Annex A Working Instructions regarding fishing operations, posted in Danielle’s galley
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Annex A
Working Instructions regarding fishing operations, posted in Danielle’s galley
Annex B
Instructions to Skippers and Mates, posted in Danielle’s wheelhouse
Annex C
Photographs of “Tipping” demonstration on board Danielle, whilst alongside in Brixham on 26 July 2006
Annex D
MSN No. M.1561 Dangers From Winches, Machinery And Fishing Gear
MERCHANT SHIPPING NOTICE No. M.1561
1. In recent years, 40 per cent of all accidents to fish-ermen have involved winches, machinery or fishinggear. As the descriptions at Annex 1 show, many ofthese have resulted in very serious injuries or death.Most might have been prevented by better layout ordesign of the vessel, insistence on safe working prac-tices, proper training, and increased safety awareness.
2. This Notice reminds those to whom it is addressedthat each bears a degree of responsibility for ensuringthat similar accidents are prevented in future by:
— designing, building and maintaining a safe workingplatform;
— ensuring that crew members are properly trained andfully aware of the particular hazards of
Marine Safety AgencyMSCN(e)Spring Place105 Commercial RoadSouthampton SO151EGApril 1994
© Crown copyright 1994
Safe Ships Clean Seas
working with winches, machinery and fishinggear, especially if they are inexperienced;
— insisting upon safe working practices at all times.
3. Further information for designers and builders iscontained in the notes on recommended design con-cepts at Annex II.
4. Owners, skippers and crew members are urged toread and apply the advice on safe working practicescontained in the checklist at Annex III.
5. Further general information is included in the IMOCode of safety for fishermen and fishing vessels, theDepartment of Transport’s “Fishermen and Safety” bookletand recent safety publicity campaign litera-ture.
DANGERS FROM WINCHES, MACHINERY ANDFISHING GEARNotice to Owners, Builders, Designers, Skippers and Crew of FishingVessels
This Notice supersedes Notice No. M.1349
ANNEX I
RECENT ACCIDENTS ON UK FISHING VESSELS FROM WINCHES, MACHINERY ANDFISHING GEAR
Accident to trainee deckhandCrushing injuries resulted in severe liver damage with associated lung and kidney deficiencies to this young man after he wascaught in an unattended capstan.
Beamer—fatal accident to mateDuring routine maintenance the port tow bar fell to the deck when the winch controls were accidentally operated from theremote control position in the wheelhouse while the starboard gear was being shot. The incident took place outside of thewinch operator's view.
Fatal accident to trainee deckhandThis young man tripped and fell onto the starboard warp while hauling nets. The location of the incident was obscured fromthe winch operator.
Deckhand trapped his handAccident occurred in the fish hoist mechanism while deckhand was riding out of the hold on the hoist.
Fatal accident to deckhandVictim was carried twice around the winch drum after his loose clothing became caught in the warp. The skipper was unableto see the winch he was controlling from the wheelhouse.
Fatal accident to deckhandVictim was trapped between the unguarded deck winch drive pulley and its associated drive belt in the engine room whileworking alone on board in port.
Accidental release of trawl wireDeckhand struck on the head when trawl wire quick release mechanism failed during routine maintenance.
Beamer-fatal accident to deckhandDeckhand apparently struck by the whiplash of the topping lift wire of the port derrick as the vessel rolled heavily.
Skipper lost his right handSkipper’s hand was severed on the winch drum while attempting to discharge his catch singlehanded.
2
ANNEX II
RECOMMENDED DESIGN CONCEPTS
— All controls should be close to hand when crew members are working at their operational stations and should be fittedwith appropriate safety devices including strategically sited remote emergency stop facilities. These remote facilitiesshould not be able to start or operate the system—only to stop it in an emergency.
Winch operators should have a clear view of the hauling gear and of the crew on the working deck from all winchcontrol positions.
— If a clear view is not possible a crew member should be positioned to monitor sectors obscured from the winchman.Alternatively, consideration should be given to installing a TV monitoring system.
— In addition to mechanical locks, machinery should be locked by motive power when switched off.
— Ideally there should be sufficient space around the controls for the operator to work unhindered.
— Decks should be non-slip and kept as clear as possible of obstructions.
— Working areas should be protected from the sea and provide adequate protection for crew members from both falls onthe vessel and man overboard (MOB) risks.
— Routes between accommodation and working decks should be reviewed with the aim of identifying and removingpotential hazards and keeping crew away from the warps.
3
ANNEX III
CHECK LIST OF SAFE OPERATIONAL PROCEDURES
Maintenance
DO— fit guards, which must not be removed other than for maintenance, around all exposedgearwheels, belts and drives on machinery to prevent crew members falling into moving parts.
DO— maintain machinery and hauling equipment in good repair, free of snags and in working order.Carry out regular visual inspections.
DO— ensure that derricks are straight and undamaged, otherwise they are likely to buckle undernormal working loads.
Operation
DO— train crews in the safe use of all machinery and hauling equipment and in the use of correcthand signals.
DO— keep well clear of all running gear, especially when it is under strain. Always wear appropriategloves, clothing, headgear and safety goggles and keep a knife handy to cut free.
DO— ensure that winch operators have a clear view of the hauling gear and of the crew on the working deck.Maintain a reliable communication system between the wheelhouse, winch control positions and theworking deck.
DO— let go the wire and immediately stop the winch if you get a riding turn on a drum end. Do not attempt toclear the wire until the winch has been stopped.
DO— secure trawl doors and all other gear when stowed to avoid the fishing gear running overboardand taking you or one of your shipmates with it.
DO— control the swing of the cod end and ensure that all hands stand clear.
DO— let the person in charge know if you wish to enter an unmanned machinery space.
DO— maintain a sharp lookout for oncoming seas, especially when men are working in an exposed position oron an open deck.
DO NOT— wear loose scarves or clothing on the working deck. Cover long hair and keep cuffs and gloveswell clear of the whipping drum. Do not use a rope or warp as a “handrail”.
DO NOT— operate machinery alone unless the stop button is within easy reach with either hand.
DO NOT— leave a capstan or winch controls unattended when hauling or shooting gear.
DO NOT— attempt to repair or maintain any machinery if there is a chance that it can move through strain on thewarp or a suspended load.
DO NOT— stand under suspended loads or in a bight or within the line of leads of a wire.
DO NOT— attempt to place mats over the warps to protect the nets.
DO NOT— ride out of the fish hold on the hoist mechanism.
Emergency
DO— signal at once to the person at the controls to stop if you see another crew member in difficulty. Afalse alarm is better than an accident.
DO— take great care if the gear becomes fast, especially if operating two sets of gear at the same time.Ensure that means are provided to pay out warps from any control position so that immediateaction can be taken and the risk of capsize minimized.
Safety is YOUR responsibility.
Printed by HMSO, Edinburgh PressDd 8114144 9,150 5/94 (018487)
Annex E
Extract from MCA leaflet entitled Fishermen and Safety regarding the use of whipping drums
Annex F
Tabulated summary of Medical Stores For Vessel Categories A, B & C, extracted from Annex 1 of MSN 1768 (M + F) Ships’ Medical Stores
12
34
Ref
. No.
Stat
utor
y Tr
eatm
ent
Req
uire
men
tsR
ecom
men
ded
Med
icin
e an
d D
osag
eR
ecom
men
ded
quan
tity
for
10
Stre
ngth
Rep
rese
ntin
g be
st p
ract
ice.
wor
kers
AB
C
1. C
ard
io V
ascu
lar
(a)
Car
dio
vas
cula
r an
alep
tics
Sym
path
omim
etic
sA
dre
nalin
e /
Epi
neph
rine
inje
ctio
n B
P0.
5ml
10*
5*-
– ad
rena
line
acid
tart
rate
inje
ctio
n 1.
0mg
in
1ml (
1 in
100
0)
and
/ o
r E
pipe
n (
Ad
rena
line
0.3m
g)5
5-
5
AN
NE
X 1
ME
DIC
AL
ST
OR
ES
FO
R V
ES
SE
LC
AT
EG
OR
IES
A, B
& C
(see
def
init
ions
on
Page
2 o
f th
e N
otic
e)
For
any
item
s m
arke
d* t
he s
peci
fied
quan
tity
is c
onsi
dere
d su
ffici
ent
rega
rdle
ss o
f cre
w s
ize.
Ow
ners
and
ope
rato
rs m
ay, o
n th
e ad
vice
of a
qua
lifie
d m
edic
al p
ract
itio
ner
or p
harm
acis
t, d
eter
min
e w
heth
er a
ny a
dd
itio
nal o
r d
iffe
rent
qua
ntit
ies,
pro
duc
tsor
equ
ipm
ent
are
requ
ired
, tak
ing
into
acc
ount
the
fac
tors
iden
tifi
ed b
elow
and
any
oth
er r
elev
ant
cons
ider
atio
n: t
he n
atur
e of
the
voy
age
and
in p
arti
cula
rpo
rts
of c
all,
natu
re o
f th
e ca
rgo,
des
tina
tion
, num
ber
of c
rew
, dur
atio
n of
voy
age
and
ty
pe o
f w
ork
to b
e ca
rrie
d o
ut d
urin
g th
e vo
yage
. For
exa
mpl
e, a
nti-
mal
aria
l d
rugs
may
be
appr
opri
ate
if a
shi
p is
ope
rati
ng i
n tr
opic
al a
reas
. (se
e M
GN
257
(M
) fo
r gu
idan
ce o
n im
mun
isat
ions
and
ant
i-m
alar
ia m
edic
atio
n).
In th
is A
nnex
col
umns
are
as
follo
ws:
Col
um
n 1
Is th
e re
fere
nce
num
ber
in E
C D
irec
tive
92/
29. T
his
is in
clud
ed f
or id
enti
fica
tion
of
trea
tmen
ts w
hen
seek
ing
or r
ecei
ving
rad
io m
edic
al a
dvi
cefr
om a
ny E
urop
ean
Com
mun
ity
Mem
ber
Stat
e.C
olu
mn
2Is
the
stat
utor
ily r
equi
red
trea
tmen
t w
hich
mus
t be
avai
labl
e to
com
ply
wit
h th
e R
egul
atio
ns.
Col
um
n 3
Is th
e re
com
men
ded
med
icin
e an
d d
osag
e st
reng
th w
hich
MC
Aco
nsid
ers
best
com
plie
s w
ith
the
stat
utor
ily r
equi
red
trea
tmen
t. O
wne
rs a
ndop
erat
ors
may
sub
stit
ute
exac
t equ
ival
ents
on
the
advi
ce o
f a
qual
ifie
d m
edic
al p
ract
itio
ner
or p
harm
acis
t, pr
ovid
ed th
ey a
re s
atis
fied
that
an
equi
vale
nt le
vel o
f tr
eatm
ent i
s as
sure
d.
Col
um
n 4
Is th
e re
com
men
ded
qua
ntit
y of
med
icin
e /
equ
ipm
ent w
hich
MC
Aco
nsid
ers
suff
icie
nt to
pro
vid
e tr
eatm
ent f
or 1
0 w
orke
rs o
r fo
r th
e cr
ew o
fa
life
boat
or
life-
raft
.R
ecom
men
ded
qua
ntit
ies
(Col
umn
4) w
ill n
ot a
lway
s re
flec
t sta
ndar
d p
acks
. In
this
cas
e th
e re
com
men
dat
ion
is f
or th
e ne
ares
t ava
ilabl
ed
ispe
nsin
g sa
les
pack
abo
ve th
e m
inim
um r
ecom
men
ded
qua
ntit
y. T
his
will
ens
ure
the
pati
ent i
nfor
mat
ion
leaf
let i
s en
clos
ed.
12
34
Ref
. No.
Stat
utor
y Tr
eatm
ent
Req
uire
men
tsR
ecom
men
ded
Med
icin
e an
d D
osag
eR
ecom
men
ded
quan
tity
for
10
Stre
ngth
Rep
rese
ntin
g be
st p
ract
ice.
wor
kers
AB
C
(b)
Ant
i-an
gina
pre
para
tion
sG
lyce
ryl T
rini
trat
e Sp
ray
400
mic
rogr
ams
/
1 un
it1
unit
1 un
itm
eter
ed 2
00 d
ose
aero
sol
and
tr
ansd
erm
al p
atch
es 5
mg
x 2
22
-
(c)
Diu
reti
cs
Frus
emid
e /
Fur
osem
ide
i) 4
0mg
tabl
ets
28*
28*
-ii)
10m
g in
1m
l inj
. (2m
l am
poul
e)2
--
(d)
Ant
i-ha
emor
rhag
ics
if th
ere
are
wom
en w
ith
i)Ph
ytom
enad
ione
(V
itam
in K
1)1*
1*-
pote
ntia
l for
chi
ld b
eari
ng w
orki
ng o
n bo
ard
pa
edia
tric
inje
ctio
n (0
.2m
l am
poul
e)(i
nclu
din
g ut
erto
nics
).ii)
Erg
omet
rine
500
mcg
, O
xyto
cin
5 un
its
2*1*
-(1
ml a
mpo
ule)
(Sy
ntom
etri
ne)
(e)
Ant
i-hy
pert
ensi
veA
teno
lol 5
0mg
tabl
ets
28-
-
2. G
astr
o in
test
inal
sys
tem
(a)
Med
icin
es f
or g
astr
ic a
nd d
uod
enal
dis
ord
ers
• H
ista
min
e H
2 re
cept
or a
nti-
ulce
r an
tago
nist
sC
imet
idin
e 40
0mg
tabl
ets
60-
-
• A
ntac
id m
ucou
s m
ixtu
rePr
opri
etar
y A
ntac
id o
f ch
oice
As
reqd
As
reqd
-
6
7
12
34
Ref
. No.
Stat
utor
y Tr
eatm
ent
Req
uire
men
tsR
ecom
men
ded
Med
icin
e an
d D
osag
eR
ecom
men
ded
quan
tity
for
10
Stre
ngth
Rep
rese
ntin
g be
st p
ract
ice.
wor
kers
AB
C
(b)
Ant
i-em
etic
si)
Proc
hlor
pera
zine
mal
eate
3m
g bu
ccal
tabl
ets
50*
50*
-
ii)Pr
omet
hazi
ne h
ydro
chlo
rid
e 25
mg
10*
--
per
ml (
1ml a
mpo
ules
)
iii)H
yosc
ine
hyd
robr
omid
e 0.
3mg
tabl
ets
6060
60
or C
inna
rizi
ne 1
5mg
6060
60
(c)
Lub
rica
nt la
xati
ves
Gly
cero
l Sup
posi
tory
mou
ld 4
mg
12-
-
(d)
Ant
i-d
iarr
hoea
lsL
oper
amid
e 2m
g ca
psul
es30
3030
(e)
Inte
stin
al a
ntis
epti
csi)
Trim
etho
prim
200
mg
tabl
ets
Use
7(b
) U
se 7
(b)
- ii)
Cip
rofl
oxac
in 5
00m
g ta
blet
s7(
a)ii
7(a)
ii-
iii)M
etro
nid
azol
e 40
0mg
tabl
ets
7(e)
7(e)
-
(f)
Hae
mor
rhoi
d p
repa
rati
ons
Prop
riet
ary
prep
arat
ion
of c
hoic
eA
s re
qdA
s re
qd-
3. A
nal
gesi
cs A
nti
– S
pas
mod
ics
(a)
Ana
lges
ics,
ant
i-py
reti
cs a
nd
i)Pa
race
tam
ol 5
00m
g ta
blet
s10
050
50an
ti-i
nfla
mm
ator
y ag
ents
and
ii)Ib
upro
fen
400m
g ta
blet
s10
050
50
iii)D
iclo
fena
c so
diu
m 5
0mg
sup
posi
tory
10-
-
8
12
34
Ref
. No.
Stat
utor
y Tr
eatm
ent
Req
uire
men
tsR
ecom
men
ded
Med
icin
e an
d D
osag
eR
ecom
men
ded
quan
tity
for
10
Stre
ngth
Rep
rese
ntin
g be
st p
ract
ice.
wor
kers
AB
C
(b)
Pow
erfu
l ana
lges
ics
i)C
odei
ne P
hosp
hate
30m
g ta
blet
s28
28-
ii)M
orph
ine
Sulp
hate
10m
g in
1m
l10
10-
inje
ctio
n (1
ml a
mpo
ule)
or Nal
buph
ine
10m
g in
1m
l inj
ecti
on10
10-
(c)
Spas
mol
ytic
sH
yosc
ine
buty
lbro
mid
e 10
mg
tabl
ets.
5656
-
4. N
ervo
us
syst
em
(a)
Anx
iolit
ics
i)D
iaze
mul
s in
ject
ion
5mg
per
ml,
5*-
-(2
ml a
mpo
ules
)ii)
Dia
zepa
m 5
mg
tabl
ets
28*
--
(b)
Neu
role
ptic
si)
Chl
orpr
omaz
ine
hyd
roch
lori
de
25m
g in
ject
ion
5*-
-
ii)C
hlor
prom
azin
e hy
dro
chlo
rid
e 25
mg
tabl
ets
28*
28*
-
(c)
Seas
ickn
ess
rem
edie
sH
yosc
ine
hyd
robr
omid
e 0.
3mg
tabl
ets
Use
2b(
iii)
Use
2b(
iii)
Use
2b(
iii)
or Cin
nari
zine
15m
g
(d)
Ant
i-ep
ilept
ics
Dia
zepa
m r
ecta
l dis
pens
er 1
0mg
in 2
.5m
l5
5-
5. A
nti
-all
ergi
cs a
nd
An
ti-a
nap
hyl
acti
cs
(a)
H1
Ant
i-hi
stam
ines
Cet
rirz
ine
10m
g ta
blet
s30
*30
*-
9
12
34
Ref
. No.
Stat
utor
y Tr
eatm
ent
Req
uire
men
tsR
ecom
men
ded
Med
icin
e an
d D
osag
eR
ecom
men
ded
quan
tity
for
10
Stre
ngth
Rep
rese
ntin
g be
st p
ract
ice.
wor
kers
AB
C
(b)
Inje
ctab
le /
oral
glu
coco
rtic
oid
si)
Hyd
roco
rtis
one
inje
ctio
n po
wd
er f
or
31
-re
cons
titu
tion
100
mg
vial
wit
h 2m
l wat
er
for
inje
ctio
n /
rea
dy
dilu
ted
100
mg
in
1ml i
njec
tion
ii)Pr
edni
solo
ne 5
mg
tabl
ets
2828
-
6. R
esp
irat
ory
Sys
tem
(a)
Bro
ncho
spas
m p
repa
rati
ons
i)Sa
lbut
amol
inha
ler
100
mic
rogr
ams
per
11
-m
eter
ed d
ose.
200
dos
e in
hale
r w
ith
volu
mat
ic
ii)B
eclo
met
haso
ne 1
00 m
icro
gram
s pe
r 1
1-
met
ered
dos
e in
hale
r
(b)
Ant
i-tu
ssiv
esPr
opri
etar
y co
ugh
mix
ture
As
reqd
As
reqd
-
(c)
Med
icin
es u
sed
for
col
ds
and
sin
usit
isPa
race
tam
ol 5
00m
g ta
blet
sU
se 3
a(i)
Use
3a(
i)-
or Prop
riet
ary
cold
rem
edy
As
reqd
As
reqd
-
10
12
34
Ref
. No.
Stat
utor
y Tr
eatm
ent
Req
uire
men
tsR
ecom
men
ded
Med
icin
e an
d D
osag
eR
ecom
men
ded
quan
tity
for
10
Stre
ngth
Rep
rese
ntin
g be
st p
ract
ice.
wor
kers
AB
C
7. A
nti
-in
fect
ion
(a)
Ant
ibio
tics
i)B
enzy
lpen
icill
in –
ben
zylp
enic
illin
sod
ium
10
2-
600m
g in
ject
ion
(pow
der
for
rec
onst
itut
ion
in
a ru
bber
cap
ped
and
met
al to
pped
via
l) a
nd
wat
er f
or in
ject
ion
2ml
ii)C
ipro
flox
acin
(as
hyd
roch
lori
de)
500
mg
tabl
ets
2010
-
iii)C
efur
oxim
e in
ject
ion
750m
g vi
al a
nd w
ater
20-
-fo
r in
ject
ion
iv)E
ryth
rom
ycin
250
mg
tabl
ets
2828
-
v)D
oxyc
yclin
e 10
0mg
caps
ules
8-
-
(b)
Ant
i-ba
cter
ial
/
Trim
etho
prim
200
mg
tabl
ets
1414
-(c
)U
rina
ry a
ntis
epti
cs
(d)
Ant
i-pa
rasi
tics
Meb
end
azol
e 10
0mg
tabl
ets
6*6*
-
(e)
Inte
stin
al a
nti-
infe
ctiv
esM
etro
nid
azol
e su
ppos
itor
ies
1g10
--
Met
roni
daz
ole
500m
g or
400
mg
tabl
ets
2121
-
(f)
Ant
i-te
tanu
s va
ccin
es a
nd im
mun
oglo
bulin
i)Te
tanu
s V
acci
ne (
0.5m
l am
poul
e) o
r 5*
1*-
Teta
nus
& D
ipht
heri
a V
acci
ne
ii)Te
tanu
s Im
mun
oglo
bulin
am
poul
e fo
r in
ject
ion
1*-
-
11
12
34
Ref
. No.
Stat
utor
y Tr
eatm
ent
Req
uire
men
tsR
ecom
men
ded
Med
icin
e an
d D
osag
eR
ecom
men
ded
quan
tity
for
10
Stre
ngth
Rep
rese
ntin
g be
st p
ract
ice.
wor
kers
AB
C
8. C
omp
oun
ds
pro
mot
ing
reh
ydra
tion
, cal
oric
in
tak
e an
d p
lasm
a ex
pan
sion
WH
O G
ener
ic
Sod
ium
chl
orid
e &
dex
tros
e re
hyd
rati
on s
alts
1
Box
1 B
ox-
Form
ula
sach
ets
of O
ral R
ehyd
rati
on S
alts
, For
mul
a A
. (1
6-20
)(1
6-20
)B
PO
ral p
owd
er in
sac
het t
o pr
ovid
e N
a=35
mm
ol,
K=
20m
mol
, Cl-
37m
mol
, HC
O3 =
18
mm
ol a
nd g
luco
se 2
00m
mol
whe
n re
cons
titu
ted
in a
litr
e of
wat
eror Pr
opri
etar
y eq
uiva
lent
e.g
. Dio
raly
te
9. M
edic
ines
for
ext
ern
al u
se
(a)
Skin
Med
icin
es
Ant
isep
tic
solu
tion
s10
0ml s
olut
ion
or p
re-i
mpr
egna
ted
wip
es
1* b
ottl
e 1*
bot
tle
1* b
ottl
e co
ntai
ning
0.0
15%
w/
v ch
lorh
exid
ine
and
or
1 p
ack
or 1
pac
k or
1 p
ack
0.15
% w
/v
cetr
imid
ew
ipes
wip
esw
ipes
Ant
ibio
tic
oint
men
tsN
eom
ycin
/ B
acit
raci
n cr
eam
15g
tube
11
-
Ant
i-in
flam
mat
ory
and
ana
lges
ic o
intm
ents
i)H
ydro
cort
ison
e 1%
cre
am 1
5g tu
be2
--
ii)Pr
opri
etar
y N
SAID
gel
/oi
ntm
ent
As
reqd
As
reqd
As
reqd
Ant
i-m
ycot
ic s
kin
crea
ms
i)B
enzo
ic o
intm
ent B
P50
mg(
benz
oic
acid
6%
;3
1-
salic
ylic
aci
d 3
%, i
n em
ulsi
fyin
g oi
ntm
ent 1
5g
ii)M
icon
azol
e ni
trat
e 2%
topi
cal c
ream
30g
21
-iii
)Clo
trim
azol
e 50
0mg
pres
sary
(if
wom
en
21
-on
boar
d).
Bur
n pr
epar
atio
nsi)
Si
lver
Sul
phad
iazi
ne 1
% c
ream
50g
tube
21
-
ii)Pr
opri
etar
y an
tise
ptic
cre
am-
-1
{}
12
12
34
Ref
. No.
Stat
utor
y Tr
eatm
ent
Req
uire
men
tsR
ecom
men
ded
Med
icin
e an
d D
osag
eR
ecom
men
ded
quan
tity
for
10
Stre
ngth
Rep
rese
ntin
g be
st p
ract
ice.
wor
kers
AB
C
Mis
cell
aneo
us
skin
pre
par
atio
ns
i)Pe
rmet
hrin
1%
in a
bas
e co
ntai
ning
2*
--
isop
ropy
lalc
ohol
20%
Cre
am R
inse
ii)Z
inc
oint
men
t, B
P(c
onta
inin
g zi
nc
1*-
-ox
ide
15%
) 25
g
iii)P
otas
sium
per
man
gana
te c
ryst
als
1*
--
10g
cont
aine
r /
Per
mit
abs
pack
(b)
Eye
Med
icin
es
- A
ntib
ioti
c oi
ntm
ent
Chl
oram
phen
icol
1%
4g
tube
41
-
All
eye
drop
s ar
e re
com
men
ded
inM
inim
(si
ngle
dos
e) fo
rm:
- A
ntib
ioti
c d
rops
Neo
myc
in s
ulph
ate
0.5%
0.5
ml
2020
-
- A
nti-
infl
amm
ator
y d
rops
Dex
amet
haso
ne s
odiu
m p
hosp
hate
0.1
% 0
.5m
l20
20-
- A
naes
thet
ic d
rops
Am
etho
cain
e hy
dro
chlo
rid
e 0.
5% 0
.5m
l20
20-
- H
ypot
onic
dro
psPi
loca
rpin
e ni
trat
e 2%
0.5
ml
2020
-
- D
iagn
osti
c d
rops
Fluo
resc
ein
sod
ium
1%
0.5
ml
2020
-(f
or d
etec
tion
of
fore
ign
bod
ies
/
scra
tche
s /
ulc
ers)
(c)
Ear
/ Nas
al M
edic
ines
Ant
ibio
tic
/ a
nti i
nfla
mm
ator
y so
luti
onA
ntib
ioti
c ea
rdro
ps c
onta
inin
g in
eac
h m
l; ne
omyc
in
1*1*
-3,
400
unit
s, p
olym
ixin
B s
ulph
ate
10,0
00 u
nits
, hy
dro
cort
ison
e 50
mg
(5m
l dro
pper
bot
tle)
13
12
34
Ref
. No.
Stat
utor
y Tr
eatm
ent
Req
uire
men
tsR
ecom
men
ded
Med
icin
e an
d D
osag
eR
ecom
men
ded
quan
tity
for
10
Stre
ngth
Rep
rese
ntin
g be
st p
ract
ice.
wor
kers
AB
C
Dec
onge
stan
t sol
utio
n : E
phed
rine
nas
al
1*1*
-d
rops
BP
0.5%
eph
edri
ne h
ydro
chlo
rid
e (1
0ml b
ottl
e)
(d)
Med
icin
es f
or o
ral
and
th
roat
in
fect
ion
s
Ant
ibio
tic
or a
ntis
epti
c m
outh
was
hes
Chl
orhe
xid
ine
gluc
onat
e 0.
2% m
outh
was
h 30
0 m
l1
1-
(e)
Loc
al a
nae
sth
etic
s
Loc
al a
naes
thet
ics
give
n by
sub
cuta
neou
s in
ject
ion
Lig
noca
ine
/ L
idoc
aine
5
5-
hyd
roch
lori
de
1% 5
0mg
in 5
ml f
or in
ject
ion
Loc
al a
naes
thet
ic g
elL
igno
cain
e /
Lid
scai
ne g
el 2
%, c
hlor
lexi
din
e 1
--
0.25
% in
lubr
ican
t (sy
ring
e)
Den
tal a
naes
thet
ics
and
ant
isep
tic
mix
ture
si)
Prop
riet
ary
gel e
.g. B
onje
la1
1-
ii)O
il of
Clo
ves
10m
l1*
1*-
14
ME
DIC
AL
EQ
UIP
ME
NT
Stat
utor
y R
equi
rem
ents
Rec
omm
ende
d Sp
ecif
icat
ion
Qua
ntit
yA
BC
1. R
esu
scit
atio
n E
qu
ipm
ent
App
lianc
e fo
r th
e ad
min
istr
atio
n of
oxy
gen
Oxy
gen
givi
ng s
et c
ompr
isin
g of
the
follo
win
g:-
11
-
1)O
xyge
n re
serv
oir
(e.g
. D S
ize
300l
tr c
ylin
der
)2)
1 fl
ow m
eter
uni
t giv
ing
a m
inim
um s
etti
ng o
f no
t les
s th
an 4
ltrs
per
min
ute
3)1
pres
sure
reg
ulat
ing
unit
4)1
set o
f tu
bing
5)5
x 24
% o
xyge
n d
ispo
sabl
e fa
ce m
asks
6)5
x hi
gh c
once
ntra
tion
oxy
gen
dis
posa
ble
face
mas
ks w
ith
a re
serv
oir.
Eac
h pa
rt c
onst
ruct
ed s
o th
at it
can
onl
y be
ass
embl
ed in
the
corr
ect m
anne
rM
echa
nica
l asp
irat
or to
cle
ar u
pper
res
pira
tory
pas
sage
sA
spir
ator
to c
lear
air
way
s (m
anua
l, ha
nd
11
-op
erat
ed)
+ 2
cat
hete
rsE
quip
men
t for
mou
th to
mou
th r
esus
cita
tion
Pock
et f
ace
mas
k w
ith
val
ve a
nd O
21
11
inle
t Gue
dal
Air
way
Siz
es 3
& 4
11
-
2. D
ress
ing
and
su
turi
ng
equ
ipm
ent
Dis
posa
ble
skin
sta
pler
/or
sut
ure
kit
1)St
erile
non
-abs
orba
ble
sutu
res
swag
ed to
a
6-
-(i
nclu
din
g st
aple
rem
over
)ha
lf c
ircl
e ne
edle
wit
h a
cutt
ing
edge
2 si
zes
e.g.
16m
m &
26m
m
2)St
erile
abs
orba
ble
sutu
res
swag
ed to
a
3-
-ha
lf c
ircl
e ne
edle
1 s
ize
e.g.
26m
m
Stat
utor
y R
equi
rem
ents
Rec
omm
ende
d Sp
ecif
icat
ion
Qua
ntit
yA
BC
Ad
hesi
ve e
last
ic b
and
age
Ad
hesi
ve e
last
ic b
and
age
7.5c
m x
4m
41
1C
repe
ban
dag
e 7.
5cm
x 4
m4
4-
Tubu
lar
gauz
e ba
ndag
e, f
or f
inge
r d
ress
ings
20m
leng
th w
ith
appl
icat
or1
1-
Dis
posa
ble
glov
esL
atex
fre
e, v
inyl
25pr
s25
prs
5prs
Ad
hesi
ve d
ress
ings
Ass
orte
d s
teri
le40
4020
Ster
ile b
and
ages
wit
h un
med
icat
ed d
ress
ings
(1)
med
ium
, No.
1 (1
2x10
) cm
53
2(A
mbu
lanc
e d
ress
ings
)(2
) la
rge,
No.
2 (2
0x15
) cm
53
2(3
) ex
tra
larg
e, N
o.3
(28x
20)
cm4
21
Ad
hesi
ve s
utur
es75
mm
ad
hesi
ve s
utur
e st
rips
66
6St
erile
gau
ze s
wab
sPa
cket
con
tain
ing
5 st
erile
gau
ze p
ads
size
10
51
7.5c
m x
7.5
cmSt
erile
she
et f
or b
urns
vic
tim
s1
1-
Tria
ngul
ar s
ling
/ b
and
age
44
-Pa
raff
in g
auze
dre
ssin
gs, s
ize
10cm
x 1
0cm
4010
-
3. I
nst
rum
ents
Dis
posa
ble
scal
pels
e.g.
10
blad
es2
--
Stai
nles
s st
eel i
nstr
umen
t box
11
-Sc
isso
rsSt
ainl
ess
stee
l dre
ssin
g sc
isso
rs
11
-Sh
arp
poin
ted
sci
ssor
s1
1-
Dis
sect
ing
forc
eps
toot
hed
11
-H
aem
osta
tic
clam
ps1
1-
Nee
dle
for
ceps
1-
-D
ispo
sabl
e ra
zors
5-
-
4. E
xam
inat
ion
an
d m
onit
orin
g eq
uip
men
t
Dis
posa
ble
tong
ue d
epre
ssor
s 10
10-
Rea
ctiv
e st
rips
for
uri
ne a
naly
sis
e.g.
Mul
isti
x1
pack
--
15
Stat
utor
y R
equi
rem
ents
Rec
omm
ende
d Sp
ecif
icat
ion
Qua
ntit
yA
BC
Tem
pera
ture
cha
rts
1 pa
d1
pad
-M
edic
al e
valu
atio
n re
port
s1
pad
--
Preg
nanc
y te
st k
itW
hen
wom
en o
n bo
ard
1-
-St
etho
scop
e1
1-
Ane
roid
sph
ygm
oman
omet
er1
1-
Stan
dar
d c
linic
al th
erm
omet
er3
1-
Hyp
othe
rmic
ther
mom
eter
low
rea
din
g re
ctal
ther
mom
eter
11
-Sp
utum
cup
wit
h co
ver
Dis
posa
ble
2-
-Sp
ecim
en ja
rsSt
rong
gla
ss o
r pl
asti
c w
ith
airt
ight
lid
2
--
50 m
l wit
h bl
ank
labe
ls
5. E
qu
ipm
ent
for
inje
ctio
n, p
erfu
sion
, pu
nct
ure
an
d c
ath
eter
izat
ion
Bla
dd
er d
rain
age
Bla
dd
er d
rain
age
set (
incl
udin
g ba
g,
1-
-sp
igot
s an
d tu
be)
Rec
tal d
rip
set
1-
-U
rine
dra
inag
e ba
gU
se b
lad
der
dra
inag
e se
tU
se 5
(1)
--
Dis
posa
ble
syri
nges
2ml,
5ml,
10m
l10
of
each
5 of
eac
h-
Dis
posa
ble
hypo
der
mic
nee
dle
s(2
1G)
0.8m
m a
nd (
25G
) 0.
5mm
3015
-"S
harp
s" d
ispo
sal b
ox1
litre
siz
e1
1-
Cat
hete
r1)
Fol
ey ty
pe 1
6 C
harr
iere
gua
ge, 5
ml b
allo
on
1-
-(s
hort
/ m
ediu
m te
rm u
se in
ad
ults
)2)
Nel
aton
siz
e 16
Cha
rrie
re g
uage
(w
ith
no b
allo
on)
1-
-3)
Pen
ile s
heat
h se
t1
--
6. G
ener
al M
edic
al E
qu
ipm
ent
Bed
pan
(sta
inle
ss s
teel
or
ster
ilisa
ble
plas
tic)
1-
-H
ot w
ater
bot
tle
Wit
h fa
bric
cov
er1
--
Uri
ne b
ottl
e (u
rina
l)1
--
Iceb
ag1
--
16
17
Stat
utor
y R
equi
rem
ents
Rec
omm
ende
d Sp
ecif
icat
ion
Qua
ntit
yA
BC
7. I
mm
obil
izat
ion
an
d s
etti
ng
equ
ipm
ent
Mal
leab
le f
inge
r sp
lint
11
-M
alle
able
for
earm
and
han
d s
plin
t1
1-
Splin
ts –
sim
ple,
vac
uum
(in
flat
able
onl
y if
oth
ers
unav
aila
ble)
Set o
f fo
ur (
half
leg,
ful
l leg
, hal
f ar
m a
nd f
ull a
rm)
11
-T
high
spl
int
- (T
ract
ion)
e.g.
Tho
mas
spl
int,
Don
way
etc
.1
1-
Col
lar
for
neck
imm
obili
sati
on –
(se
mi-
rigi
d)
Ad
ult s
ize
pack
of
3, s
mal
l, m
ediu
m a
nd
11
-la
rge
or a
dju
stab
le c
olla
r
8. D
isin
fect
ion
, Dis
inse
ctiz
atio
n a
nd
Pro
ph
ylax
is
Wat
er –
dis
infe
ctio
n co
mpo
und
In li
quid
for
m -
litr
es5
--
Liq
uid
inse
ctic
ide
In li
quid
for
m -
lit
res
5-
-Po
wd
er in
sect
icid
e
AB
C
Face
mas
ks d
ispo
sabl
e6
6-
Plas
tic
mea
suri
ng ju
g 1/
2 lit
re s
ize
11
-D
ispo
sabl
e pa
per
tow
els
100
100
-L
atex
fre
e st
erile
sur
gica
l dis
posa
ble
glov
es (
larg
e)5p
rs5p
rs-
Wat
erpr
oof
plas
tic
shee
ting
, siz
e 1m
x 2
m2
1-
Lot
ion
bow
l (si
ze a
t lea
st 2
00m
m x
90m
m, s
tain
less
ste
el o
r st
erili
sabl
e pl
asti
c, to
be
mar
ked
"m
edic
al")
1-
-K
idne
y d
ish
(siz
e 25
0mm
sta
inle
ss s
teel
or
ster
ilisa
ble
plas
tic)
1-
-Sa
fety
pin
s, r
ustl
ess
med
ium
66
6
RE
CO
MM
EN
DE
DA
DD
ITIO
NA
LM
ED
ICA
LE
QU
IPM
EN
T
Rec
omm
ende
d A
ddit
iona
l E
quip
men
tQ
uant
ity
18
Kit
for
pro
tect
ion
agai
nst
bloo
d tr
ansm
itte
d di
seas
es (
to b
e ca
rrie
d in
all
ves
sels
tra
ding
in
mal
aria
l ar
eas
1-
-w
here
med
ical
fac
ilit
ies
are
lim
ited
and
em
erge
ncy
shor
e ba
sed
trea
tmen
t is
nec
essa
ry)
(To
be k
ept
in h
eavy
gau
ge p
olyt
hene
bag
, and
labe
lled
"to
be u
sed
only
for
the
trea
tmen
t of
…."
Ins
ert
the
nam
e of
the
sea
fare
r go
ing
asho
re fo
r em
erge
ncy
trea
tmen
t).
Eac
h ki
t to
con
tain
the
follo
win
g :
(1)
10 x
2 m
l syr
inge
s(2
) 10
x 1
0 m
l syr
inge
s(3
) 20
x 2
1G 0
.8m
m n
eed
les
(4)
1 bl
ood
giv
ing
set
(5)
1 bl
ood
taki
ng s
et(6
) pa
ck o
f pr
e in
ject
ion
site
sw
abs
(7)
Dis
posa
ble
late
x fr
ee g
love
s 2
pair
s (l
arge
siz
e)
AB
C
Mag
nify
ing
glas
s 7.
5cm
dia
met
er w
ith
hand
le1
1N
ail b
rush
11
Stre
tche
r eq
uipm
ent (
Asy
stem
for
trau
ma
man
agem
ent,
i.e. i
mm
obili
sati
on a
nd s
tret
cher
equ
ipm
ent m
ost s
uite
d
-1
-fo
r tr
eatm
ent o
n th
e ve
ssel
con
cern
ed)
Bod
y ba
g –
larg
e si
ze1
1V
esse
ls in
mal
aria
l are
as o
nly
– m
icro
scop
e sl
ides
in in
div
idua
l tra
nsit
con
tain
ers
55
1)
Exc
avat
or d
oubl
e en
ded
Guy
s’ p
atte
rn G
21
Set o
f -
-al
l ite
ms
2)
Filli
ng p
aste
inse
rter
(fo
r in
sert
ing
filli
ng p
aste
into
the
toot
h)
3)
Den
tal m
irro
r si
ze 4
on
hand
le
4)
Cav
it (
tem
pora
ry d
enta
l fill
ing)
tube
Scis
sors
sta
inle
ss s
teel
or
dis
posa
ble
1pr
Tria
ngul
ar b
and
ages
abo
ut 9
0cm
x 1
27cm
4St
erile
par
affi
n ga
uze
dre
ssin
gs10
Plas
tic
burn
bag
s1
Qua
ntit
yR
ecom
men
ded
Add
itio
nal
Equ
ipm
ent
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