AR 40-501 - California National Guard

. The attending FS/APA/AMNP/AME makes the initial determination of fitness for Class 3 flying duties.c. The FS/APA/AMNP/AME 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 suspensionfrom flying duties. Other disqualifications may be waived for flying duties. The FS/APA/AMNP/AME will take intoconsideration the operational duties and responsibilities of Class 3 aircrew before recommending a waiver/suspensionaction to the aviation unit commander. Questionable cases will be referred to the USAAMA.(2) A major physical or psychological defect in the operational aviation environment is defined as any defect thatwill—(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, ordeployability.(e) Require medications or treatments that compromise flight safety or deployability.(3) Alcohol/drug abuse or dependence requires AHRC or NGB waiver.d. The local aviation unit commander or civilian waiver authority, as appropriate, will grant or deny the aeromedicalrecommendation for waiver or suspension.4–33. Medical standards for ATC personnela. DAC and DA contract civilian ATCs.(1) Medical qualification requirements for Department of the Army civilian Air Traffic Controllers are outlined inOffice of Personnel Management Operating Manual: Qualification Standards for General Schedule Positions, GS–2152:Air Traffic Control Series, in accordance with Section 339.202, Title 5, Code of Federal Regulations.(2) DA contract civilian ATCs may be required by their contractor employer to maintain a Class II Federal AviationAdministration (FAA) medical certification; but this certification is not required by DA or FAA for contract ATCs tocontrol air traffic in DOD facilities (14 CFR 65.31, 33). The initial and subsequent determinations of medical fitnessfor ATC duties are made as outlined in this regulation. The contract will state that DA contract ATCs will meet thesame medical qualification requirements as those for DA civilians set forth in (1) above.b. Class 4 military ATCs. The causes for unfitness for Class 4 ATC duties are—(1) Eye. (See paras 4–11 and 4–12.)(2) Ear, nose, and throat. (See also para 4–7.)(a) Unilateral or bilateral disease of the outer, middle, or inner ear that may interfere with the comfortable, efficientuse of the standard headphone apparatus, with accurate perception of voice transmissions or spoken communications,or equilibrium.(b) Disease or malformation of the mouth or throat that may interfere with enunciation and clear speech, to includestuttering or stammering. (See paras 4–6, 4–19, and 4–30.)(c) Hearing loss that exceeds the standards in table 4–1.(d) Nose and sinuses. (See para 4–20.)(3) Cardiovascular and blood pressure. (See para 4–15.)(4) Neuropsychiatric. (See paras 4–22, 4–23, and 4–29.)(5) Endocrine. (See para 4–9 and APL, Diabetes and Glucose Intolerance.)(6) Musculoskeletal.(a) Any deformity or condition of the spine or limbs, or absence of any extremity, digit, or any portion thereof, thatmay interfere with satisfactory and safe performance of duty.(b) Any condition that predisposes to fatigue or discomfort induced by long periods of standing or sitting.(7) Weight and body build. These factors must not interfere with the operation of ATC equipment, or the use ofwork place facilities such as office chair or staircase.(8) HIV seropositivity. (Civilian employees: Normally, neither applicants for employment nor current employeesmay be required to be tested for the presence of the HIV antibody. Civilian employees are not disqualified based solelyon the presence of the HIV virus. See AR 600–110 and ATB 2, Army Flight Surgeon’s Administrative Guide.)(9) Other medical conditions. Other organic, systemic, functional, or structural diseases, defects, or limitations thatin the opinion of the attending FS may be a potential hazard to safety in the Air Traffic Control System, or predisposeto sudden incapacitation or inability to adapt to stress. (See paras 4–26, 4–27, and 4–28.) A pertinent history andclinical evaluation including laboratory screening will be obtained, and when clinically indicated, special consultationsand examinations will be accomplished and forwarded to the USAAMA for review.(10) Medications. Unfitting for ATC duties and requires a waiver. (See APL, Medications.)50 AR 40–501 • 14 December 2007/RAR 10 September 2008