The UK Rules
Seafarer Medical Certificate

How to Get Seafarer Medical Certificates

Seafarer medical certificates are requirements for working at sea in the United Kingdom. This guide explains how much ENG 1 and ML5 medical certificates cost and how to apply.

Check what happens if your ENG 1 or ML5 seafarer medical fitness certificate is suspended or cancelled. You must also follow Maritime and Coastguard Agency (MCA) regulations and procedures for expired certificates.

Who Needs to Get an ENG 1 Certificate?

The ENG 1 certificate results from a medical exam set by the Maritime and Coastguard Agency.

Having a valid medical fitness certificate is a requirement for anyone who is (any):

Note: The current cost of an ENG 1 medical examination in the United Kingdom is around £90 (maximum £115).

Applying for the ENG 1 Medical Examination

Only a doctor approved by the Maritime and Coastguard Agency can issue an ENG 1 certificate. The MCA produce an updated list of doctors in the United Kingdom who can carry out ENG 1 medicals.

The Maritime and Coastguard Agency also have a list of shipping companies and the doctors approved to carry out ENG 1 medicals for their employees.

The doctor will provide you with the ENG 1 certificate straight after passing the medical examination. Remember to take:

Note: MSN 1815 Amendment 2 has a list of countries whose seafarer medical fitness certificates are accepted as equivalent to the UK ENG 1 (applicable to seafarers and to fishermen).

Who Needs to Get an ML5 Certificate?

The MCA produce guidance notes about your health at sea. But, an ML5 medical certificate is a requirement if you are (any):

Note: In fact, there is no set fee for the ML5 certificate. But, in most cases the doctor is likely to make a charge for carrying out the service.

Applying for the ML5 Medical Certificate

The ML5 medical report form and certificate helps a doctor decide on your fitness to work safely at sea. Download and use MSF 4112 as a report for your medical history and current health.

Suspended and Cancelled Medical Certificates

Seafarer medical certificates can be suspended or they can cancelled altogether. Typical grounds for suspending or cancelling a medical certificate include situations such as:

Important InformationYou must hold a valid medical fitness certificate and produce it on demand to the relevant authorities.

If Your Seafarer Certificate Expires

It is not uncommon for a medical certificate to expire during a voyage at sea. If this happens, you would be able to continue working for a limited amount of time.

You would be able to (whichever happens first):

Seafarer Medical Fitness Certificates in United Kingdom