Document
Federal Aviation Administration, DOT Pt. 67 F. Priority Handling. (i) Route of flight.
G. Holding Procedures. 1. Standard Instrument Departures and H. Traffic Management. Standard Terminal Arrival Routes.
VII. Emergency and Abnormal Procedures 2. En route charts.
A. Security measures on the ground. 3. Operational altitude.
B. Security measures in the air. 4. Departure and arrival charts.
C. FAA responsibility and services. (ii) Minimum departure fuel.
D. Collection and dissemination of infor- 1. Climb.
mation on overdue or missing aircraft. 2. Cruise.
E. Means of declaring an emergency. 3. Descent.
F. Responsibility for declaring an emer- (g) Weight and balance.
gency. (h) Economics of flight overview (Perform- G. Required reporting of an emergency. ance, Fuel Tankering).
H. NTSB reporting requirements. (i) Decision to operate the flight.
VIII. Practical Dispatch Applications (j) ATC flight plan filing.
A. Human Factors. (k) Flight documentation.
(1) Decisionmaking: (i) Flight plan.
(ii) Dispatch release.
(a) Situation Assessment.
(b) Generation and Evaluation of Alter- (3) Authorize flight departure with concur- natives. rence of pilot in command.
(i) Tradeoffs and Prioritization. (4) In-flight operational control: (ii) Contingency Planning. (a) Current situational awareness.
(c) Support Tools and Technologies. (b) Information exchange.
(2) Human Error: (c) Amend original flight release as re- (a) Causes. quired.
(i) Individual and Organizational Factors. (5) Post-Flight: (ii) Technology-Induced Error. (a) Arrival verification.
(b) Prevention. (b) Weather debrief.
(c) Detection and Recovery. (c) Flight irregularity reports as required.
(3) Teamwork: [Docket FAA–1998–4553, 64 FR 68925, Dec. 8, (a) Communication and Information Ex- 1999, as amended by Docket FAA–2016–6142, change.
Amdt. 65–58, 83 FR 30281, June 27, 2018] (b) Cooperative and Distributed Problem- Solving.
(c) Resource Management. PART 67—MEDICAL STANDARDS (i) Air Traffic Control (ATC) activities and AND CERTIFICATION workload.
(ii) Flightcrew activities and workload.
Subpart A—General (iii) Maintenance activities and workload.
(iv) Operations Control Staff activities and Sec.
workload.
67.1 Applicability.
B. Applied Dispatching.
67.3 Issue.
(1) Briefing techniques, Dispatcher, Pilot.
67.4 Application.
(2) Preflight: 67.7 Access to the National Driver Register.
(a) Safety.
(b) Weather Analysis.
Subpart B—First-Class Airman Medical (i) Satellite imagery.
Certificate (ii) Upper and lower altitude charts.
(iii) Significant en route reports and fore- 67.101 Eligibility.
casts.
67.103 Eye.
(iv) Surface charts.
67.105 Ear, nose, throat, and equilibrium.
(v) Surface observations.
67.107 Mental.
(vi) Terminal forecasts and orientation to 67.109 Neurologic.
Enhanced Weather Information System 67.111 Cardiovascular.
(EWINS).
67.113 General medical condition.
(c) NOTAMS and airport conditions.
67.115 Discretionary issuance.
(d) Crew.
(i) Qualifications.
Subpart C—Second-Class Airman Medical (ii) Limitations.
Certificate (e) Aircraft.
(i) Systems.
67.201 Eligibility.
(ii) Navigation instruments and avionics 67.203 Eye.
systems. 67.205 Ear, nose, throat, and equilibrium.
(iii) Flight instruments. 67.207 Mental.
(iv) Operations manuals and MEL/CDL. 67.209 Neurologic.
(v) Performance and limitations. 67.211 Cardiovascular.
(f) Flight Planning. 67.213 General medical condition.
14 CFR Ch. I (1–1–25 Edition) § 67.1 67.215 Discretionary issuance.
with part 183 of this chapter. An appli- cant may obtain a list of aviation med- Subpart D—Third-Class Airman Medical ical examiners from the FAA Office of Certificate Aerospace Medicine homepage on the FAA Web site, from any FAA Regional 67.301 Eligibility.
67.303 Eye. Flight Surgeon, or by contacting the 67.305 Ear, nose, throat, and equilibrium.
Manager of the Aerospace Medical Edu- 67.307 Mental.
cation Division, P.O. Box 25082, Okla- 67.309 Neurologic.
homa City, Oklahoma 73125.
67.311 Cardiovascular.
(c) Show proof of age and identity by 67.313 General medical condition.
presenting a government-issued photo 67.315 Discretionary issuance.
identification (such as a valid U.S.
Subpart E—Certification Procedures driver’s license, identification card issued by a driver’s license authority, 67.401 Special issuance of medical certifi- military identification, or passport). If cates.
an applicant does not have govern- 67.403 Applications, certificates, logbooks, ment-issued identification, he or she reports, and records: Falsification, repro- may use non-photo, government-issued duction, or alteration; incorrect state- ments. identification (such as a birth certifi- 67.405 Medical examinations: Who may per- cate or voter registration card) in con- form?
junction with photo identification 67.407 Delegation of authority.
(such as a work identification card or a 67.409 Denial of medical certificate.
student identification card).
67.411 [Reserved] 67.413 Medical records.
[Docket FAA–2007–27812, 73 FR 43065, July 24, 67.415 Return of medical certificate after 2008, as amended by Docket FAA–2022–1355, suspension or revocation.
Amdt. 67–22, 87 FR 75845, Dec. 9, 2022] A UTHORITY : 49 U.S.C. 106(g), 40113, 44701– 44703, 44707, 44709–44711, 45102–45103, 45301– § 67.7 Access to the National Driver 45303. Register.
S OURCE : Docket 27940, 61 FR 11256, Mar. 19, At the time of application for a cer- 1996, unless otherwise noted.
tificate issued under this part, each person who applies for a medical cer- tificate shall execute an express con- Subpart A—General sent form authorizing the Adminis- § 67.1 Applicability.
trator to request the chief driver li- censing official of any state designated This part prescribes the medical by the Administrator to transmit in- standards and certification procedures formation contained in the National for issuing medical certificates for air- Driver Register about the person to the men and for remaining eligible for a Administrator. The Administrator medical certificate.
shall make information received from § 67.3 Issue. the National Driver Register, if any, available on request to the person for A person who meets the medical review and written comment.
standards prescribed in this part, based on medical examination and evaluation of the person’s history and condition, Subpart B—First-Class Airman is entitled to an appropriate medical Medical Certificate certificate.
§ 67.101 Eligibility.
[Docket FAA–2007–27812, 73 FR 43065, July 24, 2008] To be eligible for a first-class airman medical certificate, and to remain eli- § 67.4 Application.
gible for a first-class airman medical certificate, a person must meet the re- An applicant for first-, second- and quirements of this subpart.
third-class medical certification must: (a) Apply on a form and in a manner § 67.103 Eye.
prescribed by the Administrator; (b) Be examined by an aviation med- Eye standards for a first-class airman ical examiner designated in accordance medical certificate are: Federal Aviation Administration, DOT § 67.107 (a) Distant visual acuity of 20/20 or room, using both ears, at a distance of better in each eye separately, with or 6 feet from the examiner, with the back without corrective lenses. If corrective turned to the examiner.
lenses (spectacles or contact lenses) (2) Demonstrate an acceptable under- standing of speech as determined by are necessary for 20/20 vision, the per- audiometric speech discrimination son may be eligible only on the condi- testing to a score of at least 70 percent tion that corrective lenses are worn obtained in one ear or in a sound field while exercising the privileges of an environment.
airman certificate.
(3) Provide acceptable results of pure (b) Near vision of 20/40 or better, tone audiometric testing of unaided Snellen equivalent, at 16 inches in each hearing acuity according to the fol- eye separately, with or without correc- lowing table of worst acceptable tive lenses. If age 50 or older, near vi- thresholds, using the calibration stand- sion of 20/40 or better, Snellen equiva- ards of the American National Stand- lent, at both 16 inches and 32 inches in ards Institute, 1969 (11 West 42d Street, each eye separately, with or without New York, NY 10036): corrective lenses.
(c) Ability to perceive those colors 500 1000 2000 3000 Frequency (Hz) necessary for the safe performance of Hz Hz Hz Hz airman duties.
Better ear (Db) ................................. 35 30 30 40 (d) Normal fields of vision.
Poorer ear (Db) ............................... 35 50 50 60 (e) No acute or chronic pathological condition of either eye or adnexa that (b) No disease or condition of the interferes with the proper function of middle or internal ear, nose, oral cav- an eye, that may reasonably be ex- ity, pharynx, or larynx that— pected to progress to that degree, or (1) Interferes with, or is aggravated that may reasonably be expected to be by, flying or may reasonably be ex- aggravated by flying. pected to do so; or (f) Bifoveal fixation and vergence- (2) Interferes with, or may reason- phoria relationship sufficient to pre- ably be expected to interfere with, vent a break in fusion under conditions clear and effective speech communica- that may reasonably be expected to tion.
occur in performing airman duties. (c) No disease or condition mani- Tests for the factors named in this fested by, or that may reasonably be paragraph are not required except for expected to be manifested by, vertigo persons found to have more than 1 or a disturbance of equilibrium.
prism diopter of hyperphoria, 6 prism § 67.107 Mental.
diopters of esophoria, or 6 prism diopters of exophoria. If any of these Mental standards for a first-class air- values are exceeded, the Federal Air man medical certificate are: Surgeon may require the person to be (a) No established medical history or examined by a qualified eye specialist clinical diagnosis of any of the fol- to determine if there is bifoveal fixa- lowing: tion and an adequate vergence-phoria (1) A personality disorder that is se- relationship. However, if otherwise eli- vere enough to have repeatedly mani- gible, the person is issued a medical fested itself by overt acts.
certificate pending the results of the (2) A psychosis. As used in this sec- examination. tion, ‘‘psychosis’’ refers to a mental disorder in which: § 67.105 Ear, nose, throat, and equi- (i) The individual has manifested de- librium.
lusions, hallucinations, grossly bizarre Ear, nose, throat, and equilibrium or disorganized behavior, or other com- standards for a first-class airman med- monly accepted symptoms of this con- ical certificate are: dition; or (a) The person shall demonstrate ac- (ii) The individual may reasonably be ceptable hearing by at least one of the expected to manifest delusions, hallu- following tests: cinations, grossly bizarre or disorga- (1) Demonstrate an ability to hear an nized behavior, or other commonly ac- average conversational voice in a quiet cepted symptoms of this condition.
14 CFR Ch. I (1–1–25 Edition) § 67.109 (3) A bipolar disorder. to make the person unable to perform (4) Substance dependence, except those duties or exercise those privi- where there is established clinical evi- leges.
dence, satisfactory to the Federal Air (c) No other personality disorder, Surgeon, of recovery, including sus- neurosis, or other mental condition tained total abstinence from the sub- that the Federal Air Surgeon, based on stance(s) for not less than the pre- the case history and appropriate, quali- ceding 2 years. As used in this sec- fied medical judgment relating to the tion— condition involved, finds— (i) ‘‘Substance’’ includes: Alcohol; (1) Makes the person unable to safely other sedatives and hypnotics; perform the duties or exercise the anxiolytics; opioids; central nervous privileges of the airman certificate ap- system stimulants such as cocaine, am- plied for or held; or phetamines, and similarly acting (2) May reasonably be expected, for sympathomimetics; hallucinogens; the maximum duration of the airman phencyclidine or similarly acting medical certificate applied for or held, arylcyclohexylamines; cannabis; to make the person unable to perform inhalants; and other psychoactive those duties or exercise those privi- drugs and chemicals; and leges.
(ii) ‘‘Substance dependence’’ means a [Docket 27940, 61 FR 11256, Mar. 19, 1996, as condition in which a person is depend- amended by Amdt. 67–19, 71 FR 35764, June ent on a substance, other than tobacco 21, 2006] or ordinary xanthine-containing (e.g., caffeine) beverages, as evidenced by— § 67.109 Neurologic.
(A) Increased tolerance; Neurologic standards for a first-class (B) Manifestation of withdrawal airman medical certificate are: symptoms; (a) No established medical history or (C) Impaired control of use; or clinical diagnosis of any of the fol- (D) Continued use despite damage to lowing: physical health or impairment of so- (1) Epilepsy; cial, personal, or occupational func- (2) A disturbance of consciousness tioning.
without satisfactory medical expla- (b) No substance abuse within the nation of the cause; or preceding 2 years defined as: (3) A transient loss of control of nerv- (1) Use of a substance in a situation ous system function(s) without satis- in which that use was physically haz- factory medical explanation of the ardous, if there has been at any other cause.
time an instance of the use of a sub- (b) No other seizure disorder, disturb- stance also in a situation in which that ance of consciousness, or neurologic use was physically hazardous; condition that the Federal Air Sur- (2) A verified positive drug test re- geon, based on the case history and ap- sult, an alcohol test result of 0.04 or propriate, qualified medical judgment greater alcohol concentration, or a re- relating to the condition involved, fusal to submit to a drug or alcohol finds— test required by the U.S. Department (1) Makes the person unable to safely of Transportation or an agency of the perform the duties or exercise the U.S. Department of Transportation; or privileges of the airman certificate ap- (3) Misuse of a substance that the plied for or held; or Federal Air Surgeon, based on case his- (2) May reasonably be expected, for tory and appropriate, qualified medical the maximum duration of the airman judgment relating to the substance in- medical certificate applied for or held, volved, finds— to make the person unable to perform (i) Makes the person unable to safely those duties or exercise those privi- perform the duties or exercise the leges.
privileges of the airman certificate ap- plied for or held; or § 67.111 Cardiovascular.
(ii) May reasonably be expected, for the maximum duration of the airman Cardiovascular standards for a first- medical certificate applied for or held, class airman medical certificate are: Federal Aviation Administration, DOT § 67.203 (a) No established medical history or medication or other treatment in- clinical diagnosis of any of the fol- volved, finds— lowing: (1) Makes the person unable to safely (1) Myocardial infarction; perform the duties or exercise the (2) Angina pectoris; privileges of the airman certificate ap- (3) Coronary heart disease that has plied for or held; or required treatment or, if untreated, (2) May reasonably be expected, for that has been symptomatic or clini- the maximum duration of the airman cally significant; medical certificate applied for or held, (4) Cardiac valve replacement; to make the person unable to perform (5) Permanent cardiac pacemaker im- those duties or exercise those privi- plantation; or leges.
(6) Heart replacement; (b) A person applying for first-class § 67.115 Discretionary issuance.
medical certification must dem- A person who does not meet the pro- onstrate an absence of myocardial in- visions of §§ 67.103 through 67.113 may farction and other clinically signifi- apply for the discretionary issuance of cant abnormality on electrocardio- a certificate under § 67.401.
graphic examination: (1) At the first application after Subpart C—Second-Class Airman reaching the 35th birthday; and Medical Certificate (2) On an annual basis after reaching the 40th birthday.
§ 67.201 Eligibility.
(c) An electrocardiogram will satisfy To be eligible for a second-class air- a requirement of paragraph (b) of this man medical certificate, and to remain section if it is dated no earlier than 60 eligible for a second-class airman med- days before the date of the application ical certificate, a person must meet the it is to accompany and was performed requirements of this subpart.
and transmitted according to accept- able standards and techniques.
§ 67.203 Eye.
§ 67.113 General medical condition.
Eye standards for a second-class air- man medical certificate are: The general medical standards for a (a) Distant visual acuity of 20/20 or first-class airman medical certificate better in each eye separately, with or are: without corrective lenses. If corrective (a) No established medical history or lenses (spectacles or contact lenses) clinical diagnosis of diabetes mellitus are necessary for 20/20 vision, the per- that requires insulin or any other son may be eligible only on the condi- hypoglycemic drug for control.
tion that corrective lenses are worn (b) No other organic, functional, or while exercising the privileges of an structural disease, defect, or limitation airman certificate.
that the Federal Air Surgeon, based on (b) Near vision of 20/40 or better, the case history and appropriate, quali- Snellen equivalent, at 16 inches in each fied medical judgment relating to the eye separately, with or without correc- condition involved, finds— tive lenses. If age 50 or older, near vi- (1) Makes the person unable to safely sion of 20/40 or better, Snellen equiva- perform the duties or exercise the lent, at both 16 inches and 32 inches in privileges of the airman certificate ap- each eye separately, with or without plied for or held; or corrective lenses.
(2) May reasonably be expected, for the maximum duration of the airman (c) Ability to perceive those colors medical certificate applied for or held, necessary for the safe performance of to make the person unable to perform airman duties.
those duties or exercise those privi- (d) Normal fields of vision.
leges. (e) No acute or chronic pathological (c) No medication or other treatment condition of either eye or adnexa that that the Federal Air Surgeon, based on interferes with the proper function of the case history and appropriate, quali- an eye, that may reasonably be ex- fied medical judgment relating to the pected to progress to that degree, or 14 CFR Ch. I (1–1–25 Edition) § 67.205 that may reasonably be expected to be (1) Interferes with, or is aggravated aggravated by flying. by, flying or may reasonably be ex- pected to do so; or (f) Bifoveal fixation and vergence- (2) Interferes with, or may reason- phoria relationship sufficient to pre- ably be expected to interfere with, vent a break in fusion under conditions clear and effective speech communica- that may reasonably be expected to tion.
occur in performing airman duties.
(c) No disease or condition mani- Tests for the factors named in this fested by, or that may reasonably be paragraph are not required except for expected to be manifested by, vertigo persons found to have more than 1 or a disturbance of equilibrium.
prism diopter of hyperphoria, 6 prism diopters of esophoria, or 6 prism § 67.207 Mental.
diopters of exophoria. If any of these Mental standards for a second-class values are exceeded, the Federal Air airman medical certificate are: Surgeon may require the person to be (a) No established medical history or examined by a qualified eye specialist clinical diagnosis of any of the fol- to determine if there is bifoveal fixa- lowing: tion and an adequate vergence-phoria (1) A personality disorder that is se- relationship. However, if otherwise eli- vere enough to have repeatedly mani- gible, the person is issued a medical fested itself by overt acts.
certificate pending the results of the (2) A psychosis. As used in this sec- examination.
tion, ‘‘psychosis’’ refers to a mental disorder in which: § 67.205 Ear, nose, throat, and equi- (i) The individual has manifested de- librium.
lusions, hallucinations, grossly bizarre Ear, nose, throat, and equilibrium or disorganized behavior, or other com- standards for a second-class airman monly accepted symptoms of this con- medical certificate are: dition; or (a) The person shall demonstrate ac- (ii) The individual may reasonably be ceptable hearing by at least one of the expected to manifest delusions, hallu- following tests: cinations, grossly bizarre or disorga- (1) Demonstrate an ability to hear an nized behavior, or other commonly ac- average conversational voice in a quiet cepted symptoms of this condition.
room, using both ears, at a distance of (3) A bipolar disorder.
6 feet from the examiner, with the back (4) Substance dependence, except turned to the examiner.
where there is established clinical evi- (2) Demonstrate an acceptable under- dence, satisfactory to the Federal Air standing of speech as determined by Surgeon, of recovery, including sus- audiometric speech discrimination tained total abstinence from the sub- testing to a score of at least 70 percent stance(s) for not less than the pre- obtained in one ear or in a sound field ceding 2 years. As used in this sec- environment. tion— (i) ‘‘Substance’’ includes: Alcohol; (3) Provide acceptable results of pure other sedatives and hypnotics; tone audiometric testing of unaided anxiolytics; opioids; central nervous hearing acuity according to the fol- system stimulants such as cocaine, am- lowing table of worst acceptable phetamines, and similarly acting thresholds, using the calibration stand- sympathomimetics; hallucinogens; ards of the American National Stand- phencyclidine or similarly acting ards Institute, 1969: arylcyclohexylamines; cannabis; 500 1000 2000 3000 inhalants; and other psychoactive Frequency (Hz) Hz Hz Hz Hz drugs and chemicals; and (ii) ‘‘Substance dependence’’ means a Better ear (Db) ................................. 35 30 30 40 Poorer ear (Db) ............................... 35 50 50 60 condition in which a person is depend- ent on a substance, other than tobacco (b) No disease or condition of the or ordinary xanthine-containing (e.g., middle or internal ear, nose, oral cav- caffeine) beverages, as evidenced by— ity, pharynx, or larynx that— (A) Increased tolerance; Federal Aviation Administration, DOT § 67.213 (B) Manifestation of withdrawal § 67.209 Neurologic.
symptoms; Neurologic standards for a second- (C) Impaired control of use; or class airman medical certificate are: (D) Continued use despite damage to (a) No established medical history or physical health or impairment of so- clinical diagnosis of any of the fol- cial, personal, or occupational func- lowing: tioning. (1) Epilepsy; (2) A disturbance of consciousness (b) No substance abuse within the without satisfactory medical expla- preceding 2 years defined as: nation of the cause; or (1) Use of a substance in a situation (3) A transient loss of control of nerv- in which that use was physically haz- ous system function(s) without satis- ardous, if there has been at any other factory medical explanation of the time an instance of the use of a sub- cause; stance also in a situation in which that (b) No other seizure disorder, disturb- use was physically hazardous; ance of consciousness, or neurologic (2) A verified positive drug test re- condition that the Federal Air Sur- sult, an alcohol test result of 0.04 or geon, based on the case history and ap- greater alcohol concentration, or a re- propriate, qualified medical judgment fusal to submit to a drug or alcohol relating to the condition involved, test required by the U.S. Department finds— of Transportation or an agency of the (1) Makes the person unable to safely U.S. Department of Transportation; or perform the duties or exercise the privileges of the airman certificate ap- (3) Misuse of a substance that the plied for or held; or Federal Air Surgeon, based on case his- (2) May reasonably be expected, for tory and appropriate, qualified medical the maximum duration of the airman judgment relating to the substance in- medical certificate applied for or held, volved, finds— to make the person unable to perform (i) Makes the person unable to safely those duties or exercise those privi- perform the duties or exercise the leges.
privileges of the airman certificate ap- plied for or held; or § 67.211 Cardiovascular.
(ii) May reasonably be expected, for Cardiovascular standards for a sec- the maximum duration of the airman ond-class medical certificate are no es- medical certificate applied for or held, tablished medical history or clinical to make the person unable to perform diagnosis of any of the following: those duties or exercise those privi- (a) Myocardial infarction; leges.
(b) Angina pectoris; (c) No other personality disorder, (c) Coronary heart disease that has neurosis, or other mental condition required treatment or, if untreated, that has been symptomatic or clini- that the Federal Air Surgeon, based on cally significant; the case history and appropriate, quali- (d) Cardiac valve replacement; fied medical judgment relating to the (e) Permanent cardiac pacemaker im- condition involved, finds— plantation; or (1) Makes the person unable to safely (f) Heart replacement.
perform the duties or exercise the privileges of the airman certificate ap- § 67.213 General medical condition.
plied for or held; or The general medical standards for a (2) May reasonably be expected, for second-class airman medical certificate the maximum duration of the airman are: medical certificate applied for or held, (a) No established medical history or to make the person unable to perform clinical diagnosis of diabetes mellitus those duties or exercise those privi- that requires insulin or any other leges.
hypoglycemic drug for control.
(b) No other organic, functional, or [Docket 27940, 61 FR 11256, Mar. 19, 1996, as structural disease, defect, or limitation amended by Amdt. 67–19, 71 FR 35764, June 21, 2006] that the Federal Air Surgeon, based on 14 CFR Ch. I (1–1–25 Edition) § 67.215 the case history and appropriate, quali- (b) Near vision of 20/40 or better, fied medical judgment relating to the Snellen equivalent, at 16 inches in each condition involved, finds— eye separately, with or without correc- (1) Makes the person unable to safely tive lenses.
perform the duties or exercise the (c) Ability to perceive those colors privileges of the airman certificate ap- necessary for the safe performance of plied for or held; or airman duties.
(2) May reasonably be expected, for (d) No acute or chronic pathological the maximum duration of the airman condition of either eye or adnexa that medical certificate applied for or held, interferes with the proper function of to make the person unable to perform an eye, that may reasonably be ex- those duties or exercise those privi- pected to progress to that degree, or leges. that may reasonably be expected to be (c) No medication or other treatment aggravated by flying.
that the Federal Air Surgeon, based on § 67.305 Ear, nose, throat, and equi- the case history and appropriate, quali- librium.
fied medical judgment relating to the medication or other treatment in- Ear, nose, throat, and equilibrium volved, finds— standards for a third-class airman med- (1) Makes the person unable to safely ical certificate are: perform the duties or exercise the (a) The person shall demonstrate ac- privileges of the airman certificate ap- ceptable hearing by at least one of the plied for or held; or following tests: (2) May reasonably be expected, for (1) Demonstrate an ability to hear an the maximum duration of the airman average conversational voice in a quiet medical certificate applied for or held, room, using both ears, at a distance of to make the person unable to perform 6 feet from the examiner, with the back those duties or exercise those privi- turned to the examiner.
leges.
(2) Demonstrate an acceptable under- standing of speech as determined by § 67.215 Discretionary issuance.
audiometric speech discrimination A person who does not meet the pro- testing to a score of at least 70 percent visions of §§ 67.203 through 67.213 may obtained in one ear or in a sound field apply for the discretionary issuance of environment.
a certificate under § 67.401. (3) Provide acceptable results of pure tone audiometric testing of unaided hearing acuity according to the fol- Subpart D—Third-Class Airman lowing table of worst acceptable Medical Certificate thresholds, using the calibration stand- ards of the American National Stand- § 67.301 Eligibility.
ards Institute, 1969: To be eligible for a third-class air- man medical certificate, or to remain 500 1000 2000 3000 Frequency (Hz) Hz Hz Hz Hz eligible for a third-class airman med- ical certificate, a person must meet the Better ear (Db) ................................. 35 30 30 40 requirements of this subpart.
Poorer ear (Db) ............................... 35 50 50 60 § 67.303 Eye.
(b) No disease or condition of the middle or internal ear, nose, oral cav- Eye standards for a third-class air- ity, pharynx, or larynx that— man medical certificate are: (1) Interferes with, or is aggravated (a) Distant visual acuity of 20/40 or by, flying or may reasonably be ex- better in each eye separately, with or pected to do so; or without corrective lenses. If corrective (2) Interferes with clear and effective lenses (spectacles or contact lenses) speech communication.
are necessary for 20/40 vision, the per- son may be eligible only on the condi- (c) No disease or condition mani- tion that corrective lenses are worn fested by, or that may reasonably be while exercising the privileges of an expected to be manifested by, vertigo airman certificate. or a disturbance of equilibrium.
Federal Aviation Administration, DOT § 67.309 time an instance of the use of a sub- § 67.307 Mental.
stance also in a situation in which that Mental standards for a third-class use was physically hazardous; airman medical certificate are: (2) A verified positive drug test re- (a) No established medical history or sult, an alcohol test result of 0.04 or clinical diagnosis of any of the fol- greater alcohol concentration, or a re- lowing: fusal to submit to a drug or alcohol (1) A personality disorder that is se- test required by the U.S. Department vere enough to have repeatedly mani- of Transportation or an agency of the fested itself by overt acts.
U.S. Department of Transportation; or (2) A psychosis. As used in this sec- (3) Misuse of a substance that the tion, ‘‘psychosis’’ refers to a mental Federal Air Surgeon, based on case his- disorder in which— tory and appropriate, qualified medical (i) The individual has manifested de- judgment relating to the substance in- lusions, hallucinations, grossly bizarre volved, finds— or disorganized behavior, or other com- (i) Makes the person unable to safely monly accepted symptoms of this con- perform the duties or exercise the dition; or privileges of the airman certificate ap- (ii) The individual may reasonably be plied for or held; or expected to manifest delusions, hallu- (ii) May reasonably be expected, for cinations, grossly bizarre or disorga- the maximum duration of the airman nized behavior, or other commonly ac- medical certificate applied for or held, cepted symptoms of this condition.
to make the person unable to perform (3) A bipolar disorder.
those duties or exercise those privi- (4) Substance dependence, except leges.
where there is established clinical evi- (c) No other personality disorder, dence, satisfactory to the Federal Air neurosis, or other mental condition Surgeon, of recovery, including sus- that the Federal Air Surgeon, based on tained total abstinence from the sub- the case history and appropriate, quali- stance(s) for not less than the pre- fied medical judgment relating to the ceding 2 years. As used in this sec- condition involved, finds— tion— (1) Makes the person unable to safely (i) ‘‘Substance’’ includes: alcohol; perform the duties or exercise the other sedatives and hypnotics; privileges of the airman certificate ap- anxiolytics; opioids; central nervous plied for or held; or system stimulants such as cocaine, am- (2) May reasonably be expected, for phetamines, and similarly acting the maximum duration of the airman sympathomimetics; hallucinogens; medical certificate applied for or held, phencyclidine or similarly acting to make the person unable to perform arylcyclohexylamines; cannabis; those duties or exercise those privi- inhalants; and other psychoactive leges.
drugs and chemicals; and (ii) ‘‘Substance dependence’’ means a [Docket 27940, 61 FR 11256, Mar. 19, 1996, as condition in which a person is depend- amended by Amdt. 67–19, 71 FR 35764, June 21, 2006] ent on a substance, other than tobacco or ordinary xanthine-containing (e.g., § 67.309 Neurologic.
caffeine) beverages, as evidenced by— (A) Increased tolerance; Neurologic standards for a third-class (B) Manifestation of withdrawal airman medical certificate are: symptoms; (a) No established medical history or (C) Impaired control of use; or clinical diagnosis of any of the fol- (D) Continued use despite damage to lowing: physical health or impairment of so- (1) Epilepsy; cial, personal, or occupational func- (2) A disturbance of consciousness tioning. without satisfactory medical expla- (b) No substance abuse within the nation of the cause; or preceding 2 years defined as: (3) A transient loss of control of nerv- (1) Use of a substance in a situation ous system function(s) without satis- in which that use was physically haz- factory medical explanation of the ardous, if there has been at any other cause.
14 CFR Ch. I (1–1–25 Edition) § 67.311 (b) No other seizure disorder, disturb- (c) No medication or other treatment ance of consciousness, or neurologic that the Federal Air Surgeon, based on condition that the Federal Air Sur- the case history and appropriate, quali- geon, based on the case history and ap- fied medical judgment relating to the propriate, qualified medical judgment medication or other treatment in- volved, finds— relating to the condition involved, (1) Makes the person unable to safely finds— perform the duties or exercise the (1) Makes the person unable to safely privileges of the airman certificate ap- perform the duties or exercise the plied for or held; or privileges of the airman certificate ap- (2) May reasonably be expected, for plied for or held; or the maximum duration of the airman (2) May reasonably be expected, for medical certificate applied for or held, the maximum duration of the airman to make the person unable to perform medical certificate applied for or held, those duties or exercise those privi- to make the person unable to perform leges.
those duties or exercise those privi- leges.
§ 67.315 Discretionary issuance.
§ 67.311 Cardiovascular. A person who does not meet the pro- visions of §§ 67.303 through 67.313 may Cardiovascular standards for a third- apply for the discretionary issuance of class airman medical certificate are no a certificate under § 67.401.
established medical history or clinical diagnosis of any of the following: Subpart E—Certification (a) Myocardial infarction; Procedures (b) Angina pectoris; (c) Coronary heart disease that has § 67.401 Special issuance of medical required treatment or, if untreated, certificates.
that has been symptomatic or clini- (a) At the discretion of the Federal cally significant; Air Surgeon, an Authorization for Spe- (d) Cardiac valve replacement; cial Issuance of a Medical Certificate (e) Permanent cardiac pacemaker im- (Authorization), valid for a specified plantation; or period, may be granted to a person who (f) Heart replacement.
does not meet the provisions of sub- parts B, C, or D of this part if the per- § 67.313 General medical condition.
son shows to the satisfaction of the The general medical standards for a Federal Air Surgeon that the duties third-class airman medical certificate authorized by the class of medical cer- are: tificate applied for can be performed (a) No established medical history or without endangering public safety dur- clinical diagnosis of diabetes mellitus ing the period in which the Authoriza- that requires insulin or any other tion would be in force. The Federal Air hypoglycemic drug for control.
Surgeon may authorize a special med- (b) No other organic, functional, or ical flight test, practical test, or med- structural disease, defect, or limitation ical evaluation for this purpose. A med- that the Federal Air Surgeon, based on ical certificate of the appropriate class the case history and appropriate, quali- may be issued to a person who does not fied medical judgment relating to the meet the provisions of subparts B, C, or condition involved, finds— D of this part if that person possesses a (1) Makes the person unable to safely valid Authorization and is otherwise perform the duties or exercise the eligible. An airman medical certificate privileges of the airman certificate ap- issued in accordance with this section plied for or held; or shall expire no later than the end of (2) May reasonably be expected, for the validity period or upon the with- the maximum duration of the airman drawal of the Authorization upon medical certificate applied for or held, which it is based. At the end of its to make the person unable to perform specified validity period, for grant of a those duties or exercise those privi- new Authorization, the person must leges. again show to the satisfaction of the Federal Aviation Administration, DOT § 67.401 Federal Air Surgeon that the duties ical certificate, the Federal Air Sur- authorized by the class of medical cer- geon considers the freedom of an air- tificate applied for can be performed man, exercising the privileges of a pri- without endangering public safety dur- vate pilot certificate, to accept reason- ing the period in which the Authoriza- able risks to his or her person and tion would be in force. property that are not acceptable in the (b) At the discretion of the Federal exercise of commercial or airline trans- Air Surgeon, a Statement of Dem- port pilot privileges, and, at the same onstrated Ability (SODA) may be time, considers the need to protect the granted, instead of an Authorization, safety of persons and property in other to a person whose disqualifying condi- aircraft and on the ground.
tion is static or nonprogressive and (f) An Authorization or SODA grant- who has been found capable of per- ed under the provisions of this section forming airman duties without endan- to a person who does not meet the ap- gering public safety. A SODA does not plicable provisions of subparts B, C, or expire and authorizes a designated D of this part may be withdrawn, at aviation medical examiner to issue a the discretion of the Federal Air Sur- medical certificate of a specified class geon, at any time if— if the examiner finds that the condi- (1) There is adverse change in the tion described on its face has not ad- holder’s medical condition; versely changed. (2) The holder fails to comply with a (c) In granting an Authorization or statement of functional limitations or SODA, the Federal Air Surgeon may operational limitations issued as a con- consider the person’s operational expe- dition of certification under this sec- rience and any medical facts that may tion; affect the ability of the person to per- (3) Public safety would be endangered form airman duties including— by the holder’s exercise of airman (1) The combined effect on the person privileges; of failure to meet more than one re- (4) The holder fails to provide med- quirement of this part; and ical information reasonably needed by (2) The prognosis derived from profes- the Federal Air Surgeon for certifi- sional consideration of all available in- cation under this section; or formation regarding the person. (5) The holder makes or causes to be (d) In granting an Authorization or made a statement or entry that is the SODA under this section, the Federal basis for withdrawal of an Authoriza- Air Surgeon specifies the class of med- tion or SODA under § 67.403.
ical certificate authorized to be issued (g) A person who has been granted an and may do any or all of the following: Authorization or SODA under this sec- (1) Limit the duration of an Author- tion based on a special medical flight ization; or practical test need not take the test (2) Condition the granting of a new again during later physical examina- Authorization on the results of subse- tions unless the Federal Air Surgeon quent medical tests, examinations, or determines or has reason to believe evaluations; that the physical deficiency has or may (3) State on the Authorization or have degraded to a degree to require SODA, and any medical certificate another special medical flight test or based upon it, any operational limita- practical test.
tion needed for safety; or (h) The authority of the Federal Air (4) Condition the continued effect of Surgeon under this section is also exer- an Authorization or SODA, and any cised by the Manager, Aeromedical second- or third-class medical certifi- Certification Division, and each Re- cate based upon it, on compliance with gional Flight Surgeon.
a statement of functional limitations (i) If an Authorization or SODA is issued to the person in coordination withdrawn under paragraph (f) of this with the Director of Flight Standards section the following procedures apply: or the Director’s designee. (1) The holder of the Authorization or (e) In determining whether an Au- SODA will be served a letter of with- thorization or SODA should be granted drawal, stating the reason for the ac- to an applicant for a third-class med- tion; 14 CFR Ch. I (1–1–25 Edition) § 67.403 (2) By not later than 60 days after the (c) The following may serve as a basis service of the letter of withdrawal, the for suspending or revoking a medical holder of the Authorization or SODA certificate; withdrawing an Authoriza- may request, in writing, that the Fed- tion or SODA; or denying an applica- eral Air Surgeon provide for review of tion for a medical certificate or re- quest for an authorization or SODA: the decision to withdraw. The request (1) An incorrect statement, upon for review may be accompanied by sup- which the FAA relied, made in support porting medical evidence; of an application for a medical certifi- (3) Within 60 days of receipt of a re- cate or request for an Authorization or quest for review, a written final deci- SODA.
sion either affirming or reversing the (2) An incorrect entry, upon which decision to withdraw will be issued; the FAA relied, made in any logbook, and record, or report that is kept, made, or (4) A medical certificate rendered in- used to show compliance with any re- valid pursuant to a withdrawal, in ac- quirement for a medical certificate or cordance with paragraph (a) of this sec- an Authorization or SODA.
tion, shall be surrendered to the Ad- ministrator upon request.
§ 67.405 Medical examinations: Who may perform?
[Docket 27940, 61 FR 11256, Mar. 19, 1996, as amended by Amdt. 67–20, 73 FR 43066, July 24, (a) First-class. Any aviation medical 2008; Amdt. 67–21, 77 FR 16668, Mar. 22, 2012] examiner who is specifically designated for the purpose may perform examina- § 67.403 Applications, certificates, tions for the first-class medical certifi- logbooks, reports, and records: Fal- cate.
sification, reproduction, or alter- (b) Second- and third-class. Any avia- ation; incorrect statements.
tion medical examiner may perform ex- (a) No person may make or cause to aminations for the second-or third- be made— class medical certificate.
(1) A fraudulent or intentionally false [Docket FAA–2007–27812, 73 FR 43066, July 24, statement on any application for a 2008] medical certificate or on a request for any Authorization for Special Issuance § 67.407 Delegation of authority.
of a Medical Certificate (Authoriza- (a) The authority of the Adminis- tion) or Statement of Demonstrated trator under 49 U.S.C. 44703 to issue or Ability (SODA) under this part; deny medical certificates is delegated (2) A fraudulent or intentionally false to the Federal Air Surgeon to the ex- entry in any logbook, record, or report tent necessary to— that is kept, made, or used, to show (1) Examine applicants for and hold- compliance with any requirement for ers of medical certificates to determine any medical certificate or for any Au- whether they meet applicable medical thorization or SODA under this part; standards; and (3) A reproduction, for fraudulent (2) Issue, renew, and deny medical purposes, of any medical certificate certificates, and issue, renew, deny, under this part; or and withdraw Authorizations for Spe- (4) An alteration of any medical cer- cial Issuance of a Medical Certificate tificate under this part.
and Statements of Demonstrated Abil- (b) The commission by any person of ity to a person based upon meeting or an act prohibited under paragraph (a) failing to meet applicable medical of this section is a basis for— standards.
(1) Suspending or revoking all air- (b) Subject to limitations in this man, ground instructor, and medical chapter, the delegated functions of the certificates and ratings held by that Federal Air Surgeon to examine appli- person; cants for and holders of medical certifi- (2) Withdrawing all Authorizations or cates for compliance with applicable SODA’s held by that person; and medical standards and to issue, renew, (3) Denying all applications for med- and deny medical certificates are also ical certification and requests for Au- delegated to aviation medical exam- thorizations or SODA’s. iners and to authorized representatives Federal Aviation Administration, DOT § 67.413 of the Federal Air Surgeon within the (1) By an aviation medical examiner FAA. is not a denial by the Administrator (c) The authority of the Adminis- under 49 U.S.C. 44703.
trator under 49 U.S.C. 44702, to recon- (2) By the Federal Air Surgeon is sider the action of an aviation medical considered to be a denial by the Admin- examiner is delegated to the Federal istrator under 49 U.S.C. 44703.
Air Surgeon; the Manager, (3) By the Manager, Aeromedical Cer- Aeromedical Certification Division; tification Division, or a Regional and each Regional Flight Surgeon.
Flight Surgeon is considered to be a de- Where the person does not meet the nial by the Administrator under 49 standards of §§ 67.107(b)(3) and (c), U.S.C. 44703 except where the person 67.109(b), 67.113(b) and (c), 67.207(b)(3) does not meet the standards of and (c), 67.209(b), 67.213(b) and (c), §§ 67.107(b)(3) and (c), 67.109(b), or 67.307(b)(3) and (c), 67.309(b), or 67.313(b) 67.113(b) and (c); 67.207(b)(3) and (c), and (c), any action taken under this 67.209(b), or 67.213(b) and (c); or paragraph other than by the Federal 67.307(b)(3) and (c), 67.309(b), or 67.313(b) Air Surgeon is subject to reconsider- and (c).
ation by the Federal Air Surgeon. A (c) Any action taken under § 67.407(c) certificate issued by an aviation med- that wholly or partly reverses the issue ical examiner is considered to be af- of a medical certificate by an aviation firmed as issued unless an FAA official medical examiner is the denial of a named in this paragraph (authorized medical certificate under paragraph (b) official) reverses that issuance within of this section.
60 days after the date of issuance. How- (d) If the issue of a medical certifi- ever, if within 60 days after the date of cate is wholly or partly reversed by the issuance an authorized official requests Federal Air Surgeon; the Manager, the certificate holder to submit addi- Aeromedical Certification Division; or tional medical information, an author- a Regional Flight Surgeon, the person ized official may reverse the issuance holding that certificate shall surrender within 60 days after receipt of the re- it, upon request of the FAA.
quested information.
[Docket 27940, 61 FR 11256, Mar. 19, 1996, as (d) The authority of the Adminis- amended by Docket FAA–2022–1355, Amdt. 67– trator under 49 U.S.C. 44709 to re-exam- 22, 87 FR 75845, Dec. 9, 2022] ine any civil airman to the extent nec- essary to determine an airman’s quali- § 67.411 [Reserved] fication to continue to hold an airman medical certificate, is delegated to the § 67.413 Medical records.
Federal Air Surgeon and his or her au- (a) Whenever the Administrator finds thorized representatives within the that additional medical information or FAA.
history is necessary to determine § 67.409 Denial of medical certificate.
whether you meet the medical stand- ards required to hold a medical certifi- (a) Any person who is denied a med- cate, you must: ical certificate by an aviation medical (1) Furnish that information to the examiner may, within 30 days after the FAA; or date of the denial, apply in writing to (2) Authorize any clinic, hospital, the Federal Air Surgeon, Attention: physician, or other person to release to Manager, Aeromedical Certification the FAA all available information or Division, AAM–300, Federal Aviation records concerning that history.
Administration, P.O. Box 25082, Okla- (b) If you fail to provide the re- homa City, Oklahoma 73126, for recon- quested medical information or history sideration of that denial. If the person or to authorize its release, the FAA does not ask for reconsideration during may suspend, modify, or revoke your the 30-day period after the date of the medical certificate or, in the case of an denial, he or she is considered to have applicant, deny the application for a withdrawn the application for a med- medical certificate.
ical certificate.
(b) The denial of a medical certifi- (c) If your medical certificate is sus- cate— pended, modified, or revoked under 14 CFR Ch. I (1–1–25 Edition) § 67.415 paragraph (b) of this section, that sus- (2) Advise pilots on identifying warn- pension or modification remains in ef- ing signs of potential serious medical fect until you provide the requested in- conditions; formation, history, or authorization to (3) Identify risk mitigation strategies the FAA and until the FAA determines for medical conditions; (4) Increase awareness of the impacts that you meet the medical standards of potentially impairing over-the- set forth in this part.
counter and prescription drug medica- [Docket FAA–2007–27812, 73 FR 43066, July 24, tions; 2008] (5) Encourage regular medical exami- nations and consultations with pri- § 67.415 Return of medical certificate mary care physicians; after suspension or revocation.
(6) Inform pilots of the regulations The holder of any medical certificate pertaining to the prohibition on oper- issued under this part that is sus- ations during medical deficiency and pended or revoked shall, upon the Ad- medically disqualifying conditions; and ministrator’s request, return it to the (7) Provide the checklist developed Administrator.
by the FAA in accordance with § 68.7.
(b) Upon successful completion of the PART 68—REQUIREMENTS FOR OP- medical education course, the fol- lowing items must be electronically ERATING CERTAIN SMALL AIR- provided to the individual seeking to CRAFT WITHOUT A MEDICAL act as pilot in command or serve as a CERTIFICATE required flightcrew member under the conditions and limitations of § 61.113(i) Sec.
of this chapter and transmitted to the 68.1 Applicability.
FAA— 68.3 Medical education course requirements.
(1) A certification of completion of 68.5 Comprehensive medical examination.
the medical education course, which 68.7 Comprehensive medical examination shall be retained in the individual’s checklist.
logbook and made available upon re- 68.9 Special Issuance process.
quest, and shall contain the individ- 68.11 Authority to require additional infor- ual’s name, address, and airman certifi- mation.
cate number; A UTHORITY : 49 U.S.C. 106(f), 44701–44703, sec.
(2) A release authorizing single ac- 2307 of Pub. L. 114–190, 130 Stat. 615 (49 U.S.C.
cess to the National Driver Register 44703 note); sec. 828 of Pub. L. 118–63, 138 through a designated State Depart- Stat. 1330 (49 U.S.C. 44703).
ment of Motor Vehicles to furnish to S OURCE : Docket FAA–2016–9157, Amdt. 68–1, the FAA information pertaining to the 82 FR 3165, Jan. 11, 2017, unless otherwise individual’s driving record; noted.
(3) A certification by the individual that the individual is under the care § 68.1 Applicability.
and treatment of a physician if the in- This part prescribes the medical edu- dividual has been diagnosed with any cation and examination requirements medical condition that may impact the for operating an aircraft under ability of the individual to fly, as re- § 61.113(i) of this chapter without hold- quired under § 61.23(c)(3) of this chap- ing a medical certificate issued under ter; part 67 of this chapter.
(4) A form that includes— (i) The name, address, telephone § 68.3 Medical education course re- number, and airman certificate number quirements.
of the individual; (a) The medical education course re- (ii) The name, address, telephone quired to act as pilot in command or number, and State medical license serve as a required flightcrew member number of the physician performing in an operation under § 61.113(i) of this the comprehensive medical examina- chapter must— tion; (1) Educate pilots on conducting med- (iii) The date of the comprehensive ical self-assessments; medical examination; and