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or air traffic controllers shall not exercise the privileges of
their licence unless they hold a current Medical Assessment
appropriate to the licence.
1.2.4.4 Contracting States shall designate medical
examiners, qualified and licensed in the practice of medicine,
to conduct medical examinations of fitness of applicants for
the issue or renewal of the licences or ratings specified in
Chapters 2 and 3, and of the appropriate licences specified in
Chapter 4.
1.2.4.4.1 Medical examiners shall have received training
in aviation medicine and shall receive refresher training at
regular intervals. Before designation, medical examiners shall
demonstrate adequate competency in aviation medicine.
1.2.4.4.2 Medical examiners shall have practical knowledge
and experience of the conditions in which the holders of
licences and ratings carry out their duties.
Note.— Examples of practical knowledge and experience
are flight experience, simulator experience, on-site observation
or any other hands-on experience deemed by the
Licensing Authority to meet this requirement.
1.2.4.5 Applicants for licences or ratings for which
medical fitness is prescribed shall sign and furnish to the
medical examiner a declaration stating whether they have
previously undergone such an examination and, if so, the date,
place and result of the last examination. They shall indicate to
the examiner whether a Medical Assessment has previously
been refused, revoked or suspended and, if so, the reason for
such refusal, revocation or suspension.
1.2.4.5.1 Any false declaration to a medical examiner
made by an applicant for a licence or rating shall be reported
to the Licensing Authority of the issuing State for such action
as may be considered appropriate.
1.2.4.6 Having completed the medical examination of the
applicant in accordance with Chapter 6, the medical examiner
shall coordinate the results of the examination and submit a
signed report, or equivalent, to the Licensing Authority, in
accordance with its requirements, detailing the results of the
examination and evaluating the findings with regard to medical
fitness.
1.2.4.6.1 If the medical report is submitted to the
Licensing Authority in electronic format, adequate identification
of the examiner shall be established.
1.2.4.6.2 If the medical examination is carried out by two
or more medical examiners, Contracting States shall appoint
one of these to be responsible for coordinating the results of
the examination, evaluating the findings with regard to medical
fitness, and signing the report.
1.2.4.7 Contracting States shall use the services of medical
assessors to evaluate reports submitted to the Licensing
Authorities by medical examiners.
1.2.4.7.1 The medical examiner shall be required to submit
sufficient medical information to the Licensing Authority to
enable the Authority to audit Medical Assessments.
Note.— The purpose of such auditing is to ensure that
medical examiners meet applicable standards for good practice.
Annex 1 — Personnel Licensing Chapter 1
23/11/06 1-6
1.2.4.8 If the medical Standards prescribed in Chapter 6
for a particular licence are not met, the appropriate Medical
Assessment shall not be issued or renewed unless the following
conditions are fulfilled:
a) accredited medical conclusion indicates that in special
circumstances the applicant’s failure to meet any requirement,
whether numerical or otherwise, is such that
exercise of the privileges of the licence applied for is not
likely to jeopardize flight safety;
b) relevant ability, skill and experience of the applicant and
operational conditions have been given due consideration;
and
c) the licence is endorsed with any special limitation or
limitations when the safe performance of the licence
holder’s duties is dependent on compliance with such
limitation or limitations.
1.2.4.9 Medical confidentiality shall be respected at all
times.
1.2.4.9.1 All medical reports and records shall be securely
held with accessibility restricted to authorized personnel.
1.2.4.9.2 When justified by operational considerations,
the medical assessor shall determine to what extent pertinent
medical information is presented to relevant officials of the
Licensing Authority.
1.2.5 Validity of licences
1.2.5.1 A Contracting State, having issued a licence,
shall ensure that the privileges granted by that licence, or by
related ratings, are not exercised unless the holder maintains
competency and meets the requirements for recent experience
established by that State.
　
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