Maritime Occupational Health and Safety Regulations

PART 6: Medical Care

First Aid Kit, Medicine Chest, Medical Equipment and Medical Guide

113 (1) The employer must provide and maintain for a work place set out in column 1 of Table 1 to this section the type of
first aid kit set out in column 2 and a medical guide.

(2) The first aid kit and its contents, as well as the medical equipment and medical guide carried on board a vessel, must
be properly maintained and inspected at regular intervals of not more than 12 months, by a qualified person to en
sure that supplies and equipment are properly stored and labelled with directions for their use and their expiry date,
that all equipment functions as required and that all supplies have not reached or exceeded their expiry dates and
are not set to expire before to the next scheduled inspection date.

(3) Every first aid kit must be

(a) accessible when an employee is on board the vessel; and
(b) clearly identified by a conspicuous sign.

FIRST AID KIT CONTENTS AS PER THE CANADA LABOUR CODE

TYPES OF FIRST AID KIT

ON A SHIP
AT A
ITEM SUPPLIES AND DETACHED
With With With With
EQUIPMENT WORK PLACE
2-5 6-19 20-49 50+
Employees Employees Employees Employees

Quantity per Type of First Aid Kit

Antiseptic-wound solution, 60 mL or antiseptic swabs (10-pack) 1 2 3 6 1

Applicator—disposable (10-pack) (not needed if antiseptic swabs are used) 1 2 4 8 -
Bag—disposable, waterproof, emesis 1 2 2 4 -
Adhesive bandages 12 100 200 400 6
Gauze rolls, 2.5 cm x 4.5 m (not needed if ties attached to dressing) 2 6 9 12 -
Triangular bandages (with 2 safety pins) 2 4 6 8 1
Container—First Aid Kit 1 1 1 1 1
Gauze compress, 7.5 x 12 cm, sterile 2 4 8 12 -
Gauze dressing, 7.5 x 7.5 cm, sterile 4 8 12 18 2
Forceps (splinter) 1 1 1 1 -
First Aid manual, English — current edition 1 1 1 1 -
First Aid manual, French — current edition 1 1 1 1 -
Pad with shield or tape for eye 1 1 2 4 1
Record—First Aid 1 1 1 1 1
Scissors — 10 cm 1 1 1 1 1
Roll of waterproof adhesive tape, 1.2 cm x 4.6 m (not needed if ties 1 1 2 3 -
attached to dressings)
Penlight - - 1 1 -

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Copyright © 2017 The Canadian Red Cross Society
FIRST AID KIT CONTENTS AS PER THE CANADA LABOUR CODE

Antipruritic lotion, 30 mL or swabs (10-pack) 1 1 1 2 -

Elastic bandage, 7.5 cm x 5 m - - 1 2 -
Emergency blanket (aluminum foil blanket) - - - - 1
Dressing-burn, sterile, 10 x 10 cm 1 1 2 2 -
Dressing-burn, sterile, 20 x 20 cm - - 1 1 -
Hand cleanser or cleaning towelettes, 1 pack 1 1 1 1 -
Splint set with padding - 1 1 1 -
Stretcher - - 1 1 -
Gloves, disposable examination non-latex (pr) 5 10 20 30 5
Mask, barrier device for mouth to mouth resuscitation 1 1 2 3 1
Tongue depressor, disposable 5 5 10 10 -

INTERNATIONAL FIRST AID KIT CONTENTS

Category Recommended Item Quantity Per 10 Crew

1. RESUSCITATION EQUIPMENT
1 Portable oxygen set, complete, containing: 1
• 1 oxygen cylinder (D: 425 litres or E: 680 litres) 1
• 1 spare oxygen cylinder (D: 425 litres or E: 680 litres) 1
Equipment for the administration of oxygen
• Pressure regulator and flowmeter, with tubes such that the ship’s 1
industrial oxygen can also be used
• 3 disposable face masks of choice including resuscitation mask and 3
non-rebreather mask
Oropharyngeal airway (OPA) Sizes medium and large 2
Suction device Manual suction to clear upper airways, including 2 catheters 1
Bag-valve-mask (BVM) resuscitator BVM supplied with large, medium and small masks 1
Barrier devices for mouth-to-mouth resuscitation Pocket mask with one-way valve 1

2. DRESSING MATERIAL AND SUTURING EQUIPMENT

Adhesive bandages Assorted sizes, water-resistant 200
Gauze compress, 5 x 5 cm, sterile 100
Sterile gauze compress
Gauze compress, 10 x 10 cm, sterile 100
Gauze roll Gauze roll, 5 cm and 90 cm (or 60 cm) x 100 m, non-sterile 1
Gauze dressing with non-adherent surface Non-adherent gauze dressing, 10 cm x 10 cm, sterile 100
Vaseline® gauze Paraffin gauze dressing, 10 x 10 cm, sterile 50
Elastic bandage Elastic fixation bandage, 6 cm x 4 m 3
Sterile pressure bandage Sizes small/medium/large 5
Tubular gauze for finger bandage Tubular gauze bandage for finger bandage with applicator, 5 m 1
Adhesive elastic bandage Adhesive elastic bandage, 6 cm x 4 m 10
Triangular bandages Triangular bandages 5
Sterile sheet for burns Sterile sheet for burns 1
Adhesive sutures (or zinc oxide bandages) Adhesive tape, waterproof, skin-friendly, 5 x 1.25 cm 10
Q-tips® Q-tips® (wooden) 100
Safety pins Safety pins (stainless steel) 12 pcs 50
Butterfly sutures Butterfly sutures, skin closures, sterile 20
Skin adhesive 2-octyl cyanoacrylate liquid, 0.5 mL 2

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INTERNATIONAL FIRST AID KIT CONTENTS

Suturing equipment Sutures, absorbable with curved non-traumatic needles,

10 each
1-O, 3-O, & 4-O (or 5-O)
Disposable examination gloves 50
Gloves (latex free)
Surgical gloves sizes 6.5, 7.5, 8.5, sterile, in pairs 3 of each size

3. INSTRUMENTS
Disposable scalpels Scalpel, sterile, disposable 20
Stainless steel Instrument box Instrument box (stainless steel) 1
Operating scissors, straight (stainless Steel) 1
Scissors
Bandage scissors (stainless steel) 1
Splinter forceps, pointed (stainless steel) 1
Forceps
Teeth tissue forceps (stainless steel) 1
Needle holder Needle holder, 80 mm straight 1
Hemostatic clamp, 125 mm (stainless steel) 3
Hemostatic clamps
Razor, disposable 50

4. EXAMINATION AND MONITORING EQUIPMENT

Disposable tongue depressors Tongue depressors, disposable 100
Reactive strips for urine analysis Reactive strips for urine analysis (blood/glucose/protein/nitrite/leukocytes) 100
Microscope slides Microscope slides 100
Stethoscope Stethoscope 1
Blood pressure cuff Blood pressure cuff, preferably automatic 1
Standard thermometer Digital if possible 1
Rectal thermometer Thermometer, digital if possible 1
Hypothermic thermometer Thermometer 32°–34°C, digital if possible 1
Penlight Penlight plus blue cover 1

5. EQUIPMENT FOR INJECTION, INFUSION, AND CATHETERIZATION

Syringes, Luer connection, 2 mL, sterile disposable 50
Syringes, Luer connection, 5 mL, sterile, disposable 50
Hypodermic subcutaneous needle, Luer connection, 16 x 0.5 mm, sterile,
20
Equipment for injection disposable
Hypodermic intramuscular needle, Luer connection, 40 x 0.8 mm, sterile,
20
disposable
Needles, 19 gauge blunt, “drawing up” type 20
Intravenous, infusion cannula 16 gauge (1.2 mm) and 22 gauge (0.8
10 each
mm), Luer-lock connection, sterile, non-recap type
Equipment for infusion Intravenous giving set, Luer-lock connection, sterile 3
Tourniquet, blood-taking type, to be used with intravenous infusion
cannula 1
Penile sheath set with condom catheter(Texas Catheter™), tube, and bag 2
Short-term urine catheter with Soft Eye™ straight tip Thieman No. 12 and
Bladder drainage equipment No. 16 or equivalent (Foley), sterile, individually packed, pre-lubricated or 2
with additional lidocaine/chlorhexidine lubricant
Urine collecting bag and tube 2

6. GENERAL MEDICAL AND NURSING EQUIPMENT

Eye protection Plastic goggles or full-face masks 2
Plastic apron Disposable 20
Kidney dish (basin) Kidney dish, stainless steel, 825 mL 2
Plastic backed towels Towels, plastic backed, absorbent, 600 x 500 mm 10
Safety box (sharps container) Safety box for sharps disposal, 5 L 1

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INTERNATIONAL FIRST AID KIT CONTENTS

Masks Masks, duckbill type, disposable 50

Tape measure Tape measure, vinyl coated, 1.5 m 1
Draw sheets Draw sheet, plastic 90 x 180 cm 2
Bedpan Bedpan, stainless steel 1
Hot-water bottle Hot-water bag 1
Urine bottle Urinal, male (plastic) 1
Ice bag Cold pack 1
Emergency blanket (aluminum foil blanket) Aluminum foil blanket 1
Condoms Male condoms 100
Wash bottle Plastic wash bottle, 250 mL 1
Plastic bottle Bottle, 1 litre, plastic with screw top 3
Dressing tray Stainless steel dressing tray, 300 x 200 x 30 mm 1
Bowl Bowl, stainless steel, 180 mL 3
Specimen jars Jars, plastic, with lids and labels, 100 mL 10
Plaster-of-Paris bondage Bandages, POP, 5 cm and 10 cm x 2.7 m 12 each
Stockinet Sizes for arm and leg splints, 10 m roll 1 each
Cotton wool Cotton wool roll, 500 g 10
Alcohol swabs 70% alcohol swabs for skin cleansing prior to injection 200
Nail brush Nail brush 1

7. IMMOBILIZATION AND TRANSPORTATION EQUIPMENT

Malleable finger splint 1 of each
Malleable splints
Malleable forearm/hand splint 1 of each

MINIMUM FIRST AID KIT CONTENTS ON SURVIVAL CRAFTS (INCLUDING LIFEBOATS AND RAFTS)

Items Supplies and Equipment Quantity

Adhesive bandages, 7.5 x 2.2 cm (individually wrapped) 32
Gauze rolls, 5 cm x 4.6 m 4
Compress bandages, 10 x 10 cm with 90-cm gauze tabs 8
Sterile abdominal pads, 15.2 x 20.3 cm 2
Triangular bandages 6
Sterile eye pads, 4.69 x 6.98 cm 10
Extra-ocular ophthalmic irrigating solution in an unbreakable bottle that shows a drug identification number and an expiry date 120 mL
Unbreakable plastic eyewash cup 1
Wire splint, 9.5 x 60 cm 1
Individual packs of ammonia inhalant 20
Pads impregnated with povidone and iodine that show an expiry date 20
Pocket guide to Emergency First Aid, in English and French, published by the Canadian Red Cross or St. John Ambulance 1
Waterproof contents list and instruction sheet in English and French 1
Safety pins 6
1
Bandage scissors (stainless steel) 1
Roll of waterproof adhesive tape, 2.5 cm x 4.5 m 1
The first aid kit shall be placed in a container that is:
• Watertight • Re-sealable • Fitted with a gasket to ensure a tight seal • Made of a rigid plastic that is capable of
withstanding temperatures of -30°C, such as acrylonitrile butadiene styrene (ABS) or high-impact polystyrene (HIPS)

1 Adapted with permission from Marine Occupational Health and Safety Regulations, Canada Labor Code, Subsection
2 Adapted with permission from World Health Organization, International Medical Guide for Ships, 3rd Edition. Geneva:World
Health Organization, 2007.
3 Adapted with permission from Transport Canada. For full regulations, see Life Saving Equipment
Regulations. (http://laws-lois.justice.gc.ca)
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Copyright © 2017 The Canadian Red Cross Society