Medical requirements for aviation personnel
The Department of Medical Flight Safety ensures the implementation of constant supervision and control over medical flight safety in civil aviation organizations and airlines of the Republic of Kazakhstan.
In accordance with regulatory legal acts, we regulate the medical requirements for persons entering and studying to be a pilot, professional flight crew, private pilots, air traffic controllers and flight attendants, presented during medical examination. It is necessary to contact the aviation medical center (hereinafter - AMC) to undergo a medical examination.
- AMC RSE "Kazaeronavigation" Almaty
- AMC LLP "Aero Park" Nur-Sultan
In order to undergo a medical examination, the applicant fills out an application for obtaining and/or extending a medical certificate. If false facts are revealed in the signed application indicating the concealment of diseases known to the applicant and posing a danger to flight operations, the aviation medical expert (hereinafter-AME) sends the original application with a cover letter to the authorized organization for the transfer of materials to the authorized body for administrative measures.
Upon passing a medical examination, a medical certificate is issued confirming the applicant's compliance with the requirements for fitness for health reasons and providing admission to professional activity:
- persons entering and studying to become pilots; pilots - are issued a "Medical certificate of the 1st class";
- flight engineers, flight mechanics, navigators, private pilots, radio operators, flight operators, flight attendants - are issued a "Medical certificate of the 2nd class";
- air traffic controllers and persons entering for studies and studying to be an air traffic controller are issued a "Medical certificate of the 3rd class";
- LISL pilots are issued a "Medical certificate of LISL".
Holders of medical certificates immediately notify AME from the moment of occurrence of factors that reduce the validity of their health, such as:
- performing a surgical operation or an invasive procedure;
- prescribing regular intake of any medication;
- receiving significant damage, which entails the inability to perform the professional duties of the relevant certificate of aviation personnel (hereinafter referred to as the certificate);
- illness, which entails the inability to perform the professional duties of the relevant certificate;
- pregnancy and childbirth;
- hospitalization;
- appointment of corrective lenses for the first time.
Aviation Medical Center Certification
We also control the approval and permanent certification of aviation medical centers (hereinafter-AMC).
The Aviation Medical Center carries out a medical examination in the field of civil aviation after passing a certification examination by a commission composed of employees of an authorized organization, as well as specialists, consultants and/or independent experts.
If the applicant meets the certification requirements and eliminates the inconsistencies identified during the certification examination, the authorized organization issues the certificate to the applicant in the approved form within three working days.
The certificate is issued by the AMC, which is located on the territory of the Republic of Kazakhstan for three years and is not transferable.
Manual for medical personnel
- Order of the Minister for Investment and Development of the Republic of Kazakhstan dated June 5, 2017 No. 324 "On approval of the Rules of medical examination and inspection in civil aviation of the Republic of Kazakhstan"
- Order of the Minister for Investment and Development of the Republic of Kazakhstan dated June 6, 2017 No. 329 "On approval of the Rules for providing medical care to passengers in civil aviation"
- Order of the Minister for Investment and Development of the Republic of Kazakhstan dated June 13, 2017 No. 344 "On approval of the Rules for the appointment of aviation medical experts"
- Order of the Minister for Investment and Development of the Republic of Kazakhstan No. 358 on June 16, 2017 "On approval of the Rules for certification and issuance of the certificate of an aviation medical center, as well as certification requirements for aviation medical centers"
Ensuring medical safety on board the aircraft and at the airport
Pre-medical medical care is provided on board the aircraft, as well as qualified medical care if there is a medical worker among the passengers. When providing medical care, including to foreign air passengers, it is not allowed to use medicines and medical devices with expired shelf life, the use of medical measuring devices that have not passed verification and registration in accordance with the procedure established by the legislation of the Republic of Kazakhstan, as well as medical devices and medical devices available to the patient, except if they appointed by a medical professional.
Pre-medical medical care with the use of medicines on board the aircraft is provided by cabin crew members or members of the flight crew of the aircraft, where the presence of a cabin crew is not provided, who have undergone appropriate training. To provide pre-medical medical care, a set of pre-medical medical care is used, and if necessary, a set of medical care.
The aircraft commander makes an emergency landing when he believes that the continuation of the flight is unsafe for the health of the passenger.
The medical aid kit is used by a passenger with a medical education who is on board the aircraft, or by a senior flight attendant after receiving a recommendation/consultation (oral or written or remote) from a medical worker.
If crew members or passengers have symptoms of infectious and parasitic diseases before the flight, they are not allowed on board the aircraft.
Aircraft performing international flights to countries with infected areas are equipped with protective clothing, necessary medical equipment, medicinal and preventive preparations, disinfectants, disinfectants and pesticides.
Primary anti-epidemic measures are carried out on board the aircraft using a universal kit in cases of identification of a patient, death of a passenger/crew member suspected of infectious diseases, quarantine infections, contagious viral hemorrhagic fevers, malaria and infectious diseases of unclear etiology that have important international significance value.
When a passenger asks for medical help at the medical center:
1) a medical examination is carried out, a preliminary diagnosis is made and, if necessary, medical assistance is provided;
2) for short-term observation of the patient, he is left in the infirmary, and in case of difficulty in establishing a preliminary diagnosis of the disease, it is necessary to seek advice from medical organizations;
3) if there are medical indications, an ambulance team is called and/or sent for hospitalization;
4) if there are contraindications for using the aircraft, he is suspended from the flight and a certificate of suspension from the flight is issued to him;
5) the dispatcher of the transportation organization service is informed about the passenger suspended from the flight, and a corresponding entry is made in the journal of passenger requests for medical care, while it is necessarily noted where he left.
In the event of an aviation accident on the territory of the airport, medical workers of the medical center participate in emergency rescue operations as part of emergency rescue teams.
- congenital or acquired abnormalities;
- active, latent, acute or chronic disease or disability;
- wounds, injuries or consequences of surgery;
- the effect or side effect of the use of prescribed or not prescribed medication for therapeutic, diagnostic or preventive purposes, which may cause such a degree of functional disability that will lead to a violation of the safe exercise of the rights of the certificate.
- statement;
- information about the dynamic (dispensary) observation of the patient according to the attachment sheet 5 to the outpatient patient's medical record, provided for by the form of medical records used in outpatient polyclinic organizations, approved by the order of the Acting Minister of Health of the Republic of Kazakhstan dated October 30, 2020 No. KR DSM-175/2020 "On approval of forms of accounting documentation in the field of healthcare";
- outpatient, inpatient patient", approved by the Order;
- certificate of psychiatric, narcological examinations (at the initial medical examination);
- a military ID card or a certificate of enlistment submitted by conscripts and conscripts, with the exception of persons not subject to military registration;
- a copy of the certificate of illness to applicants dismissed for health reasons from state bodies (Ministry of Defense of the Republic of Kazakhstan, Aviation Service of the National Security Committee of the Republic of Kazakhstan, National Guard of the Republic of Kazakhstan), according to Annex 6 to the Rules of military medical examination in the Armed Forces of the Republic of Kazakhstan approved by the Order of the Minister of Defense of the Republic of Kazakhstan dated December 21, 2020 No. 716 "On approval of the Rules of military medical examination and Regulations on military medical examination commissions in the Armed Forces of the Republic of Kazakhstan".
- A Class 1 medical certificate is valid for 12 months from the date of its initial receipt or expiration of the previous medical certificate;
- the medical certificate of the 2nd class of persons belonging to flight engineers, flight mechanics, navigators is valid for 12 months from the date of its initial receipt or expiration of the previous medical certificate;
- the medical certificate of the 2nd class of persons belonging to private pilots, radio operators, flight operators is valid for 60 months from the date of its initial receipt or expiration of the previous medical certificate and until the age of 40; at the age of 40-49, the medical certificate is valid for 24 months from the date of its initial receipt or expiration of the previous one medical certificate; after reaching the age of 50, the medical certificate is valid for 12 months from the date of its initial receipt or expiration of the previous medical certificate;
- the medical certificate of the 2nd class of persons belonging to flight attendants is valid for 60 months from the date of its initial receipt or expiration of the previous medical certificate;
- the medical certificate of the 3rd class of persons belonging to air traffic controllers and persons entering and studying for an air traffic controller is valid for 24 months from the date of its initial receipt or expiration of the previous medical certificate and until the age of 50; after reaching the age of 50, the medical certificate is valid for 12 months from the date of its initial receipt or expiration of the previous medical certificate;
- LiSLA medical certificate is valid for 60 months from the date of its initial receipt or expiration of the previous medical certificate and until the age of 40; at the age of 40-49, the medical certificate is valid for 24 months from the date of its initial receipt or expiration of the previous medical certificate; after reaching the age of 50, the medical certificate is valid within 12 months from the date of its initial receipt or expiration of the previous medical certificate.
- The validity of the medical certificate of the 1st class applies to medical certificates of the 2nd, 3rd class and LISL. The owner of the certificate without or with an expired medical certificate is not allowed to perform official duties.
- have a license for medical activity (outpatient care, examination of temporary disability and professional fitness);
- have regulatory legal and methodological documentation for conducting a medical examination;
- have a management system that ensures flight safety through periodic risk assessments and management;
- have the premises on the right of ownership, lease or trust management;
- compliance of premises with the requirements of Sanitary rules "Sanitary and epidemiological requirements for health facilities" approved by the Order of the Minister of Health of the Republic of Kazakhstan dated August 11, 2020 No. KR DSM-96/2020.
- the availability of medical equipment and medical devices in the premises is not lower than the minimum list of equipment of the aviation medical center according to the Certification requirements;
- have a clinical diagnostic laboratory and a department (office) of functional diagnostics;
- availability in the clinical diagnostic laboratory and department (office) of functional diagnostics of medical equipment, medical devices not lower than the minimum list of equipment of the aviation medical center according to the Certification requirements;
- have accounting and reporting documentation on studies conducted for the purpose of medical examination;
- have medical specialists and administrative staff in the staff of the AMC not lower than the minimum staffing standard of the AMC according to the Certification requirements;
- have a system for transmitting information to an authorized organization and other AMC and AME (if necessary);
- to provide the room with means of protection (alarm system, metal safes).