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Army Aviation Medical Standards
Medical standards for Class 3 personnel
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The below disqualifying conditions are in addition to the disqualifying conditions listed in the Military 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 Approving Authority.

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:

(1) Alcohol/drug abuse or dependence; requires PERSCOM or NGB waiver.

(2) Type II decompression sickness.

(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—

(a) Interfere with duties requiring visual or auditory acuity, speech clarity, dexterity, or adequate range of motion.

(b) Interfere with wearing aviation life support equipment, or use of controls at their duty station.

(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, or deployability.

(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 Classes

Specific Flight Class Medical Examinations are:

Class 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

Derived from Army Regulation 40-501, Standards of Medical Fitness

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