The amendment authorized any Medical Examiner approved under Rule 4 of the Merchant Shipping (Medical Examination) Rules, 2000, to inspect medicines, medical stores, appliances on board Indian Flag vessels, and issue the prescribed certificate. Revised Procedure for Approval and Appointment: The Directorate General of Shipping issued a revised procedure for the approval and appointment of Medical Examiners at ports or places as per Rule 4 of the Merchant Shipping (Medical Examination) Rules, 2000. These changes were designed to ensure the health and safety of all personnel on board Indian Flag vessels.