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Easy Access Rules for Medical RequirementsEASA eRules: aviation rules for the 21st centuryRules and regulations are the core of the European Union civil aviation system. The aim of the EASAeRules 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. Itwill be the single source for all aviation safety rules applicable to European airspace users. It will offereasy (online) access to all rules and regulations as well as new and innovative applications such asrulemaking process automation, stakeholder consultation, cross-referencing, and comparison withICAO and third countries’ standards.To achieve these ambitious objectives, the EASA eRules project is structured in ten modules to coverall aviation rules and innovative functionalities.The EASA eRules system is developed and implemented in close cooperation with Member States andaviation industry to ensure that all its capabilities are relevant and effective.Published June 20201Copyright notice European Union, 1998-2020Except where otherwise stated, reuse of the EUR-Lex data for commercial or non-commercial purposes is authorisedprovided the source is acknowledged (' European Union, http://eur-lex.europa.eu/, 1998-2020') 2.1The published date represents the date when the consolidated version of the document was generated.2Euro-Lex, Important Legal Notice: l-notice.html.Powered by EASA eRulesPage 2 of 274 Jun 2020
Easy Access Rules for MedicalRequirementsDisclaimerDISCLAIMERThis version is issued by the European Union Aviation Safety Agency (EASA) in order to provide itsstakeholders with an updated, consolidated, and easy-to-read publication. It has been prepared byputting together the officially published regulations with the related acceptable means of complianceand guidance material (including the amendments) adopted so far. However, this is not an officialpublication and EASA accepts no liability for damage of any kind resulting from the risks inherent inthe use of this document.Powered by EASA eRulesPage 3 of 274 Jun 2020
Easy Access Rules for MedicalRequirementsList of revisionsLIST OF REVISIONSPublishedReason for revisionMay 2019First Easy Access Rules document powered by eRules.June 2020To incorporate the amending Commission Implementing Regulation (EU)2019/1747 as regards requirements for certain flight crew licences andcertificates, rules on training organisations and competent authorities,the applicable content from amending Commission Implementing Regulation (EU)2020/359 laying down technical requirements and administrative proceduresrelated to civil aviation aircrew,as well as the ED Decision 2019/017/R and the ED Decision 2020/005/R.Powered by EASA eRulesPage 4 of 274 Jun 2020
Easy Access Rules for MedicalRequirementsNote from the editorNOTE FROM THE EDITORThe content of this document is arranged as follows: the cover regulation (recitals and articles) withthe implementing rule (IR) or delegated act (DA) points, as regulation, appear first, followed by therelated acceptable means of compliance (AMC) and guidance material (GM) paragraph(s).All elements (i.e. cover regulation, regulation, AMC, and GM) are colour-coded and can be identifiedaccording to the illustration below. The Commission regulation or EASA Executive Director (ED)decision through which the point or paragraph was introduced or last amended is indicated below thepoint or paragraph title(s) in italics.Cover regulation articleCommission regulationRegulationCommission regulationAcceptable means of complianceED decisionGuidance materialED decisionThis document will be updated regularly to incorporate further amendments.The format of this document has been adjusted to make it user-friendly and for reference purposes.Any comments should be sent to erules@easa.europa.eu.Powered by EASA eRulesPage 5 of 274 Jun 2020
Easy Access Rules for MedicalRequirementsIncorporated amendmentsINCORPORATED AMENDMENTSIMPLEMENTING RULES (IRS) (COMMISSION REGULATIONS)Incorporated Commission RegulationRegulation (EU) No 1178/2011Regulation (EU) No 290/2012Affected PartAnnex IV (Part-MED)Annex VI (Part-ARA)Annex VII (Part-ORA)Applicability date18/4/2012*8/4/2012*Regulation (EU) No 70/2014Annex VII (Part-ORA)17/2/2014Regulation (EU) No 245/2014Annex VI (Part-ARA)3/4/2014Regulation (EU) 2015/445Annex VI (Part-ARA)Annex VII (Part-ORA)8/4/2015*Regulation (EU) 2016/539Annex VII (Part-ORA)8/4/2016*Regulation (EU) 2018/1065Annex VI (Part-ARA)19/8/2018Regulation (EU) 2018/1119Regulation (EU) 2018/1974Regulation (EU) 2019/27Annex VI (Part-ARA)Annex VII (Part-ORA)N/AAnnex IV (Part-MED)Annex VI (Part-ARA)2/9/201820/12/2019*30/1/2019Regulation (EU) 2019/430N/A11/4/2019Regulation (EU) 2019/1747Annex VI (Part-ARA)11/11/2019*Annex IV (Part-MED)Regulation (EU) 2020/359Annex VI (Part-ARA)8/4/2020*Annex VII (Part-ORA)Regulation (EU) 2020/723N/A22/6/2020* Refer to article 12 of the cover regulation1This is the date of application (i.e. the date from which an act or a provision in an act produces its full legal effects) as defined in therelevant cover regulation article. Some provisions of the regulations though may be applicable at a later date (deferred applicability).Besides, there may be some opt-outs (derogations from certain provisions) notified by the Member States.Powered by EASA eRulesPage 6 of 274 Jun 2020
Easy Access Rules for MedicalRequirementsIncorporated amendmentsAMC/GM TO IRS (ED DECISIONS)Incorporated ED DecisionED Decision 2011/015/RED Decision 2012/006/RED Decision 2012/007/RED Decision 2013/006/RED Decision 2013/008/RED Decision 2013/016/RAMC/GM Issue No, Amendment NoInitial issue to Annex IV (Part-MED)Initial issue to Annex VI (Part-ARA)Initial issue to Annex VII (Part-ORA)Amendment 1 to Annex VI (Part-ARA)Amendment 1 to Annex VII (Part-ORA)Amendment 1 to Annex IV (Part-MED)Applicability 10/8/2013ED Decision 2014/020/RAmendment 2 to Annex VI (Part-ARA)3/4/2014ED Decision 2014/021/RED Decision 2015/011/RAmendment 2 to Annex VII (Part-ORA)Amendment 3 to Annex VII (Part-ORA)3/4/201416/4/2015ED Decision 2016/008/RAmendment 3 to Annex VI (Part-ARA)3/5/2016ED Decision 2017/022/RAmendment 4 to Annex VI (Part-ARA)Amendment 4 to Annex VII (Part-ORA)12/12/2017ED Decision 2018/001/RAmendment 5 to Annex VII (Part-ORA)31/1/2022ED Decision 2018/009/RAmendment 5 to Annex VI (Part-ARA)15/9/2018ED Decision 2018/011/RAmendment 6 to Annex VI (Part-ARA)Amendment 7 to Annex VI (Part-ARA)Amendment 2 to Annex IV (Part-MED)7/11/20181ED Decision 2019/005/RAmendment 6 to Annex VI (Part-ORA)20/12/2019ED Decision 2020/005/RAmendment 9 to Annex VI (Part-ARA)Amendment 7 to Annex VII (Part-ORA)19/3/2020ED Decision 2019/002/R30/1/2019Note: To access the official versions, please click on the hyperlinks provided above.1Derogation of the applicability date in some amended points.Powered by EASA eRulesPage 7 of 274 Jun 2020
Easy Access Rules for MedicalRequirementsTable of contentsTABLE OF CONTENTSDisclaimer . 3List of revisions . 4Note from the editor. 5Incorporated amendments . 6Table of contents . 8Cover Regulation. 17Article 1 - Subject matter . 18Article 2 - Definitions. 19GM1 Article 2 Definitions . 21Article 3 - Pilot licensing and medical certification . 22Article 4 - Existing national pilots’ licences . 23Article 4a - Performance-based navigation instrument rating privileges . 24Article 4b - Upset prevention and recovery training . 25Article 4c - Transitional measures for holders of an en route instrument rating . 26Article 5 . 26Article 6 - Conversion of flight test qualifications . 26Article 7 - Existing national flight engineers’ licences . 26Article 8 . 27Article 9 - Credit for training commenced prior to the application of this Regulation. 27Article 9a - Type rating training and operational suitability data . 27Article 10 - Credit for pilot licences obtained during military service . 27Article 10a - Pilot training organisations . 28Article 10b - Flight simulation training devices . 28Article 10c - Aero-medical centres . 28Article 11 - Cabin crew medical fitness . 29Article 11a - Cabin crew qualifications and related attestations . 29Article 11b - Oversight capabilities . 29Article 11c - Transitional measures . 30Article 12 - Entry into force and application (of the Commission Regulation1178/2011) . 31Commission Regulation (EU) No 290/2012 of 30 March 2012 . 31Commission Regulation (EU) No 70/2014 of 27 January 2014 . 32Commission Regulation (EU) No 245/2014 of 13 March 2014 . 32Commission Regulation (EU) 2015/445 of 17 March 2015 . 32Commission Regulation (EU) 2016/539 of 6 April 2016 . 32Commission Regulation (EU) 2018/1065 of 27 July 2018 . 32Commission Regulation (EU) 2018/1119 of 31 July 2018 . 33Powered by EASA eRulesPage 8 of 274 Jun 2020
Easy Access Rules for MedicalRequirementsTable of contentsCommission Implementing Regulation (EU) 2018/1974 of 14 December 2018 . 33Commission Implementing Regulation (EU) 2019/27 of 19 December 2018 . 33Commission Implementing Regulation (EU) 2019/430 of 18 March 2019 . 33Commission Implementing Regulation (EU) 2019/1747 of 15 October 2019 . 33Commission Implementing Regulation (EU) 2020/359 of 4 March 2020 . 34ANNEX IV (Part-MED) . 35SUBPART A – GENERAL REQUIREMENTS. 35SECTION 1 – General . 35MED.A.001 Competent authority . 35MED.A.005 Scope . 35MED.A.010 Definitions . 35MED.A.015 Medical confidentiality . 36AMC1 MED.A.015 Medical confidentiality . 37MED.A.020 Decrease in medical fitness. 37GM1 MED.A.020 Decrease in medical fitness . 38MED.A.025 Obligations of the AeMC, AME, GMP and OHMP . 41AMC1 MED.A.025 Obligations of the AeMC, AME, GMP and OHMP . 42GM1 MED.A.025 Obligations of the AeMC, AME, GMP and OHMP . 42SECTION 2 - Requirements for medical certificates . 44MED.A.030 Medical certificates . 44AMC1 MED.A.030 Medical certificates . 44MED.A.035 Application for a medical certificate . 45AMC1 MED.A.035 Application for a medical certificate . 45MED.A.040 Issuance, revalidation and renewal of medical certificates . 45MED.A.045 Validity, revalidation and renewal of medical certificates . 46MED.A.046 Suspension or revocation of medical certificates . 47MED.A.050 Referral. 47SUBPART B – REQUIREMENTS FOR PILOT MEDICAL CERTIFICATES . 48SECTION 1 – General . 48MED.B.001 Limitations to medical certificates
ED Decision 2013/016/R Amendment 1 to Annex IV (Part-MED) 10/8/2013 ED Decision 2014/020/R Amendment 2 to Annex VI (Part-ARA) 3/4/2014 ED Decision 2014/021/R Amendment 2 to Annex VII (Part-ORA) 3/4/2014 ED Decision 2015/011/R Amendment 3 to Annex VII (Part-ORA) 16/4/2015 ED Decision 2016/008/R Amendment 3 to Annex VI (Part-ARA) 3/5/2016 ED Decision 2017/022/R
