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Note 4.— Attention is called to the administrative clause in
1.2.4.8 dealing with accredited medical conclusion.
Note 5.— Guidance material to assist Licensing Authorities
and medical examiners is published separately in the Manual
of Civil Aviation Medicine (Doc 8984). This guidance
material also contains a discussion of the terms “likely” and
“significant” as used in the context of the medical provisions
in Chapter 6.
6.1 Medical Assessments — General
6.1.1 Classes of Medical Assessment
Three classes of Medical Assessment shall be established as
follows:
a) Class 1 Medical Assessment;
applies to applicants for, and holders of:
— commercial pilot licences — aeroplane, airship,
helicopter and powered-lift
— multi-crew pilot licences — aeroplane
— airline transport pilot licences — aeroplane,
helicopter and powered-lift
b) Class 2 Medical Assessment;
applies to applicants for, and holders of:
— flight navigator licences
— flight engineer licences
— private pilot licences — aeroplane, airship,
helicopter and powered-lift
— glider pilot licences
— free balloon pilot licences
c) Class 3 Medical Assessment;
applies to applicants for, and holders of:
— air traffic controller licences.
6.1.2 The applicant for a Medical Assessment shall
provide the medical examiner with a personally certified statement
of medical facts concerning personal, familial and hereditary
history. The applicant shall be made aware of the necessity
for giving a statement that is as complete and accurate as the
applicant’s knowledge permits, and any false statement shall
be dealt with in accordance with 1.2.4.5.1.
6.1.3 The medical examiner shall report to the Licensing
Authority any individual case where, in the examiner’s judgement,
an applicant’s failure to meet any requirement, whether
numerical or otherwise, is such that exercise of the privileges of
the licence being applied for, or held, is not likely to jeopardize
flight safety (1.2.4.8).
6.1.4 The requirements to be met for the renewal of a
Medical Assessment are the same as those for the initial
assessment except where otherwise specifically stated.
Note.— The intervals between routine medical examinations
for the purpose of renewing Medical Assessments are specified
in 1.2.5.2.
6.2 Requirements for Medical Assessments
6.2.1 General
An applicant for a Medical Assessment issued in accordance
with the terms of 1.2.4.1 shall undergo a medical examination
based on the following requirements:
Annex 1 — Personnel Licensing Chapter 6
23/11/06 6-2
a) physical and mental;
b) visual and colour perception; and
c) hearing.
6.2.2 Physical and mental requirements
An applicant for any class of Medical Assessment shall be
required to be free from:
a) any abnormality, congenital or acquired; or
b) any active, latent, acute or chronic disability; or
c) any wound, injury or sequelae from operation; or
d) any effect or side-effect of any prescribed or nonprescribed
therapeutic, diagnostic or preventive medication
taken;
such as would entail a degree of functional incapacity which
is likely to interfere with the safe operation of an aircraft or
with the safe performance of duties.
Note.— Use of herbal medication and alternative treatment
modalities requires particular attention to possible side-effects.
6.2.3 Visual acuity test requirements
6.2.3.1 The methods in use for the measurement of visual
acuity are likely to lead to differing evaluations. To achieve
uniformity, therefore, Contracting States shall ensure that
equivalence in the methods of evaluation be obtained.
6.2.3.2 Recommendation.— The following should be
adopted for tests of visual acuity:
a) Visual acuity tests should be conducted in an environment
with a level of illumination that corresponds to
ordinary office illumination (30-60 cd/m2).
b) Visual acuity should be measured by means of a series of
Landolt rings or similar optotypes, placed at a distance
from the applicant appropriate to the method of testing
adopted.
6.2.4 Colour perception requirements
6.2.4.1 Contracting States shall use such methods of
examination as will guarantee reliable testing of colour
perception.
6.2.4.2 The applicant shall be required to demonstrate the
ability to perceive readily those colours the perception of
which is necessary for the safe performance of duties.
6.2.4.3 The applicant shall be tested for the ability to correctly
　
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