4. Medical fitness

All pilots must periodically demonstrate medical fitness to satisfactorily execute their functions, taking into account the type of activity. Compliance must be shown by appropriate assessment based on aero-medical best practice, taking into account the type of activity and the possible mental and physical degradation due to age. Medical fitness, comprising physical and mental fitness, means not suffering from any disease or disability, which makes the pilot unable: to execute the tasks necessary to operate an aircraft; or to perform assigned duties at any time; or to perceive correctly his/her environment. Where medical fitness cannot be fully demonstrated, mitigation measures that provide equivalent flight safety may be implemented. An aero-medical examiner must: be qualified and licensed in the practice of medicine; have received training in aviation medicine and regular refresher training in aviation medicine to ensure that assessment standards are maintained; have acquired practical knowledge and experience of the conditions in which pilots carry out their duties. Aero-medical centres must meet the following conditions: have all the means necessary for the scope of responsibilities associated with their privileges. These means comprise, but are not limited to, the following: facilities, personnel, equipment, tools and material, documentation of tasks, responsibilities and procedures, access to relevant data and record-keeping; implement and maintain a management system relating to safety and the standard of medical assessment, and aim for continuous improvement of this system; establish arrangements with other relevant organisations, as necessary, to ensure continuing compliance with these requirements.

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Source: EUR-Lex (Cellar) · retrieved 2026-10-29 · Text as adopted (Official Journal); later amendments are not incorporated in this text.