Working at sea places unique physical and psychological demands on crews. Whether aboard a cruise ship, ferry or superyacht, every seafarer must be able to carry out their duties safely in an environment that offers limited access to immediate medical support. This is why the Pre Employment Medical Examination (PEME) is essential and why specialist clinical expertise is crucial for delivering it correctly.
At Occupational Health Bristol, we treat PEME medicals as a critical safety measure rather than an administrative requirement. Our clinicians complete these assessments in accordance with cruise line, yacht and international maritime standards to ensure that each certificate accurately reflects the individual’s fitness to work at sea.
A PEME is more thorough than many expect. Alongside medical history and a physical examination, it typically includes vision tests, audiometry, urinalysis and specific investigations requested by employers, which may include blood tests, ECGs, spirometry or fitness assessments. Because requirements differ between roles and companies, we review every client’s documentation in advance so that we are fully prepared on the day and can avoid unnecessary delays.
Many seafarers ask how a PEME differs from the statutory ENG1 medical required by the Maritime and Coastguard Agency. A PEME is usually required by an employer for role specific assurance. The ENG1 is a mandatory assessment for anyone working at sea. Both can be completed during the same appointment for convenience.
Our clinicians support individuals with a wide range of health conditions including asthma, diabetes, cardiovascular disease and past joint surgery. We offer clear guidance to help seafarers understand what is needed and to ensure safe and compliant employment.
Our priority is to deliver accurate, compliant and supportive maritime medicals that protect your crews and maintain the safe operation of your vessel.