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Medical certifications for aircraft pilots are specified by the International Civil Aviation Organization (ICAO). ICAO sets standards and recommended practices (SARPS), which are specified in Annex 1 to the Convention on International Civil Aviation.[1][2]
There are several classes of medical certificate. Class 1 is the most stringent, applying to holders of commercial pilot licences, multi-crew pilot licences, and airline transport pilot licences. Class 2 applies to holders of private pilot licences, glider pilot licenses, balloon pilot licences, as well as flight engineers and flight navigators. Class 3 applies to air traffic controller licences and remote pilot licences.[2]
Medical assessment includes physical and mental assessment, and testing of vision (visual acuity and colour perception) and hearing.[2] Examinations are carried out by approved aviation medical examiners.