It does not work Editorial from 28.04.2003

Name of document	ORDER of the Ministry of Transport of the Russian Federation dated 04/22/2002 N 50 (as amended on 04/28/2003) "ON APPROVAL OF FEDERAL AVIATION RULES" MEDICAL EXAMINATION OF FLIGHT, CONTROL STAFF, FLIGHT ATTENDANTS, cadets AND CANDIDATES APPLYING TO CIVIL AVIATION EDUCATIONAL INSTITUTIONS"
Document type	order, list, procedure, rules, requirements
Receiving authority	Ministry of Transport of the Russian Federation
Document Number	50
Acceptance date	01.01.1970
Revision date	28.04.2003
Registration number in the Ministry of Justice	3417
Date of registration with the Ministry of Justice	07.05.2002
Status	It does not work
Publication	The document was not published in this form (as amended on 04/22/2002 - "Rossiyskaya Gazeta", N 95, 05/30/2002 "Bulletin of normative acts of federal executive authorities", N 21, 05.27.2002)
Navigator	Notes

ORDER of the Ministry of Transport of the Russian Federation dated 04/22/2002 N 50 (as amended on 04/28/2003) "ON APPROVAL OF FEDERAL AVIATION RULES" MEDICAL EXAMINATION OF FLIGHT, CONTROL STAFF, FLIGHT ATTENDANTS, cadets AND CANDIDATES APPLYING TO CIVIL AVIATION EDUCATIONAL INSTITUTIONS"

EXPLANATIONS TO THE ARTICLES OF HEALTH REQUIREMENTS ON THE BASIS OF WHICH FITNESS FOR FLIGHT WORK, AIR TRAFFIC CONTROL WORK, WORK AS A FLIGHT ATTENDANT, FLIGHT OPERATOR, GENERAL AVIATION PIlot AND STUDYING IN THE CIVIL AVIATION TRAINING INSTITUTIONS

(as amended by Order of the Ministry of Transport of the Russian Federation dated April 28, 2003 N 125)

The requirements are developed taking into account the nature of the disease, the characteristics of its course, the degree of functional impairment and the impact of the disease on professional performance. The requirements provide the basis for issuing a medical opinion on the fitness of aviation personnel for work (training) and take into account the possibility of applying the principle of an individual approach in each specific case.

Mental and nervous diseases

Monitoring of the mental state of flight personnel, dispatchers, cadets and flight attendants is carried out by the aviation doctor of the airline (squad - course students), psychologists and neurologists of VLEK GA.

If mental disorders are detected or mental illness is suspected, these persons are suspended from flights (duties, classes) and referred for consultation to a psychiatrist.

If indicated, aviation specialists are referred by a psychiatrist for specialized psychiatric examination and treatment with subsequent examination.

A medical opinion for schizophrenia, paranoia, affective psychoses (manic-depressive psychosis, cyclothymia, etc.) is issued only after an inpatient examination in a specialized institution. Persons with these diseases cannot be restored, regardless of the course, form, duration of the disease, duration of remission and removal from the dispensary register.

The article combines a group of infectious, intoxication psychoses (with the exception of alcoholic ones), as well as functional reactive psychoses, neuroses (neurasthenia, psychasthenia, obsessive-compulsive neurosis) that arise in response to a psychotraumatic situation (family - domestic, industrial, etc.) or acute psychogenic trauma ; suicide attempts.

Persons who have suffered acute psychoses or neuroses are considered unfit for work under clause 2.1. The issue of reinstatement to work can be considered no earlier than 2 years after an inpatient examination in a specialized institution. Long-term compensation for neuropsychic activity can serve as a basis for considering the issue of reinstatement to work in the specialty, taking into account the nature of the mental state during the period of psychosis (neurosis), its characteristics, structure, depth and course.

Suicidal attempts refer to paragraph 2.1. When conducting an examination and studying the circumstances that caused a suicide attempt, the doctor is obliged to interview eyewitnesses, clarify personal and family history, the reason and motives for auto-aggressive actions. Consultation with a psychiatrist is required. Persons with a history of suicide attempt cannot be restored.

Clause 2.2 applies to an asthenic condition or situationally determined neurasthenic syndrome. A re-examination is carried out after 4 - 6 months if the results of observation, clinical and psychological examination are positive and the stress tests are well tolerated.

Persons who have suffered short-term mental somatogenic disorders, after recovery from the underlying disease and with full compensation of neuropsychic functions without the use of supportive therapy, can be considered fit for flight work (air traffic control work) under paragraph 2.2.

(as amended by Order of the Ministry of Transport of the Russian Federation dated April 28, 2003 N 125)

Persons suffering from alcoholism (mental and behavioral disorders caused by alcohol consumption), who have suffered an acute (subacute) psychotic disorder (delirium, hallucinosis, delusions of jealousy, paranoia, etc.), are considered unfit for work in all columns of the Requirements.

To resolve the issue of issuing a medical report to persons suffering from domestic drunkenness (harmful use of alcohol) who have suffered acute alcohol intoxication, an in-depth medical examination is carried out in an inpatient setting. After carrying out therapeutic and recreational activities for 2 - 3 months and with positive results of observation, clinical, laboratory and psychological medical examination, as well as a positive performance review and a favorable prognosis-conclusion of a narcologist, they can be recognized by the VLEK GA fit for professional activity.

Persons diagnosed in a drug treatment hospital with “Mental disorders and behavioral disorders caused by the use of: alcohol, opioids, cannabinoids, sedatives, hypnotic drugs, cocaine, other stimulants, hallucinogens and volatile solvents, except tobacco and caffeine (hereinafter referred to as psychoactive substances) " are recognized as unfit for work according to all columns of the Requirements. In cases when screening testing (according to indications or selectively) for the presence of psychoactive substances (their metabolites) in biological media (urine, blood, etc.) reveals a positive result, the person being examined in the prescribed manner must be sent for examination to a specialized drug treatment room.

If signs of drug intoxication with cannabinoids are detected once or the fact of their use is established, aviation personnel are suspended from work and medical and recreational measures are carried out for three months. Monitoring by a narcologist and a neurologist is carried out monthly with a mandatory medical examination for the presence of drug metabolites in the urine. With positive observation results and positive performance characteristics, aviation personnel may be recognized by the VLEK GA as fit for professional activities.

If it is once established that aviation personnel have used opiates, hallucinogens, stimulants, cocaine, or signs of drug intoxication with these substances are detected, the VLEK GA shall make a decision on suspension from work and the implementation of medical and recreational measures for six months. In exceptional cases, with full compensation of neuropsychic functions, admission to professional activity is possible after an inpatient medical examination by the VLEK GA and a conclusion from a narcologist, but not earlier than six months after the fact of use of opiates, hallucinogens, stimulants, cocaine has been established or signs of drug intoxication have been identified.

If the fact of use (state of intoxication) of psychoactive substances is repeatedly established, a medical report is issued on unfitness for work in all columns of the Requirements.

Dependence (abuse) of aviation personnel on psychoactive substances, including a history of it, is a contraindication to work and training under all columns of the Requirements.

The article includes sociopathic personality disorders from psychopathy to disharmonious mental infantilism, personality accentuation.

Failure to comply with the rules of behavior established by society (constant conflicts, alcoholism, delinquency, etc.), which are identified from family and personal history, are the main signs of sociopathic disorders.

The diagnosis and medical conclusion are made after an inpatient examination in a psychiatric institution.

Clause 4.1 includes psychopathy (regardless of its form and severity) and personality disorders of a non-psychotic nature (paranoid, affective, schizoid, excitable, etc. types).

Clause 4.2 applies to persons exhibiting mental infantilism, accentuation of character, professionally unfavorable psychological personality deviations.

Individual, unexpressed signs of infantilism, personality accentuation with good social and professional compensation for neuropsychic activity are not grounds for a negative expert opinion.

The appearance of inappropriate behavioral reactions that have not previously been noted among aviation personnel is grounds for consultation with a psychologist or psychiatrist. In the absence of a diagnosis, the article does not apply. When a psychologist identifies deviations in the individual psychological characteristics of a person, an inpatient examination is carried out in a neurological hospital. If indicated, a consultation with a psychiatrist is scheduled.

When persistent, pronounced personality deviations are combined with negative medical observation data, a conclusion is made about unfitness.

In case of minor deviations, a conclusion on suitability is made taking into account professional qualities: length of service, work experience, quality of work performed, etc.

The article includes epilepsy with any form of clinical manifestation, including a single seizure.

Persons with suspected epilepsy are referred for inpatient examination to the neurological department. When sending, it is necessary to draw up a report describing the characteristics of the seizure, signed by eyewitnesses, certified by a medical professional. The diagnosis is made after a complete neurological examination, EEG and consultation with a psychiatrist. Epileptoid activity on the EEG confirms the diagnosis of epilepsy, and its absence does not exclude the diagnosis.

The article concerns single epileptiform seizures of unspecified etiology. For symptomatic epilepsy, medical assessment depends on the underlying disease. During the examination, it is necessary to exclude: a volumetric process of the brain, vascular disorders, exogenous intoxications, helminthic infestation, etc.

Persons with newly detected paroxysmal activity on the EEG are subject to examination in the neurological department. Persons with newly detected epileptoid activity on the EEG (of the “peak-slow wave” type) in the absence of other signs of epilepsy or organic disease of the central nervous system are subject to examination in the neurological department of the Central Clinical Hospital of Civil Aviation. The stability of these changes on the EEG (within 3 - 6 months) is the basis for recognition as unfit after a repeat inpatient examination.

If paroxysmal, epileptoid activity and significant changes in the EEG are detected in candidates entering flight and control schools, a conclusion is made about unfitness.

Persons with pathologies of the blood vessels of the brain and spinal cord of various etiologies are examined. This group includes primary vascular diseases of the brain and spinal cord (vasculitis, developmental anomalies, aneurysms, atherosclerosis, etc.) and secondary changes in blood vessels of somatogenic, vertebrogenic and other etiologies.

Clinical manifestations of this pathology are acute cerebrovascular accident or chronic cerebral circulatory failure with a crisis course, dysfunction of the central and peripheral nervous system, and mental changes that make it difficult or impossible to perform professional duties.

The most common type of vascular pathology leading to disqualification of flight personnel is cerebral atherosclerosis. If mild scattered microsymptoms in the neurological status or deviations in the data of additional examination methods are detected, a thorough analysis of the life history, past and concomitant diseases is necessary in order to exclude overdiagnosis of cerebral atherosclerosis.

A medical examination of all types of vascular pathology of the brain and spinal cord is carried out taking into account the etiology, course of the disease, tolerance of stress tests, psychological examination, as well as the prognosis of the occurrence of acute conditions affecting flight safety.

According to clause 6.1, persons who have suffered an acute cerebrovascular accident of hemorrhagic or ischemic origin, transient cerebral ischemia, subarachnoid hemorrhage or vascular crisis, as well as persons with chronic cerebral circulatory failure are examined.

According to clause 6.2, persons with mild or moderate manifestations of atherosclerotic lesions of the vessels of the brain or spinal cord, confirmed by clinical and instrumental research methods, will be examined.

The conclusion is made based on an assessment of the severity of neurological disorders, the degree of stenosis of the main arterial trunks, the state of professionally important psychological functions, the course of the disease, risk factors, prognosis and tolerability of stress tests.

If a latent stenosis (50% or more) is detected in the carotid or vertebral artery, or an embologenic unstable atherosclerotic plaque is detected in these vessels, a medical report is issued on the unfitness of aviation personnel for work in accordance with all columns of the Requirements.

(as amended by Order of the Ministry of Transport of the Russian Federation dated April 28, 2003 N 125)

Persons who have suffered an infectious or toxic-allergic lesion of the vessels of the brain or spinal cord (vasculitis) are examined under the same item no earlier than two years after completion of treatment.

(as amended by Order of the Ministry of Transport of the Russian Federation dated April 28, 2003 N 125)

Persons who have been diagnosed with organic damage to the nervous system for the first time are subject to inpatient examination in the neurological department. Clause 7.1 includes organic diseases of the nervous system:

Tumors, syringomyelia, multiple sclerosis and other progressive diseases;

acute and chronic forms of infectious diseases of the central nervous system: encephalitis, arachnoiditis, meningitis, myelitis, neurosyphilis, residual effects of infections or intoxications of the nervous system with dysfunction, cerebrospinal fluid - dynamic disorders, convulsive seizures;

diseases of the neuromuscular system: myasthenia gravis, myopathy, myotonia, myoplegia.

According to clause 7.2, persons who have suffered an infectious or intoxicating disease of the central nervous system with complete restoration of neuropsychic activity or mild residual effects in the form of organic microsymptoms without dysfunction are examined.

The issue of reinstatement to flight work is resolved: after influenza encephalitis no earlier than 1 - 2 years, acute encephalomyelitis - 2 years, acute tick-borne encephalitis - 3 years.

Persons who have had epidemic cerebrospinal meningitis are considered unfit. The issue of admission to flight and dispatch work (study) can be considered 1 year after the illness.

Persons who have suffered erased meningococcal infection, meningococcal rhinitis, pharyngitis are examined under Art. 12.

Clause 7.2 applies to persons with diseases of the neuromuscular system and hereditary degenerative diseases in the initial stage with a slow progressive course, with sufficient preservation of professionally important functions.

Examination of persons who have suffered head injuries with damage to the central nervous system is carried out after clinical examination and treatment. When assessing the mechanism and circumstances of the injury, one should take into account the possibility of non-contact traumatic brain injury (brain displacement, vascular rupture) and injury due to damage to the structures of the atlanto-occipital joint.

When making a medical opinion, it is necessary to take into account the duration of the period of altered consciousness and amnesia.

When predicting the possibility of developing late post-traumatic epilepsy, in addition to the nature and severity of the injury, it is necessary to take into account other risk factors.

A medical assessment is carried out taking into account the medical history, EEG dynamics, the degree of compensation for lost functions and the results of tolerance to stress tests, and a psychological examination.

Clause 8.1 includes:

Open TBI (penetrating or non-penetrating);

Consequences of open or closed craniocerebral injury with pronounced organic changes in the central nervous system, mental disorders, hypertension or convulsive syndrome;

Consequences of spinal cord injury with motor, sensory or pelvic disorders.

Persons who have suffered a TBI with damage to the dura mater, a depressed or comminuted fracture of the calvarial bones with a defect in the skull bones (except for diagnostic burr holes), intracranial hematomas and liquorrhea in the acute period are not subject to reinstatement.

An examination for the purpose of reinstatement to work of persons who have suffered a moderate or severe brain contusion with a linear fracture of the bones of the vault, base of the skull (without liquorrhea) or subarachnoid hemorrhage can be carried out no earlier than 2 years after the injury, with positive results of observation.

Clause 8.2 applies to persons who have suffered a concussion or mild brain contusion. The question of reinstatement to flight work is considered no earlier than 3-6 months after the injury in the absence or detection of mild changes in the EEG, in the neurological or vegetative status and with good tolerance of stress tests. Dispatchers are allowed to work after recovery.

Clinical manifestations of the pathology of the autonomic nervous system can be a consequence of primary damage to various structural levels of the ANS or be secondary syndromes of neurological, somatic, endocrine, mental, allergic diseases and intoxications. All this makes it necessary to take a particularly careful history and a comprehensive clinical examination.

According to clause 9.1, a medical examination of vegetative-vascular disorders is carried out, having paroxysmal manifestations of chronic diseases of the ANS, often recurrent exacerbations and crisis reactions (vagovasal, sympathetic, mixed nature, visceral sympathalgic, diencephalic type).

This group includes the following diseases: migraine, solaritis, syndromes: Meniere, vertebral artery, diencephalic syndrome; angiotrophoneurosis (Raynaud's disease, erythromelalgia, etc.), Quincke's edema and orthostatic essential hypotension.

A medical opinion for peripheral neurovascular syndromes and ganglionitis is issued according to Art. 10.

According to clause 9.2, persons with dysfunction of a constitutional hereditary origin, as well as one that arose against the background of hormonal changes or after suffering a somatic pathology in the stage of stable remission at the time of examination (2 - 3 months after cure of the underlying disease) are examined.

Medical assessment depends on the severity of vegetative-vascular disorders, the results of a clinical examination and the tolerance of stress tests (orthotest, vestibular test, etc.).

In cases of autonomic-vascular disorders with a predominance of functional cardiovascular manifestations in the clinical picture, the expert issue is resolved under Art. 19.

The article includes diseases of the peripheral nervous system of various etiologies:

Acute and chronic diseases, traumatic injuries of the spinal cord roots, plexuses, nerve trunks, ganglia; peripheral neurovascular syndromes;

radicular compression for diseases of the spine;

consequences of surgical interventions on the spine, spinal roots, plexuses and nerve trunks.

Persons with these diseases during the period of exacerbation are subject to treatment (outpatient, inpatient, sanatorium).

After removal of a herniated intervertebral disc, examination is carried out no earlier than 6 months after discharge from the hospital, taking into account the nature of the operation and the postoperative period.

In case of exacerbation of chronic radiculitis more than 2 times a year, clause 10.1 is applied.

In case of impaired mobility, which is not accompanied by radicular phenomena, the examination is carried out according to Article 29 (diseases of the spine).

Persons who have experienced fainting (syncope) are removed from school, work and, after examination by a therapist and neurologist, are sent for an inpatient examination to the neurological department of the Civil Aviation Medical Center. The doctor is obliged to submit a report with a full description of the circumstances and manifestations of loss of consciousness signed by eyewitnesses and his own signature.

The conclusion is based on a study of the circumstances of fainting, its clinical manifestations, a comprehensive assessment of the state of health, the results of instrumental examination and functional tests. When establishing the causes of fainting, a decision is made based on the underlying disease, taking into account the prognosis and repeated fainting.

In case of a single fainting event due to an emotionally painful stimulus or acute hypoxia in a healthy person, the article does not apply.

In case of repeated fainting of unspecified etiology, a conclusion of unfitness is made.

Internal illnesses

After treatment of acute infections and infestations, aviation personnel are allowed to work.

Persons with the chronic stage of opisthorchiasis are examined according to clause 12.2, repeated courses of treatment are carried out based on the results of observation in the office of infectious diseases.

Flight crews and flight attendants who have had infectious hepatitis or hemorrhagic fever are suspended from work for 3 to 6 months, depending on the severity of the disease and the results of treatment.

Pilots are allowed to perform aviation chemical work no earlier than 12 months later. Dispatchers are admitted after the sick leave is closed.

Flight attendants who carry an intestinal infection are examined according to clause 12.1.

Clause 13.1 applies to leukemia, multiple myeloma, lymphogranulomatosis, pernicious anemia, severe forms of hemorrhagic diathesis.

Clause 13.2 includes benign anemia (post-hemorrhagic, iron deficiency) with persistent positive results of treatment, hemoglobin of at least 12.0 g%, compensated hemoglobinopathies and cases of hemorrhagic diathesis without a tendency to relapse.

According to clause 14.1, persons with severe manifestations of allergies and a tendency to relapse will be examined.

According to clause 14.2, persons who have not had repeated allergic manifestations for 3 months and the allergen has been identified and eliminated will be examined.

Overweight individuals undergo a clinical examination to determine the nature of obesity. In case of symptomatic (secondary) obesity of endocrine or cerebral origin, examination is carried out according to the underlying disease.

The degree of obesity is determined in accordance with the Quetelet index.

Body mass index (BMI) is calculated using the formula: body weight (kg) / height (m2). With normal body weight, BMI is in the range of 20.0 - 25.9; overweight - 26.0 - 29.9; for stage I obesity - 30.0 - 34.9; obesity stage II - 35.0 or more.

According to clause 15.1, persons with exogenous constitutional obesity of II - III degrees are examined.

Persons to be examined:

With insulin-dependent type I diabetes mellitus and moderate and severe type II diabetes mellitus, requiring constant treatment with insulin or other hypoglycemic drugs;

With toxic goiter (thyrotoxicosis) of any form and other endocrine diseases that require constant treatment. When a mild form of diabetes mellitus type II is diagnosed for the first time, flight crews and flight attendants are subject to observation and treatment for up to 3 months.

Admission to flight work under clause 16.2 is carried out with full compensation of carbohydrate metabolism without the use of medications. Dispatchers with mild diabetes are not suspended from work. The decision on admission to flight work after treatment of toxic goiter (thyrotoxicosis) is made after rehabilitation treatment (without the use of medications) no earlier than 12 months. Diffuse euthyroid enlargement of the thyroid gland grades I and II. and impaired carbohydrate tolerance do not provide grounds for establishing the article.

According to Art. 17.2 considers persons with clinical cure or residual effects after tuberculosis (limited fibrosis, foci of calcification, interlobar and pleural adhesions) without displacement of the mediastinal organs and dysfunction of external respiration.

When reinstated to work, a conclusion from a tuberculosis dispensary indicating the registration group is required.

Clause 18.1 includes: bronchial asthma, bronchiectasis, active sarcoidosis, chronic pneumonia, diffuse pneumosclerosis and emphysema with impaired external respiratory function.

According to clause 18.2, persons with chronic bronchitis in remission, limited by pneumosclerosis, are examined.

In case of chronic bronchitis with a complicated course, flight crews and flight attendants are suspended from work for the entire period of treatment.

Persons who have suffered spontaneous pneumothorax are allowed to work no earlier than 3 months after recovery, provided that the examination does not reveal the reason for its recurrence; repeated pneumothorax excludes fitness for work.

The article covers heart diseases associated with dysregulation. The diagnosis of “Neurocirculatory dystonia of the cardiac type” is first established after a thorough clinical, laboratory and instrumental examination using functional tests. It is necessary to exclude the current inflammatory process, organic changes in the heart and extracardiac pathology. For differential diagnosis with coronary heart disease, orthostatic and pharmacological ECG tests, VEP, myocardial scintigraphy with stress are used, and in doubtful cases, coronary angiography.

According to clause 19.1, persons with severe heart rhythm disturbances, sick sinus syndrome, conduction disorders accompanied by repeated loss of heart contractions for 2 seconds or more, with attacks of atrial fibrillation, atrial flutter, supraventricular tachycardia (4 or more complexes with a frequency of 120 or more) are examined. more than 1 minute), frequent ventricular extrasystoles with repeated periods of bi- and trigeminy, with repeated episodes of paired ventricular extrasystoles, with episodes of ventricular tachycardia of 3 or more complexes with a frequency of 120 per 1 minute. and more, with Wolff-Parkinson-White syndrome in the presence of spontaneous supraventricular tachycardia. In case of significant supraventricular rhythm disturbances, an electrophysiological study is performed. Its results are considered unfavorable if the listed severe rhythm disturbances are provoked.

To assess the severity of rhythm disturbances, daily ECG monitoring is performed.

If cardiac arrhythmias are successfully treated, a re-examination is carried out.

According to clause 19.2, persons who have no complaints, with cardiac rhythm and conduction disturbances not listed in clause 19.1, with labile changes in the final part of the ventricular ECG complex (ST and T), amenable to normalization when taking beta blockers, are examined.

If ECG lability disappears and beta-blockers are ineffective in normalizing the ECG, an expert opinion on unfitness for work is accepted.

Clause 20.1 includes arterial hypertension with blood pressure 160/95 mmHg. and higher, of a persistent nature, or with lower blood pressure values, accompanied by a significant increase in the left ventricle of the heart, changes in the ECG at rest or during physical activity. This also includes transient hypertensive crises that occur with temporary disturbances of cerebral circulation.

According to clause 20.2, persons whose blood pressure is maintained at levels not higher than 160/95 mm Hg are examined. is possible with the help of non-drug or approved drug therapy.

The selection of drug therapy is carried out over 2 - 3 months.

When admission to work, the persistence of the effect of the measures taken, the tolerance of stress tests and risk factors are taken into account.

Clause 20.3 includes a transient increase in blood pressure that normalizes without the use of medications. The decision on permission to work is made taking into account the results of stress tests and daily blood pressure monitoring.

For candidates for training as a pilot, navigator, or flight engineer, blood pressure should not exceed 140/90 mm Hg.

Clause 21.1 includes: myocardial infarction, angina pectoris, severe rhythm and conduction disturbances. This also includes changes in the ECG at rest and during exercise tests, which, after additional examination, are most likely to be associated with coronary circulatory disorders. A sufficient basis for the diagnosis of coronary heart disease is the combination of a positive ECG test with physical activity with local myocardial ischemia detected by stress scintigraphy or stenosis of one of the main coronary arteries of the heart by more than 50%, or stenosis of 3 arteries by more than 30% with aortocoronary angiography.

Clause 21.2 includes cases of atherosclerotic damage to blood vessels and heart muscles that are not accompanied by severe disturbances in heart rhythm and conduction.

Admission to flight work is possible after an in-depth clinical examination of the cardiovascular system with good tolerance to stress tests.

Admission to work for persons who have suffered a myocardial infarction as an air traffic controller is possible only after two years of observation of a stable ECG, without treatment with antianginal drugs and good functional condition of the cardiovascular system.

The issue of being sent to work on polar expeditions and countries with hot climates is decided individually.

The article includes: congenital and acquired heart defects, mitral valve prolapse, ongoing inflammatory processes in the heart muscle, myocardial dystrophy, myocardial cardiosclerosis, cardiomyopathies, etc.

If there are clinical signs of these diseases, a conclusion is made based on a study of the disease history, a comprehensive clinical and cardiological examination, functional diagnostic studies, the course of the disease and its prognosis.

Clause 22.1 includes: acute sluggish diseases or consequences of past diseases with severe rhythm and conduction disturbances; signs of heart failure and pain, moderate and severe combined heart defects and mitral valve prolapse more than 6 mm; dilated, hypertrophic and restrictive cardiomyopathies.

Clause 22.2 includes: myocardial cardiosclerosis, mitral valve prolapse less than 6 mm, mild, isolated and persistently compensated heart defects, asymmetric hypertrophy of the interventricular septum without signs of outflow tract obstruction, apical form of hypertrophic cardiomyopathy. All these diseases should not be accompanied by the symptoms specified in clause 22.1.

Persons who have been treated for inflammatory heart diseases can be re-examined no earlier than after 3 months.

According to this article, persons with peptic ulcers, gastritis, and colitis are examined. The results of treatment of acute cases and exacerbations of diseases should be monitored endoscopically. With good results of treatment of gastritis (including erosive) and colitis, aviation personnel are allowed to work in their specialty.

For uncomplicated peptic ulcers, flight crews, flight operators and flight attendants are subject to treatment for up to 3 months. In case of complications of a peptic ulcer and after surgical treatment, a second medical examination is possible after 6 - 12 months, depending on the type of operation and the results of treatment.

Dispatchers are allowed to work after the certificate of incapacity for work is closed. Persons who have been diagnosed for the first time with cicatricial deformation of the duodenum without clinical manifestations are not excluded from flight work.

According to clause 24.1, persons with active hepatitis, liver cirrhosis, exacerbation of chronic cholecystitis, cholelithiasis, and pancreatitis are examined.

Expert assessment for chronic diffuse liver diseases depends on the clinical form, stage and activity of the process. Upon achieving stable remission in chronic hepatitis B and C, a sign of which is the normalization of biochemical parameters within six months, admission to flight work is possible after 6 - 9 months.

(as amended by Order of the Ministry of Transport of the Russian Federation dated April 28, 2003 N 125)

If a carrier of the hepatitis B and C virus is detected without signs of disease (absence of cytolysis syndrome), admission to flight work is possible.

(as amended by Order of the Ministry of Transport of the Russian Federation dated April 28, 2003 N 125)

Reinstatement to flight work is carried out according to paragraph 24.2, subject to stable remission and preservation of organ functions. Air traffic controllers are cleared to return to work after recovery.

(as amended by Order of the Ministry of Transport of the Russian Federation dated April 28, 2003 N 125)

The issue of reinstatement to flight work after lithotripsy and cholecystectomy is considered no earlier than after 6 months. After uncomplicated laparoscopic cholecystectomy - no earlier than 3 months.

(as amended by Order of the Ministry of Transport of the Russian Federation dated April 28, 2003 N 125)

Persons with benign functional bilirubinemia after examination are recognized as fit for flight work, but without access to flight aviation.

(as amended by Order of the Ministry of Transport of the Russian Federation dated April 28, 2003 N 125)

Persons who have suffered acute glomerulonephritis are considered unfit and are subject to observation for a year. The issue of admission to flight work is considered after a clinical examination. If there are signs of chronic nephritis (pyelonephritis), a conclusion on suitability is made individually depending on the course of the process and the preservation of kidney function, the severity of secondary hypertension syndrome. In cases where pyelonephritis is secondary, the examination is carried out taking into account the underlying disease.

According to clause 26.1, persons with inflammatory, allergic, metabolic diseases of the joints, and systemic lesions of connective tissue are examined. Persons with acute infectious, infectious-allergic arthritis, polyarthritis are subject to treatment for up to 3 - 6 months.

In case of chronic arthritis, polyarthritis, the conclusion is made depending on the functional state of the joints.

Surgical diseases

Candidates for pilot training must have a height of no less than 160 cm and no more than 190 cm, a sitting height of no more than 95 cm, a height of no less than 157 cm and no more than 190 cm for navigator and flight engineer.

Muscle strength for flight personnel and those entering flight schools during hand dynamometry should be at least 35 kgf on the right hand, and 30 kgf on the left (for a left-handed person it may be the other way around).

There are no restrictions on height, body weight and muscle strength for persons entering the control departments.

For candidates for training at civil aviation flight schools under the age of 20, body weight up to 25% is not regarded as a manifestation of insufficient physical development (during the period of intensive development of the body, body weight may lag behind growth).

In case of infantilism, the issue of suitability for training is decided after consultation with an endocrinologist.

If lymph nodes are affected, aviation personnel are subject to medical examination by specialists.

In case of tuberculosis of the lymph nodes, a medical examination for the purpose of reinstatement to flight (dispatcher) work is possible with complete clinical cure and deregistration at the anti-tuberculosis dispensary. In case of actinomycosis, restoration to flight (dispatcher) work is possible with full clinical recovery, taking into account the conclusion of a dermatologist (mycologist), but not earlier than a year after the end of treatment.

Assessment of joint function is carried out according to generally accepted methods.

If a specific etiology of the disease, the presence of sequestral cavities, or fistulas are established, aviation personnel are considered unfit for work, regardless of the degree of dysfunction. With positive results of treatment and remission of at least 6 months, the issue of permission to work may be considered.

All types of pathological kyphosis determine unfitness for flight work and training. Pathological kyphosis does not include “Round back” (a type of posture).

Juvenile scoliosis 1st degree (scoliosis arc angle no more than 10 degrees) with normal physical development, congenital changes (sacralization of the 5th lumbar vertebrae, lumbarization of the 1st sacral vertebrae, cleft arches), not accompanied by dysfunction of the spine and pelvic organs, are not an obstacle to learning to fly and dispatch specialties.

Spondyloarthritis of infectious and allergic origin (Bechterew's disease, Reiter's disease, etc.) belong to the therapeutic section of the Requirements.

In case of degenerative-dystrophic processes in the spine, accompanied by radicular syndrome, an expert opinion is issued by a neurologist.

In case of a fracture of the vertebral bodies with subluxation, in case of spinal tuberculosis (regardless of the phase of the process and the state of function), aviation personnel are considered unfit. After a compression fracture of one or two vertebral bodies, an examination is carried out no earlier than 12 months after the injury or surgery.

In case of fractures of the transverse and spinous processes, aviation personnel are allowed to work and train to restore function and eliminate pain.

For consolidated fractures of the pelvic bones, a medical examination is carried out no earlier than 6 months after the injury.

In case of surgery on muscles, tendons, ligaments, bones and joints, fitness for flight training and flight (controller) work is determined after restoration of functions. It is permissible to shorten an arm or leg as a result of surgery (trauma) by no more than 2 cm.

In case of refusal of surgery when there are indications for surgical treatment of habitual dislocation or pseudarthrosis, aviation personnel are considered unfit according to clause 29.1.

Small tantalum fixators (screws, Lan plates, etc.) used in osteosynthesis, if there are no signs of metallosis, are not an obstacle to continuing flight, control work and training.

Metal fixators inserted intraosseously (CITO, Bogdanov rods, etc.) must be removed by the time of restoration to flight work.

The absence of a hand, the absence, complete reduction or immobility of two fingers on one hand, the first or second fingers on the right hand, as well as the first finger on the left hand refers to clause 29.1.

The absence of a nail phalanx on the first finger and two phalanges on the others is equivalent to the absence of a finger.

Assessment of suitability for other defects of the fingers and hand is determined by the degree of preservation of hand function.

Absence of a foot, congenital and acquired deformation of the foot that impairs its function and makes walking difficult (clubfoot, third degree flatfoot, etc.) refers to clause 29.1.

Absence of the first toe is an obstacle to flight training.

Flatfoot of the first degree and the initial form of the second degree are not an obstacle to learning. If necessary, to more accurately determine the height of the arch, an x-ray of the foot should be taken in support.

Flat feet with a longitudinal arch height of less than 20 mm determines unsuitability for flight training.

With extensive flat skin scars (more than 20% of the body surface), regardless of the condition and degree of dysfunction, candidates for civil aviation educational institutions and those applying for work as flight attendants and flight operators are considered unfit.

An exception to clause 30.1 is stage 1 skin and lower lip cancer. Temporary disability is determined for the period of treatment. The issue of professional ability to work is decided by the surgeon, taking into account the conclusion of the oncologist and the normalization of peripheral blood parameters.

Reinstatement to work using an individual assessment according to clause 30.2 is possible after treatment of stage 1 (T1 N0M0) or 2a (T2 N0M0) tumors.

If aviation personnel do not have a relapse or generalization of the tumor process with full and stable compensation of body functions, the question of reinstatement to flight, dispatch work and work as a flight attendant is considered within the following periods: for stomach and intestinal cancer - no earlier than 3 years after surgery; for malignant tumors of the breast, thyroid gland, kidney, testicle, cervix - no earlier than 2 years after the end of treatment (surgical, radiation therapy, combined). The documents provided to VLEK must reflect: the stage of the tumor, a detailed pathomorphological report (anatomical type of tumor growth, its morphological characteristics, the condition of the regional lymph nodes) and the treatment performed (for surgical - date, nature of the operation and course of the postoperative period; for radiation - timing and method of irradiation, total focal dose, general and local radiation reaction).

In the case of a pathomorphological conclusion (“cancer in situ”), regardless of the location of the tumor, an expert opinion is issued depending on the nature of the treatment (surgery) performed.

In addition to true tumors, the article includes osteochondral exostoses, nodular goiter, prostate adenoma, and mastopathy.

Paragraph 31.1 applies to tumors that are not subject to surgical treatment due to their location, size, anatomical relationship with neighboring organs, and the possibility of dysfunction of surrounding organs and organs from which they originate.

The period of admission to work after removal of benign tumors is determined by the scale of the operation and its outcome.

For benign tumors of small size without a tendency to grow, which do not interfere with the wearing of clothes and shoes, the article does not apply.

Those entering educational institutions and working as flight attendants who have previously been operated on for benign tumors submit to the VLEK GA an extract describing the nature of the operation performed and the data of histological examination of the tumor.

In case of benign tumors of the gastrointestinal tract (in the vast majority, polyps) and respiratory organs, they are determined to be unsuitable for working with pesticides. The question of treatment tactics for these tumors is decided by an oncologist (proctologist).

The question of reinstatement to flight (dispatcher) work and training in these specialties after removal of a nodular goiter is considered by the therapist no earlier than 3 months after the operation.

With prostate adenoma stage I. without dysuric disorders, if, according to the conclusion of a urologist, surgical treatment is not indicated, the flight and dispatch personnel are fit according to clause 31.2. At stages II - III of adenoma, as well as at stage I, if it is complicated by acute urinary retention, aviation personnel are considered unfit.

The issue of removing benign tumors of the external genitalia is decided after consultation with a gynecologist (urologist). Subjects who have been diagnosed with uterine fibroids that are asymptomatic are subject to dispensary observation. Candidates for flight attendant training and new entrants to this job are considered unfit. In the case of fibroid growth, ovarian-menstrual dysfunction and the development of pain, surgical treatment is indicated. Admission to work after surgery is permitted within the time limits specified in Art. 34.

Candidates for civil aviation flight schools with multiple pigmented nevi measuring 2 x 3 cm or more, located on areas of the body subject to constant pressure from clothing and shoes, are considered unfit.

The article does not include tumors of the central and peripheral nervous system, eyes and ENT organs.

After surgery for diseases of the thoracic cavity and mediastinum, aviation personnel are declared unfit for flight (control) work and training. If the treatment results are favorable, the issue of fitness for work (training) is decided together with the therapist no earlier than 6 months after the operation.

If there are foreign bodies in the chest wall or lung tissue, distant from large vessels, the heart, which do not give clinical manifestations, and good external respiration function, an expert opinion is issued according to clause 32.2. Candidates for training at civil aviation schools are considered unfit. In case of traumatic pneumothorax, an expert decision is made after completion of treatment and clinical examination.

In case of a penetrating wound of the chest without damage to internal organs, the question of fitness is decided after recovery. In case of diaphragmatic hernias with a tendency to strangulation or causing functional disorders of the esophagus and stomach and complicated by reflux esophagitis, a conclusion of unfitness is made. If the outcome of surgical treatment is favorable, the issue of flight (dispatcher) work is considered no earlier than 6 months after the operation.

The article includes diverticula, cicatricial changes, cardiospasm, acholasia of the cardia. If the outcome of surgical treatment of a diverticulum is favorable, the question of fitness for flight and dispatch work is considered no earlier than 6 months after the operation. Paragraph 33.2 is used for diverticula measuring no more than 2 - 2.5 cm, not retaining the contrast mass, not accompanied by diverticulitis and dysfunction of the esophagus.

Candidates for training and persons applying for flight (dispatcher) work at airlines, if they have postoperative scars on the abdominal wall, submit documents to the VLEK GA about the nature of the operation they underwent. After surgery for developmental anomalies, injuries to the abdominal organs, non-tumor diseases, including peptic ulcers, cholecystitis and cholelithiasis, acute and chronic pancreatitis, strangulation obstruction and intestinal volvulus, candidates for training and persons entering work in airlines are considered unfit.

With appendicular infiltration, aviation personnel are considered unfit. Restoration to work is possible only after surgical treatment.

If the outcome is favorable, admission to flight work (air traffic control work) and continuation of training is permitted within the following periods after the operation:

for penetrating wounds of the abdominal cavity without damage to internal organs, appendectomy for acute or chronic appendicitis, removal of Meckel's diverticulum, diagnostic laparotomy (if, according to the intraoperative audit, an in-depth examination or long-term conservative treatment is not indicated) - no earlier than 6 weeks;

for penetrating wounds with damage to internal organs, as well as diseases not complicated by peritonitis - no earlier than 4-6 months;

for injuries or diseases of the abdominal organs complicated by diffuse peritonitis - no earlier than 12 months.

In cases of adhesive disease, an unresolved cause of intestinal volvulus, and after surgery on the pancreas, aviation personnel cannot be reinstated.

A medical opinion after surgery for gastric ulcer, duodenal ulcer and its complications, cholecystectomy, splenectomy for a systemic disease is issued by the surgeon together with the therapist.

Abdominal wall hernias are subject to surgical treatment. Aviation personnel are allowed to work (train) no earlier than 5 - 6 weeks after the operation. For direct inguinal hernias with a diameter of up to 4 cm and the absence of pain, surgical treatment is allowed during the intercommission period. For umbilical hernias with a diameter of no more than 1 cm, the indication for surgical treatment is pain.

If an epithelial coccygeal tract with signs of acute inflammation is detected, as well as with a fistulous form in the cold period, surgical treatment is indicated. If treatment results are favorable, continuation of work (study) is permitted. In the surgical treatment of hemorrhoids, chronic paraproctitis, epithelial coccygeal tract, the issue of suitability is considered after recovery, but not earlier than 4 weeks after surgery; for rectal prolapse and anal sphincter insufficiency - no earlier than 6 months.

Frequent exacerbations of hemorrhoids are considered to be single exacerbations within 3 years in a row or more than 2 exacerbations within one year.

Perineal condylomatosis is considered according to clause 35.2 after consultation with a dermatovenerologist. For polyps and polyposis of the rectum, the requirements of Art. 31.

The article includes obliterating diseases of the arteries (endarteritis, atherosclerosis), atherosclerotic occlusions, aneurysms, varicose veins, thrombophlebitis, phlebothrombosis, postthrombophlebic disease, elephantiasis, consequences of vascular injuries and operations on them.

If the outcome of surgical treatment of post-traumatic arterial aneurysms is favorable, the decision on fitness for flight and dispatch work is made no earlier than 4-6 months after the operation based on the results of a clinical examination.

With varicose veins with signs of trophic disorders, circulatory decompensation, with thinning of the skin over the nodes with the threat of their rupture, aviation personnel are considered unfit.

The issue of admission to flight and dispatch work after surgical treatment of varicose veins of the lower extremities is resolved no earlier than 3 months after the operation. If varicose veins recur, flight attendants are considered unfit for work; the rest of the aviation personnel are subject to an individual assessment, taking into account the degree of circulatory disorder. In case of post-thrombophlebitis disease in the compensation stage, dispatchers are considered fit, the rest of the aviation personnel are considered unfit, regardless of the stage of the disease.

The issue of reinstatement to work after surgery on the kidneys, ureters, bladder and urethra is considered no earlier than 6 months after the operation. Mild impairment of parenchymal renal function, detected only by radioisotope testing, is not an obstacle to reinstatement to flight (controller) work under clause 37.2.

Flight personnel who have undergone nephrectomy or who have had a single kidney from birth are subject to an individual assessment depending on the state of their kidney function.

Nephroptosis of I - II degrees in the absence of violations related to clause 37.1 is not an obstacle to continuing flight work. In case of stage III nephroptosis, the flight crew is considered unfit, and an individual assessment is applied to air traffic controllers.

Flight attendants with grade III nephroptosis are considered unfit.

For all types of cryptorchidism (retained or ectopic testicle), a conclusion is made about unfitness for learning. Persons who have undergone testicular removal surgery (for abdominal retention, testicular descent, ectopia) are considered fit for training. Fitness for flight training after surgical treatment of cryptorchidism with testicular descent is determined no earlier than 6 months after the operation, provided that the testicle is in the scrotum and not at its root.

After surgery for hydrocele of the testicle, spermatic cord, cadets, flight crews and flight attendants are allowed to study (work) 5 - 6 weeks after the operation, dispatchers - after the end of their sick leave.

With moderate dilation of the veins of the spermatic cord (without a pronounced conglomeration of veins, their significant increase with abdominal tension), candidates for training are considered suitable. With the cephalic form of hypospadias, candidates for training, flight crews, dispatchers and flight attendants are considered fit.

In case of hydrocele of the testicle and spermatic cord, dilation of the veins of the spermatic cord, an individual assessment is provided for persons sent to work on polar expeditions and in countries with hot climates.

The article includes tuberculosis of the kidneys and genitourinary organs, pyelonephritis, cystitis, urethritis, prostatitis, urinary incontinence. In the active phase of tuberculosis, a decision is made about unfitness. In case of acute nonspecific inflammation, aviation personnel are subject to treatment. After treatment (conservative, surgical) tuberculosis of the testicle, epididymis and deregistration in the anti-tuberculosis dispensary, admission to flight (controller) work is permitted.

Aviation personnel who have undergone nephrectomy for tuberculosis are considered unfit.

In case of exacerbation of chronic nonspecific diseases more than twice a year or single annual exacerbations for three years in a row, aviation personnel are considered unfit.

Aviation personnel who have prostate stones without clinical manifestations are fit for flight (controller) work.

Those suffering from urinary incontinence are unfit for all counts.

When diagnosing urolithiasis, a clinical examination is indicated. If, according to his data, there are no morphological and functional changes in the urinary tract, clause 39.2 is applied. If renal function is impaired due to renal colic (with or without stone passage), aviation personnel are subject to treatment for up to 3 months, followed by a medical examination.

Aviation personnel treated with extracorporeal lithotripsy are allowed to work no earlier than 3 months after the operation.

: The numbering of paragraphs is in accordance with the official text of the document.

Skin and venereal diseases

Chronic recurrent eczema (including limited: in the area of ​​the auricle, hands, face, neck, genitals) serves as the basis for a conclusion of unfitness in all columns. For mild forms of eczema, aviation personnel should be treated. Aviation personnel with severe widespread forms of pyoderma, difficult to treat, turning into chronic microbial eczema, are considered unfit.

Candidates for flight schools and flight attendants with vitiligo of open areas of the body (face, neck, hands) and alopecia areata are not suitable for training.

The question of the suitability of aviation personnel under clause 42.2 is considered after recovery, taking into account the conclusion of a venereologist.

After recovery from acute and subacute gonorrhea, aviation personnel are recognized as fit. In case of complications (epididymitis, prostatitis, arthritis, inflammation of the uterine appendages), a medical certificate of suitability is issued according to the article corresponding to the disease.

Women's diseases and pregnancy

In case of chronic gynecological diseases with residual anatomical defects, functional disorders and pain syndrome or with frequent exacerbations of the inflammatory process (2 times a year or more), aviation personnel are considered unfit. In case of exacerbation of chronic diseases of the female genital area, treatment is indicated, after which observation is carried out for 2 menstrual cycles to resolve the issue of the persistence of remission (without removal from work).

Diseases of the cervix (erosion, endocervicitis, eroded ectropion), trichomonas colpitis, trichomoniasis are subject to treatment with the transfer of women to ground work through a clinical expert commission (CEC) for a period of up to three weeks. The examination of flight attendants is carried out without removal from flight work.

Adhesions in the pelvis, absence of the uterine body and appendages on one side, absence of fallopian tubes on both sides are not grounds for removal from work.

In case of prolapse and prolapse of the genital organs of the third degree, genitourinary and entero-genital fistulas, perineal ruptures with dysfunction of the anal sphincter, aviation personnel are considered unfit for work.

Prolapse of the walls of the vagina and uterus I - II degrees without functional disorders is not a basis for disqualification. Candidates and applicants for work as flight attendants are considered unfit. The issue of recovery after surgical treatment is considered no earlier than 6 months later. If the uterus is in an incorrect position, is underdeveloped, or has a bicornuate uterus with functional disorders (metrorrhagia, pain), a medical report of unfitness is issued.

Congenital absence of the uterus, absence and underdevelopment of the vagina, not accompanied by functional disorders, are not grounds for disqualification.

Dysfunctional uterine bleeding must be treated.

From the moment pregnancy is established, aviation personnel are recognized as unfit for flight, dispatch work, or to work as a flight attendant.

Today there is no professional standard for civil aviation pilots. This regulatory act is currently under development and, according to some sources, will be approved in the fall of this year. However, the requirements for aviation personnel are contained in Chapter 7 of the Air Code of the Russian Federation, as well as in Order of the Ministry of Transport of Russia dated July 31, 2009 No. 128, Order of the Ministry of Transport of Russia dated April 22, 2002 No. 50, Order of the Ministry of Transport of Russia dated September 12, 2008 No. 147 and others regulations.

Requirements for civil aviation pilots

According to paragraph 1 of Article 52 of the Civil Code of the Russian Federation, aviation personnel include persons who have professional training and carry out activities directly related to transportation, ensuring safety and servicing air transport. The list of aviation personnel specialists is contained in Order of the Ministry of Transport of Russia dated 08/04/2015 No. 240.

The RF Military Code provides the following requirements for aviation personnel, including pilots:

• pilots and other aviation specialists cannot have an outstanding or unexpunged conviction for committing an intentional crime;
• specialists must undergo preliminary and periodic medical examinations;
• Persons who have been subjected to administrative punishment for the use of narcotic and psychotropic substances without a doctor’s prescription, as well as those suffering from alcoholism and other mental disorders are not accepted for aviation personnel positions;
• availability of a certificate giving the right to perform flight functions, etc.

This is not a complete list of requirements; the rest are listed in other regulations, in particular in Decree of the Government of the Russian Federation dated August 6, 2013 No. 670.

The main document giving the right to work as a pilot is a flight certificate. To get it, you need to go through four lengthy and very expensive stages:

• receive specialized education;
• pass theoretical and practical exams;
• undergo a medical examination;
• fly the required number of hours.

Obtaining a flight certificate

Studying at a specialized university or school does not guarantee that a graduate will certainly become a pilot. Indeed, throughout their training, the highest demands are placed on cadets; they are subject to various tests and exams. This includes significant attention to physical and mental health. If the student manages to successfully complete the training, he becomes a candidate for a flight certificate.

The rules for conducting verification of persons applying for this document are regulated by Decree of the Government of the Russian Federation dated August 6, 2013 No. 670.

Theoretical exam

First of all, the candidate's knowledge is checked. It is carried out by a commission specially formed by the Federal Air Transport Agency. Its composition and formation procedure will be determined by Order of the Ministry of Transport of Russia dated February 10, 2014 No. 33.

Knowledge testing is carried out on the basis of requests from educational organizations, as well as the candidates themselves for obtaining a certificate. The exam takes the form of testing. For the knowledge test to be considered successfully completed, the examinee must answer at least 75% of the questions correctly. If the number of correct answers is less, then you can take the test again after at least 14 days.

Based on the results of the examination, a protocol is drawn up, which includes basic information about the candidate, the score received, the type of certificate for which the examinee is applying, as well as the date, place and time of the assessment. The document is certified by the signature of the chairman of the commission and a seal. The original of the protocol is handed over to the candidate, and a copy is sent to the authority issuing the certificate within 24 hours via electronic communication channels.

Testing practical skills

After passing the theoretical exam, the candidate must pass a practical skills test. It is carried out by a specialist authorized to conduct such checks on an aircraft of the modification that corresponds to the required type of certificate. Based on the results of the practical assessment, the candidate is issued a certificate containing information about the candidate, the examiner, the simulator or aircraft on which the test was carried out, the date, time and place of the assessment, and the type of certificate. This document is sent to the authority issuing the certificate via electronic communication channels within 24 hours.

VLEK for civil aviation pilots: requirements

The requirements imposed by VLEK for pilots are very strict. You can familiarize yourself with them in full in Order of the Ministry of Transport of Russia dated April 22, 2002 No. 50. All specialists involved in aircraft control, cabin crew, as well as applicants and cadets of educational institutions must undergo VLEK. Based on the results of the medical examination, a conclusion is issued, which is an integral part of the aviation personnel certificate.

A medical certificate for a civil aviation pilot has a validity period of 12 months.

As for the direct health requirements, all vital signs of the pilot must be normal or have some minor deviations. Attention is paid to all systems and organs, especially the cardiovascular, nervous, respiratory, and digestive systems. Appendix No. 3 to Order No. 50 of the Ministry of Transport of Russia dated April 22, 2002 contains a list of pathologies that are an obstacle to work in aviation.

VLEK for flight attendants: requirements

VLEK medical requirements for flight attendants are also contained in Appendix No. 3 to Order No. 50. Having studied them, we can conclude that somewhat more flexible requirements apply to flight attendants. However, persons with mental disorders, problems with the cardiovascular system, respiratory system and vestibular system cannot count on flying.

How many flights do you need to fly?

According to clause 4.3 of the Appendix to the Order of the Ministry of Transport of Russia dated September 12, 2008 No. 147, a commercial pilot must fly at least 200 hours or 150 hours during the preparatory course. Of them:

• 100 hours as pilot-in-command;
• 20 hours as a commander on routes of at least 540 km with stops at two airfields;
• 10 hours during the training process, of which no more than 5 hours on simulators;
• 5 hours at night as commander + 5 takeoffs and landings.

If you talk to flying pilots, sometimes it seems to an outsider that they all walk under the sword of Damocles called VLEK all their lives. VLEK are afraid, they swear at her, complain, someone is trying to deceive... And before submitting documents to a flight school, any applicant will also inevitably have to get acquainted with VLEK - the Medical Flight Expert Commission.

Why are such strict and severe requirements imposed on the health of flight personnel?

This is due to security requirements. Not the people responsible for safety, but the very safety of life, as well as the health of everyone in the aircraft and on the ground. The work of a pilot is associated with heavy loads, due to which the body wears out faster. Therefore, in order for a pilot to be able to work in the sky for as long as possible, at the very beginning of his career he must have impeccable health. Otherwise, he will one day endanger his life, the lives of the crew and passengers. The economic factor is also important: large amounts of money are invested in pilot training, which must be recouped; in addition, it is also undesirable to endanger expensive aircraft and their cargo.

That is why a separate branch appeared in medicine - aviation medicine. Research is being carried out, based on the results of which a certain set of requirements for the health of pilot candidates and pilots is drawn up. Using accumulated experience together with scientific developments, aviation doctors determine a list of pathologies and diseases, the presence of which closes or limits the path to heaven.

Health requirements

The severity of pilot health requirements is determined by their category and age. Applicants to flight schools, especially military ones, have to undergo the most severe medical examinations. A thorough medical examination is carried out before the start of studies, and then annually.

Applicants, together with cadets of all courses, except graduation, undergo VLEK in the first column. This means the most stringent requirements, in fact, impeccable health. Moreover, it should be remembered that the VLEK passed before admission is only the first of all. If health deteriorates during the year, the cadet may well be expelled from the school, even with excellent grades. Or they will offer to transfer to other specialties not directly related to flights. Even slightly impaired vision or a broken nose in a fight can cause loss of permission to fly.

Final year cadets of a flight school undergo VLEK in the second column, which somewhat reduces the health requirements.

Health defects unacceptable for admission to flight school

A verdict of unfitness is issued if:

Pregnancy and the postpartum period, as well as chronic cycle disorders, may prevent girls from obtaining a fitness certificate.

An applicant can receive a referral to VLEK if he has received a mark of fitness for military service without restrictions from the military registration and enlistment office. In this case, you will need to issue a medical certificate 086 of the general standard, the results of an examination from local drug treatment and psychoneurological dispensaries, and present all this to the admissions committee along with a military ID. You should immediately take into account that when applying to Russian flight schools, there are restrictions on height and minimum age:

• height: from 160 to 190 cm, sitting height - no more than 95 cm
• age at least 18 years

Before being examined by specialists, you will need to undergo tests, as well as be tested on your level of physical fitness. Only after receiving the results can you go to the doctors. In addition to the results of laboratory tests, it is necessary to take an x-ray of the sinuses, an encephalogram and an ECG.

Then specialists will take on the applicant. The most thorough examinations will have to be done by an ophthalmologist and an ENT doctor. In addition to them, the candidate cadets will be examined and tested:

• surgeon
• dermatovenerologist
• therapist
• neurologist
• dentist
• girls will have to visit a gynecologist

If at least one of the doctors discovers a defect that is incompatible with flight activities, the applicant receives a certificate of unsuitability and further examination is stopped.

If the VLEK renders a “Pass” verdict, after 3 days the applicant will go to a psychologist, and only after a psychological examination can the ordeal be considered completed.

Conditions for passing VLEK

It is not necessary to undergo VLEK directly at the place of admission. The Ministry of Transport of the Russian Federation has created a certification system for medical institutions throughout Russia. You can undergo VLEK together with psychological testing in any institution that has a license to carry out medical flight examination activities. Subsequently, the obtained conclusions are approved by the VLEK of the school.

If an applicant has received a conclusion that he is unsuitable for training in the flying specialty, but does not agree with the medical opinion, he can challenge the decision of the regional VLEK in the Central Medical Flight Commission in Moscow.

Terms and cost of passing the commission

As a rule, everything takes about 3 days:

1. Get tested and take x-rays
2. Get results
3. Be examined by medical specialists and wait for the conclusion to be issued

After 3 days, subject to a positive verdict, you can be examined by a psychologist.

The cost depends on local conditions and usually ranges from 1500-8000 thousand rubles.

How to prepare for a medical examination

Many health defects can be corrected if addressed in advance. And if a preliminary examination reveals diseases that do not allow you to enroll in a flying specialty, you can save your own time and not bang your head against the impenetrable wall of an uncompromising VLEK in a vain attempt to convince doctors of your fitness to fly. Instead, it is worth improving your health as much as possible, so that you can then try to get another category, with less strict tolerances. And then, already having certain achievements and experience behind you, make another attempt. VLEK requirements for already flying pilots are somewhat softer than for pilot candidates. In any case, a working pilot will not have to undergo a commission under the most severe 1st column, and 2nd column is not so strict.

In any case, it is worth getting treatment from a dentist in advance, being examined by an ENT specialist, visiting a dermatologist, and then having a cardiogram done. A detailed blood test wouldn't hurt either.

Until recently, the first column required applicants to have 100% vision without correction, but now flight cadets are allowed vision of up to 0.8 without correction (1 with correction). You should consult your local VLEK department about the advisability of surgical vision correction.

All health requirements, a list of permissible and disqualifying deviations are specified in the Federal Aviation Rules of Civil Aviation. If medical terminology does not seem like Chinese literacy, you can understand the intricacies in advance and assess your chances of passing the commission.

How to stay healthy

Pilots are exposed to a variety of hazards. This list includes:

• nervous tension
• physical activity and overload during takeoffs and landings
• exposure to vibration, noise
• frequent changes in climate and time zones
• lack of physiologically acceptable diet and rest, night work and long periods of stress

Because of this, health deteriorates noticeably faster than that of “ground” citizens. To maintain excellent health, you must not avoid regular medical appointments and be attentive to your well-being. It is much easier to stop any disease at its very beginning. It is absolutely necessary to play sports and provide yourself with physical training in reasonable quantities. You need to try to eat right, rest well, and not deny yourself health treatments and positive emotions. In order not to try to deceive the medical commission, if any ailment appears, the lack of treatment can lead to a catastrophic deterioration of the condition and irreparable damage.

Registration N 35128

In accordance with Articles 52 and 53 of the Federal Law of March 19, 1997 N 60-FZ "Air Code of the Russian Federation" (Collection of Legislation of the Russian Federation, 1997, N 12, Art. 1383; 1999, N 28, Art. 3483; 2004 , N 35, Art. 3607, N 45, Art. 4377; 2005, N 13, Art. 1078; 2006, N 30, Art. 3290, 3291; 2007, N 1 (part 1), Art. 29, N 27, Article 3213, No. 46, Article 5554, No. 49, Article 6075, No. 50, Articles 6239, 6244, 6245; 2008, No. 29 (part 1), Article 3418, No. 30 (part. 2), Article 3616; 2009, No. 1, Article 17, No. 29, Article 3616; 2010, No. 30, Article 4014; 2011, No. 7, Article 901, No. 15, Article 2019, 2023, 2024, No. 30 (part 1), Article 4590, No. 48, Article 6733, No. 50, Article 7351; 2012, No. 25, Article 3268, No. 31, Article 4318, No. 53 (Part 1 ), Art. 7585; 2013, N 23, Art. 2882, N 27, Art. 3477; 2014, N 16, Art. 1830, 1836, N30 (part 1), Art. 4254, N 42, Art. 5615 ) I order:

Introduce into the order of the Ministry of Transport of the Russian Federation dated April 22, 2002 N 50 “On approval of the Federal Aviation Rules “Medical examination of flight, dispatch personnel, flight attendants, cadets and candidates entering civil aviation educational institutions” (registered by the Ministry of Justice of Russia on May 7, 2002 ., registration N 3417) as amended by orders of the Ministry of Transport of Russia dated April 28, 2003 N 125 (registered by the Ministry of Justice of Russia on July 8, 2003, registration N 4879), dated November 1, 2004 N 27 (registered by the Ministry of Justice of Russia on November 22 2004, registration N 6129), dated September 19, 2012 N 350 (registered by the Ministry of Justice of Russia on February 13, 2013, registration N 27043), changes in accordance with the appendix to this order.

Minister M. Sokolov

Application

Changes made to the order of the Ministry of Transport of the Russian Federation dated April 22, 2002 N 50

1. In the preamble of the order of the Ministry of Transport of the Russian Federation dated 04/22/2002 N 50 “On approval of the Federal Aviation Rules “Medical examination of flight, dispatch personnel, flight attendants, cadets and candidates entering civil aviation educational institutions” (registered by the Ministry of Justice of Russia on 05/07/2002, registration N 3417) as amended by orders of the Ministry of Transport of the Russian Federation dated 04/28/2003 N 125 (registered by the Ministry of Justice of Russia on 07/08/2003, registration N 4879), dated 11/01/2004 N 27 (registered by the Ministry of Justice of Russia on 11/22/2004, registration N 6129) , dated September 19, 2012 N 350 (registered by the Ministry of Justice of Russia on February 13, 2013, registration N 27043), the words “In accordance with Article 53 of the Federal Law of March 19, 1997 N 60-FZ “Air Code of the Russian Federation” (Collection of Legislation of the Russian Federation , 1997, N 12, Art. 1383), subparagraphs 75 and 96 of paragraph 8 of the Regulations on the Ministry of Transport of the Russian Federation, approved by Decree of the Government of the Russian Federation of December 30, 2000 N 1038 (Collection of Legislation of the Russian Federation, 2001, N 3, Art. 235)" replace with the words "In accordance with Article 52 of the Federal Law of March 19, 1997 N 60-FZ "Air Code of the Russian Federation" (Collection of Legislation of the Russian Federation, 1997, N 12, Art. 1383; 1999, N 28, Art. 3483 ; 2004, No. 35, Article 3607, No. 45, Article 4377; 2005, No. 13, Article 1078; 2006, No. 30, Article 3290, 3291; 2007, No. 1 (part 1), Article 29 , N 27, Art. 3213, N 46, Art. 5554, N 49, Art. 6075, N 50, Art. 6239, 6244, 6245; 2008, N 29 (part 1), Art. 3418, N 30 ( Part 2), Article 3616; 2009, No. 1, Article 17, No. 29, Article 3616; 2010, No. 30, Article 4014; 2011, No. 7, Article 901, No. 15, Article 2019, 2023, 2024, N 30 (part 1), Article 4590, N 48, Article 6733, N 50, Article 7351; 2012, N 25, Article 3268, N 31, Article 4318, N 53 (part 1), Art. 7585; 2013, N 23, Art. 2882, N 27, Art. 3477; 2014, N 16, Art. 1830, 1836), N 30 (part 1), Art. 4254, N 42, art. 5615)".

2. In subparagraph 6 of paragraph 1, paragraph 13, subparagraph 3 of paragraph 14, subparagraph 4 of paragraph 15, subparagraph 10 of paragraph 15 of the FAP MO GA - 2002, replace the words “amateur pilot” in the appropriate cases with the words “private pilot” in the appropriate cases, the words “pilot of ultra-light aircraft” in the appropriate cases shall be replaced with the words “pilot of ultra-light aircraft” in the appropriate cases.

4. Clause 3 should be stated as follows:

"3. Validity period of the medical certificate:

1) a first class medical certificate is valid for a period not exceeding 12 months.

When holders of an airline line pilot license (airplane, helicopter) and a commercial pilot license (airplane, airship, helicopter) performing commercial air transportation of passengers on airplanes flown by a single pilot are persons over 40 years of age, the validity of the medical certificate is reduced to six months .

When holders of an airline pilot license (airplane, helicopter), commercial pilot license (airplane, airship, helicopter) and multi-crew pilot license (airplane) engaged in commercial air transport reach the age of 60, the validity of the medical certificate is reduced to six months ;

2) a second class medical certificate is valid for a period not exceeding 60 months.

For holders of private pilot licenses (airplane, airship, helicopter), free balloon pilot licenses, glider pilot licenses, ultralight pilot licenses, observer pilots, parachutists, flight attendants, flight operators and flight dispatchers over 40 years of age, the validity of the medical certificate is reduced to 24 months;

3) a third class medical certificate is valid for a period not exceeding 48 months.

For air traffic controller license holders over 40 years of age, the validity period of the medical certificate is reduced to 24 months; for those over 50 years of age, the validity period of the medical certificate is reduced to 12 months;

4) the validity periods indicated above are established taking into account the age of the candidate at the time of the medical examination."

5. In the note to paragraph 7, the words “by decision of the chairman of VLEK GA (TsVLEK GA), agreed with the head of the department of aviation medicine and occupational safety of the Directorate of Personnel and Educational Institutions of Civil Aviation of the Ministry of Transport of Russia,” should be replaced with the words “by recommendation of the operator’s management, agreed with the chairman VLEK GA (TsVLEK GA), Head of the Interregional Territorial Air Transport Directorate of the Federal Air Transport Agency."

6. Subclause 3 of clause 9 should be stated as follows:

“The procedure for the formation and work of the central medical flight expert commission, medical flight expert commissions, medical experts, as well as the requirements for members of these commissions and medical experts are established by the Ministry of Transport of the Russian Federation;.”

7. In paragraph 11:

1) subparagraph 2 should be stated as follows:

"2) members of the aircraft crew, air traffic controllers present to the VLEK GA a military ID (for persons whose military ID is required in accordance with the legislation in the field of military duty and military service) and documents on their state of health (medical record, outpatient card or extract from it;";

2) paragraph two of subclause 10 should be stated as follows:

“In addition, commercial and line pilots of airlines, upon reaching the age of 55 and 60 years, undergo a mandatory medical examination in the inpatient conditions of the Central Clinical Hospital of Civil Aviation (according to Appendix No. 5), followed by examination at the Central Medical Examiner’s Center of Civil Aviation.

After pilots reach 60 years of age, a medical examination in an inpatient setting by the Central Clinical Hospital of Civil Aviation is carried out annually."

8. In paragraph 12:

1) subparagraph 1 shall be deleted;

2) subparagraph 2 should be stated as follows:

"2) candidates provide to the VLEK GA a medical certificate in form 086/u; a military ID or a certificate of a citizen subject to conscription for military service (for those liable for military service); medical reports of a psychiatrist and a psychiatrist-narcologist and dermatovenerologist; test results for HIV infection, hepatitis B and C, RW."

9. Subclause 3 of clause 14 after the word “flight attendants,” add the words “flight dispatchers.”

10. Subparagraphs 3 and 9 of paragraph 15 after the words “air traffic controller” should be supplemented with the words “flight dispatcher”.

11. Paragraph 17 shall be supplemented with the second paragraph as follows:

“Under the articles of the Requirements that provide for unfitness for flight work (air traffic control, training), the Central Aircraft Inspectorate of the Civil Aviation Authority issues an official medical report 1 on fitness with a note in the Medical report:

1) valid for.... months;

2) fit as a co-pilot;

3) fit as part of a multi-member crew;

4) suitable for this type of aircraft;

6) good only without passengers."

12. Paragraph 42 should be stated as follows:

"42. Based on the results of the medical examination for the current year, the doctor of the aviation enterprise draws up a final report based on the results of the medical examination of the flight crew, air traffic controllers, flight attendants, flight operators and general aviation pilots (Appendix No. 13), which is approved by the chairman of the VLEK GA and sent to the head of the enterprise ( to the head of the service) no later than February 10 of the year following the reporting year.

Medical examinations carried out during the medical examination of aviation personnel upon hiring (training), during regular medical examinations, and medical examinations carried out during the inter-commission period belong to the categories of preliminary (upon hiring) and periodic medical examinations."

13. In subclause 3 of clause 46, the words “and other specialists performing work on board the aircraft” should be deleted.

14. In Appendix No. 1 to FAP MO GA - 2002, replace the words “State Civil Aviation Service of the Ministry of Transport of Russia” with the words “Federal Air Transport Agency”.

15. In Appendix No. 3 to FAP MO GA - 2002:

1) clause 12.1 after the word “asthenization” is supplemented with the words “and signs of activity of the pathological process”;

2) in Column I of clause 50.3, the words “unfit; fit for flight engineers, dispatchers, flight attendants” should be replaced with the word “fit”;

3) Column I of paragraph 52 should be amended as follows:

"Candidates for training in the specialty of pilot, navigator, flight engineer (flight mechanic) and cadets studying in these specialties are suitable with visual acuity of 0.8 in each eye without correction, with correction of 1.0; in the specialty of air traffic controller - 0.3 per each eye without correction, with correction 1.0; flight attendants - 0.3 for each eye without correction, with correction 1.0";

4) column II of paragraph 52 should be stated as follows:

"Pilots are fit with visual acuity of 0.5 in each eye without correction, with correction of 1.0 (with visual acuity of 0.4 in the worse eye, with correction of 1.0 - individual assessment); navigators, flight engineers (flight mechanics) - 0.3 for each eye without correction, with correction 1.0";

5) column III of paragraph 52 should be stated as follows:

"Flight radio operators, parachutists, private pilots, glider pilots, free balloon pilots, pilots of ultralight aircraft are fit with visual acuity of 0.3 in each eye without correction, with correction 0.8; flight attendants, flight operators, pilot observers - 0.1 for each eye without correction, with correction 0.8";

6) Column I of paragraph 53 should be amended as follows:

"Suitable for training as pilots, navigators, flight engineers (flight mechanics) with myopia not exceeding 1.0 diopters, farsightedness not exceeding 2.0 diopters, astigmatism 0.75 diopters, anisometropia not exceeding 1.0 diopters; for dispatchers - with myopia and farsightedness no higher than 2.0 diopters, astigmatism 1.5 diopters, anisometropia no higher than 1.0 diopters; flight attendants - with myopia and farsightedness no higher than 3.0 diopters, astigmatism 2.0 diopters";

7) Column II of paragraph 53 should be amended as follows:

“Suitable for myopia and farsightedness not exceeding 3.0 diopters, astigmatism not exceeding 2.0 diopters, anisometropia not exceeding 2.0 diopters”;

8) Column III of paragraph 53 should be stated as follows:

"Eligible are flight radio operators, parachutists, private pilots, glider pilots, free balloon pilots, pilots of ultralight aircraft with myopia and farsightedness not exceeding 5.0 diopters, astigmatism 2.0 diopters, anisometropia not exceeding 2.0 diopters; flight attendants, flight operators, pilot observers - with myopia not exceeding 5.0 D, farsightedness not exceeding 4.0 D, astigmatism not exceeding 2.5 D, anisometropia not exceeding 2.0 D";

9) clause 63.1 should be stated as follows:

"63.1. Increase in hearing thresholds for each ear separately by more than 35 dB at any of the frequencies of 500, 1000, 2000 Hz; and/or more than 50 dB at 3000 Hz. Spoken speech less than two meters for each ear separately";

10) clause 63.2 shall be stated as follows:

"63.2. Increase in hearing thresholds for each ear separately by 35 dB or less at any of the frequencies of 500, 1000, 2000 Hz; and/or 50 dB and less than 3000 Hz. Spoken speech two meters or more in each ear separately."

16. In Appendix No. 5 to FAP MO GA -2002:

1) paragraph four of paragraph 6 after the word “whispered” should be supplemented with the word “spoken”;

2) paragraph seven of clause 6 after the words “flight personnel” should be supplemented with the words “and air traffic controllers”, the words “5 years” should be replaced with the words “4 years”;

3) paragraph two of paragraph 9 should be supplemented with the words “as well as for cadets (students) with a break in studies of more than four months”;

4) paragraph seven of clause 9 should be deleted;

5) paragraph 9 is supplemented with a paragraph as follows:

“The scope of psychological examination is regulated by the manual on psychological support for the selection, training and professional activities of flight and dispatch personnel of civil aviation.”;

6) subclause 10.5 after the word “cytological” is supplemented with the words “and bacteriological (for flora)” further in the text;

7) subclause 10.6 should be stated as follows:

"10.6. Blood tests for syphilis (by the express method with blood sampling from a finger), HIV infection, hepatitis B and C are carried out: for candidates entering civil aviation educational institutions, cadets, aviation personnel - upon admission to work, as well as after medical indications; PSA - from the age of 40 - once every three years, and upon reaching the age of 50 - annually, as well as for medical reasons; specific tumor marker (CA-125) for women after 40 years at the next medical examination." ;

8) in subclause 10.7, replace the words “territorial health authorities” with the words “in the prescribed manner”;

9) subclause 10.8 should be stated as follows:

"10.8. Express testing for the presence of narcotic drugs, psychotropic and other toxic substances and their metabolites in the body is carried out for candidates entering civil aviation educational institutions for training as a pilot, air traffic controller, flight attendant, cadets (students) of civil aviation educational institutions, aviation to personnel during the next medical examination at VLEK GA.";

10) clause 11 is supplemented with subclause 11.3 in the following wording:

"11.3. Women over the age of 40 undergo mammography or ultrasound of the mammary glands once every two years.";

11) in paragraph two of clause 15, delete the words “total protein and protein fractions, C-reactive protein”, replace the words “cholesterol, alpha-cholesterol, triglycerides” with the words “lipid spectrum”;

12) paragraph four of paragraph 15 should be supplemented with the words “great vessels of the head (DS MAG)”;

13) paragraph five of clause 15 should be deleted;

14) paragraph 16 should be stated as follows:

"16. The scope of examination of general aviation pilots includes: chest fluorography, ECG, clinical blood test, general urine test, blood sugar test, and upon reaching 50 years of age - biochemical blood test, DS MAG.

During the initial medical examination, an EEG and audiometry are additionally performed.";

15) add clause 17 in the following wording:

"17. Additional medical studies are carried out if there are medical indications."

17. In Appendix No. 6 to FAP MO GA - 2002:

1) paragraph one of Article 27 shall be stated as follows:

“The anthropometric indicators of a candidate for pilot training must correspond to the ergonomic conditions of the aircraft cabin”;

2) Article 42 shall be supplemented with a paragraph as follows:

“Assessment of the fitness for flight work of pilots with a seropositive reaction to the human immunodeficiency virus (HIV) is carried out by the Central Medical Examiner’s Center after an in-depth medical examination in a hospital setting.

Acquired immunodeficiency syndrome (AIDS) is grounds for unfitness. In case of virus carriage, the TsVLEK GA, based on the results of a medical and psychological examination, can make a conclusion on suitability. The criteria for suitability for flight work for pilots with a seropositive reaction to the human immunodeficiency virus (HIV) are: asymptomatic infection (virus carriage), absence of a specific HIV symptom complex, acceptable indicators of immune status (quantitative indicators of CD4+ T cells), absence of HIV-associated (opportunistic) diseases, lack of indications for taking antiretroviral drugs";

3) paragraph eight of Article 48 should be stated as follows:

“After photorefractive surgery for refractive errors in all columns, they are considered valid one month after surgery in the absence of changes in the optical media and in the retina of the eye.”;

4) Article 63 should be stated as follows:

“Candidates entering civil aviation educational institutions, and ground crew entering flight work as a flight engineer, flight mechanic, flight radio operator, must perceive whispered speech from a distance of at least six meters and have hearing thresholds corresponding to age norm thresholds across the entire frequency range during audiometry.

When determining auditory function, research methods are used: acumetry (whispered and spoken speech), tuning fork testing, tone threshold audiometry, speech audiometry, otoacoustic emission, short-latency auditory evoked potentials, impedance measurement.

An isolated increase in thresholds for frequencies of 4000-8000 Hz to 30-40 dB does not serve as a basis for establishing a clinical diagnosis. A subject with an increase in hearing thresholds above those specified in paragraph 63.1 of Appendix No. 3 to the FAP MO GA - 2002 can be recognized as fit, provided that he has normal hearing acuity when conducting speech audiometry in a background noise that reproduces or simulates normal noise in the aircraft cabin , which is superimposed on speech and beacon signals, or the noise of the air traffic controller's workplace (speech intelligibility test). It is important that the background noise be representative of the cabin noise of the type of aircraft for which the examinee's certificate and ratings are valid. As an alternative, a practical hearing test can be carried out during training on an aircraft simulator of the type for which the certificate and ratings on the examinee's certificate are valid (two-way radio communication act).

Persons from among the aviation personnel with sensorineural hearing loss of noise etiology, if it is established that they have a partial or complete loss of professional ability to work, are considered unfit.

Flight personnel with sensorineural hearing loss are not allowed to increase the duration of flight time beyond that established by regulatory legal acts regulating the peculiarities of work and rest of civil aviation crew members."

18. In Appendix No. 14 to FAP MO GA - 2002:

1) in paragraph two of paragraph 1, replace the word “paramedic” with the words “specialist with secondary medical education”;

2) in subclause 1.3 the words “aviation personnel included in the flight assignment” should be deleted;

3) subclause 1.6 should be stated as follows:

"1.6. If the departure is delayed by six hours or more, or if the time interval between two parts of the flight shift, divided into parts, is six hours or more, the pre-flight medical examination is carried out again.";

4) in subparagraph 1.11 the words “The flight director is the last to undergo a medical examination and ensures timely attendance at the pre-shift medical examination of the personnel of the entire ATC shift.” exclude;

5) subclause 1.14 should be deleted;

6) in subparagraph 1.17, delete the words “aviation specialists participating in the flight”;

7) subclause 2.2 is supplemented with a paragraph as follows:

“Rapid testing is carried out selectively for the presence of narcotic drugs, psychotropic and other toxic substances and their metabolites in the body.”;

8) in paragraph three of subclause 3.1, the words “aviation specialist participating in the flight” should be deleted;

9) in subclause 3.2, delete the words “and aviation personnel”;

10) in subclause 3.5, replace the words “Department of Aviation Medicine and Occupational Safety and Health of the Personnel Management and Educational Institutions of Civil Aviation of the Ministry of Transport of Russia” with the words “Flight Operations Directorate of the Federal Air Transport Agency”.

1 Chapter 1 of Appendix 1 “Issue of certificates for aviation personnel” to the Convention of International Civil Aviation (concluded in Chicago on 12/07/1944). Tenth edition, 2006, International Civil Aviation Organization.