IT-GUIDE-L3.3

Medical Fitness, Seafarer Registers and Social Security in Outline

IT-GUIDE-M3 · Foreign Crew on Italian-Flag Yachts · IT-GUIDE-M3-A Getting a foreign CoC recognised, the EU/EEA rule for masters and the Italian-law exam, and the medical and social-security basics.

The STCW medical, the **matricole** (now open to residents of any nationality), crew-nationality rules and a warning about social security.

Legal frame

Governing: D.Lgs. 71/2015 art. 12; D.M. 121/2005 art. 4-bis; Cod. nav. arts 119 and 318 (art. 119 rewritten by L. 70/2026 art. 21); L. 172/2003 art. 3(4); STCW I/9. Builds on: L1.2, L3.1.

Medical fitness

  • STCW seafarers. Anyone holding an STCW CoC or training certificate and working on board needs a medical certificate drawn up under STCW Section A-I/9 (D.Lgs. 71/2015 art. 12(1)). In Italy it is issued by the Ministry of Health. Appeals go to a permanent medical commission at the Capitaneria that is seat of the maritime compartment (art. 12(3)). Under STCW the certificate is valid for at most two years.
  • Expiry at sea. If it runs out during a voyage it stays valid until the next port where an authorised doctor is available, for no more than 3 months (art. 12(5)).
  • UND 2ª classe. Candidates not enrolled as seafarers are assessed to the patente B standard, by the doctors listed in D.M. 146 art. 36 (D.M. 121 art. 4-bis(2)(f)).
  • Foreign medicals. A foreign STCW medical is normally accepted alongside a recognised CoC. Check with the company which certificates the flag office expects.

The matricole after 2026

Italian professional yacht crew are enrolled in the matricole della gente di mare and carry a libretto di navigazione (L1.2). L. 70/2026 rewrote Cod. nav. art. 119. Enrolment is now open to nationals of Italy, the EU, the EEA and Switzerland, and to nationals of other states if they are resident in Italy, from age 16, provided they meet the requirements for each category. Losing the citizenship or residence requirement is a ground for removal.

Crew nationality

Regime Rule
National ships (Cod. nav. art. 318) Crew entirely Italian or EU, with derogations allowed by national collective agreements
Charter units (L. 172/2003 art. 2(6)) Non-EU crew work under the law the parties choose, subject to immigration law and ILO conventions
RI charter ships (L. 172/2003 art. 3(4)) "Di norma" master plus 2 Italian/EU crew; the master may add crew of other nationalities

These rules pull in different directions and no circular reconciling them for yachts was found. A non-EU crew member should get the employer's written confirmation of the legal basis for his berth, and of his immigration status, before joining.

Social security, in outline only

Italian-flag employment may bring you into the Italian seafarer social-security system, but the regime depends on the flag, the contract, the employer's establishment and your residence. This guide does not cover contribution rates or income tax, which turn on individual facts. Ask the employer for the registration details and take independent advice before signing.

WARNING — Do not assume your old cover follows you Moving from a Red Ensign yacht to an Italian-flag one can change your social-security position. Get it in writing.

For medical and CoC upkeep generally, see Keeping Your CoC Valid.

Practice questions

5 questions

recall · core

Under which STCW provision are Italian seafarer medical certificates drawn up? (a) Regulation I/10 (b) Section A-VI/1 (c) Regulation II/2 (d) Section A-I/9

recall · core

If your medical certificate expires during a voyage, how long can it remain valid? (a) Until the next port with an authorised doctor, for at most 3 months (b) 30 days (c) It lapses immediately (d) Until the end of the contract

recall · core

Who may enrol in the Italian matricole della gente di mare since L. 70/2026? (a) EU nationals only (b) Italian nationals only (c) Anyone with an STCW CoC (d) Italian, EU, EEA and Swiss nationals, and nationals of other states if resident in Italy

recall · core

Which medical standard applies to an UND 2ª classe applicant not enrolled as a seafarer? (a) The ENG1 (b) The STCW standard only (c) None (d) The patente B standard under D.M. 146 art. 36

scenario · core

A Filipino deckhand living in Genoa asks whether he can obtain an Italian seaman's book. What changed in 2026? (a) Nothing: only EU nationals may enrol (b) He needs Italian citizenship (c) Residents of any nationality may now enrol, if they meet the category requirements (d) He must hold an Italian CoC first

Independent study. xplor is not affiliated with the Italian Ministry of Infrastructure and Transport (MIT), the Guardia Costiera / Capitanerie di Porto or any marine protected area, is not an approved nautical school (scuola nautica) or training centre, and awards no licence, title, certificate or endorsement. Titles, endorsements and exams are obtained only through the Capitanerie, the Direzioni marittime, Italian consulates and MIT-recognised training institutes, and nothing in this guide counts towards sea service, course hours or any exam. AI-drafted content pending subject-matter-expert review.