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Attachment B. Sample medical examination form for aviation licences ......... I-2B-1
ICAO Preliminary Unedited Version — October 2008 I-3-1
INTRODUCTION
Two basic principles are essential when assessing an applicant’s medical fitness for aviation duties as
specified in Annex 1, Chapter 6, Medical Provisions for Licensing, namely:
a) The applicant shall be physically and mentally capable of performing the duties of the licence or
rating applied for or held.
b) There shall be no medical reasons which make the applicant liable to incapacitation1 while
performing duties.
The main objective of the Manual of Civil Aviation Medicine is to provide guidance material and present
concepts on how to achieve these principles by assessing symptoms and signs that occur commonly in
medical examinations for the aviation licences but which have not been or cannot be included in detail in
Annex 1.
It is also envisaged that the guidance material will help ensure international uniformity in the
implementation of the SARPs.
The foregoing two basic principles are explicitly detailed in the general, all-embracing paragraph 6.2.2 of
Annex 1, Chapter 6:
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 non-prescribed 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.
This paragraph outlines the basic general concept of medical assessment and makes reference to any abnormality,
disability, wound, sequelae from operations, and effects and side-effects of medication which “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.
The requirements for medical assessments in Annex 1, Chapter 6, are listed under sub-headings as
follows:
Sections 6.2.1 – General and 6.2.2 – Physical and mental requirements, covering matters of a general
medical certification nature which apply to all types of licences2.
1 Incapacitation: In this manual the term ‘incapacitation’ means any reduction in medical fitness to a degree or
of a nature that is likely to jeopardize flight safety
2 In this Manual, the term ‘licence’ means any aviation licence for which medical requirements have been
established.
ICAO Preliminary Unedited Version — October 2008 I-3-2
Section 6.2.3 – Visual acuity test requirements for licences, detailing general visual acuity test
requirements applicable to all categories of licences.
Section 6.2.4 – Colour perception requirements, detailing general colour perception requirements
applicable to all categories of licences.
Section 6.2.5 – Hearing test requirements, detailing general hearing requirements applicable for all
categories of licences.
Section 6.3 – Class 1 Medical Assessment, covering matters applicable to applicants for a
“professional licence” such as a commercial pilot licence - aeroplane or helicopter, an airline
transport pilot licence, aeroplane or helicopter, multi-crew pilot licence, a flight engineer or a flight
navigator licence.
Section 6.4 – Class 2 Medical Assessment, covering matters applicable to applicants for a private pilot
licence - aeroplane or helicopter, a glider pilot licence, a free balloon pilot licence or a flight radio
operator licence.
Section 6.5 – Class 3 Medical Assessment, covering matters applicable to applicants for an air traffic
controller licence.
GENERAL MEDICAL REQUIREMENTS
The introductory paragraphs of Annex 1, Chapter 6, contain medical certification requirements of a
general nature and apply to all types of licences, as given in the following extracts from the Annex:
Note 1.— The Standards and Recommended Practices established in this chapter cannot, on their own, be
sufficiently detailed to cover all possible individual situations. Of necessity, many decisions relating to the
evaluation of medical fitness must be left to the judgement of the individual medical examiner. The evaluation
must, therefore, be based on a medical examination conducted throughout in accordance with the highest
standards of medical practice.
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