What conditions must be met if hearing requirements are met only with hearing aids?

The hearing aid(s) should provide optimal hearing function, be well-tolerated, and be suitable for aviation purposes.

Which cabin crew conditions require further examination to ensure they do not interfere with safe duties?

Conditions include: active pathological process of the internal or middle ear; unhealed perforation or dysfunction of the tympanic membrane(s); disturbance of vestibular function; significant restriction of the nasal passages; sinus dysfunction; significant malformation or significant infection of the oral cavity or upper respiratory tract; and significant disorder of speech or voice.

AMC15 MED.C.025 Content of aero-medical assessments

Q: When should tympanometry or an equivalent be performed for cabin crew?

Tympanometry or an equivalent should be performed at the initial examination and when clinically indicated.

Q: How is conversational speech hearing tested for cabin crew?

The cabin crew member should understand correctly conversational speech when tested with each ear at a distance of 2 metres from and with the cabin crew member's back turned towards the examiner.

Q: What are the pure tone audiometry hearing loss limits at initial examination for cabin crew?

At initial examination, the cabin crew member should not have a hearing loss of more than 35 dB at any of the frequencies 500 Hz, 1 000 Hz or 2 000 Hz, or more than 50 dB at 3 000 Hz, in either ear separately.

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AMC15 MED.C.025 Content of aero-medical assessments

ED Decision 2019/002/R

OTORHINOLARYNGOLOGY (ENT)

(a) Hearing should be satisfactory for the safe exercise of cabin crew duties and responsibilities. Cabin crew with hypoacusis should demonstrate satisfactory functional hearing abilities.

(b) Examination

(1) An ear, nose and throat (ENT) examination should form part of all examinations and assessments. A tympanometry or equivalent should be performed at the initial examination and when clinically indicated.

(2) Hearing should be tested at all examinations and assessments:

(i) the cabin crew member should understand correctly conversational speech when tested with each ear at a distance of 2 metres from and with the cabin crew member’s back turned towards the examiner;

(ii) notwithstanding (b)(2)(i), hearing should be tested with pure tone audiometry at the initial examination and when clinically indicated;

(iii) at initial examination the cabin crew member should not have a hearing loss of more than 35 dB at any of the frequencies 500 Hz, 1 000 Hz or 2 000 Hz, or more than 50 dB at 3 000 Hz, in either ear separately.

(3) If the hearing requirements can be met only with the use of hearing aid(s), the hearing aid(s) should provide optimal hearing function, be well-tolerated, and suitable for aviation purposes.

(1) an active pathological process of the internal or middle ear;

(2) unhealed perforation or dysfunction of the tympanic membrane(s);

(3) disturbance of vestibular function;

(4) significant restriction of the nasal passages;

(5) sinus dysfunction;

(6) significant malformation or significant infection of the oral cavity or upper respiratory tract;

(7) significant disorder of speech or voice

should undergo further examination to establish that the condition does not interfere with the safe exercise of their duties and responsibilities.

Details

Source-Title: AMC15 MED.C.025 Content of aero-medical assessments View latest amendments

Erulesid: ERULES-1963177438-11198 Compare versions

Domain: Aircrew

Applicabilitydate: 30 January, 2019

Entryintoforcedate: 29 January, 2019

Regulatorysource: ED Decision 2019/002/R Navigate

Regulatorysubject: Part-MED

Typeofcontent: AMC to IR (Acceptable means of compliance to implementing rule)

Parentir: MED.C.025 Content of aero-medical assessments

Origin: EASA

Category: EAR