Disposal of medicines and medical equipment

20. All medicines and medical equipment shall, subject to the requirements prescribed
under the Misuse of Drugs Act (Cap. 185), where applicable, be disposed of properly in
accordance with the Fifth Schedule.

FIRST SCHEDULE
Regulations 6, 7, 8, 10, 12 and 17(3)

PART I

MEDICINES TO BE CARRIED ON SHIPS

amp=ampoule; crm=cream; inh=inhalation; liq=liquid; lot=lotion; oint=ointment; tab=tablet; AF=atrial

fibrillation; HTN=hypertension; MI=myocardial infarction
+ = quantities irrespective of crew size

Quantities per 10 crew

Name Form Strength Indication Notes
Scale C
Scale A Scale B

Acetylsalicylic tab 300mg Pain, 50 20+ - Not for primary

acid fever, treatment for pain,
blood clots fever or inflammation
Treatment mainly as
antithrombotic Hence
not required in
abundance
Amount doubles if
more than 30 crew
Aciclovir tab 400mg Herpes simplex/ 70+ 50+ - 800 mg, 5 times a day
zoster for 7 days
Adrenaline amp 1mg/mℓ Anaphylaxis 10+ 5+ 5+ For severe allergies,
severe asthma and
resuscitation
Amoxicillin/ tab 875mg/ Infections 20 10+ - Not for those with
clavulanic acid 125mg penicillin allergy
Amount doubles if

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 more than 20 crew

Artemether amp 80mg/mℓ Malaria 12+ 12+ - For 4 days of therapy,

treatment total amount needed
would be 11 amp of
80 mg/mℓ for an
average 70 kg adult,
for severe malaria
Artemether + tab 20mg/ Malaria 24+ 24+ - For mild to moderate
lumefantrine 120mg treatment malaria
Amount doubles if
more than 30 crew
Atropine amp 1.2mg/mℓ MI/ 10+ 5+ - In ships that bring
organophosphate organophosphate in
poisoning cargo, the amount is
per 10 crew
Double quantity if
carrying
organophosphates
Azithromycin tab 500mg Infections 10+ 5+ - Alternative for
penicillin allergy
Amount doubles if
more than 30 crew
Ceftriaxone amp 1g Infections 15 5+ - For parenteral use

Cetirizine tab 10mg Hayfever/ 30+ 30+ -

hives/
dermatitis
Charcoal, activated powder Poisoning 120g+ 100+ - Also depending on
the cargo
Ciprofloxacin tab 250mg Infections 20+ 10+ - Amount doubles if
more than 30 crew
Cloves, oil of liq Toothache 10mℓ 10mℓ+ - Temporary relief

Dexamethasone amp 4mg/mℓ Severe asthma/ 3 2+ - Amount doubles if

anaphylaxis more than 30 crew
Diazepam tab 5mg Alcohol withdrawal 50+ 20+ -

Docusate tab 50mg/ Constipation 30+ - -

with senna 8mg
Doxycycline tab 100mg Infections 10 - - May be used for
malaria
Ethanol, gel 70% Hand cleaning 500mℓ 500mℓ+ 100mℓ+
hand cleanser
Ethanol liq 70% Disinfect instruments 500mℓ 100mℓ -

Fluorescein eye strips 1% Detect corneal damage 20+ 5+ - Only for detection

Frusemide amp 40mg/ Pulmonary oedema 5+ 2+ 1+

4mℓ
Glucagon amp 1mg Hypoglycaemia 1+ 1+ 1+

Haloperidol amp 5mg/mℓ Psychosis/ 5 5+ - Amount doubles if

severe agitation more than 30 crew

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 Hydrocortisone crm 1%, 30g Allergy/ 2 x 30g 2 x 30g - One tube per patient
inflammatory skin
Ibuprofen tab 400mg Inflammation/pain 100 50+ 50+

Isosorbide tab 5mg Angina/MI 10 10+ 5+ Amount doubles if

dinitrate more than 30 crew
Lignocaine amp 1%, 5mℓ Suturing/ 5 5+ - Only if surgical
minor surgery trained
Loperamide tab 2mg Diarrhoea 30 30+ 10+

Mebendazole tab 100mg Intestinal worms 6+ - -

Metoprolol tab 100mg HTN/ 60+ - - Amount doubles if

AF/ more than 30 crew
Angina/Migraine
Metronidazole tab 500mg Infections 30+ 20+ -

Miconazole crm 2% Fungal skin infections 2 x 30g 2+ x 30g - Double quantities if

females on board

Midazolam amp 5mg/mℓ Epileptic fits 10+ 5+ -

Misoprostol tab 200µg Post-partum 3+ 3+ - For incomplete

haemorrhage miscarriage
Only if females on
board
Oral powder sachet Dehydration due to 15ℓ (75) 4ℓ (20) 2ℓ (10) Quantities in brackets
Rehydration diarrhoea/Sachet are number of sachets
Solution based on sachets
made up to 200mℓ

Oxymetazoline nasal drop 0.50% Nasal obstruction/ 2 1 - One bottle per patient
drain sinuses
Morphine amp 10mg/mℓ Severe pain 10 10+ -

Morphine liq 1mg/mℓ Severe pain in patients 100mℓ+ 100mℓ+ -

able to eat and drink

Naloxone amp 0.4mg/mℓ Opiate overdose 10+ 10+ - Follows the morphine
supply
Omeprazole tab 20mg Reflux, peptic ulcers 30+ 30+ -

Ondanestron tab 4mg Vomiting, 10 5 5+

sea-sickness
Paracetamol tab 500mg Pain and fever 100 100+ 50+

Permethrin lot 1% Lice 200mℓ+ 100mℓ+ - Amount doubles if

more than 30 crew
Permethrin lot 5% Scabies 300mℓ+ 100mℓ+ - 100mℓ per patient

Povidone iodine oint 10% Disinfect skin/wounds 1 x 25g 1 x 25g -

Povidone iodine liq 10% Disinfect skin/wounds 100mℓ 100mℓ 100mℓ+

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 Prednisone tab 25mg Asthma/ 30+ 30+ - For acute asthma and
inflammatory severe inflammation
conditions Amount doubles if
more than 30 crew
Salbutamol inh 100µg/dose Asthma/ 1 1 1 One inhaler per
bronchitis/ patient
emphysema
Sodium chloride liq 0.9%, 1ℓ Fluid replacement 5+ 2+ -

Tetracaine eye drop 0.50% Eye examination 20+ 10+ -

[amethocaine]
Tetracycline eye oint 1% Minor eye infections 2 2 1+ One tube per patient

Vitamin K amp 10mg/mℓ Reverse warfarin 2+ 2+ -

or similar
Water for injection amp 5mℓ Reconstitute injections 10 5+ - Only used to
reconstitute
ceftriaxone

Zidovudine + tab 300mg/ Needle-stick 56+ 56+ -

lamivudine 150mg injury prophylaxis
Zinc oxide paste/oint 20%, 25g Irritated skin 200g+ 100g+ 100g+ 4 x 25g or
3 x 30g tubes
per 100g

PART II

MEDICAL EQUIPMENT TO BE CARRIED ON SHIPS

Note: The packaging for any item shall, where practicable, include the information given in the ordering
description below.

Category Recommended Item Quantity per 10 crew

RESUSCITATION EQUIPMENT

Appliance for the administration Portable oxygen set, complete, containing: 1

of oxygen

1 oxygen cylinder, 2ℓ/200 bar 1

1 spare oxygen cylinder, 2ℓ/200 bar 1

Pressure regulating unit and flow meter with tubes such that ship’s 1
industrial oxygen can also be used

3 disposable face masks of choice: including simple face mask and non- 3
rebreathing mask

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 Oropharyngeal airway Guedel airway (Mayo-tube): sizes medium and large 2

Mechanical aspirator Manual aspirator to clear upper airways, including 2 catheters 1

Bag and mask resuscitator Ambubag (or equivalent); supplied with large, medium and small masks 1

Cannula for mouth-to-mouth Brook Airway, Lifeway, pocket face mask or equivalent 1
resuscitation

DRESSING MATERIAL AND SUTURING EQUIPMENT

Adhesive dressings Assorted wound-plaster or plaster strips, water-resistant 200

Sterile gauze compresses Sterile gauze compresses, 5 x 5 cm, sterile 100

Sterile gauze compresses, 10 x 10 cm, sterile 100

Gauze roll Gauze roll, 5cm and 90cm or 60cm x 100m, non sterile 1

Gauze dressing with non-adherent Non-adherent gauze dressing, square 10cm 100
surface

Vaseline gauze Paraffin gauze dressing, 10 x 10 cm, sterile 50

Bandage Elastic fixation bandage, 4m x 6m 3

Sterile compression bandages First-aid absorbent gauze-covered cotton pad sewn onto a cotton bandage 5
(ambulance dressing), small/medium/large

Tubular gauze for finger bandage Tubular gauze for finger bandage with applicator, 5m 1

Adhesive elastic bandage Adhesive elastic bandage, 4m x 6cm 10

Triangular sling Triangular sling 5

Sterile sheet for burn victims Sterile sheet for burn patients 1

Honey for dressing burns 1 kg 1

Adhesive sutures or zinc oxide Adhesive tape, waterproof, skin-friendly, 5 x 1.25cm 10

bandages

Q-tips Q-tips (wooden) 100

Safety pins Safety pins (stainless steel) 12 pcs 50

Butterfly sutures Butterfly sutures. Steristrip® or Leukostrip®, sterile 20

Skin adhesive 2-octyl cyanoacrylate liquid, 0.5 mℓ 2

Suturing equipment Sutures, absorbable with curved non-traumatic needles, 1-O, 3-O & 4-O or 10 each
5-O
10

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 Gloves Disposable examination gloves 50

Surgical gloves sizes 6.5, 7.5, 8.5, sterile, in pairs 3 of each size

INSTRUMENTS

Disposable scalpels Scalpel, sterile, disposable 20

Stainless-steel instrument box Instrument box (stainless steel) 1

Scissors Operating scissors, straight (stainless steel) 1

Bandage scissors (stainless steel) 1

Forceps Splinter forceps, pointed (stainless steel) 3

Teeth tissue forceps (stainless steel) 1

Needle holder Needle holder, Mayo-Hegar, 180 mm, straight 1

Haemostatic clamps Haemostatic clamp, Halstead mosquito, 125 mm, stainless steel 3

Disposable razors Razor, disposable 50

EXAMINATION AND MONITORING EQUIPMENT

Disposable tongue depressors Tongue depressors, disposable 100

Reactive strips for urine analysis Reactive strips for urine analysis: blood/glucose/protein/nitrite/leukocytes, 100
50 paper strips

Microscope slides Microscope slides 100

Stethoscope Stethoscope 1

Aneroid sphygmomanometer Sphygmomanometer (blood pressure set), preferably automatic 1

Standard thermometer Thermometer, digital if possible 1

Rectal thermometer Thermometer, digital if possible 1

Hypothermic thermometer Thermometer 32°-34°, digital if possible 1

Penlight Penlight + blue cover 1

EQUIPMENT FOR INJECTION, INFUSION, AND CATHETERISATION

Equipment for injection Syringes, Luer connection, 2 mℓ, sterile, disposable 50

Syringes, Luer connection, 5 mℓ, sterile, disposable 50

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 Hypodermic subcutaneous needle, Luer connection, 16 x 0.5 mm, sterile, 20
disposable

Hypodermic intramuscular needle, Luer connection, 40 x 0.8 mm, sterile, 20

disposable

Needles, 19G, blunt, “drawing up” type 20

Equipment for infusion Intravenous infusion cannula 16G (1.2 mm) and 22G (0.8 mm), Luer-lock 10 each
connection, sterile non-recap type

Intravenous giving set, Luer-lock connection, sterile 3

Tourniquet, blood-taking type, to be used with intravenous infusion cannula 1

Bladder drainage equipment Penile sheath set with condom catheter, tube, and bag 2

Short-term urine catheter with soft-eye straight tip Thieman No. 12 and 2
No. 16 or equivalent, sterile, individually packed, prelubricated or with
additional lignocaine/chlorhexidine lubricant

Urine collecting bag and tube 2

GENERAL MEDICAL AND NURSING EQUIPMENT

Eye protection Plastic goggles or full-face masks 2

Plastic apron Disposable 20

Kidney dish Kidney dish, stainless steel, 825 mℓ 2

Plastic backed towels Towels, plastic backed, absorbent, 600 x 500 mm 10

Safety box Safety box for sharps disposal 5ℓ 1

Mask Mask, duckbill type, disposable 50

Tape measure Tape measure, vinyl coated, 1.5m 1

Draw sheets Draw sheet, plastic 90 x 180 cm 2

Bedpan Bedpan, stainless steel 1

Hot-water bottle Hot-water bag 1

Urine bottle Urinal, male (plastic) 1

Ice bag ColdHotpack Maxi 1

Aluminium foil blanket Aluminium foil blanket 1

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 Flexible straws Flexible straws 50

Wash bottle Plastic wash bottle, 250 mℓ 1

Plastic bottle Bottle, 1ℓ, plastic with screw top 3

Dressing tray Stainless steel dressing tray, 300 x 200 x 30mm 1

Plastic apron Apron, protection, plastic, disposable 20

Bowl Bowl, stainless steel, 180 mℓ 3

Specimen jars Jars, plastic, with lids and labels, 100 mℓ 10

Plaster-of-Paris bandage Bandages, POP, 5 cm and 10 cm x 2.7m 12 each

Stockinet Sizes for arm and legs splints, 10 m roll 1 each

Cotton wool Cotton wool roll, 500 g 10

Alcohol swabs 70% alcohol swabs for skin cleansing prior to injection 200

Nail brush Nail brush 1

IMMOBILISATION AND TRANSPORTATION EQUIPMENT

Malleable splints Malleable finger splint

Malleable forearm/hand splint

PART III

MEDICINE CASE

Item Ordering Size Quantity Required

Adrenaline/ Epinephrine 1mℓ ampoule 5
Adrenaline tartrate injection (1 in 1000)
1.0mg in 1mℓ
Aminophylline 10mℓ ampoule 5
Aminophylline injection 25mg in 1mℓ
Aspirin 300mg tablets 50
Dispersible aspirin 300mg
Atropine 600µg / mℓ 1mℓ ampoule 5
Atropine sulphate
Beclomethasone Diproponate 100µg / 200 metered doses 1
Beclomethasone Diproponate + SPACER
3rd Generation Cephalosporin 1g injection vial for 4
Cefotaxime reconstitution

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 Chlorpromazine 25mg in 1mℓ ampoule 1
Chlorpromazine hydrochloride injection

Cyclizine Injection 50mg in 1mℓ ampoule 2

Cyclizine lactate

Diazepam 2mℓ ampoule 5

Diazemuls injection 5mg in 1mℓ
Frusemide / Furosemide 2mℓ ampoule 5
Frusemide injection 10mg in 1mℓ

Glucagon 1mℓ pre-filled syringe 1

Glucagon injection 1mg with diluent
Glucose 1ℓ 1
Glucose intravenous infusion 5%
Glucose 50% 50mℓ ampoule 2
Intravenous injection
Hydrocortisone 100mg vial 1
Hydrocortisone sodium succinate powder for constitution
with diluent
Insulin 10mℓ vial 1
Insulin injection, soluble, 100 units per mℓ
Modified Gelatine 500mℓ container 2
Infusion solution (for plasma substitution)
Morphine 10mg / mℓ 1mℓ ampoule 5
Morphine sulphate
Normal Saline 0.9% 1ℓ 2
Paediatric Paracetamol elixir 250mg / 5mℓ 1 bottle
Prednisolone 5mg tablet 28
Prednisolone
Salbutomal 200 inhalations 1
Salbutomal aerosol inhaler unit, giving
100 µg per metered inhalation + SPACER

EQUIPMENT
Aneroid sphygmomanometer 1
First-aid kit 1
Glucose in blood
1) Blood test sticks - glucose colomimetric 10
2) Blood lancets - sterile 10
Guedel Airway Size 1 (Adult sizes already in 1
ships medical stores)

Intravenous Infusion Giving Sets with Cannulae

1) Intravenous infusion cannula with Luer-lock injection 1) cannula size 16G 2

port in a sterile pack (1.7mm x 45mm)
2) IV giving set with filter 2) cannula size 18G 2

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 (1.2mm x 45mm)

Manual suction pump with two yankauer suction catheters 1

and two flexible catheters FG 14 size
Oxygen Resuscitator (disposable) 1
Hand operated manual adult bag resuscitator (bag to be of
silicone rubber complete with oxygen reservoir of 2600mℓ
capacity and facemasks sizes 5, 3 and 1)
Pocket mask With valve and oxygen inlet 1
Stethoscope 1
Swabs
Alcohol impregnated swabs, sterile 50
Syringe and Needle, Hypodermic, Pack 2
1) 2mℓ syringe with 0.8mm (21G) x 4cm needle

2) 20mℓ syringe with 0.8mm (21G) x 4cm needle 2

3) 1mℓ insulin syringe 100 units with 0.4mm (27G) x 2

12mm needle

PART IV

FIRST-AID KIT TO BE CARRIED ON PASSENGER SHIPS

The first-aid kit should include the following items, kept in a portable waterproof container:
1. 4 x triangular bandages
2. 6 x medium sterile bandages with unmedicated dressings
3. 2 x large sterile bandages with unmedicated dressings
4. 2 x extra large unmedicated dressings
5. 6 medium safety pins, rustless
6. 20 assorted elastic adhesives dressings medicated
7. 2 x sterile eye pads with attachment
8. 2 x packages containing sterile gauze swabs
9. 5 pairs large size disposable latex-free examination gloves
10. sterile eye wash in eye wash bottle

SECOND SCHEDULE
Regulation 9

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 MEDICINES AND MEDICAL EQUIPMENT TO BE CARRIED ON SHIPS
CARRYING DANGEROUS CARGO

1. Medicines and medical equipment already carried under regulation 6, 7 or 8 may be counted
towards the requirements outlined below.
2. The dosage of medicines administered shall be in accordance with the relevant medical advice.
Scale A: The minimum requirements for ships when casualties cannot be hospitalised on shore within
24 hours.
Scale B: The minimum requirements for ships when casualties can be hospitalised on shore within 24
hours.
Scale C: The minimum requirements for ships when casualties can be hospitalised on shore within 2
hours.

Format /
Medicine Recommended minimum quantity
Standard unit
Scale A Scale B Scale C
amoxycillin capsules 500 mg 30 capsules none none

anaesthetic eye drops eye drops (bottle) 5 bottles 5 bottles 5 bottles

antibiotic eye ointment

eye ointment (tube) 5 tubes 5 tubes none

atropine injection fluid 15 (or 30) x 15 (or 30) x none

1 (or 0.5) mg/mℓ 1 mℓ 1 mℓ
(1 mℓ ampoule)
beclomethasone inhalation aerosol 5 x 200 doses 5 x 200 doses none
(including inhalation 50 µg /dose
device) (200 doses)
or or
250 µg /dose
(200 doses)
5 x 100 doses 5 x 100 doses none
budenoside (including inhalation aerosol
inhalation device) 200µg /dose (100 doses)
gel 2% 5 tubes 5 tubes 5 tubes
calcium gluconate gel
(25 g tube)
calcium gluconate effervescent tablets 1g 20 tablets 20 tablets none
injection substance 10 x 750 mg none none
cefuroxime 750 mg
(750 mg bottle)
powder (50 g bottle) 2 x 50 g 2 x 50 g none
charcoal, or or or
activated effervescent granules 10 x 5 g 10 x 5 g
(sachet)
diazepam rectal solution 5 x 10 mg 5 x 10 mg none

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 10 mg (ampoule)

erythromycin tablets 500 mg 30 x 500 mg none none

ethyl alcohol solution 99.5 % 3 x 500 mℓ 1 x 500 mℓ none

(500 mℓ bottles)
fluorescein eye test strip 1 package none none

furosemide (frusemide) injection fluid 5 x 5 mℓ none none

10 mg/ mℓ
(5 mℓ ampoule)
metoclopramide injection fluid 30 x 2 mℓ 10 x 2 mℓ 5 x 2 mℓ
5 mg/ mℓ
(2 mℓ ampoule)
metronidazole suppositories 1 g 10 x 1 g none none

morphine sulphate injection fluid 40 x 1 mℓ 10 x 1 mℓ 5 x 1 mℓ

10 mg/ mℓ
(1 mℓ ampoule)
naloxone injection fluid 5 x 1 mℓ 5 x 1 mℓ 2 x 1 mℓ
0.4 mg/ mℓ
(1 mℓ ampoule)
oral rehydration salts sachets or tablets to dissolve in ORS to give 18ℓ ORS to give none
(ORS) water solution 6ℓ solution
paracetamol tablets 0.5 g 200 tablets 100 tablets 20 tablets

phytomenadione injection fluid 10 x 1 mℓ none none

10 mg/ mℓ
(1 mℓ ampoule)
plasma expander infusion fluids 3 x 500 mℓ 3 x 500 mℓ none
(gelatin-based) (500 mℓ bottles)
rehydration salts – see
oral rehydration salts
salbutamol 5 x 200 doses 5 x 200 doses 1 x 200 doses
inhalation aerosol
(including inhalation
100 µg /dose
device)
(200 doses)
or
terbutaline inhalation aerosol 5 x 50 doses 5 x 50 doses 1 x 50 doses
(including inhalation 500 µg /dose
device) (50 doses)
sodium chloride, 9 mg/mℓ (0.9%) 5x1ℓ 3x1ℓ 1x1ℓ
isotonic (saline) (1 ℓ bottle)
terbutaline – see
salbutamol

Recommended minimum quantity

Equipment
Scale A Scale B Scale C
Guedal airway

Size 2 2 2 2

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 Size 3 2 2 2
Size 4 2 2 2
IV cannula (size 1.2) 10 10 none
IV set 10 10 none
Needles size 0.8 100 50 10
Simple face mask (allowing up to 60% oxygen), 10 10 2
disposable
Valve and bag manual resuscitator 2 2 2
Oxygen cylinder 40 ℓ/200 bar* 40 ℓ/200 bar* none

Portable oxygen-giving set ready for use 1* 1* 1

(2 ℓ/200 bar) (2 ℓ/200 bar)
Spare portable oxygen cylinder 1* 1* 1
(2 ℓ/200 bar) (2 ℓ/200 bar)
Rectal infusion set catheter 1 none none
(26 French gauge) 6 none none
Syringes

2 mℓ 100 50 10
5 mℓ 10 10 none

* A minimum of 44 ℓ/200 bar oxygen of which there should be at least:

(a) One complete portable set with 2 ℓ/200 bar oxygen ready for use with a spare cylinder of 2
ℓ/200 bar; and
(b) One oxygen cylinder of 40 ℓ/200 bar (at ship’s hospital, assembled for direct use) with one
flowmeter unit (two ports) for supplying of oxygen for 2 persons at the same time. If more
than one non-portable oxygen cylinder is used, there must be 2 flowmeter units for supplying
of oxygen for 2 persons at the same time.

THIRD SCHEDULE
Regulation 14

MEDICINE REGISTER

The following information shall be recorded in the medicine register:

(a) The type, quantity, date and the supplier of medicine and medical equipment received by the
ship.
(b) The doses given, including the name of the person ordering the dose, the name of the person
giving it and the name of the person receiving it.
(c) Date and time when a dose is lost or spoiled (e.g. broken ampoule, medicine prepared, but not

Singapore Statutes Online Current version as at 22 Aug 2019 PDF created date on: 22 Aug 2019
 injected, etc.).
(d) A running count of remaining stocks, updated after each use.
(e) A count, made at least weekly, of remaining ampoules, tablets, etc., in store, to be checked
against records of use and the running count.
(f) Information on disposal of all medicines and medical equipment, including method, medicine
and equipment type, amount, date, time, receipts and witness documentation, including
signatures.

FOURTH SCHEDULE
Regulation 17(3)(f)

SPECIFICATION OF INSECTICIDES AND MEANS OF APPLICATION

1. Insecticide formulations —
(a) when used in accordance with instructions for use which shall be specified on the label
affixed to the container of an insecticide spray solution or insecticide powder —
(i) shall be effective for the purpose specified in those instructions; and

(ii) shall not be harmful to human being;

(b) shall be suitable for use in crew and passenger accommodation and in spaces used for the
preparation of food; and
(c) shall be free from offensive odour and, so far as possible, shall be non-staining.
2. Insecticide formulations shall be —
(a) in the form of a spray solution not having a flash point lower than 48.9°C (120°F) when
tested by the Abel method and containing an effective concentration of insecticide, when
applied as a space spray or as a residual spray in accordance with instructions referred to in
paragraph 1(a) by either —
(i) a hand-operated, continuous-action sprayer fitted with a nozzle capable of
producing a fine mist without coarse droplets; or

(ii) a pre-packed press-button pressure canister; and

(b) in the form of a powder packed in a dredger and effective when applied to the body or
clothing of an infected person in accordance with the instructions referred to in
paragraph 1(a).

FIFTH SCHEDULE
Regulation 20

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 DISPOSAL OF MEDICINES AND MEDICAL EQUIPMENT

Disposal of medicines and medical equipment

1. Expired medicines and medical equipment shall be —
(a) returned to the supplier where possible; or
(b) sent to an approved shore-side contractor for disposal.
2. If disposal under paragraph 1 is not possible, expired medicines and medical equipment may be
incinerated at sea where a ship has in place a written waste disposal policy and program that includes
incineration at appropriate temperatures by exclusively authorised persons.
3. Records of such incinerated medicines and medical equipment shall be kept as part of the medicine
register.

Disposal of morphine
4. Morphine should be disposed by —
(a) being returned to a person who may lawfully supply them, such as a qualified medical
practitioner or registered pharmacist;
(b) incineration;
(c) waste encapsulation; or
(d) inertisation.
5. Whichever method of disposing of morphine is utilised, all the following conditions must be met:
(a) the method must be properly implemented;
(b) the entire process from unpacking throughout the final destructions of morphine must be
witnessed by at least 2 persons and documented in the medicine register.

Made this 12th day of March 2014.

LUCIEN WONG
Chairman,
Maritime and Port Authority of Singapore.

[MPA 46/11.C01.V03/LSK; AG/LLRD/SL/180A/2013/13 Vol. 1]

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Singapore Statutes Online Current version as at 22 Aug 2019 PDF created date on: 22 Aug 2019