European Cabin Crew Medical Fitness Requirements


The requirements for periodic attestation of the medical fitness of persons acting as cabin crew on commercial air transport flights introduced under EU-OPS 1.995 are superseded by the applicable part of the EASA Aircrew Regulation, IRs contained in Subpart C of Part-MED. Implementation is mandatory with effect from 8 April 2014. States may utilise transition arrangements after that date where permitted under the Regulation. An example of the latter is the UK, which has announced that all cabin crew must hold a valid EU medical report from 8 April 2019 but until that date, assessment of fitness for cabin crew duties under EU-OPS requirements will remain valid.

The Regulatory Background

The European Commission Regulation (EU) No 1178/2011 lays down the technical requirements and administrative procedures for civil aviation aircrew in EU and EEA countries. In respect of Cabin Crew, it establishes Implementing Rules for their periodic aero-medical assessment and the conditions under which general medical practitioners may act as aero-medical examiners. These rules also cover the conditions for issuing, maintaining, amending, limiting, suspending or revoking attestations of cabin crew medical fitness and detail both the privileges and responsibilities of the holders of such attestations.

The above Regulation has seven Annexes. Annex IV is known as Part-MED and contains the EASA Implementing Rules (IRs) for medical assessment of both pilots and cabin crew. Subpart C of Part-MED contains the IRs applicable to cabin crew medical assessment.

The Part-MED Requirements

In summary, the requirements are that:

  • cabin crew must be in possession of a valid medical report in order to act in that capacity
  • there is a system for arranging periodic medical assessment of cabin crew by appropriately qualified persons
  • a written medical report in a prescribed format shall be provided to the person assessed after the completion of each assessment
  • the holder of a medical report is responsible for providing a copy of their report or equivalent information to any operator of aircraft on which they intend to work
  • the maximum elapsed interval between assessments is 3 years

Detailed Implementation of Part-MED

EASA published Acceptable Means of Compliance (AMC) and Guidance Material (GM) in respect of the IRs for Part-MED on 15 December 2011. States may develop and seek approval from EASA for Alternative Means of Compliance (AltMOC). Such action has, for example, been taken by the UK

Accidents & Incidents

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