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Class 1 Medical Standard (a) Class 1 medical
standard applies to holders of, or applicants
for, licences: (1) commercial pilot licence
(aeroplane or helicopter); and (2) airline transport pilot
licence (aeroplane or helicopter); and (3) flight engineer. (b) A person who
satisfies the criteria in Table
below meets class 1 medical standard.
Table 1 Criteria for
class 1 medical standard Column 1 Item
Column 2 Criterion
Abnormalities,
disabilities and functional capacity
1.1 Has no
safety-relevant condition of any of the
following kinds that produces any degree
of functional incapacity or a risk of
incapacitation: (a) an abnormality;
(b) a disability or
disease (active or latent); (c) an injury; (d) a sequela of an
accident or a surgical operation 1.1A Is not obese to an
extent that produces functional
incapacity or a significant increase in
morbidity 1.1B Has adequate height
and reach to exercise the privileges, or
perform the duties, under the licence
held or applied for 1.2 Has no established
medical history or clinical diagnosis of
any of the following conditions, to an
extent that is safety-relevant: (a) psychosis; (b) significant
personality disorder; (c) significant
mental abnormality or neurosis 1.2A Has no history of
problematic use of substances (within
the meaning given by section 1.1 of ICAO
Annex 1). Note For the
meaning of Nervous system
1.3 Has no established
medical history or clinical diagnosis
of: (a) a safety-relevant
disease of the nervous system; or (b) epilepsy; or (c) a disturbance of
consciousness for which there is no
satisfactory medical explanation and
which may recur 1.4 Is not suffering from
safety-relevant effects of a head injury
or neurosurgical procedure Table 1 Criteria for
class 1 medical standard Column 1 Item
Column 2 Criterion Cardiovascular system
1.5 Has no
safety-relevant heart abnormality 1.6 Systolic and
diastolic blood pressures are within
limits specified in the ICAO Manual of
Civil Aviation Medical Medicine (Doc
8984) or as specified by the Governor
from time to time (even if approved
drugs are used to maintain the blood
pressure within those limits) 1.7 Has no significant
functional or structural abnormality of
the circulatory tree Respiratory system
1.8 Is not suffering from
a safety-relevant condition of the
respiratory system 1.9 Has full and free
respiratory function without the use of
drugs (other than drugs approved by the
Governor for this clause) that act on
the respiratory organs Alimentary system and
metabolic disorders 1.10 Is not suffering from
any safety-relevant defect of the
digestive system or its adnexae, nor
from any safety-relevant effect of
disease or trauma of, or an operation
on, the digestive system or its adnexae
1.11 Is not suffering from
any safety-relevant metabolic,
nutritional or endocrine disorders
1.12 If suffering from
diabetes mellitus — the diabetes is
satisfactorily controlled without the
use of any anti-diabetic drug Reticulo-endothelial
system 1.13 Is not suffering from
an enlargement of the spleen that causes
a significant displacement below the
costal margin 1.14 Is not suffering from
a safety-relevant condition of any of
the following kinds: (a) localised or
generalised enlargement of the lymphatic
glands; (b) a disease of the
blood; (c) an immune
deficiency disorder Genito-urinary system
1.15 Is not suffering from
any disease of the genito-urinary system
likely to cause incapacitation during
flight 1.16 Has no sequelae of
disease or surgical procedures on the
kidneys or the urinary tract likely to
cause incapacitation during flight
1.17 Kidneys and urinary
tract are free of significant
obstructions caused by stricture or
compression 1.17A If there is any
personal history of syphilis — provides
evidence that adequate treatment has
been completed and that there are no
safety-relevant sequelae of the
infection Gynaecological and
obstetrical 1.18 Does not suffer from
severe safety-relevant menstrual
disturbances that have not responded to
medical treatment Table 1 Criteria for
class 1 medical standard Column 1 Item
Column 2 Criterion 1.19 If pregnant — the
pregnancy is not likely to interfere
with the safe exercise of privileges, or
performance of duties, under the licence
held or applied for Note See
paragraph 67.209 regarding the periods
during which a pregnant woman shall not
exercise the privileges of a licence.
Skeletal system
1.21 Is not suffering from
safety-relevant active disease of the
bones, joints, muscles or tendons 1.22 Is not suffering from
serious safety-relevant functional
sequelae of disease of the bones,
joints, muscles or tendons Ear, nose and throat
1.23 Is not suffering
from: (a) active
pathological processes of the internal
ear or of the middle ear; or (b) permanent
obstructions of the Eustachian tubes; or
(c) permanent
disturbances of the vestibular apparatus
1.24 Has no serious
safety-relevant condition of the buccal
cavity or the upper respiratory tract
Hearing requirements
1.25 Is not suffering from
any safety-relevant hearing defect
1.26 If suffering from a
hearing loss (measured in a quiet room)
in either ear of more than: (a) 35 dB at any of
the frequencies of 500 Hz, 1,000 Hz or
2,000 Hz; or (b) 50 dB at 3,000 Hz
passes a speech test,
or an operational check, carried out by
an approved person in an aircraft of
similar ambient noise level to that in
which the person being tested is or will
be operationally involved Visual requirements
1.27 Eyes and their
adnexae function normally 1.28 Is not suffering from
any safety-relevant pathological
condition (either acute or chronic), nor
any sequelae of surgery or trauma 1.29 Has normal fields of
vision 1.29A Has normal binocular
vision 1.30 Has a distant visual
acuity of 6/9 or better in each eye
separately and 6/6 or better binocular
(with or without correcting lenses)
1.31 Can read (with or
without correcting lenses) an N5 chart
(or its equivalent) binocularly at a
distance that he or she selects (in the
range of 30 to 50 centimetres), and can
read an N14 chart binocularly (with or
without correcting lenses) at a distance
of 1 metre Note A person who
needs correcting lenses to meet this
criterion shall wear the appropriate
lenses while carrying out duties under a
relevant licence — see paragraph 67.205.
1.32 Has a near point of
accommodation no further away than 30
centimetres (with or without correcting
lenses) Table 1 Criteria for
class 1 medical standard Column 1 Item
Column 2 Criterion 1.33 If using contact
lenses to meet the visual standards set
out in items 1.27 to 1.32: (a) is able to wear
those lenses for twice the projected
length of flight time or duty time for
the person without deterioration in
visual acuity or discomfort; and (b) if the lenses are
of the hard or gas-permeable variety,
demonstrates the ability, immediately
after removing the lenses, to read at
least 6/9 with spectacles binocularly
Colour perception
1.34 Can readily
distinguish the colours that need to be
distinguished for the safe exercise of
privileges, or performance of duties,
under the relevant licence Note For how to
demonstrate this, see paragraph A.1(h)
following this table. In ICAO Annex 1, ‘Problematic
use of substances’ is defined as follows: ‘The use of one or more
psychoactive substances by aviation personnel in
a way that: (1) constitutes a direct
hazard to the user or endangers the lives,
health or welfare of others; and/or (2) causes or worsens an
occupational, social, mental or physical problem
or disorder.’ ‘Psychoactive substances’ is
there defined as ‘Alcohol, opioids, cannabinoids,
sedatives and hypnotics, cocaine, other
psychostimulants, hallucinogens, and volatile
solvents, whereas coffee and tobacco are
excluded.’ (d) A person may use contact
lenses to meet the criterion in item 1.30 of
table 1 of Appendix A.1, if the lenses are
monofocal and not tinted, and are well
tolerated. (e) A person whose
uncorrected visual acuity in either eye is worse
than 6/60 shall provide a full ophthalmic report
to the examining practitioner. (f) A person who has
undergone surgery affecting the refractive
status of either eye is taken not to meet the
criterion in item 1.30 of table 1 of Appendix
A.1, until he or she is free of safety-relevant
sequelae of the surgery. (g) A person who requires both near
correction and distant correction to meet the
criteria in items 1.30 and 1.31 of that table
shall demonstrate that 1 pair of spectacles is
sufficient to meet both requirements for
correction. A person shall demonstrate
that he or she meets the criterion in item 1.34
of Table 1 of Appendix A.1: (1) in daylight, or
artificial light of similar luminosity - by
readily identifying a series of pseudo-isochromatic
plates of the Ishihara 24-plate type, making no
more than 2 errors; or (2) for somebody who does not satisfy
paragraph A.1(h)(1) - by correctly identifying
all relevant coloured lights in a test,
determined by the Governor, that simulates an
operational situation. |
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