The approved doctor's manual

The manual for Maritime and Coastguard Agency (MCA) approved doctors (ADs) carrying out medical assessments for seafarers.



This manual is for the ADs who carry out the ENG1 medical examinations on seafarers serving aboard UK flagged ships.

It details all the procedures to be followed to MCA’s standards, ensuring:

  • compliance with statutory requirements
  • good medical practice
  • accountability