EASA

Guidance for medical certification of EASA pilots by condition

Easy Access Rules for Medical Requirements

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Rules and regulations are the core of the European Union civil aviation system. The aim of the EASA eRules project is to make them accessible in an efficient and reliable way to stakeholders. EASA eRules will be a comprehensive, single system for the drafting, sharing and storing of rules. It will be the single source for all aviation safety rules applicable to European airspace users. It will offer easy (online) access to all rules and regulations as well as new and innovative applications such as rulemaking process automation, stakeholder consultation, cross-referencing, and comparison with ICAO and third countries’ standards. To achieve these ambitious objectives, the EASA eRules project is structured in ten modules to cover all aviation rules and innovative functionalities. The EASA eRulessystem is developed and implemented in close cooperation with Member States and aviation industry to ensure that all its capabilities are relevant and effective.

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Class I

Initial medical certificate examination

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A medical examination at an AeMC may take from 6-8 hours. The examination will include the following:

  • Medical history: These are a series of questions about medical history and any previous illness.  You will be asked about them by your AME, and if there is any major illness in your past, it is important to bring reports about it from your family doctor or treating specialist.  Appendicitis or a broken arm are not regarded as major illnesses. Further details of the regulatory requirements can be found on our “EASA” page. You may find it helpful to print off the requirements and discuss them with your General Practitioner or Specialist. Guidance on the information your AME will require in medical reports, together with flow charts on the assessment process for a number of medical conditions can be found on our “EASA” page.

  • Eyesight (MED 162): Eyesight requirements are listed in the “EASA” guidance material.  If you wear glasses or contact lenses it is important to take your last optician's report along to the examination. An applicant may be assessed as fit with hypermetropia not exceeding +5.0 diopters, myopia not exceeding -6.0 diopters, astigmatism not exceeding 2.0 diopters, and anisometropia not exceeding 2.0 diopters, provided that optimal correction has been considered and no significant pathology is demonstrated.  Monocular visual acuities should be 6/6 or better).

  • Color vision: You will need to pass an Ishihara test for the initial issue of a medical certificate.

  • Physical examination: A general check that all is functioning correctly.  It will cover lungs, heart, blood pressure, ears, abdomen, limbs and nervous system).

  • Electrocardiogram (ECG): This measures the electrical impulses passing through your heart.  It can show disorders of the heart rhythm or of the conduction of the impulses, and sometimes it can show a lack of blood supplying the heart muscle.  Changes on an ECG require further investigation.  A report from a cardiologist and further tests (for example an exercise ECG) may need to be done.

  • Hearing with audiometry: A pure tone audiometry test will evaluate your hearing.  Applicants may not have a hearing loss of more than 35dB at any of the frequencies 500Hz, 1000Hz or 2000Hz, or more than 50dB at 3000Hz, in either ear separately).

  • Lung function test: This tests your ability to expel air rapidly from your lungs.  Abnormal lung function or respiratory problems, e.g. asthma will require reports by a specialist in respiratory disease (UK CAA Asthma guidance and Guidance for Respiratory Reports).

  • Haemoglobin blood test: This is a finger prick blood test which measures the oxygen carrying capacity of the blood.  A low haemoglobin is called anaemia and will need further investigation.

  • Lipid Profile blood test: A finger prick blood test which is used in part to determine your risk of future heart and blood vessel disease.

  • Urine test: You will be asked to provide a sample of urine, so remember to attend for examination with a full bladder.  This tests for sugar (diabetes), protein or blood in the urine.

  • Clinical examination for each specialty (8 medical doctors)

 

Medical certificate renewal examination

A medical examination at an AeMC may take up to 3 hours. The examination will include the following:

  • Medical history: These are a series of questions about medical history and any previous illness.  You will be asked about them by your AME, and if there is any major illness in your past, it is important to bring reports about it from your family doctor or treating specialist.  Appendicitis or a broken arm are not regarded as major illnesses. Further details of the regulatory requirements can be found on our “EASA” page. You may find it helpful to print off the requirements and discuss them with your General Practitioner or Specialist. Guidance on the information your AME will require in medical reports, together with flow charts on the assessment process for a number of medical conditions can be found on our “EASA” page.

  • Eyesight (MED 162): Eyesight requirements are listed in the “EASA” guidance material.  If you wear glasses or contact lenses it is important to take your last optician's report along to the examination. An applicant may be assessed as fit with hypermetropia not exceeding +5.0 diopters, myopia not exceeding -6.0 diopters, astigmatism not exceeding 2.0 diopters, and anisometropia not exceeding 2.0 diopters, provided that optimal correction has been considered and no significant pathology is demonstrated.  Monocular visual acuities should be 6/6 or better).

  • Physical examination: A general check that all is functioning correctly.  It will cover lungs, heart, blood pressure, ears, limbs and nervous system).

  • Electrocardiogram (ECG): This measures the electrical impulses passing through your heart.  It can show disorders of the heart rhythm or of the conduction of the impulses, and sometimes it can show a lack of blood supplying the heart muscle.  Changes on an ECG require further investigation.  A report from a cardiologist and further tests (for example an exercise ECG) may need to be done.

  • Hearing with audiometry (if required): A pure tone audiometry test will evaluate your hearing.  Applicants may not have a hearing loss of more than 35dB at any of the frequencies 500Hz, 1000Hz or 2000Hz, or more than 50dB at 3000Hz, in either ear separately).

  • Haemoglobin blood test: This is a finger prick blood test which measures the oxygen carrying capacity of the blood.  A low haemoglobin is called anaemia and will need further investigation.

  • Lipid Profile blood test (if required): A finger prick blood test which is used in part to determine your risk of future heart and blood vessel disease.

  • Urine test: You will be asked to provide a sample of urine, so remember to attend for examination with a full bladder.  This tests for sugar (diabetes), protein or blood in the urine.

Class II

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At the Class 2 medical, one of our AMEs will review your medical history and will perform a medical examination to check that everything is functioning correctly. The examination will cover areas such as vision, hearing, lungs, heart, blood pressure, stomach, limbs and nervous system. You will need to provide a urine sample for testing and if this is your initial Class 2 medical then you will need to have an ECG (heart trace) performed. ECGs may also be required at revalidation and renewal Class 2 medicals, depending on your age and medical history. If you intend to be instrument-rated, then you will also need to undergo an audiogram.

Please see below for full details of the CAA medical certificate validity periods:

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What is the difference between a revalidation and renewal Class 2 medical?

A revalidation Class 2 pilot medical is performed when you attend for your medical within 45 days of the expiry date of your current medical certificate. The benefits of this are that the validity period of your Class 2 medical will be calculated from its original expiry date. If you do not revalidate your certificate within the 45 days leading up to its expiry date, you will need to have it renewed. However, please note that if your certificate expired more than 2 years before your application to renew it, the Aeromedical center will need to assess your aeromedical records before carrying out the renewal examination. If your certificate expired more than 5 years before your application to renew it then you will have to follow the same process as for initial issue.

What is the validity period for Class 2 medical examinations?

If you are under 40, the certificate will be valid for 60 months. Please note that if you are issued with a class 2 medical before you reach 40, it will no longer be valid once you reach 42 years of age.

If you are aged between 40 and 50 the certificate will be valid for 24 months. Please note that if you are issued with a class 2 medical certificate before you reach 50, it will no longer be valid once you reach 51 years of age.

If you are aged 50 or over the certificate will be valid for 12 months.

Please see below for full details of the CAA validity periods:

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Class III

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  • Medical history in combination with physical examination.

  • Biometrics (height, weght, waist circumference and blood pressure).

  • Urine test

  • Comprenhensive blood test.

  • ECG (cardiac test in rest).

  • Extensive eye test

  • History:

  • Visual acuity: distant - intermediate - near, with and without optical correction.

  • Refraction measurement.

  • Eye movement and binoculer vistion.

  • Fields of vision.

  • Color test.

  • Examniantion of the external eye, anatomy, meda and fundoscopy.

  • Lung function test.

  • Comprehensive ENT (ear, nose and throat) examination.

  • Audiogram.

  • Tympanometry.

Initial examination, regardless of age
 

Cabin Crew 

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How to perform an EASA Cabin Crew examination?

Upon arrival at the reception desk, we will scan your ID/passport, Medical Certificate and License, if in your possession. You then digitally complete the application form relating to your medical history. The medical examiner will examine you physically. If you are or have been known to have a condition, bring documentation from your specialist or general practitioner.

If required, the Aero Medical Examiner will discuss with your Licensing Authority whether the documents have sufficiently identified your condition and flight safety is not at risk.

If, during the term of your Medical, you need to undergo an interim assessment due to reduced fitness (see the back of your Medical), you will need to schedule an appointment with us. If there are no special circumstances (medical indications), the medical examiner can issue the medical certificate immediately after approval. Your initial medical examination Cabin Crew will take approximately 2,5 hours, the renewal examination 1,5 hours.

Validity certificate Cabin Crew

A Cabin Crew medical examination will be repeated on a regular basis with intervals with a minimum 1 year to a maximum of 2 years.

 
Meeting safe medical standards

If there are no particularities (medical indications), the aeromedical examiner can issue the medical certificate immediately after approval. If you do not fully meet the requirements, the physician (if necessary in consultation with the AMS) must determine whether you can perform the task. The aero medical examiner can then issue the medical certificate with a restriction.

 

LAPL

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EASA LAPL  examination

Upon arrival at the reception desk, we will scan your ID/passport, Medical Certificate and License, if in your possession. You then complete the application form relating to your medical history. The medical examiner will examine you physically. If you are or have been known to have a condition, bring documentation from your specialist or general practitioner.

If required, the Aero Medical Examiner will discuss with your Licensing Authority whether the documents have sufficiently identified your condition and flight safety is not at risk.

If, during the term of your Medical, you need to undergo an interim assessment due to reduced fitness, you will need to schedule an appointment with us. If there are no special circumstances (medical indications), the medical examiner can issue the medical certificate immediately after approval. Your initial and renewal medical examination LAPL will take approximately 2 hours.

Meeting safe medical standards

If there are no particularities (medical indications), the aero medical examiner can issue the medical certificate immediately after approval. If you do not fully meet the requirements, the physician (if necessary in consultation with the HCAA) must determine whether you can perform the task. The aero medical examiner can then issue the medical certificate with a restriction.

The validity of the LAPL medical

Under the age of 40

60  months

Older than 40 years

24  months

Renewal Medical Certificate

You can make an appointment for a medical examination 45 days before your expiry date, while retaining your original expiration date.

 

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Guidance for medical certification of EASA pilots by condition

I'm a paragraph. Click here to add your own text and edit me. It’s easy. Just click “Edit Text” or double click me to add your own content and make changes to the font. Feel free to drag and drop me anywhere you like on your page. I’m a great place for you to tell a story and let your users know a little more about you.

This is a great space to write long text about your company and your services. You can use this space to go into a little more detail about your company. Talk about your team and what services you provide. Tell your visitors the story of how you came up with the idea for your business and what makes you different from your competitors. Make your company stand out and show your visitors who you are.

I'm a paragraph. Click here to add your own text and edit me. It’s easy. Just click “Edit Text” or double click me to add your own content and make changes to the font. Feel free to drag and drop me anywhere you like on your page. I’m a great place for you to tell a story and let your users know a little more about you.

This is a great space to write long text about your company and your services. You can use this space to go into a little more detail about your company. Talk about your team and what services you provide. Tell your visitors the story of how you came up with the idea for your business and what makes you different from your competitors. Make your company stand out and show your visitors who you are.

Guidance for medical certification of EASA pilots by condition