A Class 1 flight physical (also called a Class 1 medical examination or Class 1 Medical Certificate) is the highest level medical fitness assessment for professional pilots. It is required for obtaining and maintaining a Commercial Pilot License (CPL) or Airline Transport Pilot License (ATPL) and is recognised internationally under ICAO standards.

Purpose

The main goal of the Class 1 flight physical is to confirm that a pilot is medically fit to perform demanding flight duties safely and reliably under a wide range of operational stresses. It ensures the pilot has good vision hearing cardiovascular and pulmonary health, mental stability and general physical fitness.

Who Needs It

  • In India (DGCA regulation), every aspiring professional pilot (CPL or ATPL) must hold a valid Class 1 Medical Certificate.

  • In the United States holders of Airline Transport Pilot privileges or pilots flying under Part 121 rules typically need a First Class FAA medical certificate.

What It Includes

A Class 1 flight physical typically involves:

  • Vision and hearing screening: ensuring visual acuity (including distance near and in many cases intermediate vision) and adequate hearing (often conversational level or audiometric standards).

  • Cardiovascular assessment: ECG and often echocardiogram (ECHO) especially for older applicants to catch any heart abnormalities or risk factors.

  • Pulmonary function tests and respiratory health evaluation.

  • ENT and general physical exam: covering ear nose throat health and an overall physical check.

  • Laboratory tests: blood and urine analyses for metabolic health infectious markers kidney/liver function and metabolic disorders.

  • Psychological screening: sometimes done, depending on the regulatory authority or if past mental health concerns exist.

Validity and Renewal

  • In India under DGCA regulations a Class 1 medical certificate is valid for 12 months if the pilot is under 40 years old and 6 months once over 40.

  • In the U.S. (FAA First Class), a similar validity timeframe often applies: 12 months for younger operators reduced to 6 months as age increases or license privileges intensify.

Holding a Class 1 flight physical demonstrates that a pilot meets stringent medical standards for safe operation in complex and high-stress environments. Without it a pilot cannot hold a professional license or fly commercially. Airlines regulators and training institutions rely on that medical clearance as a baseline safety requirement.

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