The below disqualifying
conditions are in addition to the disqualifying conditions listed in
Medical Accessions Medical Guide. Unlike medical waivers
to join the military, medical waivers for aviation duty are much harder
to come by.
a. Initial and subsequent
medical certification of Class 3 aircrew is conducted according to
this regulation, and APLs and ATBs issued by the Aviation Medicine
b. The attending
FS makes the final determination of fitness for Class 3 flying duties
with the exception of the following conditions that require submission
of an Aeromedical Summary to the Aviation Medicine Approving Authority
for final aeromedical review and disposition:
abuse or dependence; requires PERSCOM or NGB waiver.
(2) Type II decompression
(3) Coronary artery
disease, suspected or proven.
(4) HIV seropositivity.
(Civilian employees: Normally, neither applicants for employment nor
current employees may be required to be tested for the presence of
the HIV antibody. Civilian employees are not disqualified based solely
on the presence of the HIV virus. See AR 600–110 and ATB 2, Army
Flight Surgeon’s Administrative Guide.)
c. The FS will utilize
the following guidelines for Class 3 waiver/suspension recommendations:
(1) Class 3 aircrew
with a major physical or psychological disqualification will be recommended
for suspension from flying duties. Other disqualifications may be waived
for flying duties. The FS will take into consideration the operational
duties and responsibilities of Class 3 aircrew before recommending
a waiver/suspension action to the aviation unit commander. Questionable
cases will be referred to the Aviation Medicine Approving Authority.
(2) A major physical
or psychological defect in the operational aviation environment is
defined as any defect that will—
Interfere with duties requiring visual or auditory acuity, speech
clarity, dexterity, or adequate range of motion.
(b) Interfere with
aviation life support equipment, or use of controls at their duty
(c) Reduce the ability
to withstand rapid changes in atmospheric pressure
or forces of acceleration.
(d) Increase the
risk of sudden incapacitation, compromising personal health, aviation
safety, mission completion,
(e) Require medications
or treatments that compromise flight safety or deployability.
d. The local aviation
unit commander or civilian waiver authority, as appropriate, will grant
or deny the aeromedical recommendation for waiver or suspension.
Flight Class Medical Examinations are:
1 - Warrant Officer Aviation Duty Applicants
Class 1A - Commissioned Officer Aviation Duty Applicants
Class 2 - Current Aviators, Current Student Aviators, and Previous
Aviators Returning to Aviation Service
Class 2F - Flight Surgeons, Including Those in Flight Surgeon Training
Class 2S - MOS 13F, Assigned to Aerial Fire Support Observer Duty
Class 3 - Non Rated Soldiers who Participate in Regular Flights (Crew
Chiefs, Gunners, UAV Operators, etc.)
Class 4 -
Air Traffic Control
Army Regulation 40-501, Standards of Medical Fitness