Requirements and Standards for Medical Assessments

1. An applicant for grant/renewal of a flight crew license/rating shall hold a valid medical assessment issued by DGCA in accordance with the International Standards and Recommended Practices and medical requirements laid down by DGCA.

2. Medical Assessments are guided by, and laid down in the following documents :

        1.   ICAO Standards for Provisioning for Licensing Chapter 6 Annexure I

        2.   Civil Aviation Requirements Section “C” Part 1 dated 26th August

              1999 Revised 9th February 2007

3. An applicant for any class of Medical Assessment shall be free from :

           Any abnormality, congenital or acquired.

           Any active or latent, acute or chronic disability.

          Any effect or side-effect of any prescribed or non-prescribed therapeutic medication taken, such as would entail a degree of functional incapacity which is likely to interfere with the safe operation of an aircraft or with the safe performance of duties.

4. An applicant for a Medical Assessment shall undergo a medical examination based on ICAO Manual : Medical Provisions for Licensing Chapter 6, Annexure 1 as per the following details :

               Class I Medical Assessment

               Physical and Mental Requirements : Para 6.3.2

               Visual Requirements and Color Perception : Para 6.3.3

               Hearing Requirements : Para 6.3.4

               Class II Medical Assessment

              Physical and Mental Requirements : Para 6.4.2

              Visual Requirements and Color Perception : Para 6.4.3

              Hearing Requirements : Para 6.4.4

5. Summary of the ICAO requirement is appended below. For details follow the hyperlink as given above

Summary

 Criteria for class 1 medical standard

Abnormalities, disabilities and functional capacity

1.1

Has no safety-relevant condition of any of the following kinds that produces any degree of functional incapacity or a risk of incapacitation:

(a) an abnormality;

(b) a disability or disease (active or latent);

(c) an injury;

(d) a sequela of an accident or a surgical operation

1.1A

Is not obese to an extent that produces functional incapacity or a significant increase in morbidity

1.1B

Has adequate height and reach to exercise the privileges, or perform the duties, under the licence held or applied for

1.2

Has no established medical history or clinical diagnosis of any of the following conditions, to an extent that is safety-relevant:

(a) psychosis;

(b) significant personality disorder;

(c) significant mental abnormality or neurosis

1.2A

Has no history of problematic use of substances (within the meaning given by section 1.1 of ICAO Annex 1).

Note For the meaning of problematic use of substances, see paragraph A.1(c) following this table.

Nervous system

1.3

Has no established medical history or clinical diagnosis of:

(a) a safety-relevant disease of the nervous system; or

(b) epilepsy; or

(c) a disturbance of consciousness for which there is no satisfactory medical explanation and which may recur

1.4

Is not suffering from safety-relevant effects of a head injury or neurosurgical procedure

Cardiovascular system

1.5

Has no safety-relevant heart abnormality

1.6

Systolic and diastolic blood pressures are within limits specified in the ICAO Manual of Civil Aviation Medical Medicine (Doc 8984) or as specified by the Governor from time to time (even if approved drugs are used to maintain the blood pressure within those limits)

1.7

Has no significant functional or structural abnormality of the circulatory tree

Respiratory system

1.8

Is not suffering from a safety-relevant condition of the respiratory system

1.9

Has full and free respiratory function without the use of drugs (other than drugs approved by the Governor for this clause) that act on the respiratory organs

Alimentary system and metabolic disorders

1.10

Is not suffering from any safety-relevant defect of the digestive system or its adnexae, nor from any safety-relevant effect of disease or trauma of, or an operation on, the digestive system or its adnexae

1.11

Is not suffering from any safety-relevant metabolic, nutritional or endocrine disorders

1.12

If suffering from diabetes mellitus — the diabetes is satisfactorily controlled without the use of any anti-diabetic drug

Reticulo-endothelial system

1.13

Is not suffering from an enlargement of the spleen that causes a significant displacement below the costal margin

1.14

Is not suffering from a safety-relevant condition of any of the following kinds:

(a) localised or generalised enlargement of the lymphatic glands;

(b) a disease of the blood;

(c) an immune deficiency disorder

Genito-urinary system

1.15

Is not suffering from any disease of the genito-urinary system likely to cause incapacitation during flight

1.16

Has no sequelae of disease or surgical procedures on the kidneys or the urinary tract likely to cause incapacitation during flight

1.17

Kidneys and urinary tract are free of significant obstructions caused by stricture or compression

1.17A

If there is any personal history of syphilis — provides evidence that adequate treatment has been completed and that there are no safety-relevant sequelae of the infection

Gynaecological and obstetrical

1.18

Does not suffer from severe safety-relevant menstrual disturbances that have not responded to medical treatment

1.19

If pregnant — the pregnancy is not likely to interfere with the safe exercise of privileges, or performance of duties, under the licence held or applied for

Note See paragraph 67.209 regarding the periods during which a pregnant woman shall not exercise the privileges of a licence.

Skeletal system

1.21

Is not suffering from safety-relevant active disease of the bones, joints, muscles or tendons

1.22

Is not suffering from serious safety-relevant functional sequelae of disease of the bones, joints, muscles or tendons

Ear, nose and throat

1.23

Is not suffering from:

(a) active pathological processes of the internal ear or of the middle ear; or

(b) permanent obstructions of the Eustachian tubes; or

(c) permanent disturbances of the vestibular apparatus

1.24

Has no serious safety-relevant condition of the buccal cavity or the upper respiratory tract

Hearing requirements

1.25

Is not suffering from any safety-relevant hearing defect

1.26

If suffering from a hearing loss (measured in a quiet room) in either ear of more than:

(a) 35 dB at any of the frequencies of 500 Hz, 1,000 Hz or 2,000 Hz; or

(b) 50 dB at 3,000 Hz

passes a speech test, or an operational check, carried out by an approved person in an aircraft of similar ambient noise level to that in which the person being tested is or will be operationally involved

Visual requirements

1.27

Eyes and their adnexae function normally

1.28

Is not suffering from any safety-relevant pathological condition (either acute or chronic), nor any sequelae of surgery or trauma

1.29

Has normal fields of vision

1.29A

Has normal binocular vision

1.30

Has a distant visual acuity of 6/9 or better in each eye separately and 6/6 or better binocular (with or without correcting lenses)

1.31

Can read (with or without correcting lenses) an N5 chart (or its equivalent) binocularly at a distance that he or she selects (in the range of 30 to 50 centimetres), and can read an N14 chart binocularly (with or without correcting lenses) at a distance of 1 metre

Note A person who needs correcting lenses to meet this criterion shall wear the appropriate lenses while carrying out duties under a relevant licence — see paragraph 67.205.

1.32

Has a near point of accommodation no further away than 30 centimetres (with or without correcting lenses)

 

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