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

• ED Decision 2019/002/R found in: Aircrew (1178/2011) Part-FCL Part-MED Part-CC Part-ARA Part-ORA Part-DTO (Dec 2024)

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. (c)      Cabin crew members with: (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. 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. (c) Cabin crew members with: (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. ##### 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. (c) Cabin crew members with: (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.