title-14-part-67-sec67-107

631

Federal Aviation Administration, DOT

§ 67.107

room, using both ears, at a distance of
6 feet from the examiner, with the back
turned to the examiner.

(2) Demonstrate an acceptable under-

standing of speech as determined by
audiometric speech discrimination
testing to a score of at least 70 percent
obtained in one ear or in a sound field
environment.

(3) Provide acceptable results of pure

tone audiometric testing of unaided
hearing acuity according to the fol-
lowing table of worst acceptable
thresholds, using the calibration stand-
ards of the American National Stand-
ards Institute, 1969 (11 West 42d Street,
New York, NY 10036):

Frequency (Hz)

500

1000

2000

3000

Better ear (Db) .................................

Poorer ear (Db) ...............................

(b) No disease or condition of the

middle or internal ear, nose, oral cav-
ity, pharynx, or larynx that—

(1) Interferes with, or is aggravated

by, flying or may reasonably be ex-
pected to do so; or

(2) Interferes with, or may reason-

ably be expected to interfere with,
clear and effective speech communica-
tion.

fested by, or that may reasonably be
expected to be manifested by, vertigo
or a disturbance of equilibrium.

§ 67.107

Mental.

Mental standards for a first-class air-

man medical certificate are:

(a) No established medical history or

clinical diagnosis of any of the fol-
lowing:

(1) A personality disorder that is se-

vere enough to have repeatedly mani-
fested itself by overt acts.

(2) A psychosis. As used in this sec-

tion, ‘‘psychosis’’ refers to a mental
disorder in which:

(i) The individual has manifested de-

lusions, hallucinations, grossly bizarre
or disorganized behavior, or other com-
monly accepted symptoms of this con-
dition; or

(ii) The individual may reasonably be

expected to manifest delusions, hallu-
cinations, grossly bizarre or disorga-
nized behavior, or other commonly ac-
cepted symptoms of this condition.

(3) A bipolar disorder.
(4) Substance dependence, except

where there is established clinical evi-
dence, satisfactory to the Federal Air
Surgeon, of recovery, including sus-
tained total abstinence from the sub-
stance(s) for not less than the pre-
ceding 2 years. As used in this sec-
tion—

(i) ‘‘Substance’’ includes: Alcohol;

other sedatives and hypnotics;
anxiolytics; opioids; central nervous
system stimulants such as cocaine, am-
phetamines, and similarly acting
sympathomimetics; hallucinogens;
phencyclidine or similarly acting
arylcyclohexylamines; cannabis;
inhalants; and other psychoactive
drugs and chemicals; and

(ii) ‘‘Substance dependence’’ means a

condition in which a person is depend-
ent on a substance, other than tobacco
or ordinary xanthine-containing (e.g.,
caffeine) beverages, as evidenced by—

(A) Increased tolerance;
(B) Manifestation of withdrawal

symptoms;

physical health or impairment of so-
cial, personal, or occupational func-
tioning.

(b) No substance abuse within the

preceding 2 years defined as:

(1) Use of a substance in a situation

in which that use was physically haz-
ardous, if there has been at any other
time an instance of the use of a sub-
stance also in a situation in which that
use was physically hazardous;

(2) A verified positive drug test re-

sult, an alcohol test result of 0.04 or
greater alcohol concentration, or a re-
fusal to submit to a drug or alcohol
test required by the U.S. Department
of Transportation or an agency of the
U.S. Department of Transportation; or

(3) Misuse of a substance that the

Federal Air Surgeon, based on case his-
tory and appropriate, qualified medical
judgment relating to the substance in-
volved, finds—

(i) Makes the person unable to safely

perform the duties or exercise the
privileges of the airman certificate ap-
plied for or held; or

(ii) May reasonably be expected, for

the maximum duration of the airman
medical certificate applied for or held,

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632

14 CFR Ch. I (1–1–24 Edition)

§ 67.109

to make the person unable to perform
those duties or exercise those privi-
leges.

neurosis, or other mental condition
that the Federal Air Surgeon, based on
the case history and appropriate, quali-
fied medical judgment relating to the
condition involved, finds—

(1) Makes the person unable to safely

perform the duties or exercise the
privileges of the airman certificate ap-
plied for or held; or

(2) May reasonably be expected, for

the maximum duration of the airman
medical certificate applied for or held,
to make the person unable to perform
those duties or exercise those privi-
leges.

[Doc. No. 27940, 61 FR 11256, Mar. 19, 1996, as
amended by Amdt. 67–19, 71 FR 35764, June
21, 2006]

§ 67.109

Neurologic.

Neurologic standards for a first-class

airman medical certificate are:

(a) No established medical history or

clinical diagnosis of any of the fol-
lowing:

(1) Epilepsy;
(2) A disturbance of consciousness

without satisfactory medical expla-
nation of the cause; or

(3) A transient loss of control of nerv-

ous system function(s) without satis-
factory medical explanation of the
cause.

(b) No other seizure disorder, disturb-

ance of consciousness, or neurologic
condition that the Federal Air Sur-
geon, based on the case history and ap-
propriate, qualified medical judgment
relating to the condition involved,
finds—

(1) Makes the person unable to safely

perform the duties or exercise the
privileges of the airman certificate ap-
plied for or held; or

(2) May reasonably be expected, for

the maximum duration of the airman
medical certificate applied for or held,
to make the person unable to perform
those duties or exercise those privi-
leges.

§ 67.111

Cardiovascular.

Cardiovascular standards for a first-

class airman medical certificate are:

(a) No established medical history or

clinical diagnosis of any of the fol-
lowing:

(1) Myocardial infarction;
(2) Angina pectoris;
(3) Coronary heart disease that has

required treatment or, if untreated,
that has been symptomatic or clini-
cally significant;

(4) Cardiac valve replacement;
(5) Permanent cardiac pacemaker im-

plantation; or

(6) Heart replacement;
(b) A person applying for first-class

medical certification must dem-
onstrate an absence of myocardial in-
farction and other clinically signifi-
cant abnormality on electrocardio-
graphic examination:

(1) At the first application after

reaching the 35th birthday; and

(2) On an annual basis after reaching

the 40th birthday.

a requirement of paragraph (b) of this
section if it is dated no earlier than 60
days before the date of the application
it is to accompany and was performed
and transmitted according to accept-
able standards and techniques.

§ 67.113

General medical condition.

The general medical standards for a

first-class airman medical certificate
are:

(a) No established medical history or

clinical diagnosis of diabetes mellitus
that requires insulin or any other
hypoglycemic drug for control.

(b) No other organic, functional, or

structural disease, defect, or limitation
that the Federal Air Surgeon, based on
the case history and appropriate, quali-
fied medical judgment relating to the
condition involved, finds—

(1) Makes the person unable to safely

perform the duties or exercise the
privileges of the airman certificate ap-
plied for or held; or

(2) May reasonably be expected, for

the maximum duration of the airman
medical certificate applied for or held,
to make the person unable to perform
those duties or exercise those privi-
leges.

that the Federal Air Surgeon, based on
the case history and appropriate, quali-
fied medical judgment relating to the

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