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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