Sr.

Number:OISD/DOC/2016/419

Page No.I

OISD-GDN-204
First Edition September, 2001

FOR RESTRICTED
CIRCULATION

MEDICAL REQUIREMENTS, EMERGENCY EVACUATION

AND

FACILITIES

(For Upstream)

Oil Industry Safety Directorate

Government of India
Ministry of Petroleum & Natural Gas
8th Floor, OIDB Bhavan, Plot No. 2, Sector – 73, Noida – 201301 (U.P.)
Website: www.oisd.gov.in
Tele: 0120-2593800, Fax: 0120-2593802
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Page No. II

OISD GDN-204
First Edition
September, 2001

MEDICAL REQUIREMENTS, EMERGENCY EVACUATION

AND

FACILITIES

(For Upstream)

Prepared by

COMMITTEE ON “MEDICAL REQUIREMENTS, EMERGENCY EVACUATION AND

FACILITIES

Oil Industry Safety Directorate

Government of India
Ministry of Petroleum & Natural Gas
8th Floor, OIDB Bhavan, Plot No. 2, Sector – 73, Noida – 201301 (U.P.)
Website: www.oisd.gov.in
Tele: 0120-2593800, Fax: 0120-2593802
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Page No. III

Preamble

Indian petroleum industry is the energy lifeline of the nation and its continuous performance is essential
for sovereignty and prosperity of the country. As the industry essentially deals with inherently
inflammable substances throughout its value chain – upstream, midstream and downstream – Safety is
of paramount importance to this industry as only safe performance at all times can ensure optimum ROI
of these national assets and resources including sustainability.

While statutory organizations were in place all along to oversee safety aspects of Indian petroleum
industry, Oil Industry Safety Directorate (OISD) was set up in 1986 Ministry of Petroleum and Natural
Gas, Government of India as a knowledge centre for formulation of constantly updated world-scale
standards for design, layout and operation of various equipment, facility and activities involved in this
industry. Moreover, OISD was also given responsibility of monitoring implementation status of these
standards through safety audits.

In more than 25 years of its existence, OISD has developed a rigorous, multi-layer, iterative and
participative process of development of standards – starting with research by in-house experts and
iterating through seeking & validating inputs from all stake-holders – operators, designers, national level
knowledge authorities and public at large – with a feedback loop of constant updation based on ground
level experience obtained through audits, incident analysis and environment scanning.

The participative process followed in standard formulation has resulted in excellent level of compliance
by the industry culminating in a safer environment in the industry. OISD – except in the Upstream
Petroleum Sector – is still a regulatory (and not a statutory) body but that has not affected
implementation of the OISD standards. It also goes to prove the old adage that self-regulation is the best
regulation. The quality and relevance of OISD standards had been further endorsed by their adoption in
various statutory rules of the land.

Petroleum industry in India is significantly globalized at present in terms of technology content requiring
its operation to keep pace with the relevant world scale standards & practices. This matches the OISD
philosophy of continuous improvement keeping pace with the global developments in its target
environment. To this end, OISD keeps track of changes through participation as member in large number
of International and national level Knowledge Organizations – both in the field of standard development
and implementation & monitoring in addition to updation of internal knowledge base through continuous
research and application surveillance, thereby ensuring that this OISD Standard, along with all other
extant ones, remains relevant, updated and effective on a real time basis in the applicable areas.

Together we strive to achieve NIL incidents in the entire Hydrocarbon Value Chain. This, besides other
issues, calls for total engagement from all levels of the stake holder organizations, which we, at OISD,
fervently look forward to.

Jai Hind!!!

Executive Director

Oil Industry Safety Directorate

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Page No. IV

FOREWORD

The Oil Industry in India is more than 100 years old. Because of various
collaboration agreements, a variety of international codes, standards and practices have
been in vogue. Standardisation in design philosophies and operation and maintenance
practices at a national level was hardly in existence. This coupled with feed back from
some serious accidents that occurred in the recent past in India and abroad, emphasised
the need for the industry to review the existing state- of- the-art in designing, operating
and maintaining oil and gas installations.

With this in view, the Ministry of Petroleum and Natural Gas in 1986
constituted a Safety Council assisted by the Oil Industry Safety Directorate (OISD)
staffed from within the industry in formulating and implementing a series of self
regulatory measures aimed at removing obsolescence, standardising and upgrading the
existing standards to ensure safe operations. Accordingly, OISD constituted a number
of functional committees of experts nominated from the industry to draw up standards
and guidelines on various subjects.
The present guideline was prepared by the Functional Committee on “Medical
requirements, emergency evacuation and facilities ”. The document is based on the
accumulated knowledge and experience of industry members and the various national
and international codes and practices.

These guidelines are meant to be used as supplement and not as a replacement

for existing codes and practices.

It is hoped that provisions of these guidlines, if implemented objectively, may

go a long way in improving the evacuation system, safety and reduce accidents in Oil
and Gas Industry. Users are cautioned that no standard can be substitute for the
judgement of responsible and experienced Engineers/Geo-scientists..

Suggestions are invited from the users after it is put into practice to improve the
document further. Suggestions for amendments to this document should be addressed to the
Coordinator, Committee on “Medical requirements, emergency evacuation and facilities”,
Oil Industry Safety Directorate,
8th Floor, OIDB Bhavan,
Plot No. 2, Sector - 73
Noida – 201301 (U.P.)

These guidelines in no way supersedes the statutory requirements of bodies like

DGMS, CCE or any other Government Body which must be followed as applicable.
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Page No. V

NOTE

OISD (Oil Industry Safety Directorate) publications are prepared for use in the
Oil and Gas Industry under Ministry of Petroleum & Natural Gas. These are the
property of Ministry of Petroleum & Natural Gas and shall not be reproduced or
copied and loaned or exhibited to others without written consent from OISD.

Though every effort has been made to assure the accuracy and reliability of
the data contained in these documents, OISD hereby expressly disclaims any liability
or responsibility for loss or damage resulting from their use.

These documents are intended to supplement rather than replace the prevailing
statutory requirements.
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Page No. VI

COMMITTEE MEMBERS
FOR PREPARATION OF STANDARD ON

"MEDICAL REQUIREMENTS, EMERGENCY EVACUATION AND FACILITIES''

NAME ORGANISATION POSITION

S/SHRI

1. A.B.CHAKRABORTY ONGC LEADER

2. Dr. D. SHOME ONGC MEMBER

3. K.B.ROY ONGC MEMBER

4. DEPENDER SANDHU SCHLUMBERGER INVITEE

5. Dr. S.BAISHAYA OIL MEMBER

6. GULAB SINGH OISD MEMBER

CO-ORDINATOR
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Page No. VII

CONTENTS

S.N. TOPICS PAGE NO.

1. INTRODUCTION 1

2. SCOPE 1

3. DEFINITIONS 1

4. POLICY AND OBJECTIVE 3

5. PROCEDURAL LAYOUT FOR 3

MEDICAL EVACUATION

5.1 FITNESS SCREENING AND REQUIRMENTS

5.2 SITE SPECIFIC FLOW CHART
5.3 ASSIGNMENT OF RESPOSIBILITIES
5.4 COMMUNICATION
5.5 EVACUATION TRANSPORT, EQUIPMENT
AND TRANSIT PROCESS.

6. MEDICAL FACILITY REQUIRMENTS 6

7. TRAINING AND PERSONNEL DEVELOPMENT 8

8. REVIEW AND MONITORING 9

9. ANNEXURES. 10-19
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Medical Requirements, Emergency Evacuation and Facilities
(For Upstream)

Medical Requirements, Emergency Evacuation and Facilities

(For Upstream)

1.0 Introduction

The Indian Oil Industry Upstream operations covers a wide range of activities and
involves a substantial number of human resources. With the increasing degree of complexity of
work undertaken by this industry, the involved personnel are exposed to a certain degree of risk.
In order to bring uniformity in the level of health care and to provide a common standard of
Medical Facilities and Evacuation for all exposed personnel, the formulation of common
guidelines on the subject was considered essential.

These guidelines will provide norms for Medical Requirements, Emergency Evacuation
and Facilities.

2.0 Scope

Guidelines covers activities undertaken by the Upstream oil sector industries. All
personnel employed either as regular or as contractual employees are covered by these
guidelines. Guidelines covers the following aspects :

a). Medical Requirements of all employees.

b) Medical facilities available at installations/ work sites.

c) Procedure of Emergency Medical Evacuation.

3.0 DEFINITIONS

• Ambulance In charge

Person responsible for authorising movement of ambulance. This person could be base
Doctor, Logistics official or designated person.

• Approved Medical Center

Medical centre equipped with facilities to provide definitive medical care. This could be a
conveniently located Hospital/ Nursing Home duly approved by the employee’s company.

“OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.”
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Medical Requirements, Emergency Evacuation and Facilities
(For Upstream)

• Base Manager / Location Manager / Factory Manager

Person located in base (centralised land location) who undertakes overall administrative and
operational activities of the company in the specified area.

• Contractual Employees
Persons employed by a contractor company.

• First Aider
Person trained through St. John’s Ambulance’s comprehensive course in First Aid & holding
a valid certificate or Para Medical staff having required qualification in pharmacy from a
recognised institution.

• Minimum Fitness Level

A fitness level specified by the company for undertaking activities of a specific nature.
This level will be applicable to regular as well as contractual employees. OISD guidelines
GDN-166 – 1997 may be referred for the pre-employment/ pre-placement medical
examination and periodic health examination.
For contractual worker, contractor will be responsible for arranging pre- employment
medical examination and subsequent PME in accordance to the laid down procedure of
mines rules 1955 and other relevant rules. In order to implement it, a suitable clause in
contract document is to be included at the time of its formulation. Employer shall ensure its
implementation and monitoring.

• Personnel Medical History

Comprehensive Medical dossier consisting of details of Pre Employment, Pre Deployment
and Periodical Medical check.

• Regular Employees
Persons employed directly by the Principal company.

• Transit Facilities (Air/Land/Sea Ambulance)

Facilities available in the means of transport (air/land/sea ambulance) used to shift a patient
from the location of accident to the Approved Medical Centre are referred to as Transit
Facilities.

“OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.”
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4.0 Policy and Objectives

4.1 POLICY

A well defined and documented company policy should be in place to address the issues
pertaining to Medical requirements, Facilities and Emergency medical care including Evacuation
procedure.

4.2 OBJECTIVES

a) To ensure that a minimum fitness level of every exposed personnel is maintained at the
time of deployment and reaffirmed periodically thereafter. This is to be made applicable
for regular as well as contractual employees.

b) To ensure that a common minimum platform of medical care and emergency evacuation
facilities is made available to all exposed personnel.
c) To ensure that site specific procedures are in place to cover all foreseeable contingencies.

d) To ensure the healthy sustenance of the evacuation process, documentation should be in

place to record personnel medical history, relevant drills (including evacuation drills) and
schedule for inspection of medical facilities.

5.0 PROCEDURAL LAYOUT FOR MEDICAL EVACUATION.

5.1 FITNESS SCREENING AND REQUIREMENTS

Fitness screening is important to ensure that an employee’s medical health and actions
influenced by it do not pose a safety or health hazard. The fitness screening is to be undertaken
in three stages:

5.1.1 Pre Employment medical check

This check is to ensure a common minimum level of health and fitness as per company
policy.

5.1.2 Pre Deployment medical check

This check will be specific to nature of work and site requirements.

5.1.3 Periodical Medical check.

This check is to ensure that a minimum level of health and fitness is maintained with
respect to exposed employees age and existing occupational health hazard.

5.1.4 Each exposed person should carry a photo ID with basic medical information including,
but not limited to :

“OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.”
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a) Full Name, designation, age, address of the patient(s) and family contact details.
b) Blood group.
c) Known diseases/allergies (asthma, medications etc.)
d) Medical Centre approved by the employer where the individual is to be
transported in case of medical evacuation. In case such a centre is not specified by
the direct employing company, a municipal/ government hospital will be
considered to be the Approved Medical centre.

5.1.5 Suitable legal clause should be included in the contract document for deployment of fit
person
5.2 SITE SPECIFIC FLOW CHART

This is to ensure that the actions to be undertaken in case of emergency and persons
responsible for those actions are clearly identified in a sequential and comprehensive manner.
Such flowcharts shall be drawn out and visibly posted for each foreseeable medical contingency
relevant to that site. A basic flowchart to cover medical contingency is provided in Annexure-A.

5.3 ASSIGNMENT OF RESPONSIBILITIES

For smooth completion of the evacuation process, the responsibilities are to be divided into
the following key personnel.

5.3.1 Installation Manager

a) Will determine in consultation with the first-aider/ Doctor that the situation is
serious enough to warrant a Medical Evacuation especially during night hours.
b) Will ensure that adequate first aid is provided to the patient and will designate
responsibilities to key persons as per the site flowchart.
c) Will communicate with the Base Manager and the air/land ambulance incharge to
identify self, patient, location of incident, nature of illness/ injury to ensure
preparedness for initiating evacuation.
d) Shall assist the ambulance (air/sea/land) crew and doctor as required once the
ambulance arrives to evacuate the patient.

5.3.2 First Aider / Doctor

a) Will provide the information concerning the condition of the patient and the
nature of the injuries to the ambulance attendant and to the approved medical
centre. First aid trained personnel must be deployed at all work centres
/installations and in each shift. After first-aid the victim must be taken to the
nearest hospital / Doctor along with the relevant information about the accident/
illness of the victim.

The information should include, but not limited to :

1. Full Name, designation, age, address of the patient(s) and family contact details.

“OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.”
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Medical Requirements, Emergency Evacuation and Facilities
(For Upstream)

2. Details of the accident or symptoms exhibited by the sick or injured person.

3. First aid/ treatment administered on the installation.
4. Patients blood group.
5. Known allergies (asthma, medications etc..)
6. Special Medical Considerations (hypertension, diabetes etc..)

The above information can be noted on a recommended format attached in

Annexure-C.

b) Based on the nature of the injury/illness, the first-aider/Doctor shall ensure that
necessary medical equipment and facility is made available on the ambulance
during transit from the Installation to the Approved Medical Centre.
He should also ensure that the patient is safely transferred and secured in the
ambulance.
c) Based on the condition of the patient and strength of the ambulance crew, the
First Aider/Doctor will recommend to the Installation Manager whether a first aid
qualified attendant to travel with the patient.

5.3.3 Base Manager / Location Manager / Factory Manager

a) Will receive information from the Installation Manager and will notify the Ambulance
Incharge, Approved Medical Centre, family of the patient and his superiors.
b) Will authorise the Ambulance Incharge to dispatch an ambulance to the installation in
question and will inform the Installation Manager about the ETA of the ambulance at the
Installation. In the event that two or more modes of transport (air/sea/land) are required to
transport the patient to the Approved Medical Centre, the Base Manager should inform
each concerned ambulance In charge.
c) He shall co ordinate with all concerned parties to ensure that the patient is transported to
the AMC with minimum delay.
d) Will Laise with the nearby Police Station to notify them of the accident as per local law.
e) Will Liaise with the Base Doctor/ First Aider to ensure that the Approved Medical Centre
is prepared to receive and treat the patient.
f) Will designate the Base Doctor to be present at the AMC to ensure that the patient’s
treatment is expedited and will inform the Installation Manager as and when the patient
has been admitted/treated at the AMC.

5.3.4 Radio operator (offshore)/ Shift Incharge (Land)

a) Will be available on radio till the patient reaches the AMC and will be responsible for
relaying information between various agencies as per the site flowchart.
b) Will keep Installation Incharge and Base Manager informed about arrival and departure
times of the ambulance.

“OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.”
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(For Upstream)

c) Will Liase with the nearby installation to arrange for alternative transport to ensure
speedier evacuation of the patient.

5.3.5 Base First Aider/Doctor

a) Liase with the AMC to ensure preparedness to receive and treat the patient.
b) Accompany patient to the AMC and administer treatment, if necessary, during transit.
c) Will inform Base Manager and Installation manager as and when the patient has been
admitted/treated at the AMC.

5.4 COMMUNICATION

To ensure uninterrupted communication during handling of a Medical Evacuation, a

separate communication channel is to be established for free, un interrupted talk between the
installation and various agencies involved as per the site flow chart. This earmarked radio
frequency should be clearly listed along with key contact details in Annexure-B

5.5 EVACUATION TRANSPORT, EQUIPMENT AND TRANSIT PROCESS.

A medical Evacuation may involve transport by land, air and sea or a combination of
these. Associated facilities to transport injured person e.g. burn victims, severe back injury cases,
rescue of injury cases from inaccessible areas/ heights/ confined places is to be ascertained prior
to undertaking work and catered to for each installation.

During shifting of patient in transit, the Field First Aider/Doctor/attendant should be

present to ensure safe shifting which does not further deteriorate the patient’s condition.

A suitable means of communication (such as radio or Mobile phone) with sufficient

range to contact Installation as well as Base should be available inside the evacuation transport
facility. Such equipment should be convenient to use, without requirement of any specialised
training.

6.0 MEDICAL FACILITY REQUIREMENTS

6.1 Recommended Fixed Equipment

This section defines the recommended Fixed Equipment including diagnostic tools to be
maintained at field medical facilities for first aid and primary health care. A recommended list of
Fixed Equipment is attached in Annexure-D

6.2 Recommended Disposable Equipment

This section defines the recommended Disposable Equipment used for performing first
aid measures. A recommended list of Disposable Equipment is attached in Annexure-E.

“OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.”
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6.3 Recommended Approved Drugs

This section defines the recommended Approved Drugs used for primary treatment
necessary for generally occurring illnesses. A recommended list of recommended Approved
Drugs is attached in Annexure-F

6.4 Recommended Emergency Kit

This section defines the recommended emergency kit to be carried during instances when
there is a possibility of medical care being required remote from a fixed medical facility (such as
in an abandonment etc.). A recommended list of recommended Emergency Kit is attached in
Annexure-G

6.5 First Aid kit, Quantity and Location

Approved first aid kits are available in different physical sizes (with varying quantity of
contents) which are dictated by the strength of workgroup. It is recommended to allocate a
minimum of one approved First Aid kit (12” X 12” X 6” approximately) for a workgroup of
twelve or less. If the workgroup is divided into more than one work site, each site should have
it’s separate First Aid kit. The recommended contents of each First Aid kit are listed out in
Annexure-H.
First aid box shall remain in the custody of work site incharge and first aid to be provided
by trained first aider

6.6 Inventory Control

The primary purpose of Inventory Control is to establish an optimum amount of
equipment (fixed and disposable) and drugs in order to cater to the needs of each specific
installation. Inventory Control also serves to aid in replenishment of expired equipment and
drugs. The assigned field First Aider is accountable for inventory control of the medical facility.
There should be a documented procedure (including responsibility assignment) for disposal of
expired equipment and drugs/injectibles in a safe and environmentally friendly manner.
The organisation’s Medical Department should decide quantity of medicines, which
should be made available at any site.

6.7 Mutual Aid

It is recommended that installations supplement their in house medical facility by seeking
aid from other installations in the vicinity. This may be particularly helpful in case of remote
installations. The existence of a formalised document (e.g. MoU) between the parties operating
within remote areas is recommended to facilitate Mutual Aid.

In an Air/Land/Sea Ambulance, there should be facility available to transport a patient in

supine (lying down) position on a stretcher (normal folding and Neil Robertson type) along with
some fixed auxiliary equipment such as oxygen bottles and breathing mask, resuscitator, burn
sheets, provision to administer Intra Venous (IV) fluid etc. In addition, the ambulance should be

“OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.”
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equipped with life saving drugs/medicines/injectibles and a suitable means of communication

(such as radio or Mobile phone) with sufficient range to contact Installation as well as Base.

7.0 TRAINING AND PERSONNEL DEVELOPMENT

The training requirements would apply to the Field as well as Base medic/Doctor and
also to all exposed personnel (regular as well as contractual employees). Since a Field First
Aider, in most cases, works in isolation without the support of a medical team, he needs to be
self sufficient in performing his duties.

In addition to specialised training courses such as Fire prevention & Control and Survival at
Sea, the Medic needs to be well versed with medical problems and treatment of the following,
but not limited to :

• Hydrogen Sulphide evacuation

• Radioactivity exposure
• Methane exposure
• Sandblasting
• Welding hazards
• Noise and vibration
• Obesity
• Trauma
• Infestations
• Psychological Disturbances
• Drug and alcohol abuse
• Sea induced sickness and vomiting

It is recommended that the following training courses be made mandatory for all personnel

• First Aid
• Fire Fighting and prevention
• Survival at Sea (For offshore going personnel)
• Desert Survival Techniques (For personnel deployed in Desert terrain)

Refresher courses as applicable should be a part of personnel development of Field First

Aiders/ Base Doctors and exposed personnel. Doctors who attend to medical emergencies should
also be imparted training in specialised emergency/trauma/underwater medicines etc..

“OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.”
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8.0 REVIEW AND MONITORING

Review is important in ensuring healthy sustenance and improvement of the evacuation

process. This can be duly effected by routine monitoring of various associated activities that fall
under the purview of this standard.

Such activities should include the following :

a) Routine Drills.
Drills are conducted to stimulate various contingencies and to ensure preparedness in
responding to such emergencies.

b) Audit Reports
A critical examination of process, procedure and Facilities and also highlights
deficiencies that require corrective measures.

c) Investigation reports and their monthly review

Investigations conducted to identify root cause and circumstances leading to an accident/
incident. Recommendations mentioned in the Investigation reports are circulated for
implementation.

d) Monthly review of HSE issues by project head.

This is reflective of the management’s commitment in ensuring a safe working
environment for employees and also for increasing productivity levels by loss mitigation
measures.

e) Employee Feedback reports

This presents an important means for continual improvement in various processes

d) Monthly HSE Report (Accidents, Fatal Injuries, Lost Time Injuries, Hazardous
Situations, Non reportable injuries, Record of recent HSE training).
A routine reporting system covering the above mentioned topics aid in dispersing HSE
awareness and also provides a means of accumulating data for measuring HSE
performance.

“OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.”
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Annexure A

Field Medical Evacuation Procedure

Ailment or
Injury

Inspection by
Field Medic or
Doctor

Installation In charge

Inform Radio/ Communication Coordinate shifting

Incharge of patient to Base/helibase
Provide attendant

Inform Employee's Base Inform Air logistics Helibase

Manager of Emergency
(offshore only)

Inform Base Doctor Arrange Air/sea/Land

Ambulance

Accompany Patient to Inform Approved Administer medical

Approved Medical Medical Centre care during
Centre Of Emergency transit

Admit Patient
and review case

“OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.”
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Annexure -B

Key Contact List

Communication Channel :

Base Managers :

Approved Medical Centres :

“OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.”
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Annexure - C
Medical Report
Name and Designation :

Employers Name & Address :

Family Contact Details :

Place and Time of Accident :

Chief Complaints :

Nature Of Injury :

Clinical Findings and Diagnosis :

Treatment Given :

Advice :

Installation :
Date : Signature of
Medical officer/ First aider

“OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.”
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ANNEXURE-D

MEDICAL FACILITY REQUIREMENTS

(Offshore/ Onshore)
RECOMMENDED FIXED FURNITURE & EQUIPMENT

SN0 ITEM QTY

1 EXAMINATION TABLE
2 OBSERVATION BED
3 REFRIGERATOR
4 WEIGHING MACHINE
5 MEDICINE STORAGE
RACK
6 DRIP STAND
7 MAKINTOSH SHEET
8 STETHOSCOPE
9 PERCUSSION HAMMER
10 TUNING FORK
11 MEASURING TAPE
12 B.P.INSTRUMENT (Hg)
13 DIAGNOSTIC SET
14 STRETCHER PLAIN
15 CREMWIRE SPLINT
16 THOMAS SPLINT
17 E CG MACHINE
18 STERILIZER
19 AUTOCLAVE
20 BED SIDE TABLE
21 FOLDING SCREEN
22 DRESSING TROLLY
23 SUCTION MACHINE
24 AMBU BAG
25 O2 CYLINDER WITH
STAND REGULATOR/
CATHETER & MASK
26 TRACHEOSTOMY SET
27 DRESSING DRUM
28 DRESSING TROLLY
29 MATRESS FOR BED
30 BED SHEET/ PILLOW
BLANKET
31 NEIL ROBERTSON

“OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.”
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STRETHCER
32 BP INSTRUMENT (WALL)
MOUNTS
33 TOOTHED FORCEPS
34 DRESSING FORCEPS
35 NEEDLE HOLDER 5”
36 SMALL SCISSORS 4.5”
37 TRAY W/LID
INSTRUMENT
38 BANDAGE SCISSORS
39 DIGITAL THERMOMETER

* The list is tentative and can be added or deleted by the authorised Medical Officer of Medical
department of concerned organisation and all medicines to be administered by authorised
Medical Officer

“OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.”
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ANNEXURE-E

MEDICAL FACILITY REQUIREMENTS

(Offshore/ Onshore)
RECOMMENDED DISPOSABLE EQUIPMENTS/ ITEMS

SNO ITEM QTY

1 SURGICAL GLOVES 3 PRS
SIZE-7
2 FACE MASK 12
3 OXYGEN FACE MASK 24
4 TRIANGULAR 12
BANDAGE
5 DRESSING GAUGE 1 Than
6 ABSORBENT COTTON 1 Roll
7 WOODEN TONGUE 1 Box x
DREPRESSOR 200
8 DENATURED SPIRIT 1 Bottle
9 SAVLON 1 Bottle
10 HYDROGEN PEROXIDE 1 Bottle
11 ASSORTED BANDAGE 1 Doz
2” to 4” each
12 CREPE BANDAGE 3 each
2” to 4”
13 WOODEN SPLINT
ASSORTED
14 RYLES TUBE( adult) 2
15 SYRINGES 2,5, 10,20 ml
16 I V SET
17 ADHESIVE PLASTER
18 BAND AID STRIPS
19 RUBBER FINGER (ST)

* The list is tentative and can be added or

deleted by the authorised Medical Officer of
Medical department of concerned
organisation and all medicines to be
administered by authorised Medical Officer

“OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.”
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OISD – STD – 204 Page No. 16

Medical Requirements, Emergency Evacuation and Facilities
(For Upstream)

ANNEXURE-F
MEDICAL FACILITY / REQUIREMENTS
(Offshore/ Onshore)

RECOMMENDED APPROVED DRUGS FOR FACILITY

SNO ITEM QTY ANTI MALARIAL
ANTIBIOTICS 39 CLO-KIT
1 ROSCILLIN 40 LARIAGO
2 CAMPICILLIN 41
3 BOICILLIN
NIVAQUIN, P
42 CROYDOXIN FM
4 MOX
5 WYMOX 43 REXQ
6 CIFRAN 44 FALCIGO
7 CIPROBID 45 FALCIQUIN
8 CIPROLET 46 PRIMAQUIN
9 CIPRO
10 SPORIDEX FORTE
11 CEF/ KID ANTI-FUNGAL
12 NUFEX 47 GRISOVIN
13 PHEXIN 48 GRIS OD
14 ORPRIM 49 FORCAN 150
15 SEPTRAN 50 SYSCAN 50, 150
16 BACTRIM
17 ODOXIL DECONGESTENT
18 DROXIBID 51 TAB. ACTIFED &
19 DOXY-1 DM
20 MICRODOX 52 TRIOMINIC
21 VIBAZAN-DT 53
22 ERYTHROCIN
LEMOLATE
54 RINOSTAT
23 ALTHROCIN
24 ERYSTER 55 SINAREST
25 NORBACTIN 56 SYP.
26 NAGAFLOX LEMOLINGTUS
27 NORFLOX & DT CODEIN SULP
28 NORILET 57 TRIAMINIC
29 GRAMONEG 58
30 NEGADEX
SINAREST
31 ROSCILOX 59 SEUDAFED
32 AMPOXIN NASAL DROPS
33 PENTID 60 OTRIVIN
34 TARIVID COUGH SYPS
ANTI-TUBERCULOSOS 61 LINCT.MITTS LINC
35 AKT-4 RCINEX 62 COSCOPIN
36 RIFATER 63
37 REINEX TAB
GRILINCTUS & BM
REMACTAZIDE SY. 64 TIXILYX
38 MYCOBUTOL-800 EXPECTORANT AVIL
65 COREX
“OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.”
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Medical Requirements, Emergency Evacuation and Facilities
(For Upstream)

66 BENADRYL ULCER HEALING

67 ZEDEX AGENTS
102 HISTAC
68 BRICAREX
103 ACILOC
69 ZEET
104 ZINETAC
70 ASCORIL & D
105 FAMOTAC
BRONCHODILA / TAB / SYP.
71 DERIPHYLLIN/ 106 FAMOTIN
RETD 107 OMEZ
72 ASTHALINTHEO 108 OCID
73 BRICANYL 109 OMICAP
74 VENTIPHYLLIN 110 MOTILAX
75 UNI CONTIN 400 111 PROKINE
76 BRONCO PLUS 112 PERISTIL
77 VENT PD ENZYMES/ DIGESTIVES
CORTICOSTERDOIDS 113 BESTOZYME
78 BETNESTOL 114 CARMICIDE
79 WYCORT 115 VIZYLAC
80 DEXONA 116 NEUTROLIN-B
81 DECADRON 117 FESTAL N
82 EFCORLIN 118 RINIFOL
ANTIALLERGIC ANTISPASMODIC
83 AVIL 119 CYCLOPAM
84 ALLEGRA –120 120 MEFTAL SPAS
85 POLARAMIN REPT 121 PROXYVON
86 PHENARGAN 122 COLIMEX
87 CALADRYLLOTION ANTIEMETIC
88 ATARAX 123 DOMSTAL
CETRIZINE/ CETZINE 124 STEMETIL
89 ECON DT 125 REGLAN
90 CETRINE 126 GASTRACIN
91 ALERCET 127 PNV
ASTEMIZOLE/ STEMIZ 128 DOXINATE
92 ASTELONG 129 NAUSIFAR MPS
ANTACID ABDOMINAL INFECTIONS & LOWER
ABDOMINAL DISORDERS
93 GELUSIL 130 FASYGIN 500 DS
94 POLYCROLGEL 131 METROGYL
95 DIGENE 132 TINILOX MPS
96 MUCAINEGEL 133 LOXONE T
97 SOLACID 134 DEPENDAL M/
98 DIOVOL
FUROXONE
99 MAYLOX 135 ENTERMEZOLE
100 SILOXOGENE FORTE
101 H2 BLOCKERS &
136 CIPLOX TZ
“OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.”
 Sr.Number:OISD/DOC/2016/419

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Medical Requirements, Emergency Evacuation and Facilities
(For Upstream)

137 FLAGYL 171 MOBIZOX

138 WALAMYCIN 172 DOLINEX-DT
ANTIDIARRHOEAL 173 NAPROSYN
139 GRAMONEG 174 PIROX
140 LOMOTIL/ 175 DICLORAN A
LOMOFEN 176 MOBIFEN
141 GRAMOGYL 177 NISE SYP
142 BACTOMET 178 ORTHOBID
143 WALLAMYCIN 179 NIMFAST
HEPATO-BILIARY 180 NIMACE SYP.
144 LIV 52 MUSCLE RELAXANTS/ RUBE
145 ANTIHELMENTHIC 181 DOLONEX GEL
146 ALBENDOL 400 182 SENSUR
147 ZENTEL 183 MYOLAXIN
148 COMBANTRIN A 184 MULTIGESIC
ORT PREPARATIONS 185 ORTHOBID GEL
149 ELECTAL / 186 VOVERAN GEL
PUNATRAL 187 VOLINI GEL
150 PEDITRAL 188 DICLORAN MC
151 COSLYLTE DIURETICS
189 LASIX/
LAXATIVES/ PURGATIVES
152 DULCOLAX LASILACTONE
190 DYRIDE
153 AGAROL
191 BIDURET-L
154 KYJELLY
CARDIOVASCULAR
155 PROCTOSEDYL ANTHYPERTENSIVES
156 ANOVATE 192 BETALOC
157 XYLOCAINE 193 CATENOL
158 CREMAFFIN 194 EWVAS DEPIN
ANAGESICS/ ANTIPYREIN 195 5.10 RTD
159 MALIDENS 196 ENACE
160 MEFTAL 197 SORBITRATE
161 ASA 198 MONO-
162 ULTRAGIN SORBITRATE
163 CALPOL 199 TENORMIN
164 ECOSPRIN 200 LISTRIL
165 DOLOPAR 201 DILZEM
NSAID 202 LANOXIN
166 BRUFFEN 203 SREPTASE
167 COMBIFLAM 204 ISMO 20
168 VOVERAN 50 205 STAMLO, BETA
169 PROXYVON 206 MINIPRESS XL
170 MYOSPAZ FORTE 207 AMLOGUARD

“OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.”
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Medical Requirements, Emergency Evacuation and Facilities
(For Upstream)

208 PRESOLAR 243 FLUR, FML

CENTRAL NERVOUS SYSTEM TRAN 244 NORZEN, ZOXON
209 ATIVAN 245 ZONOCIN
210 CALMPOSE 246 OPTHACARE
211 SERENACE 247 AQUA TEAR
212 248 FINTAL
PLACIDOX
249 TROPICAMIDE
ANTI. CONV
250 ATROPINE OINT
213 TEGRETOL 251 NEOSPORIN-H
214 MAZETOL 252 ENSAMYLINED
215 GARDENAL 253 OCUREST
ANTI.DEP EAR DROPS
216 ALZOLAM 254 CHLOROMYCETINE
217 TRIKA 255 CANDIBIOTIC
218 RESTYL 256 OTOGESIC
219 FLUDAC 20 257 WAXICLIN
220 TRYPTOMER 258 WAXOLVE
ANTI- DIABETIC 259 GENTICYCN E/D
221 INSULIN H. HAEMO STATICS
260 THROMBOPHOB
MIXTARD
261 STANDREN
222 H.MONOTARD 262 GYNAE CVP/ FORTE
223 GLYNASE, SEMI & 263 STRYPTO CHROME
GLYCIPHAGE
264 STRIPTOVIT
224 DADNIL, SEMI 265 HIRADOID
225 GLUCOTROL HAEMATINICS
226 GLYBORAL 266 AUTRIN
OBS & 267 DUMASULES
GYNAECOLOGICAL 268 FEFOL-Z
227 REGESTRONE 269 TONOFERON
228 OXYTOCIN 270 FERSOFT
229 FETUGARD 271 IBEROL
230 PROLUTON DEPO 272 HEMATRIN
231 DUVADILAN 273 FESOVIT
232 CANESTIN VITAMINES &
233 PES V 6 & OINT. CALCIUM
234 BETADIN VEG. 274 CEBEXINE
EYE DROPS/ OINT. 275 BECOSULES
235 SOFRAMYCIN/ 276 ZEVIT CAP & SYP
SOFRACORT 277 EVIT 200 & 400
236 APL.CHLOROMYCETINE
278 POLYBION EVION
237 GENTICYN 279 NEUROBION
238 ITONE 280 B COMPLEX
239 CEBRAN 281 NEUTROLIN B
240 NORBACTIN 282 VIZYLAC
241 CELUMIDE 283 FELVITE
242 CIPROBID 284 OSTO CALCIUM
“OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.”
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Medical Requirements, Emergency Evacuation and Facilities
(For Upstream)

285 CELIN 308 NEOSPORINE

286 COBADEX F OINT.PLV
287 SHELCAL 309 SILVEREX
288 ELDERVIT 310 SILVER SULPHA
289 VISYNERAL 311 ZOLE F OINT.LOT
290 SOCKCEE 312 SOFRAMYCIN OINT
291 BEPLEX FORTE 313 ITEOL
292 OYSCAL FORTE 314 SAVLON/ KY JELLY
293 VITOCOFOL 315 KERALIN OINT
ALKALISERS & URINARY A 316 WOKADINE
294 CITAL 317 SURFAZ SN
295 CITRALKA ANTI SCABIES
296 CYSTONE 318 SCABOMA
IV FLUIDS MOUTH PAINTS 319 ASCABIOL
297 ZYTEE/ STOMELA 320 GAMBEN
298 HEVY GEL 321 SCABEX
299 ORASEP INHALERS
300 CANDID 322 AEROCORT
301 MUCOPAIN 323 ASTHALIN
TROPICAL LOTIONS 324 BECLATE
302 QUADRIDERM 325 NEBULIZER SUN
303 DIPSALIC SURGICAL DRESSING
304 BETNOVATE PNC 326 LEUCOCREPE
305 DIPROVATE PNC 327 POP BANDAGE
306 CANDID B PL LOT 328 VELSTRETCH
307 CANESTAN 329 CREPE BANDAGE
OINT.VAG

* The list is tentative and can be added or deleted by the authorised Medical Officer of
Medical department of concerned organisation and all medicines to be administered by
authorised Medical Officer

“OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.”
 Sr.Number:OISD/DOC/2016/419

OISD – STD – 204 Page No. 21

Medical Requirements, Emergency Evacuation and Facilities
(For Upstream)

ANNEXURE-G
MEDICAL FACILITY REQUIREMENTS
(Offshore/ Onshore)

EMERGENCY KIT

4 DERIPHYLLIN
N0 ITEM QTY 5 DEXONA/ WYMESONE
6 VOVERAN
MEDICAL EQUIPMENT (NON-
DISPOSABLE) 7 STEMETIL
1 STETHOSCOPE 1 8 ATROPINE
2 SPHYGMOMANOMETER 1 9 REGALAN
(MERCURY) 10 AVOMINE
3 SCISSORS (DRESSING) 1
4 OROPHARYNGEAL 1
AIRWAY
5 TOURNIQUET 1
6 TORCH (CLINICAL) 1
MEDICAL EQUPMENT (DISPOSABLE)
1 STERILE GLOVES 1
2 SYRINGES (10 ml/ 1
5 ml/ 2.0 ml)
* The list is tentative and can be added or
3 SPIRIT SWABS 1
4 PLASTERS (ADHESIVE) 9
deleted by the authorised Medical Officer of
5 BURN SHEETS –WATER 2 Medical department of concerned
JEL WRPAS 8” X 18”
6 SHORT IV CATHETERS 2 organisation and all medicines to be
18/ 20 g EACH
7 SOFRATULLE 10 CM X 10 1 BOX administered by authorised Medical Officer
CM
EMERGENCY DRUGS
TABLETS
1 SORBITRATE/ 100
ISOSORBIDE
SUBLINGUAL
2 PARACETAMOL 100
3 DIGENE/ GELUSIL
LIQUIDS
1 DETTOL
2 SOFRAMYCIN EYE
DROPS
3 OTOGESIC/ WAXOLVE
EAR DROPS
INJECTIONS
1 FORTIVIN
2 CYCLOPAM
3 DIAZEPAM

“OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.”
 Sr.Number:OISD/DOC/2016/419

OISD – STD – 204 Page No. 22

Medical Requirements, Emergency Evacuation and Facilities
(For Upstream)

Annexure- H

Recommended contents of First Aid Kit

S. No Name of Item Quantity Units Purpose

1 Tincture Iodine 30 ml Cuts/ Wounds
2 Tincture Benzoine 30 ml Cuts/ Wounds
3 Rectified Spirit 30 ml Clean wounds
4 Antiseptic Solution (eg Dettol, Savlon) 100 ml Clean wounds
5 Cotton Absorbent, Small roll 1 roll
6 Dressing gauge, sterile 6 packets
7 Bandage, roller 2" 6 nos
8 Bandage, roller 4" 6 nos
9 Adhesive plaster 2" 1 roll
10 Scissor, stainless steel 4" 1 nos
11 Blade, new 12 nos
12 Bandage, Triangular 3 nos
13 Medicinal Adhesive strip (eg band Aid) 24 nos
14 Tab Paracetamol (eg Crocin) 10 nos Fever, body/head ache
15 Tab Antacid (eg Digene) 10 nos Indigestion
16 Tab Antispasmodic (eg Cyclopan) 10 nos Pain Abdomen
17 Tab Salt 24 nos
18 Tab Anti emitic (vomiting, eg Avomine) 10 nos Vomiting,
19 Oral Rehydration Solution (eg Electral) 12 sachets Lose motion
20 Antbiotic skin powder (eg Nebasulph) 2 nos Dressing of wounds
21 Antibiotic eye drops (eg Sophramycin) 2 nos
22 Antibiotic skin ointment (eg Neosporin) 2 nos
23 Assorted sized Splints 4 nos Immobilisation
24 Tourniquet 1 nos Stop bleeding/Snake bite

Note- Quantity indicated are minimum for first aid kit.

* The list is tentative and can be added or deleted by the authorised Medical Officer of
Medical department of concerned organisation and all medicines to be administered by
authorised Medical Officer

“OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.”