(a)When conducting aero-medical examinations and assessments of cabin crew members, as applicable, their medical fitness should be assessed with particular regard to their physical and mental ability to:
(1)undergo the training required for cabin crew to acquire and maintain competence, e.g. actual fire-fighting, slide descending, using Protective Breathing Equipment (PBE) in a simulated smoke-filled environment, providing first aid;
(2)manipulate the aircraft systems and emergency equipment to be used by cabin crew, e.g. cabin management systems, doors/exits, escape devices, fire extinguishers, taking also into account the class and type of aircraft operated, e.g. narrow-bodied or wide-bodied, single/multi-deck, single/multi-cabin crew operation;
(3)continuously tolerate the aircraft environment whilst performing duties, e.g. altitude, pressure, re-circulated air, noise; and the type of operations such as short/medium/long/ultra long haul; and
(4)perform the required duties and responsibilities efficiently during normal and abnormal operations, and in emergency situations and psychologically demanding circumstances, e.g. assistance to crew members and passengers in case of decompression; stress management, decision-making, crowd control and effective crew coordination, management of disruptive passengers and of security threats. When relevant, operating as single cabin crew should also be taken into account when assessing the medical fitness of cabin crew.
(b)Intervals
(1)The interval between aero-medical assessments should be determined by the competent authority. The intervals established by the competent authority apply to cabin crew members who:
(i)undergo aero-medical assessments by an AME, AeMC or OHMP under the oversight of that competent authority; or
(ii)are employed by an operator under the oversight of that competent authority.
(2)The interval between aero-medical assessments may be reduced by the AME, AeMC or OHMP for medical reasons and in accordance with MED.C.035.
(3)Aero-medical assessments for the revalidation of a cabin crew medical report may be undertaken up to 45 days prior to the expiry date of the previous medical report. The validity period of the aero-medical assessment should be calculated from the expiry date of the previous aero-medical assessment.