d Air Space Use
Agreement.


1.

INTRODUCTION
1.1

The system of medical support of flights in the Contracting States of the Civil Aviation
and Air Space Use Agreement was developed in the period of the USSR existence and has shown its
efficiency.
1.2

Taking into account the urgency of the problem and necessity to improve the level of
medical support of civil flight operations to meet the modern requirements, the Contracting States of the
Agreement have accepted aviation rules on medical support of civil aviation flights.
2.

MEDICAL SUPPORT OF FLIGHTS IN THE
CONTRACTING STATES OF THE CIVIL AVIATION
AND AIR SPACE USE AGREEMENT
2.1

The medical support of flights in the Contracting States of the Civil Aviation Agreement
is a system of measures aimed at preservation and strengthening of health, increasing work efficiency of

1
English and Russian versions provided by IAC DGCA/06-IP/17


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aviation personnel and prevention of aviation accidents and incidents associated with health conditions of
flight crew members or air traffic controllers.
2.2

Medical support of flights includes:
a)

the medical support of flights in the Contracting States of the Civil Aviation
Agreement is a system of measures aimed at preservation and strengthening of
health, increasing work efficiency of aviation personnel and prevention of aviation
accidents and incidents associated with health conditions of flight crew members or
air traffic controllers;
b)

periodical medical examination of aviation specialists by the doctor (quarterly) and
medical preventive actions;
c)

preflight medical examination of flight crew members and pre-shift examination of
air traffic controllers;
d)

aircraft manufacturers in close interaction with the aviation administrations shall
carry out effective following of aircraft operations;
e)

organization and rendering medical aid to the passengers at the airport; and
f)

maintaining airborne passenger first aid kits to render medical assistance to the
passengers during the flight.
2.3

Medical support of flights in the Contracting States of the Civil Aviation Agreement is
carried out by the civil aviation medical establishments of these countries.
2.4

The civil aviation medical establishments, which are directly carrying out the medical
support, correspond to the medical establishment of the Ministry of Public Health or appropriate State
body on public health service of the Contracting States of the Agreement.
2.4.1

These establishments include:
a)

aviation medical centers (preventive treatment establishment);
b)

medical unit or polyclinic of an aviation enterprise;
c)

aviation outpatients department; and
d)

first aid station for preflight (pre-shift) medical examination and rendering medical

aid to the passengers.
2.5

The structure of the Civil Aviation Authority of the Contracting-States of the Agreement
includes an aviation medical department or medical service which works on behalf of the Civil Aviation
Authority in the part of their concern.
2.6

The civil aviation medical establishments subordinate on medical questions to the
Department of Aviation Medicine (aviation medical service) of the Civil Aviation Authority and
cooperate with other divisions of the Civil Aviation Authority in the part of their concern. DGCA/06-IP/17


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2.7

The civil aviation medical establishment has the Regulation which was worked out in
accordance with valid legislative and normative legal documents of the International Civil Aviation
Organization (ICAO), Joint Aviation Regulations (JAR), Interstate Aviation Committee (IAC), Civil
Aviation Authority, the Ministry of Public Health or appropriate State body of public health, the State
Sanitary Epidemiological Control of the Agreement in the part of its concern. The out-patients department
of the aviation enterprise carries out measures connected with medical support.
2.8

The airport medical service is established for preflight medical examination of flight crew
members, pre-shift examination of air traffic controllers (ATC) and includes rendering medical aid to the
passengers of aircraft in case of accident in the territory of the Contracting States of the Agreement.
2.9

Aviation medical arrangements will be carried out by the heads of medical establishments
of civil aviation, ATEC experts-doctors, doctors of the aviation enterprise (airport, airline, ATC, etc.),
airport medical service to render aid to passengers and to render preflight (pre-shift) medical examination
including nursing medical personnel as well.
2.10

A doctor must have a diploma confirming graduation from the State Medical Institute, the
medical faculty, certificate of the specialist on a certain profile (therapy, surgery, neurology,
ophthalmology, otolaryngology), certificate of training for aviation medicine issued by the medical
educational institution, having the license to conduct educational activities and State accreditation. The
training of the doctor on the basis of medical specialty and aviation medicine is carried out not less than
one time every five years.
2.11

The medical nursing personnel (doctors assistant, medical nurse) should have a diploma
about finishing the State secondary medical educational institution and preparation on aviation medicine
(under the special program).
2.12

Certification of the civil aviation medical personnel qualifications is carried out in
conformity with the valid normative documents of the Ministry of Public Health of the appropriate State
public health body of the Contracting States of the Agreement or by the Interstate Aviation Committee.
2.13

The doctors, carrying out medical support flights, are familiar practically with the
conditions of professional activities of aviation specialists, meals, rest of the flight crew members,
behavior of work and working hours of flight crew members, air traffic controllers and cabin crew. They
study and analyze the condition of their health, the reasons for accidents and incidents connected with the
condition of flight crew members or air traffic controllers health.
2.14

The basis of medical support is medical examination of the health of aviation personnel
which is carried out with the purpose to reveal persons with some declinations connected with their
health or reduction of work capacity performance which prevents or makes it difficult to fulfill their
professional duties and may lead to decreasing aviation safety. The determination of health curative and
rehabilitation is necessary. The medical examination of students health at the educational institution of
civil aviation is carried out on the basis of the valid normative documents.
2.15

The State Sanitary Epidemiological Control of the Contracting States of the Agreement
has under its control working conditions, rest, feeding of aeronautical personnel and development of
legislative sanitary - hygienic documents on air transport. DGCA/06-IP/17


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2.16

In case of accidents, the participation of the Civil Aviation Medical Department in
organizing and conducting search and rescue work is determined by the ICAO Recommendation and by
the normative documents which are valid in the Contracting States of the Agreement.
2.17

Certification of aviation medical personnel, requirements on the conditions of health and
issuance of a Medical Certificate/Medical Conclusion are determined either by national normative
documents of the Contracting States of the Agreement, agreed with the Ministry of Public Health or by a
corresponding State body of public health and Ministry of Justice, approved and put into effect by the
Civil Aviation Authority of the Contracting-States of the Agreement, or by ICAO, JAR, IAC normative
documents entered into force in the prescribed manner of the Contracting-States of the Agreement.
2.18

The Aviation Medical Expert Commission and Central Aviation Medical Expert
Commission carry out medical examinations of aviation personnel in accordance with the status approved
by the Civil Aviation Authority of the Contracting States of the Agreement.
2.19

The main task of the medical examination for the inter-commission period is to control
aviation specialists health conditions and realize measures directed to preservation and strengthening of
their health and increase their professional capabilities. The medical examination provides periodic
(clinical examination) and extraordinary medical examinations. The schedule and scope of extraordinary
medical examinations are determined by the requirements stated on the documents which are approved by
the Contracting States of the Agreement.
2.20

The dynamic examination (clinical examination) will be carried out in accordance with
normative documents of the Ministry of Public Health or the appropriate State body of public health
and/or by the requirements which are developed by medical establishments of civil aviation of the
Contracting-States of the Agreement and approved in the prescribed manner.
2.21

Medical examination of aviation specialists and also cabin crew whose work is connected
with dangerous, harmful and adverse production factors includes additional measures which are regulated
by the normative documents of the Ministry of Public Health/appropriate State body of public health and
the State Aviation Epidemiological Control of the Contracting-States of the Agreement for those who are
doctors in monitoring.
2.22

The preflight (pre-shift) medical examination will be carried