Amendments to Annex IV (Part-MED) to Regulation (EU) No 1178/2011
ANNEX IISupplementary provisions
ANNEX II Amendments to Annex IV (Part-MED) to Regulation (EU) No 1178/2011 Annex IV is amended as follows: (1) in point MED.A.010, the following definition is inserted after the definition of ‘colour safe’: ‘— “helicopter emergency medical services (HEMS) operation” means a “HEMS flight” as defined in point 61 of Annex I to Regulation (EU) No 965/2012;’; (2) in point MED.A.040(c), point (1) is replaced by the following: ‘(1) Class 1 and class 2 medical certificates shall be revalidated and renewed by an AeMC or an AME. Specifically, class 1 medical certificates for applicants who have reached the age of 60 and are involved in single-pilot HEMS operations shall be revalidated and renewed primarily by an AeMC or, at the discretion of the competent authority, by an experienced AME designated by the competent authority.’; (3) in point MED.B.005, the following third paragraph is added: ‘In their examination AMEs shall give proper consideration to the degenerative effects of ageing on the body systems.’; (4) point MED.B.010 is amended as follows: (a) in point (a), points (3) and (4) are replaced by the following: ‘(3) For a class 1 medical certificate, an extended cardiovascular assessment shall be completed at the first revalidation or renewal examination after the age of 65 and every 4 years thereafter. For applicants involved in single-pilot HEMS operations, an extended cardiovascular assessment shall be completed at the first revalidation or renewal examination after the age of 60 and subject to a cardiovascular risk factor assessment thereafter. (4) For a class 1 medical certificate, estimation of serum lipids, including cholesterol fractions, shall be required at the initial examination, and at the first examination after having reached the age of 40.’; (b) in point (b), the following point (5) is added: ‘(5) A cardiovascular risk factor assessment shall form part of examinations for class 1 and class 2 medical certificates at the first examination after reaching the age of 40 and at regular intervals thereafter.’; (5) point MED.B.015 is amended as follows: (a) point (b) is replaced by the following: ‘(b) Applicants for a class 1 medical certificate shall undertake pulmonary functional tests at the initial examination and when clinically indicated.’; (b) the following point (ba) is inserted: ‘(ba) For class 1 medical certificate holders involved in single-pilot HEMS operations, pulmonary functional tests and obstructive sleep apnoea (OSA) screening shall be completed at the first revalidation or renewal examination after the age of 60.’; (c) point (c) is replaced by the following: ‘(c) Applicants for a class 2 medical certificate shall undertake pulmonary morphological and functional tests when clinically or epidemiologically indicated.’; (6) in point MED.B.070(a)(1), the following point (iii) is added: ‘(iii) when holders are involved in single-pilot HEMS operations, a comprehensive eye examination shall be completed at the first revalidation or renewal examination after the age of 60 and every year thereafter.’; (7) in point MED.B.075(b), point (1) is replaced by the following: ‘(1) Applicants shall be subjected to the Ishihara test for the initial issue of a medical certificate. For class 1 medical certificate holders involved in single-pilot HEMS operations, a colour vision assessment shall be completed at the first revalidation or renewal examination after the age of 60 and every year thereafter. Applicants who pass that test may be assessed as fit.’; (8) point MED.B.080(a) is amended as follows: (a) in point (1), point (i) is replaced by the following: ‘(i) For a class 1 medical certificate, and for a class 2 medical certificate when an instrument rating or a basic instrument rating is to be added to the licence, hearing shall be tested with pure-tone audiometry at the initial examination, then every 5 years until the licence holder reaches the age of 40, and then every 2 years until the licence holder reaches the age of 60 and every year thereafter.’; (b) the following point (3) is added: ‘(3) For class 1 medical certificate holders involved in single-pilot HEMS operations, a comprehensive ear, nose and throat examination shall be completed at the first revalidation or renewal examination after the age of 60.’; (9) in point MED.D.020, the following point (aa) is inserted: ‘(aa) For demonstrating compliance with points MED.D.010(b) and MED.D.015(c), an aviation medicine training course completed by an applicant outside the territories for which Member States are responsible under the Chicago Convention may be accepted by the competent authority, provided that the following conditions are met: (i) the competent authority has assessed and verified the course syllabus in accordance with point ARA.MED.200(c)(1) of Annex VI; (ii) the applicant has completed a specific training module on the aero-medical requirements detailed in this Annex (Part-MED) as provided by the competent authority.’.