USCG-MMC-L2.2

First aid, CPR, and what Basic Training covers

This is a small requirement that returns a surprising number of applications, because the two certificates do not expire the same way and almost everyone assumes they do.

Entry & progression

Governing: 46 CFR 11.201(i). Two certificates, two different rules.

The rule

46 CFR 11.201(i) requires an original officer endorsement applicant to provide:

Certificate The rule The trap
First aid Completed not more than 1 year before the date of application It expires against your application date, not against some rolling window. A course taken 13 months ago is worthless
CPR Currently valid — that is all No one-year rule. People re-sit it needlessly

They are not both 'within one year'. First aid is; CPR merely has to be in date. Half the confusion in this area comes from people applying the stricter rule to both, and the other half from applying the looser rule to both.

Acceptable courses

  • First aid — the American Red Cross Standard First Aid course, the Red Cross Community First Aid & Safety course, or a Coast Guard-approved first aid course.
  • CPR — the American Red Cross, the American Heart Association, or a Coast Guard-approved CPR course.

TIP — Valid STCW Basic Training satisfies both 46 CFR 11.201(i)(1) accepts evidence of continued competency in STCW Basic Training in place of the first aid certificate — and BST covers the CPR element too. If you already hold BST from the MCA side of the house, you do not need to go and sit two more courses. This is the single most useful thing on the page for anyone crossing over from the UK system.

The exceptions

11.201(i) opens "except as provided in §§ 11.429, 11.456 and 11.467" — the limited Master under 100 GRT, the limited OUPV, and the OUPV section generally. For the limited credentials, first aid and CPR are required only where, in the opinion of the Coast Guard, the geographic area precludes obtaining medical services within a reasonable time.

For the standard, all-waters OUPV, the NMC checklist does require both. The exception is narrower than the cross-reference makes it look — read it as applying to the limited and restricted variants, not to the ordinary six-pack.

Firefighting

Not required for OUPV or Master under 100 GRT. 46 CFR 11.201(h)(3)(i) requires basic firefighting for Master on vessels of less than 500 GT in ocean service — and neither of these credentials is ever issued for oceans. It appears on no checklist for either ticket.

Sequencing the two certificates

Because first aid expires against your application date, the order you do things in matters more than it should:

  1. Do not sit first aid a year before you intend to apply. It will time out while you are still gathering sea service letters.
  2. Sit it once the rest of the package is close to complete — alongside, or shortly before, the drug test.
  3. CPR can be done whenever, since it only needs to be in date. If you already hold a current certificate, leave it alone.
  4. If you hold valid STCW Basic Training, do neither. Produce the BST evidence and move on.

WARNING — A first aid certificate is not a first aid competence The regulation asks for a certificate. The sea will ask for the skill. On a six-pack an hour offshore, you are the entire medical response for everybody aboard — there is no one else. Sit the course properly, and re-sit it because you want to remember it, not because the CFR made you.

Practice questions

5 questions
recallcore

recall · core

Under 46 CFR 11.201(i), the first aid certificate must have been completed: (a) Within 5 years of application (b) Not more than 1 year before the date of application (c) At any time — it need only be valid (d) Within 185 days

recallcore

recall · core

The CPR certificate must be: (a) Completed within 1 year of application (b) Currently valid — there is no one-year rule (c) Renewed every 6 months (d) Issued by the Coast Guard

recallcore

recall · core

Valid STCW Basic Training: (a) Satisfies neither the first aid nor the CPR requirement (b) Satisfies both the first aid and CPR requirements (c) Satisfies the CPR requirement only (d) Is required in addition to first aid and CPR

recallcore

recall · core

Basic firefighting training is required for a Master under 100 GRT: (a) Always (b) Never — the requirement applies to Master under 500 GT in ocean service, and Master 100 is never issued for oceans (c) Only on the Great Lakes (d) Only for sail vessels

recallcore

recall · core

An acceptable first aid course is one provided by: (a) Any commercial provider (b) The American Red Cross, or a Coast Guard-approved first aid course (c) The applicant's employer (d) Any hospital

AI-drafted catalogue content pending SME review. USCG requirements, forms and fees change; verify every figure against the National Maritime Center and the current CFR before submitting an application.

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