Standard
of medical
examina-
tion.
(b) be deferred for two consecutive periods of three months each in the case of a member of the operating crew of a public transport or aerial work aircraft, on condition that the applicant obtains locally on each occasion a satis- factory medical certificate after having been examined by a qualified medical officer.
35. The medical examination and assessment will be based on the following requirements of mental and physical fitness-
A. PHYSICAL STANDARD.
(a) General.
(i) The applicant shall be required to be free from such active or latent acute, or chronic, physical dis ability, as would entail a degree of a functional incapacity which is likely to interfere with the safe performance of the duties at any altitude throughout a prolonged or difficult flight;
(ii) the medical examination will include a full inquiry into the family and personal history of the applicant. The information obtained shall be given in a state- ment made and signed by him and will be taken into consideration by the medical examiner.
(6) Examination of the nervous system,
The applicant shall have no history of significant mental or nervous trouble. He shall be required to be free from any mental impairment. or presumptive evidence of latent epilepsy. He shall be required to be free from any pro- gressive disease of the nervous system and from any non- progressive disease of that system, the effects of which are likely to interfere with the safe performance of the duties. Cases of past or present insanity and cases in which syphilis, past or present, has affected the central nervous system will be assessed as permanently unfit.
(c) Injuries of the head.
(1) Cases of simple concussion, or simple fracture of the skull without associated intracranial Injury will be assessed as temporarily unfit until such time as the medical examiner is satisfied that the effects of the concussion or fracture are no longer likely to
jeopardize safety in light. If the applicant has been incapacitated for a period in excess of one-month the licence if renewed will be valid only for a period of two months in the first instance, thereafter its validity will be restricted to consecutive periods of two months until the medical examiner is satisfied that the after-effects of the concussion or fracture are no longer likely to cause a sudden incapacity in Alight;
(10) cases of head injury associated with intracranial injuries will be assessed as permanently unfit if a local lesion of the brain or meninges persists; (ii) cases of head injury in which there has been an operation on the skull with loss of bony substance involving the two tables of the cranial vault will be assessed as permanently until.
(d) General surgical examination.
The applicant shall be required to be completely free from hernia.
Cases of active disease of the bones, joints, muscles or tendons and all serious functional sequelae of congenital or acquired disease will be assessed as unfit. Cases of fine- tional after effects of lesions affecting the bones, joints, muscles or tendons and certain anatomical defects compatible with the safe performance of the duties may be assessed as Gt.
Cases of sequelae of disease or surgical intervention on any part of the digestive tract and its adnexae, liable to cause sudden incapacity in flight, in particular any obstruc- tions due to stricture or compression will be assessed as unfit.
Cases of extensive mutilation of the chest wall with collapse of the thoracic cage and sequelae of surgical proce- dures resulting in decreased respiratory efficiency at altitude will be assessed as unfit.
Cases of sequelae of disease or surgical procedures an the kidneys and the urinary tracts liable to cause sudden incapacity, in particular any obstructions due to stricture or compression will be assessed as unlit.