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CIVIL AVIATION SAFETY REGULATIONS 1998 - REG 67.150

Who meets medical standard 1

             (1)  Subject to subregulations (2) to (7), a person who satisfies the criteria in table 67.150 meets medical standard 1.

             (2)  A person may use contact lenses to meet the criterion in item 1.35 of table 67.150 if the lenses are monofocal and not tinted, and are well tolerated.

             (3)  A person whose visual acuity in either eye is worse than 6/60 must provide a full ophthalmic report to CASA.

             (4)  A person who has undergone surgery affecting the refractive status of either eye is taken not to meet the criterion in item 1.35 of table 67.150 until he or she is free of safety-relevant sequelae of the surgery.

             (5)  A person who requires both near correction and distant correction to meet the criteria in items 1.35 and 1.36 of table 67.150 must demonstrate that 1 pair of spectacles is sufficient to meet both requirements for correction.

             (6)  A person must demonstrate that he or she meets the criterion in item 1.39 of table 67.150 by:

                     (a)  in daylight, or artificial light of similar luminosity, readily identifying a series of pseudo-isochromatic plates of the Ishihara 24-plate type, making no more than 2 errors; or

                     (b)  for somebody who makes more than 2 errors in a test mentioned in paragraph (a), readily identifying aviation coloured lights displayed by means of a Farnsworth colour-perception lantern, making:

                              (i)  no errors on 1 run of 9 pairs of lights; or

                             (ii)  no more than 2 errors on a sequence of 2 runs of 9 pairs of lights; or

                     (c)  for somebody who does not satisfy paragraph (a) or (b), correctly identifying all relevant coloured lights in a test, determined by CASA, that simulates an operational situation.

             (7)  If a change is made to a criterion in an item of table 67.150, a person who held a class 1 medical certificate and satisfied the criterion immediately before the change, but fails to satisfy the criterion as changed, is taken to satisfy the criterion for 2 years after the day when the change is made.

Table 67.150  Criteria for medical standard 1

 

Item

Criterion

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

1.2

Has no physical conditions or limitations that are safety-relevant

1.3

Is not using any over-the-counter or prescribed medication or drug (including medication or a drug used to treat a disease or medical disorder) that causes the person to experience any side effects likely to affect the person to an extent that is safety-relevant

Mental fitness

1.4

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

1.5

Does not engage in any problematic use of substances (within the meaning given by section 1.1 of Annex 1, Personnel Licensing , to the Chicago Convention)

1.6

If there is any personal history of problematic use of a substance (within the meaning given by section 1.1 of Annex 1, Personnel Licensing , to the Chicago Convention):

(a) the person's abstinence from problematic use of the substance is certified by an appropriate specialist medical practitioner; and

(b) the person is not suffering from any safety-relevant sequelae resulting from the person's use of the substance; and

 

(c) the person provides evidence that the person is undertaking, or has successfully completed, an appropriate course of therapy

Note:       In Annex 1, Personnel Licensing, to the Chicago Convention, 'Problematic use of substances' is defined as follows:

                'The use of one or more psychoactive substances by aviation personnel in a way that:

a) constitutes a direct hazard to the user or endangers the lives, health or welfare of others; and/or

b) causes or worsens an occupational, social, mental or physical problem or disorder.'.

                'Psychoactive substances' is there defined as 'Alcohol, opioids, cannabinoids, sedatives and hypnotics, cocaine, other psychostimulants, hallucinogens, and volatile solvents, whereas coffee and tobacco are excluded.'.

Nervous system

1.7

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

1.8

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

Cardiovascular system

1.9

Has no safety-relevant heart abnormality

1.10

Systolic and diastolic blood pressures are within limits specified by CASA from time to time in the Designated Aviation Medical Examiner's Handbook (even if approved drugs are used to maintain the blood pressure within those limits)

1.11

Has no significant functional or structural abnormality of the circulatory tree

Respiratory system

1.12

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

1.13

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

Alimentary system and metabolic disorders

1.14

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

1.15

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

1.16

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

Reticulo-endothelial system

1.17

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

1.18

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

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

(b) a disease of the blood;

(c) an immune deficiency disorder

Genito-urinary system

1.19

Is not suffering from any safety-relevant disease of the genito-urinary system

1.20

Has no safety-relevant sequelae of disease or surgical procedures on the kidneys or urinary tract

1.21

Kidneys and urinary tract are free of significant obstructions

1.22

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

1.23

Does not suffer from safety-relevant menstrual disturbances

1.24

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 regulation 67.235 regarding the periods during which a pregnant woman must not exercise the privileges of a licence.

Skeletal system

1.25

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

1.26

Is not suffering from safety-relevant functional sequelae of medically significant conditions of the bones, joints, muscles or tendons

Ear, nose and throat

1.27

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

1.28

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

Hearing requirements

1.29

Is not suffering from any safety-relevant hearing defect

1.30

If suffering from a hearing loss (measured in a quiet room using a properly calibrated, compensated audiometer) 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 discrimination 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

1.31

Eyes and their adnexae function normally

1.32

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

1.33

Has normal fields of vision

1.34

Has normal binocular vision

1.35

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)

1.36

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 must have the appropriate lenses available while carrying out duties under a relevant licence--see regulation 67.200.

1.37

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

1.38

If using contact lenses to meet the visual standards set out in items 1.31 to 1.37:

(a) is able to wear those lenses for twice the projected length of flight time or duty time for the person without deterioration in visual acuity or discomfort; and

(b) if the lenses are of the hard or gas-permeable variety, demonstrates the ability, immediately after removing the lenses, to read at least 6/9 with spectacles binocularly

Colour perception

1.39

Can readily distinguish the colours that need to be distinguished for the safe exercise of privileges, or performance of duties, under the relevant licence

Note:       For how to demonstrate this, see subregulation 67.150(6).



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