12-Specification and Requirements Exhibit A, GEN2130705B1, Synopsis of Medical Standards.pdf

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Occupational Medical Services/Drug & Alcohol Testing
Solicitation number
GEN2130705B1
Issued by
Broward County, Florida

About this file

This document is an Exhibit A Synopsis of Medical Standards for Airline Transport Pilot Medical Certificates, updated on 12/28/2022, from the Federal Aviation Administration (FAA). The document outlines comprehensive medical requirements for three classes of medical certificates: First-Class (Airline Transport Pilot), Second-Class (Commercial Pilot), and Third-Class (Private Pilot). The standards cover a wide range of medical criteria including vision, hearing, cardiovascular health, mental health, and substance use.

The medical standards are detailed across multiple categories, with specific requirements varying by certificate class. Key disqualifying conditions include diabetes requiring medication, heart disease, cardiac issues, psychosis, bipolar disorder, severe personality disorders, and substance dependence or abuse. Applicants must meet vision standards (distant, intermediate, and near), demonstrate color vision, pass hearing tests, and have no significant medical conditions that could impair safe flight performance. The document notes that for further information, individuals should contact their Regional Flight Surgeon.

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First-Class Airline Transport Pilot

Second-Class Commercial Pilot

Third-Class Private Pilot

DISTANT VISION 20/20 or better in each eye separately, with or without correction.

Same as First Class 20/40 or better in each eye separately, with or without correction.

INTERMEDIATE VISION 20/40 or better in each eye separately (Snellen equivalent), with or without correction at age 50 and over, as measured at 32 inches.

Same as First Class No requirement.

ELECTRO-CARDIOGRAM

(ECG)

At age 35 and annually after age 40

Not routinely required. Not routinely required.

Applies to ALL CLASSES of Medical Certificate NEAR VISION 20/40 or better in each eye separately (Snellen equivalent), with or without correction, as measured at 16 inches.

COLOR VISION Ability to perceive those colors necessary for safe performance of airman duties.

HEARING Demonstrate hearing of an average conversational voice in a quiet room, using both ears at 6 feet, with the back turned to the AME OR pass one of the audiometric tests below.

AUDIOLOGY

Audiometric speech discrimination test: Score at least 70% reception in one ear at an intensity of no greater than 65 dB. Pure tone audiometric test. Unaided, with thresholds no worse than listed below:

Sound Levels

Ear Condition 500 Hz 1,000 Hz 2,000 Hz 3,000 Hz Better Ear 35 dB 30 dB 30 dB 40 dB Worst Ear 35 dB 50 dB 50 dB 60 dB

ENT No ear disease or condition manifested by, or that may reasonably be expected to be maintained by, vertigo or a disturbance of speech or equilibrium.

PULSE Not disqualifying per se. Used to determine cardiac system status and responsiveness.

BLOOD PRESSURE No specified values stated in the standards. The current guideline maximum value is 155/95.

MENTAL No diagnosis of psychosis, or bipolar disorder, or severe personality disorders.

SUBSTANCE

DEPENDENCE AND

SUBSTANCE ABUSE

A diagnosis or medical history of "substance dependence" is disqualifying unless there is established clinical evidence, satisfactory to the Federal Air Surgeon, of recovery, including sustained total abstinence from the substance(s) for not less than the preceding 2 years. A history of "substance abuse" within the preceding 2 years is disqualifying. "Substance" includes alcohol and other drugs (i.e., PCP, sedatives and hypnotics, anxiolytics, marijuana, cocaine, opioids, amphetamines, hallucinogens, and other psychoactive drugs or chemicals).

DISQUALIFYING

CONDITIONS

Unless otherwise directed by the FAA, the AME must deny or defer if the applicant has a history of: (1) Diabetes mellitus requiring hypoglycemic medication; (2) Angina pectoris;

(3) Coronary heart disease (CHD) that has been treated or, if untreated, that has been symptomatic or clinically significant; (4) Myocardial infarction; (5) Cardiac valve replacement; (6) Permanent cardiac pacemaker; (7) Heart replacement; (8) Psychosis;

(9) Bipolar disorder; (10) Personality disorder that is severe enough to have repeatedly manifested itself by overt acts; (11) Substance dependence; (12) Substance abuse; (13) Epilepsy; (14) Disturbance of consciousness and without satisfactory explanation of cause, and (15) Transient loss of control of nervous system function(s) without satisfactory explanation of cause.

NOTE: For further information on Medical Standards, contact your Regional Flight Surgeon.

Exhibit A

SYNOPSIS OF MEDICAL STANDARDS

(Updated 12/28/2022)

Applies to SPECIFIC Class of Medical Certificate

File details come from the government source that posted it. Updated .