Professional Documents
Culture Documents
Basic Training
(BT)
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FIRST AID - It is the immediate and continuing care given to a person who has been injured or
suddenly taken ill.
BODY STRUCTURE
A. Skeletal System
Skeleton bones that serve as a framework of the body
Joint union of two bones
provides range of motion
Major Bones:
1. Skull
Division:
a. Frontal
b. Parietal
c. Temporal
d. Occipital
2. Spinal Column (backbone) principal support
system of the body
a. Spinal cord
b. Spinal nerve
Lower Extremity
a. Thigh femur and patella (knee cap)
b. Leg tibia and fibula
Tarsal
c. Feet
Metatarsals
Phalange
B. Muscular System
Muscle movement of the body
Kinds of muscles:
a. Striated / Skeletal muscle (voluntary) - Under the control of a persons will
b. Smooth / visceral muscle (involuntary) - Person has little or very limited control or no
control over these muscles and usually is not conscious of them.
c. Cardiac muscle (heart) - able to stimulate itself into contraction
C. Respiratory System
1. Lungs organ for respiration / breathing
2. Alveoli where exchange of O2 and CO2 take place
3. Trachea windpipe
D. Circulatory System
Heart pumping organ
located at the center of the chest
Chambers:
1. Atrium
2. Ventricles
Heart rate 60-100 beats/min (adult)
80-120 beats/min (child)
120-160 beats/min (infant)
Blood Vessels:
1. Artery passageway of oxygenated blood
distributor
2. Veins passageway of unoxigenated blood
collector
3. Capillaries aid in distribution of nutrients to the body
Blood
1. Red Blood Cell carry oxygen to the rest of the body
2. White Blood Cell designed to fight infections
3. Platelets help control bleeding
4. Plasma liquid part which contains the blood clothing factors, other nutrients and
antibodies
safe
Safe area
Emergency Rescue
Safer
Area
(hospital
medical
Emergency Transfer
B Burns
T Tenderness
L Laceration
S Swelling
T
P
R
BP
Vital Signs
Temperature
Pulse Rate
Respiratory Rate
Blood Pressure
O Onset of pain
P Provocation
Q Quality
R
S Swelling
T Timing
Normal Range
36.5 37.5 C
60-100 beats/min
16-24 breath/min
110/70 130/90 mmHg
Types:
1. Partial Airway Obstruction with good air exchange can speak
2. Partial Airway Obstruction with poor air exchange conscious but cant speak
3. Complete airway obstruction unconscious
B. Respiratory Arrest
1. No breathing with pulse
2. Give artificial respiration / Rescue breathing
Causes:
1. Drowning
2. Electrical shock
3. Poisoning
4. Suffocation / inhalation of toxic gas
1.
2.
3.
4.
5.
6.
First Aider
Mouth
to
Mouth
to
Mouth
to
Mouth
to
Mouth
to
Use of ambu bag
Victim
Mouth
Nose
Mouth and Nose (infant)
Stoma
Mask / Face Shield
2X
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Children 1 breathe enough to make the victims chest rise every 3 seconds (1:3)
40 times per 2 minutes / 20x / min
Infants 1 gentle breath enough to make the victims chest rise every 3 second (1:3)
40 times per 2 minutes / 20x / min
C.
Cardiac Arrest
-
No breathing
Apply CPR
+ 2
+ 2
+ 2
+ 2
+ 2
ventilation (1st)
ventilation (2nd)
ventilation (3rd)
ventilation (4th)
ventilation (5th)
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Chest Compression:
Summary of Lay Rescuer CPR for Adults, Children and Infants
(New Born / Neonatal information not included)
STEP / ACTION
ADULT: 8 YEARS
AND OLDER
Airway
CHILD: 1 TO 8
YEARS
INFANT: UNDER 1
YEAR
Breaths Initial
2 breaths at 1 second/breath
Foreign-body airway
obstruction
COMPRESSIONS
Compression
Landmark
Compression method
Push hard and fast
Allow complete recoil
Compression depth
2 hands : Heel of 1
hand second hand on
top
1 to 2 inches
Compression rate
Compression
ventilation ratio
Cycle
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Hey! Hey! Are you ok? (2x, while tapping the shoulder of the victim)
Victim is unresponsive!
Help! Help! (while one hand is raised)
Activate medical assistance!
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Administering
the abdominal
thrust in a
standing patient
choking?
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Pressure Points:
1. Temporal artery
2. Facial artery
3. Subclavian artery
4. Brachial
5. Radar
6. Iliac
7. Femoral
8. Popliteal
9. Anterior and posterior tibial artery
10. Dorsalis pedis
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SHOCK -
A depressed condition of many of the body functions due to the failure of enough
blood to circulate through the body
A. Causes
1. Primary Pump Failure
2. Fluid Losses
3. Vasodilatation / relative hypovolema
S Saline Solution
H Heat
O Oxygen
C Careful Handling
K Keep the injured in a
comfortable position
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Proper transfer
BURNS
radiation
A. Classification of Burns According to
depth:
1.
2.
3.
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Palm pressure
g. Sprained ankle shoe off/shoe on
Triangular Bandage
Parts
Phases
Broad cravat
apex
Side
Side
Semi-broad
cravat
Open
phase
FACE
Narrow
cravat
end
base
end
BANDAGING
A. Open Phase
Arm Sling
Knee Bandage
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Methods of Transfer
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PRINCIPLES OF SURVIVAL
I. TRAINING AND DRILLS
A. Each member of the crew participates in at least one abandon ship drill and one fire drill
every month. The drills of the crew happened within 24 H of the ship leaving the port if more
than 25% of the crew have not participated in abandon ship and fire drills on board that
particular ship in the previous month.
B. On a ship engaged on an International voyage which is not short international voyage,
musters of the passengers shall takes place within 24 H after their embarkation. Passengers
shall be instructed in the use of lifejackets and the action to take in an emergency. If only a
small number of passengers embark a port after the muster has been held it shall be
sufficient, instead of holding another muster, to draw the attention of these passengers to
the emergency instructions.
C. On a ship engaged on a short international voyage, if the muster of the passengers is not
held in departure the attention of the passengers shall be drawn to the emergency
instruction.
D. Each abandon ship drill shall include:
1. Summoning the passengers and crew to muster stations with the alarm and ensuring
that they are made aware of the order to abandon ship specified in the muster list.
2. Reporting to stations and preparing for the duties described in the muster list
3. Checking that passengers and crew are suitably dressed
4. Checking that lifejackets are correctly donned
5. Lowering of at least one lifeboat after the necessary preparations for launching
6. Starting and operating the lifeboat engine
7. Operation of davits used for launching life rafts.
a. Different lifeboats shall, as practicable, be lowered as successive drills.
b. Drills shall, as far as practicable, be conducted as if there were an actual emergency
c. Each lifeboat shall be launched with its assigned operating crew aboard and
maneuvered in the water at least once-every 3 months during an abandon ship drill
and launched annually.
d. Rescue boats other than lifeboats which are also rescue boats, shall be launched
each month with their assigned crew aboard and maneuvered in the water. This
requirement shall be complied with at least once every month.
e. If lifeboat and rescue boat launching drill and carried out with the ship making
headway, such drill shall, because of the dangers involved, be practiced in sheltered
waters only and under the supervision of an officer experienced in such drills.
f. Emergency lighting for mustering and abandonment shall be tested each abandon
ship drill.
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II. ACTIONS
TO
BE
TAKEN
REQUIREED TO ABANDON SHIP
WHEN
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EMERGENCY SITUATIONS
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TYPES OF EMERGENCY
A. Fire in Ships: In order to be safe, every officer and crew member must know how to:
1. Prevent
2. Control
3. Extinguished fire
B. Collision: The master of the vessel involved in collision shall:
1. Render all possible assistance to save the ship
2. Prevent dangers arising from the collision
3. Standby until his assistance is no longer necessary
C. Stranding: The immediate and correct reactions are:
1. Stop the engine and engineers should be informed immediately of the situation
2. Change over to the high injection valves for supply of salt water to machinery
D. Adverse reaction of dangerous goods or bulk materials: if the stability of the ship is
dangerously small, the correct reactions are:
1. Deck cargo should be securely lashed
2. In livestock, ample protection to the animal
3. Large supply of food and water should be provided in case men are enable to reach the
animals at the height of the storm
E. Shifting of Cargo: When this situation occur, the following must be done:
1. The condition must be recognized immediately
2. Alter the course rapidly in order to change the apparent wave period
F. Foundering: If a vessel strikes another head-on, it is advisable to:
1. Stop the engine immediately on impact and remain embedded in the gash.
2. Ascertain the extent of the damage and determine which of the area are liable to the
flooded
II EMERGENCY SIGNALS
A. The General Emergency Alarm is at least seven (7) short and one (1) long blast.
B. Fire alarm signal is a continuous rapid or intermittent ringing of the ships bell for a period of
not less than ten seconds supplemented by the continuous ringing of the general alarm bell
for not less than 10 seconds
C. Abandon ship is given verbally by the Master or in the absence of the Master, the most
senior and capable officer on board
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EVACUATION
I
LAUNCHING LIFEBOATS
A. The following routine should be adopted when lowering lifeboats from gravity davits:
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LAUNCHING ARRANGEMENTS
I. LAUNCHING APPLIANCES OR ARRANGEMETS
Means of transferring a survival craft or rescue boat from its stowed position safely to the
water
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Float-free launching Means the method of launching a survival craft whereby the
craft is automatically released from a sinking ship and is ready for use.
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The enclosed form by the rigid covers and canopy shall be arranged.
1) As to allow launching and recovery operations to be performed any occupant
having to leave the enclose;
2) That it has entrances at both ends and on each sides, provided with adjustable
closing arrangements which can be easily and quickly opened and closed from
inside and outside so as to permit ventilation but exclude seawater, wind and
cold means shall be provided for holding the entrances securely in the open and
in the close position
3) That with the canopy erected and all entrances closed, sufficient is admitted for
the occupants at all times
4) That it has means for collecting rainwater
5) That the exterior of the rigid covers and canopy and the interior of that part of the
lifeboat covered by canopy is of highly visible colour. The interior of the shelter
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8)
9)
10)
11)
sides which admit sufficient daylight to the inside of the lifeboat with the hatches
closed to make artificial light unnecessary
Its exterior is of highly visible colour and its interior of a colour which does not
cause discomfort to the occupants
Handrails provides a secure handhold for persons moving about the exterior of
the lifeboat, and aid embarkation and disembarkation
Persons have access to their seats from an entrance without having to climb over
thwarts or other obstructions
The occupants are protected from the effects of dangerous sub-atmospheric
pressures which might be created by the lifeboat engine
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II. LIFERAFTS
A. Inflatable Liferafts
1. Construction of the Inflatable Liferafts
a. The main buoyancy chamber shall be provided into not less than two separate
compartments, each inflated through a non return inflation valve in each
compartment. The buoyancy chambers shall be so arranged that, in the event of any
one of the compartment shall be able to support, with positive freeboard over the
liferafts is permitted to accommodate, each having a mass of 75 kg and seated in
their normal positions.
b. The floor of the liferafts shall be waterproof and shall be capable of being sufficiently
insulated against cold weather, by:
1) Means of one or two compartments that the occupants can inflate, or which
inflate automatically and can be deflected and reinflatted by the occupants
2) Other equally efficient means not dependent on inflation
c. The liferaft shall be inflated with non-toxic gas. Inflation shall be completed with a
period of one minute at an ambient temperature of between 18C to 20C and within a
period of 3 mins. at air ambient temperature of -30C. After inflation, the liferaft shall
complement of persons and equipment.
d. Each inflatable compartment shall be capable of withstanding a pressure of equal to
at least 3 times the working pressure exceeding twice the working pressure either by
means of relief valves or by limited gas supply. Means shall be provided for fitting the
topping-up pump or below so that the working pressure can be maintained.
2. Carrying capacity of Inflatable Liferafts
The number of persons in which a liferaft shall be permitted to accommodate shall be
equal to the lesser of:
1) The greatest whole number obtained by dividing 0.096 the volume, measured in
cubic meters of the main buoyancy tubes (which for this purposes shall include
neither the arches not the thwarts if fitted) when inflate; or
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LIFEBUOYS
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II LIFEJACKETS
A. General Requirements for Lifejackets
1. A lifejacket shall not sustain burning or continue
melting after being totally enveloped in a fire for a
period of 2s.
2. A lifejacket shall be so constructed that:
a. After demonstration, a person can correctly
do it within a period of 1 min without
assistance
b. It is capable of being worn inside-out or is
clearly capable of being worn in only one
way and, as far as possible, cannot be
donned incorrectly.
c. It is comfortable to wear
d. It allows the wearer to jump from a height of
at least 4.5 m into the water without injury
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II. PYROTECHNICS
A. The racket parachute flares shall:
1. Be contained in a water-resistant casing;
2. Have a brief instruction or diagrams clearly illustrating the use of
racket parachute flare printed in its casing
3. Have integral means of ignition
4. Be so designed not causing discomfort to the person holding the
casing when used in accordance with the manufacturers operating
instructions
B. The rocket shall, when fired vertically, reached an altitude of not less than 300 m. at or near
the top of its trajectory, the rocket shall eject a parachute flare, which shall:
1. Burn with a bright colour
2. Burn uniformly with an average luminous intensity of not less than 30,
000cd
3. Have a burning period of not less than 40s
4. Have a rate of descent of not more than 5m/s not damage its
parachute or attachments while burning.
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2. Qualities of Leader
a. Leader as a seaman
1) Expert in handling, working and navigating a ship or boat at sea
2) Possesses a skill of a good seamanship and be able to follow the seaway of life
b. Leader as a man
1) Expert in handling, working and navigating a ship or boat at sea
2) Have a spirit of firm less and courage that refuses to succumb in any
circumstances
3) Has a strength and resoluteness and can face opposition unflinchingly
c. Role of a leader
1) The final authority in all matters, but must also give everybody the chance to be
heard
2) Directs everybody while on distress
3) The determining factor in decision making, for high rate of survival.
3. Maintenance of Moral
a. Maintenance of moral Means a moral and mental condition as regards to courage,
zeal, confidence, enthusiasm or willingness to endure hardship and is also known as
a state of mind that back up with courage and confidence.
b. A man nothing himself any of the systems of low moral must snap out of it. Gloomy
or hopeless thought once started; grow rapidly and harder to overcome. If this
danger sign are noted in others, immediate efforts should be made to check the
group. The mood of depression and hopelessness are not permanent and they can
be offset by good moral. When each man makes an effort to keep his moral high, the
group will be happier better conducted and more comfortable and even ration will be
used to greater advantage. Above all, good humor can do much to lighten the tense
of grim moments which are certain to arise.
4. Survival at Sea
a. Lookout duties aboard survival craft. Established schedule of lookout duties. The
leader will assign watch to everyone by turns except those who are weak. The watch
may last for one hour but should not extend over two hours. Generally, two-man
watch is considered appropriate however; it depends on the number of individual
aboard a liferaft or a lifeboat.
b. Duties of the lookout includes:
1) To see if any more drifters is on the water
2) To search for the land
3) To see whether rescuing ships or aircraft are in the vicinity
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To see the lifeboat or raft is approaching any danger life dead rock
To look the condition of the raft or boat constantly
To listen to the whistle or shout of any drifters
Should watch for any light in the dark; use flashlight to search for any drifters in
the water
8) Must report to the leader immediately any changes detected during his tour of
duty and pass any important matters to the incoming watch or lookout at the time
of sitting
B. Standard Survival Craft Equipment
1. The normal equipment of every lifeboat shall consist of:
a. Buoyant oars
b. Two boat hooks
c. Survival manuals
d. Buoyant bailer and buckets
e. A binnacle containing an efficient compass
f. Sea anchor
g. Two efficient painters of a length equal to not less than twice the distance from the
stowage position of the lifeboat
h. Two hatches
i. Water receptacles containing a total of 3 liters (6 pints) of fresh water each person
j. Rustproof graduated drinking water
k. Rustproof dipper with lanyard
l. Food ration totaling not less than 10, 000 kg or 16 oz (453 gms) non-thirsty (biscuit)
and 16 oz (453 gms) suitable sweet/barely sugar for each person
m. Four rocket parachute flares
n. Six hand flares
o. Two buoyant smoke signals
p. One waterproof electric torch
q. One daylight signaling mirror
r. One copy of life-saving signal
s. One whistle or equivalent sound signal
t. first aid outfit
u. six doses of anti-seasickness medicine and one seasickness bag for arch person
v. jack knife
w. Three tin-openers
x. Two buoyant rescue quoits, attached to not less than 30m of buoyant line
y. Manual pump
z. One set of fishing tackles
aa. Sufficient engine tools
C. The normal equipment of every liferaft shall consist of:
1. One buoyant rescue quoits, attached to not less than 30m of buoyant line
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DEFINITION OF TERMS
1. FIRE is the rapid oxidation of combustible materials accompanied by the released of
energy and usually in the form of heat and light.
2. OXIDATION is chemical process wherein vapors mix with oxygen creating heat
3. OXYGEN is a colorless, odorless gas and one of the compositions of air, which is
approximately 21% by volume
4. HEAT A form of energy generated by transformation from, CHEMICAL, BIOLOGICAL
and PHYSICAL. As in combustion or burning.
SOURCES OF HEAT: (ex) Open flame, hot surface, sparks, etc.
5. FUEL is any substance which reacts chemically with oxygen and produces flames or
burn. It may be found in any three states as follows.
a. Solid molecules are closely packed together
b. Liquid molecules are closely packed together
c. Gas molecules are free to move
6. FIRE TRIANGLE a graphical representation of the three elements of fire namely:
OXYGEN, HEAT and FUEL
7. CHAIN REACTIONS a series of events, each of which cause or influence its
succeeding events. Example; The burning vapor from a fire produces heat (radiation
feedback) which releases and ignites more vapor; the additional vapor burs, producing
more heat which releases and ignites more vapor, and etc.
8. FIRE TETRAHEDRON a solid figure with four triangular faces illustrating how the
chain reaction sequences intersect with heat, fuel and oxygen to support and sustain a
fire.
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Fuel
Oxygen
Heat
Chain reaction
BURNING is the rapid oxidation of millions of vapor molecules. The molecules oxidize by
breaking apart into individual atoms and recombining with oxygen into new molecules. It is
during the breaking recombining process that energy is released as heat and light.
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THE CHAIN REACTION This is the start of a chain reaction. The burning vapor produces
heat which releases and ignites more vapor, etc.
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SPREAD OF FIRE:
1. CONDUCTION Means the transfer of
heat through a solid body. For example,
on a hot stove, heat is conducted through
the pot to its content; wood is a poor
conductor of heat but metal is a good
conductor. Fire can be moved from one
place to another and one compartment to
another via conduction.
2. RADIATION Means the transfer of heat
through a source across an intervening
space, and no materials and substances
are involved. The heat travels outward
from the fire, the same manner as light,
and a straight line. When it contacts the
body is absorbed or transmitted. Proper
shielding can prevent the effect of
radiation.
3. CONVECTION Means the transfer of heat through the motion of heated matter. Ex: the smoke. Hot air, heated gasses produce by the fire and flying embers. As these
heated combustion production rise, it may ignite flammable materials in its path.
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CLASSIFICATION OF FIRE:
Class A (Solid Fire) Fire involving ordinary combustible materials (Wood, Cotton, Paper,
Plastic, Rope, Rubber and etc.)
Characteristics: Deep seated that leaves embers and ashes.
Class B (Liquid and Gas Fire) Fire involving flammable liquids and gases (Gasoline, Diesel,
Paint, Grease LNG, LPG, Acetylene, and etc.)
Characteristics: Surface burning, explosion Hazard
Class C (Electrical Fire) Fire involving energized electrical equipment. (Generators, Electric
Motors, Transmitters, Switches, Fuses and etc.)
Characteristics: Shock hazard
Class D (Metal Fire) Fire involving combustible metals. (Magnesium, Potassium, Titanium,
Rhodium, aluminum, Sodium and etc.)
Characteristics: Explosion Hazard
METHODS OF DISTUINGISHMENTS:
1. COOLING to reduce the temperature of a fuel below its ignition temperature. This is a
direct attack on the heat side of the fire tetrahedron.
2. SMOTHERING To separate fuel from oxygen. This can be considered as an attack on the
edge of the fire tetrahedron where the fuel and oxygen meet
3. OXYGEN DILUTION To reduce the amount of oxygen below the needed amount to
sustain combustion. This is an attack to the oxygen side of the fire tetrahedron.
4. CHAIN BRAKING To disrupt the chemical process that sustains the fire. This is
considered an attack on the chain reaction side of the fire tetrahedron.
5. FUEL removing fuel is called FUEL STARVATION
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FIRE PREVENTION
I
A. Formal and Informal Training It is a most important factor in any fire prevention program.
A continuing process that includes both formal training sessions and informal discussions.
1. Theory of fire
2. Classes of Fire
3. Maintenance and use of Portable Fire Extinguisher
4. Good Housekeeping
a. Cleaning rags and waste should be stored in covered metal containers
b. Accumulations of oil rags should be place in cover metal containers and discarded
as soon as possible.
c. Accumulation of packaging materials should be disposed of immediately
d. Dunnage should only be stored in proper area.
e. Accumulation of sawdust (especially oil or chemical soaked sawdust), wood chips or
shavings should be disposed of properly.
f. Accumulation of flammables in crew or passengers quarters should be avoided.
g. Oil-soaked clothing or other flammables should never be stored in crew lockers.
h. Paints, varnish and so forth should be stored in the paint locker when not in use even
overnight.
i. Leaks in product, furl-oil or lubricating-oil piping and spilled oil or greased should be
cleaned up, also oil bilges or on tank tops and floor plates.
j. Kerosene and solvents should be stored in appropriate containers and approved
locations.
k. Oil-burner cleaning substances should not be left in open containers in the boiler
room.
l. Oil soaked clothing should not be worn
m. Grease filters and hoods over gallery ranges should be cleaned regularly.
n. Avoid soot accumulations in boiler uptakes and air heater.
B. Elimination and Control of Ignition Sources:
1. Not smoking in restricted area; discarding ashes, butts and matches carefully
2. No overloading of electrical circuits
3. Keeping flammable materials clear of steam pipes, light bulbs and other sources of
ignition.
4. Thoroughly cleaning cargo holds before any cargo is loaded.
5. Removing cargo lights from holds when loading is completed.
6. Observing all precaution when welding or burning including the positioning of the fire
watch.
7. Eliminating the cause of static electricity
8. Awareness of the possibilities of spontaneous ignition, and how to avoid it.
9. Using approved flashlight and portable lights and non-sparking tools on tank vessels
10. Not using electric tools where a fire hazard may exist.
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II SAFE PRACTICES
Four Plural Safety Procedures
1. No smoking in hazardous area
2. Ability to raise the alarm in case of fire quickly
3. Ability to extinguish fire using portable fire extinguisher or other method
4. Ability to recognize fire hazard and take the necessary steps to prevent fire.
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Emergency Fire
Class Fire Door
Self Closing
Fire Pump
Class Fire Door
Space Protected by
Main
CO 2
A - Class Division
Pump
International Shore
B - Class Division
Connection
CO 2 Battery
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Water Spray
Emergency Generator
Fire
Alarm Panel
System Valves
Emergency Switchboard
CO 2
Smoke Detector
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Primary Escape
Secondary Escape
Skylight R
PERSONNEL SAFETY PROCEDURES
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PERIODIC INSPECTION
PREVENTIVE MAINTENANCE AND REPAIR
1.
2.
3.
4.
SAFE PRACTICES
A. Safety Procedures:
1. No smoking in hazardous areas
2. Ability to raise the alarm in case of fire quickly
3. Ability to extinguish fire using portable fire extinguisher or other method
4. Ability to recognize fire hazard and take the necessary steps to prevent fire
B. Measures for reducing fire hazard in the engine room:
1. Causes, including:
a. Combustible liquids leaking through faulty or damaged connections
b. Oil-soaked insulation
c. Hot surfaces, e.g. exhaust pipes, engine parts overheating in close proximity to oil
lines
d. Hot work, e.g. welding, cutting by oxy-acetylene torch
e. Auto ignition, e.g. oil dripping in hot surface
2. Methods of containment, including:
a. Watertight doors
b. Fire doors
c. Dampers
d. Water sprays and screens, and remote control of these where applicable.
3. Methods of detection, including:
a. Smoke detectors
b. High-temperature probes
c. Rate-of-rise of temperature probes
d. Patrols
4. Fire Appliances, including:
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FIRE DETECTION SYSTEM consist of normal and emergency power supplies, a fire
detection control unit, fire detectors and vibrating bells.
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TEMPERATURE CLASSIFICATION
1. Ordinary Degree For use where the normal temperature at the device doses not exceed
38 deg C.
2. Intermediate Degree for use where the normal temperature of the devices exceed 38C
out not 66C
3. Hard Degree the normal temperature of the device exceeds 66C but not 107C.
These fixed-temperature detectors should be actuated within the temperature limits given:
RATING
Ordinary
Intermediate
Hard
MAXIMUM
74C (165 dg F)
107C (165 dg F)
149C (165 dg F)
MINIMUM
57C (135 deg)
79C (135 deg)
121C (135 deg)
RATE OF RISE DETECTORS Actuated when the temperature increases faster than the
preset value.
A. Advantages
1. Slow rise in the temperature will not activate the device.
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B. Disadvantages
1. It may sound a false alarm when a rapid increase in temperature is not the result of fire.
This may happen when a heating element is turned on, or welding or burning operations
in the immediate area cause a rapid rise in temperature.
2. It may not be activated by smoldering fire that increases the air temperature slowly, such
as in balled cotton or other tightly packed cargo.
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Mobile Apparatus
Carbon Dioxide Cylinders
Powder containers with propellant gas
Foam Making equipment
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Water
Foam
Dry chemical
Dry powder
Carbon dioxide
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PULL the pin: This unlocks the operating lever and allows you to discharge the extinguisher.
Some extinguishers may have other seals or tamper indicators.
AIM low: Point the extinguisher nozzle (or hose) at the base of the fire.
SQUEEZE the lever above the handle: This discharges the extinguishing agent. Releasing the
lever will stop the discharge. (Some extinguishers have a button instead of a lever).
SWEEP from side to side: Moving carefully toward the fire, keep the extinguisher aimed at the
base of the fire and sweep back and forth until the flames appear to be out. Watch the fire area.
If the fire re-ignites, repeat the process
WATER EXTINGUISHERS
Size
Duration
Range
:
:
:
2 gallons (9 litres)
60-90 seconds
10 ft (3m) effective
79
USE
Water has good cooling properties and ability to penetrate piled material. It is therefore most
useful against Class A fire. If the material on the fire has any height, start at the bottom with the
water and work upwards. Take care not to scatter any loose material, paper, cardboard, etc.
with the jet, which is quite forceful. Ensure all glowing embers are dealt with or they may easily
re-ignite.
HAZARD
Water extinguishers are not safe for use against fire involving live electrical apparatus.
FOAM EXTINGUISHERS
Size
Duration
Range
:
:
:
2 gallons (9 litres)
60-90 seconds
8-10 ft (3m) effective
USE
Foam has excellent smothering qualities and so is most effective against Class B fires. Foam
must be delivered in such a way as not to disturb the surface of the fuel and the entire area of
the fuel spill must be covered by the foam.
:
:
:
USE
Dry chemical is effective against Class A, B and C fires. The powder is delivered to the base of
the fire. This will produce a large cloud of powder which will envelope any flames present.
Always attack the fire from upwind as the air will move the powder towards the fire. The powder
has no cooling properties so to continue application after the flame is out
is a waste.
CO 2 EXTINGUISHERS
Size
Duration
Range
:
:
:
80
Class of fires:
These are the basic classes of fires. All fire extinguishers are labeled using standard symbols
for the classes of fires they can put out. A red slash through any of the symbols tells you the
extinguishers cannot be used on that class of fire. A missing symbol tells you only that the
extinguisher has not been tested for a given of fire.
Class A: Ordinary combustibles such as wood, cloth, paper, rubber and many plastics.
Class B: Flammable liquids such as gasoline, oil, grease, tar, oil-based paint, lacquer and
flammable gas.
Class C: Energized electrical equipment including wiring, fuse boxes, circuit breakers,
machinery and appliances
Many households fire extinguishers are multi-purpose A-B-C models, labeled for use on all
three classes of fire. If you are ever faced with a class A fire and dont have an extinguisher with
an A symbol, dont hesitate to use one with the B-C symbols.
WARNING: It is very dangerous to use water or an extinguisher labeled only for Class A fires on
a grease or electrical fire. The C in a rating indicated that you can use the unit on electrical
fires.
EXTINGUISHER SIZES: portable extinguishers are also rated for the size of fire they can
handle. Normally, an extinguisher that has a rating of 2-A: 10-B:C on its label is recommended
for each floor level. The larger the number, the larger the fire that the extinguisher can put out.
Higher-rated models are often heavier. Make sure you can hold and operate the extinguisher
before you buy.
81
Regular
dry
chemical
fire
extinguishers contain a siliconized
sodium bicarbonate based dry
chemical with free flowing and
non-caking additives. Economical
Class B and C protection with
lower initial cost and recharging.
This chemical smothers fires in
flammable liquids and pressurized
gases
and
is
electrically
nonconductive.
82
FIREMANS OUTFIT
a. Personal Equipment
b. Breathing Apparatus
c. Fireproof lifeline with snap
hook harness
83
Constituent of personal
equipment
-
Fire suit
Gloves and shoes
Hard helmet
Safety lamp
Fire axe
CLASSIFICATION
1.
3.
84
5.
4.
ELSA Emergency
85
86
87
II PARTS:
A. Face Mask is an assembly that fits onto the face of the person using the
breathing apparatus, forming a tight seal to the face and transmitting air or
oxygen to the user.
1. Head Harness to hold the facemask in the proper position on the
face of the wearer. With just enough pressure to prevent leakage
around the edge of the mask.
2. Neck Strap to hold the whole frame to the facemask
3. Inhalation tube/hose (only on some types of BA) the flexible
inhalation tube carries air or oxygen to the face piece.
4. Face Piece / Visor is the part of the face mask that allows the wearer wide range of
vision.
5. Nose Cup It is designed to reduce fogging of the lens / visor
6. Speaking Diaphragm projects the wearer voice with little or no distortion. It is located
directly in front of the wearers mouth.
7. Pressure Relief Valve automatically relieves pressure form in the face
piece, and may also be utilized, to get rid of saliva and to exhaust exhaled air
to the outside.
B. Regulator a device that is used to control the pressure of air coming from the
cylinder.
1. Two types: Air supply
Gauge
a. Demand Type Regulator Air Breath FP 3000 psi
b. Positive Pressure Type Continues 200/300 bar
2. Parts:
a. Bypass Valve
b. Pressure control valve
c. Alarm-whistle / bell
3. Air cylinder:
a. Cylinder Control Valve
b. Pressure Gauge
c. Pressure Reducer
4. Back Plate designed to hold the unit securely and
comfortably on the wearer.
a. Shoulder Strap
b. Waist Strap
c. Cylinder Clam
88
Life Line Men going down empty tanks or other compartments to do dangerous work should
use tending or life lines.
A lifeline consists of a woven steel-wire cable of about 15.25 meters (50 feet) length with snap
hooks on both ends.
The line can be attached to the back loop of an CABA. The lifeline should be attached to the
upper part of the body, preferably to the back of a shoulder harness. Never attach a life line to
the waist. If the line were pulled, it might interfere with the stricken mans breathing, or might
injure him internally. Two men are usually involved in the use of the life line: the pair for
communicating with each other. The following signals are recommended for lack of a hard and
fast rule:
Tender to wearer
Wearer to tender
Meaning
Are you OK?
Advance
Back out
Come out quickly
1...
2..
3.
I am OK
I am going in
Keep slack out of my
I need help
line
The life-line was attached to firefighters involved in task where they had to take more than
ordinary risk. They had a life-line attached in the event of an emergency. The life-line was
manned by a fellow shipmate who knew the emergency signals; OATH, so as to communicate
with the wearer of the OBA or Shallow Water Breathing Apparatus. He would pay out the line off
the coil with caution as tension was created; he would then slacken the line, being careful not to
allow it to become entangled. For hauling a stricken person from a compartment, or lowering a
rescue party into a compartment, for lowering equipment down into a space, and various other
uses, the steel life-line was indispensible. The following is the tending line code for OBA/Diver
pulls and signals:
No. of Pulls
1
2
3
4
Signal meaning:
O O.K
A ADVANCE
T TAKE UP SLACK
H HELP
89
90
91
92
93
2. Life-saving Appliances
Lifejacket
raft
Lifeboat
and SART
Life buoys
Line-throwing apparatus
Life
EPIRBs
94
4. A Medical Equipment
Resuscitator
Equipments
Stretcher
Medicines/Medical
95
96
97
b. Bulk Carrier
98
c. Container Ship
e. Tankers
f.
99
g. Passenger ship
h. Livestock carrier
i.
j.
Survey ship
100
k. Drilling ship
l.
Log ship
101
These ropes and wires are risky to handle and can be extremely dangerous to those in the
vicinity. They can cause a whiplash that can kill or injure a person. Persons engage in
mooring operations must be extremely careful and aware of the risk and stay well clear of a
cm wire under tension. This operation is more risky during strong wind, heavy seas or swell
or rain or by the need for speed.
Mooring lines must be constantly checked and always maintained specially during:
a. Loading or unloading at a high rate
b. There is a large tidal range in the port or strong current
c. There are strong winds or the berth is exposed to sea.
H. ENCLOSED SPACE spaces where the ventilation is not kept running on around the clock
basis.
1. List of Possible Enclosed Spaces
a. Forepeak tank
b. Chain locker
c. Cofferdam
d. Topside tank
e. Cargo tank
f. Ballast tank
g. Duct keel
h. After peak tank
i. Bunker tank
2. Hazard
a. Atmospheric Hazard
1) Presence of hydrocarbon
2) Presence of toxic gas
3) Deficiency in oxygen
3. Due to the presence of hydrocarbon gas, a toxicity and flammability hazard arises,
hydrocarbon vapours can be present due to:
a. Petroleum leakage
b. Retention in tank structure
c. Retention in pipeline
d. Disturbance of sludge/scale
4. Examples of gases that can be toxic hazard
NO, NO 2 , SO 2 , CO, Benzene, H 2 S
These gases can be evolved from cargo, ship stores or ships operation.
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Solvents/emulsifier
Refrigerants
Burning
Flooding with CO 2 to fight a fire
Welding and gas cutting without proper ventilation
Running an internal combustion engine in combined space
Decay of organic matter
8. Oxygen deficiency can result in anoxia. The symptoms commence with giddiness,
breathlessness and unconsciousness and progress onto brain damage causing memory
loss, mental instability paralysis, coma or death.
9. Physical hazard could cause a person to be physically or even fatally injured.
10. Physical hazards could include:
a. Darkness
b. Unsecured ladder
c. Slippery surface
d. Obstruction
e. Unguarded open
f. Unsecured objects left from previous visits
g. Flooding
h. Getting trapped accidentally
11. Precautions to be followed before entering enclosed space.
a. An enclosed space entry permit system must be strictly followed.
b. The space is to be thoroughly ventilated and confirmed by testing of the atmosphere.
c. There must be
1) Sufficient oxygen to support life 21%
2) Insufficient flammable gases for the purpose
3) Toxic gases must be less than the TLV
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HOT WORK
1. Hot work any work which generates heat or sparks of sufficiently high temperature or
intensity to ignite a flammable gas-air mixture
2. Examples of Hot work
a. Welding
b. Cutting
c. Burning
d. Heating
e. Chipping
f. Use of power tools generating heat, open flame or electric
3. Hot work Hazards
a. Fire
b. Explosion
c. Heat injuries
d. Strong light injuries
e. Shock injury
4. Areas where hot work is carried out
a. Engineers workshop
b. Engine room
c. Deck accommodations
d. Cargo area
5. Example of hot work permit
J. WORKING ALOFT
1. Working aloft working at a height above the ground or deck where the primary hazard
is of falling and consequently injury.
104
105
Anchoring points for safety lines or suspension points for gantlines should be strong
and not subjected to movement.
Ropes should not run over hot surfaces or sharp edges.
Safety net should be rigged whenever possible
Stages should be secured against ship movement
Work aloft should not be carried out while the ship is moving violently in a seaway
Tools or materials should be passed in a bucket or by a rope and never thrown
Ladders should be used for climbing onto or from a stage, and not the ropes that
suspends the stage
Rigid ladders should be placed on a firm base
Tools or equipments should be secured and not placed at the edge, where they can
fall
Inexperienced persons or those under 18 years of age should not be sent to work
aloft or over side
Work over side should not be carried out while a ship is underway
In addition to normal protective equipment, a buoyant vest or lifejacket should be
worn
Lifebuoys with heaving line and light should be kept in readiness
106
107
108
ABRAHAM MASLOWS
THE HIERARCHY OF NEEDS
A. TEAM BUILDING
1. Shipboard operation is teamwork and effectiveness of it depends on effectiveness of the
team member
Teamwork the state that occurs when members know their
objectives, contribute responsibly and enthusiastically to task.
2. Team building process of developing integrated cooperative
groups.
3. Goal the result or achievement toward which effort is directed.
Role of individual Member is the patter of actions expected of a
person in activities involving others.
Cohesive tending to unify, harmonize, or be consistent to team
operation.
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110
Optional Elements
a. Feedback when the receiver acknowledges the message and responds to a
sender, feedback has occurred.
2. Mode of Communication / Transmission
a. Verbal e.g. reading, speaking. Writing and any communication using words
b. Non-verbal e.g. body language, sounds, gestures
c. Iconic e.g. signs, figures diagram, pictures and photographs
3. All three methods need to be effectively used on board for proper understanding body
language and pictorial symbols are more powerful of communication than verbal means
alone.
E. BARRIER OF COMMUNICATION
1. These are barriers in each step of the basic communication process.
2. The following are barriers in communication process.
a. Personal barriers are communication that arise from human emotions, values, poor
listening difference in education, race, sex, socio-economic status
b. Physical barriers are communication in the environment in which the communication
takes place. It includes distance between people, walls or static that interferes with
radio.
c. Semantic barrier is the science of meaning, arises from limitation in the symbol with
which we communicate.
111
112
113
114
PREVENTION,
POLLUTION
1. The international convention for the prevention of oil pollution from ships, 1973, was
adopted by the International Conference on Marine Pollution convened by IMO from 8
October to 2 November 1973.
This convention was subsequently modified by the protocol of 1978 relating thereto
which was adopted by the International Conference on Tanker safety and Pollution
Prevention (TSPP Conference) convened by IMO from 6 to 17 February 1978. The
convention as modified by the protocol is known as the International Convention for the
Prevention of Pollution from Ships 1973, as modified by the protocol of 1978 relating
thereto or, in short form MARPOL 73/78. Regulations covering the various sources of
ship-generated pollution are contained in the annexes of the convention.
2. Segregated ballast means ballast water introduced into a tank which is completely
separated from the cargo oil and oil fuel system and which is permanently allocated to
the carriage of ballast.
3. Double hull design
4. Reception facilities facilities for the reception of such residues and oily mixture as
remains from oil tanker and other ships.
Article I
Duty to Report
1. The master or other person having charge of any ship involved in an incident referred to
in an Article II of this Protocol shall report the particulars of such incidents without delay
and to the fullest extent possible in accordance with the provisions of this Protocol.
2. In the event of the ship referred to in paragraph (1) of this article being abandoned, or in
the event of a report from such a ship being incomplete or unobtainable, the owner,
charterer
115
Article II
When to Make Reports
1. The report shall be made when an accident involves:
a. A discharge or probable discharge of oil, or noxious liquid substances carried in bulk,
resulting from damage to the ship or its equipment, or for the purpose of securing the
safety of a ship or saving life at sea; or
b. A discharge or probable discharge of harmful substances in packaged from,
including those in freight containers, portable tanks, road and rail vehicles and
shipborne barges; or
c. A discharge during operation of a ship of oil or noxious liquid substances in excess of
the quantity or instantaneous rate permitted under the present Convention.
116
Article III
Contents of Report
1. Reports shall in any case include:
a. Identity of ships involved
b. Time, type and location of incidents
c. Quantity and type of harmful substance involved
d. Assistance and salvage measures
Article IV
Supplementary Reports
1. Any person who is obliged under provisions of this Protocol to send a report shall, when
possible;
a. Supplement the initial report, as necessary, and provide information concerning
further developments; and
b. Comply a fully as possible with requests from affected States for additional
information
Article V
Reporting Procedures
1. Reports shall be made by the fastest telecommunications channels available with the
highest possible priority to the nearest coastal State.
2. In order to implement the provisions of this Protocol, parties to the present Convention
shall issued, regulations or instructions on the procedures to be followed in reporting
incidents involving harmful substances, based on guidelines developed by the
organization.
117
118
Oil means petroleum in any form including crude oil, fuel oil, sludge, oil refuse and refined
products
Noxious Liquid Substance means any substance referred to in appendix II to this annex
or provisionally assessed under the provision of regulation 3 (4) as falling into category A, B,
C or D.
Regulation 6
Categorization and Listing of Noxious Liquid Substances and other
substances
1. For the purpose of regulations of this Annex, noxious liquid substances shall be divided
into four categories as follows:
a. Category X: Noxious liquid substances which if discharged into the sea from tank
cleaning or deballasting operations would present a major hazard to either marine
resources or human health or cause serious harm to amenities or other legitimate
uses of the sea and therefore justify the application of stringent anti-pollution
measures.
b. Category Y:
Noxious liquid substances which if discharged into the sea from tank
cleaning or deballasting operations would present a hazard to either marine
resources or human health or cause harm to amenities or other legitimate uses of
the sea and therefore justify the application of special anti-pollution measures.
c. Category Z:
Noxious liquid substances which if discharged into the sea from
tank cleaning or deballasting operations would present a minor hazard to either
marine resources or human health or cause minor harm to amenities or other
legitimate uses of the sea and therefore require special operational conditions.
d. Other Substances:
Noxious liquid substances which if discharged into the sea
from tank cleaning or deballasting operations would present a No Harm to either
119
120
121
122
123
124
The North Sea area mans the North Sea proper including seas herein with the
boundary between:
1) The North Sea southwards of latitude 62 N and eastwards of longitude 4 W
2) The Skagerrak, the southern limit of which I determined cast of the Skaw by
latitude 57 44.8N; and
3) The English Channel and its approaches eastwards of longitude 5 W and
northwards of latitude 48 30N.
125
APPENDIX TO ANNEX V
Form of Garbage Record Book
Name of ship: _____________________________________
Distinctive number of letters: __________________________
IMO No: _______________________
Period:
___________________
From:
__________________
_________________
To:
A. Introduction
In accordance with Regulation 9 of Annex v of the International Convention for the
Prevention of Pollution from Ships, 1973, as modified by the Protocol of 1978 (MARPOL
73/78), a record is to be kept of each discharge operation or completed incineration. This
includes discharges at sea, to reception facilities, or to other ships.
B. Garbage and garbage management
Garbage includes all kinds of food, domestic and operational waste excluding fresh fish and
parts thereof, generated during the normal operation of the vessel and liable to be disposed
of continuously or periodically except those substances, which are defined or listed in other
annexes to MARPOL 73/78 (such as oil, sewage or noxious liquid substances).
The guidelines for the implementation of Annex V of MARPOL 73/78 should also be referred
to for relevant information.
C. Description of the Garbage
The garbage is to be grouped into categories for the purposes of this record book as follows:
1. Plastics
2. Floating dunnage, lining or packing materials
3. Ground-down paper products, rags, glass, metal, bottles, crockery, etc.
126
127
128
129
130
The Committee also received updated information from the World Health Organization
(WHO) on the emergence and spread of SARS and information on measures the WHO had
adopted and the guidelines it had issued to assist in the prevention and control of cases of
SARS. In order to assist the global effort to control SARS, the Committee agreed to promulgate
the guidance given in the annexes based on information provided by WHO, to ensure that the
maritime community was fully aware of the precautions to be taken.
Member Governments are invited to bring this circular to the attention of all concerned
and to note that the latest information available will be promulgated on the IMO website
www.imo.org.
131
ANNEX 1
GUIDELINES FOR THE PREVENTION AND MANAGEMENT OF SEVERE ACUTE
RESPIRATORY SYNDROME (SARS)
Preface
The World Health Organization International Health Organization (IHR) contains
provision regarding routine point of entry control activities and specific measures for some
diseases. In addition, the IHR reference technical guides for both ships and aircraft. The SARS
outbreak, like other international disease outbreak that occur around the world from time to time,
requires that crew have a basic understanding of the disease, the risks and the public health
precautions necessary for both passenger and crew protection. The information below, like the
Guide to Hygiene and Sanitation in Aircraft and the guide to Ship Sanitation, is provided as a
technical reference for the development of operating procedures by international passenger
transport companies. Although this information is provided for use by international ship and
aircraft operators, it can apply, as appropriate, to
other means of travel.
Background on SARS
From the information available at this
time, SARS is a respiratory disease, spread by
droplets from persons in the symptomatic stage
of SARS. The incubation period of SARS is 2-10
days. Although serious illness and some deaths
have resulted from SARS infection, the vast
majority of SARS cases to date (96%) recover.
Recent information suggests that SARS may also
be spread for a short period of time by contact
with surfaces contaminated by droplets or hands,
and this is being investigated. Although the mode
of transmission is similar, SARS is not spread as
easily as influenza (flu), for example. Frequent
hand washing is considered a useful preventive
measure for SARS, as it would be for colds, flu
and other common illness.
Remember that there is a good chance
that an ill passenger does not have SARS, even
though he or she has come from an affected
area. Precaution is the best way to proceed,
however, and the following advice is provided for
132
Symptoms
All passengers and crew should be aware of the main symptoms and signs of SARS
which includes: high fever (>38C, 100.4F), one or more respiratory symptoms including cough
or difficulty in breathing; and either close contact with a person who has been diagnosed with
SARS or a recent history of travel to areas reporting cases of SARS.
Isolation
The passenger should be, as far as possible, isolated from other passengers and the
crew, and should be asked to wear a protective mask.
133
Provide the ill person with a mask (see below) to help ensure that droplet spread is
contained;
Keep contact with the ill person to a minimum, and avoid being close to the face of the
person if possible;
Wear a suitable mask and follow the manufacturers instruction to ensure that the mask
fits properly. If, for any reason the attending crew member needs to remove his/her
mask, then a new mask should be used. The mask(s) and other materials used by the ill
person should be disposed of as a potential biohazard. The cleaning crew must be
informed of the possibly contaminated materials (e.g. gloves required) and the need to
thoroughly disinfect the seating area where the ill person was isolated, and the
washroom areas in particular;
Wear durable disposable gloves, remembering that hands should be washed before the
gloves are removed, then again either removal, and that touching the face while wearing
gloves provides the same risk of infection as when using bare hands;
Although the risk of virus entry from droplets or hand contact to the eye is low, goggles
that fit tightly to the face, with a soft sealing surface should be worn by the crew member
attending to the ill person. Goggles should be washed before re-use, according to the
manufacturers instructions;
A separate toilet should be made available for the exclusive use of the ill person;
Disposable masks, gloves and other material in contact with the ill person must be
bagged and sealed and treated as biohazard waste;
As a general precaution, all persons on a flight or voyage where a possible SARS case
is carried should be advised to wash their hands before and after using the toilets
onboard; and
Aircraft/ship operators should ensure that flights/sailings from affected areas are
provided with sufficient gloves, face masks, goggles and disinfectant, and that a seat or
berth in an isolated area can be made available when needed.
134
Passenger sitting in the same seat row or within at least 2 rows in front or behind the ill
passenger
All flight attendants on board
135
Anyone having intimate contact, providing case or otherwise having contact with
respiratory secretions of the ill passenger
Anyone on the flight living in the same household as the ill passenger
If it is a flight attendant that is considered to be a SARS case, all passengers are
considered to be contacts.
The vessel and crew will be held in port for a period of 10 days, to ensure that none of
the other crew or passengers has been infected with SARS. At the end of the isolation period,
prior to the departure of the vessel, the cabin or quarters where the SARS patient was isolated
and managed, should be cleaned and disinfected (see last paragraph) before a crew member or
passenger is allowed to occupy that cabin or quarters.
The vessel will be allowed to proceed to its next port of call after a medical officer has
determined that none of the crew or passengers has been infected.
If the owners of the vessel wish to have it released from isolation, an alternate crew may
be provided. Agreement with the health authorities would need to be reached to provide
facilities for the isolated crew left behind. A thorough cleaning of the vessel(s) quarters,
including dining room, washroom and recreation areas would also be required before the new
crew boards. This cleaning should be carried out under the supervision of the port health
authority.
Disinfecting the cabin or quarters occupied by SARS patient
The cabin or quarters occupied by a SARS patient, should be disinfected with sodium
hypochlorite (bleach) and formalin or chloro meta xylenol (see WHO Guide to Hygiene and
Sanitation in Aviation). All surfaces that the patient may have touched should be specifically
targeted for cleaning. Thoroughly rinse and clean housekeeping equipment after use in the
cabin or quarters of the SRAS patient.
Information to Member States regarding goods and animals arriving from SARS-affected
areas
WHO is aware of concern over the possibility that SARS may be caused by contact with
animals. WHO is therefore working closely with the Food and Agriculture organization of the
United Nations (FAO) and the Office International des Epizooties (OIE), to determine if there is
any evidence to suggest that SARS-related disease has occurred to animals.
WHO, FAO and OIE have reviewed reports received regarding SARS transmission. To
date there is no epidemiological information to suggest that contact with goods, products or
animals shipped from SARS-affected areas has been the source of SARS infection in humans.
For the above reasons, WHO does not at present conclude that any goods, products or
animals arriving from SARS-affected areas pose a risk to public health. WHO will continue to
136
ANNEX 2
RECOMMENDED PROCEDURES FOR PREVENTION AND MANAGEMENT OF
PROBABLE CASES OR SARS ON INTERNATIONAL CRUISE VESSELS
Preface
In response to the outbreak of Severe Acute Respiratory Syndrome (SARS) in several
countries, the World Health Organization has developed the following procedures for personnel
on international cruise vessels and local port health authorities when there is a suspected or
probable case of SARS on board. All individuals, groups and authorities involved in the cruise
ship industry including crew, health care staff, cruise line operators, owners and port health
authorities involved in the cruise ship industry including crew, health care staff, cruise line
operators, owners, and port health authorities should be aware of these procedures.
Pre-departure screening
Prior to boarding, all passengers and crew on international voyages originating in areas
with recent local transmission of SARS should receive and complete a short pre-departure
SARS Screening Form with questions as to symptoms, contacts, and recent history of travel to
an area(s) with recent local transmission of SARS.
A person presenting symptoms compatible with SARS should not travel until s/he is fully
recovered. The local health authority should be notified and the patient must be assessed
immediately.
137
The suspected case should be isolated in an isolation ward, cabin room or quarters with,
if possible, an independent ventilation and toilet system;
Infection control measures including respiratory and standard precautions should be
implemented; and
Designated staff taking care of the patient should wear a protective face mask, gloves
and eye protection and wash hands before and after contact with the patient.
The officer in charge of the vessel should immediately alert the medical authority at the next port
of call regarding the suspected case to determine of the necessary capacity for transportation,
isolation, and care is available at the port. The vessel may be asked to proceed to another
national port in close proximity if this capacity is not available or if warranted by the critical
medical status of the suspected or probable SARS case.
For persons meeting the definitions of suspect or probable case of SARS, confinement to
isolation ward, cabin, room or quarters with infection control measures should be continued until
10 days after the resolution of fever, provided respiratory symptoms are absent or improving.
However, if the illness does not meet the case definition, but the individual has persistent fever
or unresolving respiratory symptoms, the person should not be allowed to return to public areas
of the vessel or interact with the public. Infection control precautions including confinement to
isolation ward, cabin room or quarters and further monitoring of symptoms should be continued.
A decisions as to returning to public areas can be reviewed in collaboration with the public
health authority of the next port of call. All contacts (see below for details) on board should be
identified and monitored.
While case management is in progress on board a cruise vessel, a high level of cleaning
and disinfection measures should be maintained on the vessel. Cabins and quarters occupied
by patients and contacts of SARS should be cleaned and disinfected according to WHO and
local public health recommendations.
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