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Indian medical requirements
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CIVIL AVIATION REQUIREMENTS
SECTION- 7, FLIGHT CREW STANDARDS
SERIES 'C', PART I
ISSUE I, 26TH AUGUST, 1999 EFFECTIVE : FORTHWITH
SUBJECT: MEDICAL REQUIREMENTS AND EXAMINATION
FOR FLIGHT CREW LICENCES AND RATINGS.
1. INTRODUCTION
Rule 39B of the Aircraft Rules, 1937 regarding Medical Standards
of flight crew stipulates that no licence or rating required for
any of the personnel of the aircraft shall be issued or renewed
unless the applicant undergoes a medical examination with an approved
medical authority and satisfies the medical standards as notified
by the Director General. This Civil Aviation Requirement specifies
:
i) the medical requirements in accordance with the provisions
of ICAO Annex.-1 for grant and renewal of various licences and
ratings;
ii) the procedure to be followed for the medical examinations;
and
iii) the approved medical authorities who can conduct the medical
examinations.
This CAR is issued under the provisions of Rule 133A of the Aircraft
Rules, 1937.
With the issue of this CAR, AIC No. 1/1987 and other requirements
on the subject stand cancelled.
2. REQUIREMENTS FOR MEDICAL ASSESSMENTS
2.1 An applicant for grant/renew of a flight crew licence/rating
shall hold a valid medical assessment issued by DGCA in accordance
with the International Standards and Recommended Practices contained
in ICAO Annex. 1, Chapter 6 and the medical requirements laid
down by DGCA.
2.2 An applicant for a Medical Assessment shall undergo a medical
examination based on the following requirements:
a) physical and mental;
b) visual and colour perception; and
c) hearing.
2.3 An applicant for any class of Medical Assessment shall 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 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.
2.4 All applicants for a Class 1, 2 and 3 Medical Assessment
shall undergo routine haematological investigation such as Hb,
TLC, DLC and routine urine analysis, at the time of initial and
renewal medical examinations. Also at initial medical examination
radiography of the chest shall be done. Subsequent radiography
of the chest will only be undertaken if clinically indicated.
2.5 The visual, colour perception and hearing requirements as
laid down in paras 6.2.3, 6.2.4 and 6.2.5 of Chapter 6 of ICAO,
Annex-1, shall be followed for all classes of Medical Assessment.
2.6 An applicant is required to hold a particular class of applicable
Medical Assessment as given below:
2.6.1 Class I Medical Assessment
a) Class I Medical Assessment is required for applicants and
holders of:
- Commercial Pilot's Licence (Aeroplane & Helicopter);
- Senior Commercial Pilot's Licence (Aeroplane);
- Airline Transport Pilot's Licence (Aeroplane & Helicopter);
- Flight Navigator's Licence;
- Student Flight Navigator's Licence;
- Flight Engineer's Licence;
- Student Flight Engineer's Licence.
- Private Pilot's Licence (Aeroplane and helicopter) where Instrument
Rating (Aeroplane and Helicopter) privileges are required.
b) The Standards and Recommended Practices relating to :
i) Physical and mental requirements;
ii) Visual requirements; and
iii) Hearing requirements
as contained in paras 6.3.2, 6.3.3 and 6.3.4 of ICAO Annex.1
respectively, shall be followed for issuance of Class-1 Medical
Assessment. In addition, the requirements contained in AIC Nos.
4 of 1995 and 28 of 1999 shall also be complied with. Applicants
for initial issue of professional licences, shall undergo Electroencephalography
(EEG) also. The EEG will be carried out at AFCME, New Delhi or
IAM, Bangalore.
2.6.2 Class 2 Medical Assessment
a) Class 2 Medical Assessment is required for applicants and
holders of:
- Private Pilot's Licence (Aeroplane & Helicopter);
- Pilot's Licence (Glider);
- Pilot's Licence (Balloons);
- Pilot's Licence (Microlight);
- Student Pilot's Licence (Aeroplane);
- Student Pilot's Licence (Helicopter);
- Student Pilot's Licence (Glider);
- Student Pilot's Licence (Balloons);
- Student Pilot's Licence (Microlight);
- Flight Radio Telephone Operator's Licence;
- Flight Radio Telephone Operator's Licence (Restricted).
b) The Standards and Recommended Practices relating to:
i) Physical and mental requirements;
ii) Visual requirements; and
iii) Hearing requirements
as contained in paras 6.4.2, 6.4.3 and 6.4.4 of ICAO Annex-1
respectively, shall be followed for issuance of Class 2 Medical
Assessment.
2.6.3 Class 3 Medical Assessments
In accordance with ICAO Annex-1, Class 3 Medical Assessment is
required for Air Traffic Controllers. The Standards and Recommended
Practices relating to:
i) Physical and mental requirements;
ii) Visual requirements; and
iii) Hearing requirements
as contained in paras 6.5.2, 6.5.3 and 6.5.4 of ICAO Annex-1
respectively, shall be followed for issuance of Class 3 Medical
Assessment.
2.7 No flight crew shall exercise privileges of a licence/rating,
unless he holds a valid medical certificate/assessment of appropriate
class. While exercising the privilege of a licence, it is mandatory
for the flight crew to carry along with the licence their medical
fitness assessment issued by DGCA. When the medical fitness assessment
from DGCA is awaited, the flight crew shall carry along with the
licence the medical certificate issued by the medical examination
centre under para 3.1.2.
3. APPROVED MEDICAL EXAMINATION CENTRES
3.1 Class-1 Medical Examination
3.1.1 The Class-1 medical examination for the issue and renewal
of licences will be carried out by the Medical Boards at the Indian
Air Force Centres listed in Appendix-A subject to proviso as hereunder:
Medical Examination Centre
i) Initial issue of Licence -
i) AFCME, Dhaula Kuan, New Delhi,
ii) IAM,Vimanpura, Bangalore, Karnataka.
ii) Every Third year renewal and every fifth six-monthly renewal
as applicable-
i) AFCME, Dhaula Kuan, New Delhi,
ii) IAM,Vimanpura, Bangalore, Karnataka
Or any other centre at the discretion of DGCA.
iii) Licences which have lapsed for a period of over two years-
i) AFCME, Dhaula Kuan, New Delhi,
ii) IAM, Vimanpura, Bangalore, Karnataka.
iv) After a period of unfitness -
i) AFCME, Dhaula Kuan, New Delhi,
ii) IAM, Vimanpura, Bangalore, Karnataka
Or any other centre at the discretion of DGCA.
v) Where an applicant has not undergone a renewal medical examination
for 24 months from the date of the last medical Examination.-
i) AFCME, Dhaula Kuan, New Delhi
ii) IAM, Vimanpura, Bangalore, Karnataka.
vi) Where an applicant has not undergone a renewal medical examination
for 30 months with respect to ALTP and 36 months with respect
to CPL since last medical examination, the licence holder will
have to undergo initial issue medical examination.
- i) AFCME, Dhaula Kuan, NewDelhi
ii) IAM, Vimanpura, Bangalore, Karnataka.
vii) Special Medical Examination - i) AFCME, Dhaula Kuan, New
Delhi,
ii) IAM, Vimanpura, Bangalore, Karnataka
Or any other centre at the discretion of DGCA.
viii) Licence renewal other than those specified above - At any
Centre listed in Annexure-A.
3.1.2 The medical examiners who have received training in Aviation
Medicine, including the President of the Board, of the aforesaid
medical centres are authorised to conduct the medical examinations
for fitness of applicants for issue or renewal of licences or
ratings specified in Rule 38 of the Aircraft Rules, 1937. The
President of the Board shall submit a written report, under his/her
signature to the DGCA for issue of medical assessment. However,
he/she will give a medical certificate of fitness or otherwise
to the applicant on form CA 35 on completion of the medical examination.
3.1.3 Permanent unfitness of a licence holder based on a medical
examination conducted at the authorised centres, will be decided
after thorough evaluation by specialists and/or specialised investigations
only at AFCME, New Delhi or IAM, Bangalore by the medical boards
and after approval by DGMS (Air).
3.2 Class-2 and Class 3 Medical Examination
3.2.1 The following authorities can carry out Class-2 and Class-3
medical examinations:
i) all authorised Class-1 medical authorities;
ii) all practitioners of modern medicine having a minimum of
MBBS qualification and registered with the Medical Council of
India and who have received the approved training in the subject
of Aviation Medicine at IAM, Bangalore.
3.2.2 The medical authority undertaking a Class-2 or Class-3
medical examination shall submit a written report of medical examination
in Form CA-34/34-A as applicable under his/her signature with
a seal indicating his qualifications and registration number of
the Medical Council of India. He shall also enclose a self-attested
certificate of having undergone a certified course in Aviation
Medicine at the Institute of Aero-Space Medicine, Bangalore. The
medical examination report shall be forwarded by registered/speed
post to :
The Director of Operations,
(Training and Licensing),
Office of the Director General of Civil Aviation,
Technical Centre,
Opposite Safdarjung Airport,
New Delhi - 110 003
3.2.3 An applicant for Class-2 or Class-3 medical examination
may contact the Medical Cell in the Directorate of Training and
Licensing of DGCA through post or on telephone No.011-462 2495
Ext. 526, Fax 011-463 6291 or on e-mail medical1@dgca.delhi.nic.in
for obtaining addresses of medical examiners who can conduct such
medical examinations.
3.3 Timings of all the medical examination centres are from 8:00
A.M. to 2:00 P.M. on all working days except on Saturdays, Sundays
and Central Government closed holidays.
4. PROCEDURE AND GENERAL REQUIREMENTS FOR MEDICAL EXAMINATION
4.1 An applicant for medical examination should make request
for appointment for medical examination directly to the concerned
medical examination centre.
4.2 An applicant for medical examination is required to make
a written request in the prescribed form as given at Appendix-B,
to DGCA for despatch of Past Medical Records (PMRs) to an approved
medical examination centre at least 30 days prior to the intended
date of medical examination to ensure that the medical records
are sent before the due date of examination. Such requests should
be addressed to:
Director of Operations (Training & Licensing),
Office of the Director General of Civil Aviation,
Technical Centre,
Opposite Safdarjung airport,
New Delhi - 110 003
4.3 Applicants for initial issue of medical fitness assessment
are required to produce one passport size coloured photograph
of self to be affixed on the front page right hand top corner
of the application form. The photograph shall be stamped by the
approved medical authority in such a manner that it appears in
the form as well as on the photograph.
4.4 Applicants for issue of Student Pilot Licence should obtain
a Cockpit Test Report from the Chief Flying/Gliding Instructor
of the Flying/Gliding Club he proposes to join and submit it to
the medical examiner for forwarding to DGCA.
4.5 Applicants shall sign and furnish to the medical examiner
a declaration:
(a) whether they have previously undergone such an examination
and, if so, with what result;
(b) any period of sickness, injury, surgical procedure since
the last medical examination;
(c) whether they are taking any drug or medication.
4.6 Any false declaration to a medical examiner made by an applicant
will be considered a serious lapse and shall be reported by the
Examiner to DGCA for appropriate penal action.
4.7 Applicants are required to pay the following fees prior to
commencement of the medical examination.
a) Initial issue of licence
(Class 1 - Rs.240/-, Class 2 and Class 3 - Rs.60/-),
b) Renewal of licence
(Class 1 - Rs.180/-, Class 2 and Class 3 - Rs.40/-).
In addition, applicants are required to pay for all medical
investigations undertaken during the course of medical examination
at rates as prescribed by the medical authority.
4.8 Form CA-34 shall be used by the Medical Boards in case of
medical examination for initial issue of licence and Form 34A
for renewal of licence. The Medical Board shall also fill up Form
C.A. 35, a copy of which shall be given to the crew member. The
medical records along with copies of C.A. 35 will be forwarded
to DGCA Headquarters (Attn. : DDMS (CA), Training & Licensing
Directorate), by registered post for issue of the final medical
assessment.
4.9 The final medical assessment issued by the Office of DGCA
will be reckoned from the date of medical examination (CA-35).
4.10 If the medical Standards prescribed in Chapter 6 of ICAO
Annex. 1 and those laid down by DGCA, for a particular licence/rating
are not met, the 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.
4.11 No pilot shall carry out any flying if he has been declared
unfit on the basis of medical examination (CA-35) till he receives
the satisfactory final assessment issued by the Office of the
DGCA.
5. PROCEDURE FOR APPEAL MEDICAL EXAMINATION
5.1 In the event of a pilot being declared temporarily medically
unfit for more than three months at a stretch or in aggregate
or permanently unfit for issue or renewal of the licence, the
applicant may appeal to the DGCA for a review of the medical assessment
within a period of 90 days from the date of applicant having been
declared unfit.
5.2 The appeal shall be addressed to the Director General of
Civil Aviation, Technical Centre, Opposite Safdarjung Airport,
New Delhi - 110 003 (Attention : Director of Operations - Training
& Licensing). The appeal shall be sent by registered post
with acknowledgement due or by Speed Post or through a reputed
courier company or may be delivered in person to the Receipt &
Despatch Section in the O/o DGCA and obtain a receipt for the
same. The appeal must be accompanied by the following documents:
a) All documents in original obtained by the applicant from reputed
medical institutions/specialists clearly certifying that the applicant
is fit for flying an aircraft, as a pilot or co-pilot with specific
reference to the cause of unfitness stated in the medical assessment
issued by the office of DGCA. The medical practitioner/specialist
certifying the fitness in such a case should give sound reasons
justifying his opinion.
b) Reports of the medical examination and results of investigations,
in original, conducted by the medical practitioner/specialist
giving the aforesaid certificate.
5.3 The appeal shall be considered by DGCA, and if found justified,
it will be referred to DGMS (Air). If adequate medical evidence
is provided for medical review, DGMS (Air) may recommend to DGCA
an appeal/review medical examination at any place and may also
ask for any such investigation/report or opinion of any specialist
to determine the fitness of the applicant. In case the appeal
for medical review is not found justified, DGMS (Air) will inform
DGCA about the same giving the reasons and the pilot shall be
informed accordingly.
5.4 If the medical review is accepted, it shall be carried out
at the centre specified for the purpose. The fresh medical examination
reports will be considered to assess the medical fitness of the
candidate. The result thereof shall be intimated by the Medical
Board to the O/o DGCA and the final assessment shall be issued
accordingly by DGCA.
Sd/-
( H.S. KHOLA )
Director General of Civil Aviation
APPENDIX - A
APPROVED MEDICAL EXAMINATION CENTRES
1. The Air Force Central Medical Establishment, Subroto Park,
Dhaula Kuan, New Delhi - 110 010.
2. Institute of Aero-space Medicine, Vimanpura, Bangalore-560
017, Karnataka.
3. Senior Medical Officer, Air Force Station, Kanpur-208 008,
Uttar Pradesh.
4. Senior Medical Officer, Air Force Station, Lohegaon, Pune-411
032, Maharashtra.
5. Senior Medical Officer, Air Force Station, Begumpet, Hyderabad-500
011, Andhra Pradesh.
6. Senior Medical Officer, Air Force Station, Cotton Green, Mumbai-400
033, Maharashtra.
7. Senior Medical Officer, Air Force Station, Tambaram, Chennai-600
046, Tamilnadu.
8. Senior Medical Officer, Air Force Station, Barrackpore, Calcutta.
9. Senior Medical Officer, AirForce Station, Ambala - 133 001,
Haryana.
10. Senior Medical Officer, Air Force Station, Manauri, Allahabad,
Uttar Pradesh.
11. Senior Medical Officer, Air Force Station, Jorhat, Assam.
APPENDIX-B
The Director of Operations,
Directorate of Training & Licensing,
Directorate General of Civil Aviation,
Technical Centre,
Opposite Safdarjung Airport,
Aurobindo Marg,
New Delhi - 110 003
Telefax : 91-011-4636291
e-mail : medical1@dgca.delhi.nic.in
Subject: request for forwarding of PMR to Medical Examination
Centre.
Name of Licence holder :
Postal Address :
(Tele.No. Fax, e-mail etc)
Details of Licence :
(Type of Licence & No.)
DGCA's File No. :
(As given in Medical Assessment Form)
Date of previous medical exam. :
Previous medical examination
assessment :
FIT/UNFIT/TEMP. UNFIT
Intended date of medical exam. :
Medical Centre where PMR is to be sent :
Other information, if any :
Signature
Place :
Date :
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