Regulation 2

in regulation 2 the existing text shall become paragraph (1), and the following shall be added as paragraph (2):—

“(2)

Any approval in pursuance of these Regulations shall be given in writing and shall specify the date on which it takes effect and the conditions (if any) on which it is given.”;

regulation 9 shall be replaced by the following:—

“9

If an approved medical practitioner has reasonable grounds for believing that:

(i)

there has been a significant change in the medical fitness of a seafarer during the period of validity of his medical fitness certificate; or

(ii)

when the medical fitness certificate was issued an approved medical practitioner, had he been in possession of full details of the seafarers condition, could not reasonably have considered that the seafarer was fit, having regard to the medical standards referred to in regulation 7; or

(iii)

that the medical fitness certificate was issued otherwise than in accordance with these Regulations, he shall notify the seafarer concerned and may:

(a)

suspend the validity of that certificate until the seafarer has undergone a further medical examination;

(b)

suspend the certificate for such period as he considers the seafarer will remain unfit to go to sea; or

(c)

cancel the certificate if he considers that the seafarer is likely to remain permanently unfit to go to sea”.