Arestova Yu A
The Federal State Budget Educational Institution of Higher Education "The Admiral F. F. Ushakov State Maritime University", 353924, Novorossiysk, Russia,
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2024 May;32(3):353-362. doi: 10.32687/0869-866X-2024-32-3-353-362.
In modern conditions of maritime navigation, protection of lives of crew members plays key role for their health and quality of life. The practice testifies that shipowners underestimate real statistics of occupational injuries, since procedure for its management and investigation of accidents on ships are not sufficiently regulated in international and national legislation. Besides, approaches of shipowners to implementation of existing standards also have different levels of responsibility that leaves measures preventing such incidents unreasonably underestimated. This situation results in increasing of occupational injuries on ships and allows shipowners or insurance companies to avoid proper payments to injured sailor or his family members in case of one's death. The complexity of implementation of "belated" medical expertise to determine cause of death or injury of crew member also makes it difficult to obtain positive result of recognition of disability or death of sailor as result of occupational traumatism. All the described above testifies importance and actuality of stated research topic. The article examines in detail normative acts regulating protection of labor and life and medical care of sailors. Also are considered causes, factors and types of occupational traumatism on ships. The accident statistics and procedure of their investigation are analyzed in relation to maritime practice. The issues of medical expertise are studied and main problematic issues are identified. The recommendations for their solution are formulated.
在现代海上航行条件下,保护船员生命对他们的健康和生活质量起着关键作用。实践证明,船东低估了职业伤害的实际统计数据,因为国际和国内立法对船舶职业伤害管理及事故调查程序的规定不够充分。此外,船东实施现有标准的方式也存在不同程度的责任问题,导致预防此类事故的措施被不合理地低估。这种情况导致船舶上职业伤害事件增加,并使船东或保险公司在船员受伤或死亡时避免向受伤船员或其家属支付适当赔偿。对船员死亡或受伤原因进行“事后”医学鉴定的实施难度,也使得难以认定船员因职业创伤导致残疾或死亡并获得肯定结果。上述所有情况都证明了所述研究主题的重要性和现实意义。本文详细研究了规范船员劳动与生命保护及医疗护理的规范性文件。还探讨了船舶上职业创伤的成因、因素和类型。结合海事实践分析了事故统计数据及其调查程序。研究了医学鉴定问题并确定了主要问题。针对这些问题提出了解决建议。