coast guard commandant instruction manuals

coast guard commandant instruction manuals

Our payment security system encrypts your information during transmission. We don’t share your credit card details with third-party sellers, and we don’t sell your information to others. Please try again.Please try again.Please try again. Only after a long series of marine incidents, involving heavy losses of life and property, did Congress enact legislation and create a federal organization, the Steamboat Inspection Service, to preserve and protect the public from preventable marine incidents. The preservation of life in the aftermath of a marine incident was carried out by federal search and rescue forces; the protection aspect (before-the-fact) was handled by federal agencies involved with maritime law enforcement and aids to navigation. The Coast Guard's current marine safety programs still retain the overall philosophical objectives of the historical preservation and protection programs. As a result of myriad statues and regulations affecting the marine environment and the marine industry, several distinct programs concerned with marine safety and related issues have evolved: Commercial Vessel Safety (CVS), Port and Environmental Safety (PES), Marine Environmental Response (MER), Waterways Management (WWM), Recreational Boating Safety (RBS), and Bridge Administration (BA). Under consolidation, attention is better focused on preventing marine casualties and incidents through appropriate legislation and regulations, coordinated field efforts to implement requirements, and education of the maritime public. States are considered the primary investigative authority for all boating accidents. This incredible CD-ROM is packed with over 35,000 pages reproduced using Adobe Acrobat PDF software - allowing direct viewing on Windows and Macintosh systems. Advanced search and indexing features are built into our reproduction, providing a complete full-text index.

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This Manual incorporates and consolidates prior guidance on the medical evaluation of merchant mariners contained in several Coast Guard documents. The Manual includes guidance on the medical certificate and related processes, including procedures for application, issuance, and cancellation of the medical certificate. The Merchant Mariner Medical Manual provides guidance to the regulated community on how to comply with the regulations pertaining to medical and physical qualifications for merchant mariners. The Coast Guard developed the draft Manual in consultation with experienced maritime community medical practitioners and industry stakeholders serving on the Merchant Mariner Medical Advisory Committee (MEDMAC) and the Merchant Marine Personnel Advisory Committee (MERPAC). The Manual reflects a synthesis of their recommendations and the medical requirements of title 46 Code of Federal Regulations (CFR) part 10, subpart C. Additionally, the public had the opportunity to comment on drafts of policies contained in this Manual, and its predecessor, NVIC 04-08. See requests for comment on proposed policies regarding: Diabetes, cardiomyopathy, and sleep disorders ( 80 FR 8586, Feb. 18, 2015); Medications ( 80 FR 4582, Jan. 28, 2015); Seizures ( 78 FR 17917, Mar. 25, 2013); and Implantable cardioverter defibrillators ( 77 FR 55174, Sep. 7, 2012). The Coast Guard considered these public comments when developing this Manual. While the Coast Guard is not required to seek or respond to public comments prior to publication of a policy document, we chose to do so in this case because of the perceived complexity of the Merchant Mariner Medical Manual, and because doing so provides us the opportunity to (1) create a guidance document that is more viable and responsive to the needs of the impacted community; and (2) to identify and clarify remaining areas of confusion and concern amongst the regulated community. The Coast Guard received 37 comment letters in response.

These commenters found the guidance in the Manual to be thorough, straightforward and easy to use, and they found that it answered many questions that had arisen with previous medical policy documents. The favorable commenters appreciated that the document provides medical evaluators, mariners and medical providers with needed and relevant information that will reduce the need for “back and forth” between the mariner and the National Maritime Center. They also found it helpful that the Manual outlines the Coast Guard's general concerns with particular medical conditions and discusses the general factors that the Coast Guard will use to evaluate the medical condition and make a fitness determination. Comments provided by the National Transportation Safety Board (NTSB) found that the draft Medical Manual aptly streamlines the medical certification guidance and provides a level of detail that should assist medical personnel during the mariner medical certification exams. The NTSB comment letter also provided the following observations: Since 2009, the NTSB has not found any medical conditions to have contributed to the probable cause of a marine accident. However, the NTSB continues to find effects from impairing substances (alcohol and over-the-counter, prescription, or illicit drugs) to have contributed to the probable cause across all modes of transportation. This commenter expressed concerns that the guidance in the Medical Manual would sacrifice maritime safety unless the Coast Guard provided further clarification and a plan for implementation. Additionally, the commenter opined that the guidance does not adequately ensure that medical conditions are sufficiently controlled for those mariners at higher risk, because the Medical Manual does not establish clear standards for specific medical conditions.

The Coast Guard does strive to increase clarity with publication of the Medical Manual, however, the Coast Guard disagrees that improved clarity requires publication of an implementation plan. Discussion of the Coast Guard's internal implementation plans are beyond the scope of the Medical Manual. Moreover, the majority of the policy contained in the mariner medical manual is not new guidance. It is the same guidance, explained in greater detail, that was already implemented in the years following the Start Printed Page 47143 publication of NVIC 04-08. The Coast Guard also disagrees with the assertion that the Medical Manual should establish condition-specific medical standards. The medical and physical standards for merchant mariner medical certification have already been established in 46 CFR part 10, subpart C. Establishing new medical standards is beyond the scope of a policy document. The Coast Guard disagrees on the basis that a quick reference table would not adequately capture the discussion, explanation and rationale that mariners, treating providers and medical examiners need to understand in order to provide quality examinations to the Coast Guard. One letter commented that the Medical Manual should require all mariners to meet the same medical standard, and should provide “specific acceptable parameters” for many conditions to include BMI, pulmonary function, glucose levels, blood pressure, and cardiac function. Another comment letter suggested that the Coast Guard should implement a random medical testing program, similar to that used for drug testing. The third comment letter stated that the physical ability requirements should also include criteria for the speed and facility with which a mariner performs required tasks. The Coast Guard disagrees with these comments.

While some of the recommendations pertaining to medical standards may warrant future discussion, changes or additions to the medical and physical requirements for medical certification are beyond the scope of this document. As discussed earlier, the medical and physical standards for medical certification are provided in 46 CFR part 10, subpart C, and changes to those requirements would require a rulemaking. The Coast Guard agrees that such guidance may prove helpful and will work with MEDMAC to consider whether and what type of guidance would be appropriate for inclusion in a future version of the Medical Manual. Three commenters opined that it is excessive to require mariners to undergo a medical examination every two years. They recommended that the medical examination for all mariners, including those sailing under the authority of their Standards of Training, Certification, and Watchkeeping (STCW) endorsement, should remain valid for a period of 5 years, unless the mariner's medical condition warrants issuance of a shorter-duration medical certificate. A different commenter requested clarity on how often a mariner is required to obtain a medical exam, noting that in some instances maritime employers require an annual medical examination, even when the Coast Guard does not. It is important to note that the medical certificate validity period and the frequency of required medical examinations may differ between endorsements because of the differing legal requirements. Since these requirements are established in regulation, changing them would require a rulemaking and is beyond the scope of this policy document. The medical examination requirements of individual employers are also outside the scope of this policy document. Three commenters requested additional information on the Designated Medical Examiner (DME) program, with one requesting that the Coast Guard publish its timeline and intent to create the DME program.

The Coast Guard understands that there is significant interest in the DME program and will publish additional information, as and when appropriate. The Coast Guard considered each of these recommendations, but noted that changes to the regulations are beyond the scope of this policy document. One of these comments expressed concern that the Manual's instructions would allow non-medical personnel to make medical determinations for U.S. mariners.” This commenter recommended that the Coast Guard add language to specify that all medical certification decisions will be supervised by a licensed medical officer. The second comment noted that the Manual does not contain “any reassurance or check and balance of examiners, examination quality, or the NMC medical certification process.” This commenter requested that the Coast Guard add language to address these concerns. The Coast Guard considered both of the comments, but does not concur with them. The staffing and internal quality assurance practices of the NMC are beyond the scope of this document. Nonetheless, the Coast Guard affirms that the activities of the NMC Medical Evaluations Division, particularly those related to medical certification, are supervised by a licensed medical officer. On the issue of providing quality assurance for medical examiners, it is important to recognize that medical examiners are not regulated by the Coast Guard. Therefore, providing reassurance or checks and balances of examiners and their exam quality, is inappropriate and is beyond the scope of this document. One also requested that the Coast Guard add language to the Medical Manual requiring medical treatment for any mariner who fails a USCG required drug test. The Coast Guard does not concur with these commenters.

The Medical Manual does not address requirements related to positive drug tests because the regulations and guidance on the management and disposition of individuals who have a positive drug test are contained in 46 CFR parts 5, 10, and 16. Changes to the DOT and Coast Guard drug testing regulation and policy are beyond the scope of this policy document. The Medical Manual contains guidance on how the Coast Guard will conduct the medical certification evaluation for individuals who have been diagnosed with a substance abuse disorder. The Medical Manual does not, however, direct treatment nor provide diagnostic instruction, because such areas are beyond the scope this policy document. The Coast Guard notes that the answer to this question will depend on the provisions outlined in the mariner's medical waiver letter. Some waiver letters require that the mariner report changes in medical condition to the Coast Guard within a specified period of time. If no such provision is provided in the mariner's waiver letter, then the mariner is not required to disclose the change in medical condition until the time of the next medical certificate application. One of these same commenters also asked how employees could protect themselves from inaccurate reports. The Coast Guard considered each of these comments and advises that this manual does not impose any new reporting requirements on anyone. In response to the concerns about how mariners will be able to protect themselves from inaccurate reports, the Coast Guard offers that the Merchant Mariner Medical Manual only proposes to take action on medical information that the Coast Guard has determined as credible. The information that the Coast Guard would deem credible differs depending upon the circumstances, but generally will include medical provider documentation, formal incident reports, emergency medical services reports, and investigative reports.

The Coast Guard also asserts that mariners will be able to protect themselves from inaccurate reports because this manual provides a standard process for evaluating these reports and further provides mariners with notice of, and the opportunity to respond to, information that indicates that they are no longer fit for medical certification. Both commenters noted that prior versions of the CG-719K and the Medical Manual only instructed mariners to disclose OTC medications if the medications were used for a period of 30 days or more within the 90 days prior to the date the applicant signs the application to the Coast Guard. They requested that the Coast Guard provide additional language in the Medical Manual to clarify that applicants need only disclose OTC medications, when such medications were used for a period of 30 days or more within the 90 days prior to the date the applicant signs the application to the Coast Guard. The Coast Guard agrees that the language change regarding OTC medication disclosures on the most recent version of the CG-719K was an inadvertent change, and language was added to Chapter 7 of the Medical Manual to clarify the reporting requirements for OTC medications. The Coast Guard will be pursuing a change to CG-719K in the future to correct this change. In light of these concerns, the Coast Guard determined that it would be prudent to add additional guidance regarding OTC medications to the Important Safety Warnings paragraph of Chapter 7. Specifically, the additional guidance warns that some OTC medications and preparations may contain intoxicants or other dangerous drugs prohibited by Department of Transportation regulations. Paragraph I discusses NMC medical evaluation procedures for mariners with existing waivers, and Paragraph I.3. states that the Coast Guard is not bound to honor a medical waiver that was issued in clear error, contrary to duly promulgated policy in effect at time of issuance.

The commenter mistakenly interpreted the clear error discussion to mean that the Coast Guard would not take responsibility for any erroneous certification decisions that might lead to mishaps or untoward medical situations at sea. In order to clear up this area of confusion, the Coast Guard added language to Paragraph I.3. of Chapter 3, to clarify that the discussion of clear error pertains to medical waivers that were issued in error. The Coast Guard disagrees. Title 46 CFR 10.305 (a) provides that mariners must demonstrate satisfactory color sense through one of the tests listed in the regulation, or through an alternative test acceptable to the Coast Guard. Paragraph A.1.d.(2) of the Medical Manual provides guidance for mariner applicants seeking to demonstrate satisfactory color vision sense through use of an alternative test, and describes the type of information that the Coast Guard will consider in determining whether an alternative test is sufficient for issuance of the medical certificate. The guidance does not guarantee that any singular test will be accepted as an alternative methodology for any particular mariner applicant, but rather states that the Coast Guard retains final authority for determining whether the testing is acceptable, and recommends that any alternative test be accompanied by a formal color vision evaluation from an ophthalmologist or optometrist. Start Printed Page 47145 The medical and physical standards for merchant mariner medical certification are contained in 46 CFR part 10, subpart C. The Coast Guard mariner medical evaluation and certification process seeks to determine whether an applicant meets the medical and physical standards for merchant mariners based upon the information available to the Coast Guard at the time of the certification decision. In accordance with 46 CFR 10.301, the Coast Guard will issue a medical certificate to a mariner meeting the medical and physical standards for merchant mariners.

This decision is necessarily a snapshot of the mariner's medical and physical condition at a single point in time. First, an individual's fitness-for-duty status is not static, thus it should be considered whenever an individual reports for duty. Fitness-for-duty status can change suddenly due to an acute illness, injury or incident. The second important consideration is that a “fitness-for duty” determination refers to an evaluation ordered by an employer to assess an employee's ability to perform the essential functions of their assigned job (as specified by the employer). Such an evaluation might be requested when the employer has a reasonable belief that an employee will not be able to perform essential job functions because of their medical condition. A variety of state and Federal laws govern fitness for duty determinations depending upon the specific circumstances. Generally, a fitness for duty physical must be job-related and consistent with business necessity. One other important consideration is that the merchant mariner medical qualification standards in part 10, subpart C, are the minimum acceptable standards. In these cases, the employer's fitness-for-duty determinations may differ from the medical certification determination because they are based upon different standards. The Merchant Mariner Medical Manual does not preclude marine employers from establishing more rigorous medical or physical ability guidelines; however, there are additional laws and regulations that apply. The Coast Guard considered this comment, but determined that a line-by-line list of changes would not be helpful because of the extensive changes in wording, format and organization between the two documents. Instead, the Coast Guard has already provided a fairly comprehensive discussion of the major changes in Paragraph 6 of the Letter of Promulgation for the Medical Manual. After considering the comments, we decided to proceed with the proposed policy.

One commenter who opposed the policy nevertheless provided a number of suggested edits to the text which were adopted.The commenter noted that waivers seem not to have been consistently applied to conditions. The Coast Guard agrees in part and over the last few years has provided further guidance on waivers for the most frequently occurring conditions. Those changes to NVIC 04-08 have been carried forward into this manual. These provisions were included to reduce the burden of imposing and then removing waivers and restrictions for conditions that are expected to resolve in the short-term. IEEE GlobalSpec may share your personal information and website activity with our clients for which you express explicit interest, or with vendors looking to reach people like you. IEEE GlobalSpec will retain this data until you change or delete it, which you may do at any time. You may withdraw your consent at any time.When a webinar seems like a good fit, we will send you an email to invite you to attend. When a white paper seems like a good fit, we will send you an email to invite you to download. Periodically, these affiliates, editorial sponsors, and sponsored content providers will reach out to you via email to determine if you have additional interest in their product or service. Based on information provided at registration (country, job function, industry, etc.), companies may wish to send you email pertaining to their products or service. Please try again in a few minutes.Please try again in a few minutes.This Manual also: a. Integrates the broad requirements of Title 40 of the U. S. Code,.Part I, Student. Please try again.Then you can start reading Kindle books on your smartphone, tablet, or computer - no Kindle device required. Get your Kindle here, or download a FREE Kindle Reading App.To calculate the overall star rating and percentage breakdown by star, we don’t use a simple average. It also analyses reviews to verify trustworthiness.

Such uniform wear is as prescribed in the Coast Guard Uniform Regulations (Commandant Instruction Manual 1020.6 (series)), except as noted in chapter 10 of the Auxiliary Manual. Respective guidelines are amended as follows: Auxiliarists who do not own Dinner Dress Blue Jacket or Dinner Dress White Jacket may wear Service Dress Blue to such ceremonies and events for which such formal wear is prescribed. The same holds true for Auxiliarists in retired status. They are nonetheless Auxiliary events, and Auxiliarists who are invited to them are so invited because of their Auxiliary membership status, not due to a retired military status as may be held by prior active duty or Reserve personnel. Accordingly, Auxiliarists who are also retired military personnel are strongly encouraged and recommended to wear their Auxiliary dress uniform under such circumstances in lieu of any authorized military dress uniform. All information contained herein and linked is OFFICIAL policy and Information. Contact Us. Internet release is authorized. 3. DIRECTIVES AFFECTED. U.S. Coast Guard Personal Property Management Manual, COMDTINST M4500.5C is hereby cancelled. 4. DISCUSSION. Government Personal Property accountability cannot be over emphasized and is prescribed by law as well as departmental regulation. These new forms will be put into use following approval of form change. Units and individuals may recommend changes by writing via the chain of command to: COMMANDANT (CG-844) ATTN PERSONAL PROPERTY ACCOUNTABILITY DIVISION US COAST GUARD HEADQUARTERS 2100 2ND ST SW, STOP 7245 WASHINGTON DC 20593-7245 7. DISTRIBUTION. No paper distribution will be made of this Manual. To view this Manual or other unclassified directives visit the Coast Guard Directives System Intranet site at: Forms can be accessed through the Intranet Portal at: 8. RECORDS MANAGEMENT CONSIDERATIONS.

Personal property is any Federal property, except real property (buildings, land, and structures), with an estimated useful life of more than two years, is not intended for sale in the ordinary course of operations, and has been acquired or constructed with the intent of being used or being available for use. Personal property also includes leases, property on loan to the Coast Guard (CG), and property owned by the CG in the hands of another entity which could include Government-furnished equipment possessed by a contractor, or items the CG has loaned.Heritage Assets. B. Sensitive Personal Property. This type of property must be recorded in the CG financial system of record. Equipment used in conjunction with systems and computer hardware (e.g. communications systems, RESCUE 21, synthesizers, etc.). 1. Supported electronics equipment is any equipment that has centralized logistics support, which means it meets one or more of the following criteria: a) A Systems Management and Engineering Facility (SMEF) Supervisor or Equipment Manager (EM) is identified by Commandant, Office of Command, Control (C3Cen), and Navigation Systems, Commandant (CG-64). This electronics equipment is usually purchased with unit or district funds to meet local requirements. C. General Purpose Property (GPP). GPP is defined as property that has a normal life expectancy of more than two years, has continuing use as a self-contained unit, is not consumed in use, does not lose its identity when put to use, or does not ordinarily become a non-serviceable component of other property. This type of property is not intended for sale in the ordinary course of operations and has been acquired or constructed with the intention of being used, or being available for use by the entity. General Purpose Property has no subsidiary system and must be entered into Oracle FAM. D. Boats. A watercraft less than sixty-five feet in length and capable of being used as a means of transportation on water.

Two categories of boats that may be acquired are standard and non-standard boats. 1. Standard Boats. Standard boats are specified by the Commandant, as listed in the Naval Engineering Manual, COMDTINST M9000.6 (series). 2. Non-Standard Boats. Non-standard boats are specified by the Commandant, as listed in the Non-Standard Boat Operators Handbook, COMDTINST M16114.28 (series). E. Internal Use Software. CG policies regarding motor vehicles also apply to trailers that are designed to operate on public roadways. H. Cutters. Cutters are defined as watercraft of sixty-five feet in length or greater and capable of being used as a means of transportation on water. I. Heritage Assets. Commandant (CG-09224), the Coast Guard historian’s office, determines which personal property items are designated heritage assets which help to illustrate the social, educational, and cultural heritage of the Coast Guard. Some items because of their age or cultural significance are inherently historical artifacts and may be designated as Coast Guard heritage assets. These may include (but are not limited to): ships bells, gyro compasses, brass citations, flags, pennants, chronometers, ships’ seals, clocks, compasses, models, clothing, medals, classic Fresnel lenses, original historic artwork, gifts to the Coast Guard, and any items which represent the uniqueness of the mission of the Coast Guard. Property may have historical, educational, artistic, or cultural significance because it is associated with an important person, event, or place. Reproductions and dioramas (threedimensional scenes) may or may not be considered historically significant. Most trophies, prizes, plaques, and other items of transitory significance or of morale or sentimental value are not generally considered to have historical significance for the Coast Guard collection. However, some are pertinent to the history, lineage, or traditions of the Coast Guard.