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633 

Federal Aviation Administration, DOT 

§ 67.205 

medication or other treatment in-
volved, 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. 

§ 67.115

Discretionary issuance. 

A person who does not meet the pro-

visions of §§ 67.103 through 67.113 may 
apply for the discretionary issuance of 
a certificate under § 67.401. 

Subpart C—Second-Class Airman 

Medical Certificate 

§ 67.201

Eligibility. 

To be eligible for a second-class air-

man medical certificate, and to remain 
eligible for a second-class airman med-
ical certificate, a person must meet the 
requirements of this subpart. 

§ 67.203

Eye. 

Eye standards for a second-class air-

man medical certificate are: 

(a) Distant visual acuity of 20/20 or 

better in each eye separately, with or 
without corrective lenses. If corrective 
lenses (spectacles or contact lenses) 
are necessary for 20/20 vision, the per-
son may be eligible only on the condi-
tion that corrective lenses are worn 
while exercising the privileges of an 
airman certificate. 

(b) Near vision of 20/40 or better, 

Snellen equivalent, at 16 inches in each 
eye separately, with or without correc-
tive lenses. If age 50 or older, near vi-
sion of 20/40 or better, Snellen equiva-
lent, at both 16 inches and 32 inches in 
each eye separately, with or without 
corrective lenses. 

(c) Ability to perceive those colors 

necessary for the safe performance of 
airman duties. 

(d) Normal fields of vision. 
(e) No acute or chronic pathological 

condition of either eye or adnexa that 
interferes with the proper function of 
an eye, that may reasonably be ex-
pected to progress to that degree, or 

that may reasonably be expected to be 
aggravated by flying. 

(f) Bifoveal fixation and vergence- 

phoria relationship sufficient to pre-
vent a break in fusion under conditions 
that may reasonably be expected to 
occur in performing airman duties. 
Tests for the factors named in this 
paragraph are not required except for 
persons found to have more than 1 
prism diopter of hyperphoria, 6 prism 
diopters of esophoria, or 6 prism 
diopters of exophoria. If any of these 
values are exceeded, the Federal Air 
Surgeon may require the person to be 
examined by a qualified eye specialist 
to determine if there is bifoveal fixa-
tion and an adequate vergence-phoria 
relationship. However, if otherwise eli-
gible, the person is issued a medical 
certificate pending the results of the 
examination. 

§ 67.205

Ear, nose, throat, and equi-

librium. 

Ear, nose, throat, and equilibrium 

standards for a second-class airman 
medical certificate are: 

(a) The person shall demonstrate ac-

ceptable hearing by at least one of the 
following tests: 

(1) Demonstrate an ability to hear an 

average conversational voice in a quiet 
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: 

Frequency (Hz) 

500 

Hz 

1000 

Hz 

2000 

Hz 

3000 

Hz 

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

35 

30 

30 

40 

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

35 

50 

50 

60 

(b) No disease or condition of the 

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

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634 

14 CFR Ch. I (1–1–24 Edition) 

§ 67.207 

(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. 

(c) No disease or condition mani-

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

§ 67.207

Mental. 

Mental standards for a second-class 

airman 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; 

(C) Impaired control of use; or 
(D) Continued use despite damage to 

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

(c) No other personality disorder, 

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] 

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