Medical certificates must be issued by an approved diving medical physician. Such medical certificates will be valid for one year.If a medical examination shows that an employee has a disease or injury that increases the risk of accidents or harm to health in connection with diving operations, the employee must not be used for such work.The employer may demand that the diver undergoes a new medical examination when the employer or diver finds that there are health problems which may have a bearing on the diver's health or ability to attend to his/her own or others' safety.The physician's decision may be appealed. The appeal will be considered by the same appeal board as for people working on facilities in the offshore petroleum activities, cf. sections 18 and 19 of the regulations of 20 December 2010 no. 1780.