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FAA Civilian Space Flight Medical / Fitness Standards

The following information provides general guidance for passengers and operators of manned commercial aerospace flights. These standards have been developed by the FAA and other aerospace medical professionals.  These space travel medical standards are designed to identify those who have medical conditions which may result in an in-flight medical emergency, in-flight death, or may otherwise compromise the health and safety of spacecraft occupants.

The spaceflight environment is more hazardous than what is experienced in airline travel or general aviation.  The absence of fitness or the existence of certain medical conditions increases the risk to flights outside of the normal aviation envelope.  This includes, but is not limited to, suborbital and orbital missions.

 

Aerospace Physiology    FAA Aerospace Guidance

 

FAA Passenger Medical Standards for Civilian Space

DISTANT VISION 20/20 or better in each eye separately, with or without correction.
NEAR VISION 20/40 or better in each eye separately (Snellen equivalent), with or without correction, as measured at 16 inches.
INTERMEDIATE
VISION
20/40 or better in each eye separately (Snellen equivalent), with or without correction at age 50 and over, as measured at 32 inches.
COLOR VISION Ability to perceive those colors necessary for safe performance of airmen duties.
HEARING Demonstrate hearing of an average conversational voice in a quiet room, using both ears at 6 feet, with the back turned to the examiner OR pass one of the audiometric tests below or:
PULSE Not disqualifying per se. Used to determine cardiac system status and responsiveness.
BLOOD PRESSURE No specified values stated in the standards. Current guideline maximum is 155/95.
AUDIOLOGY

Audiometric speech discrimination test: (Score at least 70% discrimination in one ear) or:

Pure tone audiometric test: Unaided, with thresholds no worse than:
                                             500Hz 1,000Hz 2,000Hz 3,000Hz
                      Better Ear         35Db     30Db     30Db     40Db
                      Worst Ear         35Db     50Db     50Db     60Db

EAR, NOSE, THROAT No ear disease or condition manifested by, or that may reasonably be expected to be manifested by, vertigo or a disturbance of speech or equilibrium.
ELECTRO-CARDIOGRAM At age 35 & annually after age 40.
MENTAL No diagnosis of psychosis, or bipolar disorder, or severe personality disorders.
SUBSTANCE DEPENDENCE & SUBSTANCE ABUSE A diagnosis or medical history of substance dependence is disqualifying unless there is established clinical evidence, satisfactory to the Federal Air Surgeon, of recovery, including sustained total abstinence from the substance(s) for not less than the preceding 2 years. A history of substance abuse within the preceding 2 years is disqualifying. Substance includes alcohol and other drugs (i.e., PCP, sedatives and hynoptics, anxiolytics, marijuana, cocaine, opioids, amphetamines, hallucinogens, and other psychoactive drugs or chemicals).
DISQUALIFYING
CONDITIONS

Airman with these conditions may still be eligible for "Special Issuance" of a medical certificate.

Unless otherwise directed by the FAA, the Examiner must deny or defer if the applicant has a history of: (1) Diabetes mellitus requiring hypoglycemic medication; (2) Angina pectoris; (3) Coronary heart disease that has been treated or, if untreated, that has been symptomatic or clinically significant; (4) Myocardial infarction; (5) Cardiac valve replacement; (6) Permanent cardiac pacemaker; (7) Heart replacement; (8) Psychosis; (9) Bipolar disorder; (10) Personality disorder that is severe enough to have repeatedly manifested itself by overt acts; (11) Substance dependence; (12) Substance abuse; (13) Epilepsy; (14) Disturbance of consciousness and without satisfactory explanation of cause, and (15) Transient loss of control of nervous system function(s) without satisfactory explanation of cause.

 

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Updated 1/2015    

FAA Medical Certification and Aviation Medicine Support for pilots and aviation medical examiners.

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