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This Subpart prescribes the standards for a medical certificate.
(a) An applicant who satisfies the standards in paragraphs (b) to (m) meets the medical standards for a class 1 medical certificate.
(b) An applicant must−
(1) have no medical condition that is of aeromedical significance; and
(2) without limiting paragraph (b)(1), have no history or diagnosis of any of the following specific medical conditions, to an extent that is of aeromedical significance:
(i) an abnormality;
(ii) a disability or disease (active or latent);
(iii) a sequela of an accident, an injury, or a surgical procedure;
(iv) a physiological or pathological process;
(v) a malignant process;
(vi) a condition that induces fatigue;
(vii) an infection, unless adequate treatment or resolution or both is demonstrable;
(3) not be−
(i) taking any drug, medication, substance, or preparation nor undergoing any treatment; or
(ii) experiencing any side-effect from any drug, medication, substance, preparation or treatment− that, having regard to any relevant general direction, interferes or is likely to interfere with the safe exercise of the privileges or the safe performance of the duties to which a class 1 medical certificate relates.
(c) An applicant must−
(1) have no history or diagnosis of any neurological, neurosurgical, psychiatric or psychological condition, or behavioural or cognitive disorder that is of aeromedical significance; and
(2) without limiting paragraph (c)(1), have no history or diagnosis of any of the following specific medical conditions, to an extent that is of aeromedical significance:
(i) disease or disorder of any component of the nervous system;
(ii) migraine or other severe headaches;
(iii) disturbance of consciousness or function;
(iv) psychiatric condition;
(v) psychosis;
(vi) personality disorder;
(vii) mental abnormality or neurosis;
(viii) depression;
(ix) post-traumatic stress disorder;
(x) sequela of a head injury or neurosurgical procedure; and
(3) without limiting paragraph (c)(1), have no history or diagnosis of epilepsy or any other condition associated with an elevated risk of convulsions;
(4) have no history or diagnosis of the use of any psychoactive substance that, having regard to any relevant general direction, interferes or is likely to interfere with the safe exercise of the privileges or the safe performance of the duties to which a class 1 medical certificate relates; and
(5) not be taking any psychoactive substance that, having regard to any relevant general direction, interferes or is likely to interfere with the safe exercise of the privileges or the safe performance of the duties to which a class 1 medical certificate relates.
(d) An applicant must−
(1) have no history or diagnosis of any condition of the heart or circulatory tree that is of aeromedical significance; and
(2) without limiting paragraph (d)(1), have no history or diagnosis of any of the following specific medical conditions, to an extent that is of aeromedical significance:
(i) coronary artery disease;
(ii) left bundle branch block;
(iii) right bundle branch block unless ischaemic causes have been excluded;
(iv) uncontrolled hypertension;
(v) abnormality of the muscle, valves, or conduction system of the heart;
(vi) abnormality of the rhythm of the heart; and
(3) without limiting paragraph (d)(1), have no disorder requiring a cardiac pacemaker; and
(4) have no excessive cardiovascular risk factors unless normal myocardial perfusion can be demonstrated.
(e) An applicant must−
(1) have no history or diagnosis of any condition of the respiratory system that is of aeromedical significance; and
(2) without limiting paragraph (e)(1), have no history or diagnosis of asthma, to an extent that is of aeromedical significance, unless adequate control is obtained with preventative treatment that does not interfere with the safe exercise of the privileges or safe performance of the duties to which a class 1 medical certificate relates.
(f) An applicant must−
(1) have no history or diagnosis of any condition of the alimentary or endocrine systems that is of aeromedical significance; and
(2) without limiting paragraph (f)(1), have no history or diagnosis of any of the following specific medical conditions, to an extent that is of aeromedical significance:
(i) abnormality, disease, or pathological process of the digestive system or its adnexae;
(ii) sequela of disease or trauma of, or a surgical procedure on, the digestive system or its adnexae;
(iii) any metabolic, nutritional or endocrine disorder other than as specified in (3); and
(3) without limiting paragraph (f)(1), have no history or diagnosis of any form of diabetes mellitus or abnormal glucose metabolism unless:
(i) the condition is satisfactorily controlled without the use of any anti-diabetic drug; or
(ii) if an oral anti-diabetic drug is used to control the condition,−
(iia) the condition is under on-going medical supervision and control; and
(iib) insulin is not used; and
(iic) having regard to any relevant general direction, the oral drugs used, individually and in combination, do not, and are not likely to, interfere with the safe exercise of the privileges or the safe performance of the duties to which a class 1 medical certificate relates.
(g) An applicant must−
(1) have no history or diagnosis of any condition of the reticulo-endothelial or immune systems that is of aeromedical significance; and
(2) without limiting paragraph (g)(1), have no history or diagnosis of any of the following specific medical conditions, to an extent that is of aeromedical significance:
(i) enlargement of the spleen unless myeloproliferative and infective causes have been excluded;
(ii) localised or generalised enlargement of the lymphatic glands;
(iii) any disease or condition of the blood or its constituents;
(iv) a disorder or condition associated with immune deficiency or hyper-immunity.
(h) An applicant must−
(1) have no history or diagnosis of any condition of the genitourinary system that is of aeromedical significance; and
(2) without limiting paragraph (h)(1), have no history or diagnosis of any of the following specific medical conditions, to an extent that is of aeromedical significance:
(i) abnormality or disease of the genito-urinary system;
(ii) sequela of disease or trauma of, or a surgical procedure on, the genito-urinary system;
(iii) obstruction, or elevated risk of obstruction, to the kidneys or urinary tract.
(i) An applicant must−
(1) have no history or diagnosis of any condition of the reproductive system that is of aeromedical significance; and
(2) without limiting paragraph (i)(1), have no history or diagnosis of any of the following specific medical conditions, to an extent that is of aeromedical significance:
(i) menstrual disturbance;
(ii) pregnancy.
(j) An applicant must−
(1) have no history or diagnosis of any condition of the musculoskeletal system or integument that is of aeromedical significance; and
(2) without limiting paragraph (j)(1), have no history or diagnosis of any of the following specific medical conditions, to an extent that is of aeromedical significance:
(i) abnormality, disease, or pathological process of the skin, connective tissues, bones, joints, muscles, ligaments, or tendons;
(ii) sequela of disease or trauma of, or a surgical procedure on, the skin, connective tissues, bones, joints, muscles, ligaments, or tendons.
(k) An applicant must−
(1) have no history or diagnosis of any condition of the ears, nose, or throat that is of aeromedical significance; and
(2) without limiting paragraph (k)(1), have no history or diagnosis of any of the following specific medical conditions, to an extent that is of aeromedical significance:
(i) abnormality, disease, or pathological process of the external, middle, or internal ear;
(ii) abnormality, disease, or pathological process of the mouth, teeth, or upper respiratory tract;
(iii) obstruction of the Eustachian tubes or abnormality of middle ear ventilation;
(iv) disturbance of the vestibular apparatus.
(l) An applicant must−
(1) have no history or diagnosis of any hearing disorder that is of aeromedical significance; and
(2) without limiting paragraph (l)(1), have no history or diagnosis of hearing deficit in either ear of more than−
(i) 35 dB, at any of the frequencies of 500 Hz, 1000 Hz or 2000 Hz; or
(ii) 50 dB at the frequency of 3000 Hz,
to an extent that is of aeromedical significance.
(m) An applicant must−
(1) have no history or diagnosis of any vision disorder that is of aeromedical significance; and
(2) without limiting paragraph (m)(1), have no history or diagnosis of any of the following specific medical conditions, to an extent that is of aeromedical significance:
(i) abnormality, disease, or pathological process of the eyes or their adnexae;
(ii) sequela of disease or trauma of, or a surgical procedure on, the eyes or their adnexae;
(iii) abnormal fields of vision or binocular vision performance;
(iv) surgical procedure affecting the refractive status of either eye; and
(3) without limiting paragraph (m)(1), have distant visual acuity, with or without correcting lenses, of 6/9 or better in each eye separately and 6/6 or better binocularly; and
(4) without limiting paragraph (m)(1), have near visual acuity, with or without correcting lenses, of N5 or better binocularly at a distance of between 30 and 50 centimetres, and have intermediate visual acuity of N14 or better binocularly at a distance of 1 metre; and
(5) without limiting paragraph (m)(1), have no deficit of colour vision to an extent that is of aeromedical significance.
(a) An applicant who satisfies the standards in paragraphs (b) to (m) meets the medical standards for a class 2 medical certificate.
(b) An applicant must−
(1) have no medical condition that is of aeromedical significance; and
(2) without limiting paragraph (b)(1), have no history or diagnosis of any of the following specific medical conditions, to an extent that is of aeromedical significance:
(i) an abnormality;
(ii) a disability or disease (active or latent);
(iii) a sequela of an accident, an injury, or a surgical procedure;
(iv) a physiological or pathological process;
(v) a malignant process;
(vi) a condition that induces fatigue;
(vii) an infection, unless adequate treatment or resolution or both is demonstrable;
(3) not be−
(i) taking any drug, medication, substance, or preparation nor undergoing any treatment; or
(ii) experiencing any side-effect from any drug, medication, substance, preparation or treatment−
that, having regard to any relevant general direction, interferes or is likely to interfere with the safe exercise of the privileges or the safe performance of the duties to which a class 2 medical certificate relates.
(c) An applicant must−
(1) have no history or diagnosis of any neurological, neurosurgical, psychiatric or psychological condition, or behavioural or cognitive disorder that is of aeromedical significance; and
(2) without limiting paragraph (c)(1), have no history or diagnosis of any of the following specific medical conditions, to an extent that is of aeromedical significance:
(i) disease or disorder of any component of the nervous system;
(ii) migraine or other severe headaches;
(iii) disturbance of consciousness or function;
(iv) psychiatric condition;
(v) psychosis;
(vi) personality disorder;
(vii) mental abnormality or neurosis;
(viii) depression;
(ix) post-traumatic stress disorder;
(x) sequela of a head injury or neurosurgical procedure; and
(3) without limiting paragraph (c)(1), have no history or diagnosis of epilepsy or any other condition associated with an elevated risk of convulsions;
(4) have no history or diagnosis of the use of any psychoactive substance that, having regard to any relevant general direction, interferes or is likely to interfere with the safe exercise of the privileges or the safe performance of the duties to which a class 2 medical certificate relates; and
(5) not be taking any psychoactive substance that, having regard to any relevant general direction, interferes or is likely to interfere with the safe exercise of the privileges or the safe performance of the duties to which a class 2 medical certificate relates.
(d) An applicant must−
(1) have no history or diagnosis of any condition of the heart or circulatory tree that is of aeromedical significance; and
(2) without limiting paragraph (d)(1), have no history or diagnosis of any of the following specific medical conditions, to an extent that is of aeromedical significance:
(i) coronary artery disease;
(ii) left bundle branch block;
(iii) right bundle branch block unless ischaemic causes have been excluded;
(iv) uncontrolled hypertension;
(v) abnormality of the muscle, valves, or conduction system of the heart;
(vi) abnormality of the rhythm of the heart; and
(3) without limiting paragraph (d)(1), have no disorder requiring a cardiac pacemaker; and
(4) have no excessive cardiovascular risk factors unless normal myocardial perfusion can be demonstrated.
(e) An applicant must−
(1) have no history or diagnosis of any condition of the respiratory system that is of aeromedical significance; and
(2) without limiting paragraph (e)(1), have no history or diagnosis of asthma, to an extent that is of aeromedical significance, unless adequate control is obtained with preventative treatment that does not interfere with the safe exercise of the privileges or safe performance of the duties to which a class 2 medical certificate relates.
(f) An applicant must−
(1) have no history or diagnosis of any condition of the alimentary or endocrine systems that is of aeromedical significance; and
(2) without limiting paragraph (f)(1), have no history or diagnosis of any of the following specific medical conditions, to an extent that is of aeromedical significance:
(i) abnormality, disease, or pathological process of the digestive system or its adnexae;
(ii) sequela of disease or trauma of, or a surgical procedure on, the digestive system or its adnexae;
(iii) any metabolic, nutritional or endocrine disorder other than as specified in (3); and
(3) without limiting paragraph (f)(1), have no history or diagnosis of any form of diabetes mellitus or abnormal glucose metabolism unless:
(i) the condition is satisfactorily controlled without the use of any anti-diabetic drug; or
(ii) if an oral anti-diabetic drug is used to control the condition,−
(iia) the condition is under on-going medical supervision and control; and
(iib) insulin is not used; and
(iic) having regard to any relevant general direction, the oral drugs used, individually and in combination, do not, and are not likely to, interfere with the safe exercise of the privileges or the safe performance of the duties to which a class 2 medical certificate relates.
(g) An applicant must−
(1) have no history or diagnosis of any condition of the reticuloendothelial or immune systems that is of aeromedical significance; and
(2) without limiting paragraph (g)(1), have no history or diagnosis of any of the following specific medical conditions, to an extent that is of aeromedical significance:
(i) enlargement of the spleen unless myeloproliferative and infective causes have been excluded;
(ii) localised or generalised enlargement of the lymphatic glands;
(iii) any disease or condition of the blood or its constituents;
(iv) a disorder or condition associated with immune deficiency or hyper-immunity.
(h) An applicant must−
(1) have no history or diagnosis of any condition of the genitourinary system that is of aeromedical significance; and
(2) without limiting paragraph (h)(1), have no history or diagnosis of any of the following specific medical conditions, to an extent that is of aeromedical significance:
(i) abnormality or disease of the genito-urinary system;
(ii) sequela of disease or trauma of, or a surgical procedure on, the genito-urinary system;
(iii) obstruction, or elevated risk of obstruction, to the kidneys or urinary tract.
(i) An applicant must−
(1) have no history or diagnosis of any condition of the reproductive system that is of aeromedical significance; and
(2) without limiting paragraph (i)(1), have no history or diagnosis of any of the following specific medical conditions, to an extent that is of aeromedical significance:
(i) menstrual disturbance;
(ii) pregnancy.
(j) An applicant must−
(1) have no history or diagnosis of any condition of the musculoskeletal system or integument that is of aeromedical significance; and
(2) without limiting paragraph (j)(1), have no history or diagnosis of any of the following specific medical conditions, to an extent that is of aeromedical significance:
(i) abnormality, disease, or pathological process of the skin, connective tissues, bones, joints, muscles, ligaments, or tendons;
(ii) sequela of disease or trauma of, or a surgical procedure on, the skin, connective tissues, bones, joints, muscles, ligaments, or tendons.
(k) An applicant must−
(1) have no history or diagnosis of any condition of the ears, nose, or throat that is of aeromedical significance; and
(2) without limiting paragraph (k)(1), have no history or diagnosis of any of the following specific medical conditions, to an extent that is of aeromedical significance:
(i) abnormality, disease, or pathological process of the external, middle, or internal ear;
(ii) abnormality, disease, or pathological process of the mouth, teeth, or upper respiratory tract;
(iii) obstruction of the Eustachian tubes or abnormality of middle ear ventilation;
(iv) disturbance of the vestibular apparatus;
(l) An applicant must−
(1) have no history or diagnosis of any hearing disorder that is of aeromedical significance; and
(2) without limiting paragraph (l)(1), have no hearing deficit in either ear detectable on conversational voice test or of more than−
(i) 35 dB, at any of the frequencies of 500 Hz, 1000 Hz or 2000 Hz; or
(ii) 50 dB at the frequency of 3000 Hz,
to an extent that is of aeromedical significance.
(m) An applicant must−
(1) have no history or diagnosis of any vision disorder that is of aeromedical significance; and
(2) without limiting paragraph (m)(1), have no history or diagnosis of any of the following specific medical conditions, to an extent that is of aeromedical significance:
(i) abnormality, disease, or pathological process of the eyes or their adnexae;
(ii) sequela of disease or trauma of, or a surgical procedure on, the eyes or their adnexae;
(iii) abnormal fields of vision or binocular vision performance;
(iv) surgical procedure affecting the refractive status of either eye; and
(3) without limiting paragraph (m)(1), have distant visual acuity, with or without correcting lenses, of 6/12 or better in each eye separately and 6/9 or better binocularly; and
(4) without limiting paragraph (m)(1), have near visual acuity, with or without correcting lenses, of N5 or better binocularly at a distance of between 30 and 50 centimetres; and
(5) without limiting paragraph (m)(1), have no deficit of colour vision to an extent that is of aeromedical significance.
(a) An applicant who satisfies the standards in paragraphs (b) to (m) meets the medical standards for a class 3 medical certificate.
(b) An applicant must−
(1) have no medical condition that is of aeromedical significance; and
(2) without limiting paragraph (b)(1), have no history or diagnosis of any of the following specific medical conditions, to an extent that is of aeromedical significance:
(i) an abnormality;
(ii) a disability or disease (active or latent);
(iii) a sequela of an accident, an injury, or a surgical procedure;
(iv) a physiological or pathological process;
(v) a malignant process;
(vi) a condition that induces fatigue;
(vii) an infection, unless adequate treatment or resolution or both is demonstrable;
(3) not be−
(i) taking any drug, medication, substance, or preparation nor undergoing any treatment; or
(ii) experiencing any side-effect from any drug, medication, substance, preparation or treatment−
that, having regard to any relevant general direction, interferes or is likely to interfere with the safe exercise of the privileges or the safe performance of the duties to which a class 3 medical certificate relates.
(c) An applicant must−
(1) have no history or diagnosis of any neurological, neurosurgical, psychiatric or psychological condition, or behavioural or cognitive disorder that is of aeromedical significance; and
(2) without limiting paragraph (c)(1), have no history or diagnosis of any of the following specific medical conditions, to an extent that is of aeromedical significance:
(i) disease or disorder of any component of the nervous system;
(ii) migraine or other severe headaches;
(iii) disturbance of consciousness or function;
(iv) psychiatric condition;
(v) psychosis;
(vi) personality disorder;
(vii) mental abnormality or neurosis;
(viii) depression;
(ix) post-traumatic stress disorder;
(x) sequela of a head injury or neurosurgical procedure; and
(3) without limiting paragraph (c)(1), have no history or diagnosis of epilepsy or any other condition associated with an elevated risk of convulsions;
(4) have no history or diagnosis of the use of any psychoactive substance that, having regard to any relevant general direction, interferes or is likely to interfere with the safe exercise of the privileges or the safe performance of the duties to which a class 3 medical certificate relates; and
(5) not be taking any psychoactive substance that, having regard to any relevant general direction, interferes or is likely to interfere with the safe exercise of the privileges or the safe performance of the duties to which a class 3 medical certificate relates.
(d) An applicant must−
(1) have no history or diagnosis of any condition of the heart or circulatory tree that is of aeromedical significance; and
(2) without limiting paragraph (d)(1), have no history or diagnosis of any of the following specific medical conditions, to an extent that is of aeromedical significance:
(i) coronary artery disease;
(ii) left bundle branch block;
(iii) right bundle branch block unless ischaemic causes have been excluded;
(iv) uncontrolled hypertension;
(v) abnormality of the muscle, valves, or conduction system of the heart;
(vi) abnormality of the rhythm of the heart; and
(3) without limiting paragraph (d)(1), have no disorder requiring a cardiac pacemaker; and
(4) have no excessive cardiovascular risk factors unless normal myocardial perfusion can be demonstrated.
(e) An applicant must−
(1) have no history or diagnosis of any condition of the respiratory system that is of aeromedical significance; and
(2) without limiting paragraph (e)(1), have no history or diagnosis of asthma, to an extent that is of aeromedical significance, unless adequate control is obtained with preventative treatment that does not interfere with the safe exercise of the privileges or safe performance of the duties to which a class 3 medical certificate relates.
(f) An applicant must−
(1) have no history or diagnosis of any condition of the alimentary or endocrine systems that is of aeromedical significance; and
(2) without limiting paragraph (f)(1), have no history or diagnosis of any of the following specific medical conditions, to an extent that is of aeromedical significance:
(i) abnormality, disease, or pathological process of the digestive system or its adnexae;
(ii) sequela of disease or trauma of, or a surgical procedure on, the digestive system or its adnexae;
(iii) any metabolic, nutritional or endocrine disorder other than as specified in (3); and
(3) without limiting paragraph (f)(1), have no history or diagnosis of any form of diabetes mellitus or abnormal glucose metabolism unless:
(i) the condition is satisfactorily controlled without the use of any anti-diabetic drug; or
(ii) if an oral anti-diabetic drug is used to control the condition,−
(iia) the condition is under on-going medical supervision and control; and
(iib) insulin is not used; and
(iic) having regard to any relevant general direction, the oral drugs used, individually and in combination, do not, and are not likely to, interfere with the safe exercise of the privileges or the safe performance of the duties to which a class 3 medical certificate relates.
(g) An applicant must−
(1) have no history or diagnosis of any condition of the reticuloendothelial or immune systems that is of aeromedical significance; and
(2) without limiting paragraph (g)(1), have no history or diagnosis of any of the following specific medical conditions, to an extent that is of aeromedical significance:
(i) enlargement of the spleen unless myeloproliferative and infective causes have been excluded;
(ii) localised or generalised enlargement of the lymphatic glands;
(iii) any disease or condition of the blood or its constituents;
(iv) a disorder or condition associated with immune deficiency or hyper-immunity.
(h) An applicant must−
(1) have no history or diagnosis of any condition of the genitourinary system that is of aeromedical significance; and
(2) without limiting paragraph (h)(1), have no history or diagnosis of any of the following specific medical conditions, to an extent that is of aeromedical significance:
(i) abnormality or disease of the genito-urinary system;
(ii) sequela of disease or trauma of, or a surgical procedure on, the genito-urinary system;
(iii) obstruction, or elevated risk of obstruction, to the kidneys or urinary tract.
(i) An applicant must−
(1) have no history or diagnosis of any condition of the reproductive system that of aeromedical significance; and
(2) without limiting paragraph (i)(1), have no history or diagnosis of any of the following specific medical conditions, to an extent that is of aeromedical significance:
(i) menstrual disturbance;
(ii) pregnancy.
(j) An applicant must−
(1) have no history or diagnosis of any condition of the musculoskeletal system or integument that is of aeromedical significance; and
(2) without limiting paragraph (j)(1), have no history or diagnosis of any of the following specific medical conditions, to an extent that is of aeromedical significance:
(i) abnormality, disease, or pathological process of the skin, connective tissues, bones, joints, muscles, ligaments, or tendons;
(ii) sequela of disease or trauma of, or a surgical procedure on, the skin, connective tissues, bones, joints, muscles, ligaments, or tendons.
(k) An applicant must−
(1) have no history or diagnosis of any condition of the ears, nose, or throat that is of aeromedical significance; and
(2) without limiting paragraph (k)(1), have no history or diagnosis of any of the following specific medical conditions, to an extent that is of aeromedical significance:
(i) abnormality, disease, or pathological process of the external, middle, or internal ear;
(ii) abnormality, disease, or pathological process of the mouth, teeth, or upper respiratory tract;
(iii) disturbance of the vestibular apparatus;
(l) An applicant must−
(1) have no history or diagnosis of any hearing disorder that is of aeromedical significance; and
(2) without limiting paragraph (l)(1), have no history or diagnosis of hearing deficit in either ear of more than−
(i) 35 dB, at any of the frequencies of 500 Hz, 1000 Hz or 2000 Hz; or
(ii) 50 dB at the frequency of 3000 Hz, to an extent that is of aeromedical significance.
(m) An applicant must−
(1) have no history or diagnosis of any vision disorder that is of aeromedical significance; and
(2) without limiting paragraph (m)(1), have no history or diagnosis of any of the following specific medical conditions, to an extent that is of aeromedical significance:
(i) abnormality, disease, or pathological process of the eyes or their adnexae;
(ii) sequela of disease or trauma of, or a surgical procedure on, the eyes or their adnexae;
(iii) abnormal fields of vision or binocular vision performance;
(iv) surgical procedure affecting the refractive status of either eye; and
(3) without limiting paragraph (m)(1), have distant visual acuity, with or without correcting lenses, of 6/9 or better in each eye separately and 6/6 or better binocularly; and
(4) without limiting paragraph (m)(1), have near visual acuity, with or without correcting lenses, of N5 or better binocularly at a distance of between 30 and 50 centimetres, and have intermediate visual acuity of N14 or better binocularly at a distance of 1 metre; and (5) without limiting paragraph (m)(1), have no deficit of colour vision to an extent that is of aeromedical significance.
