Unit 2.

Personal Safety

Objectives:

 To be able to report about health condition using

appropriate terms (part of body, diseases etc.);

 To understand the importance of usage of PPE;

 To learn the key principles of Risk Assessment ;

 To study about rendering medical assistance;

 To familiarize with minimum standard of competence in

medical first aid;

 To learn how to fill in medical examination questionnaire.

1
 Unit 2. Personal Safety
Part I
Parts of Body*
Vocabulary

1. trunk туловище
2. to cut one’s forehead рассечь лоб
-eyebrow - бровь
- lip - губу
-chin -подбородок
3. temple висок
4. cheek щека
5. jaw челюсть
6. eyelash ресница
7. iris/ pupil зрачок
8. chest (breast) грудная клетка
9. abdomen живот
10. waist талия
11. navel пупок
12. armpit подмышка
13. elbow локоть
14. thumb большой палец руки
15. pinkie (little finger) мизинец
16. palm ладонь
17. wrist запястье
18. hip бедро
19. thigh бедро (верхняя часть ноги)
20. knee колено
21. ankle лодыжка
22. heel пятка
23. calf икра ноги
24. limb конечность
25. toe большой палец ноги
26. artery [ˈɑːtəri] артерия
27. blood vessel кровеносный сосуд
28. lungs легкие
29. kidney почка
30. liver печень
31. stomach желудок
32. bladder мочевой пузырь
33. joint сустав
34. ligaments [ˈlɪɡəm(ə)nt] связки
35. spine/ vertebrae [ˈvəːtɪbrə ] позвоночник
36. coccyx [ˈkɒksɪks] копчик
37. spleen селезенка

2
Warm-up
 Divide the following parts of body into two groups.
heart, back, forehead, elbow, muscle, kidney, spine, throat, chin,
liver, face, lungs, finger, rib, foot, hand, tongue, lip

EXTERNAL INTERNAL
PARTS of PARTS of
BODY BODY

 Use the vocabulary above to answer the questions.

- Why do all the seamen undergo medical examination before the voyage?
- How do you understand the term “FIT FOR DUTY”?

Task 1. Listen to four dialogues about different types of injuries between the
Medical Officer and injured seafarers. What was a part of body? What was the
injury? What was the cause of injury?

Part of body Injury How did it happen? Treatment

Dialogue 1

Dialogue 2

Dialogue 3

Dialogue 4

3
 Real Life Accident
Vocabulary
Practice these words orally and learn them by heart.
1. to have a headache иметь головную боль
2. chill озноб
3. to have a cold простудиться
4. to provide cold medication дать средство от насморка и кашля
5. to give pain reliever дать обезболивающее средство
6. muscle ache ломота в мышцах
7. malignant опасный
8. to vomit repeatedly постоянно рвать
9. to provide observation обеспечить наблюдение
10. thud глухой звук
11. to lie on the back лежать на спине
12. to raise the alarm поднять тревогу
13. to sound the emergency alarm поднять сигнал тревоги при
чрезвычайном положении
14. to muster the team собирать команду
15. to secure smb on a stretcher уложить на носилках
16. vessel’s hospital bay судовой госпиталь
17. bleeding кровотечение
18. fracture перелом
19. to be conscious быть в сознании
20. to be in great pain испытывать сильную боль
21. Maritime Rescue Coordination Centre центр по координации аварийно-
спасательных операций на море
22. to dispatch helicopter отправить вертолет
23. to take to a hospital доставить в госпиталь
24. a valid health certificate действующее свидетельство о
состоянии здоровья
25. to suffer from a heart attack страдать от сердечного приступа
26. to rush to a hospital забрать на скорой в больницу
27. shortness of breath одышка
28 a rapid heart rate учащённое сердцебиение
29. respiratory failure остановка дыхания
30. Chronic Obstructive Pulmonary хроническое обструктивное заболевание
Disease (COPD) легких
31. airways дыхательные пути
32. heart problem сердечное заболевание
33. irregular blood pressure нарушенное кровяное давление
34. to deteriorate ухудшаться
35. medical treatment facility медицинское лечебное учреждение
36. to move into intensive care перевести в реанимационное отделение
37. to have chronic pneumonia болеть хронической пневмонией
38. to pass away уйти из жизни

4
Task 2. Read and analyze four case studies. Fill in the chart with appropriate
information. Discuss each emergency situation with your partner. Why did this
happen?
1.After leaving port, a crew member reported that he had a headache and chills to the
Chief Officer. Believing that the crew member had a cold, the Chief Officer provided cold
medication although the master was the designated medical care officer. The next day the
crew member was given pain relievers from muscle aches. The crew member continued
to work as usual for the next 3 days until, while working on deck during the morning, he
was sent to his cabin to rest. The crew member's temperature reached 42°C and the Chief
Officer called the International Radio Medical Centre. Malaria tests were conducted and
were positive for the malignant malaria type. The crew member was given malaria
tablets, but he was vomiting repeatedly. The ship altered its course and increased its
speed in order to reach a position where evacuation by helicopter would be possible.
Throughout the day the ship provided observations on the crew member's condition and
received instructions from the Radio Medical Centre. Early in that evening, however, the
crew member died.
(From: LESSONS LEARNED FOR PRESENTATION TO SEAFARERS. FSI 20)

2. It was morning and the Bosun and three other ABs had planned to remove some rust
and paint from one of the cargo holds. The Bosun started to scrape the parts he could
reach from the tank top and when this was done a ladder was rigged to reach areas
higher up. The Bosun and the ABs were working at different areas in the cargo hold. The
Bosun climbed up the ladder he had rigged. Suddenly a thud was heard and the ABs saw
the Bosun lying on the tank-top on his back, the Bosun’s chair and safety harness were
lying by his legs. One of the AB raised the alarm and the Master sounded the emergency
alarm and mustered the emergency team by the hold. The crew managed to secure the
Bosun on a stretcher and take him to the vessel’s hospital bay. He was bleeding from his
head, ears and nose and had fractured his legs and right wrist. He was conscious and in
great pain. The vessel made contact with Maritime Rescue Coordination Centre and a
helicopter was dispatched to the vessel. At this time the vessel was about 200 miles from
land and it took the helicopter about 4 hours to arrive.
(From :P&I Claims Analysis)

3. The crew member had smoked for around 40 years and had a valid health certificate.
While he was working on board he suffered from a heart attack and was rushed to
hospital. In the days prior to this he had experienced shortness of breath and a rapid
heart rate. At the hospital he was found to have respiratory failure and required
mechanical ventilation. The cause was diagnosed to be Chronic Obstructive Pulmonary
Disease (COPD). This means that the airways become narrowed, limiting the flow of air
from the lungs. The most common cause is from smoking. After a couple of weeks he was
finally allowed to leave hospital and fly home to his native country to rest and receive
further treatment. Unfortunately he was found dead in his home a couple of weeks later.
(From: P&I Claims Analysis)

4. The Chief Engineer was taken to the hospital with heart problems and irregular blood
pressure. His condition soon deteriorated and it was decided that he should be taken to a
medical treatment facility, where he was immediately moved into intensive care. It was
5
established that he had chronic pneumonia with very high blood pressure and his lungs
were in a very bad condition. After a month in intensive care his condition improved and
it was decided try to take him by a helicopter to his native country. However his
condition deteriorated and the helicopter had to be cancelled. Unfortunately a couple of
weeks later the Chief Engineer passed away.
(From: P&I Claims Analysis)

Case study 1 Case study 2 Case study 3 Case study 4

Place of the
emergency

People involved
into operation

Reasons for
emergency

Casualties

Treatment

Consequences of
emergency

Task 3. Match the verb with a part of a body. Some verbs can be matched more
than once with more than one noun.

to bruise, to point, to bend, to cut, to poke, to strain, to hurt,

to shrug, to fracture, to swallow, to pinch, to shout.

1. elbow ______________ 7. toe_______________

2. shoulder____________ 8. ankle_____________
3. finger______________ 9. knee______________
4. stomach ____________ 10. palm______________
5. wrist_______________ 11.mouth_____________
6
 6. throat______________ 12. rib______________

Task 4. Use the vocabulary above and find the following words - external and
internal parts of body.

waist, cartilage, temple, stomach, ankle, brain, shoulder, bone, eyebrow,

cheek, armpit, thumb, joint, wrist, trunk, bladder, ligaments-

G H Y F R S T V N S H O U L D E R
A S V E Q S H J K L P H V B D F E
L H R T I N B F D T C F G S Q A Z
I T G R Q W D F V A A S D Q W E V
G G W K J H G D M G H T J H F E Q
A D H A H G F O J A A A R M P I T
M C B H I T T A S D F G H U I U R
E A F G T S A S D F T G H F D S A
N Q V V D S T H K G S E G D C V H
T B O N E F G E S D G G M G S D N
S R D S S D E F S A S D F P D S F
T A Y G F H R B L A D D E R L W D
G I H R C A S I T E K Q W E G E Q
V N G F T C T Q R N R T G F B Y E
D R F N S R Y Y U D F G T Y V E R
S F I F A P P R G H U I O P D B T
R O G C F D T G A N K L E L F R H
J G H J K L I U Y T R E W Q J O B
F U I O T H U M B G H J F G L W C
G H J D S G H J Y T E R Y U J J S

7
 Part II
Personal Protective Equipment
Vocabulary

1. awareness of smth осведомленность в чем- либо

2. to distribute effort распределять усилия
3. to eliminate risk устранить риск
5. to prevail преобладать
6. to encounter встречать
7. to conduct safety procedure проводить процедуру обеспечения
безопасности
8. to undergo a safety induction пройти инструктаж по технике
procedure безопасности
9. at bear minimum по крайней мере
10. International Convention on Международная конвенция о подготовке,
Standards of Training, Certification дипломировании и несении вахты
and Watchkeeping for Seafarers моряков
(STCW code)
11. to outline safe working space определить рабочее место
12. to operate appliances использовать оборудование
13. Health Safety, Environment andСистема управления охраной труда,
Quality Management здоровьем, окружающей средой и
System
(HSEQ) качеством
14. pollution prevention предотвращение загрязнения
15. energy conservation сохранение энергии
16. факторы, влияющие на окружающую
environmental health and personal
security среду и безопасность
17. to pose hazard предоставлять опасность
18. снизить выбросы и слив
to reduce emission and discharge
19. to produce waste производить отходы
20. risk assessment оценка риска
21. to cause harm наносить вред
22. to take enough precautions принять достаточные меры
предосторожности
23. to take control measures принимать контрольные меры
24. to assess the risk оценивать риск
25. to reduce the hazard снизить риск
26. to enhance safety on board повысить безопасность на борту
27. Personal Protective Equipment личные средства защиты
(PPE):
- safety helmet защитный шлем
- ear muffs противошумные наушники
- ear plugs беруши
- safety goggles защитные очки
- protective shield защитный щиток
- breathing apparatus дыхательный аппарат

8
 - air purifying respirator фильтрующий респиратор
28. to adjust chin strap отрегулировать ремешок шлема
29. to provide ample protection предоставлять достаточную защиту
30. to be exposed to noise / chemicals быть подверженным воздействию шума
31. harmful substances вредные вещества
32. self-contained breathing apparatus дыхательный аппарат автономного
(SCBA) действия
33. properly fitting attire подходящая по размеру одежда
34. oxygen deficient atmosphere атмосфера с недостаточным
содержанием кислорода
35. slip resistant sole нескользящая подошва
36. air-purifying respirator воздухоочистительный респиратор
37. uncontaminated source незагрязнённый источник

Warm up.
 Discuss with your partner.
There are five points personal safety checklist. Use the vocabulary and dwell upon
each point.

AWARENESS OF knowing your working space;

SURROUNDING risks and hazards;
distribute the amount of effort;
plan the job safely and efficiently.

CALCULATION
OF RISKS decide on amount of risk;
INVOLVED WITH make sure you weigh your doubts of risk;
stop your work in case of risk.
THE WORK

WORK ON RISK
BEFORE WORKING find out the amount of risk;
ON THE JOB eliminate the amount of risk;
minimize the amount of risk.

CHECK YOUR ensure your PPE;

PPE know the operation of all safety tools;
remember PPE will get you out safe.

find out an appropriate escape route;

ESCAPE ROUTES remember ship is a hazardous place;
have your exit-strategy from your working
place.
9
 Task 1. Scan the introductory text and outline the minimum STCW requirements in
safety induction procedure.
In any workplace good standards for health and safety should prevail. And even more so
onboard a ship, where one encounters workplaces with wide range of tasks often undertaken in
geographical isolation demanding specialized skills, awareness and a planned approach. All new
personnel joining a ship must undergo a safety induction procedure conducted by a responsible
officer which must at bear minimum cover the requirements of STCW code. This should include a
clear explanation of the vessel’s alarm signals, emergency muster stations, boat stations and
emergency drill requirements. On completion of the safety induction the new personnel must also
receive departmental induction procedure, outlining safe working practices, areas of
responsibility, standing orders and necessary training required to operate specific machinery and
appliances.
HSEQ Health Safety Environment Quality management system.
Each company will have its own HSEQ management system framework commonly referred
to as a quality management system. A company’s HSEQ expectations will broadly outline the
requirements for the effective management of safety and accident prevention, pollution
prevention, energy conservation, personal, occupational, environmental health and personal
security. Good HSEQ performance can normally be achieved by making crewmembers aware that
safety of shipmates depends on the actions of individual, designating responsibilities amongst
crewmembers, to identify areas which pose potential safety hazards and ensure that the necessary
corrective measures are taken and by reducing emissions and discharges and using energy
efficiently. This would also imply a close monitoring on waste produced and managed.
(From: “Seagull training program” safety on board part 1)
 Scan the information about HSEQ system and enumerate all effective measures
of accident preventions.
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

 What can be achieved by HSEQ?

_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

10
Task 2. Read the information about “What is Risk Assessment?” Match and discuss the
pictures with the steps of “Risk Assessment”.
A Risk assessment is a careful and simple examination of what, in the place of your work,
could cause harm to people, so that you can weigh up whether you have taken enough precautions
or should do more to prevent harm occurring. All employees have a right to be protected from
harm caused by a failure to take reasonable control measures. Ship’s managers are legally
required to assess the risk in the ship’s workplace and put in place a plan to control these risks.
The assessment should cover risks arising from the work-related activities of workers on the ship,
especially those which are not regular, standard jobs.
Risk Assessment shall be documented on the Company’s form, which may be expended as
required to include all identified risks and existing or additional control measures.
(From: HSEQ Guidelines “Safety is our first priority”)

use PPE, eliminate the risk, get out of the risk, isolate the risk,

evaluate the risk, find an alternative, identify the risk,

STEP 1 STEP 2

__________________________ _________________________
STEP 3 STEP 4

________________________ _________________________

11
 STEP 5 STEP 6

_________________________ _________________________

STEP 7

______________________________
Task 3. Read the text about “Personal Protective Equipment”. Fill in the gaps with the
corresponding English phrase or word given below.

volatized substances, leather gloves, during grinding and chipping, falling objects,
reduce the hazard, casual footwear, chin strap, safety helmets,
uncontaminated source, chemical resistant shield, avoid hypothermia,
air purifying respirator, while welding, flying particles and dust, hand protection,
provide adequate protection, a ship’s working environment, injuries, ear muffs, ample
protection, oxygen deficient atmosphere, chemical resistant gloves, slip- resistant soles,
in the event of a fall, breathing apparatus

PPE does not ______________ (снизить риск) but only provides a barrier against it. The
effectiveness of the barrier is lost if the PPE is used incorrectly or is of the wrong kind.
Head Protection. ___________ (защитные шлемы) are used as protection against
_________________ (падающие предметы), sideway blows and crashing situations. It is
essential that the __________ (ремешок под подбородком) is properly adjusted to hold the
helmet in place. ____________________ (в случае падения) the used helmet should be replaced.
Ear Protection. __________ (противошумные наушники) and ear plugs
___________________ (предоставлять достаточный уровень защиты) to the ship’s crew
12
against exposure to high noise levels in areas like engine room, pump room and lights operating
machinery.
Face and eye protection. The most common
________ (травмы) onboard the ship are caused due to
exposure to _______________________
(летающие частицы и пыль) generated
____________________ (во время шлифовки и зачистки)
and similar activities. Safety goggles provide
________________ (достаточная защита) against these
hazards. Notices to this effect should be displayed
at respective work areas. Special ______________________
(химически устойчивый щит) and goggles are used
against exposure to chemicals and __________________
(летучие вещество). Protective shields are used during electric arc and gas welding.
Respiratory protective equipment. Respirators and ______________ (дыхательный
аппарат) are essential for protection when work is to be carried out in toxic or
__________________________________ (атмосфера с недостаточным содержанием
кислорода). The _____________________ (воздухоочистительный респиратор) consists of a
mask to which filters, canisters or cartridges are attached.
Each cartridge is designed for a specific gas and filters
the toxic gas from the air, but cannot be used in oxygen
deficient atmosphere. Breathing apparatus (BA), like
the self- contained BA (SCBA), supply air from
an _____________________ (незагрязнённый источник).
If in doubt always use the BA.
Hand Protection. Injury to the hand is another
common hazard. And the type of _______________
(защита рук) to be used will depend upon the type of work
undertaken or the type of object being handled.
________________ (кожаные перчатки) are used during routine maintenance work onboard.
Whilst ______________________ (химически стойкие перчатки) are used for handling
chemicals, acids and other harmful substances. Special gloves must be utilized ____________ (во
время сварки) or undertaking other hot work procedures.
Foot Protection. _______________ (повседневная обувь) offers little protection onboard
_________________________ (рабочая среда на борту судна). Proper industrial footwear with
_______________________ (нескользящая подошва) and reinforced toe cap must always be
used to minimize foot injury.
Body Protection. Clean and properly fitting attire ensure comfort and hygiene in
normal working conditions. In cold climate the body should be well protected to
___________________ (предотвратить гипотермию).
(From: Seagull training program” Safety on board”, part 1)

13
 Real Life Accident
Vocabulary
Practice these words orally and learn them by heart
1. scaffolding настил, леса,подмостки
2. to erect on top of hatch cover установить на верху люковой крышки
3. to be underway быть на ходу
4. work permit допуск для выполнения работ
5. generic risk assessment общая оценка риска
6. accessible parts of the jib доступная часть крана
7. to loosen the securing rope ослабить страховочный трос
8. to climb down/ to descend спускаться
9. to tip over перевернуться
10. victim жертва
11. to undergo surgery перенести операцию
12. to repatriate возвращать на родину
13. treatment лечение
14. water ingress alarm system система оповещения проникновения
морской воды
15. to investigate разбирать
16. spurling pipe cover крышка трубы цепного клюза
17. to cover with canvas накрыть брезентом
18. to re- tension loose anchor lashings выбрать слабину якорных найтов
19. to knock off one’s feet сбить с ног
20. to provide with first aid оказать первую помощь
21. to seek tele-medical advice запрашивать медицинские рекомендации
22. to divert the ship изменить направление судна
23. medical treatment медицинская помощь

Task 4. Read and analyze three case studies. Fill in the chart with appropriate
information. Discuss each emergency situation with your partner. Why did this
happen?

1. Scaffolding had been erected on top of hatch cover number four of a general cargo
vessel to allow two crewmembers to paint the crane jib while the vessel was underway.
Seas were slight with no swell. A permit to work had been issued and the generic risk
assessment was considered. Both crew members were wearing personal protective
equipment (PPE) and safety harnesses. After they had completed painting the accessible
parts of the jib, the two crew members loosened the top securing rope, removed their
safety harnesses and started descending the scaffolding from opposite sides. As they were
climbing down the ship suddenly began rolling and the scaffolding tipped over,
collapsing on the hatch cover and taking the two crew members with it. The two victims
were badly injured, and the vessel had to urgently deviate to evacuate them. One of them
had to undergo surgery and both were subsequently repatriated under medical escort for
further treatment in their home country. (From:MARS Report No 325 November 2019 (201974)
14
2. A 40,000GT containership was steaming at reduced speed on a westerly heading in
south-westerly monsoonal weather. At about noon, the chief engineer reported to the
bridge that the bow thruster water ingress alarm system was activated. Half an hour later
the chief officer and five crew members went forward to check on water ingress into the
bow thruster room. They found no water in the bow thruster room but found water
leaking from the port chain locker into the fore peak tank. Two crew members were
instructed to pump out the chain locker while the chief officer and three crew members
went to the forecastle to investigate the water ingress into the chain locker. They found
the spurling pipe cover had shifted, so they replaced it, covered it with canvas and
cemented it in place. Then they started re-tensioning the loose anchor lashings. While the
crew were attending to the anchor lashings, a heavy sea was shipped on deck. The chief
mate and two crew members were knocked off their feet and injured. However, one crew
member escaped injury and returned to the accommodation to raise the alarm. The
injured crew members were recovered, returned to the accommodation and provided
with first aid. The master sought tele-medical advice and then diverted the ship to the
nearest port of call. The injured crew members were landed there for medical treatment.
(From: LESSONS LEARNED FOR PRESENTATION TO SEAFARERS (FSI 20)

Case study 1 Case study 2

Place of the emergency

People involved into

operation

Reasons for emergency

Casualties

Treatment

Consequences of
emergency

15
 Video Activity
“Personal Protective Equipment. Who needs it?
Vocabulary
1. suspended load висящий, подвесной груз
2. suffering страдание
3. pressure защита
4. risk assessment оценка риска
5. safe-working practices техника безопасности
6. strip лента
7. strap ремешок, ремень
8. substandard PPE средства индивидуальной защиты,
несоответствующие принятым стандартам
9. to put smb off отговаривать кого-то от чего-либо
10. in good condition в хорошем состоянии
11. to make sense иметь смысл
12. high-pressure hose шланг высокого давления
13. moisture влажность
14. to be donned up быть застегнутым
15. to wear (wore, worn) PPE носить правильно, надлежащим образом
properly
16. to damage the eyesight повредить зрение
17. to rely on smb полагаться на кого-то
18. to be worth doing smth стоит сделать что-либо
19. last resort крайняя мера
20. to follow risk assessment следовать оценке риска
21. impact удар, столкновение
22. to adjust отрегулировать
23. headband повязка на голову
24. to fit подходить (по размеру)
25. to get familiar with ознакомиться с чем-либо
26. to deteriorate ухудшать(ся), портить
27. deterioration ухудшение, изнашивание
28. shell of a helmet обшивка шлема
29. scratch царапинa
30. crack трещинa
31. brittle хрупкий
32. replacement замена
33. unhygienic негигиеничный
34. bumpcap защитный шлем
35. thermal liner термопрокладка
36. layer слой
37. extremes of temperature крайние значения температуры
38. to guard защищать
39. painful болезненный
40. to work next to работать рядом c…
16
41. splinter заноза
42. pinched finger защемленный палец
43. skin irritation раздражение кожи
44. cancer-causing agents вещества, вызывающие рак
45. to avoid contact with избегать контакта с…..
46. to absorb oil впитывать масло
47. corrosive chemicals едкие, разъедающие химические вещества
48. harmful substances вредные вещества
49. application применение
50. abrasion истирание
51. to distort деформировать
52. seam шов
53. to soil пачкать

Task 1. Watch the section. Fill in the gaps [00.00- 02.40].

Personal protective equipment (PPE) is there for a _________ _______. It saves
life and prevents ___________, pain and suffering even in the best-run operations.
Always use it and don't let ___________ from others put you off. After all, it’s your
_____________, livelihood and even your life on the line.
But for PPE to be ___________ you need to use it____________, otherwise, you
end up in the worst of all worlds. Oh… Would like that at all? Simple. If you think you
are protected, you take more ________ than normal. So, remember, PPE only provides
you with a certain level of____________. For instance, if you stand under a
___________ ___________ and it falls on you, no _______ ______ is going to
make a difference.
Proper ________ __________ and _____________ ___________ should be
the first way used to protect yourself.
Then, if you use PPE as the ________ _______ it was intended to be it may
save you from injury. But you need to use it properly. There are some simple rules. Want
to hear them? Keep items with you that you use all the time. That way they are always
to____________.
Next point – don't use ________________PPE. Your ______________should
make sure you have the PPE that is right for the job. You have a ___________to yourself
to check that it is in __________ ___________and to make sure that you use it properly
in the right situation and in the right way. That includes wearing it properly with ______
and ________ donned up and so on.
Task 2. Match the words with their definitions.
1. suffering a. is a careful and simple examination of what, in the place
of your work, could cause harm to people
2. overall b. equipment that will protect the seafarers against health
or safety risks at work
3. risk assessment c. are used to protect one’s hands and they are provided on
board ship.
17
4. PPE d. physical or mental pain that a person is feeling
5. bumpcap e. is a type of protective clothing which protects the body
from hazardous substance like hot oil, water, welding spark etc.
6. gloves f. is a type of safety equipment that provides protection for the
head.

Task 3. Match the words from column A with the words from column B. Use the
following word combinations in the sentences of your own. You can add more verbs.
A B
1. safety a. assessment
2. high-pressure b. equipment
3. risk c. hat
4. suspended d. harness
5. protective e. practices
6. safe-working f. hose
7. hard g. load
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________

Task 4. Watch the section. Complete the sentences with the correct form of words
from the box. Three words are extra. [02.41 -03.53]
chemicals, vent, goggles, safety officer, failing, procedure, eyesight, bulkhead,
worth, moisture, hose, siderisk, risk assessment

1. They are safety ________________, aren’t they?

2. Use those when you are washing ______________ off a ____________with a
high-pressure ____________.
3. One gust of wind could blow enough ________________ through those vents on
the sides there and permanently damage your _____________.
4. Stop what you are doing and go and check with your immediate chief
or_____________ that, your__________________.
5. Follow the principles of _______ _________and your company
_____________and hopefully you will never need to rely on protective equipment
to save you.
Task 5. You are going to hear information about Head Protection. Underline the
words the speaker uses. Some words were not used by the speaker [03.55- 08.58].
- situations falls feel objects dangerous properly comfortable adjust;
- headband condition hell helmet policy defective severe cracks
hatband;
- politics scratches common effective size cross shell
peace bumpcap
18
Task 6. Watch the sections again. Define whether the following statements are true
or false. Correct the false ones. [03.55- 08.58]
1. Hard hats don’t protect against falls, impact of the fixed objects, things falling on
you.
2. It is enough just to wear head protection.
3. Chemicals in glue and markering cause deterioration to the shell of the helmet, so
does sunlight.
4. The main type of head protection you come across is a hard hat, there's also a
bumpcap, which offers more limited protection, but it's not common.
5. Any piece of PPE needs looking after if it's going to stay effective for as long as
possible
Task 7. Discuss with your partner. Read the safety policy every seafarer should
follow. Comment on each point. What will be the consequences if one can ignore the
rules?
 to keep away from sunlight
 to fit properly
 to adjust a headband and straps
 to check a helmet for stickers, scratches and cracks
 to replace defective, unhygienic components
 to examine a helmet for the deterioration to the shell
 to check the date of manufacture
Task 8. Watch the section. Choose the best option [08.59-14.26].
1. Extremes of temperature are the one thing hand and arm protection used to
_____________ against.
a. to wear b. to guard c. to fit
2. His gloves have been damaged by the ____________ and now they are no use at
all.
a. splinter b. oil c. chemicals
3. If gloves have holes, cuts or weakened seams, if they are distorted or, otherwise
damaged by chemicals or they are too heavily _________________to clean, get
them replaced.
a. soiled b. spoilt c. damaged
4. Never allow gloves you use for _______________chemical to touch parts of the
body, equipment or furniture.
a. application b. handling c. protection
5. We know mineral oil can ______________ some cancer-causing agents.
a. avoid b. follow c. contain
Task 9. Match the verbs with the appropriate nouns.

1. to wear a. company procedure

2. to avoid b. oil
3. to follow c. gloves
4. to adsorb d. skin cancer

19
 5. to risk e. contact
6. to make f. a problem
7. to cause g. a mistake

Task 10. Use the definitions below to complete the crossword puzzle.

Across Down
1. a strong hard hat that covers and 2.something that is dangerous and likely to
protects the head. cause damage.
4.a thick liquid that comes from 3.a group of machines, or the movable parts of
petroleum, used as a fuel and for a machine.
making parts of machines move easily.
5.to prevent something from 7.physical harm or damage to one’s body
happening. caused by an accident or an attack.
6.the movable articles that are used to 9.a piece of clothing that is worn on the hand
make a room or building suitable for and wrist for warmth or protection
living or working in, such as tables, with separate parts for each finger:
chairs, or desks.
8.a box made of wood, plastic, 11.necessary for
or metal, especially one divided into pa the success or continued existence of
rts to hold bottles. something; extremely important:
10.special glasses that fit close to 13.to protect someone or something from
the face to protect the eyes from chemi being attacked or stolen:
cals, wind, water, etc.:
12.the force or action of
one object hitting another

13
11
1,2 3 12

9,10
4
5

6 7

20
Task 11. Check yourself. Answer the following questions.
1. What equipment is used to avoid head injuries?
2. In your opinion, what injuries can one get if he doesn't use head protection?
3. What should one do before using head protection?
4. Which factors can make your head protection useless?
5. What should be done in case one found any defects on a hard hat?
6. What injuries may one get if he doesn't use hand and arm protection?
7. Is it reasonable to use the same gloves if one works with different objects and
substances?
8. What should be done with the gloves after contact with chemicals?
9. Why is it necessary to check PPE regularly?
10. What are the main reasons for replacement of PPE?

21
 Part 3***
Render Medical Assistance (STCW)
Vocabulary

1. medical care медицинский уход

2. to render medical assistance оказывать медицинскую помощь
3. treatment лечение
4. prompt access быстрый доступ
5. to bear responsibility нести ответственность
6. to care for the health and well-being следить за здоровьем и благополучием
7. mandatary обязательный
8. medical kit (chest) аптечка
9. radio medical advice медицинские рекомендации по радио
связи
10. to perceive воспринимать
11. to be on the spot быть на месте
12. site of the accident место происшествия
13. unconscious person человек без сознания
14. resuscitation equipment реанимационное оборудование
15. bleeding кровотечение
16. likelihood возможность
17. severity of the injuries серьезность повреждений
18. remote consultation удаленная консультация
19. personal liability личная ответственность
20 dislocation вывих

Discuss with your partner.

 Have you ever been injured? How did it happen? What kind of medical
assistance were you offered? Fill in your associations with “medical
assistance”. Discuss in groups.

Medical Assistance

 Answer the questions:

- What is “First Aid”?
- Who performs medical treatment on board?

22
 - Where is medicine kept on board?
- What medical publications are available on board?
- What is the difference between medical assistance on board and ashore?

Task1. Read the text and find as many word combinations with word “medical….”
as possible.
On board ships medical care differs from the one rendered ashore because in case
of sudden illness or an accident and injury during the ship’s voyage, the chances of
receiving proper and effective treatment are not
as good for seafarers as for a worker on shore.
This is the result of lack of direct and prompt
access to qualified medical assistance.
The crew member in charge of medical care
(usually one of the officers) has a great
responsibility to bear as he has to care for the
health and well-being of the ship's crew.
Nowadays, it is mandatary to provide
seafarer’s health education, training and
basic medical services. The possible improvement
of seafarer’s knowledge and skills in rendering
the health care on board is rather restricted. The
medical training of shipboard personnel is the
most important factor in providing a satisfactory
standard of health care on board. All officers should
know the basic information such as: training of personnel in charge of the health care on
board, the location and the contents of the ship's medical kit (medical chest), the ship's
medical guide and radio medical advice.
(From: “Marine guide note. Maritime Labour Convention, 2006: Medical Care”)

Medical …

Task 2. Vocabulary. Use the word combinations from Task 2 and fill in the gaps.
1. The Master of the ship is responsible for _______________ on ships which have
no qualified doctor on board.
2. All seafarers on board should be competent to provide __________________.

23
 3. The care on board has to be given by non-professionals with a varying degree of
________________.
4. Radio ______________ is available free of charge to provide support in cases
where an individual suffers either illness or an accident at sea.
5. The sick bay will contain the ship’s ______________, which may be constantly
checked by the in-charged person on board.
6. All ships should carry _____________ along with other medical publications.
7. All ships should contain all the necessary equipment and medicine to render
______________ to her crew.
8. Several shipping nations had already realized the need and established medical
____________ based on risk assessment and professional evaluation

Task 3. Scan the text about “First Aid on Board” and comment on each step.
First aid is treatment aimed at preventing the death or further damage to health of
an ill or injured person perceived to be in a life-threatening condition. All crew members
should receive training in first aid and there are four main steps how they should render
it:
STEP 1. Assess the situation!
(a) If giving first aid exposes you to danger, do not do it: call or go for help.
(b) If a person is still in danger, remove the danger or the person before giving first aid.
(c) If bystanders are in danger, warn them.
STEP 2. If you are alone, shout for help.
STEP 3. Choose the best place for first aid.
(a) On the spot.
■ Not if fire is present.
■ Not if there are potentially dangerous gases in the
atmosphere.
■ Not if there are other risks at the site of the accident.
(b) In the ship’s infirmary (sick-bay) or in a cabin.
■ Not if the delay in moving the person is dangerous.
STEP 4. If there are several injured people,
prioritize.
(a) Attend first to any unconscious person.
(b) If there is more than one unconscious person:
■ check each for pulse and breathing;
■ begin resuscitation of a person who is not breathing
or has no detectable heartbeat, (e.g. Cardio-pulmonary
resuscitation (CPR)).
(c) Attend to conscious patients:
■ treat bleeding by applying pressure to the wound;
■ wait until the patient has been moved to the sick bay before dealing with other injuries,
UNLESS! You suspect spinal injury.
24
 What not to do when giving first aid
 DO NOT GIVE FIRST AID if you have doubts about your ability to do so
correctly.
 DO NOT ENTER AN ENCLOSED SPACE unless you are sure it is safe.
 DO NOT MOVE THE PERSON without checking for: ● spinal injuries ●
fractured long bones.
 DO NOT GIVE THE PATIENT ANYTHING TO EAT OR DRINK (especially
alcohol).
(From: International Medical Guide for Ships 3rd Edition)
Task 4. Find English equivalents in the text. Use some of them in the situation of
your own.
1. условия угрожающие жизни_________________________________
2. проходить обучение ________________________________________
3. оказывать первую помощь (2) ________________________________
4. произвести оценку ситуации _________________________________
5. предупредить рядом стоящих ________________________________
6. лазарет (2) ____________________
7. оказать помощь человеку без сознания_______________________
8. нет четкого выраженного сердцебиения ________________________
9. сердечно-легочная реанимация_______________________________
10. зажать рану ________________________________________________
11. - подозревать травму позвоночника____________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
______________________________________________________________________

Task 5. Scan the text. Answer whether the following sentences are true or false.
Correct the false ones.
1. All crewmembers should receive training in first aid.
2. If giving first aid exposes you to danger, continue to evacuate a person.
3. If a person is still in danger, render the first aid as fast as possible.
4. If bystanders are in danger, warn them.
5. If there are several injured people, prioritize.
6. If somebody is in danger in an enclosed space enter, observe the situation and give
first aid.
7. If you have doubts about your ability to give first aid, don’t do it.
8. If you see an injured person lying on the floor move him to the safest area of the
ship.
9. Give first aid at any place of the ship.

25
Task 6. Write the word for each definition from the table.

medical care, healthy, treatment, to be ill, medical evacuation,

first aid, medical attention, injury

immediate assistance in the case of injury or sudden illness by a

bystander or other person, before the arrival of trained medical
personnel.
to be in a good physical or mental condition
to transport a person, especially by a helicopter, to a place where they
can receive medical care.
the provision of what is necessary for a person's health and well-being
by a doctor, nurse, or other healthcare professional.
suffering from an illness or disease or feeling unwell
harm or hurt; usually applied to damage inflicted on the body by an
external force.
medical care given to a patient for an illness or injury
a direct assistance to a patient care provided by a medical doctor.

Task 7. Read the information about “Who is responsible for medical care on
board”. Complete it with an appropriate definition from the Task 6.
The ship’s Master is responsible to provide a safe and ____________environment
for the crew. When a seaman becomes injured or ___________at sea, the Master is
responsible for providing reasonable ______________ aboard the vessel. This includes
__________ and such _________in medicine as the competency of the Master or ship’s
doctor or Master’s representative, if one is aboard, is able to provide.
The Master must also decide whether or not to
proceed to the next scheduled port of call or to
deviate to some closer port in order to obtain
_____________. Considerations should be given to
such means as: the accessibility of radio contact
with a physician, the distance from ____________
by air, distance to the nearest port, the likelihood of
securing competent medical care at the nearest port,
the nature and severity of the injuries sustained by
the crew member, and any advice offered by
medical professionals during remote consultations.
The actions of the Master may, in certain situations, bind the vessel’s owners or
create personal liability regarding to the health and safety of passengers or crew
members even those that may arise unexpectedly aboard a vessel. Such duties he applies
to situations that may be potentially hazardous, cases of actual _________________ or
illness, discovery of a crew member missing at sea, and death of a crew member.
(From: “Marine guide note. Maritime Labour Convention, 2006: Medical Care”)

26
Task 8. Scan the text and brainstorm the duties of the person in charge of medical
care on board.

Medical Officer:
________________________________ ________________________________
________________________________ ________________________________
________________________________ ________________________________
________________________________ ________________________________

Task 9. Study the table of minimum standards of competence in medical first aid.
Fill in the gaps with the word from the box.

medical advice , aid , casualty , care , hazards , injuries , structure and function, kit.

Table A- VI/4-1
Specification of minimum standard of competence in medical first aid
Competence Knowledge, Methods for Criteria for
understanding and demonstrating evaluating
proficiency competence competence
Apply immediate First-aid _____; Assessment of The identification of
first aid in the Body _______________; evidence probable cause,
event of accident Toxicological ________ obtained from nature and extent of
or illness on board. on board, including use of practical injuries is prompt,
the Medical First instruction complete and
_______Guide for Use in conforms to current
Accidents Involving first –aid practice.
Dangerous Goods
(MFAG) or its national Risk of harm to self
equivalent; and other is
Examination of ________ minimized at all
or patient; times.
Spinal injuries;
Burns, scalds and effects Treatment of
of heat and cold; injuries and the
Fractures, dislocations patient’s condition
and muscular ________; is appropriate,
Medical _______of conforms to
rescued persons; recognized first-aid
Radio __________; practice and
Pharmacology; international
Sterilization; guidelines.
Cardiac arrest, drowning
and asphyxia.
(From: STCW Convention and STCW Code, 2011 Edition)

27
Task 10. Answer the following questions.
1. Why is it important to use PPE while daily routine onboard?
2. What stages does risk assessment include?
3. What are the key requirements for the effective HSEQ management system?
4. What difficulties do crewmembers face in case of sudden illness on board?
5. Why should crew constantly improve their skills in rendering health care?
6. What should be avoided when giving first aid?
7. What are the responsibilities of the medical officer on board?
8. What are the minimum standards of competence in medical first aid?
9. What are the standard criteria for evaluating competence in medical first aid?
10. How should crewmembers demonstrate their competence and knowledge in
medical first aid?

Task 11. Translate the following sentences.

1. Средства индивидуальной защиты должны соответствовать требованиям
конвенции СОЛАС.
2. Всегда проверяйте средства индивидуальной защиты на наличие дефектов,
порчи, царапин и трещин.
3. После работы с химикатами снимите перчатки и не прикасайтесь ими к
телу, оборудованию и мебели.
4. Средства индивидуальной защиты используются для того, чтобы избегать
травм при выполнении разных палубных работ.
5. Осуществляя высотные работы, страховочные ремни должны быть
использованы в обязательном порядке.
6. При надлежащем использовании средств индивидуальной защиты можно
избежать травм головы, повреждения глаз, а также химических ожогов и
порезов.
7. Перчатки, в основном, используются для того, чтобы избежать контакта с
опасными веществами, защемления пальцев и контакта с металлическими
занозами.
8. Перед использованием шлема следует проверить состояние его обшивки
на наличие трещин и дату истечения его срока годности.
9. Если в перчатках есть дыры и порезы, то их стоит незамедлительно
заменить во избежание различных травм.
10. Важно не передвигать пострадавшего, если подозревается перелом
позвоночника.
11. Каждый член экипажа должен уметь оказать первую помощь и знать как
производить сердечно - легочную реанимацию.

28
 Video Activity
MEDICAL PROCEDURE ON BOARD

Task 1. Watch the extract and answer the question. [00.00- 00.49].

 What does the International Medical Guide for Ships cover?

________________________________________________________________

 What does the Maritime Labor Convention (MLС) require?

______________________________________________________________

 What is “Responding to an emergency”?

Task 2. Watch the abstract and fill in the gaps with appropriate prepositions [01.06-
1.55].

Ultimately, the Master _____ the vessel is responsible _____ the care that’s
provided ____the vessel. The master is free to delegate that responsibility down the
hierarchy _____ officers as they see fit and then it’s _____ to that individual: based ___
their experience and their training and their level ____ comfort. At the point wherever
they feel that they are _____ ____ their comfort zone or the response they’ are
providing doesn’t seem to be getting the anticipated results then I would recommend that
they ask ____ assistance.

Task 3. Watch the abstract and write down what information the international
radio medical center provides. [01.56- 2.50]

The International Radio Medical Center

(CIRM) provides:

1. ________________________________________________
2. ________________________________________________

When should CIRM be contacted?

1. ________________________________________________
2. ________________________________________________
3. ________________________________________________

29
 What information should you provide (CIRM)
with?

1. ________________________________________________
2. ________________________________________________
3. ________________________________________________
4. ________________________________________________
Task 4. Watch the subsection and write down English equivalents instead of Russian
word combinations. [02.50- 03.22]
медицинское обеспечение _______________________
возможность опасности или болезни ________________
сталкиваться __________________________________
обстоятельства _________________________________
порт захода ____________________________________
пользоваться услугой ____________________________
особая цель ____________________________________
Task 5. Complete the word combinations [03.23- 04.10]
Hospital and ____________
___________ chest
__________ and safe
Suture __________
__________ material
Cold _________
Medical _________
__________ arrest
Prescription ________

Task 6. Answer the questions.

 What does the typical medical chest include?
_________________________________________________________________

 What does MLC require for all ships?

________________________________________________________________

 What does the basic list in the International medical guide for ships contain?
_______________________________________________________________

Task 7. Watch the subsection about “Medical records”. What information about the
casualty could be received from medical records? [05.26- 05.52].

30
 “Medical Records”

1. ________________________________________________
2. ________________________________________________
3. ________________________________________________
4. ________________________________________________

Task 8. Why is it important for the crewmember to keep good “Medical Records”?
[05.52- 06.30]
_______________________________________________________________________
______________________________________________________________________

 What is the key of the final step of preparation?

__________________________________________________________________

Task 9.*** Look at the form “Questionnaire regarding the Medical Fitness
Examination for Seafarers”. Discuss it with your partner.

31