If you’re considering a career at sea, chances are you are already aware of the ENG1 medical certificate. Obtaining an ENG1 Medical Certificate is an essential step that declares your fitness for duty under maritime law, specifically the Maritime Labour Convention, 2006. In this article, we explain the categories of the ENG1 Medical Certificate, which are not discussed enough in South Africa.
Here’s what you need to know about the ENG1 Medical Certificate
The ENG1 Medical Certificates can only be issued by an Approved Doctor (or AD) in South Africa. These ADs are approved by the MCA. If you need the ENG1, schedule an appointment. The information is in the link above.
This certificate is internationally recognised. It ensures you are physically and mentally fit to work at sea, where medical assistance may not be immediately accessible. It ensures that you can work within the following scenarios or demands.
- Work in isolated environments
- Respond to emergencies
- Operate machinery or equipment
- Safeguard your own and others’ health
So, you have appeared for the medical examination, gone through thorough testing, and now you are waiting for the results. Will you pass? Or will you fail?
Well, it is not as simple as that.
Categories and Outcomes of an ENG1 Medical Certificate in South Africa
Depending on your health, you may receive an ENG1 medical certificate in the following categories.
Fit without Restrictions (Category 1)
If you receive a certificate in this category, it means you are perfectly fit for all kinds of sea services. This category is generally valid for two years.
Fit with Restrictions (Category 2)
This category is not the end of the world. If you receive an ENG1 medical certificate in the Fit with Restrictions category, you can still work at sea, but with specific limitations.
These limits or restrictions will be stated on your ENG3 medical notice. This certificate is generally valid for up to a year. However, your ENG3 limitations will carry over for up to five years.
Some of the common limitations are as follows:
- Inshore waters only (e.g. within 60 miles of a safe haven).
- No night work due to impaired vision.
- No solo watchkeeping if at risk of sudden illness.
Temporarily Unfit (Category 3)
If you receive your ENG1 medical certification with the temporarily unfit ENG3 remark, you are deemed unfit for sea services. Temporarily unfit usually has a shorter validity. You would likely be able to apply once again after 3 to 6 months.
But of course, until then, you will not be able to work on any vessel.
You would usually receive a temporarily unfit ENG3 remark for the following.
- Post-surgery recovery
- Short-term illness or injury
Permanently Unfit (Category 4)
Permanently unfit is not exactly ‘permanent’ as it has a maximum validity of 5 years. However, for the duration of this ENG3 remark, you will not be able to work on any vessel.
Some of the following conditions may deem you permanently unfit.
- Uncontrolled epilepsy
- Severe cardiovascular issues
- Progressive neurological conditions
Appeals and Second Opinions on ENG3 Remarks
If you disagree with your medical result—especially if you’re deemed unfit or restricted—you have the right to request a second opinion. The MCA Medical Review process allows a Medical Referee to re-evaluate your case.
Appeals must be initiated within 1 month of receiving your certificate. You can only appeal the decision once.
Conclusion
Understanding your ENG1 category is key to knowing where and how you can legally work at sea. Whether you’re fully fit or have some restrictions, your certificate defines your maritime opportunities.
If you have any questions or concerns, you can speak to your Approved Doctor for more information.
On the other hand, if you want to obtain a skipper’s license in South Africa, Skipper Training SA has the right courses for you. For more information, visit our website or contact us today.
