Appendix V to ANNEX VI (Part-ARA)
– Certificate for Aeromedical Centres (AeMCs)
Regulation (EU) 2024/2076
CERTIFICATE FOR AERO-MEDICAL CENTRES (AeMCs)
European Union[29]
Competent Authority
AERO-MEDICAL CENTRE CERTIFICATE
REFERENCE:
Pursuant to Commission Regulation (EU) No 1178/2011 and subject to the conditions specified below, the [competent authority] hereby certifies
[NAME OF THE ORGANISATION]
[ADDRESS OF THE ORGANISATION]
As Part-ORA certifies Aero-medical centre with the privileges and the scope of activities as listed in the attached terms of approval.
CONDITIONS:
1. This
certificate is limited to that specified in the scope of approval section of
the approved organisation manual;
2. This
certificate requires compliance with the procedures specified in the
organisation documentation as required by Part-ORA.
3. This
certificate shall remain valid subject to compliance with the requirements of
Part-ORA unless it has been surrendered, superseded, suspended or revoked.
Date of issue: ………………………………………………………………….
Signature: ……………………………………………………………
EASA Form
146 Issue 1
[applicable until 12 February 2025 -
Regulation (EU) 245/2014]
CERTIFICATE FOR
AERO-MEDICAL CENTRES (AeMCs)
European Union[30]
Competent Authority
AERO-MEDICAL CENTRE
CERTIFICATE
REFERENCE:
Pursuant to Commission
Regulation (EU) No 1178/2011 and Regulation (EU) 2015/340 ([31]) and subject to the conditions specified below, the [competent
authority] hereby certifies
[NAME OF THE ORGANISATION]
[ADDRESS OF THE
ORGANISATION]
as a Part-ORA certified
Aero-medical centre with the privileges and the scope of activities as listed
in the attached terms of approval.
CONDITIONS:
1. This certificate is limited to that specified in the scope of
approval section of the approved organisation manual;
2. This certificate requires compliance with the procedures
specified in the organisation documentation as required by Part- ORA.
3. This certificate shall remain valid subject to compliance
with the requirements of Part-ORA unless it has been surrendered, superseded,
suspended or revoked.
Date of issue: dd/mm/yyyy:
………………………………………………………………….
Signature: [Competent
Authority]: ……………………………………………………………
EASA Form 146 Issue 2
AERO-MEDICAL CENTRE
CERTIFICATE
Attachment ([32]) to AeMC certificate number:
PRIVILEGES AND SCOPE
[Name of the organisation]
has obtained the privilege(s) to undertake aero-medical examinations and
assessments for the issuance of medical certificates and medical reports as
stated in the table below and to issue these medical certificates and medical reports
for:
|
|
Initial/revalidation/renewal |
Date of issue |
|
Class 1 |
|
|
|
Class
2/LAPL/Cabin Crew |
|
|
|
Class 3 ([33]) |
|
|
Date of issue: dd/mm/yyyy:
………………………………………………………………….
Signature: [Competent
Authority]: ……………………………………………………………
[applicable from 13 February
2025 - Regulation (EU) 2024/2076]
[29] 'European Union' to be deleted for non-EU Member States
[30] 'European Union' to be deleted for non-EU Member States or EASA.
[31] Reference to Regulation (EU) No 1178/2011 or Regulation (EU) 2015/340 shall be modified as per the certificate’s scope.
[32] Class 3 shall be added only for the AeMCs approved to perform class 3 aero-medical examinations.
[33] Class 3 shall be added only for the AeMCs approved to perform class 3 aero-medical examinations.
EASA Aeromedical Centre (AeMC) certification allows approved organizations to conduct aviation medical examinations and issue certificates. Compliance with organizational procedures is mandatory. Certificates remain valid unless surrendered, suspended, or revoked, and the scope of approval dictates permitted activities like medical assessments for pilots and cabin crew.
* Summary by Aviation.Bot - Always consult the original document for the most accurate information.
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