gaborone, botswana 17th to 21 october 2011
TRANSCRIPT
Note 3.— In cases where the applicant does not fully meetthe medical requirements and in complicated and unusualcases, the evaluation may have to be deferred and the casesubmitted to the medical assessor of the Licensing Authorityfor final evaluation. In such cases due regard must be given tothe privileges granted by the licence applied for or held by theapplicant for the Medical Assessment, and the conditionsunder which the licence holder is going to exercise thoseprivileges in carrying out assigned duties.
Note 4.— Attention is called to the administrative clause in1.2.4.9 dealing with accredited medical conclusion.
Note 5.— Guidance material to assist Licensing Authoritiesand medical examiners is published separately in the Manualof Civil Aviation Medicine (Doc 8984).
Annex 1; Chapter 6
Annex 1 Personnel LicensingAnnex 2 Rules of the AirAnnex 3 Meteorological Service for International AirNavigationAnnex 4 Aeronautical ChartsAnnex 5 Units of Measurement to be Used in Air andGround OperationsAnnex 6 Operation of AircraftAnnex 7 Aircraft Nationality and Registration MarksAnnex 8 Airworthiness of AircraftAnnex 9 FacilitationAnnex 10 Aeronautical Telecommunications
18 Annexes to the Chicago Convention
Annex 11 Air Traffic ServicesAnnex 12 Search and RescueAnnex 13 Aircraft Accident and Incident InvestigationAnnex 14 AerodromesAnnex 15 Aeronautical Information ServicesAnnex 16 Environmental ProtectionAnnex 17 Security: Safeguarding International CivilAviation Against Acts of Unlawful InterferenceAnnex 18 The Safe Transport of Dangerous Goods by AirAnnex 19: Safety Management Systems
18 Annexes to the Chicago Convention
ICAO: Terminology
and
Expectations
Eg. Standard vs Recommendation vs Note
ICAO = Minimum Standard(Lowest)
Country StandardMUST be Higher
Expectations:
By Implication = Looks Betterif Something Happens
Terminology:
ICAO Annex 1 Minimum Standards
These are the minimum that ALLcontracting states must comply with
Harmonizationof Standards
Wording of the Standards:
By Default Unfit
Eg. Applicant shall be assessed asunfit UNLESS he is a human being.
Applicant shall be assessed asfit if he is a human being
Interpret as
Ground the pilot
6 Chapters:
•Chapter 1: Definitions and General Rules ConcerningLicences
•Chapter 2: Licences and Ratings for Pilots
•Chapter 3: Licences for Flight Crew Members other thanPilots
•Chapter 4: Licences and Ratings for Personnel other thanFlight Crew Members
•Chapter 5: Specifications for Personnel Licences
ANNEX 1:
•Chapter 6: Medical Provisions for Licensing
Unfamiliarity with ICAOAnnexes --- in this caseAnnex 1
Implements Chapter 6 --- to the letter!
Key Issues Pertaining to Medical Requirementsare Contained in Every Chapter!!
May NotRealize
Key Components are in Chapter 1
In Addition To:
Guidance Material:
Manual
of
Civil Aviation
MedicineDoc 8984
Advised
Reading
Medical Condition
TreatmentSurgical
Medical
Complications / Side Effects of Treatment
Manage Complications / Side Effects
Other Mitigation Measures: Multicrew Cockpit
Medical and/or Operational Restrictions (Limitations)
Risk Mitigation
ICAO Annex 1Chapter 1:
1.2.4 Medical Fitness
Para 1.2.4.9 “Flexibility”or “Waiver” Clause
Allows Personnel Not MeetingStandards to be Considered
If the Medical Standards prescribed inChapter 6 for a particular licence are not met,the appropriate Medical Assessment shall notbe issued or renewed unless the followingconditions are fulfilled:
a) accredited medical conclusion indicates that inspecial circumstances the applicant’s failure to meetany requirement, whether numerical or otherwise, issuch that exercise of the privileges of the licenceapplied for is not likely to jeopardize flight safety;
b) relevant ability, skill and experience of theapplicant and operational conditions have been givendue consideration; and
c) the licence is endorsed with any special limitationor limitations when the safe performance of thelicence holder’s duties is dependant on compliancewith such limitation or limitations
Application of Limitations in theAeromedical Decision Paradigm
•When would you apply a limitation?
•Why would you apply a limitation?
•What is the nature of the limitation?: *Operational?*Medical?
•What operational limitations are available to you?:
• When and why would you apply these restrictions?
DEFINITIONS
Medical Examiner: A physician with training in AviationMedicine and practical knowledge and experience of theaviation environment, who is designated by the LicensingAuthority to conduct medical examinations of fitness ofapplicants for licences or ratings for which medicalrequirements are prescribed
Medical Examiners must be trained and shall also receiverefresher training in Aviation Medicine; Must demonstratecompetency before designation. Must have practicalknowledge and experience of the conditions in whichlicence holders carry out their duties
•Unrestricted Class I : Single and Multicrewoperations
•Restricted Class I : Multicrew only – No otherrestrictions
•Restricted Class I : Multicrew – No instructionalduties
•Restricted Class I : Multicrew – As/With Co-PilotQualified on type
Examples of restrictions to a Class I Assessment
