Medical Standards and Certification of Civil Airmen in the Philippines

1999

CAAP ADMINISTRATIVE ORDER NO. 67

MEDICAL STANDARDS AND CERTIFICATION OF CIVIL AIRMEN IN THE PHILIPPINES

CHAPTER I

Definitions

When the following terms are used in these regulations they have the following meanings:

Accredited Medical Conclusion — The conclusion reached by one or more medical experts acceptable to the Licensing Authority for the purposes of the case concerned, in consultation with flight operations or other experts as necessary.

ASSEC — Means the Assistant Secretary of Air Transportation, Department of Transportation and Communications or any person to whom he has delegated his authority in the matter concerned.

Aircraft — Means a device that is used or intended to be used for flight in the air.

Airman — Any individual who engages, as the person in command or a pilot, mechanic, flight radio operator or member of the crew, in the navigation of aircraft while under way and any individual who is directly in charge of inspection, maintenance, overhauling, or repair of aircraft, aircraft engine, propellers, or appliances; and any individual who serves in the capacity of aircraft dispatcher or air traffic control operator.

Approved — Unless used with reference to another person, means approved by the ASSEC. aAEHCI

ATO — Means Air Transportation Office.

Authorized Representative of the ASSEC — An authorized representative of the ASSEC shall mean any employee of the Air Transportation Office or any private person, authorized by the ASSEC to perform particular duties of the ASSEC under the provisions of this part.

Medical Certificate — Means acceptable evidences of physical fitness on form prescribed by the Assistant Secretary.

CHAPTER II

Medical Standards

2.1 Applicability

This chapter prescribes the medical standards for issuing medical certificates for airmen.

2.2 Issue

An applicant, who meets the medical standards prescribed in this chapter based on medical examination and evaluation of his history and condition, is entitled to an appropriate medical certificate.

2.3 First-Class Medical Certificate

To be eligible for a first class medical certificate, an applicant must meet the requirements of paragraphs (2.3.1) through (2.3.5) of this section.

2.3.1  Eye

2.3.1.1  Distant visual acuity of 20/20 or better in each eye separately, without correction, or of at least 20/100 in each eye separately corrected to 20/20 or better with corrective lenses (glasses or contact lenses) in which case the applicant may be qualified only on the condition that he wears those corrective lenses while exercising the privileges of his airman certificate.

2.3.1.2  Near vision of at least v-1.00 at 18 inches with each eye separately, with or without corrective glasses.

2.3.1.3  Normal color vision.

2.3.1.4  Normal fields of vision.

2.3.1.5  No acute or chronic pathological condition of either eye or adnexa that might interfere with its proper function, might progress to that degree, or might be aggravated by flying. AIcECS

2.3.1.6  Bifoveal fixation and vergencephoria relationship sufficient to prevent a break in fusion under conditions that may reasonably occur in performing airman duties.

Tests for the factors named in paragraph 2.3.1.6 of this section are not required except for applicants found to have more than one prism diopter of hyperphoria, six prism diopters of esophoria, or six prism diopters of exophoria. If these values are exceeded, the Civil Air Surgeon may require the applicant to be examined by a qualified eye specialist to determine if there is bifoveal fixation and adequate vergencephoria relationship. However, if the applicant is otherwise qualified, he is entitled to a medical certificate pending the results of the examination.

2.3.2  Ear, nose, throat, and equilibrium

2.3.2.1  Ability to:

2.3.2.1.1 Hear the whispered voice at a distance of at least 20 feet with each ear separately, or

2.3.2.1.2 Demonstrate a hearing acuity of at least 50 percent of normal in each ear throughout the effective speech and radio range as shown by a standard audiometer.

2.3.2.2  No acute or chronic disease of the middle or internal ear.

2.3.2.3  No disease of the mastoid.

2.3.2.4  No unhealed (unclosed) perforation of the eardrum.

2.3.2.5  No disease or malformation of the nose or throat that might interfere with, or be aggravated by, flying.

2.3.2.6  No disturbance in equilibrium.

2.3.3  Mental and Neurologic

2.3.3.1  Mental —

2.3.3.1.1 No established medical history or clinical diagnosis of any of the following:

2.3.3.1.1.a A personality disorder that is severe enough to have repeatedly manifested itself by overt acts.

2.3.3.1.1.b A psychosis.

2.3.3.1.1.c Alcoholism, unless there is established clinical evidence, satisfactory to the Civil Air Surgeon, of recovery, including sustained total abstinence from alcohol for not less than the preceding 2 years. As used in this section, alcoholism means a condition in which a person's intake of alcohol is great enough to damage physical health or personal or social functioning, or when alcohol has become a prerequisite to normal functioning.

2.3.3.1.1.d Drug dependence. As used in this section, drug dependence means a condition in which a person is addicted to or dependent on drugs other than alcohol, tobacco, or ordinary caffeine-containing beverages, as evidenced by habitual use or a clear sense of need for the drug. ACHEaI

2.3.3.1.2 No other personality disorder, neurosis, or mental condition that the Civil Air Surgeon finds —

2.3.3.1.2.a Makes the applicant unable to safely perform the duties or exercise the privileges of the airman certificate that he holds or for which he is applying; or

2.3.3.1.2.b May reasonably be expected, within 2 years after the finding, to make him unable to perform those duties or exercise those privileges; and the findings are based on the case history and appropriate, qualified, medical judgment relating to the condition involved.

2.3.3.2  Neurologic —

2.3.3.2.1 No established medical history or clinical diagnosis of either of the following:

2.3.3.2.1.1 Epilepsy.

2.3.3.2.1.1.a A disturbance of consciousness without satisfactory medical explanation of the cause.

2.3.3.2.2 No other convulsive disorder, disturbance of consciousness, or neurologic condition that the Civil Air Surgeon finds —

2.3.3.2.2.1 Makes the applicant unable to safely perform the duties or exercise the privileges of the airman certificate that he holds or for which he is applying; or

2.3.3.2.2.2 May reasonably be expected, within 2 years after the finding, to make him unable to perform those duties or exercise those privileges; and the findings are based on the case history and appropriate, qualified, medical judgment relating to the condition involved. SITCcE

2.3.3.2.2.3 Cardiovascular

2.3.3.2.2.3.a No established medical history or clinical diagnosis of —

(i) Myocardial infarction;

(ii) Angina pectoris; or

(iii) Coronary heart disease that has required treatment or, if untreated, that has been symptomatic or clinically significant.

2.3.3.2.2.3.b If the applicant has past his thirty fifth (35) birthday but not his fortieth, he must, on the first examination after his thirty fifth birthday, show an absence of myocardial infarction on electrocardiographic examination.

2.3.3.2.2.3.c If the applicant has passed his fortieth birthday, he must annually show an absence of myocardial infarction on electrocardiographic examination.

2.3.3.2.2.3.d Unless the adjusted maximum readings apply, the applicant's reclining blood pressure may not be more than the maximum reading for his age group in the following table:

Age Group	Maximum Reading	Adjusted Maximum Reading
	Reclining Blood Pressure	Reclining Blood Pressure
	In mm	In mm
	Systolic	Diastolic	Systolic	Diastolic
20-29	140	88
30-39	145	92	155	98
40-49	155	96	165	100
50 and over	160	98	170	100

For an applicant at least thirty (30) years of age whose reclining blood pressure is more than the maximum reading for his age group and who's cardiac and kidney conditions, after complete cardiovascular examination, are found to be normal. ADCETI

2.3.3.2.2.3.e If the applicant is at least forty (40) years of age, he must show a degree of circulatory efficiency that is compatible with the safe operation of aircraft at high altitudes. An electrocardiogram, made according to acceptable standards and techniques within the ninety (90) days before an examination for a first class certificate, is accepted at the time of the physical examination as meeting the requirements of paragraphs 2.3.3.2.2.3.b and 2.3.3.2.2.3.c of this section.

2.3.4  General medical condition —

2.3.4.1  No established medical history or clinical diagnosis of diabetes mellitus that requires insulin or any other hypoglycemic drug for control.

2.3.4.2  No other organic, functional, or structural disease, defect, or limitation that the Civil Air Surgeon finds —

2.3.4.2.1 Makes the applicant unable to safely perform the duties or exercise the privileges of the airman certificate that he holds or for which he is applying.

2.3.4.2.2 May reasonably be expected within two years after the finding, to make him unable to perform those duties or exercise those privileges; and the findings are based on the case history and appropriate, qualified, medical judgment relating to the condition involved. AEDcIH

2.3.5  An applicant who does not meet the provisions of paragraphs (2.3.1) through (2.3.4) of this section may apply for the discretionary issuance of a certificate under 2.6.

2.4 Second-Class Medical Certificate

To be eligible for a second class medical certificate, an applicant must meet the requirements of paragraphs (2.4.1) through (2.4.4) of this section.

2.4.1  Eye

2.4.1.1  Distant visual acuity of 20/20 or better in each eye separately, without correction, or of at least 20/100 in each eye separately corrected to 20/20 or better with corrective lenses (glasses or contact lenses) in which case the applicant may be qualified only on the condition that he wears those corrective lenses while exercising the privileges of his airman certificate. 

2.4.1.2  Enough accommodation to pass a test prescribed by the Assistant Secretary of Air Transportation based primarily on ability to read official aeronautical maps.

2.4.1.3  Normal fields of vision.

2.4.1.4  No pathology of the eye.

2.4.1.5  Ability to distinguish aviation signal red, aviation signal green, and white.

2.4.1.6  Bifoveal fixation and vergencephoria relationship sufficient to prevent a break in fusion under conditions that may reasonably occur in performing airman duties.

Tests for the factors named in paragraph 2.4.1.6 of this section are not required except for applicants found to have more than one prism diopter of hyperphoria, six prism diopters of esophoria, or six prism diopters of exophoria. If these values are exceeded, the Civil Air Surgeon may require the applicant to be examined by a qualified eye specialist to determine if there is bifoveal fixation and adequate vergencephoria relationship. However, if the applicant is otherwise qualified, he is entitled to a medical certificate pending the results of the examination. DTSaHI

2.4.2  Ear, nose, throat, and equilibrium —

2.4.2.1  Ability to hear the whispered voice at 8 feet with each ear separately.

2.4.2.2  No acute or chronic disease of the middle or internal ear.

2.4.2.3  No disease of the mastoid.

2.4.2.4  No unhealed (unclosed) perforation of the eardrum.

2.4.2.5  No disease or malformation of the nose or throat that might interfere with, or be aggravated by, flying.

2.4.2.6  No disturbance in equilibrium.

2.4.3  Mental and Neurologic —

2.4.3.1  Mental —

2.4.3.1.1 No established medical history or clinical diagnosis of any of the following;

2.4.3.1.1.a A personality disorder that is severe enough to have repeatedly manifested itself by overt acts.

2.4.3.1.1.b A psychosis.

2.4.3.1.1.c Alcoholism, unless there is established clinical evidence, satisfactory to the Civil Air Surgeon, of recovery, including sustained total abstinence from alcohol for not less than the preceding 2 years. As used in this section, alcoholism means a condition in which a person's intake of alcohol is great enough to damage physical health or personal or social functioning, or when alcohol has become a prerequisite to normal functioning.

2.4.3.1.1.d Drug dependence. As used in this section, drug dependence means a condition in which a person is addicted to or dependent on drugs other than alcohol, tobacco, or ordinary caffeine-containing beverages, as evidenced by habitual use or a clear sense of need for the drug.

2.4.3.1.2 No other personality disorder, neurosis, or mental condition that the Civil Air Surgeon finds —

2.4.3.1.2.a Makes the applicant unable to safely perform the duties or exercise the privileges of the airman certificate that he holds or for which he is applying; or

2.4.3.1.2.b May reasonably be expected, within 2 years after finding, to make him unable to perform those duties or exercise those privileges; and the findings are based on the case history and appropriate, qualified, medical judgment relating to the condition involved. HTCESI

2.4.3.2  Neurologic —

2.4.3.2.1 No established medical history or clinical diagnosis of either of the following:

2.4.3.2.1.1 Epilepsy.

2.4.3.2.1.1.a A disturbance of consciousness without satisfactory medical explanation of the cause.

2.4.3.2.2 No other convulsive disorder, disturbance of consciousness, or neurologic condition that the Civil Air Surgeon finds —

2.4.3.2.2.1 Makes the applicant unable to safely perform the duties or exercise the privileges of the airman certificate that he holds or for which he is applying; or

2.4.3.2.2.2 May reasonably be expected, within 2 years after the finding, to make him unable to perform those duties or exercise those privileges; and the findings are based on the case history and appropriate, qualified, medical judgment relating to the condition involved.

2.4.3.2.2.3 Cardiovascular

2.4.3.2.2.3.a No established medical history or clinical diagnosis of

(i) Myocardial infarction;

(ii) Angina pectoris; or

(iii) Coronary heart disease that has required treatment or, if untreated, that has been symptomatic or clinically significant. EaIDAT

2.4.4  General Medical Condition —

2.4.4.1 No established medical history or clinical diagnosis of diabetes mellitus that requires insulin or any other hypoglycemic drug for control.

2.4.4.2 No other organic, functional, or structural disease, defect, or limitation that the Civil Air Surgeon finds:

2.4.4.2.1 Makes the applicant unable to safely perform the duties or exercise the privileges of the airman certificate that he holds or for which he is applying; or

2.4.4.2.2 May reasonably be expected within two years after the finding, to make him unable to perform those duties or exercise those privileges; and the findings are based on the case history and appropriate, qualified, medical judgment relating to the condition involved.

2.4.5  An applicant who does not meet the provisions of paragraphs (2.4.1) through (2.4.4) of this section may apply for the discretionary issuance of a certificate under 2.6.

2.5 Third-Class Medical Certificate

To be eligible for a second class medical certificate, an applicant must meet the requirements of paragraphs (2.5.1) through (2.5.4.2.2) of this section.

2.5.1  Eye

2.5.1.1 Distant visual acuity of 20/50 or better in each eye separately, without correction; or if the vision in either or both eyes is poorer than 20/50 and is corrected to 20/30 or better in each eye with corrective lenses (glasses or contact lenses), the applicant may be qualified on the condition that he wears those corrective lenses while exercising the privileges of his airman certificate. CaDATc

2.5.1.2 No serious pathology of the eye.

2.5.1.3 Ability to distinguish aviation signal red, aviation signal green, and white.

2.5.2  Ear, nose, throat and equilibrium —

2.5.2.1 Ability to hear the whispered voice at 3 feet.

2.5.2.2 No acute or chronic disease of the middle or internal ear.

2.5.2.3 No disease or malformation of the nose or throat that might interfere with or be aggravated by flying.

2.5.2.4 No disturbance in equilibrium.

2.5.3  Mental and Neurologic —

2.5.3.1 Mental —

2.5.3.1.1 No established medical history or clinical diagnosis of any of the following:

2.5.3.1.1.a A personality disorder that is severe enough to have repeatedly manifested itself by overt acts.

2.5.3.1.1.b A psychosis.

2.5.3.1.1.c Alcoholism, unless there is established clinical evidence, satisfactory to the Civil Air Surgeon, of recovery, including sustained total abstinence from alcohol for not less than the preceding 2 years. As used in this section, alcoholism means a condition in which a person's intake of alcohol is great enough to damage physical health or personal or social functioning, or when alcohol has become a prerequisite to normal functioning.

2.5.3.1.1.d Drug dependence. As used in this section, drug dependence means a condition in which a person is addicted to or dependent on drugs other than alcohol, tobacco, or ordinary caffeine-containing beverages, as evidenced by habitual use or a clear sense of need for the drug.

2.5.3.1.2 No other personality disorder, neurosis, or mental condition that the Civil Air Surgeon finds —

2.5.3.1.2.a Makes the applicant unable to safely perform the duties or exercise the privileges of the airman certificate that he holds or for which he is applying; or

2.5.3.1.2.b May reasonably be expected, within 2 years after finding, to make him unable to perform those duties or exercise those privileges; and the findings are based on the case history and appropriate, qualified, medical judgment relating to the condition involved.

2.5.3.2 Neurologic —

2.5.3.2.1 No established medical history or clinical diagnosis of either of the following:

2.5.3.2.1.1 Epilepsy.

2.5.3.2.1.1.a A disturbance of consciousness without satisfactory medical explanation of the cause. SDIaCT

2.5.3.2.2 No other convulsive disorder, disturbance of consciousness, or neurologic condition that the Civil Air Surgeon finds —

2.5.3.2.2.1 Makes the applicant unable to safely perform the duties or exercise the privileges of the airman certificate that he holds or for which he is applying; or

2.5.3.2.2.2 May reasonably be expected, within 2 years after the finding, to make him unable to perform those duties or exercise those privileges; and the findings are based on the case history and appropriate, qualified, medical judgment relating to the condition involved.

2.5.3.2.2.3 Cardiovascular

2.5.3.2.2.3.a No established medical history or clinical diagnosis of

(i) Myocardial infarction;

(ii) Angina pectoris; or

(iii) Coronary heart disease that has required treatment or, if untreated, that has been symptomatic or clinically significant

2.5.4  General Medical Condition —

2.5.4.1 No established medical history or clinical diagnosis of diabetes mellitus that requires insulin or any other hypoglycemic drug for control

2.5.4.2 No other organic, functional, or structural disease, defect, or limitation that the Civil Air Surgeon finds —

2.5.4.2.1 Makes the applicant unable to safely perform the duties or exercise the privileges of the airman certificate that he holds or for which he is applying; or CHIScD

2.5.4.2.2 May reasonably be expected within two years after the finding, to make him unable to perform those duties or exercise those privileges; and the findings are based on the case history and appropriate, qualified, medical judgment relating to the condition involved.

2.5.5  An applicant who does not meet the provisions of paragraphs (2.5.1) through (2.5.4) of this section may apply for the discretionary issuance of a certificate under 2.6.

2.6 Special Issue of Medical Certificates

2.6.1  At the discretion of the Civil Air Surgeon, a medical certificate may be issued to an applicant who does not meet the applicable provisions of 2.3, 2.4, and 2.5. If the applicant shows to the satisfaction of the Civil Air Surgeon that the duties authorized by the class of medical certificate applied for can be performed without endangering air commerce during the period in which the certificate would be enforce. The Civil Air Surgeon may authorize a special medical flight test, practical test or medical evaluation for this purpose.  

2.6.2  The Civil Air Surgeon may consider the applicant's operational experience and any medical facts that may affect the ability of the applicant to perform airman duties including:

2.6.2.1 The combined effect on the applicant of failure to meet more than one requirement of this part; and

2.6.2.2 The prognosis derived from professional consideration of all available information regarding the airman.

2.6.3  In determining whether the special issuance of a third class medical certificate should be made to an applicant, the Civil Air Surgeon considers the freedom of an airman, exercising the privileges of a private pilot certificate, to accept reasonable risks to his or her person and property that are not acceptable in the exercise of commercial or airline transport privileges, and at the same time, considers the need to protect the public safety of persons and property in other aircraft and on the ground. cITCAa

2.6.4  In issuing a medical certificate under this section, the Civil Air Surgeon may do any or all of the following:

2.6.4.1 Limit the duration of the certificate.

2.6.4.2 Condition the continued effect of the certificate on the results of subsequent medical test, examination, or evaluations.

2.6.4.3 Impose any operational limitation on the certificate needed for safety.

2.6.4.4 Condition the continued effect of a second or third-class medical certificate in compliance with a statement of functional limitations issued to the applicant in coordination with the Chief, Aviation Safety Division.

2.6.5  An applicant who has been issued a medical certificate under this section based on a special medical flight or practical test need not take the test again during later physical examinations unless the Civil Air Surgeon determines that the physical deficiency has become enough more pronounced to require another special medical flight or practical test.

2.7 Applications, certificates, logbooks, reports and records: Falsification, reproduction or alteration

2.7.1  No person may make or cause to be made —

2.7.1.1 Any fraudulent or intentionally false statement on any application for a medical certificate under this part;

2.7.1.2 Any fraudulent or intentionally false entry in any logbook, record, or report that is required to be kept, made, or used, to show compliance with any requirement for any medical certificate under this part; ISDHEa

2.7.1.3 Any reproduction, for fraudulent purpose, of any medical certificate under this part;

2.7.1.4 Any alteration of any medical certificate under this part.

2.7.2  The commission by any person of an act prohibited under paragraph 2.7.1 of this section is a basis for suspending or revoking any airman, ground instructor, or medical certificate or rating held by that person.

CHAPTER III

Certification Procedures

3.1 Applicability

This chapter prescribes the general procedures that apply to the issue of medical certificates for airmen.

3.2 Medical Examinations: Who May Give

An Aviation Medical Examiner who has been specifically designated by the Assistant Secretary of Air Transportation for the purpose of conducting medical examination for airmen may perform the examination for the three (3) classes of medical certificates.

3.2.1  Qualification of Aviation Medical Examiner —

3.2.1.1 Only Physicians who have satisfactorily completed a prescribed course of training in a recognized School of Aviation or Aerospace Medicine and who have been rated as Flight Surgeon may qualify for designation as Aviation Medical Examiner. DETACa

3.3 Requirements for Rating of Physicians as Flight Surgeon on Civil Aviation

To obtain a rating as Flight Surgeon for civil aviation in the Philippines he must satisfy the following requirements duly prescribed by the Specialty Board on Aviation Medicine recognized by the Civil Service Commission and the Philippine Medical Association.

3.3.1  He must apply in writing to the Specialty Board on Aviation Medicine.

3.3.2  He must be a graduate of duly recognized school of aviation or aerospace medicine.

3.3.3  He must be physically and mentally qualified to perform flying duties as an aircrew member.

3.3.4  He must have served at least one year of satisfactory on-the-job training in aviation medicine in the Aviation Medicine Department of the Air Transportation Office, Philippine Air Force, scheduled commercial airline or other aviation industry, and duly certified by the head of the respective aviation medicine department.

3.3.5  He must have completed at least one hundred (100) flying hours of certified official flying time in various types of military or civilian aircraft as observer, in connection with his official duties.

3.3.6  He must present an original thesis on any subject in aviation or space medicine based on his personal observation, study or research.

3.4 Delegation of Authority

3.4.1  The authority of the Assistant Secretary of Air Transportation to issue or deny medical certificates is delegated to the Civil Air Surgeon, to the extent necessary to —

3.4.1.1 Examine applicants and holders of medical certificates for compliance with applicable medical standards, and

3.4.1.2 Issue, renew, or deny medical certificates to applicants and holders based upon compliance or non-compliance with applicable medical standards. DHATcE

3.4.2  The Authority of the Assistant Secretary of Air Transportation to re-examine any certificate of airmen, to the extent necessary to determine an airman's qualification to continue to hold an airman medical certificate, is delegated to the Civil Air Surgeon and his authorized representatives within the Air Transportation Office.

3.5 Periodic Examination

3.5.1  Initial and subsequent examination — Any Aviation Medical Examiner, duly designated by the Assistant Secretary of Air Transportation, may conduct initial and subsequent examination of applicants for civil airman licenses in all categories and classes of airmen. However, no two successive medical examination on the same airman shall be performed by the same Aviation Medical Examiner.

3.5.2  Physical Examination after Aircraft Accident or Illness —

3.5.2.1 After an aircraft accident, the aircrew involved shall submit to a physical examination by a designated Aviation Medical Examiner and shall secure a medical certificate to be submitted to the Civil Air Surgeon before resuming flight duties.

3.5.2.2 After an illness which, for a period of twenty or more consecutive days, incapacitates the crew from performing the normal duties for which he is licensed, his license shall be automatically suspended on the 20th day of such period and he shall be required to submit to a physical examination by a designated Aviation Medical Examiner before resuming flight duties. cIETHa

3.6 Denial of Medical Certificate

3.6.1  Any person who is denied of a medical certificate by an Aviation Medical Examiner or a representative of the Civil Air Surgeon may, within thirty (30) days after the date of the denial, apply in writing to the Civil Air Surgeon, Air Transportation Office, for reconsideration of that denial. If he does not apply for reconsideration within thirty (30) days after the date of denial, he is considered to have withdrawn his application for a medical certificate.

3.7 Appeal

A denial of medical certificate by the Civil Air Surgeon may be appealed, within a period of thirty (30) days from the date of denial, to the Assistant Secretary then refer same to a Review Board created for the purpose. The Review Board shall compose of five (5) Aviation Medicine Specialist to be appointed by the Assistant Secretary of Air Transportation for a term not exceeding five (5) years. The findings and decisions of the Review Board shall be submitted to the Civil Air Surgeon for proper action. The Review Board shall submit its findings and recommendations within a period of thirty (30) days, during which time it is authorized to subject applicant for further examination and verification by recognized specialists as the Board may deem necessary.

3.8 Medical Records

3.8.1  Whenever the Assistant Secretary of Air Transportation finds that additional medial history is necessary to determine whether an applicant for or the holder of a medical certificate meets the medical standard for it, he requests that person to authorize any clinic, hospital, doctor or other person to release to the Assistant Secretary of Air Transportation any available information or records concerning that medical history. aEHADT

3.8.2  If the applicant, or holder, refuses to authorize the release, the Assistant Secretary of Air Transportation may suspend, modify, or revoke any medical certificate that he holds or may, in the case of an applicant, refuse to issue a medical certificate to him.

CHAPTER IV

Medical Requirements for Airline and Air Carrier Operations

4.1 Applicability

This chapter prescribed the general medical requirements that apply to the operation of airline medical services.

4.2 Airline Medical Services

4.2.1  An Airline must have a medical service in support of its operation whose head shall be at least an Aviation Medicine Specialist.

4.2.2  An airline must employ at least one Flight surgeon on full time basis for every 200 aircrew or fraction thereof, and who shall not be under the employ of more than one airline.

4.2.2.1 The airline Flight Surgeon shall not perform medical examination of airmen of the airline for purpose of securing original or renewal of airmen licenses or ratings. He shall be mainly concerned with keeping the flight crew members of the airline physically and mentally fit to perform flight duties at all times.

4.4 Repealing Provision

This Administrative Order repeals A.O. No. 2 series of 1969.

4.5 Penalties

Any person who shall violate any provisions of these rules and regulations shall be dealt with in accordance with the provisions of Chapter VII, Republic Act No. 776 approved June 20, 1952.

4.6 Authority

This Administrative Order is being approved in accordance with paragraph 9 Section 32 of R.A. 776, Series of 1952 as amended by Presidential Decree Nos. 844, 1774 ^*, 1462 and Executive Order No. 546. DHETIS 

4.7 Effectivity of Regulations

This regulation shall take effect after fifteen (15) days following its publication in the Official Gazette on newspaper of general circulation.

(SGD.) PANFILO V. VILLARUEL, JR.Assistant SecretaryAir Transportation Office

APPROVED:

(SGD.) AMADO LUIS S. LAGDAMEO, JR.SecretaryDepartment of Transportation and Communications

ATTACHMENT

ADDENDUM:

MEMORANDUM CIRCULAR NO. 12-07 (28 May 2007)

1. All Air Transport Pilot License (ATPL) holder aged 60 to 65 years may renew their license provided, however, that they shall undergo medical examination every six (6) months by the ATO Medical Examiner.

2. Holders of ATPL mentioned in Item 1 shall be allowed only in multi-crew operations, and;

3. No other Pilot has attained the age of sixty (60) years in each multi-crew operation.

Published in The Official Gazette, Vol. 92, No. 53, Manila, Philippines, on December 30, 1996.