SHIP MASTER’S MEDICAL REPORT

(for compliance with Regulation 4.1 of the Maritime Labour Convention, 2006)

TABLE OF SHIPBOARD WORKING ARRANGEMENTS

Name of Ship:

IMO No.:

Flag:

Last Updated:

Page: xx of xx

The Minimum Hours of Rest are applicable in accordance with National Requirements, in conformity with the ILO Maritime Labour Convention (MLC), 2006 and with any applicable Collective Agreement registered or authorized in accordance with that Convention and with the International Convention on Standards of Training, Certification and Watchkeeping for Seafarers, (STCW) 1978, as amended.

Other Requirements: (if none, state N/A)

Minimum Hours of Rest shall not be less than: (a) 10 hours in any 24-hours period; (b) 77