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Merchant Shipping (Medicines, Medical Stores and Appliances) Rules, 1994
Citizen Charter

RTI MINISTRY OF SURFACE TRANSPORT

Shipping Manual ( Shipping Wing)

Vigilance New Delhi the 24th October, 1994

CDC Checker G.S.R. 555— In exercise of the powers conferred by Section 172 read with section 457 of the Merchant Shipping
Act, 1958 ( 44 of 1958) and in supersession of the Merchant Shipping ( Medicines, Medical Stores and
COC Checker Appliances ) Rules. 1966, except as respects things done or omitted to be done before such supercession,
the Central Government hereby makes the following rules , namely :-
Other Agencies Approved by
DGS 1. Short title, commencement and application.
(1) These rules may be called the Merchant Shipping ( Medicines, Medical Stores
Press Releases / Public Notices
and Appliances) Rules 1994.

Annual Report on Port State (2) They shall come into force on publication in the Official Gazette.
Control [PSC] & Flag State
Implementation [FSI] - 2012 (3) They shall apply to all foreign going Indian vessel and all home trade Indian ships of two
hundred tones gross or more.
INDoS / COP Checker 2. Definition—In these rules, unless the context otherwise requires –

RPS Agencies (a) “Act” means the Merchant Shipping Act, 1958 ( 44 of 1958).
(b) “ EM Schedules” means the Emergency Schedules for vessels carrying dangerous
Vacancy Notices
goods prescribed by the International Maritime Organization and as revised from
Tender Notices time to time.

(c) “ IMDG Cod” means the International Maritime Dangerous Goods Code
Related Links prescribed by the International Maritime Organization and as revised from time to
time.

(d) “ MFA guide” means Medical First Aid Guide prescribed by the International
Maritime Organization and revised from time to time.
(e) “ Medical Guide” means the ship Captain’s Medical Guide published by the
International Maritime Organization and the World Health Organization and
revised from time to time.

(f) “Medical Officer” means a person possessing a degree in Medicine and Surgery
of any recognized University and enrolled as a Medical Practitioner on the register
of the Medical Council of any State and also holds a valid license issued by the
Port Health Officer of the port of departure of the vessel in the form prescribed
under the Merchant Shipping 9 Carriage of Medical Officer) Rules, 1961.

(g) “Official Pharmacopoeia” means the Indian Pharmacopoeia ( I.P.), the National
Formulary of Indian ( N.F.I.), the British Pharmaceutics Code ( B.P.C) and U.S.
Pharmacopoeia ( U.S.P.).
(h) “person” in relation to these rules means any person above the age of one year
and include ship’s crew and officers.

(i) “ Port Health Officer” means any person appointed by the Central government
either by name or by virtue of his office, to be the health officer of a port and
includes—
(i) An Additional. Deputy or Assistant Port Health Officer, or any officer appointed
by the Central Government, either by name or by virtue of his office, to perform
any/or all duties of a health officer of a port; and

(ii) A person appointed by the Central Government under sub-section

(3) of section 172 of the Act to inspect the medicines, medical stores
and appliances with which a vessel or ship is required to be provided;
 (j) “ Schedule” means the Schedule appended to these rules.

3. Scale of Medicines etc.—(1) all “ships” shall carry medicines, medical, stores and appliances
hereinafter referred to as “ Medicines etc”. as specified in the First Schedule to these rules.
(2) The tables given in the First Schedule Specify the

(i) Medicines in Part I:

(ii) Medical stores and appliances in Part II

(iii) Publications in Part III;

(iv) Instruments in Part IV:

(v) Bandages etc. in Part V; and

(vi) Disinfectants in Part VI.

(3) Every Cargo ship on foreign going voyages and passenger ships shall carry the scales of
medicines etc., as prescribed in sub-column (a) of column (2) of the First Schedule . Where the total
number of persons on board exceeds forty on any such ship one set of each of the items listed in sub
column (b) of column (2) of the said Schedule shall be, carried for each additional forty persons or party
thereof.

(4) Where the ships are required to carry a Medical Officer in accordance with the provisions of
section 173 of the Act, the scales of medicines etc. shall be carried so as to be sufficient for 99 persons
and the Medical Officer shall determine the additional medicines required to be carried, taking into
account the duration of the voyage and the area of the operation, subject to theapproval of the Port I-
Health Officer at the port of departure .

(5) Every cargo ship on home trade voyages, where voyage exceeds more than Nineteen Six shall
carry the sa1es of medicines etc.. as specified in column (3) of the said Schedule.
(6) Every cargo ship on home trade voyages of ninety-six hours or less duration shall carry the scales of
medicines etc.. is specified in column (4) of the said schedule.

(7) All ships shall carry medicines etc., prescribed under column (5) of First Schedule . Such medicines
etc. shall be kept in doctors attached case. Such an attach case shall locked and the key shall be kept
in the custody of the person authorized by the Master of the vessel. Medicines in such attach case shall
be used only by a qualified medical practitioner. The medicines etc., specified in column (5) shall be in
addition to those prescribed under columns 2 to 4 (both inclusive )

(8) (1) Medicines etc., recommended to be used under the instructions of a qualified medical practitioner
by Radio Medical Advice are administered as per he instructions and not otherwise.

(2) Enough care is taken so that medicines etc., which have to be used only by a qualified medical
practitioner would not fail into the hands of non-medical practitioners

4. Scale of Medicines for special vessels—(1) All cargo ships carrying chemicals as a whole or part of
a cargo or the residues of the earlier cargo in quantity in excess of those defined in Vol. 1 of the IMDG
Code shall carry on board medicines as specified in EMS & reproduced in the Second Schedule. These
shall be in addition to those specified in the First Schedule and shall be stored separately there from.

(2) The recommended quantities of medicines specified in, the Second Schedule are generally
considered to be sufficient according to instructions given in MFRG. to treat : (i) in case of inhalation—

(a) a crew complement of about 24, in the event of a major emergency (e.g. explosion) for a period of 24
hours by which time either evacuation can be expected to have been completed oradditional supplies of
medicines to have been brought in by the rescue services.

(b) Few persons exposed in a lesser emergency until the vessel reaches the next port or some other
assistance is received.

(ii) In case of ingestion or eye contact one or two persons until landed or cured ; and

(iii) in case of skin contact (leakage or spillage) four persons, until landed or cured.

(3) Where the total persons on board exceed twenty four but do not exceed fifty. the scale of
medicines given in the Second Schedule should be increased by a factor of 1.5. Where the persons of board
exceed fifty the scale of medicines given in the second schedule should be increased by a factor of 2.0.

5. Standards of Medicines—(l) All such medicines medical stokes etc. shall confirm to the
specifications as laid down in the current issue of the official pharmacopeias applicable in each case .

(2) All tables and capsules should as far as possible be in proper moisture resistant packaging in order to
avoid determination due to humid conditions prevalent on board.

6. Labels—-(l) All labels on containers or wrapping shall be rendered resistant to moisture by the use of
an efficient labels varnish or by some other suitable means.

(2) All labels shall indicate

 (2) All labels shall indicate—

(a) the generic name of the preparation as given in the’ official pharmacopoeia in

English,

(b) the prescribed does (maximum and minimum), strength of each medicine its batch No., date of
manufacture date of expiry as well as name and address of the manufacturer.

(c ) the article to used externally only shall have on the container o wrapping a label bearing the words
“for external use only”.

7. Position : every medicine indicated as a “Poison” “Controlled substances” respectively printed thereon in
capital letters either in red lettering or on red back ground.

(2) All such medicines shall be kept under lock and key’ in separate cabinet or chest and the key of the cabinet
chest shall he kept by the officer authorized by the Master of the vessel .

8. Record Book : (1) The master shall maintain an upto date record of medicines, medical stores and
appliances available on board. The stock of medicines and such records shall be available for inspection of the
Port Health Officer at any time.

(2) The medicines, medical stores and appliances on board every vessel as well as the record thereof be
inspected once it twelve months by the Port Health Officer. After inspection the Port Health Officer shall issue the
certificate in the format prescribed in the Third Schedule.

(3) Where a vessel is not likely to return to the Indian Port within a period of twelve months from the last
inspection by the Port Health Officer, the Master shall procure sufficient medicines, enter the details of voyage
and certify that he has fully complied with the rules and enter the same in a separate register.

(4) Separate register must be maintained for ‘poisons’ and ‘controlled substances’.

9. Substitutes- any particular item of medicine or medical store mentioned in the First or Second Schedule is
not as a substance having closely similar pharmacological

action or, in the case of prescribed preparations or formulations, similar preparations or formulations which
comply with the standards laid down thereof in official pharmacopoeia, may be substituted after obtaining the
sanction of the Port Health Officer.

10. Publications—The Master of every vessel shall in use of these medicines. medical stores and appliances be
guided by the la4est edition of the publication enumerated in Part In of the First Schedule.

11. Special Precautions in endemic/epidemic areas—Master of every vessel entering an endemic /epidemic
area shall carry adequate quantity of preventive and curative medicines as per the advice of the Port Health Officer
from the Port of departure.

12. Disposal—(l) All intact sterile disposable packages should be replaced as and when considered unusable by
the Port Health Officer or on the expiry date marked on the packages. whichever is earlier.

(2) Medicines: Medical Stores and appliances shall be replaced on the advice of the Port Health Officer.

13. Replacement of medicine- (1) All medicines consumed in the course of the voyages shall be replaced in
the next mayor port of call.

(2) Medicines. which are not due to expire at least within one year from the date of purchase. shall only be used
for replacement.

14. Storage —(l) All medicines shall he stored in proper lockers or medicine chests so as to prevent
displacement when the vessel is at sea.

(2) Each category of medicines such as injections. ointments tablets syrups etc.. should be stored on separate
shelves m the medicine chest.

(3) All medicines should be properly labelled with generic names, dosage, strength, date of manufacture and date
of expiry. The medicines should preferably be arranged in such a way that they can be identified without any
loss of time.

(4) The principal of FIFO (First in – first out) should invariably be followed for storage of medicines.

15. Recations- Before giving any drug, drug sensitivity of the individual for a particular drug should be
verbally ascertained. Whenever any adverse type of reactionary reported by an individual after consumption of
medicines supplied from the medicine chest, the consumption of such medicines by the individual should be
stopped forthwith. In case more people are also affected by the same drug, the whole batch of the concerned
medicine should be sealed and the details of such reactions alogwith the samples of medicines used should be
handed over to the Port Health Officer, of the next immediate port for further necessary action. Theremaining
stoke of such medicines shall only be used if so permitted by the Port Health Officer, after his report or
instructions.

16. Carriage of additional persons/ supernumeries- when supernumeries are carried on board , the
Master shall ensure that special medicines. If any, required for the use of such supernumeries (such as wives
and children) should be procured and made available on board in consultation with the Port Health Officer.

17. Special precautions regarding infectious persons on board- A. if a case of any infectious is detected
on board, following measures should be taken, namely :-
(a) Give treatment to the sick person:

(b) Isolate the sick person;

(c) Take adequate measures to stop spread of infection:

(d) Keep a watch on the appearance of the symptoms amongst the contacts
 (d) Keep a watch on the appearance of the symptoms amongst the contacts.

(e) To ensure sanitary disposal of excreta in case of Cholera : and

(f) Report the case to the Port Health Officer of the next port of call.

B. If a case of AIDS is detected on board, following measurements should be adopted, namely :-

(1) The patient should be kept under close surveillance particularly in respect of his sexual habits;

(2) All seranges and needles used on AIDS case should be discarded after boiling for 20 minutes;
(3) Persons handing the AIDS case should take care regarding personal protective devices e.g.;

(a) while handling the AIDS case all personnel protective measures like wearingof gloves
etc. are used:
for disinfections:

(b) aseptic disposal of infected material and body fluids be carried out :and

(4) report the case to the port Health Officer of the next port of call.

18. Exemptions --- (1) The Port Health Officer at any of the major ports may, by order in writing and upon such
conditions, if any, as he may think fit to impose and for reasons to be recorded, exempt any vessel from
carrying onboard any particular item required by these rules to be carried thereon.

(2) These exemption order shall be in the form set out in Fourth Schedule.

THE FIRST SCHEDULED

(See rule 3)
PART I

MEDICINES FOR THE SHIPS MEDICINES CHEST

Item Description of item Foreign going Home Home (5) Remakes

No (1) (2) Trade Trade (4) (5)

(3)

(a) (b)

1 Acetylaslicylic acid 300 mg 800 200 200 100 - Aspirin not to

tablets be taken on
empty
stomach

2. Alcohol, Rubbing, ( 70% 4000 1000 1000 500 20 Spirit for

ethyl alcohol (in ml) external use
only.

3. Aluminium acetate, ear 8 - 2 1 - Ear drops for

drops, 13% solution in 20 earache
ml bottle with dropper ( in
ml).

4. Aluminium acetate powder, 2 1 - - - For

2 gms, packets for making externaluse
equivalent aluminim acctate only for skin
solution ( Borrow’s) ( in ml) inflammation.

5. Aluminium hydroxide ge, 4000 2000 1000 500 - Antiacid/Anti

with magenesium hydroxide flatulent
or magnesium trisilcate,
oral suspension, (in kl) (
Anta acid) 360 ml.

6. Aluminium hydroxide, with 1000 250 250 100 - Antacid/anti

magnesium hydroxide or flatulent
magnesium trislicate, 1- g
tablets.

7. Aminophyline tablets, 500 2 12 6 6 - Refrigerate –

mgs. ( (Badio Medical Asthma
Advice)

8 Amitriptyline tablets, 25 nig 100 25 25 10 - Avoid Alcohol

(Radio Medical Advice) Depression.

9 Ampicillin Capsules 250 1000 200 200 100 - Antibiotics.

mg (Radio Medical Advice)
 mg. (Radio Medical Advice)

10 Antihaemorrchoidal 150 25 75 75 - Refrigeration

suppositories preferable / for
Piles

11 Ascorbic acid tablets 75 - 25 10 - Vitamin C

(vitamin C) 100 mg. deficiency.

12 Atropine sulfate injection, 100 25 75 50 - For insecticide

poisoning
0.5 mg/ml, 1_nil ampules

(Radio Medical Advice)

13 Benzedrine Benzypenicilin, 20 - 10 5 - Antibiotic

injection, 2.4 million units
per S ml. vial (Radio
Medical Advice)

14 Benzoic and Salicylin acid 4 2 2 1 - Fungal skin

Ointment, 30g tube. infection.

15 Calamine lotion, plain (in 1000 500 500 250 - Soothing

ml) Ointment.

16 Calcium gluconate, 100 25 - - - For oxal acid or

effercent tablets, 1g. soidum fluoride
poisoning.

Avoid
alcohol/Anti

17 Cotrimide 40% Solution, 3000 2000 1000 500 - For external use
500 ml (disinfectant) (in ml) only.

Note :-—This is a -
concentrated (stock)
solution when I %
centrimide is mentioned the
stock solution should be
diluted.

18 Charcoal, activated, powder 250 - 150 50 - Antidose for

(in gms) poisoning.

19 Chloroquine Phosphate 100 - 100 50 - (*)Note to be

tablets, 250 mg. (C) Not : taken on empty
&r the supression and stomach.
treatment of

Malaria.

20 Chlor-phenamine maleate 60 20 20 20 - Avoid alchol/Anti

tablets, 4 mg alergic

21 Chiorphenainine 20 15 10 5 - Avoid alchol/Anti

Hydranialeate injection, 10 alergic
nig. I—mi ampules.

22 Chlorpromazine 100 50 50 20 - Avoid

Hydrochloride tablets, 25 alchol/Anti-
mg. (Radio Medical Advice). emetic anti
anxiety.

23 Chlcrproxizine hy injection 20 - 10 5 10 Avoid alcohol

25 mg in 1—mi ampoules. /Anti-emetic
 25 mg in 1 mi ampoules. /Anti emetic
Anti- anxiety.

24 Clove Oil (in ml) 50 - 30 10 - Tooth-ache.

25 Codeline phosphate linetus 3000 1000 50 50 - Controlled

in nil 15 mg/5 ml. substances-dry
cough.

26 Cyclizine hydrochloride 400 200 150 50 - Antimemetic, for

tablets, 50 mg. motion
sickness.

27 27. Dextran injection 6% 8 2 Intravenous

and sodium Chloride 0. 9 fluids. Do not
use turbid
solution.

28 Diazepam injection, 30 10 10 5 5 Controlled

substance
5 mg/ml, 2nd anipoules Sedative Avoid
(Radio Medical Advice) alcohol
Tranquiliqer

29 Diazepam tablets 5 mg. 300 100 100 50 - — -do- -

do-

30 Dimercaprolfjnjecti 100 mg 75 25 10 10 - Antidote in metal

in 21 ml impulse (Radio poisoning

Medical Advice)

31 Do, hydrochloride tabletsl0 200 50 50 25 - Antibiotic

trig

32 Ephedrine sulphate tablets 200 100 50 50 - Asthma

25 mg

(Radio Medical Advice)

33 Eponephrine hydrochloride 20 10 10 10 5 Asthma

injection

1 : 1000 1 ml. ampoules

(Radio Medical Advice)

34 Ergometrine maleate 10 - 5 2 - To stop bleeding

injection 0. 2 trig, 1 tnT. after delivery

ampules

35 Erythromyc in (stearate or 750 250 200 100 - Anti-biotic.

ethysuccinate) tablets 25
mg.

(Radio Medical Advice)

36 Eye anaesthetic drops 4 2 1 1 - Should be

0.5% solution of tetraca in marked "For
hydrochloride in dropper external use".
bottles 10 ml.

37 Eye antiinfective drops, 1% 20 8 8 2 - For eye

tetracycline hydrocholoride infection.
4 grams tube.

38 Eye ointment 1% 2 8 8 2 - For eye

tetracycline hydrocholoride infection.
4 grams tube.

39 Eye-wash or eye irritation 10 2 2 1 -

solution, isotonic sterile, in
plastic squeeze bottle 12
ml.

40 Flourescein sodium 200 - 50 25 - To detect

opthelmic strips, sterile (1% corneal uclear.
 on paper applications)
(strips) (Radio Medical
Advice)

41 Furosemide tablets, 40 mg. 100 25 75 20 - Accelerates

(Radio Medical Advice). urine formation

42 Glyceryl trinitrate tablets 200 50 50 50 - Keep bottle tight-

0.5 mg. (or isosorbide Chest pain
dinitrate tablets 10 mg.) closed store in
(Radio Medical Advice) (Cardiac)
temperature of
0.250 C store in
dark place.

43 Hydrocortisene sodiaum 8 2 2 1 2 Shock

succinate (100 mg. via for
injection intravenous of
intramuscular. (Radio
Medical Advice)

44 Hydrocortisone cintment 15 4 2 1 - Skin allergies

1% 30g. tube with rectalip.

45 Ichthmol and glucerine 5 2 3 3 - For boils

oinement (Itchthamol 10%
glycerine, soft paraffin wool
for 90 % in 100g. in gms.

46 Inspect repellent 40 10 12 12 -
(diethyltoluemide solu;tion)
50 ml. (or ointment).

47 Iodine 2.5% solution, in 4 2 3 2 - Bottle should be

100ml. bottles with glass marked –
stopper. Anticeptic
"POISON' for
external use
only.

48 Liodicaire hydrochloride 12 - 4 2 - Local anasthetic.

injection 1% 2ml.
ampoules. (Radio Medical
Advice).

49 Lindane cream 1% 60g 12 - 4 2 - For external use.

tube. for scables &
(lice).

50 Magnesium hydroxide 5000 1000 3000 1000 - Laxative.

suspension 550mg. 10ml
(in ml.)

51 Matronidasole tablets 400 750 250 300 200 - Avoid alcohol –

mg. Dysentery.

52 Miconazole nitrate 2% 5 3 2 - - Anti-fungal.

veginal cream with
application in 80 g container
(in Gms).

53 Miconazalenitrate 100 mg. 20 - 5 2 - Anti-fungal

pessary and inserter.

54 Mineral oil (Liquid 2 - 1 1 - For cleaning of

petroleum) (in 1000 ml. skin.
bottles)

55 Morphine sulfate injection 20 - 10 5 - Controlled

10mg/ml. 1ml. ampoules. substances.
(Radio Medical Advice) Pain killer
substitute with
pebtazocine
hydrochloride
when Morphine
not available 30
mg/ml.
56 Naloxone Hydrochloride 6 - 3 2 - Required with –
injection 0.4 mg/ml. 1 ml. Antidole to
morphine only
(Radio Medical Advice) Morphine.

57 Neomycine + bacitracir 25 10 15 10 - Keep at tempra-

ointment (5 mg. nepmycin Local skinture at
+ 500 IU bacitracine Zine 2-200 C
per g) 30g. tube. infection.

58 Oral Rehydration salts 6 15 20 10 - One bag/sachet

(sodium chloride 3.5g should –
sodium (bicarbonate 2.5g) DIARRHOFA be
Potassium chloride 1.5 g dissolved on 1
glucose 20g in water proof litre of boiled
bags/sachets. cooled – solution
be boiled.

59 Oxygen size E tank 2 1 - - - The tank should

– keep away
always be full
from fire of
oxygen.

60 Paracetamol 500 mg 1000 300 300 100 - Aches & Pains

tablets.

61 Petrolatum white 60-g tube. 12 4 2 - Cracked soles

dressing.

62 Phenobarbital tablets 30 300 - 100 25 - Controlled substance—

mg. Sedative for

63 Phenoxymethyl 500 - 200 100 - Antibiotic

penicilline (RMA)
potassium tablets 250 mg.

64 Pilocarpune hysrochioride 4 - 1 1 - For glaucoma.

eye (RMA) drops 2% lSml.
drpper bottle

65 Potassium permangaflate 200 - 100 50 - For external use

(in Gms)

66 Prob tablets 500 mg. (RMA 250 - 100 50 - To use vith Penicillin

67 Procaine b sterile 40 - 10 5 - Antibiotic Refrigerate

suspension injection
6,00,000 units/mI. 1 ml. vials
(RMAI)

68 PrDguanil tablets 100 mg. 100 - 100 100 - Malaria Prevention

69 Pyrantel tablets 250 200 - 150 100 - Worms

mg.ation 70. Quinine sulfate
tablets 300 mg.

70 Quinine sulfate tables 300 100 - 50 2 - Malaria

mg.

71 Quinine dihydrocloride, 10 - 3 2 - Malaria

injection 300 mg/mI.2-mi
ampoules.

72 Salbutamol aerosol ibhaler 6 2 2 2 - Asthma

unit

73 Sodium chloride injection 0. 6 - 3 2 - Administration Set

9 1000 ml. 1000 should be obtained from
the manufacturer of the
intravenous solution
74 Sodium chloride tablets 1g. 2000 1000 500 200 - For Heat exhaustion.

75 Spactionomycin 20 15 - - - Antibiotic
hydrochloride injection 2-g

Per 5 ml vial(Radio Medical

Advice)

76 Sulfarne thoxazole + trim 1000 250 200 100 - Antibiotic

thoprim (400 mg + 80 mg)
tablets (Radio Medical
Advice)

77 Talc (talcum Powder) (in 1000 750 500 250 -

Gms)

78 Tetanus immune human 10 - 3 2 - Refrigerate do not freeze

globulin 250 flitS. vial or Note : this drug should
ampules. be carried only on ships
that carry cattle horses
or hides— Titanus
Prevention.

Antibiotic

Pain ternin

79 Tetanus toxide absorbed Mm10 - 6 4 - Refrigerate do Tetanus

single dose ampdules mm I not
0
freeze Prevention

80 Tetracyline ear-drops I % 20 - 6 4 - Antibiotic

tetracyline sOlution in
dropper bottle 10 ml.

81 Tetracylin hydrochloride 100 - 200 100 - Antibiotic

Capsules 250 ng. (Radio
Medical Advice)

82 w S 5i-nl. ampOules 150 40 30 20 - Antiseptic

83 ZincOXide paste 30 g. tube 12 8 6 4 -- Skin Ointment

PART-II

MEDICAL STORES AND APPLIANCES

Remarks

Item (1) (2) (3) (4) Remarks

no.
(a) (b) (a) (b)

1 Besin, emesin kidney shape, 1 - 1 1 -

Stainless steel

2 Basin, wash with rim 1 - 1 1 -

stainless steel

3 Bed pen enamel 1 - - - -

4 Cane with rubber tip 1 - - - -

5 Cruch, adjustable, wood with 1 1 - - -

rubber tip

6 Eye cup, for eye irrigation 2 1 1 1 -- made of glass or

plastic that not
affected by boiling

7 Funnel enamel 12-cm 2 - 1 1 -

diameter
8 Glass cylinder, 50 ml 2 - 1 1 - for measuring liquid
graduated

9 Glass cylinder, 500 cm 2 - 1 1 - for measuring liquid

graduated (to prepare 1%
centimeter solution
from stock solution)

10. Heating-pad, electric water 2 .. 1 1 ..

proof A/C D/C

11. hot-water/ice bag, rubber 2 .. 1 1 ..

stopperless typoe

12. Litter, stockes 2 .. 1 1 ..

13. Magnifying glass (x8/loupe) 1 .. 1 1 ..

14. Neil-Robertsen Stretchor 2 1 1 1 ..

15. Oxygen unit, portable without 2 .. 1 ..

size E oxygen Cyliner, adult
face mask, regulator ,
tubling wrench, instruction
books ( all in self-contained
carrying case)

16. Spare oxygen cylinder size 1 1 .. .. ..

E for item 15 (filled with

oxygen)

17 Refrigerator about 60 litre 1 .. 1 1 ..

capacity with inside
thermometer cyclamatic
automatic defrosting to
operate on ship’s electrical
current, and fitted with a lock

18 Cuffs, leather or cloth for 2 1 .. .. .. Restraints may be

restraining improvised form bed
sheets

19. Mummy restraint (whole 2 1 .. .. ..

body restraint)

20 Side-board 2 2.. .. ..

21. Resuscitator, hand-operated 2 .. 1 1 .. Consist of a

with excess pressure relief compressible bag
devide, inlet check valve with with a check value
nipple for optional connection storage bag
to low-pressure oxygen line grommets, adult face
mask, and a non-re-
breathing valve

22. Rubber inflatable ring-pad 1 .. .. .. ..

23. Scales, adult, weighing, 1 .. 1 1 ..

clinical capacity 150 kg.

24 Sphygmomanometer, 2 .. 1 1 1 Instrument for taking

electronic blood pressure

25. Splints, inflatable, arm, for 2 .. 1 1 ..

above/below elbow, assorted
sizes 6 S

26. Splints, finger, aluminium, 2 .. 1 1 ..

padded, assorted sizes 6s.

27. Splints, inflatable, leg for 2 .. 1 1 ..

27. Splints, inflatable, leg for 2 .. 1 1 ..
above/below knee assorted
sizes 6s.

28. Sterilizer, steam pressure 1 .. 1 1 .. Should be of a type

type for dressing and with a drying phase.
instruments

29. Steriliser, water type-3 litre 1 .. 1 1 .. Preferably with

capacity, electric ( chamber automatic cut-off,
approximately 28 X 14 X 10 when there is
cm) insufficient water.

30. Stethoscope, disc-diaphragm 2 .. 1 1 1

type

31. Thermometer, bath 2 .. 1 11 1

32. Tray, with cover, for 2 .. 1 1 .. To be a component

sterilization of small of the sterilizer :
instruments must fit inside
sterilizer
compartment.

33 Urinal, male 2 .. 1 1 ..

34. Receiptacle, with pedal- 1 .. 1 1 ..

operated lid 12 litre
capacity.

PART – III

LATEST EDITIONS OF THE FOLLOWING PUBLICATIONS

Item (1) (2) (3) (4) Remarks

No. (a) (a)

(b) (b)

1 International medical guide for ships 1 .. 1 1 ..

2 Medical first aid guide for use in accidents involving 1 .. 1 1 ..

dangerous goods

3 International Health Regulations 1 .. 1 1 ..

4 Vaccination certificate requirements and health advice for 1 .. 1 1 ..

international travel

5 Merchant Shipping Act 1 .. 1 1 ..

6 Merchant Shipping (M Medical stores and appliances) 1 .. 1 1 ..

Rules

7 Indian Port Health Rules 1 .. 1 1 ..

8 Indian Ports Act 1 .. 1 1 ..

9 A Pocket guide to cold water survival IMO, London 1 .. 1 1 ..

10 Guidelines for drinking-water quality Vol. 1 1 .. 1 1 ..

Recommendations, Geneva, W.H.O.

PART-IV

INSTRUMENTS

(2) (3) 4 Remarks

(a) (b) (a) (b)

1 Airway Pharynageal plastic adult 2 .. 1 1 1

 y y g p
and child sizes (Disposable)

2 Blades surgical knife detachable 1

small tang, sterile

(a) No.10
1 1 .. .. ..
(b) No.15
1 1 .. .. ..

3 Forceps dressing bayonet 1 1 1 1 ..

shaped, adson I 8 cm.

4 Forceps, haemostat, straight 2 .. 1 1 ..

spencer wells 2 15 cm.

5 Forceps, haernostat, curved, 2 .. .. .. ..

Haistead mosquito 2 15 cm.

6 Forceps, hemostat, curved Kelly, I 2 .. .. .. ..

5 cm.

7 Forceps, splinterm tweezers 10 1 .. 1 1 ..

cm.

8 Forceps, tissue. 2-3-dents 1 .. 1 1 ..

(a)13 cm. 1 .. 1 1 ..

(b) 18cm. 1 .. 1 1 ..

9 Handles knife (scalpel) No. 3 2 .. .. .. .. For

detachable
surgical
knife
blades.

10 Scissors, bandage, lister, angular, 3 .. 1 1 ..

one point, sharp One point blunt,
20 cm.

11 Scissors, surgical straight, 15 cm. 2 .. 1 1 ..

12 Hammer, reflex-testing, 20 cm 1 .. 1 1 ..

13 Needle-holder, suture, Hegar- 2 .. 1 1 .. For

mayo 14 cm suturing
wounds.

PART V

BANDAGES ETC.

Item (1) (2) (3) Remarks

NO
(a) (b) (a) (b) (4)

1 Adhesive tape, surgical

(a) 5cm x 5 M rolls 6 .. 2 2 --

(b) 2cm x 5Mroils 6 -- 2 2 --

2. Administration set, 5 2 3 2 - Procure from the

intravenous, with butterfly manufacturer that
hub needle supplies the intravenous
fluids.
I mmx 40mm, sterile
disposable

3 Applicators, wood cotton- 200 150 100 50 -

tipped ends, sterile 2 mm x
15 mm
4. Bandage, cotton, elastic, 12 - - - -
rubberless.
12 4 8 4 -
(a) 10 cm X 5m roll
12 4 8 4 -
(b) 8 cm X 5 m roll
(c) 5 cm X 5m roll 12 4 12 6 -

5. Bandage, gauze, roller 12 4 12 6 - elastic gauze bandage

sterile 3cm X10 m two-ply,
clinging, 2 safety-pins.

6. Bandage, gauze, roller

sterile 60 10 30 30 - Individually wrapped
(a) 10 cm by 5 m 40 10 20 10 - Individually wrapped
(b) 12 cm by 5 m

7. Bandage, absorbant, 200 100 50 25 - Absorbant bandage

adhesive, with adhesive

5 cm X 5 m

8. Casualty dressing, adhesive,

individually wrapped, sterile
30 15 15 10 -
(a) 9 cm X 6 cm
20 10 10 5 -
(b) 18cm X 9 cm

9. Bandage, muslin, triangular, 4 1 2 1 -

folded, with 2 safety-pins 90
X 130 cm.

10 Tube-gauze-type bandage for 10 2 4 2 -

finger.

11. Spray dressing,120 ml 8 2 2 1 -

12. Petrolatum-gauze burn- and 20 15 10 5 -

wound dressing various
sizes individually packed
sterile.

13. First aid emergency

dressing ( pad with 30 cm
open swave gauze tail, 10 10 5 5 -
sterile) 20 10 10 10 -
(a) small size
20 10 10 5 -
(b) medium size
(c) large size

14. Bottle, vial, amber, 50 ml. 50 30 20 10 - Self –sticking lebels

glass or plastic for capsule should be procured &
or tablets kept with these bottles.

Blood lancets, sterile - - - - 10

15. Catheter, double-eye,

pointed. Robinson sterile,
disposable,
(a) 6 French (2 mm) 2 - 1 1 - (for urinary
catheterization)
(b) 8 French (3 mm) 2 - 1 1 -
(6 French and 8 French
(c) 12 French (4 mm) 2 - - - - catheters, can be used
(d) 14 French ( 5 mm) 2 - - - - or pharymeal suction )

(e) 16 French (5.5 2 - - - -

mm)

16. Catheterization tray, sterile. 3 - 1 1 -

Disposable regular type: 14
French straight catheter
sterile g oves, small forceps
cotton ball lubricant,
antiseptic solution
 antiseptic solution,
underpaid and drops,
specimen container, and
label

As per International
Medical guide for ships.
17. Clinical record chart 40 - - - -

18. Temperature/pulse chart 40 20 - - -

19. Medical report form for 100 50 - - -

seafarers.

20. Collar, cervical, with trap 1 1 1 1 -

21. Clinical record chart pad 1 1 1 1 -

22. Cotton, absorbent

20 10 5 3 -
(a) 50 g roll
(b) 200 g roll 10 5 5 3 -

23. Cotton absorbent sterile 3 1 1 1 1

100g

24. Finger cots, rubber, asserted 12 - 6 6 -

sizes

25 Flashlight (penlight type) with 2 - 1 1 -

replacement batteries 2 sets
each

26 Gauze bandage, tubular, 2 cm 5 - 1 1 - Covering bandage

by 5cm rolled with applicator for finger and toes.

27 Gloves, surgical, sterile, 12 - 4 2 -

disposable large size (7-1/2 or
8), (pairs)

28 Gowns, surgical 5 - - - -

29 Medicine cup waxed paper. or 100 - 50 50 -

plastic 30 ml graduated,
disposable.

30 Mask, face disposable 100 20 50 50 -

31 Microscope slide 100 - 20 20 -

32 Mortuary transfer bag, 2 1 1 1 -

leak- 2 proof.

33 Needle, hypodermic, 0.5 36 18 12 6 - Needles to fit into

mmx 36 16 mm sterile the type of syringes
carried on board.

34 Needle intravenous 18 12 6 6 -
injection I mm, 5cm

35 Need intravenous 12 9 6 6 -
injection 1.1mm, 3cm

36 Occult blood detection tablet, 60 40 50 25 - For detection of

with 60 filter papers. occult blood in
farces or Sputum
follow Instruction for
use given by the
manufacturer

37 Pad, abdominal, sterile 6 4 3 2 -

 combined 6 dressing gauze,
20cm x 20cm individually
sealed.

38 Pad cotton eye sterile, 12 6 12 12 -

Individually sealed.

39 Pad, non-adherent sterile 100 50 40 20 - dry dressing

dressing non-woven cotton material for Wounds

and rayon fabric with

performed plastic. cover,
individually sealed 8cm x
10cm)

40 Safety-pin rustless (Brass 100 100 - 40 20 - Assorted sizes

coated)

41 Scrubbing-brush, hand 3 - 2 2 -

42 Self stitching labels

(a) 1”x l” 300 - 100 50 -

(b) 1”x 2” 300 - 100 50 -

(c) 2”x 3” 500 - 100 50 -

43 Sheath rubber (condom) 5s 1000 250 200 100 -

(NIRODH)

44 Sheet, waterproof, 110cm x 2 - 1 1 -

180 cm

45 Skin closure, adhesive 50 - 25 25 - to close wounds in

surgical 50 sterile (butterfly place of sutures
closure) 6mm. when feasible.

46 Skin closure adhesive 10 - 3 3 -

suturless 10 sterile 10cm x
8cm.

47 Suture, tapered, 1/2 circle 12 - 3 3 -

non- traumatic needle, 28mm,
absorbable non-boilable 70 cm
long size 00, sterile,
individually sealed.

48. Suture, armed ½ circle, 25 24 - 6 3 -

mm non-traumatic needle,
non-absorbable, silk, braided
45 cm long size 000, sterile
individually scaled

49. Suture armed 3/8 circle,

20mm needle, size 000 sterile
absorbable, individually
sealed.

50 Suture, armed non-absorbable 12 6 3 1 -

polyster 3/8 circle, 13mm
needles with non-traumatic,
point size 5.0 sterile sealed.

51. Suture removable, containing 12 - 1 1 -

suture-removing forceps,
sterile, and suture removal
scissors, sterile.

52. Syringe glass 6 - 2 1 - Injection needles

should fit the type of
(a) 2ml.
syringes carried
(b) 5ml. glass
2 - - 1 -
(c) 20 ml. Syringes. May be
2 - 1 1 -
used when
disposable syringes
are not available
53. Syringes, plastic disposable

Sterile individually sealed with

injection needle:
(a) 2ml with
hypodermic needle 75 25 10 10 2
½ mm 16 mm
(b) 2ml with
intramuscularly, 75 25 10 10 2
needle 1 mm, 5 cm.

(c) 5ml, with

intramuscular needle
1 mm 5 cm 50 25 10 10 2
(d) 20 ml & IV needle
1mm, 5 cm
- 2

54. Test strip and colour chart. 100 50 50 50 -

Combined sugar (urinary,
blood glucose, ketone,
protein, bilirubin and PH)
strips

55 Test tablets, kit, glucose 100 50 25 25 10

reducing sugar in urine,
individually sealed.

56. Tissues, facial Boxes 6 4 3 1 -

57 Thermometer clinical fever 6 - 4 4 -

58. Tourniquets, non-pneumatic, 4 2 2 2 -

blood taking type, composed,
of gum rubber with electrotype
fastener.

59 Tongue- depressor wooden 50 25 20 10 -

60 Towels, paper, sterile 30 - 15 5 -

disposable individually
wrapped

61 Towels, surgical cotton 25 - 15 5 -

62 Wrapping material, cotton 15 10 5 5 -

PART VI

DISINFECTANTS

Item 1 2 3 4 5
No. (a) (b) (a) (b) Remarks

1 Chlorinated lime, 2 Use :As a 10 - 10 10 -

disinfectant and deodorant for
ceases, urine, glass and
earthenware (Not for disinfecting
metal instruments or rubbers
articles). It is sprinkled liberally
over the substances to be
disinfected., mixed thoroughly
(if indicated) by stirring with a
wooden tongue depressor or
suitable implements, and allowed
to stand for atleast 1 hour. A small
amount of water may be added to
facilitate mixing, if necessary.

Caution : Open container

Cautiously, away from face and
eyes. Replaced immediately
after use to prevent loss of
chlorine, chlorinated lime. loses
such or its activity, even with
 such or its activity, even with
careful storage, in year) Keep
separate from internal
medicines,

2 High test calcium

hypochlorite, I -liter, in granular

form. containing about 70%
available chlorine.
15 5 5 5 - Keep separate from
Use: (1) For disinfecting water internal
and(2) for the disinfections of
smooth hard surfaced objects in
the dietary area, and cutlery. For
this purpose a solution with 100
parts per million available
chlorine should be used (take
1.5g of granuales of calcium
hypochlo rite io 10 liters of water)
Caution : Same as for
chlorinated lime.

Note— 70 g of high-test calcium

hypochlorite will is infect 100
liters (1 tome) of p0- table water.

3 Sodium Hypochlorite 10% 10 10 5 5 -

solution, 1-litre. Use: For
disinfecting smooth. hard
surfaces and objects (tablets,
dishes, cutlery, etc..) in dietary
area. Dissolve 40 ml of the
solution in 10 liters. Of potable
water.

Caution : Keep separate from

internal medicines. Label the
bottles (‘DISINFECTANT”)

4. Aquous phenolic 30 solution 1- 4 2 2 1 -

litre

Use : as a disinfectant for

smooth hard surfaced objects in
non-dietary area: walls floors
etc. Before use, dilute with
water 1:10 to obtain the 3%
solution used for disinfections.

Caution : open bottlies

cautiously away from eyes and
face. Avoid contamination of
skin. Pjenol is a highly toxic
substance. Keep separate from
internal medicines. Label the
bottles ‘POISON”

The Second Schedule

(See rule 4)

LIST OF MEDICINES

(1) (2) (3) (4)

Aminophylline 360 mg Suppository 60

Ampicillin 500 mg Capsules 100

Ampicillin 500 mg Ampoule 100

Amylnitrate 0.17 mg in o.2 ml. Ampoules 96

Ascorbic acid (vitamin C) 1g Tablets 120

Ascorbic acid (vitamin C) 500 mg in 5 ml Ampoule 20

Atropine sulphate 1 mg in 1 ml Ampoule 200

 Atropine sulphate 1 mg in 1 ml Ampoule 200

Calcium gluconate 2 25 mg Tube 6

Calcium Gluconate 1g Tablets 10

effervescent

Charcole activated 5g Sachet or powder 10

Chlorphenamine 10 mg in 1 ml Ampoule 20
(Chlorpherinamine)

Chlorpromazine 25 mg in 1 ml Ampoules 80

Diazepam 10 mg in 2 ml Ampoule 60

Dimercaprol 100 mg in 2 ml Ampoule 160

Methyl alcohol 10% 500 ml Bottle 4

solution

Fluorescein sodium 1% or Eye test strip 100

2%

Furosimide (frusemide) 20 mg in ml Ampoule 40

Furosimide (frusemide) 40 mg Tablets 80

Glucose 500 mg Powder 1

Macrogol 300 (polyethylene 1litre Bottle 2

glycol m.w.300)

Magenesium trisilicate 250 mg Tablet 40

compound

Methylene blue 1% 10 ml Ampoule 40

Metoclopramide 10 mg in 2 ml Ampoule 60
hydrochlorine

THE THIRD SCHEDULE

[See rule 8(3)]

Certificate of Inspection of Medicines, Medical store and appliances

(1) Name of the Ship

(2) Owner’s name

(3) No. of Crews

(4) No. of Passengers

(5) Class of Ship

(6) Medical Officer

(7) 1 have this day inspected the medicines, med stores and appliances on board the abovementioned ship and
find that the same with the MS. (Medicine, Medical Stores and appliances) Rule, 1994. This certificate shall be
valid for a period of twelve months or until it is cancelled by a Port Health Officer after a due inspection, whichever
is earlier.

OR

I have examined the medicines, medical stores and appliances on board the above mentioned ship and find that
the same is deficient with respect to the following , namely:—. ..

(a)

(b)

(c)

As the above deficiencies cannot be made good in this port, the vessel is permitted to sail for a period of months
in which time the Master is advised to make good the above deficiencies.

Port Health Officer

Dated Port of
 THE FOURTH SCHEDULE

[See rule 18(2)]

CERTIFICATE OF EXEMPTION

The S.S./ M.V. “___________________________________________”is hereby exempted from the requirements

of the Merchant Shipping (Medicines, Medical Stores and Appliances) Rule, I 994. to the extent and subject to
the conditions indicated below: .

This certificate shall remain in force until the__________day of _____________19

(Name of Port)
Dated the ____________day of ______________19

( (Signature)

(——--———)

(Designation)

Note : The Master, the Agent and the Owner of the Vessel shall be responsible for the implementation of
the Merchant Shipping (Medicines, Medical Stores and Appliances) Rules, 1994.

Any contravention of these rules shall attract punitive action under the Merchant Shipping Act, 1958 (44
of I 958).

[ No. SR-11013/4/91 - MA]

O.P. MAHEY, Under Secy.

Foot Note : The Principle rules were published in the Gazette of India vide GSR No. 1573, dated 07-6-1966 arid
were subsequently amended vide :—

(1) G.S.R. No. Nil, dated 23-3-1 967.

(2) G.S.R. No. 1384, dated 09-10-1 972.

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