SAFETY MANAGEMENT SYSTEM

IRANIAN OFFSHORE ENGINEERING

AND CONSTRUCTION COMPANY

Issued: 26/03/02 Revised: Version:1 Page: 1 / 8

SAFETY 5.0 ACCIDENT REPORT. 5.0 SMS DOC. No.

& MEDICAL TREATMENT 5.0- SAFETY-5.0-1 / 8
MANUAL

5.0 Accident Reporting and Medical Treatment

5.1 Reporting of Accidents and Dangerous Occurrences

5.1.1 Reporting of Accidents
5.1.2 Reporting of Dangerous Occurrences

5.2 First Aid Treatment

5.2.1 Medical Personnel on Board
5.2.2 First Aid Treatment
5.2.3 First Aid Room/Hospital
5.2.4 Medical Lockers
5.2.5 Responsibility for Medical Stores
5.2.6 Disposal of Out-of-Date Prescription Medicines
5.2.7 Disposal of Medical Waste

5.3 IMDG Code Medical Advice

5.3.1 Medical First Aid Guide (MFAG)

5.4 Ship Captain’s Medical Guide - Chapter 13

5.4.1 Medivac Service by Helicopter

5.5 Reporting Drills & Exercises

5.6 Reporting to the Company

 SAFETY MANAGEMENT SYSTEM
IRANIAN OFFSHORE ENGINEERING
AND CONSTRUCTION COMPANY

Issued: 26/03/02 Revised: Version:1 Page: 2 / 8

SAFETY 5.0 ACCIDENT REPORT. 5.0 SMS DOC. No.

& MEDICAL TREATMENT 5.0- SAFETY-5.0-2 / 8
MANUAL

5.0 Accident Reporting and Medical Treatment

5.1 Reporting of Accidents and Dangerous Occurrences

Copies of all reports are to be forwarded to the Company. All reports to the Company and
to the vessel’s Flag State are to be kept in the Safety Officer’s Record Book (SORB). The
Company maintains a duplicate copy of the SORB at head office.

The above only applies to members of the vessel’s crew and not to shore workers unless
caused by the failure of the ship’s own equipment. However, accidents involving shore
workers must be advised to the Company in order to protect the Company from liability.

The guidance notes to each section in the Safety Officer’s Record Book must be
followed. All entries in the Record Book shall be copied to the DPA at head office.

The Safety Officer’s Record Book, contains the Company’s interpretation of the term
"dangerous occurrence" (near miss). The appropriate written reports shall be forwarded to
the Company as instructed. Masters are expected to be familiar with vessel’s Flag State
requirements regarding accident and near miss reporting.

5.1.1 Reporting of Accidents

The Master shall report the following to the Company by the quickest possible
means available to him:

■ Every accident on board or during access to crew members or any person

employed in the vessel which results in death or serious personal injury.

■ Every accident where the injured person is unable to work for three
consecutive days or is landed for treatment.

All initial reports must be followed up by forwarding completed Personal Accident

Report Form and Witness Voluntary Statement, as applicable, to the DPA. Masters
must be conversant with the vessel’s Flag State rules and regulations on reporting
accidents of this nature.
 SAFETY MANAGEMENT SYSTEM
IRANIAN OFFSHORE ENGINEERING
AND CONSTRUCTION COMPANY

Issued: 26/03/02 Revised: Version:1 Page: 3 / 8

SAFETY 5.0 ACCIDENT REPORT. 5.0 SMS DOC. No.

& MEDICAL TREATMENT 5.0- SAFETY-5.0-3 / 8
MANUAL

5.1.2 Reporting of Dangerous Occurrences

The Master shall report every Dangerous Occurrence (Near Miss) that occurs on
board on the Dangerous Occurrence (Near Miss) Report Form (plus suggested
modifications and improvements to the Company and DPA). The Company considers
any of the following as being a Dangerous Occurrence:

a) The collapse or overturning of any lift, hoist, crane, davit, derrick, access
equipment, staging or bosun’s chair.

b) The sudden failure of any equipment containing gas or liquid under high pressure.

c) Any electrical short circuit or overload resulting in fire, explosion or severe

electric shock.

d) Any sudden, uncontrolled release of flammable liquid or gas.

e) The accidental ignition of gas or liquid leaking from any pipe-line or associated
equipment.

f) Any contact with loose asbestos fibre except when full protective clothing is
being worn.

g) Any collapse or significant movement of Cargo

h) The failure of any hatch cover or associated control wires.

i) Any fall overboard.

j) Any near-accident that warrants, or subsequently results in, an approved

modification to the vessel, equipment and machinery and or procedures and
instructions.
 SAFETY MANAGEMENT SYSTEM
IRANIAN OFFSHORE ENGINEERING
AND CONSTRUCTION COMPANY

Issued: 26/03/02 Revised: Version:1 Page: 4 / 8

SAFETY 5.0 ACCIDENT REPORT. 5.0 SMS DOC. No.

& MEDICAL TREATMENT 5.0- SAFETY-5.0-4 / 8
MANUAL

5.2 First Aid Treatment

5.2.1 Medical Personnel on Board

In the absence of a qualified doctor being on board the responsibility for medical
attention rests with the Master, who may designate an officer as the ship’s medical
officer.

The use of the term "medical" with regard to ship’s staff does not imply any expertise
greater than that attained at a recognized First Aid Course.

The Medical Officer may be assisted by other personnel on board who are
qualified to render first aid. Use should also be made of any personnel holding
recognized medical qualifications.

A copy of "The Ship Captain’s Medical Guide" and the "Medical First Aid Guide- MFAG",
shall be kept in the Medical Locker.

5.2.2 First Aid Treatment

Every care is to be taken when treating people who fall ill or who have suffered an
accident on board. Prompt and careful treatment in clean surroundings is essential.

Refer to The Ship’s Captains Medical Guide as necessary.

Additional medical advice may be obtained by Radio. Full details of message

format are given in the Ship Captains Medical Guide.

5.2.3 First Aid Room/Hospital

This area is to be kept scrupulously clean and tidy at all times. A supply of clean
linen, blankets and towels must be kept in the room. Lighting should be arranged
so that, when appropriate, a patient is not subjected to undue discomfort.
 SAFETY MANAGEMENT SYSTEM
IRANIAN OFFSHORE ENGINEERING
AND CONSTRUCTION COMPANY

Issued: 26/03/02 Revised: Version:1 Page: 5 / 8

SAFETY 5.0 ACCIDENT REPORT. 5.0 SMS DOC. No.

& MEDICAL TREATMENT 5.0- SAFETY-5.0-5 / 8
MANUAL
5.2.4 Medical Lockers
The medical locker on board Company’s vessels will be maintained to the scales
detailed in World Health Organization publication "International Medical Guide for
Ships" or other medical scales as approved by Flag State.
The items contained in the first aid locker are only to be used for treatment on board.
The position of the portable First Aid Kits are to be made known to all on board.
Theft or misuse of the contents of the first aid locker will be regarded as contravening
the requirements of the company’s Drug and Alcohol Abuse Policy and those
involved may be subject to disciplinary action by the Company.
If a resuscitator is used, its oxygen cylinder and disposable parts must be replaced
as soon as possible. Clear airway-type resuscitators for emergency "kiss-of-life"
treatment are provided. They must only be used for one patient and then discarded.
Refer to:
■ The Ship Captain’s Medical Guide (SCMG)
■ IMDG Supplement
■ WHO International Medical Guide for Ships
■ Appropriate Merchant Shipping Notices.

5.2.5 Responsibility for Medical Stores

The Medical Officer (if designated) shall be responsible to the Master for
maintaining of the medical and first aid lockers on board. The Medical Officer is
to ensure that the requirements of appropriate WHO scales or equivalent are fully
complied with.
The Master and Medical Officer shall keep abreast of M. Notices so that up-to-date
medicine lockers are kept on board at all times.
Records are to be kept of all medicines issued.
Unless it is stipulated in Flag State requirements it is not necessary to employ the
services of a shore chemist to carry out the checks of the medical locker. The
Medical Officer should carry out a thorough inventory of the medical locker on a
six monthly basis (in January & July). The results should be recorded in the medical
log with a copy submitted to the Company.
Medicines should be ordered on the basis of the expiry date and the vessel’s
trading pattern. Whenever possible medical stores should be ordered through the
office. Should it be necessary to order stores locally, Masters shall ensure that a
clear description in English is obtained.
 SAFETY MANAGEMENT SYSTEM
IRANIAN OFFSHORE ENGINEERING
AND CONSTRUCTION COMPANY

Issued: 26/03/02 Revised: Version:1 Page: 6 / 8

SAFETY 5.0 ACCIDENT REPORT. 5.0 SMS DOC. No.

& MEDICAL TREATMENT 5.0- SAFETY-5.0-6 / 8
MANUAL

5.2.6 Disposal of Out-of-Date Prescription Medicines

All prescription medicines which are out-of-date must be landed ashore. An entry is
required in the deck log book, where appropriate, and Safety Officer’s Record Book.

5.2.7 Disposal of Medical Waste

Disposable syringes and similar waste which cannot be incinerated should be

landed ashore. An entry is required in the deck log book, where appropriate, and
the Safety Officer’s Record Book.

5.3 IMDG Code Medical Advice

Masters and Officers are reminded that the IMDG Code not only relates to dangerous
cargoes, but also any hazardous substances in packaged or loose forms that may be
carried as a vessel’s stores. It is therefore most important that all hazardous substances
are properly stowed and separated when, for example, receiving and stowing stores, e.g.
paints, cleaning products, synthetic oils etc. Particular attention must he paid to stowing
any hazardous substances properly and securely and not in any compartment containing
food. e.g. cleaning agents in the galley must he kept well away from food. All personnel
involved with the handling of hazardous substances must be made aware of the
recommended separation between different groups and strictly adhere to these separations.

The supplement to the IMDG Code contains the Group Emergency Schedules (EmS) and
the Medical First Aid Guide (MFAG).
 SAFETY MANAGEMENT SYSTEM
IRANIAN OFFSHORE ENGINEERING
AND CONSTRUCTION COMPANY

Issued: 26/03/02 Revised: Version:1 Page: 7 / 8

SAFETY 5.0 ACCIDENT REPORT. 5.0 SMS DOC. No.

& MEDICAL TREATMENT 5.0- SAFETY-5.0-7 / 8
MANUAL

5.3.1 Medical First Aid Guide (MFAG)

Minor accidents involving chemicals do not normally cause severe effects provided
the appropriate first aid measures described in the MFAG are taken. Although the
number of reported serious accidents is small, accidents involving those chemicals
which are toxic or corrosive may be dangerous, and must be regarded as being
potentially serious until either the affected person has completely recovered, or
medical advice has been obtained. Any person suffering or who has suffered from
chemical poisoning should be seen by a doctor at the next port of call.

The chemicals listed in the MFAG are grouped into tables according to their chemical
properties, however there may be a variable degree of toxicity within a group. Where
a chemical, chemical solution or mixture is not specifically listed in the IMDG Code,
and is therefore declared by the shipper as an NOS (not otherwise specified), it has been
assigned to a table which is consistent with the toxic medical effects to be expected
from poisoning by that chemical. Occasionally, it is impossible to allocate a table at
all because of the wide variety of possible medical effects, and general guidance has
been given on appropriate treatment for those situations.

Masters and Officers are reminded of the possible lethal results of mixing chemicals
that are in everyday use on board ship.

Additional provisions on the carriage of dangerous goods and harmful substances

can be found in Merchant Shipping Notices. The Master must ensure compliance
with all relevant provisions and, in particular, shall exercise his right to inspect
and, if necessary, refuse to accept such cargoes or vessel’s stores if not properly
documented, marked and/or packaged.

5.4 Ship Captain’s Medical Guide - Chapter 13

5.4.1 Medivac Service by Helicopter

This section gives advice and recommendations on the use of helicopters for
medical evacuation. The Company attaches great importance to the advice and
recommendations contained in this section; Masters must be guided accordingly.

Masters must ensure that any patient to be evacuated by helicopter is prepared

correctly.
 SAFETY MANAGEMENT SYSTEM
IRANIAN OFFSHORE ENGINEERING
AND CONSTRUCTION COMPANY

Issued: 26/03/02 Revised: Version:1 Page: 8 / 8

SAFETY 5.0 ACCIDENT REPORT. 5.0 SMS DOC. No.

& MEDICAL TREATMENT 5.0- SAFETY-5.0-8 / 8
MANUAL
5.5 Training Drills & Exercises

Personnel shall receive first-aid training prior to boarding the ship and refresher training shall
be given on a regular basis. Posters, pamphlets and other means of reminding personnel of
first-aid procedures shall be posted or otherwise made available throughout the ship.

Drills in the rescue and treatment of personnel and application of first aid shall also be held.

5.6 Reporting to the Company

Reports of all patients receiving treatment on board or visits to doctors are to be recorded
and the list sent to Head Office monthly.