DRAFT, needs technical review. Not for publication. The title is our own wording, not the official Paris MoU text.
PSC deficiency code 18406: Medical care on board and access to shore medical facilities
| Category | Maritime Labour Convention (Title 4) |
| Related certificate | Maritime Labour Certificate |
| Main references | MLC Standard A4.1 |
| Typical action codes | 17 (rectify before departure), 30 (detainable) if serious |
| Commonly detainable? | Can be, depending on severity (no statistics claimed) |
What PSC officers look for
- Hospital chest medicines expired
- Medical guide not latest edition
- Designated medical officer not trained
- Procedures for telemedical advice not posted
- Records of treatment incomplete
Typical root causes
- Medical resupply not triggered in port
- Confusion over flag medical kit requirements
- Low confidence using medical chest
- Telemedical contract not renewed
Corrective action (example)
Renew medicines per flag list; update guide; train designated person; post advice numbers and records.
Preventive action (example)
Automated expiry report from chest inventory; annual medical training drill.
Evidence to attach for close-out
- Chest inventory signed
- Training certificate
- Telemedical contract
- Disposed medicine log
Related
Generate a close-out report for this finding · Download the CAP template
Official code list: Paris MoU, List of Deficiency Codes (1 July 2026). Action codes: Paris MoU, Inspection outcome. Reviewed by: _pending_ · Review date: _pending_ This page is general guidance, not legal, flag or class advice. Always follow the PSC officer's instructions and your flag and class requirements.