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that no limitations are required.
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ANNEX 1 6-1 23/11/06
CHAPTER 6. MEDICAL PROVISIONS FOR LICENSING
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.
Note 2.— Predisposing factors for disease, such as obesity
and smoking, may be important for determining whether further
evaluation or investigation is necessary in an individual case.
Note 3.— In cases where the applicant does not fully meet
the medical requirements and in complicated and unusual
cases, the evaluation may have to be deferred and the case
submitted to the medical assessor of the Licensing Authority
for final evaluation. In such cases due regard must be given to
the privileges granted by the licence applied for or held by the
applicant for the Medical Assessment, and the conditions
under which the licence holder is going to exercise those privileges
in carrying out assigned duties.
Note 4.— Attention is called to the administrative clause in
1.2.4.8 dealing with accredited medical conclusion.
Note 5.— Guidance material to assist Licensing Authorities
and medical examiners is published separately in the Manual
of Civil Aviation Medicine (Doc 8984). This guidance
material also contains a discussion of the terms “likely” and
“significant” as used in the context of the medical provisions
in Chapter 6.
6.1 Medical Assessments — General
6.1.1 Classes of Medical Assessment
Three classes of Medical Assessment shall be established as
follows:
a) Class 1 Medical Assessment;
applies to applicants for, and holders of:
— commercial pilot licences — aeroplane, airship,
helicopter and powered-lift
— multi-crew pilot licences — aeroplane
— airline transport pilot licences — aeroplane,
helicopter and powered-lift
b) Class 2 Medical Assessment;
applies to applicants for, and holders of:
— flight navigator licences
— flight engineer licences
— private pilot licences — aeroplane, airship,
helicopter and powered-lift
— glider pilot licences
— free balloon pilot licences
c) Class 3 Medical Assessment;
applies to applicants for, and holders of:
— air traffic controller licences.
6.1.2 The applicant for a Medical Assessment shall
provide the medical examiner with a personally certified statement
of medical facts concerning personal, familial and hereditary
history. The applicant shall be made aware of the necessity
for giving a statement that is as complete and accurate as the
applicant’s knowledge permits, and any false statement shall
be dealt with in accordance with 1.2.4.5.1.
6.1.3 The medical examiner shall report to the Licensing
Authority any individual case where, in the examiner’s judgement,
an applicant’s failure to meet any requirement, whether
numerical or otherwise, is such that exercise of the privileges of
the licence being applied for, or held, is not likely to jeopardize
flight safety (1.2.4.8).
6.1.4 The requirements to be met for the renewal of a
Medical Assessment are the same as those for the initial
assessment except where otherwise specifically stated.
Note.— The intervals between routine medical examinations
for the purpose of renewing Medical Assessments are specified
in 1.2.5.2.
6.2 Requirements for Medical Assessments
6.2.1 General
An applicant for a Medical Assessment issued in accordance
with the terms of 1.2.4.1 shall undergo a medical examination
based on the following requirements:
Annex 1 — Personnel Licensing Chapter 6
23/11/06 6-2
a) physical and mental;
b) visual and colour perception; and
c) hearing.
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 nonprescribed
therapeutic, diagnostic or preventive medication
taken;
such as would entail a degree of functional incapacity which
　
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