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hearing aids is contained in the Manual of Civil Aviation
Medicine (Doc 8984).
Note 5.— Attention is called to 2.7.1.3.1 on requirements
for the issue of instrument rating to applicants who hold a
private pilot licence.
6.3 Class 1 Medical Assessment
6.3.1 Assessment issue and renewal
6.3.1.1 An applicant for a commercial pilot licence —
aeroplane, airship, helicopter or powered-lift, a multi-crew
pilot licence — aeroplane, or an airline transport pilot licence
— aeroplane, helicopter or powered-lift shall undergo an initial
medical examination for the issue of a Class 1 Medical
Assessment.
6.3.1.2 Except where otherwise stated in this section,
holders of commercial pilot licences — aeroplane, airship, helicopter
or powered-lift, multi-crew pilot licences — aeroplane,
or airline transport pilot licences — aeroplane, helicopter or
powered-lift shall have their Class 1 Medical Assessments
renewed at intervals not exceeding those specified in 1.2.5.2.
6.3.1.3 When the Licensing Authority is satisfied that the
requirements of this section and the general provisions of 6.1
and 6.2 have been met, a Class 1 Medical Assessment shall be
issued to the applicant.
6.3.2 Physical and mental requirements
6.3.2.1 The applicant shall not suffer from any disease or
disability which could render that applicant likely to become
suddenly unable either to operate an aircraft safely or to
perform assigned duties safely.
6.3.2.2 The applicant shall have no established medical
history or clinical diagnosis of:
a) an organic mental disorder;
b) a mental or behavioural disorder due to use of psychoactive
substances; this includes dependence syndrome
induced by alcohol or other psychoactive substances;
c) schizophrenia or a schizotypal or delusional disorder;
d) a mood (affective) disorder;
e) a neurotic, stress-related or somatoform disorder;
f) a behavioural syndrome associated with physiological
disturbances or physical factors;
g) a disorder of adult personality or behaviour, particularly
if manifested by repeated overt acts;
h) mental retardation;
i) a disorder of psychological development;
j) a behavioural or emotional disorder, with onset in childhood
or adolescence; or
k) a mental disorder not otherwise specified;
such as might render the applicant unable to safely exercise the
privileges of the licence applied for or held.
Note.— Mental and behavioural disorders are defined in
accordance with the clinical descriptions and diagnostic
guidelines of the World Health Organization as given in the
International Statistical Classification of Diseases and Related
Health Problems, 10th Edition — Classification of Mental and
Behavioural Disorders, WHO 1992. This document contains
detailed descriptions of the diagnostic requirements, which
may be useful for their application to medical assessment.
6.3.2.3 The applicant shall have no established medical
history or clinical diagnosis of any of the following:
a) a progressive or non-progressive disease of the nervous
system, the effects of which are likely to interfere with
the safe exercise of the applicant’s licence and rating
privileges;
b) epilepsy; or
c) any disturbance of consciousness without satisfactory
medical explanation of cause.
6.3.2.4 The applicant shall not have suffered any head
injury, the effects of which are likely to interfere with the safe
exercise of the applicant’s licence and rating privileges.
6.3.2.5 The applicant shall not possess any abnormality of
the heart, congenital or acquired, which is likely to interfere
with the safe exercise of the applicant’s licence and rating
privileges.
Annex 1 — Personnel Licensing Chapter 6
23/11/06 6-4
6.3.2.5.1 An applicant who has undergone coronary
bypass grafting or angioplasty (with or without stenting) or
other cardiac intervention or who has a history of myocardial
infarction or who suffers from any other potentially incapacitating
cardiac condition shall be assessed as unfit unless the
applicant’s cardiac condition has been investigated and evaluated
in accordance with best medical practice and is assessed
not likely to interfere with the safe exercise of the applicant’s
licence or rating privileges.
6.3.2.5.2 An applicant with an abnormal cardiac rhythm
shall be assessed as unfit unless the cardiac arrhythmia has
been investigated and evaluated in accordance with best medical
practice and is assessed not likely to interfere with the safe
exercise of the applicant’s licence or rating privileges.
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Manual of Civil Aviation Medicine 1(29)
