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disability which could render that applicant likely to become
suddenly unable to perform duties safely.
6.5.2.2 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 psychoactive
substance use; 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
Annex 1 — Personnel Licensing Chapter 6
23/11/06 6-12
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.
6.5.2.3 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.
6.5.2.4 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.
6.5.2.5 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.
6.5.2.5.1 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 and rating privileges.
6.5.2.5.2 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 and rating privileges.
Note.— Guidance on cardiovascular evaluation is contained
in the Manual of Civil Aviation Medicine (Doc 8984).
6.5.2.6 Electrocardiography shall form part of the heart
examination for the first issue of a Medical Assessment.
6.5.2.6.1 Electrocardiography shall be included in
re-examinations of applicants after the age of 50 no less
frequently than every two years.
Note 1.— The purpose of routine electrocardiography is
case finding. It does not provide sufficient evidence to justify
disqualification without further thorough cardiovascular
investigation.
Note 2.— Guidance on resting and exercise electrocardiography
is contained in the Manual of Civil Aviation Medicine
(Doc 8984).
6.5.2.7 The systolic and diastolic blood pressures shall be
within normal limits.
6.5.2.7.1 The use of drugs for control of high blood
pressure is disqualifying except for those drugs, the use of
which is compatible with the safe exercise of the applicant’s
licence privileges.
Note.— Guidance on this subject is contained in the Manual
of Civil Aviation Medicine (Doc 8984).
6.5.2.8 There shall be no significant functional nor structural
abnormality of the circulatory system.
6.5.2.9 There shall be no disability of the lungs nor any
active disease of the structures of the lungs, mediastinum or
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