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Note 1.— The periods of validity listed above may be extended by up to 45 days in accordance with
1.2.4.2.1.
Note 2.— When calculated in accordance with 1.2.5.2 and its sub-paragraphs, the period of validity
will, for the last month counted, include the day that has the same calendar number as the date of
the medical examination or, if that month has no day with that number, the last day of that month.
As the age of the licence holder increases, these validity periods are shortened:
1.2.5.2.2 When the holders of airline transport pilot licences – aeroplane, helicopter and poweredlift,
and commercial pilot licences – aeroplane, airship, helicopter and powered-lift, who are
engaged in single-crew commercial air transport operations carrying passengers, have passed their
40th birthday, the period of validity specified in 1.2.5.2 shall be reduced to six months.
1.2.5.2.3 When the holders of airline transport pilot licences – aeroplane, helicopter and poweredlift,
commercial pilot licences – aeroplane, airship, helicopter and powered-lift, and multi-crew
pilot licences – aeroplane, who are engaged in commercial air transport operations, have passed
their 60th birthday, the period of validity specified in 1.2.5.2 shall be reduced to six months.
1.2.5.2.4 When the holders of private pilot licences – aeroplane, airship, helicopter and poweredlift,
free balloon pilot licences, glider pilot licences and air traffic controller licences have passed
their 40th birthday, the period of validity specified in 1.2.5.2 shall be reduced to 24 months.
1.2.5.2.5 Recommendation.— When the holders of private pilot licences – aeroplane, airship,
helicopter and powered-lift, free balloon pilot licences, glider pilot licences and air traffic
controller licences have passed their 50th birthday, the period of validity specified in 1.2.5.2 should
be further reduced to 12 months.
Note.— The periods of validity listed above are based on the age of the applicant at the time of
undergoing the medical examination.
Regardless of the validity periods stated above, the medical assessor may in an individual case require
this period to be shortened.
1.2.5.2.1 The period of validity of a Medical Assessment may be reduced when clinically indicated.
A medical condition, although compatible with licensing, may be of a nature where frequent medical
check-ups are required. In such cases the period of validity of the Medical Assessment may be reduced
so as to ensure adequate monitoring of the condition in question.
Decrease in medical fitness
1.2.6.1 Holders of licences provided for in this Annex shall not exercise the privileges of their
licences and related ratings at any time when they are aware of any decrease in their medical
fitness which might render them unable to safely and properly exercise these privileges.
1.2.6.1.1 Recommendation.— States should ensure that licence holders are provided with
clear guidelines on medical conditions that may be relevant to flight safety and when to seek
clarification or guidance from a medical examiner or Licensing Authority.
Note.– Guidance on physical and mental conditions and treatments that are relevant to flight
safety about which information may need to be forwarded to the Licensing Authority, is contained
in the Manual of Civil Aviation Medicine (Doc 8984).
1.2.6.1.2 Recommendation. — Each Contracting State should, as far as practicable, ensure
that licence holders do not exercise the privileges of their licences and related ratings during any
period in which their medical fitness has, from any cause, decreased to an extent that would have
prevented the issue or renewal of their Medical Assessment.
The provisions of Annex 1, 1.2.6.1, would apply if there is a decrease in medical fitness attributable to the
effects of inter-current disease, injury, alcohol or other psychoactive substances, medication, fatigue,
sleep disturbances due to time zone changes, adverse climatic conditions and disrupted regular work/rest
schedules which might render the holder of a licence or rating incapable of meeting the medical
requirements of his licence or rating.
Previous editions of Annex 1 contained a Recommendation that licence holders should inform the
Licensing Authority of pregnancy, decrease in medical fitness for more than 20 days, and the continued
use of prescribed medication. However, experience has shown that Licensing Authorities have
interpreted this Recommendation in different ways and, following discussion with States, it was revised
to the wording above.
It is clearly important that licence holders are aware of those medical conditions that may affect flight
safety, both immediately and in the long term, so that, when they have developed a medical condition,
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Manual of Civil Aviation Medicine 1(11)
