# Part 67 — CCAR-67 医学标准和体检合格证

航空人员医学标准和体检合格证的分类、要求及颁发程序。

# FAR Part 67 原文

# Part 67

**Authority:** 

**Source:** 

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## § 67.1

**Applicability.**


This part prescribes the medical standards and certification procedures for issuing medical certificates for airmen and for remaining eligible for a medical certificate.

## § 67.3

**Issue.**


A person who meets the medical standards prescribed in this part, based on medical examination and evaluation of the person's history and condition, is entitled to an appropriate medical certificate.

## § 67.4

**Application.**


An applicant for first-, second- and third-class medical certification must:

(a) Apply on a form and in a manner prescribed by the Administrator;

(b) Be examined by an aviation medical examiner designated in accordance with part 183 of this chapter. An applicant may obtain a list of aviation medical examiners from the FAA Office of Aerospace Medicine homepage on the FAA Web site, from any FAA Regional Flight Surgeon, or by contacting the Manager of the Aerospace Medical Education Division, P.O. Box 25082, Oklahoma City, Oklahoma 73125.

(c) Show proof of age and identity by presenting a government-issued photo identification (such as a valid U.S. driver's license, identification card issued by a driver's license authority, military identification, or passport). If an applicant does not have government-issued identification, he or she may use non-photo, government-issued identification (such as a birth certificate or voter registration card) in conjunction with photo identification (such as a work identification card or a student identification card).

## § 67.7

**Access to the National Driver Register.**


At the time of application for a certificate issued under this part, each person who applies for a medical certificate shall execute an express consent form authorizing the Administrator to request the chief driver licensing official of any state designated by the Administrator to transmit information contained in the National Driver Register about the person to the Administrator. The Administrator shall make information received from the National Driver Register, if any, available on request to the person for review and written comment.

## § 67.101

**Eligibility.**


To be eligible for a first-class airman medical certificate, and to remain eligible for a first-class airman medical certificate, a person must meet the requirements of this subpart.

## § 67.103

**Eye.**


Eye standards for a first-class airman medical certificate are:

(a) Distant visual acuity of 20/20 or better in each eye separately, with or without corrective lenses. If corrective lenses (spectacles or contact lenses) are necessary for 20/20 vision, the person may be eligible only on the condition that corrective lenses are worn while exercising the privileges of an airman certificate.

(b) Near vision of 20/40 or better, Snellen equivalent, at 16 inches in each eye separately, with or without corrective lenses. If age 50 or older, near vision of 20/40 or better, Snellen equivalent, at both 16 inches and 32 inches in each eye separately, with or without corrective lenses.

(c) Ability to perceive those colors necessary for the safe performance of airman duties.

(d) Normal fields of vision.

(e) No acute or chronic pathological condition of either eye or adnexa that interferes with the proper function of an eye, that may reasonably be expected to progress to that degree, or that may reasonably be expected to be aggravated by flying.

(f) Bifoveal fixation and vergence-phoria relationship sufficient to prevent a break in fusion under conditions that may reasonably be expected to occur in performing airman duties. Tests for the factors named in this paragraph are not required except for persons found to have more than 1 prism diopter of hyperphoria, 6 prism diopters of esophoria, or 6 prism diopters of exophoria. If any of these values are exceeded, the Federal Air Surgeon may require the person to be examined by a qualified eye specialist to determine if there is bifoveal fixation and an adequate vergence-phoria relationship. However, if otherwise eligible, the person is issued a medical certificate pending the results of the examination.

## § 67.105

**Ear, nose, throat, and equilibrium.**


Ear, nose, throat, and equilibrium standards for a first-class airman medical certificate are:

(a) The person shall demonstrate acceptable hearing by at least one of the following tests:

(1) Demonstrate an ability to hear an average conversational voice in a quiet room, using both ears, at a distance of 6 feet from the examiner, with the back turned to the examiner.

(2) Demonstrate an acceptable understanding of speech as determined by audiometric speech discrimination testing to a score of at least 70 percent obtained in one ear or in a sound field environment.

(3) Provide acceptable results of pure tone audiometric testing of unaided hearing acuity according to the following table of worst acceptable thresholds, using the calibration standards of the American National Standards Institute, 1969 (11 West 42d Street, New York, NY 10036):

(b) No disease or condition of the middle or internal ear, nose, oral cavity, pharynx, or larynx that—

(1) Interferes with, or is aggravated by, flying or may reasonably be expected to do so; or

(2) Interferes with, or may reasonably be expected to interfere with, clear and effective speech communication.

(c) No disease or condition manifested by, or that may reasonably be expected to be manifested by, vertigo or a disturbance of equilibrium.

## § 67.107

**Mental.**


Mental standards for a first-class airman medical certificate are:

(a) No established medical history or clinical diagnosis of any of the following:

(1) A personality disorder that is severe enough to have repeatedly manifested itself by overt acts.

(2) A psychosis. As used in this section, “psychosis” refers to a mental disorder in which:

(i) The individual has manifested delusions, hallucinations, grossly bizarre or disorganized behavior, or other commonly accepted symptoms of this condition; or

(ii) The individual may reasonably be expected to manifest delusions, hallucinations, grossly bizarre or disorganized behavior, or other commonly accepted symptoms of this condition.

(3) A bipolar disorder.

(4) Substance dependence, except where there is established clinical evidence, satisfactory to the Federal Air Surgeon, of recovery, including sustained total abstinence from the substance(s) for not less than the preceding 2 years. As used in this section—

(i) “Substance” includes: Alcohol; other sedatives and hypnotics; anxiolytics; opioids; central nervous system stimulants such as cocaine, amphetamines, and similarly acting sympathomimetics; hallucinogens; phencyclidine or similarly acting arylcyclohexylamines; cannabis; inhalants; and other psychoactive drugs and chemicals; and

(ii) “Substance dependence” means a condition in which a person is dependent on a substance, other than tobacco or ordinary xanthine-containing (e.g., caffeine) beverages, as evidenced by—

(A) Increased tolerance;

(B) Manifestation of withdrawal symptoms;

(C) Impaired control of use; or

(D) Continued use despite damage to physical health or impairment of social, personal, or occupational functioning.

(b) No substance abuse within the preceding 2 years defined as:

(1) Use of a substance in a situation in which that use was physically hazardous, if there has been at any other time an instance of the use of a substance also in a situation in which that use was physically hazardous;

(2) A verified positive drug test result, an alcohol test result of 0.04 or greater alcohol concentration, or a refusal to submit to a drug or alcohol test required by the U.S. Department of Transportation or an agency of the U.S. Department of Transportation; or

(3) Misuse of a substance that the Federal Air Surgeon, based on case history and appropriate, qualified medical judgment relating to the substance involved, finds—

(i) Makes the person unable to safely perform the duties or exercise the privileges of the airman certificate applied for or held; or

(ii) May reasonably be expected, for the maximum duration of the airman medical certificate applied for or held, to make the person unable to perform those duties or exercise those privileges.

(c) No other personality disorder, neurosis, or other mental condition that the Federal Air Surgeon, based on the case history and appropriate, qualified medical judgment relating to the condition involved, finds—

(1) Makes the person unable to safely perform the duties or exercise the privileges of the airman certificate applied for or held; or

(2) May reasonably be expected, for the maximum duration of the airman medical certificate applied for or held, to make the person unable to perform those duties or exercise those privileges.

## § 67.109

**Neurologic.**


Neurologic standards for a first-class airman medical certificate are:

(a) No established medical history or clinical diagnosis of any of the following:

(1) Epilepsy;

(2) A disturbance of consciousness without satisfactory medical explanation of the cause; or

(3) A transient loss of control of nervous system function(s) without satisfactory medical explanation of the cause.

(b) No other seizure disorder, disturbance of consciousness, or neurologic condition that the Federal Air Surgeon, based on the case history and appropriate, qualified medical judgment relating to the condition involved, finds—

(1) Makes the person unable to safely perform the duties or exercise the privileges of the airman certificate applied for or held; or

(2) May reasonably be expected, for the maximum duration of the airman medical certificate applied for or held, to make the person unable to perform those duties or exercise those privileges.

## § 67.111

**Cardiovascular.**


Cardiovascular standards for a first-class airman medical certificate are:

(a) No established medical history or clinical diagnosis of any of the following:

(1) Myocardial infarction;

(2) Angina pectoris;

(3) Coronary heart disease that has required treatment or, if untreated, that has been symptomatic or clinically significant;

(4) Cardiac valve replacement;

(5) Permanent cardiac pacemaker implantation; or

(6) Heart replacement;

(b) A person applying for first-class medical certification must demonstrate an absence of myocardial infarction and other clinically significant abnormality on electrocardiographic examination:

(1) At the first application after reaching the 35th birthday; and

(2) On an annual basis after reaching the 40th birthday.

(c) An electrocardiogram will satisfy a requirement of paragraph (b) of this section if it is dated no earlier than 60 days before the date of the application it is to accompany and was performed and transmitted according to acceptable standards and techniques.

## § 67.113

**General medical condition.**


The general medical standards for a first-class airman medical certificate are:

(a) No established medical history or clinical diagnosis of diabetes mellitus that requires insulin or any other hypoglycemic drug for control.

(b) No other organic, functional, or structural disease, defect, or limitation that the Federal Air Surgeon, based on the case history and appropriate, qualified medical judgment relating to the condition involved, finds—

(1) Makes the person unable to safely perform the duties or exercise the privileges of the airman certificate applied for or held; or

(2) May reasonably be expected, for the maximum duration of the airman medical certificate applied for or held, to make the person unable to perform those duties or exercise those privileges.

(c) No medication or other treatment that the Federal Air Surgeon, based on the case history and appropriate, qualified medical judgment relating to the medication or other treatment involved, finds—

(1) Makes the person unable to safely perform the duties or exercise the privileges of the airman certificate applied for or held; or

(2) May reasonably be expected, for the maximum duration of the airman medical certificate applied for or held, to make the person unable to perform those duties or exercise those privileges.

## § 67.115

**Discretionary issuance.**


A person who does not meet the provisions of §§ 67.103 through 67.113 may apply for the discretionary issuance of a certificate under § 67.401.

## § 67.201

**Eligibility.**


To be eligible for a second-class airman medical certificate, and to remain eligible for a second-class airman medical certificate, a person must meet the requirements of this subpart.

## § 67.203

**Eye.**


Eye standards for a second-class airman medical certificate are:

(a) Distant visual acuity of 20/20 or better in each eye separately, with or without corrective lenses. If corrective lenses (spectacles or contact lenses) are necessary for 20/20 vision, the person may be eligible only on the condition that corrective lenses are worn while exercising the privileges of an airman certificate.

(b) Near vision of 20/40 or better, Snellen equivalent, at 16 inches in each eye separately, with or without corrective lenses. If age 50 or older, near vision of 20/40 or better, Snellen equivalent, at both 16 inches and 32 inches in each eye separately, with or without corrective lenses.

(c) Ability to perceive those colors necessary for the safe performance of airman duties.

(d) Normal fields of vision.

(e) No acute or chronic pathological condition of either eye or adnexa that interferes with the proper function of an eye, that may reasonably be expected to progress to that degree, or that may reasonably be expected to be aggravated by flying.

(f) Bifoveal fixation and vergence-phoria relationship sufficient to prevent a break in fusion under conditions that may reasonably be expected to occur in performing airman duties. Tests for the factors named in this paragraph are not required except for persons found to have more than 1 prism diopter of hyperphoria, 6 prism diopters of esophoria, or 6 prism diopters of exophoria. If any of these values are exceeded, the Federal Air Surgeon may require the person to be examined by a qualified eye specialist to determine if there is bifoveal fixation and an adequate vergence-phoria relationship. However, if otherwise eligible, the person is issued a medical certificate pending the results of the examination.

## § 67.205

**Ear, nose, throat, and equilibrium.**


Ear, nose, throat, and equilibrium standards for a second-class airman medical certificate are:

(a) The person shall demonstrate acceptable hearing by at least one of the following tests:

(1) Demonstrate an ability to hear an average conversational voice in a quiet room, using both ears, at a distance of 6 feet from the examiner, with the back turned to the examiner.

(2) Demonstrate an acceptable understanding of speech as determined by audiometric speech discrimination testing to a score of at least 70 percent obtained in one ear or in a sound field environment.

(3) Provide acceptable results of pure tone audiometric testing of unaided hearing acuity according to the following table of worst acceptable thresholds, using the calibration standards of the American National Standards Institute, 1969:

(b) No disease or condition of the middle or internal ear, nose, oral cavity, pharynx, or larynx that—

(1) Interferes with, or is aggravated by, flying or may reasonably be expected to do so; or

(2) Interferes with, or may reasonably be expected to interfere with, clear and effective speech communication.

(c) No disease or condition manifested by, or that may reasonably be expected to be manifested by, vertigo or a disturbance of equilibrium.

## § 67.207

**Mental.**


Mental standards for a second-class airman medical certificate are:

(a) No established medical history or clinical diagnosis of any of the following:

(1) A personality disorder that is severe enough to have repeatedly manifested itself by overt acts.

(2) A psychosis. As used in this section, “psychosis” refers to a mental disorder in which:

(i) The individual has manifested delusions, hallucinations, grossly bizarre or disorganized behavior, or other commonly accepted symptoms of this condition; or

(ii) The individual may reasonably be expected to manifest delusions, hallucinations, grossly bizarre or disorganized behavior, or other commonly accepted symptoms of this condition.

(3) A bipolar disorder.

(4) Substance dependence, except where there is established clinical evidence, satisfactory to the Federal Air Surgeon, of recovery, including sustained total abstinence from the substance(s) for not less than the preceding 2 years. As used in this section—

(i) “Substance” includes: Alcohol; other sedatives and hypnotics; anxiolytics; opioids; central nervous system stimulants such as cocaine, amphetamines, and similarly acting sympathomimetics; hallucinogens; phencyclidine or similarly acting arylcyclohexylamines; cannabis; inhalants; and other psychoactive drugs and chemicals; and

(ii) “Substance dependence” means a condition in which a person is dependent on a substance, other than tobacco or ordinary xanthine-containing (e.g., caffeine) beverages, as evidenced by—

(A) Increased tolerance;

(B) Manifestation of withdrawal symptoms;

(C) Impaired control of use; or

(D) Continued use despite damage to physical health or impairment of social, personal, or occupational functioning.

(b) No substance abuse within the preceding 2 years defined as:

(1) Use of a substance in a situation in which that use was physically hazardous, if there has been at any other time an instance of the use of a substance also in a situation in which that use was physically hazardous;

(2) A verified positive drug test result, an alcohol test result of 0.04 or greater alcohol concentration, or a refusal to submit to a drug or alcohol test required by the U.S. Department of Transportation or an agency of the U.S. Department of Transportation; or

(3) Misuse of a substance that the Federal Air Surgeon, based on case history and appropriate, qualified medical judgment relating to the substance involved, finds—

(i) Makes the person unable to safely perform the duties or exercise the privileges of the airman certificate applied for or held; or

(ii) May reasonably be expected, for the maximum duration of the airman medical certificate applied for or held, to make the person unable to perform those duties or exercise those privileges.

(c) No other personality disorder, neurosis, or other mental condition that the Federal Air Surgeon, based on the case history and appropriate, qualified medical judgment relating to the condition involved, finds—

(1) Makes the person unable to safely perform the duties or exercise the privileges of the airman certificate applied for or held; or

(2) May reasonably be expected, for the maximum duration of the airman medical certificate applied for or held, to make the person unable to perform those duties or exercise those privileges.

## § 67.209

**Neurologic.**


Neurologic standards for a second-class airman medical certificate are:

(a) No established medical history or clinical diagnosis of any of the following:

(1) Epilepsy;

(2) A disturbance of consciousness without satisfactory medical explanation of the cause; or

(3) A transient loss of control of nervous system function(s) without satisfactory medical explanation of the cause;

(b) No other seizure disorder, disturbance of consciousness, or neurologic condition that the Federal Air Surgeon, based on the case history and appropriate, qualified medical judgment relating to the condition involved, finds—

(1) Makes the person unable to safely perform the duties or exercise the privileges of the airman certificate applied for or held; or

(2) May reasonably be expected, for the maximum duration of the airman medical certificate applied for or held, to make the person unable to perform those duties or exercise those privileges.

## § 67.211

**Cardiovascular.**


Cardiovascular standards for a second-class medical certificate are no established medical history or clinical diagnosis of any of the following:

(a) Myocardial infarction;

(b) Angina pectoris;

(c) Coronary heart disease that has required treatment or, if untreated, that has been symptomatic or clinically significant;

(d) Cardiac valve replacement;

(e) Permanent cardiac pacemaker implantation; or

(f) Heart replacement.

## § 67.213

**General medical condition.**


The general medical standards for a second-class airman medical certificate are:

(a) No established medical history or clinical diagnosis of diabetes mellitus that requires insulin or any other hypoglycemic drug for control.

(b) No other organic, functional, or structural disease, defect, or limitation that the Federal Air Surgeon, based on the case history and appropriate, qualified medical judgment relating to the condition involved, finds—

(1) Makes the person unable to safely perform the duties or exercise the privileges of the airman certificate applied for or held; or

(2) May reasonably be expected, for the maximum duration of the airman medical certificate applied for or held, to make the person unable to perform those duties or exercise those privileges.

(c) No medication or other treatment that the Federal Air Surgeon, based on the case history and appropriate, qualified medical judgment relating to the medication or other treatment involved, finds—

(1) Makes the person unable to safely perform the duties or exercise the privileges of the airman certificate applied for or held; or

(2) May reasonably be expected, for the maximum duration of the airman medical certificate applied for or held, to make the person unable to perform those duties or exercise those privileges.

## § 67.215

**Discretionary issuance.**


A person who does not meet the provisions of §§ 67.203 through 67.213 may apply for the discretionary issuance of a certificate under § 67.401.

## § 67.301

**Eligibility.**


To be eligible for a third-class airman medical certificate, or to remain eligible for a third-class airman medical certificate, a person must meet the requirements of this subpart.

## § 67.303

**Eye.**


Eye standards for a third-class airman medical certificate are:

(a) Distant visual acuity of 20/40 or better in each eye separately, with or without corrective lenses. If corrective lenses (spectacles or contact lenses) are necessary for 20/40 vision, the person may be eligible only on the condition that corrective lenses are worn while exercising the privileges of an airman certificate.

(b) Near vision of 20/40 or better, Snellen equivalent, at 16 inches in each eye separately, with or without corrective lenses.

(c) Ability to perceive those colors necessary for the safe performance of airman duties.

(d) No acute or chronic pathological condition of either eye or adnexa that interferes with the proper function of an eye, that may reasonably be expected to progress to that degree, or that may reasonably be expected to be aggravated by flying.

## § 67.305

**Ear, nose, throat, and equilibrium.**


Ear, nose, throat, and equilibrium standards for a third-class airman medical certificate are:

(a) The person shall demonstrate acceptable hearing by at least one of the following tests:

(1) Demonstrate an ability to hear an average conversational voice in a quiet room, using both ears, at a distance of 6 feet from the examiner, with the back turned to the examiner.

(2) Demonstrate an acceptable understanding of speech as determined by audiometric speech discrimination testing to a score of at least 70 percent obtained in one ear or in a sound field environment.

(3) Provide acceptable results of pure tone audiometric testing of unaided hearing acuity according to the following table of worst acceptable thresholds, using the calibration standards of the American National Standards Institute, 1969:

(b) No disease or condition of the middle or internal ear, nose, oral cavity, pharynx, or larynx that—

(1) Interferes with, or is aggravated by, flying or may reasonably be expected to do so; or

(2) Interferes with clear and effective speech communication.

(c) No disease or condition manifested by, or that may reasonably be expected to be manifested by, vertigo or a disturbance of equilibrium.

## § 67.307

**Mental.**


Mental standards for a third-class airman medical certificate are:

(a) No established medical history or clinical diagnosis of any of the following:

(1) A personality disorder that is severe enough to have repeatedly manifested itself by overt acts.

(2) A psychosis. As used in this section, “psychosis” refers to a mental disorder in which—

(i) The individual has manifested delusions, hallucinations, grossly bizarre or disorganized behavior, or other commonly accepted symptoms of this condition; or

(ii) The individual may reasonably be expected to manifest delusions, hallucinations, grossly bizarre or disorganized behavior, or other commonly accepted symptoms of this condition.

(3) A bipolar disorder.

(4) Substance dependence, except where there is established clinical evidence, satisfactory to the Federal Air Surgeon, of recovery, including sustained total abstinence from the substance(s) for not less than the preceding 2 years. As used in this section—

(i) “Substance” includes: alcohol; other sedatives and hypnotics; anxiolytics; opioids; central nervous system stimulants such as cocaine, amphetamines, and similarly acting sympathomimetics; hallucinogens; phencyclidine or similarly acting arylcyclohexylamines; cannabis; inhalants; and other psychoactive drugs and chemicals; and

(ii) “Substance dependence” means a condition in which a person is dependent on a substance, other than tobacco or ordinary xanthine-containing (e.g., caffeine) beverages, as evidenced by—

(A) Increased tolerance;

(B) Manifestation of withdrawal symptoms;

(C) Impaired control of use; or

(D) Continued use despite damage to physical health or impairment of social, personal, or occupational functioning.

(b) No substance abuse within the preceding 2 years defined as:

(1) Use of a substance in a situation in which that use was physically hazardous, if there has been at any other time an instance of the use of a substance also in a situation in which that use was physically hazardous;

(2) A verified positive drug test result, an alcohol test result of 0.04 or greater alcohol concentration, or a refusal to submit to a drug or alcohol test required by the U.S. Department of Transportation or an agency of the U.S. Department of Transportation; or

(3) Misuse of a substance that the Federal Air Surgeon, based on case history and appropriate, qualified medical judgment relating to the substance involved, finds—

(i) Makes the person unable to safely perform the duties or exercise the privileges of the airman certificate applied for or held; or

(ii) May reasonably be expected, for the maximum duration of the airman medical certificate applied for or held, to make the person unable to perform those duties or exercise those privileges.

(c) No other personality disorder, neurosis, or other mental condition that the Federal Air Surgeon, based on the case history and appropriate, qualified medical judgment relating to the condition involved, finds—

(1) Makes the person unable to safely perform the duties or exercise the privileges of the airman certificate applied for or held; or

(2) May reasonably be expected, for the maximum duration of the airman medical certificate applied for or held, to make the person unable to perform those duties or exercise those privileges.

## § 67.309

**Neurologic.**


Neurologic standards for a third-class airman medical certificate are:

(a) No established medical history or clinical diagnosis of any of the following:

(1) Epilepsy;

(2) A disturbance of consciousness without satisfactory medical explanation of the cause; or

(3) A transient loss of control of nervous system function(s) without satisfactory medical explanation of the cause.

(b) No other seizure disorder, disturbance of consciousness, or neurologic condition that the Federal Air Surgeon, based on the case history and appropriate, qualified medical judgment relating to the condition involved, finds—

(1) Makes the person unable to safely perform the duties or exercise the privileges of the airman certificate applied for or held; or

(2) May reasonably be expected, for the maximum duration of the airman medical certificate applied for or held, to make the person unable to perform those duties or exercise those privileges.

## § 67.311

**Cardiovascular.**


Cardiovascular standards for a third-class airman medical certificate are no established medical history or clinical diagnosis of any of the following:

(a) Myocardial infarction;

(b) Angina pectoris;

(c) Coronary heart disease that has required treatment or, if untreated, that has been symptomatic or clinically significant;

(d) Cardiac valve replacement;

(e) Permanent cardiac pacemaker implantation; or

(f) Heart replacement.

## § 67.313

**General medical condition.**


The general medical standards for a third-class airman medical certificate are:

(a) No established medical history or clinical diagnosis of diabetes mellitus that requires insulin or any other hypoglycemic drug for control.

(b) No other organic, functional, or structural disease, defect, or limitation that the Federal Air Surgeon, based on the case history and appropriate, qualified medical judgment relating to the condition involved, finds—

(1) Makes the person unable to safely perform the duties or exercise the privileges of the airman certificate applied for or held; or

(2) May reasonably be expected, for the maximum duration of the airman medical certificate applied for or held, to make the person unable to perform those duties or exercise those privileges.

(c) No medication or other treatment that the Federal Air Surgeon, based on the case history and appropriate, qualified medical judgment relating to the medication or other treatment involved, finds—

(1) Makes the person unable to safely perform the duties or exercise the privileges of the airman certificate applied for or held; or

(2) May reasonably be expected, for the maximum duration of the airman medical certificate applied for or held, to make the person unable to perform those duties or exercise those privileges.

## § 67.315

**Discretionary issuance.**


A person who does not meet the provisions of §§ 67.303 through 67.313 may apply for the discretionary issuance of a certificate under § 67.401.

## § 67.401

**Special issuance of medical certificates.**


(a) At the discretion of the Federal Air Surgeon, an Authorization for Special Issuance of a Medical Certificate (Authorization), valid for a specified period, may be granted to a person who does not meet the provisions of subparts B, C, or D of this part if the person shows to the satisfaction of the Federal Air Surgeon that the duties authorized by the class of medical certificate applied for can be performed without endangering public safety during the period in which the Authorization would be in force. The Federal Air Surgeon may authorize a special medical flight test, practical test, or medical evaluation for this purpose. A medical certificate of the appropriate class may be issued to a person who does not meet the provisions of subparts B, C, or D of this part if that person possesses a valid Authorization and is otherwise eligible. An airman medical certificate issued in accordance with this section shall expire no later than the end of the validity period or upon the withdrawal of the Authorization upon which it is based. At the end of its specified validity period, for grant of a new Authorization, the person must again show to the satisfaction of the Federal Air Surgeon that the duties authorized by the class of medical certificate applied for can be performed without endangering public safety during the period in which the Authorization would be in force.

(b) At the discretion of the Federal Air Surgeon, a Statement of Demonstrated Ability (SODA) may be granted, instead of an Authorization, to a person whose disqualifying condition is static or nonprogressive and who has been found capable of performing airman duties without endangering public safety. A SODA does not expire and authorizes a designated aviation medical examiner to issue a medical certificate of a specified class if the examiner finds that the condition described on its face has not adversely changed.

(c) In granting an Authorization or SODA, the Federal Air Surgeon may consider the person's operational experience and any medical facts that may affect the ability of the person to perform airman duties including—

(1) The combined effect on the person of failure to meet more than one requirement of this part; and

(2) The prognosis derived from professional consideration of all available information regarding the person.

(d) In granting an Authorization or SODA under this section, the Federal Air Surgeon specifies the class of medical certificate authorized to be issued and may do any or all of the following:

(1) Limit the duration of an Authorization;

(2) Condition the granting of a new Authorization on the results of subsequent medical tests, examinations, or evaluations;

(3) State on the Authorization or SODA, and any medical certificate based upon it, any operational limitation needed for safety; or

(4) Condition the continued effect of an Authorization or SODA, and any second- or third-class medical certificate based upon it, on compliance with a statement of functional limitations issued to the person in coordination with the Director of Flight Standards or the Director's designee.

(e) In determining whether an Authorization or SODA should be granted to an applicant for a third-class medical certificate, the Federal Air Surgeon considers the freedom of an airman, exercising the privileges of a private pilot certificate, to accept reasonable risks to his or her person and property that are not acceptable in the exercise of commercial or airline transport pilot privileges, and, at the same time, considers the need to protect the safety of persons and property in other aircraft and on the ground.

(f) An Authorization or SODA granted under the provisions of this section to a person who does not meet the applicable provisions of subparts B, C, or D of this part may be withdrawn, at the discretion of the Federal Air Surgeon, at any time if—

(1) There is adverse change in the holder's medical condition;

(2) The holder fails to comply with a statement of functional limitations or operational limitations issued as a condition of certification under this section;

(3) Public safety would be endangered by the holder's exercise of airman privileges;

(4) The holder fails to provide medical information reasonably needed by the Federal Air Surgeon for certification under this section; or

(5) The holder makes or causes to be made a statement or entry that is the basis for withdrawal of an Authorization or SODA under § 67.403.

(g) A person who has been granted an Authorization or SODA under this section based on a special medical flight or practical test need not take the test again during later physical examinations unless the Federal Air Surgeon determines or has reason to believe that the physical deficiency has or may have degraded to a degree to require another special medical flight test or practical test.

(h) The authority of the Federal Air Surgeon under this section is also exercised by the Manager, Aeromedical Certification Division, and each Regional Flight Surgeon.

(i) If an Authorization or SODA is withdrawn under paragraph (f) of this section the following procedures apply:

(1) The holder of the Authorization or SODA will be served a letter of withdrawal, stating the reason for the action;

(2) By not later than 60 days after the service of the letter of withdrawal, the holder of the Authorization or SODA may request, in writing, that the Federal Air Surgeon provide for review of the decision to withdraw. The request for review may be accompanied by supporting medical evidence;

(3) Within 60 days of receipt of a request for review, a written final decision either affirming or reversing the decision to withdraw will be issued; and

(4) A medical certificate rendered invalid pursuant to a withdrawal, in accordance with paragraph (a) of this section, shall be surrendered to the Administrator upon request.

## § 67.403

**Applications, certificates, logbooks, reports, and records: Falsification, reproduction, or alteration; incorrect statements.**


(a) No person may make or cause to be made—

(1) A fraudulent or intentionally false statement on any application for a medical certificate or on a request for any Authorization for Special Issuance of a Medical Certificate (Authorization) or Statement of Demonstrated Ability (SODA) under this part;

(2) A fraudulent or intentionally false entry in any logbook, record, or report that is kept, made, or used, to show compliance with any requirement for any medical certificate or for any Authorization or SODA under this part;

(3) A reproduction, for fraudulent purposes, of any medical certificate under this part; or

(4) An alteration of any medical certificate under this part.

(b) The commission by any person of an act prohibited under paragraph (a) of this section is a basis for—

(1) Suspending or revoking all airman, ground instructor, and medical certificates and ratings held by that person;

(2) Withdrawing all Authorizations or SODA's held by that person; and

(3) Denying all applications for medical certification and requests for Authorizations or SODA's.

(c) The following may serve as a basis for suspending or revoking a medical certificate; withdrawing an Authorization or SODA; or denying an application for a medical certificate or request for an authorization or SODA:

(1) An incorrect statement, upon which the FAA relied, made in support of an application for a medical certificate or request for an Authorization or SODA.

(2) An incorrect entry, upon which the FAA relied, made in any logbook, record, or report that is kept, made, or used to show compliance with any requirement for a medical certificate or an Authorization or SODA.

## § 67.405

**Medical examinations: Who may perform?**


(a) First-class. Any aviation medical examiner who is specifically designated for the purpose may perform examinations for the first-class medical certificate.

(b) Second- and third-class. Any aviation medical examiner may perform examinations for the second-or third-class medical certificate.

## § 67.407

**Delegation of authority.**


(a) The authority of the Administrator under 49 U.S.C. 44703 to issue or deny medical certificates is delegated to the Federal Air Surgeon to the extent necessary to—

(1) Examine applicants for and holders of medical certificates to determine whether they meet applicable medical standards; and

(2) Issue, renew, and deny medical certificates, and issue, renew, deny, and withdraw Authorizations for Special Issuance of a Medical Certificate and Statements of Demonstrated Ability to a person based upon meeting or failing to meet applicable medical standards.

(b) Subject to limitations in this chapter, the delegated functions of the Federal Air Surgeon to examine applicants for and holders of medical certificates for compliance with applicable medical standards and to issue, renew, and deny medical certificates are also delegated to aviation medical examiners and to authorized representatives of the Federal Air Surgeon within the FAA.

(c) The authority of the Administrator under 49 U.S.C. 44702, to reconsider the action of an aviation medical examiner is delegated to the Federal Air Surgeon; the Manager, Aeromedical Certification Division; and each Regional Flight Surgeon. Where the person does not meet the standards of §§ 67.107(b)(3) and (c), 67.109(b), 67.113(b) and (c), 67.207(b)(3) and (c), 67.209(b), 67.213(b) and (c), 67.307(b)(3) and (c), 67.309(b), or 67.313(b) and (c), any action taken under this paragraph other than by the Federal Air Surgeon is subject to reconsideration by the Federal Air Surgeon. A certificate issued by an aviation medical examiner is considered to be affirmed as issued unless an FAA official named in this paragraph (authorized official) reverses that issuance within 60 days after the date of issuance. However, if within 60 days after the date of issuance an authorized official requests the certificate holder to submit additional medical information, an authorized official may reverse the issuance within 60 days after receipt of the requested information.

(d) The authority of the Administrator under 49 U.S.C. 44709 to re-examine any civil airman to the extent necessary to determine an airman's qualification to continue to hold an airman medical certificate, is delegated to the Federal Air Surgeon and his or her authorized representatives within the FAA.

## § 67.409

**Denial of medical certificate.**


(a) Any person who is denied a medical certificate by an aviation medical examiner may, within 30 days after the date of the denial, apply in writing to the Federal Air Surgeon, Attention: Manager, Aeromedical Certification Division, AAM-300, Federal Aviation Administration, P.O. Box 25082, Oklahoma City, Oklahoma 73126, for reconsideration of that denial. If the person does not ask for reconsideration during the 30-day period after the date of the denial, he or she is considered to have withdrawn the application for a medical certificate.

(b) The denial of a medical certificate—

(1) By an aviation medical examiner is not a denial by the Administrator under 49 U.S.C. 44703.

(2) By the Federal Air Surgeon is considered to be a denial by the Administrator under 49 U.S.C. 44703.

(3) By the Manager, Aeromedical Certification Division, or a Regional Flight Surgeon is considered to be a denial by the Administrator under 49 U.S.C. 44703 except where the person does not meet the standards of §§ 67.107(b)(3) and (c), 67.109(b), or 67.113(b) and (c); 67.207(b)(3) and (c), 67.209(b), or 67.213(b) and (c); or 67.307(b)(3) and (c), 67.309(b), or 67.313(b) and (c).

(c) Any action taken under § 67.407(c) that wholly or partly reverses the issue of a medical certificate by an aviation medical examiner is the denial of a medical certificate under paragraph (b) of this section.

(d) If the issue of a medical certificate is wholly or partly reversed by the Federal Air Surgeon; the Manager, Aeromedical Certification Division; or a Regional Flight Surgeon, the person holding that certificate shall surrender it, upon request of the FAA.

## § 67.411

## § 67.413

**Medical records.**


(a) Whenever the Administrator finds that additional medical information or history is necessary to determine whether you meet the medical standards required to hold a medical certificate, you must:

(1) Furnish that information to the FAA; or

(2) Authorize any clinic, hospital, physician, or other person to release to the FAA all available information or records concerning that history.

(b) If you fail to provide the requested medical information or history or to authorize its release, the FAA may suspend, modify, or revoke your medical certificate or, in the case of an applicant, deny the application for a medical certificate.

(c) If your medical certificate is suspended, modified, or revoked under paragraph (b) of this section, that suspension or modification remains in effect until you provide the requested information, history, or authorization to the FAA and until the FAA determines that you meet the medical standards set forth in this part.

## § 67.415

**Return of medical certificate after suspension or revocation.**


The holder of any medical certificate issued under this part that is suspended or revoked shall, upon the Administrator's request, return it to the Administrator.

# CCAR-67 原文

# CCAR-67

**来源**: [官方全文](https://www.moj.gov.cn/pub/sfbgw/flfggz/flfggzbmgz/200411/t20041112_143726.html)

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中华人民共和国司法部
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# 中国民用航空总局关于修订《中国民用航空人员医学标准和体检合格证管理规则》的决定
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（2004年7月12日中国民用航空总局令第125号发布 自2004年8月12日起施行） 中国民用航空总局根据《中华人民共和国行政许可法》和《国务院对确需保留的行政审批项目设定行政许可的决定》（国务院令第412号）的规定，决定对2001年8月31日以中国民用航空总局第101号令公布的《中国民用航空人员医学标准和体检合格证管理规则》(CCAR-67FS)作如下修改： 一、第67.5条（b）款修改为： “（b）中国民用航空地区管理机构（以下简称地区管理机构）的航空卫生职能部门，负责对所辖地区航空人员体检文书和医学资料的审核、体检合格证的颁发，并对体检鉴定和体检合格证持有人持体检合格证行使执照权利情况实施监督管理。” 二、第67.11条修改为： “申请人应当按照有关规定缴纳体检鉴定所需的费用。” 三、第67.19条（d）款修改为： “（d）局方在收到申请人的体检文书和医学资料之日20天内完成对体检鉴定结论的审核： （1）认为体检鉴定结论正确的，对其中体检鉴定结论为合格者签发体检合格证，并在签发体检合格证之日起10天内向申请人颁发、送达体检合格证；对其中体检鉴定结论为不合格者在体检表上签署认可意见，并在签署之日起10天内送交申请人或其所在单位；” 四、第67.27条修改为： “体检合格证持有人有正当理由，不能在体检合格证有效期期满前进行体检鉴定、更新体检合格证，又需行使执照权利的，应当在体检合格证有效期满30天前向颁发体检合格证的局方申请延长体检合格证有效期。对从事商用航空运输运行的空勤人员，经当地航空医师或执业医师进行局方指定项目的检查并经局方批准，体检合格证的有效期最多可以延长90天；对于从事非商业运行的空勤人员，经局方批准，体检合格证的有效期最多可以延长180天。” 五、G分部“罚则”修改为“法律责任”，增加一条作为第67.501条： “局方工作人员违反行政许可法关于办理许可事项的有关规定，对不符合法定条件的申请人颁发体检合格证，对符合法定条件的申请人不予颁发体检合格证的，由其上级行政机关或者监察机关责令改正，对直接负责的主管人员和其他直接责任人员依法给予行政处分。 在办理体检合格证、实施监督检查的过程中，索取、收受他人财物或者谋取其他利益，构成犯罪的，依法追究刑事责任；尚不构成犯罪的，由其上级行政机关或者监察机关依法给予行政处分。” 六、第67.507条修改为： “违反本规则67.7、67.19的规定，在申请体检合格证时隐瞒病史、病情或者擅自涂改、伪造体检合格证、体检文书及医学资料的，局方不予受理或者不予颁发体检合格证，并给予警告；对已取得体检合格证的，局方收回其体检合格证，并在一年内不接受其办理体检合格证的申请；构成犯罪的，依法追究刑事责任。” 2001年8月31日以中国民用航空总局第101号令公布的《中国民用航空人员医学标准和体检合格证管理规则》(CCAR-67FS)根据本决定做相应的修订，重新公布。 本决定自2004年8月12日起实施。 附：中国民用航空人员医学标准和体检合格证管理规则（2004年修正本） 目录 A分部 总则 B分部 体检合格证 C分部 Ⅰ级体检合格证的医学标准 D分部 Ⅱ级体检合格证的医学标准 E分部 Ⅲ级体检合格证的医学标准 F分部 Ⅳ级体检合格证的医学标准 G分部 法律责任 H分部 附则 附录一：申请体检合格证的辅助检查项目和频度 A分部 总则 67.1〔目的和依据〕 为了保证民用航空人员的身体状况符合行使相关执照权利和飞行安全的要求，根据《中华人民共和国民用航空法》第三十九条、第四十条、第四十一条和第四十二条的规定，制定本规则。 67.3〔适用范围〕 本规则规定了民用航空人员的医学标准和体检合格证的申请、颁发程序以及体检合格证的效力。 67.5〔机构与职责〕 （a）中国民用航空总局（以下简称民航总局）航空卫生职能部门，负责制定有关的管理文件和程序，对体检合格证的申请、审核、颁发和体检鉴定实施监督管理。 （b）中国民用航空地区管理机构（以下简称地区管理机构）的航空卫生职能部门，负责对所辖地区航空人员体检文书和医学资料的审核、体检合格证的颁发，并对体检鉴定和体检合格证持有人持体检合格证行使执照权利情况实施监督管理。 67.7〔体检合格证的要求〕 任何人未持有、并随身携带依照本规则取得的有效体检合格证，不得行使本规则67.17规定的各类执照所赋予的权利。 任何人不得擅自涂改、伪造体检合格证。 67.9〔定义〕 本规则使用如下定义： （a）局方是指民航总局和地区管理机构的航空卫生职能部门。 （b）航空人员是指下列从事民用航空活动的人员： （1）空勤人员，包括驾驶员、领航员、飞行机械员、飞行通信员、乘务员、航空安全员； （2）空中交通管制员； （3）飞行签派员。 （c）航空人员体检鉴定机构（以下简称体检机构）是指民航总局、地区管理机构的体检机构和航空人员体检委任单位代表。 （d）体检文书是指由民航总局统一印制的航空人员体检鉴定表（以下简称体检表）、航空人员健康记录本和体检鉴定结论通知书等。 （e）医学资料是指与航空人员体检鉴定有关的住院记录、门诊记录、会诊记录、医学检查结果报告和身体状况证明等。 （f）体检合格证是指局方颁发的，表明体检合格证持有人的身体状况符合本规则相应医学标准的证明文件。 67.11〔费用〕 申请人应当按照有关规定缴纳体检鉴定所需的费用。 B分部 体检合格证 67.13〔按本规则颁发的体检合格证种类〕 对符合本规则相应医学标准的体检合格证申请人（以下简称申请人）颁发下列种类的体检合格证： （1）Ⅰ级体检合格证； （2）Ⅱ级体检合格证； （3）Ⅲ级体检合格证，包括Ⅲa、Ⅲb级体检合格证； （4）Ⅳ级体检合格证，包括Ⅳa、Ⅳb级体检合格证。 67.15〔临时体检合格证〕 （a）经体检机构按本规则的医学标准进行体检鉴定且鉴定结论为合格的更新体检合格证的申请人，在等待局方对其颁发体检合格证时，可由体检机构颁发相应级别的临时体检合格证。临时体检合格证自签发之日起生效，有效期为60天。 （b）有下列情形之一时临时体检合格证失效： （1）收到局方颁发的体检合格证； （2）临时体检合格证有效期满； （3）收到局方拒发体检合格证通知。 67.17〔体检合格证的适用范围〕 （a）航空人员执照申请人在申请取得下列执照时，或执照持有人在行使下列执照权利时必须持有Ⅰ级体检合格证： （1）航线运输驾驶员执照； （2）飞机和旋翼机商用驾驶员执照； （3）领航员执照和领航学员合格证； （4）飞行机械员执照和飞行机械学员合格证。 （b）航空人员执照申请人在申请取得下列执照时或执照持有人在行使下列执照权利时，必须持有Ⅱ级体检合格证或Ⅰ级体检合格证： （1）飞行通信员执照和飞行通信学员合格证； （2）初级飞机、滑翔机和轻于空气的航空器商用驾驶员执照； （3）私用驾驶员执照。 （c）以培养航线运输驾驶员或飞机和旋翼机商用驾驶员为目标的学生驾驶员在申请执照时或在行使执照权利时必须持有Ⅰ级体检合格证；其他学生驾驶员在申请执照时或在行使执照权利时必须持有Ⅱ级体检合格证或Ⅰ级体检合格证。 （d）机场塔台管制员、进近管制员、区域管制员、进近（监视）雷达管制员、进近（精密）雷达管制员、区域（监视）雷达管制员执照申请人在申请执照时或执照持有人在行使执照权利时，必须持有Ⅲa级体检合格证；空中交通服务报告室管制员、地区管理局调度室管制员、总局调度室管制员和飞行签派员执照申请人在申请执照时或执照持有人在行使执照权利时，必须持有Ⅲb级体检合格证或Ⅲa级体检合格证。 （e）乘务员在履行职责时必须持有Ⅳa级体检合格证；航空安全员执照申请人在申请执照时或执照持有人在行使执照权利时，必须持有Ⅳb级体检合格证。 67.19〔体检合格证的申请与颁发〕 （a）申请人在申请办理执照前，应当向体检机构提出体检鉴定申请，填写体检表，出示身份证明，提供真实、完整的体检文书及医学资料，如实反映健康状况，不得隐瞒病史、病情。 （b）体检机构根据申请人所申请体检合格证的种类，依据本规则相应的医学标准对申请人进行体格检查，并作出符合申请人身体状况的下列之一的体检鉴定结论： （1）合格； （2）暂时不合格； （3）不合格。 （c）体检机构应在7个工作日内将体检鉴定结论为合格者的体检表报局方审定，同时可以根据本规则67.15的规定签发临时体检合格证。 体检机构应及时将暂时不合格体检鉴定结论通知申请人及其所在单位，同时签署《体检鉴定结论通知书》。并应在7个工作日内将通知书、体检文书及医学资料送交申请人所在单位，没有所在单位的直接送交申请人。 体检机构应及时将不合格体检鉴定结论通知申请人及其所在单位，同时签署《体检鉴定结论通知书》。并应在7个工作日内将通知书送交申请人及其所在单位，将体检文书及医学资料报送局方审定。 （d）局方在收到申请人的体检文书和医学资料之日起20天内完成对体检鉴定结论的审核： （1）认为体检鉴定结论正确的，对其中体检鉴定结论为合格者签发体检合格证，并在签发体检合格证之日起10天内向申请人颁发、送达体检合格证；对其中体检鉴定结论为不合格者在体检表上签署认可意见，并在签署之日起10天内送交申请人或其所在单位； （2）认为体检鉴定结论不正确的，对其中不符合本规则有关规定的退回体检机构，责成其重新体检鉴定；对其中由于体检机构适用医学标准不当，而做出错误体检结论的，局方可直接改变体检鉴定结论，签发或拒绝签发体检合格证，并书面通知申请人、体检机构和申请人所在单位。 （e）局方在审核体检鉴定结论过程中可要求申请人或体检机构提供有关资料或要求申请人进行必要的检查。 67.21〔申请体检合格证的辅助检查项目和频度〕 为确定申请人是否符合本规则所规定的相应医学标准，申请人应当按照本规则附录一《申请体检合格证的辅助检查项目和频度》的规定，接受常规辅助检查，必要时还应当接受其他专项辅助检查。 67.23〔体检合格证的有效期〕 （a）体检合格证有效期期满日期的计算方法，应当自合格的体检鉴定结论作出之日的下一个日历月的第一日起至本条规定的相应期限的最后一个日历月的最后一日止。 （b）根据体检合格证持有人在运行中所行使执照的权利，Ⅰ级体检合格证有效期分别为： （1）航线运输驾驶员、飞机和旋翼机商用驾驶员的为12个月，其中年龄满40周岁以上者为6个月； （2）领航员、领航学员的为12个月；飞行机械员、飞行机械学员的为12个月； （3）以培养航线运输驾驶员或飞机和旋翼机商用驾驶员为目标的学生驾驶员的为12个月； （4）行使本条（c）款所列权利时，有效期按本条（c）款执行。 （c）根据体检合格证持有人在运行中所行使执照的权利，Ⅱ级体检合格证的有效期分别为： （1）飞行通信员、飞行通信学员的为12个月； （2）私用驾驶员和初级飞机、滑翔机、轻于空气的航空器的商用驾驶员及其学生驾驶员的为24个月，其中年龄满40周岁以上者为12个月。 （d）根据体检合格证持有人在运行中所行使执照的权利，Ⅲ级体检合格证的有效期为： （1）Ⅲa级体检合格证：机场塔台管制员、进近管制员、区域管制员、进近（监视）雷达管制员、进近（精密）雷达管制员、区域（监视）雷达管制员的为24个月，其中年龄满40周岁以上者为12个月； （2）Ⅲb级体检合格证：空中交通服务报告室管制员、地区管理局调度室管制员、总局调度室管制员和飞行签派员的为24个月。 （e）Ⅳ级体检合格证的有效期为12个月。 67.25〔体检合格证持有人身体状况发生变化时行使执照权利的限制〕 体检合格证持有人的身体状况发生变化不符合所持体检合格证的相应医学标准时，不得在需要相应体检合格证的运行中行使执照所赋予的权利。 67.27〔体检合格证有效期的延长〕 体检合格证持有人有正当理由，不能在体检合格证有效期期满前进行体检鉴定、更新体检合格证，又需行使执照权利的，应当在体检合格证有效期满30天前向颁发体检合格证的局方申请延长体检合格证有效期。对于从事商用航空运输运行的空勤人员，经当地航空医师或执业医师进行局方指定项目的检查并经局方批准，体检合格证的有效期最多可以延长90天；对于从事非商业运行的空勤人员，经局方批准，体检合格证的有效期最多可以延长180天。 67.29〔体检合格证的补发〕 体检合格证持有人在体检合格证遗失或损坏后，可向局方申请补发。补发的体检合格证所载内容应当与原体检合格证相同。 67.31〔体检合格证的特许申请〕 （a）经体检鉴定，申请人的身体状况不符合所申请种类体检合格证医学标准的，当其有充分理由证明能安全行使执照权利时，可以向局方提出特许颁发体检合格证的申请。 （b）体检合格证的特许颁发适用于Ⅰ级和Ⅱ级特许体检合格证的申请。 （c）特许颁发体检合格证的申请人应当向所在地地区管理机构航空卫生职能部门提交下列文件： （1）体检合格证特许颁发的申请书； （2）局方监察员或飞行检查委任代表出具的飞行技术能力证明文件； （3）全部的体检文书和医学资料。 （d）地区管理机构航空卫生职能部门对申请人提出的体检合格证特许颁发的申请进行审核，并将审核意见报民航总局航空卫生职能部门。 （e）民航总局航空卫生职能部门在审定体检合格证特许颁发的申请时，可要求申请人进行必要的医学检查或医学飞行测试。检查结果证明申请人有能力在特定的限制条件下安全地行使执照权利的，可予颁发特许体检合格证。 （f）对特许颁发的体检合格证持有人可以作出下列一项或多项限制，并在体检合格证上载明： （1）体检合格证有效期； （2）飞行时间； （3）飞行职责； （4）飞行任务； （5）局方认为安全行使执照权利所必要的其他限制。 67.33〔外籍空勤人员体检合格证的申请、颁发与认可〕 申请取得中国民用航空人员执照、合格证及其等级的外籍空勤人员，必须首先申请取得中国民航当局按本规则颁发的相应的体检合格证。 申请获得中国民用航空人员执照、合格证及其等级认可证书的外籍航空人员，必须首先申请获得中国民航当局按本规则相应的医学标准对其所持有的体检合格证的认可，或者申请取得中国民航当局按本规则颁发的相应的体检合格证。 67.35〔申诉〕 申请人对局方作出的拒绝颁发体检合格证的决定有异议时，可在收到拒绝颁发体检合格证的书面通知之日起的30天内向民航总局提出申诉。 C分部 Ⅰ级体检合格证的医学标准 67.101〔适用性〕 符合本分部所规定的所有条件的Ⅰ级体检合格证申请人，方可取得Ⅰ级体检合格证。 67.103〔一般条件〕 取得Ⅰ级体检合格证应当无下列可能影响其行使执照权利或可能因行使执照权利而加重的疾病或功能障碍： （1）心理品质不良； （2）先天性或后天获得性功能异常； （3）可能造成失能的活动性、隐匿性、急性或慢性疾病； （4）创伤、损伤或手术后遗症； （5）使用处方或非处方药物而造成的身体不良影响或不良反应。 67.105〔精神科〕 取得Ⅰ级体检合格证应当无下列精神疾病的明确病史或临床诊断： （1）精神病； （2）物质依赖或物质滥用； （3）人格障碍； （4）精神异常或严重的神经症。 67.107〔神经系统〕 取得Ⅰ级体检合格证应当无下列神经系统疾病的明确病史或临床诊断： （1）癫痫； （2）原因不明或难以预防的意识障碍； （3）可能影响安全行使执照权利的颅脑损伤及其并发症或其他神经系统疾病。 67.109〔循环系统〕 取得Ⅰ级体检合格证应当无下列循环系统疾病的明确病史或临床诊断： （1）心肌梗塞； （2）心绞痛； （3）冠心病； （4）严重的心律失常； （5）心脏瓣膜置换； （6）永久性心脏起搏器植入； （7）心脏移植； （8）收缩压持续超过155毫米汞柱(mmHg)，或舒张压持续超过95毫米汞柱(mmHg)； （9）其他可能影响安全行使执照权利的循环系统疾病。 67.111〔呼吸系统〕 取得Ⅰ级体检合格证应当无下列呼吸系统疾病或功能障碍。 （1）活动性肺结核； （2）反复发作的自发性气胸； （3）胸部纵膈或胸膜的活动性疾病； （4）影响高空呼吸功能的胸廓塌陷或胸部手术后遗症； （5）其他可能影响安全行使执照权利的呼吸系统疾病、创伤或手术后遗症。 67.113〔消化系统〕 取得Ⅰ级体检合格证应当无下列消化系统疾病或临床诊断： （1）肝硬化； （2）可能导致失能的疝； （3）消化性溃疡及其并发症； （4）胆道系统结石； （5）其他可能影响安全行使执照权利的消化系统疾病或手术后遗症。 67.115〔传染病〕 取得Ⅰ级体检合格证应当无下列传染病或临床诊断： （1）病毒性肝炎； （2）梅毒； （3）获得性免疫缺陷综合症(AIDS)； （4）人类免疫缺陷病毒(HIV)阳性； （5）乙型肝炎表面抗原阳性伴有乙型肝炎e抗原阳性； （6）其他可能影响安全行使执照权利的传染性疾病。 67.117〔代谢、免疫及内分泌系统〕 取得Ⅰ级体检合格证应当无需用药物控制的糖尿病及其他可能影响安全行使执照权利的代谢、免疫和内分泌系统疾病。 67.119〔血液系统〕 取得Ⅰ级体检合格证应当无严重的脾脏肿大及其他可能影响安全行使执照权利的血液系统疾病。 67.121〔泌尿生殖系统〕 取得Ⅰ级体检合格证应当无下列泌尿生殖系统疾病或临床诊断： （1）可能引起失能的泌尿系统结石； （2）严重的月经不调； （3）肾移植； （4）其他可能影响安全行使执照权利的泌尿生殖系统疾病、手术后遗症或功能障碍。 67.123〔妊娠〕 申请人妊娠期内不合格。 67.125〔骨骼、肌肉系统〕 取得Ⅰ级体检合格证应当无可能影响安全行使执照权利的骨骼、关节、肌肉或肌腱的疾病、损伤、手术后遗症及功能障碍；其身高、臂长、腿长和肌力应当满足行使执照权利的需要。 67.127〔皮肤及其附属器〕 取得Ⅰ级体检合格证应当无可能影响安全行使执照权利的皮肤及其附属器的疾病。 67.129〔耳、鼻、咽、喉及口腔〕 取得Ⅰ级体检合格证应当无下列耳、鼻、咽、喉、口腔疾病或功能障碍： （1）难以治愈的耳气压功能不良； （2）前庭功能障碍； （3）言语或发音障碍； （4）其他可能影响安全行使执照权利的耳、鼻、咽、喉、口腔疾病或功能障碍。 67.131〔听力〕 取得Ⅰ级体检合格证进行纯音听力计检查时，每耳在500、1000和2000赫兹(Hz)的任一频率上的听力损失不超过35分贝(dB)；在3000赫兹(Hz)频率上的听力损失不超过50分贝(dB)。如果申请人的听力损失超过上述值，应当同时满足下列条件时方可合格： （1）在飞机驾驶舱噪音环境中（或模拟条件下）每耳能够听清谈话、通话和信标台信号声； （2）在安静室中背向检查人2米处，双耳能够听清通常强度的谈话声。 67.133〔眼及其附属器〕 取得Ⅰ级体检合格证应当无下列眼及其附属器的疾病或功能障碍： （1）视野异常； （2）色觉异常； （3）夜盲； （4）双眼视功能异常； （5）其他可能影响安全行使执照权利的眼及其附属器的疾病、手术或创伤后遗症。 67.135〔远视力〕 （a）取得Ⅰ级体检合格证每眼矫正或未矫正的远视力应当达到0.7或以上，双眼远视力应当达到1.0或以上。对未矫正视力和屈光度无限制。如果仅在使用矫正镜才能达到以上规定时，应当同时满足下列条件方可合格： （1）在行使执照权利时，必须佩戴矫正镜； （2）在行使执照权利期间，备有一副随时可取用的、与所戴矫正镜度数相同的备份矫正镜。 （b）为满足本条（a）款的要求，申请人可以使用接触镜，但应当同时满足下列条件： （1）接触镜的镜片是单焦点、无色的； （2）镜片佩戴舒适； （3）在行使执照权利期间，应当备有一副随时可取用的、与所戴矫正镜度数相同的备份普通矫正镜。 （c）屈光不正度数高的，必须使用接触镜或高性能普通眼镜。 （d）任何一眼未矫正远视力低于0.1，必须对眼及其附属器进行全面检查。 （e）任何一眼有影响安全行使执照权利的改变眼屈光状态的手术后遗症不合格。 67.137〔近视力〕 取得Ⅰ级体检合格证每眼矫正或未矫正的近视力在30－50厘米的距离范围内应当达到0.5或以上，在100厘米的距离应当达到0.25或以上。如果仅在使用矫正镜才能达到以上规定时，应当同时满足下列条件时方可合格： （1）在行使执照权利时，应当备有一副随时可取用的矫正镜； （2）矫正镜必须能同时满足67.135条和本条的视力要求，不得使用单一矫正近视力的矫正镜。 D分部 Ⅱ级体检合格证的医学标准 67.201〔适用性〕 符合本分部规定的所有条件的Ⅱ级体检合格证申请人，方可取得Ⅱ级体检合格证。 67.203〔一般条件〕 取得Ⅱ级体检合格证应当无下列可能影响其行使执照权利或可能因行使执照权利而加重的疾病或功能障碍： （1）心理品质不良； （2）先天性或后天获得性功能异常； （3）可能造成失能的活动性、隐匿性、急性或慢性疾病； （4）创伤、损伤或手术后遗症； （5）使用处方或非处方药物而造成身体不良影响或不良反应。 67.205〔精神科〕 取得Ⅱ级体检合格证应当无下列精神疾病的明确病史或临床诊断： （1）精神病； （2）物质依赖或物质滥用； （3）人格障碍； （4）精神异常或严重的神经症。 67.207〔神经系统〕 取得Ⅱ级体检合格证应当无下列神经系统疾病的明确病史或临床诊断： （1）癫痫； （2）原因不明或难以预防的意识障碍； （3）可能影响安全行使执照权利的颅脑损伤及其并发症或其他神经系统疾病。 67.209〔循环系统〕 取得Ⅱ级体检合格证应当无下列循环系统疾病的明确病史或临床诊断： （1）心肌梗塞； （2）心绞痛； （3）冠心病； （4）严重的心律失常； （5）心脏瓣膜置换； （6）永久性心脏起搏器植入； （7）心脏移植； （8）收缩压持续超过155毫米汞柱(mmHg)，或舒张压持续超过95毫米汞柱(mmHg)； （9）其他可能影响安全行使执照权利的循环系统疾病。 67.211〔呼吸系统〕 取得Ⅱ级体检合格证应当无下列呼吸系统疾病或功能障碍： （1）活动性肺结核； （2）反复发作的自发性气胸； （3）胸部纵膈或胸膜的活动性疾病； （4）影响高空呼吸功能的胸廓塌陷或胸部手术后遗症； （5）其他可能影响安全行使执照权利的呼吸系统疾病、创伤或手术后遗症。 67.213〔消化系统〕 取得Ⅱ级体检合格证应当无下列消化系统疾病或临床诊断： （1）肝硬化； （2）可能导致失能的疝； （3）消化性溃疡及其并发症； （4）可能导致失能的胆道系统结石； （5）其他可能影响安全行使执照权利的消化系统疾病或手术后遗症。 67.215〔传染病〕 取得Ⅱ级体检合格证应当无下列传染病或临床诊断： （1）病毒性肝炎； （2）梅毒； （3）获得性免疫缺陷综合症(AIDS)； （4）人类免疫缺陷病毒(HIV)阳性； （5）其他可能影响安全行使执照权利的传染性疾病。 67.217〔代谢、免疫及内分泌系统〕 取得Ⅱ级体检合格证应当无需用药物控制的糖尿病及其他可能影响安全行使执照权利的代谢、免疫和内分泌系统疾病。但使用不影响安全行使执照权利的口服降血糖药物控制的可合格。 67.219〔血液系统〕 取得Ⅱ级体检合格证应当无可能影响安全行使执照权利的血液系统疾病。 67.221〔泌尿生殖系统〕 取得Ⅱ级体检合格证应当无下列泌尿生殖系统疾病或临床诊断： （1）可能导致失能的泌尿系统结石； （2）严重的月经失调； （3）肾移植； （4）其他可能影响安全行使执照权利的泌尿生殖系统疾病、手术后遗症或功能障碍。 67.223〔妊娠〕 申请人妊娠期内不合格。 67.225〔骨骼、肌肉系统〕 取得Ⅱ级体检合格证应当无可能影响安全行使执照权利的骨骼、关节、肌肉或肌腱的疾病、损伤、手术后遗症及功能障碍。其身高、臂长、腿长和肌力应当满足行使执照权利的需要。 67.227〔皮肤及其附属器〕 取得Ⅱ级体检合格证应当无可能影响安全行使执照权利的皮肤及其附属器的疾病。 67.229〔耳、鼻、咽、喉及口腔〕 取得Ⅱ级体检合格证应当无下列耳、鼻、咽、喉和口腔疾病或功能障碍： （1）难以治愈的耳气压功能不良； （2）前庭功能障碍； （3）言语或发音障碍； （4）其他可能影响安全行使执照权利的耳、鼻、咽、喉、口腔疾病或功能障碍。 67.231〔听力〕 取得Ⅱ级体检合格证进行纯音听力计检查时，每耳在500、1000和2000赫兹(Hz)的任一频率上的听力损失不超过35分贝(dB)；在3000赫兹(Hz)频率上的听力损失不超过50分贝(dB)。如果申请人的听力损失超过上述值，但在安静室中背向检查人2米处，双耳能够听清通常强度的谈话声可合格。 67.233〔眼及其附属器〕 取得Ⅱ级体检合格证应当无下列眼及其附属器的疾病或功能障碍： （1）视野异常； （2）色觉异常； （3）夜盲； （4）双眼视功能异常； （5）其他可能影响安全行使执照权利的眼及其附属器的疾病、手术或创伤后遗症。 67.235〔远视力〕 （a）取得Ⅱ级体检合格证每眼矫正或未矫正的远视力应当达到0.5或以上，双眼远视力应当达到0.7或以上。对未矫正视力和屈光度无限制。如果仅在使用矫正镜才能达到以上规定时，应当同时满足下列条件方可合格： （1）在行使执照权利时，必须佩戴矫正镜； （2）在行使执照权利期间，应当备有一副随时可取用的、与所戴矫正镜度数相同的备份矫正镜。 （b）为满足本条（a）款的要求，申请人可以使用接触镜，但应当同时满足下列条件： （1）接触镜的镜片是单焦点、无色的； （2）镜片佩戴舒适； （3）在行使执照权利期间，应当备有一副随时可取用的、与所戴矫正镜度数相同的备份普通矫正镜。 （c）屈光不正度数高的，必须使用接触镜或高性能普通眼镜。 （d）任何一眼未矫正远视力低于0.1，必须对眼及其附属器进行全面检查。 （e）任何一眼有影响安全行使执照权利的改变眼屈光状态的手术后遗症不合格。 67.237〔近视力〕 取得Ⅱ级体检合格证每眼矫正或未矫正的近视力在30－50厘米范围内应当达到0.5或以上。如果仅在使用矫正镜才能达到以上规定时，应当同时满足下列条件方可合格： （1）在行使执照权利时，备有一副随时可取用的矫正镜； （2）矫正镜必需能同时满足67.235条和本条的视力要求，不得使用单一矫正近视力的矫正镜。 E分部 Ⅲ级体检合格证的医学标准 67.301〔适用性〕 Ⅲa级体检合格证申请人符合本规则67.303至67.329（a）、67.331至67.335的规定，方可取得Ⅲa级体检合格证； Ⅲb级体检合格证申请人符合本规则67.303至67.327、67.329（b）、67.331和67.337的规定，方可取得Ⅲb级体检合格证。 67.303〔一般条件〕 取得Ⅲ级体检合格证应当无下列可能影响其行使执照权利或可能因行使执照权利而加重的疾病或功能障碍： （1）心理品质不良； （2）先天性或后天获得性功能异常； （3）可能造成失能的活动性、隐匿性、急性或慢性疾病； （4）创伤、损伤或手术后遗症； （5）使用处方或非处方药物而造成的身体不良影响或不良反应。 67.305〔精神科〕 取得Ⅲ级体检合格证应当无下列精神疾病的明确病史或临床诊断： （1）精神病； （2）物质依赖或物质滥用； （3）人格障碍； （4）精神异常或严重的神经症。 67.307〔神经系统〕 取得Ⅲ级体检合格证应当无下列神经系统疾病的明确病史或临床诊断： （1）癫痫； （2）原因不明或难以预防的意识障碍； （3）可能影响安全行使执照权利的颅脑损伤及其并发症或其他神经系统疾病。 67.309〔循环系统〕 取得Ⅲ级体检合格证应当无下列循环系统疾病的明确病史或临床诊断： （1）心肌梗塞； （2）心绞痛； （3）冠心病； （4）严重的心律失常； （5）心脏瓣膜置换； （6）永久性心脏起搏器植入； （7）心脏移植； （8）收缩压持续超过155毫米汞柱(mmHg)，或舒张压持续超过95毫米汞柱(mmHg)； （9）其他可能影响安全行使执照权利的循环系统疾病。 67.311〔呼吸系统〕 取得Ⅲ级体检合格证应当无下列呼吸系统疾病或功能障碍： （1）活动性肺结核； （2）反复发作的自发性气胸； （3）胸部纵膈或胸膜的活动性疾病； （4）其他可能影响安全行使执照权利的呼吸系统疾病、创伤或手术后遗症。 67.313〔消化系统〕 取得Ⅲ级体检合格证应当无下列消化系统疾病或临床诊断： （1）可能导致失能的疝； （2）消化性溃疡及其并发症； （3）可能导致失能的胆道系统结石； （4）其他可能影响安全行使执照权利的消化系统疾病或手术后遗症。 67.315〔传染病〕 取得Ⅲ级体检合格证应当无可能影响安全行使执照权利的传染病。 67.317〔代谢、免疫及内分泌系统〕 取得Ⅲ级体检合格证应当无可能影响安全行使执照权利的代谢、免疫和内分泌系统疾病。但使用不影响安全行使执照权利的口服降血糖药物控制的可合格。 67.319〔血液系统〕 取得Ⅲ级体检合格证应当无可能影响安全行使执照权利的血液系统疾病。 67.321〔泌尿生殖系统〕 取得Ⅲ级体检合格证应当无下列泌尿生殖系统疾病或临床诊断： （1）可能导致失能的泌尿系统结石； （2）严重的月经不调； （3）其他可能影响安全行使执照权利的泌尿生殖系统疾病、手术后遗症或功能障碍。 67.323〔骨骼、肌肉系统〕 取得Ⅲ级体检合格证应当无可能影响安全行使执照权利的骨骼、关节、肌肉或肌腱的疾病、损伤、手术后遗症及功能障碍。 67.325〔皮肤及其附属器〕 取得Ⅲ级体检合格证应当无可能影响安全行使执照权利的皮肤及其附属器的疾病。 67.327〔耳、鼻、咽、喉及口腔〕 取得Ⅲ级体检合格证应当无下列耳、鼻、咽、喉、口腔疾病或功能障碍： （1）前庭功能障碍； （2）言语或发音障碍； （3）其他可能影响安全行使执照权利的耳、鼻、咽、喉、口腔疾病或功能障碍。 67.329〔听力〕 （a）取得Ⅲa级体检合格证进行纯音听力计检查时，每耳在500、1000和2000赫兹(Hz)的任一频率上的听力损失不超过35分贝(dB)；在3000赫兹(Hz)频率上的听力损失不超过50分贝(dB)。如果申请人的听力损失超过上述值，当同时满足下列条件时方可合格： （1）在工作环境背景噪音环境中（或模拟条件下）每耳应当能听清谈话、通话和信标台信号声； （2）在安静室中背向检查人2米处，双耳能够听清通常强度的谈话声。 （b）取得Ⅲb级体检合格证能在安静室中背向检查人2米处，双耳能够听清通常强度的谈话声可合格。 67.331〔眼及其附属器〕 取得Ⅲ级体检合格证应当无下列眼及其附属器的疾病或功能障碍： （1）视野异常； （2）色觉异常； （3）夜盲； （4）双眼视功能异常； （5）其他可能影响安全行使执照权利的眼及其附属器的疾病、手术或创伤后遗症。 67.333〔Ⅲa级体检合格证远视力标准〕 （a）取得Ⅲa级体检合格证每眼矫正或未矫正的远视力应当达到0.7或以上，双眼远视力应当达到1.0或以上。对未矫正视力和屈光度无限制。如果仅在使用矫正镜才能达到以上规定时，应当同时满足下列条件方可合格： （1）在行使执照权利时，必须佩戴矫正镜； （2）在行使执照权利期间，备有一副随时可取用的、与所戴矫正镜度数相同的备份矫正镜。 （b）为满足本条（a）款的要求，申请人可以使用接触镜，但应当同时满足下列条件： （1）接触镜的镜片是单焦点、无色的； （2）镜片佩戴舒适； （3）在行使执照权利期间，应当备有一副随时可取用的、与所戴矫正镜度数相同的备份普通矫正镜。 （c）屈光不正度数高的，必须使用接触镜或高性能普通眼镜。 （d）任何一眼未矫正远视力低于0.1，必须对眼及其附属器进行全面检查。 （e）任何一眼有影响安全行使执照权利的改变眼屈光状态的手术后遗症不合格。 67.335〔Ⅲa级体检合格证近视力标准〕 取得Ⅲa级体检合格证每眼矫正或未矫正的近视力在30－50厘米范围内应当达到0.5或以上，在100厘米的距离应当达到0.25或以上。如果仅在使用矫正镜才能达到以上规定时，应当同时满足下列条件方可合格： （1）在行使执照权利时，应当备有一副随时可取用的矫正镜； （2）矫正镜必需能同时满足67.333条和本条的视力要求，不得使用单一矫正近视力的矫正镜。 67.337〔Ⅲb级体检合格证视力标准〕 取得Ⅲb级体检合格证的视力标准为每眼矫正或未矫正的远视力应当达到0.5或以上。如果仅在使用矫正镜才能达到以上规定时，在行使执照权利时，应当佩戴矫正镜（眼镜或接触镜）。 F分部 Ⅳ级体检合格证的医学标准 67.401〔适用性〕 Ⅳa级体检合格证申请人符合本规则67.403至67.415（a）（b）、67.417至67.435（a）的规定，方可取得Ⅳa级体检合格证。 Ⅳb级体检合格证申请人符合本规则67.403至415（a）（c）、417至433和435（b）的规定，方可取得Ⅳb级体检合格证。 67.403〔一般条件〕 取得Ⅳ级体检合格证应当无下列可能影响其行使执照权利或可能因行使执照权利而加重的疾病或功能障碍： （1）心理品质不良； （2）先天性或后天获得性功能异常； （3）可能造成失能的活动性、隐匿性、急性或慢性疾病； （4）创伤、损伤或手术后遗症； （5）使用处方或非处方药物而造成的身体不良影响或不良反应。 67.405〔精神科〕 取得Ⅳ级体检合格证应当无下列精神疾病的明确病史或临床诊断： （1）精神病； （2）物质依赖或物质滥用； （3）人格障碍； （4）精神异常或严重的神经症。 67.407〔神经系统〕 取得Ⅳ级体检合格证应当无下列神经系统疾病的明确病史或临床诊断： （1）癫痫； （2）原因不明或难以预防的意识障碍； （3）可能影响安全行使执照权利的颅脑损伤及其并发症或其他神经系统疾病。 67.409〔循环系统〕 取得Ⅳ级体检合格证应当无下列循环系统疾病的明确病史或临床诊断： （1）心肌梗塞； （2）心绞痛； （3）冠心病； （4）严重的心律失常； （5）心脏瓣膜置换； （6）永久性心脏起博器植入； （7）心脏移植； （8）收缩压持续超过155毫米汞柱(mmHg)，或舒张压持续超过95毫米汞柱(mmHg)； （9）其他可能影响安全行使执照权利的循环系统疾病。 67.411〔呼吸系统〕 取得Ⅳ级体检合格证应当无下列呼吸系统疾病或功能障碍： （1）活动性肺结核； （2）反复发作的自发性气胸； （3）胸部纵膈或胸膜的活动性疾病； （4）影响高空呼吸功能的胸廓塌陷或胸部手术后遗症； （5）其他可能影响安全行使执照权利的呼吸系统疾病、创伤或手术后遗症。 67.413〔消化系统〕 取得Ⅳ级体检合格证应当无下列消化系统疾病或临床诊断： （1）可能导致失能的疝； （2）消化性溃疡及其并发症； （3）可能导致失能的胆道系统结石； （4）其他可能影响安全行使执照权利的消化系统疾病或手术后遗症。 67.415〔传染病〕 （a）取得Ⅳ级体检合格证应当无下列传染病或临床诊断： （1）病毒性肝炎； （2）梅毒； （3）获得性免疫缺陷综合症(AIDS)； （4）痢疾； （5）伤寒； （6）人类免疫缺陷病毒(HIV)阳性； （7）其他可能影响安全行使执照权利或他人健康的传染性疾病。 （b）取得Ⅳa级体检合格证应当无乙型肝炎表面抗原阳性及其他消化道传染病的病原学检查阳性。 （c）取得Ⅳb级体检合格证应当无乙型肝炎表面抗原阳性伴有乙型肝炎e抗原阳性。 67.417〔代谢、免疫及内分泌系统〕 取得Ⅳ级体检合格证应当无需用药物控制的糖尿病及其他可能影响安全行使执照权利的代谢、免疫和内分泌系统疾病。但使用不影响安全行使执照权利的口服降血糖药物控制的可合格。 67.419〔血液系统〕 取得Ⅳ级体检合格证应当无严重的脾脏肿大或可能影响安全行使执照权利的血液系统疾病。 67.421〔泌尿生殖系统〕 取得Ⅳ级体检合格证应当无下列泌尿生殖系统疾病或临床诊断： （1）有症状的泌尿系统结石； （2）严重的月经失调； （3）肾移植； （4）其他可能影响安全行使执照权利的泌尿生殖系统疾病、手术后遗症或功能障碍。 67.423〔妊娠〕 申请人妊娠期内不合格。 67.425〔骨骼、肌肉系统〕 取得Ⅳ级体检合格证应当无影响安全行使执照权利的骨骼、关节、肌肉或肌腱的疾病、损伤、手术后遗症及功能障碍；其身高、臂长、腿长和肌力应当满足行使执照权利的需要。 67.427〔皮肤及其附属器〕 取得Ⅳ级体检合格证应当无影响安全行使执照权利的皮肤及其附属器的疾病。 67.429〔耳、鼻、咽、喉及口腔〕 取得Ⅳ级体检合格证应当无下列耳、鼻、咽、喉和口腔疾病或功能障碍： （1）难以治愈的耳气压功能不良； （2）前庭功能障碍； （3）言语或发音障碍； （4）其他可能影响安全行使执照权利的耳、鼻、咽、喉、口腔疾病或功能障碍。 67.431〔听力〕 取得Ⅳ级体检合格证进行低语音耳语听力检查，每耳听力不低于5米。 67.433〔眼及其附属器〕 取得Ⅳ级体检合格证应当无下列眼及其附属器的疾病或功能障碍： （1）视野异常； （2）色盲； （3）夜盲； （4）其他可能影响安全行使执照权利的眼及其附属器的疾病或功能障碍。 67.435〔视力〕 （a）取得Ⅳa级体检合格证每眼矫正或未矫正远视力应当达到0.5或以上。如果仅在使用矫正镜（眼镜或接触镜）时才能满足以上规定，在行使执照权利时，应当配戴矫正镜，且备有一副随时可取用的，与所戴矫正镜度数相同的备份矫正眼镜。 （b）取得Ⅳb级体检合格证每眼未矫正远视力应当达到0.7或以上。 G分部 法律责任 67.501〔对局方工作人员违反行政许可规定的处罚〕 局方工作人员违反行政许可法关于办理许可事项的有关规定，对不符合法定条件的申请人颁发体检合格证，对符合法定条件的申请人不予颁发体检合格证的，由其上级行政机关或者监察机关责令改正，对直接负责的主管人员和其他直接责任人员依法给予行政处分。 在办理体检合格证、实施监督检查的过程中，索取、收受他人财物或者谋取其他利益，构成犯罪的，依法追究刑事责任；尚不构成犯罪的，由其上级行政机关或者监察机关依法给予行政处分。 67.503〔对体检合格证持有人身体状况发生变化时行使执照权利的处罚〕 违反本规则67.25的规定，当体检合格证持有人的身体状况发生变化，不符合所持体检合格证的相应医学标准时，继续行使执照权利，局方可处以50元以下的罚款、警告或者暂扣体检合格证1个月至6个月的处罚，情节严重的，可以收回体检合格证。 67.505〔对未取得体检合格证从事民用航空活动的处罚〕 违反本规则67.17的规定，未取得体检合格证而从事相应的民用航空活动的，由局方责令其停止民用航空活动，自停止民用航空活动之日起6个月至12个月限期内不接受其办理体检合格证的申请，并按照《中华人民共和国民用航空法》第二百零五条的规定，对其所在单位处以人民币二十万元以下的罚款。 67.507〔对未携带体检合格证从事民用航空活动的处罚〕 违反本规则67.7的规定，航空人员在行使执照权利时，未携带有效体检合格证的，由局方按照《中华人民共和国民用航空法》第二百零八条的规定，对当事人给予警告或吊扣体检合格证1个月至6个月的处罚。 67.509〔对隐瞒病史、病情或擅自涂改、伪造体检合格证、体检文书及医学资料的处罚〕 违反本规则67.7、67.19的规定，在申请体检合格证时隐瞒病史、病情或者擅自涂改、伪造体检合格证、体检文书及医学资料的，局方不予受理或者不予颁发体检合格证，并给予警告；对已取得体检合格证的，局方收回体检合格证，并在一年内不接受其办理体检合格证的申请；构成犯罪的，依法追究刑事责任。 H分部 附则 67.509〔废止〕 本规则施行前发布的与本规则不一致的有关规定，自本规则生效之日起废止。 67.511〔原体检合格证的有效期〕 在本规则施行前，已签发的有效体检合格证在原有效期内依然有效。 67.513〔施行日期〕 本规则自发布之日起施行。 附录一：申请体检合格证的辅助检查项目和频度 ┌──┬───────────┬──────────┬─────────┬─────────┬─────┬─────┬─────┐ │序号│ 检 查 项 目 │ Ⅰ级体检合格证 │ Ⅱ级体检合格证 │ Ⅲa级体检合格证 │ Ⅲb级 │ Ⅳa级 │ Ⅳb级 │ │ │ │ │ │ │体检合格证│体检合格证│体检合格证│ ├──┼───────────┼──────────┼─────────┼─────────┼─────┼─────┼─────┤ │ 1 │脑电图 │首次申请 │首次申请 │ │ │ │ │ ├──┼───────────┼──────────┼─────────┼─────────┼─────┼─────┼─────┤ │ 2 │静息心电图 │首次申请 │首次申请 │首次申请 │ 每次申请 │ 首次申请 │ 每次申请 │ │ │ │30岁以上每12个月一次│40岁以上每次申请 │40岁以上每次申请 │ │ │ │ ├──┼───────────┼──────────┼─────────┼─────────┼─────┼─────┼─────┤ │ 3 │次极量运动负荷心电
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