8. The Fourteenth Schedule to the principal Order is deleted and the following Schedule substituted therefor:| Medical Examination and Medical Fitness Requirements |
| 1.This Schedule specifies the medical examination and medical fitness requirements for the grant and renewal of licences to a member of flight crew under paragraph 20(1)(a) to (m) of the Order and to an air traffic controller under paragraph 62A of the Order. |
2.Every applicant for the grant or renewal of a licence as a member of flight crew or as an air traffic controller shall —| (a) | be free from any congenital or acquired abnormality or any active, latent, acute or chronic disability or any effect or side-effect of any prescribed or non-prescribed therapeutic medication taken or to be taken by him, which would result in any functional incapacity likely to interfere with the safe operation of an aircraft or with the performance in a safe manner of the functions to which such licence relates; and | | (b) | undergo a medical examination for the purpose of ascertaining whether his physical and mental conditions satisfy the required standard of medical fitness applicable to such licence, as specified in paragraph 8 of this Schedule. |
|
3.(1) The medical examination referred to in paragraph 2(b) shall be conducted in Singapore by a designated medical examiner who shall then submit a report of the medical examination to an evaluating medical examiner for evaluation.| (2) The evaluating medical examiner shall assess whether the applicant satisfies the standard of medical fitness required for the licence for which the applicant has applied for a grant or renewal and submit a report of his assessment to the Minister. |
(3) In this Schedule —“designated medical examiner” means a person who —| (a) | is qualified and licensed to practice medicine; | | (b) | has received training in the practice of aviation medicine; | | (c) | possesses the necessary knowledge of the conditions in which the holder of a licence carries out the functions to which his licence relates; and | | (d) | is approved by the Minister to conduct the medical examination referred to in paragraph 2(b); |
|
“evaluating medical examiner” means a person who —| (a) | is qualified and licensed to practice medicine; | | (b) | is trained and experienced in the practice of aviation medicine; | | (c) | possesses the necessary knowledge of the conditions in which the holder of a licence carries out the functions to which his licence relates; and | | (d) | is approved by the Minister to evaluate the report submitted by the designated medical examiner under sub-paragraph (1) and to assess the medical fitness of an applicant under sub-paragraph (2). |
|
|
|
4.(1) Every applicant who presents himself for the medical examination referred to in paragraph 2(b) shall be required to furnish:| (a) | a declaration signed by him stating whether he has previously undergone such medical examination, and if so, where, when and the result; and | | (b) | a complete and accurate statement of the medical facts concerning his personal, familial and hereditary history, personally certified by him. |
| (2) A false declaration or statement may result in the cancellation of any licence which has been granted or renewed based on the results of the medical examination for which the false declaration or statement was given. |
|
5.An applicant who has been assessed by the evaluating medical examiner as not having satisfied the standard of medical fitness required for the licence for which he has applied for a grant or renewal may, at the discretion of the Minister, be accepted as eligible for such grant or renewal if —| (a) | accredited medical conclusion indicates that in specific circumstances, the applicant’s failure to meet any requirement, whether numerical or otherwise, will not affect the performance of the functions to which his licence relates in a manner which is likely to jeopardise flight safety; | | (b) | the relevant ability, skill and experience of the applicant have been given due consideration; and | | (c) | the licence is endorsed with any special restrictions or conditions which must be complied with to ensure the performance in a safe manner of the functions to which the licence relates. |
|
6.If an applicant for the renewal of a licence is, during the period he is required to undergo the medical examination referred to in paragraph 2(b), on duty as a member of the flight crew of an aircraft in a distant location outside Singapore, the Minister may, on application and in his discretion, allow the medical examination to be deferred on an exceptional basis subject to the following conditions:| (a) | the period for which the medical examination is deferred does not exceed —| (i) | a single period of 6 months in the case of a flight crew member of a private category aircraft; | | (ii) | 2 consecutive periods each of 3 months in the case of a member of the operating crew of a transport category or aerial work category aircraft; or | | (iii) | a period of 24 months in the case of a private pilot; |
| | (b) | the applicant has, in the location in which he is situated, undergone the medical examination referred to in paragraph 2(b) by a qualified medical practitioner acceptable to the Minister; and | | (c) | the report of such medical practitioner has been evaluated by an evaluating medical examiner who has assessed the applicant’s medical fitness as satisfactory. |
|
| 7.If a licence holder is aware or has reasonable grounds to suspect that his medical fitness has deteriorated in any manner or extent which would render him unable to satisfy the standard of medical fitness required for the licence for which he has applied for a renewal, he shall not perform any of the functions to which his licence relates until such time when he satisfies the evaluating medical examiner that his medical fitness has been restored to the standard required for such licence. |
8.The medical examination and medical fitness requirements applicable to the various classes of licence granted or renewed under paragraph 20(1)(a) to (m) and paragraph 62A of the Order are as follows:| (a) | Class 1 Medical Requirements (as specified in Part II of this Schedule) —| (i) | Commercial pilot’s licence (aeroplanes); | | (ii) | Commercial pilot’s licence (helicopters and gyroplanes); | | (iii) | Commercial pilot’s licence (balloons); | | (iv) | Commercial pilot’s licence (airships); | | (v) | Commercial pilot’s licence (gliders); | | (vi) | Airline transport pilot’s licence (aeroplanes); | | (vii) | Airline transport pilot’s licence (helicopters and gyroplanes); | | (viii) | Flight navigator’s licence; | | (ix) | Flight engineer’s licence. |
| | (b) | Class 2 Medical Requirements (as specified in Part III of this Schedule) —| (i) | Student pilot’s licence; | | (ii) | Private pilot’s licence (aeroplanes); | | (iii) | Private pilot’s licence (helicopters and gyroplanes); | | (iv) | Private pilot’s licence (balloons and airships). |
| | (c) | Class 3 Medical Requirements (as specified in Part IV of this Schedule) —| Air traffic controller licence. |
|
|
| 9.Notwithstanding paragraph 8, an applicant for or a holder of a Private pilot’s licence (aeroplanes) or a Private pilot’s licence (helicopters) who also applies for or has been granted an Instrument Rating (Aeroplanes) or Instrument Rating (Helicopters), as the case may be, shall also satisfy Class 1 Medical Requirements. |
|
| Part Ii — Class 1 Medical Requirements |
| Physical and Mental Requirements |
| 10.The applicant must not suffer from any disease or disability that could render the applicant likely to become incapacitated in a manner which will affect the performance of his functions in a safe manner. |
11.The applicant must not have any established medical history or clinical diagnosis of —| (a) | a psychosis; | | (b) | alcoholism; | | (c) | drug dependence; | | (d) | any personality disorder, particularly if such disorder is severe enough to have repeatedly resulted in overt acts; or | | (e) | a mental abnormality, or neurosis of a significant degree, |
| which, according to accredited medical conclusion, might render the applicant unable to perform in a safe manner the functions relating to the licence or rating applied for or held by him, unless such accredited medical conclusion indicates that in special circumstances, the applicant’s failure to meet this requirement will not affect the performance of his functions in a manner which is likely to jeopardise flight safety. |
|
12.(1) The applicant must not have any established medical history or clinical diagnosis of any mental abnormality, personality disorder or neurosis which, according to accredited medical conclusion, renders it likely that within 2 years of the medical examination referred to in paragraph 2(b), the applicant will be unable to perform in a safe manner the functions relating to the licence or rating applied for or held by him.| (2) A history of acute toxic psychosis need not be regarded as disqualifying, if the applicant has suffered no permanent impairment. |
|
13.The applicant must not have any 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, according to accredited medical conclusion, are likely to impair the capacity of the applicant to perform in a safe manner the functions relating to the licence or rating applied for or held by him or which will interfere with the safe operation of an aircraft; | | (b) | epilepsy; | | (c) | any disturbance of consciousness for which there is no satisfactory medical explanation of cause. |
|
| 14.The applicant must not have any previous incident of head injury the effects of which, according to accredited medical conclusion, are likely to impair the capacity of the applicant to perform in a safe manner the functions relating to the licence or rating applied for or held by him. |
15.(1) The applicant must not possess any congenital or acquired abnormality of the heart which is likely to impair the capacity of the applicant to perform in a safe manner the functions relating to the licence or rating applied for or held by him.| (2) An applicant with a history of proven myocardial infarction shall be deemed unfit. |
| (3) Such commonly occurring conditions as respiratory arrhythmia, occasional extrasystoles which disappear on exercise, increase of pulse rate from excitement or exercise, or a slow pulse not associated with auriculoventricular dissociation may be regarded as being within “normal” limits. |
|
16.(1) Electrocardiography shall form part of the heart examination for the first issue of a licence and shall be included in re-examinations —| (a) | in the case of applicants up to the age of 30, at least every 5 years; | | (b) | in the case of applicants between the ages of 30 and 40, at least every 2 years, |
| and thereafter, at least annually. |
| (2) The purpose of routine electrocardiography is case finding and electrocardiography does not itself provide sufficient evidence to justify the disqualification of an applicant without further thorough cardiovascular investigation. |
|
17.(1) The applicant’s systolic and diastolic blood pressures must be within normal limits. The use of drugs for control of high blood pressure is acceptable unless the use of those drugs is, according to accredited medical conclusion, incompatible with the performance in a safe manner of the functions relating to the licence or rating applied for or held by the applicant.| (2) There shall be no significant functional nor structural abnormality of the circulatory tree. |
|
| 18.The applicant must not have any acute disability of the lungs nor any active disease of the structures of the lungs, mediastinum or pleura. Radiography shall form a part of the medical examination in all doubtful clinical cases. Radiography shall form a part of the initial chest examination and should be repeated periodically thereafter. |
| 19.The applicant must not be suffering from any extensive mutilation of the chest wall with collapse of the thoracic cage and sequelae of surgical procedures resulting in decreased respiratory efficiency at altitude. Cases of pulmonary emphysema will be assessed as unfit if the condition is causing symptoms. |
| 20.The applicant must not be suffering from any active pulmonary tuberculosis, duly diagnosed. Cases of quiescent or healed lesions which are known or presumed to be tuberculous may be assessed as fit. |
| 21.The applicant must not be suffering from any form of disabling disease, with important impairment of functions of the gastrointestinal tract or its adnexae. |
| 22.The applicant must be completely free from those hernias that might give rise to incapacitating symptoms. |
23.(1) The applicant must not have any sequelae of disease or surgical intervention on any part of the digestive tract or its adnexae liable to cause incapacity in flight, in particular any obstructions due to stricture or compression.| (2) An applicant who has undergone a major surgical operation on the biliary passages or the digestive tract or its adnexae, which has involved a total or partial excision or a diversion of any of these organs will be assessed as unfit until such time when the evaluating medical examiner who has access to the details of such operation considers that the effects of the operation are not liable to cause incapacity in flight. |
|
| 24.The applicant must not be suffering from any metabolic, nutritional or endocrine disorders likely to interfere with the performance in a safe manner of the functions relating to the licence or rating applied for or held by him. |
| 25.An applicant who is suffering from any diabetes mellitus shown to be satisfactorily controlled without the use of any anti-diabetic drug may be assessed as fit. |
| 26.The applicant must not have any severe and moderate enlargement of the spleen persistently below the costal margin. |
27.(1) The applicant must not be suffering from any significant localised and generalised enlargement of the lymphatic glands and diseases of the blood. The applicant may however be assessed as fit if accredited medical conclusion indicates that the applicant’s condition is unlikely to affect the performance in a safe manner of the functions relating to the licence or rating applied for or held by him.| (2) Cases due to a transient condition may be assessed as only temporarily unfit. |
| (3) Possession of the sickle cell trait should not render the applicant unfit unless there is positive medical evidence indicating such unfitness. |
|
28.(1) The applicant must not be suffering from any signs of organic disease of the kidney except that those due to a transient condition may be assessed as temporarily unfit.| (2) The urine shall contain no abnormal element considered by the evaluating medical examiner to be pathological. Cases of affections of the urinary passages and of the genital organs shall be assessed as unfit except that those due to a transient condition may be assessed as temporarily unfit. |
|
29.(1) The applicant must not have any sequelae of disease or surgical procedures on the kidneys and the urinary tract liable to cause incapacity, in particular, any obstructions due to stricture or compression.| (2) An applicant who has undergone a major surgical operation on the urinary system, which has involved a total or partial excision or a diversion of any of its organs will be assessed as unfit, until such time when the evaluating medical examiner who has access to the details of the operation considers that the effects of such operation will not cause incapacity in flight. |
| (3) Compensated nephrectomy without hypertension or uraemia may be assessed as fit. |
|
| 30.An applicant who has a personal history of syphillis must be required to furnish satisfactory evidence to the evaluating medical examiner that he has undergone adequate treatment and follow up shows no sequelae of the disease. |
| 31.The applicant must not have a history of severe menstrual disturbances that have proven unamenable to treatment and that are likely to interfere with the performance in a safe manner of the functions relating to the licence or rating applied for or held by her. An applicant who has undergone any gynaecological operations will be considered individually. |
32.(1) Subject to sub-paragraph (3), an applicant who is pregnant shall be assessed as temporarily unfit.| (2) After confinement or miscarriage, an applicant shall not be permitted to perform the functions relating to the licence applied for or held by her until she has undergone re-examination and has been assessed as fit. |
| (3) In the absence of significant abnormalities, accredited medical conclusion may indicate that the applicant is fit during the middle months of her pregnancy. |
|
| 33.The applicant must not be suffering from any active disease of the bones, joints, muscles or tendons and all serious functional sequelae of congenital or acquired disease. However, an applicant who is suffering from functional after-effects of lesion affecting the bones, joints, muscles or tendons and certain anatomical defects which are compatible with the performance in a safe manner of the functions relating to the licence or rating applied for or held by him may be assessed as fit. |
34.(1) Subject to sub-paragraph (2), the applicant must not have any —| (a) | active pathological process, acute or chronic, of the internal ear or of the middle ear; | | (b) | unhealed (unclosed) perforation of the tympanic membranes (except that a single dry perforation of non-infectious origin need not render the applicant unfit); | | (c) | permanent obstruction of the Eustachian tubes; or | | (d) | permanent disturbance of the vestibular apparatus (except that a transient condition may be assessed as temporarily unfit). |
| (2) A licence may be granted or renewed notwithstanding that the applicant has any unhealed perforation of the tympanic membranes if the appropriate hearing requirements in paragraph 45 are complied with. |
|
| 35.The applicant must have free nasal air entry on both sides and must not have any serious malformation or serious, acute or chronic affection of the buccal cavity or upper respiratory tract. An applicant who has speech defects or who stutters shall be assessed as unfit. |
36.For the purposes of paragraphs 37 to 41 —| (a) | each eye of the applicant will be tested separately; and | | (b) | the methods of testing visual acuity shall be as follows:| (i) | for a visual acuity test in a lighted room, a test illumination level of approximately 50 1x, normally corresponding to a brightness of 30 cd per square metre should be adopted. The light level of the room should be approximately one-fifth of the test illumination level; | | (ii) | for a visual acuity test in a darkened, or semi-darkened room, a test illumination level of approximately 15 lx, normally corresponding to a brightness of 10 cd per square metre should be adopted; | | (iii) | visual acuity should be measured by means of a series of optotypes of Landolt, or similar optotypes, placed at a distance of 6m from the applicant, or 5m, as appropriate to the method of testing adopted. |
|
|
| 37.The function of the applicant’s eyes and their adnexae shall be normal. There shall not be any active pathological condition, acute or chronic, of either eye or adnexae which is likely to interfere with its proper function to an extent that would jeopardise safety in flight or the performance in a safe manner of the functions relating to the licence or rating applied for or held by the applicant. |
| 38.The applicant must have normal fields of vision. |
39.(1) The applicant must have a distant visual acuity of not less than 6/9 (20/03, 0.7) in each eye separately, with or without the use of correcting lenses. Where this standard of visual acuity can be obtained only with correcting lenses, the applicant may be assessed as fit subject to the following conditions:| (a) | he has at least a distant visual acuity of not less than 6/60 (20/200, 0.1) in each eye or the refractive error falls within the range of +3 dioptres (equivalent spherical error); | | (b) | such correcting lenses are worn when performing the functions relating to the licence or rating applied for or held by him; and | | (c) | he has a spare set of suitable correcting lenses readily available when performing such functions. |
| (2) An applicant who satisfies the requirement in sub-paragraph (1)(a) is deemed to continue to do so unless there is reason to suspect otherwise, in which case refraction shall be repeated at the discretion of the evaluating medical examiner who shall require that the applicant’s visual acuity be measured and recorded at each re-examination. |
| (3) Conditions which indicate a need to re-determine the refractive error include a refractive state close to the limit of acceptability, a substantial decrease in the uncorrected visual acuity, and the occurrence of eye disease, eye injury or eye surgery. |
|
40.(1) The applicant must be able to read the N5 chart which is in the Times-Roman type-face or its equivalent at a distance selected by him in the range of 30 to 50 centimetres and the N14 chart which is in the Times-Roman type-face or its equivalent at a distance of 100 centimetres.| (2) If the requirement in sub-paragraph (1) is met only by the use of correcting lenses, the applicant may be assessed as fit provided that such lenses are available for immediate use when performing the functions relating to the licence applied for or held by him. |
| (3) No more than one pair of correcting lenses shall be used in demonstrating compliance with the requirement in sub-paragraph (1). |
| (4) Single-vision near correction shall not be acceptable. |
(5) Whenever there is a requirement to obtain or renew correcting lenses, an applicant is expected to advise the refractionist of reading distances for the visual flight deck tasks relevant to the types of aircraft in which he is likely to function.| Note: An applicant who needs correction to meet the requirement in sub-paragraph (1) will require “lookover”, bifocal or perhaps trifocal lenses to enable him to read the instruments and a chart or manual held in hand, and also to make use of distant vision through the windscreen without removing his lenses. Single-vision near correction (full lenses of one power only, appropriate to reading) significantly reduces distant visual acuity. |
|
|
41.(1) An applicant must have a near point of accommodation of 30 centimetres while wearing the correcting lenses, if any, required under paragraph 39(1).| (2) An applicant who does not satisfy the requirement in sub-paragraph (1) may be assessed as fit if he produces evidence satisfactory to the evaluating medical examiner that he has been fitted with correction lenses for near and intermediate-range vision, or that he does not at present require such correction. |
| (3) An applicant who is required to wear the correction lenses needed for near and intermediate-range vision under sub-paragraph (2) shall wear such lenses, in addition to any other correction lenses required under paragraph 39(1), when performing any functions relating to the licence or rating applied for or held by him. |
|
| Colour Perception Requirements |
| 42.An applicant must be able to perceive readily those colours, the perception of which is necessary for the performance of his functions in a safe manner. |
43.(1) The applicant shall be tested for the ability to correctly identify a series of pseudoisochromatic plates (tables) in daylight or in artificial light of the same colour temperature such as that provided by Illuminant “C” or “D” as specified by the International Commission on Illumination.| (2) An applicant who obtains a score which is satisfactory to the evaluating medical examiner may be assessed as fit. An applicant who fails to obtain a satisfactory score in such a test may nevertheless be assessed as fit if the applicant is able to readily and correctly identify aviation coloured lights displayed by means of a recognised colour perception lantern test and is subsequently assessed by the evaluating medical examiner as “colour safe”. |
|
| 44.The applicant must be free from any hearing defect likely to interfere with the performance in a safe manner of the functions relating to the licence or rating applied for or held by him and for which he is being examined. |
45.(1) At the first issue of a licence, not less than once every 5 years up to the age of 40 years, and thereafter not less than once every 3 years, the applicant must not have a hearing loss, when tested on a pure tone audiometer, in either ear separately, of more than 35 dB at any of the frequencies of 500, 1000 or 2000 Hz, or more than 50 dB at 3000 Hz.(2) An applicant with a hearing loss greater than that specified in sub-paragraph (1) may nonetheless be assessed as fit if —| (a) | the applicant has a hearing performance in each ear separately equivalent to that of a normal person, against a background noise that will simulate the masking properties of flight deck noise upon speech and beacon signals; and | | (b) | the applicant has an ability to hear an average conversational voice in a quiet room, using both ears, at a distance of 2 metres from and with his back turned to the designated medical examiner. |
|
|
|
| Part Iii — Class 2 Medical Requirements |
| Physical and Mental Requirements |
| 46.The applicant must not suffer from any disease or disability that could render the applicant likely to become incapacitated in a manner which will affect the performance of his functions in a safe manner. |
47.The applicant must not have any established medical history or clinical diagnosis of —| (a) | a psychosis; | | (b) | alcoholism; | | (c) | drug dependence; | | (d) | any personality disorder, particularly if such disorder is severe enough to have repeatedly resulted in overt acts; or | | (e) | a mental abnormality, or neurosis of a significant degree, |
| which, according to accredited medical conclusion, might render the applicant unable to perform in a safe manner the functions relating to the licence or rating applied for or held by him, unless such accredited medical conclusion indicates that in special circumstances, the applicant’s failure to meet this requirement will not affect the performance of his functions in a manner which is likely to jeopardise flight safety. |
|
48.(1) The applicant must not have any established medical history or clinical diagnosis of any mental abnormality, personality disorder or neurosis which, according to accredited medical conclusion, renders it likely that within 2 years of the medical examination referred to in paragraph 2(b), the applicant will be unable to perform in a safe manner the functions relating to the licence or rating applied for or held by him.| (2) A history of acute toxic psychosis need not be regarded as disqualifying, provided that the applicant has suffered no permanent impairment. |
|
49.The applicant must not have any 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, according to accredited medical conclusion, are likely to impair the capacity of the applicant to perform in a safe manner the functions relating to the licence or rating applied for or held by him or which will interfere with the safe operation of an aircraft; | | (b) | epilepsy; | | (c) | any disturbance of consciousness for which there is no satisfactory medical explanation of cause. |
|
| 50.The applicant must not have any previous incident of head injury the effects of which, according to accredited medical conclusion, are likely to impair the capacity of the applicant to perform in a safe manner the functions relating to the licence or rating applied for or held by him. |
51.(1) The applicant must not possess any congenital or acquired abnormality of the heart which is likely to impair the capacity of the applicant to perform in a safe manner the functions relating to the licence or rating applied for or held by him.| (2) An applicant with a history of proven myocardial infarction shall be deemed unfit. |
| (3) Such commonly occurring conditions as respiratory arrhythmia, occasional extrasystoles which disappear on exercise, increase of pulse rate from excitement or exercise, or a slow pulse not associated with auriculoventricular dissociation may be regarded as being within “normal” limits. |
|
52.(1) Electrocardiography shall form part of the heart examination required for the first issue of a licence and shall be included in re-examinations —| (a) | in the case of applicants up to the age of 30, at least every 5 years; | | (b) | in the case of applicants between the ages of 30 and 40, at least every 2 years, |
| and thereafter, at least annually. |
| (2) The purpose of routine electrocardiography is case finding and electrocardiography does not itself provide sufficient evidence to justify the disqualification of an applicant without further thorough cardiovascular investigation. |
|
53.(1) The applicant’s systolic and diastolic blood pressures must be within normal limits. The use of drugs for control of high blood pressure is acceptable unless the use of those drugs are, according to accredited medical conclusion, incompatible with the performance in a safe manner of the functions relating to the licence or rating applied for or held by him.| (2) There shall be no significant functional nor structural abnormality of the circulatory tree. However, the presence of varicosities by itself does not necessarily render the applicant unfit. |
|
| 54.The applicant must not have any acute disability of the lungs nor any active disease of the structures of the lungs, mediastinum or pleura. Radiography shall form a part of the medical examination in all doubtful clinical cases. Radiography shall form a part of the initial chest examination and should be repeated periodically thereafter. |
| 55.The applicant must not be suffering from any extensive mutilation of the chest wall with collapse of the thoracic cage and sequelae of surgical procedures resulting in decreased respiratory efficiency at altitude. Cases of pulmonary emphysema will be assessed as unfit if the condition is causing symptoms. |
| 56.The applicant must not be suffering from any active pulmonary tuberculosis, duly diagnosed. Cases of quiescent or healed lesions which are known or presumed to be tuberculous may be assessed as fit. |
| 57.The applicant must not be suffering from any form of disabling disease, with important impairment of functions of the gastrointestinal tract or its adnexae. |
| 58.The applicant must be completely free from those hernias that might give rise to incapacitating symptoms. |
59.(1) The applicant must not have any sequelae of disease or surgical intervention on any part of the digestive tract or its adnexae liable to cause incapacity in flight, in particular any obstructions due to stricture or compression.| (2) An applicant who has undergone a major surgical operation on the biliary passages or the digestive tract or its adnexae, which has involved a total or partial excision or a diversion of any of these organs will be assessed as unfit until such time when the evaluating medical examiner who has access to the details of the operation considers that the effects of such operation are not liable to cause incapacity in flight. |
|
| 60.The applicant must not be suffering from any metabolic, nutritional or endocrine disorders likely to interfere with the performance in a safe manner of the functions relating to the licence or rating applied for or held by him. |
61.(1) The applicant must not be using anti-diabetic drugs for the control of diabetes mellitus except for those oral drugs administered under conditions permitting appropriate medical supervision and control and which, according to accredited medical conclusion, are compatible with the performance in a safe manner of the functions relating to the licence or rating applied for or held by him.| (2) An applicant who is suffering from diabetes mellitus shown to be satisfac-torily controlled without the use of any anti-diabetic drug may be assessed as fit. |
|
62.(1) The applicant must not be suffering from any significant localised and generalised enlargement of the lymphatic glands and of diseases of the blood. The applicant may however be assessed as fit if accredited medical conclusion indicates that his condition is unlikely to affect the performance in a safe manner of the functions relating to the licence or rating applied for or held by him.| (2) Cases due to a transient condition may be assessed as only temporarily unfit. |
| (3) Possession of the sickle cell trait should not render the applicant unfit unless there is positive medical evidence indicating such unfitness. |
|
63.The applicant must not be suffering from any signs of organic disease of the kidney except that those due to a transient condition may be assessed as temporarily unfit.| (2) The urine shall contain no abnormal element considered by the evaluating medical examiner to be pathological. Cases of affections of the urinary passages and of the genital organs shall be assessed as unfit except that those due to a transient condition may be assessed as temporarily unfit. |
|
64.(1) The applicant must not have any sequelae of disease or surgical procedures on the kidneys and the urinary tract liable to cause incapacity, in particular, any obstructions due to stricture or compression.| (2) An applicant who has undergone a major surgical operation on the urinary system, which has involved a total or partial excision or a diversion of any of its organs will be assessed as unfit, until such time as the evaluating medical examiner having access to the details of such operation considers that the effects of the operation will not cause incapacity in flight. |
| (3) Compensated nephrectomy without hypertension or uraemia may be assessed as fit. |
|
| 65.An applicant who has a personal history of syphillis must be required to furnish satisfactory evidence to the evaluating medical examiner that he has undergone adequate treatment and follow up shows no sequelae of the disease. |
| 66.The applicant must not have a history of severe menstrual disturbances that have proven unamenable to treatment and that are likely to interfere with the performance in a safe manner of the functions relating to the licence or rating applied for or held by her. An applicant who has undergone any gynaecological operations will be considered individually. |
67.(1) Subject to sub-paragraph (3), an applicant who is pregnant shall be assessed as temporarily unfit.| (2) After confinement or miscarriage, the applicant shall not be permitted to perform the functions relating to the licence applied for or held by her until she has undergone re-examination and has been assessed as fit. |
| (3) In the absence of any significant abnormalities, accredited medical conclusion may indicate that the applicant is fit during the middle months of her pregnancy. |
|
| 68.The applicant must not be suffering from any active disease of the bones, joints, muscles or tendons and all serious functional sequelae of congenital or acquired disease. However, an applicant who is suffering from functional after-effects of lesion affecting the bones, joints, muscles or tendons and certain anatomical defects compatible with the performance in a safe manner of the functions relating to the licence or rating applied for or held by him may be assessed as fit. |
69.The applicant must not have any —| (a) | active pathological process, acute or chronic, of the internal ear or of the middle ear; or | | (b) | permanent disturbance of the vestibular apparatus (except that a transient condition may be assessed as temporarily unfit). |
|
| 70.The applicant must have free nasal air entry on both sides and must not have any serious malformation or serious, acute or chronic affection of the buccal cavity or upper respiratory tract. |
71.For the purposes of paragraphs 72 to 75 —| (a) | each eye of the applicant will be tested separately; and | | (b) | the methods of testing visual acuity shall be as follows:| (i) | for a visual acuity test in a lighted room a test illumination level of approximately 50 1x, normally corresponding to a brightness of 30 cd per square metre should be adopted. The light level of the room should be approximately one-fifth of the test illumination level; | | (ii) | for a visual acuity test in a darkened, or semi-darkened room, a test illumination level of approximately 15 1x, normally corresponding to a brightness of 10 cd per square metre should be adopted; | | (iii) | visual acuity should be measured by means of a series of optotypes of Landolt, or similar optotypes, placed at a distance of 6m from the applicant, or 5m, as appropriate to the method of testing adopted. |
|
|
| 72.The function of the applicant’s eyes and their adnexae shall be normal. There shall not be any active pathological condition, acute or chronic, of either eye or adnexae which is likely to interfere with its proper function to an extent that would jeopardise safety in flight or the performance in a safe manner of the functions relating to the licence or rating applied for or held by the applicant. |
| 73.The applicant must have normal fields of vision. |
74.(1) The applicant must have a distant visual acuity of not less than 6/12 (20/40, 0.5) in each eye separately, with or without the use of correcting lenses. Where this standard of visual acuity can be obtained only with correcting lenses, the applicant may be assessed as fit subject to the following conditions:| (a) | such correcting lenses are worn when performing the functions relating to the licence or rating applied for or held by him; | | (b) | the applicant has a spare set of suitable correcting lenses readily available when performing such functions. |
| (2) If the visual acuity required under sub-paragraph (1) is obtained only by the use of correcting lenses and the uncorrected visual acuity in either eye is less than 6/60 (20/200, 0.1), an applicant whose refractive error in each eye falls within the range of +5 dioptres (equivalent spherical error) may be assessed as fit. An applicant whose refractive error in either eye falls outside the range of +5 dioptres (equivalent spherical error) may nonetheless be assessed as fit according to accredited medical conclusion. |
| (3) An applicant who satisfies the requirement of sub-paragraph (2) is deemed to continue to do so unless there is reason to suspect otherwise, in which case refraction shall be repeated at the discretion of the evaluating medical examiner who shall require that the applicant’s visual acuity be recorded and measured at each re-examination. |
| (4) Conditions which indicate a need to re-determine the refractive error include a refractive state close to the limit of acceptability, a substantial decrease in the uncorrected visual acuity, and the occurrence of eye disease, eye injury or eye surgery. |
|
75.(1) The applicant must be able to read the N5 chart which is in the Times-Roman type-face or its equivalent at a distance selected by him in the range of 30 to 50 centimetres. | (2) If the requirement in sub-paragraph (1) is met only by the use of correcting lenses, the applicant may be assessed as fit provided that such lenses are available for immediate use when performing the functions relating to the licence or rating applied for or held by him. No more than one pair of correcting lenses shall be used in demonstrating compliance with this requirement. |
| (3) Single-vision near correction shall not be acceptable. |
(4) Whenever there is a requirement to obtain or renew correcting lenses, an applicant is expected to advise the refractionist of the reading distances for the visual flight deck tasks relating to the types of aircraft in which he is likely to perform his functions.| Note: Single vision near correction (full lenses of one power only, appropriate to reading) significantly reduces distant visual acuity and is therefore not acceptable. |
|
|
| Colour Perception Requirements |
| 76.An applicant shall be able to perceive readily those colours, the perception of which is necessary for the performance of his functions in a safe manner. |
77.(1) The applicant shall be tested for the ability to correctly identify a series of pseudoisochromatic plates (tables) in daylight or in artificial light of the same colour temperature such as that provided by Illuminant “C” or “D” as specified by the International Commission on Illumination.| (2) An applicant who obtains a score which is satisfactory to the evaluating medical examiner may be assessed as fit. An applicant who fails to obtain a satisfactory score in such a test may nevertheless be assessed as fit if he is able to readily and correctly identify aviation coloured lights displayed by means of a recognised colour perception lantern test and is subsequently assessed by the evaluating medical examiner as “colour safe”. |
|
| 78.The applicant must be free from any hearing defect likely to interfere with the performance in a safe manner of the functions relating to the licence or rating applied for or held by him and for which he is being examined. |
| 79.The applicant must be able to hear an average conversational voice in a quiet room, using both ears, at a distance of 2 metres from and with his back turned to the designated medical examiner. |
|
| Part Iv — Class 3 Medical Requirements |
| Physical and Mental Requirements |
| 80.The applicant must not suffer from any disease or disability which could render the applicant likely to become incapacitated in a manner which will affect the performance of his functions in a safe manner. |
81.The applicant must not have any established medical history or clinical diagnosis of —| (a) | a psychosis; | | (b) | alcoholism; | | (c) | drug dependence; | | (d) | any personality disorder, particularly if such disorder is severe enough to have repeatedly resulted in overt acts; or | | (e) | a mental abnormality, or neurosis of a significant degree, |
| which, according to accredited medical conclusion, might render the applicant unable to provide in a safe manner any air traffic service specified in any ratings in his air traffic controller licence or applied for in his application for a licence unless accredited medical conclusion indicates that in special circumstances, the applicant’s failure to meet this requirement is such that the provision of any air traffic service is not likely to jeopardise flight safety. |
|
82.(1) The applicant must not have any established medical history or clinical diagnosis of any mental abnormality, personality disorder or neurosis which, according to accredited medical conclusion, makes it likely that within 2 years of the medical examination referred to in paragraph 2(b), the applicant will be unable to provide in a safe manner any air traffic service specified in any ratings in his air traffic controller licence or applied for in his application for a licence.| (2) A history of acute toxic psychosis need not be regarded as disqualifying if the applicant has suffered no permanent impairment. |
|
83.The applicant must not have any 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, according to accredited medical conclusion, are likely to impair the capacity of the applicant to provide any air traffic service specified in any of the ratings in his air traffic controller licence or applied for in his application for a licence; | | (b) | epilepsy; | | (c) | any disturbance of consciousness for which there is no satisfactory medical explanation of cause. |
|
| 84.The applicant must not have any previous incident of head injury, the effects of which, according to accredited medical conclusion, are likely to impair the capacity of the applicant to provide any air traffic service specified in any ratings in his air traffic controller licence or applied for in his application for a licence. |
85.(1) The applicant must not possess any abnormality of the heart, congenital or acquired, which is likely to impair the capacity of the applicant to provide any air traffic service specified in any ratings in his air traffic controller licence or applied for in his application for a licence. Such commonly occurring conditions as respiratory arrhythmia, occasional extrasystoles which disappear on exercise, increase of pulse rate from excitement or exercise, or a slow pulse not associated with auriculoventricular dissociation may be regarded as being within “normal” limits.| (2) Electrocardiography shall form part of the heart examination for the first issue of a licence, at the first re-examination after the age of 40 years and thereafter not less frequently than every 5 years, and in re-examinations in all doubtful clinical cases. |
| (3) The purpose of routine electrocardiography is case finding and electrocardiography does not itself provide sufficient evidence to justify the disqualification of an applicant without further thorough cardiovascular investigation. |
|
86.(1) The applicant’s systolic and diastolic blood pressure must be within normal limits. The use of drugs for control of high blood pressure is acceptable unless the use of those drugs, according to accredited medical conclusion, is incompatible with the provision in a safe manner of any air traffic service specified in any rating in an applicant’s air traffic controller licence or applied for in his application for a licence.| (2) There shall be no significant functional nor structural abnormality of the circulatory tree. However, the presence of varicosities shall not necessarily by itself entail unfitness. |
|
87.(1) The applicant must not have any acute disability of the lungs nor any active disease of the structures of the lungs, mediastinum or pleura. Radiography shall form a part of the medical examination in all doubtful clinical cases. Radiography shall form a part of the initial chest examination and should be repeated periodically thereafter.| (2) Cases of pulmonary emphysema shall be assessed as unfit only if the condition is causing symptoms. |
|
| 88.The applicant must not be suffering from active pulmonary tuberculosis, duly diagnosed. Cases of quiescent or healed lesions which are known to be tuberculous in origin, may be assessed as fit. |
| 89.The applicant must not be suffering from any form of a disabling disease, with impairment of functions of the gastrointestinal tract or its adnexae. |
| 90.The applicant must be completely free from those hernias that might give rise to incapacitating symptoms. |
| 91.The applicant must not have any sequelae of disease or surgical intervention on any part of the digestive tract or its adnexae liable to cause incapacity, in particular any obstructions due to stricture or compression. |
| 92.The applicant must not be suffering from any metabolic, nutritional or endocrine disorders likely to interfere with the provision in a safe manner of any air traffic service specified in any ratings in his air traffic controller licence or applied for in his application for a licence. |
| 93.The applicant must not be using anti-diabetic drugs for the control of diabetes mellitus except for those oral drugs which, according to accredited medical conclusion, are compatible with the provision in a safe manner of any air traffic service specified in any ratings in his air traffic controller licence or applied for in his application for a licence. Proven cases of diabetes mellitus shown to be satisfactorily controlled without the use of any anti-diabetic drug may be assessed as fit. |
| 94.The applicant must not be suffering from significant localised and generalised enlargement of the lymphatic glands and of diseases of blood. The applicant may be assessed as fit if accredited medical conclusion indicates that the condition is unlikely to affect the provision in a safe manner of any air traffic service specified in any ratings in his air traffic controller licence or applied for in his application for a licence. Cases due to a transient condition may be assessed as only temporarily unfit. |
95.(1) The applicant must not be suffering from any organic diseases of the kidney except that those due to a transient condition may be assessed as temporarily unfit.| (2) The urine shall contain no abnormal element considered by accredited medical conclusion to be of pathological significance. Cases of affections of the urinary passages and of the genital organs shall be assessed as unfit except that those due to a transient condition may be assessed as temporarily unfit. |
|
| 96.The applicant must not have any sequelae of disease or surgical procedures on the kidneys and the urinary tract liable to cause incapacity, in particular, any obstructions due to stricture or compression. |
| 97.An applicant who has a personal history of syphillis, shall be required to furnish satisfactory evidence to the evaluating medical examiner for the first issue of an air traffic controller licence that he has undergone adequate treatment, and follow-up shows no sequelae of the disease. |
| 98.The applicant must not have a history of severe menstrual disturbances that have proved unamenable to treatment and that are likely to interfere with the provision in a safe manner of any air traffic service specified in any ratings in her air traffic controller licence or applied for in her application for a licence. |
99.(1) The applicant must not be suffering from any active disease of the bones, joints, muscles or tendons and all serious functional sequelae of congenital or acquired disease shall be assessed as unfit.| (2) Functional after-effects of lesion affecting the bones, joints, muscles or tendons and certain anatomical defects compatible with the provision in a safe manner of any air traffic service specified in any ratings in the applicant’s air traffic controller licence or applied for in his application for a licence, may be assessed as fit. |
|
100.The applicant must not have any —| (a) | active pathological process, acute or chronic, of the internal ear or of the middle ear; | | (b) | permanent disturbance of the vestibular apparatus (except that those due to a transient condition may be assessed as temporarily unfit); or | | (c) | serious malformation or serious, acute or chronic pathology of the buccal cavity or upper respiratory tract (cases of speech defects and stuttering shall be assessed as unfit). |
|
101.For the purposes of paragraphs 102 to 106 —| (a) | each eye of the applicant will be tested separately; and | | (b) | the methods of testing visual acuity shall be as follows:| (i) | for a visual acuity test in a lighted room, a test illumination level of approximately 50 1x, normally corresponding to a brightness of 30 cd per square metre should be adopted; the light level of the room should be approximately one-fifth of the test illumination level; | | (ii) | for a visual acuity test in a darkened, or semi-darkened room, a test illumination level of approximately 15 1x, normally corresponding to a brightness of 10 cd per square metre should be adopted; | | (iii) | visual acuity should be measured by means of a series of optotypes of Landolt, or similar optotypes, placed at a distance of 6m from the applicant, or 5m, as appropriate to the method of testing adopted. |
|
|
| 102.The function of the applicant’s eyes and their adnexae shall be normal. There shall not be any active pathological condition, acute or chronic, in either eye or adnexae which is likely to interfere with its proper function to an extent that would affect the provision in a safe manner of any air traffic service specified in any ratings in the applicant’s air traffic controller licence or applied for in his application for a licence. |
| 103.The applicant must have normal fields of vision. |
104.(1) The applicant must have a distant visual acuity of not less than 6/9 (20/30, 0.7) in each eye separately, with or without the use of correcting lenses. Where this standard of visual acuity can be obtained only with correcting lenses the applicant may be assessed as fit if —| (a) | the applicant possesses a visual acuity without correction in each eye separately, of not less than 6/60 (20/200, 0.1) or the refraction error falls within the range of +3 dioptres (equivalent spherical error); | | (b) | such correcting lenses are worn when providing the air traffic service stated in the applicant’s air traffic controller licence or any rating specified therein; and | | (c) | the applicant has a spare set of suitable correcting lenses readily available when providing the air traffic service stated in the applicant’s air traffic controller licence or any rating specified therein. |
| (2) An applicant who satisfies the requirements in sub-paragraph 1(a) is deemed to continue to do so unless there is reason to suspect otherwise, in which case refraction shall be repeated at the discretion of the evaluating medical examiner who shall require that the applicant’s visual acuity be recorded and measured at each re-examination. |
| (3) Conditions which indicate a need to re-determine the refractive error include a refractive state close to the limit of acceptability, a substantial decrease in the uncorrected visual acuity, and the occurrence of eye disease, eye injury or eye surgery. |
|
105.(1) The applicant must be able to read the N5 chart which is in Times-Roman type-face or its equivalent at a distance selected by the applicant in the range of 30 to 50 centimetres and the N14 chart which is in the Times-Roman type-face or its equivalent at a distance of 100 cm.| (2) If the requirement in sub-paragraph (1) is met only by the use of correcting lenses, the applicant may be assessed as fit provided that such lenses are available for immediate use when providing the air traffic service stated in the applicant’s air traffic controller licence or any ratings specified therein. No more than one pair of correcting lenses shall be used in demonstrating compliance with this requirement. |
| (3) Single-vision near correction may not be acceptable for the purpose of certain air traffic control duties. |
|
106.(1) The applicant must have a near point of accommodation of 30 centimetres while wearing the correcting lenses, if any, required by paragraph 104.| (2) An applicant who does not meet the requirement in sub-paragraph (1) may be assessed as fit if he produces evidence, satisfactory to the evaluating medical examiner, that he has been fitted with correction for near and intermediate-range vision, or that he does not at present require such correction. |
| (3) An applicant who is required to wear the correcting lenses needed for near and intermediate-range vision shall wear such lenses in addition to any correcting lenses required under paragraph 104 when providing the air traffic service stated in the applicant’s air traffic controller licence or any ratings specified therein. |
(4) Whenever there is a requirement to obtain or renew correcting lenses, an applicant is expected to advise the refractionist of reading distances for the air traffic services he is likely to perform.| Note: Single vision near correction (full lenses of one power only, appropriate to reading) significantly reduces distant visual acuity and is therefore not acceptable. |
|
|
| Colour Perception Requirements |
| 107.An applicant shall be able to perceive readily those colours, the perception of which is necessary for the performance of his functions in a safe manner. |
108.(1) The applicant shall be tested for the ability to correctly identify a series of pseudoisochromatic plates (tables) in daylight or in artificial light of the same colour temperature such as that provided by Illuminant “C” or “D” as specified by the International Commission on Illumination.| (2) An applicant who obtains a score which is satisfactory to the evaluating medical examiner may be assessed as fit. An applicant who fails to obtain a satisfactory score in such a test may nonetheless be assessed as fit if the applicant is able to readily and correctly identify aviation coloured lights displayed by means of a recognised colour perception lantern test and is subsequently assessed by the evaluating medical examiner as “colour safe”. |
|
| 109.The applicant must be free from any hearing defect likely to interfere with the provision in a safe manner of any air traffic service specified in any ratings in his air traffic controller licence or applied for in his application for a licence and for which he is being examined. |
110.(1) At the first issue of an air traffic controller licence, not less than once every 5 years, up to the age of 40 years, and thereafter not less than once every 3 years, the applicant must not have a hearing loss, when tested on a pure tone audiometer, in either ear separately, of more than 35 dB at any of the frequencies of 500, 1000 or 2000 Hz, or more than 50 dB at 3000 Hz.(2) An applicant with a hearing loss greater than that specified in sub-paragraph (1) may nonetheless be assessed as fit if —| (a) | the applicant has a hearing performance in each ear separately equivalent to that of a normal person against a background noise that will simulate that experienced in a typical air traffic service working environment; and | | (b) | the applicant has an ability to hear an average conversational voice in a quiet room, using both ears, at a distance of 2 metres from and with his back turned to the designated medical examiner.”. |
|
|
|
|
|
