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民航规章 CIVIL AVIATION REGULATIONS 1

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(g) If the medical examination is carried out by a constituted group of AMEs, the head of the group will be appointed by the Authority, who will be responsible for coordinating the results of the examination and signing the report.
Note:  If the medical report is submitted to the Authority in electronic format, adequate identification of the examiner shall be established.
(h) The Authority retains the right to reconsider any action of an AME.
(i) The AME shall respect medical confidentiality at all times.
(j) The AME shall securely hold all medical reports and records with accessibility restricted to authorised personnel.
ICAO Annex 1: 1.2.4.4, 1.2.4.4.1 , 1.2.4.4.2, 1.2.4.4.3, 1.2.4.6, 1.2.4.6.1, 1.2.4.6.2 ; 1.2.4.7, 1.2.4.7.1
14 CFR:183.11, 183.17, 183.21, 67.405; 67.407
JAR-FCL 3.090, 3.105.
2.11.1.4 AVIATION MEDICAL EXAMINATIONS
(a) Applicants for licences or ratings for which medical fitness is prescribed shall sign and furnish to the medical examiner a declaration stating whether they have previously undergone such an examination and, if so, the date, place and results of last examination.
(b) The applicant shall indicate to the medical examiner whether a medical certificate has previously been refused, revoked or suspended and, if so, the reason for such refusal, revocation or suspension.
(c) Each applicant for a medical certificate shall provide the medical examiner with a personally certified statement of medical facts concerning personal, familial and hereditary history.
(d) Each applicant for a medical certificate shall produce proof of identification as specified in 2.2.5.5(c).
(e) Any false declaration to a medical examiner made by an applicant for a licence or rating shall be reported to the Authority for such action as may be considered appropriate.
(f) The applicant shall complete the appropriate application form as prescribed by the [AUTHORITY].
ICAO Annex 1: 1.2.4.5, 1.2.4.5.1, 6.1.2
14 CFR: 67.403, 67.413, 61.59
JAR-FCL 3.100, 3.120
2.11.1.5 SPECIAL CIRCUMSTANCES
(a) If the medical requirements prescribed in Part 2 for a particular licence are not met, the appropriate medical certificate will not be issued, renewed or re-issued unless the following conditions are fulfilled:
(1) Accredited medical conclusion indicates that in special circumstances the applicant’s failure to meet any requirement, whether numerical or otherwise, is such that exercise of the privileges of the licence applied for is not likely to jeopardise flight safety;
(2) Relevant ability, skill and experience of the applicant and operational conditions have been given due consideration; and
(3) The licence is endorsed by the Authority with any special limitation or limitations when the safe performance of the licence holder’s duties is dependent on compliance with such limitation or limitations.
(b) The AME shall report to the Authority any individual case where, in the AME’s judgment, an applicant’s failure to meet any requirement, whether numerical or otherwise, is such that exercise of the privileges of the licence being applied for, or held, is not likely to jeopardise flight safety.
ICAO Annex 1: 1.2.4.8, 6.1.3
14 CFR: 67.401
JAR-FCL 1/2/3/4.045
2.11.1.6 DECREASE OF MEDICAL FITNESS
(a) Holders of licences provided for in this Part shall not exercise the privileges of their licences and related ratings at any time when they are aware of any decrease in their medical fitness which might render them unable to safely and properly exercise these privileges.
Note:  Guidance on physical and mental conditions and treatments that are relevant to flight safety about which information may need to be forwarded to the Licensing Authority is contained in the Manual of Civil Aviation Medicine (Doc 8984).
ICAO Annex 1: 1.2.6.1
14 CFR: 61.53
JAR-FCL 3.040
2.11.1.7 USE OF PSYCHOACTIVE SUBSTANCES
(a) Holders of licences provided for in this Part shall not exercise the privileges of their licences and related ratings while under the influence of any psychoactive substance which might render them unable to safely and properly exercise these privileges.
(b) Holders of licences provided for in this Part shall not engage in any problematic use of substances.
Note.- Guidance on suitable methods of identification (which may include biochemical testing on such occasions as pre-employment, upon reasonable suspicion, after accidents/incidents, at intervals, and at random) and on other prevention topics is contained in ICAO Doc 9654, Manual on Prevention of Problematic Use of Substances in the Aviation Workplace.
ICAO Annex 1: 1.2.7.1, 1.2.7.2, 1.2.7.3
ICAO Doc 9654
14 CFR: 91.17, 121.455; 135.249
JAR-FCL 3.115
2.11.1.8 MEDICAL CERTIFICATE
(a) The medical certificate--
(1) shall be in a form and manner prescribed by the Authority. The items required on the licence are indicated in IS 2.11.1.8, and
(2) carried in the possession of the personnel licence holder at all times while exercising the privileges of a personnel licence.
(b) Issue of medical certificates.
(1) A medical certificate will be issued to any person who meets the medical requirements prescribed in this Subpart, based on medical examination and evaluation of the applicant’s history and condition.
(i) The issue of the Class 1 medical certificate may be specifically delegated to an AME.
(ii) The issue of Class 2 and 3 medical certificates may be delegated to any authorised AME.
(2) Each person to be issued a medical certificate shall undergo a medical examination based on the physical and mental requirements contained in this Subpart.
(3) Any person who does not meet the medical requirements of this Subpart may apply for the discretionary issuance of a certificate under 2.11.1.5.
(c) Validity:
(1) The validity period of the medical certificate shall be:
(i) 12 months for the Class 1 for the CPL, MPL, and ATPL licences.
(ii) 12 months for the Class 2 for the FE and FN licences.
(iii) 60 months for the Class 2 for the PPL licences.
(iv) 48 months for the Class 3 for the air traffic controller licence.
(2) The exceptions for the validity period of the medical certificate are:
(i) When the holders have passed their 40th birthday:
(A) The 60 month interval specified for the PPL and the 48th month interval specified for the air traffic controller licence shall be reduced to 24 months; and
(B) The 12-month interval specified for the CPL and ATPL who are carrying passengers in single-pilot operations shall be reduced to 6 months.
(ii) When holders have passed their 50th birthday:
(A) The 24-month interval specified for the PPL and air traffic controller licence shall be reduced to 12 months.
(iii) When holders have passed their 60th birthday:
(A) The 12-month interval specified for the CPL, MPL, and ATPL who are engaged in commercial air transport operations shall be reduced to 6 months.
(3) For initial issuance of the medical certificate, the period of validity shall begin on the date the medical examination is performed. The period of validity shall for the last month counted, include the day that has the same calendar number as the date of the medical examination or, if that month has no day with that number, the last day of that month.
(4) The period of validity of a Medical Certificate may be extended at the discretion of the Licensing Authority, up to 45 days.
Note:  It is advisable to let the calendar day on which the Medical Certificate expires remain constant year after year by allowing the expiry date of the current Medical Certificate to be the beginning of the new validity period under the proviso that the medical examination takes place during the period of validity of the current Medical Certificate but no more than 45 days before it expires.
(5) The period of validity of a medical certificate may be reduced when clinically indicated.
(d) Renewal or re-issue of a medical certificate.
(1) The requirements to be met for the renewal or re-issue of a medical certificate are the same as those for the initial certificate except where otherwise specifically stated.
(2) The renewal of the Class 1, 2 and 3 medical certificates may be delegated to the AME.
(3) Re-issue of the Class 1 medical certificate will either be done by the Authority or specifically delegated to an AME.
(4) Re-issue of the Class 2 and 3 medical certificates may be delegated to an AME.
(e) Limitation or denial.
(1) The Authority may, for medical reasons justified and notified to the applicant, limit or deny a medical certificate.
(f) Suspension or revocation of a medical certificate.
(1) The Authority may in accordance with paragraph 2.2.9 suspend or revoke a medical certificate issued, if it is established that an applicant or a certificate holder has not met, or no longer meets the requirements of Part 2.
ICAO Annex 1: 1.2.4.2, 1.2.5.2, 1.2.5.2.1, 1.2.5.2.2, 1.2.5.2.3; 1.2.5.2.4; 1.2.5.2.5R; 1.2.6.1.2R; 1.2.7.3, 6.1.4
14 CFR: 61.23, 67.3, 67.405, 67.407; 67.409
JAR-FCL 3.100, 3.105
2.11.1.9 MEDICAL ASSESSOR
(a) The CAA medical assessor will periodically evaluate the competence of each AME.
(b) The Authority will use the services of physicians experienced in the practice of aviation medicine when it is necessary to evaluate reports submitted to the Authority by medical examiners.
2.11.2 MEDICAL REQUIREMENTS
2.11.2.1 GENERAL
(a) An applicant for a Medical Certificate issued in accordance with this Part, shall undergo a medical examination based on the following requirements:
(1) Physical and mental;
(2) Visual and colour perception; and
(3) Hearing.
ICAO Annex 1:  6.2.1
14 CFR: 67, Subparts B, C and D
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