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1 http://www.icao.int/anb/safetymanagement/
2 Evans, AD, Watson, DB, Evans, SA, Hastings, J, Singh, J, Thibeault, C. Safety management as a foundation for
evidence-based aeromedical standards and reporting of medical events. Aviat Space Environ Med 2009; 80:511-5
meet any requirement, whether numerical or otherwise, is such that exercise of the privileges of
the licence applied for is not likely to jeopardize flight safety.
b) Relevant ability, skill and experience of the applicant and operational conditions have been given
due consideration.
c) The licence is endorsed with any special limitation or limitations when the safe performance of
the licence- holder’s duties is dependent on compliance with such limitation or limitations.
Guidance on the application of 1.2.4.8, is detailed in Part I, Chapter 2 of this manual.
Evidence of medical fitness
In Note 2 to 1.2.4, the various ways in which Contracting States provide licence holders with evidence
that they meet the medical requirements are outlined as follows:
Note 2.— To satisfy the licensing requirements of medical fitness for the issue of various types of
licences, the applicant must meet certain appropriate medical requirements which are specified
as three classes of Medical Assessment. Details are given in 6.2, 6.3, 6.4 and 6.5. To provide the
necessary evidence to satisfy the requirements of 1.2.4.1, the Licensing Authority issues the
licence holder with the appropriate Medical Assessment, Class 1, Class 2 or Class 3. This can be
done in several ways such as a suitably titled separate certificate, a statement on the licence, a
national regulation stipulating that the Medical Assessment is an integral part of the licence, etc.
Validity periods of Medical Assessments
1.2.4.2 The period of validity of a Medical Assessment shall begin on the day the medical
examination is performed. The duration of the period of validity shall be in accordance with the
provisions of 1.2.5.2.
1.2.4.2.1 The period of validity of a Medical Assessment may be extended, at the discretion of
the Licensing Authority, up to 45 days.
Note.— It is advisable to let the calendar day on which the Medical Assessment expires remain
constant year after year by allowing the expiry date of the current Medical Assessment to be the
beginning of the new validity period under the proviso that the medical examination takes place
during the period of validity of the current Medical Assessment but no more than 45 days before it
expires.
The Medical Assessment is valid from the day on which the regulatory medical examination has been
carried out. Sometimes the issue of the Medical Assessment has to be postponed until the result of
laboratory tests or perhaps a specialist evaluation is known, but this does not change the date for the
beginning of the validity period. Many Contracting States allow licence holders to undergo the medical
examination for renewal of their Medical Assessment on a convenient date up to 45 days before their
current Medical Assessment expires without changing the dates for the new validity period
correspondingly, thus extending the validity period by up to 45 days. This is primarily done to
accommodate the work schedules of licence holders and medical examiners, but also serves to allow the
expiry date of the Medical Assessment to remain the same year after year.
The predictive power of even a very thorough and comprehensive medical examination is limited. This is
true for all age groups, but increases in importance with age. Studies in two Contracting States have
shown that older licence holders have a significantly increased incidence of medical conditions of
importance for flight safety. Consequently, the validity periods are shorter for older licence holders. The
periods of validity of the Medical Assessment for various categories of licence holders are as follows:
1.2.5.2 Except as provided in 1.2.5.2.1, 1.2.5.2.2, 1.2.5.2.3, 1.2.5.2.4, 1.2.5.2.5 and 1.2.5.2.6, a
Medical Assessment issued in accordance with 1.2.4.5 and 1.2.4.6 shall be valid from the date of the
medical examination for a period not greater than:
60 months for the private pilot licence – aeroplane, airship, helicopter and powered-lift;
12 months for the commercial pilot licence – aeroplane, airship, helicopter and powered-lift;
12 months for the multi-crew pilot licence – aeroplane;
12 months for the airline transport pilot licence – aeroplane, helicopter and powered-lift;
60 months for the glider pilot licence;
60 months for the free balloon pilot licence;
12 months for the flight navigator licence;
12 months for the flight engineer licence;
48 months for the air traffic controller licence.
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Manual of Civil Aviation Medicine 1(10)
