EEC as regards purely technical adaptations - Main contents

1. Legislative text

31.10.2019

Official Journal of the European Union

L 279/80

COMMISSION DIRECTIVE (EU) 2019/1834

of 24 October 2019

amending Annexes II and IV to Council Directive 92/29/EEC as regards purely technical adaptations

THE EUROPEAN COMMISSION,

Having regard to the Treaty on the Functioning of the European Union,

Having regard to Council Directive 92/29/EEC of 31 March 1992 on the minimum safety and health requirements for improved medical treatment on board vessels (1), and in particular Article 8 thereof,

Whereas:

(1)

Principle 10 of the European Pillar of Social Rights (2), proclaimed at Gothenburg on 17 November 2017, states that every worker has the right to a healthy, safe and well-adapted working environment. The workers’ right to a high level of protection of their health and safety at work and to a working environment that is adapted to their professional needs and that enables them to prolong their participation in the labour market includes improved medical treatment on board vessels.

(2)

The implementation of the directives related to the health and safety of workers at work, including Directive 92/29/EEC, was the subject of an ex post evaluation, referred to as REFIT evaluation. The evaluation looked at the directives’ relevance, at research and at new scientific knowledge in the various fields concerned. The REFIT evaluation, referred to in the Commission Staff Working Document (3), concludes, among other things, that the list of mandatory medical supplies in Annex II of Directive 92/29/EEC needs to be updated and that coherence with international instruments should be enhanced.

(3)

In its Communication ‘Safer and Healthier Work for All — Modernisation of the EU Occupational Safety and Health Legislation and Policy’ (4), the Commission reiterated that while the REFIT evaluation of the Union’s acquis on occupational safety and health confirmed that the legislation in this field is generally effective and fit-for-purpose, there is scope for updating outdated rules and ensuring better and broader protection, compliance and enforcement on the ground. The Commission emphasises the particular need to update the list of mandatory medical supplies in Annex II to Directive 92/29/EEC.

(4)	Directive 92/29/EEC lays down minimum safety and health requirements for improved medical treatment for persons carrying out an occupation on board a vessel. It lists the medical supplies required on board and addresses how responsibilities are assigned, information and training, and inspection.

(5)	Annex II to Directive 92/29/EEC contains a non-exhaustive list of medical supplies required on board, including medicines, medical equipment and antidotes. The requirements as regards the medical supplies vary according to the category of vessel as defined in Annex I of that Directive.

(6)

It is appropriate to amend Annex II to Directive 92/29/EEC in the light of the scientific and medical developments that have taken place since its adoption, particularly as regards the new medicines and medical equipment that have become available, and medicines or medical equipment which are not required to be carried on board any more. Moreover, in several instances, medical practice has shown that the wording of existing entries in Annex II to Directive 92/29/EEC needs to be updated or adapted to reflect current practices more closely.

(7)

Vessels staying very close to shore or with no cabin accommodation belonging to category C should be given particular consideration as these vessels tend to be smaller and may lack the space for full medical supplies. Annex II to Directive 92/29/EEC should therefore allow Member States to consider, under exceptional circumstances, the use of alternatives (medicines or medical equipment) for objectively justified reasons. Given the specificities of category C vessels, there is no need to carry certain items on board and therefore the list of medicines and medical equipment of that category should be slightly shortened.

(8)	Annex IV to Directive 92/29/EEC should be amended to take into account the amendment of Annex II, because Annex IV lays down a general framework for the inspection of the vessels’ medical supplies and as such is closely related to Annex II and reproduces its contents for inspection purposes.

(9)

Annexes II and IV to Directive 92/29/EEC should be amended to take into account international instruments, such as the International Medical Guide for Ships (5), as well as to maintain the existing levels of protection for persons carrying out an occupation on board a vessel, and to reflect scientific and medical developments in the area, requiring merely technical adjustments at the workplace.

(10)

The Advisory Committee for Safety and Health at Work was consulted on the measures resulting from the adoption of the Commission’s Communication ‘Safer and Healthier Work for All — Modernisation of the EU Occupational Safety and Health Legislation and Policy’ that are required to keep the Union’s occupational safety and health legislation effective and fit-for-purpose.

(11)	In its ‘Opinion on the Modernisation of Six OSH Directives to Ensure Healthier and Safer Work for All’ (6), adopted on 6 December 2017, the Advisory Committee for Safety and Health at Work recommends that Annexes II and IV to Directive 92/29/EEC should be updated.

(12)

In a subsequent ‘Opinion on the Technical updates of annexes of the Directive Medical Treatment on board (92/29)’ (7), adopted on 31 May 2018, the Advisory Committee for Safety and Health at Work recommends that Annexes II and IV to Directive 92/29/EEC should be updated to take into account the latest technological and medical developments in the field.

(13)	The Commission was assisted by experts representing the Member States, who provided technical and scientific support.

(14)

In accordance with the Joint Political Declaration on explanatory documents (8), adopted by the Member States and the Commission on 28 September 2011, Member States have undertaken to accompany, in justified cases, the notification of their transposition measures with one or more documents explaining the relationship between the components of a directive and the corresponding parts of national transposition instruments.

(15)	The measures provided for in this Directive are in accordance with the opinion of the Committee established by Article 8 of Directive 92/29/EEC,

HAS ADOPTED THIS DIRECTIVE:

Article 1

Annexes II and IV to Directive 92/29/EEC are replaced by the text in the Annex to this Directive.

Article 2

1.

Member States shall bring into force the laws, regulations and administrative provisions necessary to comply with this Directive by 20 November 2021 at the latest. They shall forthwith communicate to the Commission the text of those provisions.

When Member States adopt those provisions, they shall contain a reference to this Directive or be accompanied by such a reference on the occasion of their official publication. Member States shall determine how such reference is to be made.

2.

Member States shall communicate to the Commission the text of the main provisions of national law which they adopt in the field covered by this Directive.

Article 3

This Directive shall enter into force on the twentieth day following that of its publication in the Official Journal of the European Union.

Article 4

This Directive is addressed to the Member States.

Done at Brussels, 24 October 2019.

For the Commission

The President

Jean-Claude JUNCKER

(1)

OJ L 113, 30.4.1992, p. 19.

(2)

European Pillar of Social Rights, November 2017, https://ec.europa.eu/commission/priorities/deeper-and-fairer-economic-and-monetary-union/european-pillar-social-rights_en

(3)

SWD(2017) 10 final

(4)

COM(2017) 12 final

(5)

International medical guide for ships: including the ship’s medicine chest. 3rd ed., World Health Organization, 2007 (ISBN 978 92 4 154720 8)

(6)

Advisory Committee for Safety and Health at Work Doc. 1718/2017

(7)

Advisory Committee for Safety and Health at Work Doc. 444/18

(8)

OJ C 369, 17.12.2011, p. 14.

ANNEX

(1)

Annex II to Directive 92/29/EEC is replaced by the following:

‘ANNEX II

MEDICAL SUPPLIES (NON-EXHAUSTIVE LIST) (*)

(Article 1(d))

(*) In light of Article 2(1)(a) Member States may, under exceptional circumstances, consider the use of alternative medicines or medical equipment for objectively justified reasons.

I.

MEDICINES

	Categories of vessels
	A	B	C
1. Cardiovascular
(a) Cardio-circulatory sympathomimetics	x	x
(b) Anti-angina preparations	x	x	x
(c) Diuretics	x	x
(d) Anti-haemorrhagics including uterotonics if there are women on board	x	x
(e) Anti-hypertensive	x	x
2. Gastro-intestinal system
(a) Medicines for gastric and duodenal disorders
— Medicine for treatment of stomach ulcer and gastritis	x	x
— Anti-acid mucous dressings	x	x
(b) Anti-emetics	x	x
(c) Laxatives	x
(d) Anti-diarrhoeals	x	x	x
(e) Haemorrhoid preparations	x	x
3. Analgesics and anti-spasmodics
(a) Analgesics, anti-pyretics and anti-inflammatory preparations	x	x	x
(b) Powerful analgesics	x	x
(c) Spasmolytics	x	x
4. Nervous system
(a) Anxiolytics	x	x
(b) Neuroleptics	x	x
(c) Seasickness remedies	x	x	x
(d) Anti-epileptics	x	x
5. Anti-allergics and anti-anaphylactics
(a) Anti-histaminics	x	x
(b) Glucocorticoids	x	x
6. Respiratory system
(a) Bronchiospasm preparations	x	x
(b) Anti-tussives	x	x
(c) Medicines used for colds and sinusitis	x	x
7. Anti-infection
(a) Antibiotics (at least two classes)	x	x
(b) Anti-parasitics	x	x
(c) Anti-tetanus vaccines and immunoglobulins	x	x
(d) Anti-malaria medicines, carriage shall be dependent upon operational area	x	x
8. Compounds promoting rehydration, caloric intake and plasma expansion	x	x
9. Medicines for external use
(a) Skin medicines
— Antiseptic solutions	x	x	x
— Antibiotic ointments	x	x
— Anti-inflammatory and analgesic ointments	x	x
— Anti-mycotic skin creams	x
— Burn preparations	x	x	x
(b) Eye medicines
— Antibiotic and anti-inflammatory	x	x
— Anaesthetic drops	x	x
— Saline solution for eyewash	x	x	x
— Hypotonic myotic drops	x	x
(c) Ear medicines
— Anaesthetic and anti-inflammatory solutions	x	x
(d) Medicines for oral and throat infections
— Antiseptic mouthwashes	x	x
(e) Local anaesthetics
— Local anaesthetics using freezing	x
— Local anaesthetics given by subcutaneous injection	x	x

II. MEDICAL EQUIPMENT

	Categories of vessels
	A	B	C
1. Resuscitation equipment
— Ambu bag (or equivalent); supplied with large, medium and small masks	x	x
— Appliance for the administration of oxygen with pressure-reducing valve such that ship’s industrial oxygen can be used, or oxygen container (1)	x	x
— Mechanical aspirator to clear upper respiratory passages	x	x
2. Dressing and suturing equipment
— Tourniquets	x	x	x
— Disposable suture stapler or suture kit with needles	x	x
— Adhesive elastic bandage	x	x	x
— Gauze strips	x	x
— Tubular gauze for finger bandages	x
— Sterile gauze compresses	x	x	x
— Sterile sheet for burns victims	x	x
— Triangular sling	x	x
— Disposable gloves	x	x	x
— Adhesive dressings	x	x	x
— Sterile compression bandages	x	x	x
— Adhesive sutures or zinc oxide bandages	x	x	x
— Non-absorbable sutures with needles	x
— Vaseline gauze	x	x
3. Instruments
— Disposable scalpels	x
— Instrument box made of suitable material	x	x
— Scissors	x	x
— Dissecting forceps	x	x
— Haemostatic clamps	x	x
— Needle forceps	x
— Disposable razors	x
4. Examination and monitoring equipment
— Disposable tongue depressors	x	x
— Reactive strips for urine analysis	x
— Temperature charts	x
— Medical evacuation sheets	x	x
— Stethoscope	x	x
— Sphygmomanometer	x	x
— Medical thermometer	x	x
— Hypothermic thermometer	x	x
— Quick malaria test, carriage shall be dependent upon operational area	x	x
5. Equipment for injection, perfusion, puncture and catheterisation
— Bladder drainage equipment (suitable for men and women)	x
— Intravenous infusion set	x	x
— Disposable syringes and needles	x	x
6. General medical equipment
— Personal protective medical and nursing equipment	x	x
— Bedpan	x
— Hot-water bottle	x
— Urine bottle	x
— Ice bag	x
7. Immobilisation and setting equipment
— Set of splints of different sizes for the extremities	x	x
— Collar for neck immobilisation	x	x
8. Disinfection, disinsectisation and prophylaxis
— Water-disinfection compound	x
— Liquid insecticide	x
— Powder insecticide	x

III. ANTIDOTES

1.

Medicines

— General

— Cardio-vascular

— Gastro-intestinal system

— Nervous system

— Respiratory system

— Anti-infective

— For external use

2.

Medical equipment

— Necessary for the administration of oxygen (including maintenance requisites)

Note:

For the detailed implementation of Section III, Member States may refer to the IMO Medical First Aid Guide for use in accidents involving dangerous goods (MFAG) contained in the 1990 consolidated edition of the IMO International Maritime Dangerous Goods Code, as amended.

Any adaptation of Section III in implementation of Article 8 may take account, inter alia, of any updating of the MFAG.

’

(2)

Annex IV to Directive 92/29/EEC is replaced by the following:

‘ANNEX IV

General Framework for the Inspection of Vessels’ Medical Supplies

(Article 2(1)(c), Article 3(3))

SECTION A

CATEGORY A VESSELS

I.

Details of the vessel

Name: …

Flag: …

Home port: …

II. Medical supplies

	Quantities required	Quantities actually carried on board	Remarks (in particular, any expiry date)
1. MEDICINE
1.1. Cardiovascular
(a) Cardio-circulatory sympathomimetics	0	0	0
(b) Anti-angina preparations	0	0	0
(c) Diuretics	0	0	0
(d) Anti-haemorrhagics including uterotonics if there are women on board	0	0	0
(e) Anti-hypertensive	0	0	0
1.2. Gastro-intestinal system
(a) Medicines for gastric and duodenal disorders	0	0	0
— Medicine for treatment of stomach ulcer and gastritis	0	0	0
— Anti-acid mucous dressings	0	0	0
(b) Anti-emetics	0	0	0
(c) Laxatives	0	0	0
(d) Anti-diarrhoeals	0	0	0
(e) Haemorrhoid preparations	0	0	0
1.3. Analgesics and anti-spasmodics
(a) Analgesics, anti-pyretics and anti-inflammatory preparations	0	0	0
(b) Powerful analgesics	0	0	0
(c) Spasmolytics	0	0	0
1.4. Nervous system
(a) Anxiolytics	0	0	0
(b) Neuroleptics	0	0	0
(c) Seasickness remedies	0	0	0
(d) Anti-epileptics	0	0	0
1.5. Anti-allergics and anti-anaphylactics
(a) Anti-histaminics	0	0	0
(b) Glucocorticoids	0	0	0
1.6. Respiratory system
(a) Bronchiospasm preparations	0	0	0
(b) Anti-tussives	0	0	0
(c) Medicines used for colds and sinusitis	0	0	0
1.7. Anti-infection
(a) Antibiotics (at least two classes)	0	0	0
(b) Anti-parasitics	0	0	0
(c) Anti-tetanus vaccines and immunoglobulins	0	0	0
(d) Anti-malaria medicines, carriage shall be dependent upon operational area	0	0	0
1.8. Compounds promoting rehydration, caloric intake and plasma expansion	0	0	0
1.9. Medicines for external use
(a) Skin medicines	0	0	0
— Antiseptic solutions	0	0	0
— Antibiotic ointments	0	0	0
— Anti-inflammatory and analgesic ointments	0	0	0
— Anti-mycotic skin creams	0	0	0
— Burn preparations	0	0	0
(b) Eye medicines	0	0	0
— Antibiotic and anti-inflammatory	0	0	0
— Anaesthetic drops	0	0	0
— Saline solution for eyewash	0	0	0
— Hypotonic myotic drops	0	0	0
(c) Ear medicines	0	0	0
— Anaesthetic and anti-inflammatory solutions	0	0	0
(d) Medicines for oral and throat infections	0	0	0
— Antiseptic mouthwashes	0	0	0
(e) Local anaesthetics	0	0	0
— Local anaesthetics using freezing	0	0	0
— Local anaesthetics given by subcutaneous injection	0	0	0
2. MEDICAL EQUIPMENT
2.1. Resuscitation equipment
— Ambu bag (or equivalent); supplied with large, medium and small masks	0	0	0
— Appliance for the administration of oxygen with pressure-reducing valve such that ship’s industrial oxygen can be used, or oxygen container (2)	0	0	0
— Mechanical aspirator to clear upper respiratory passages	0	0	0
2.2. Dressing and suturing equipment
— Tourniquets	0	0	0
— Disposable suture stapler or suture kit with needles	0	0	0
— Adhesive elastic bandage	0	0	0
— Gauze strips	0	0	0
— Tubular gauze for finger bandages	0	0	0
— Sterile gauze compresses	0	0	0
— Sterile sheet for burns victims	0	0	0
— Triangular sling	0	0	0
— Disposable gloves	0	0	0
— Adhesive dressings	0	0	0
— Sterile compression bandages	0	0	0
— Adhesive sutures or zinc oxide bandages	0	0	0
— Non-absorbable sutures with needles	0	0	0
— Vaseline gauze	0	0	0
2.3. Instruments
— Disposable scalpels	0	0	0
— Instrument box made of suitable material	0	0	0
— Scissors	0	0	0
— Dissecting forceps	0	0	0
— Haemostatic clamps	0	0	0
— Needle forceps	0	0	0
— Disposable razors	0	0	0
2.4. Examination and monitoring equipment	0	0	0
— Disposable tongue depressors	0	0	0
— Reactive strips for urine analysis	0	0	0
— Temperature charts	0	0	0
— Medical evacuation sheets	0	0	0
— Stethoscope	0	0	0
— Sphygmomanometer	0	0	0
— Medical thermometer	0	0	0
— Hypothermic thermometer	0	0	0
—Quick malaria test, carriage shall be dependent upon operational area	0	0	0
2.5. Equipment for injection, perfusion, puncture and catheterisation	0	0	0
— Bladder drainage equipment (suitable for men and women)	0	0	0
— Intravenous infusion set	0	0	0
— Disposable syringes and needles	0	0	0
2.6. General medical equipment	0	0	0
— Personal protective medical and nursing equipment	0	0	0
— Bedpan	0	0	0
— Hot-water bottle	0	0	0
— Urine bottle	0	0	0
— Ice bag	0	0	0
2.7. Immobilisation and setting equipment	0	0	0
— Set of splints of different sizes for the extremities	0	0	0
— Collar for neck immobilisation	0	0	0
2.8. Disinfection, disinsectisation and prophylaxis	0	0	0
— Water-disinfection compound	0	0	0
— Liquid insecticide	0	0	0
— Powder insecticide	0	0	0
3. ANTIDOTES
3.1. General	0	0	0
3.2. Cardio-vascular	0	0	0
3.3. Gastro-intestinal system	0	0	0
3.4. Nervous system	0	0	0
3.5. Respiratory system	0	0	0
3.6. Anti-infective	0	0	0
3.7. For external use	0	0	0
3.8. Other	0	0	0
3.9. Necessary for the administration of oxygen (including maintenance requisites)	0	0	0

Venue and date: …

Captain’s signature: …

Authorisation by competent person or authority: …

SECTION B

CATEGORY B VESSELS

I.

Details of the vessel

Name: …

Flag: …

Home port: …

II. Medical supplies

	Quantities required	Quantities actually carried on board	Remarks (in particular, any expiry date)
1. MEDICINE
1.1. Cardiovascular
(a) Cardio-circulatory sympathomimetics	0	0	0
(b) Anti-angina preparations	0	0	0
(c) Diuretics	0	0	0
(d) Anti-haemorrhagics including uterotonics if there are women on board	0	0	0
(e) Anti-hypertensive	0	0	0
1.2. Gastro-intestinal system
(a) Medicines for gastric and duodenal disorders	0	0	0
— Medicine for treatment of stomach ulcer and gastritis	0	0	0
— Anti-acid mucous dressings	0	0	0
(b) Anti-emetics	0	0	0
(c) Anti-diarrhoeals	0	0	0
(d) Haemorrhoid preparations	0	0	0
1.3. Analgesics and anti-spasmodics
(a) Analgesics, anti-pyretics and anti-inflammatory preparations	0	0	0
(b) Powerful analgesics	0	0	0
(c) Spasmolytics	0	0	0
1.4. Nervous system
(a) Anxiolytics	0	0	0
(b) Neuroleptics	0	0	0
(c) Seasickness remedies	0	0	0
(d) Anti-epileptics	0	0	0
1.5. Anti-allergics and anti-anaphylactics
(a) Anti-histaminics	0	0	0
(b) Glucocorticoids	0	0	0
1.6. Respiratory system
(a) Bronchiospasm preparations	0	0	0
(b) Anti-tussives	0	0	0
(c) Medicines used for colds and sinusitis	0	0	0
1.7. Anti-infection
(a) Antibiotics (at least two classes)	0	0	0
(b) Anti-parasitics	0	0	0
(c) Anti-tetanus vaccines and immunoglobulins	0	0	0
(d) Anti-malaria medicines, carriage shall be dependent upon operational area	0	0	0
1.8. Compounds promoting rehydration, caloric intake and plasma expansion	0	0	0
1.9. Medicines for external use
(a) Skin medicines	0	0	0
— Antiseptic solutions	0	0	0
— Antibiotic ointments	0	0	0
— Anti-inflammatory and analgesic ointments	0	0	0
— Burn preparations	0	0	0
(b) Eye medicines	0	0	0
— Antibiotic and anti-inflammatory	0	0	0
— Anaesthetic drops	0	0	0
— Saline solution for eyewash	0	0	0
— Hypotonic myotic drops	0	0	0
(c) Ear medicines	0	0	0
— Anaesthetic and anti-inflammatory solutions	0	0	0
(d) Medicines for oral and throat infections	0	0	0
— Antiseptic mouthwashes	0	0	0
(e) Local anaesthetics	0	0	0
— Local anaesthetics given by subcutaneous injection	0	0	0
2. MEDICAL EQUIPMENT
2.1 Resuscitation equipment
— Ambu bag (or equivalent); supplied with large, medium and small masks	0	0	0
— Appliance for the administration of oxygen with pressure-reducing valve such that ship’s industrial oxygen can be used, or oxygen container (3)	0	0	0
— Mechanical aspirator to clear upper respiratory passages	0	0	0
2.2. Dressing and suturing equipment
— Tourniquets	0	0	0
— Disposable suture stapler or suture kit with needles	0	0	0
— Adhesive elastic bandage	0	0	0
— Gauze strips	0	0	0
— Sterile gauze compresses	0	0	0
— Sterile sheet for burns victims	0	0	0
— Triangular sling	0	0	0
— Disposable gloves	0	0	0
— Adhesive dressings	0	0	0
— Sterile compression bandages	0	0	0
— Adhesive sutures or zinc oxide bandages	0	0	0
— Vaseline gauze	0	0	0
2.3. Instruments
— Instrument box made of suitable material	0	0	0
— Scissors	0	0	0
— Dissecting forceps	0	0	0
— Haemostatic clamps	0	0	0
2.4. Examination and monitoring equipment	0	0	0
— Disposable tongue depressors	0	0	0
— Medical evacuation sheets	0	0	0
— Stethoscope	0	0	0
— Sphygmomanometer	0	0	0
— Medical thermometer	0	0	0
— Hypothermic thermometer	0	0	0
—Quick malaria test, carriage shall be dependent upon operational area	0	0	0
2.5. Equipment for injection, perfusion, puncture and catheterisation	0	0	0
— Intravenous infusion set	0	0	0
— Disposable syringes and needles	0	0	0
2.6. General medical equipment	0	0	0
— Personal protective medical and nursing equipment	0	0	0
2.7. Immobilisation and setting equipment	0	0	0
— Set of splints of different sizes for the extremities	0	0	0
— Collar for neck immobilisation	0	0	0
3. ANTIDOTES
3.1. General	0	0	0
3.2. Cardio-vascular	0	0	0
3.3. Gastro-intestinal system	0	0	0
3.4. Nervous system	0	0	0
3.5. Respiratory system	0	0	0
3.6. Anti-infective	0	0	0
3.7. For external use	0	0	0
3.8. Other	0	0	0
3.9. Necessary for the administration of oxygen (including maintenance requisites)	0	0	0

Venue and date: …

Captain’s signature: …

Authorisation by competent person or authority: …

SECTION C

CATEGORY C VESSELS

I.

Details of the vessel

Name: …

Flag: …

Home port: …

II. Medical supplies

	Quantities required	Quantities actually carried on board	Remarks (in particular, any expiry date)
1. MEDICINE
1.1. Cardiovascular
(a) Anti-angina preparations	0	0	0
1.2. Gastro-intestinal system
(a) Anti-diarrhoeals	0	0	0
1.3. Analgesics and anti-spasmodics
(a) Analgesics, anti-pyretics and anti-inflammatory preparations	0	0	0
1.4. Nervous system
(c) Seasickness remedies	0	0	0
1.5. Medicines for external use
(a) Skin medicines	0	0	0
— Antiseptic solutions	0	0	0
— Burn preparations	0	0	0
(b) Eye medicines	0	0	0
— Saline solution for eyewash	0	0	0
2. MEDICAL EQUIPMENT
2.1. Dressing and suturing equipment
— Tourniquets	0	0	0
— Adhesive elastic bandage	0	0	0
— Sterile gauze compresses	0	0	0
— Disposable gloves	0	0	0
— Adhesive dressings	0	0	0
— Sterile compression bandages	0	0	0
— Adhesive sutures or zinc oxide bandages	0	0	0
3. ANTIDOTES
3.1. General	0	0	0
3.2. Cardio-vascular	0	0	0
3.3. Gastro-intestinal system	0	0	0
3.4. Nervous system	0	0	0
3.5. Respiratory system	0	0	0
3.6. Anti-infective	0	0	0
3.7. For external use	0	0	0
3.8. Other	0	0	0
3.9. Necessary for the administration of oxygen (including maintenance requisites)	0	0	0

Venue and date: …

Captain’s signature: …

Authorisation by competent person or authority: …

’

(1)

Under the conditions of use prescribed by national laws and/or practices

(2)

Under the conditions of use prescribed by national laws and/or practices.

(3)

Under the conditions of use prescribed by national laws and/or practices.

This summary has been adopted from EUR-Lex.