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AAMedP-1.10

AAMedP-1.10 interchangeability of NATO aircrew medical categories

NATO nations' own military medical services and the flight surgeons responsible for aircrew posted away from their parent nation

AAMedP-1.10 is the NATO publication that lets one nation's aircrew medical category for flying status be recognised by another nation during exchanges, postings and combined NATO units.

Edition
B
Published
2021-03
THIS DOCUMENT Agreement Holds requirements Organisation certificate Product or design assessed ALLIED MEDICAL PUBLICATION · EDITION B · 2021-03 AAMedP-1.10 Interchangeability of NATO aircrew MEDICAL categories AAMedP-1.10 sets the NATO procedure so a host nation recognises another nation's aircrew medical category for flying status, rather than reassessing the person itself. AGREEMENT STANAG 3526 The agreement that puts this publication into force. WHERE THE REQUIREMENTS LIVE AAMedP-1.10 AAMedP-1.10 sets the NATO procedure so a host nation recognises another nation's aircrew medical category for flying status, rather than reassessing the person itself. A supplier meets AAMedP-1.10 when a contract or national instruction names it, usually via STANAG 3526. Addressed to national authority. Covered by STANAG 3526. The document governs recognising a medical category held by an individual aircrew member; it names no scheme for certifying an organisation. Reaches a supplier when a contract, tender or national instruction names it. Nobody is certified against this document. Nations report ratification; they do not issue a company certificate.

What it is

AAMedP-1.10 is a NATO Allied Aeromedical Publication: the technical procedure NATO nations use so that one nation's military medical service can accept another nation's medical category for an aircrew member's flying status, without reassessing that person from the ground up. It sits under STANAG 3526, the agreement nations ratify to adopt the arrangement; the STANAG is the commitment, this publication is the procedure that commitment puts into practice. Edition B, Version 1, was promulgated in March 2021.

The document addresses NATO nations' own military medical services, in the language of a "parent nation" (the aircrew member's own nation) and a "host nation or NATO unit" receiving them. It creates no obligation for a company: nothing in the text speaks to a supplier, a manufacturer or a contract, and there is no route by which a software or compliance vendor becomes bound to it directly.

What stays with the parent nation

Three things never transfer to a host nation: the standards used for primary medical selection, any decision to permanently disqualify someone from flying, and the determination of a longer temporary flying disability. A host nation accepting an aircrew member on exchange or temporary duty works within the category the parent nation already issued, expiration date included, rather than forming its own view on these.

What changes hands during a posting

Aircrew posted away from their parent nation for an extended period travel with a medical statement, the latest flight physical report, and material useful for post-accident identification. The host nation's own flight surgeons run periodic physicals during the posting, against the host nation's own standards and schedule, and send a copy of each report back to the parent nation. Aircrew of the NATO Airborne Early Warning and Control Force E-3A Component are a named exception: their periodic examinations follow the standards in that component's own Flight Surgeon's Manual, a document outside our catalogue. Whatever the host nation's flight surgeons find, they may apply their own standards only to a new medical problem that arises during the posting, not to reopen the category they were given.

Grounding, return to flying status, and records

Any physician or dentist may temporarily ground an aircrew member under their own national procedures, and where none is present, another healthcare professional may do so; only a flight surgeon can clear someone to return to flying duties, and a case that looks long-term or permanent goes back to the parent nation to decide. Transfer of medical records between nations follows each nation's own law; where consent is required and withheld, the parent nation gets nothing more than a bare statement of fitness or unfitness.

Where nations have already diverged

Two nations recorded reservations when this edition was promulgated. One found its own military directives already ran a stricter off-duty rule than the one named in the STANAG this publication sits under, and could not apply that figure to its own officers without amendment; the other applies the principles of the edition but records that it does not yet have the people or materiel to implement it in full. Ratifying the STANAG this publication sits under is not the same as identical practice in every nation.

No one is certified or assessed against AAMedP-1.10. It creates no scheme with an accredited body, a notified body or a customer audit; it standardises recognition of a medical judgement another nation's own service has already made.

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How we help

AAMedP-1.10's obligations run to a nation's own military medical service and its flight surgeons, not to a software supplier or a compliance platform, and this page will not pretend otherwise. Where an organisation supports that process alongside a contract, for example holding the consent records, statements and paperwork trail this publication requires when aircrew move between nations, ComplyTrain gives it a controlled place to keep that documentation: version-controlled records, a log of who accessed what and when, and a trail showing when each one was created, reviewed and retained.

What ComplyTrain does not do: it makes no medical determination, assigns no flying category, and does not substitute for a flight surgeon's judgement or a parent nation's own aviation medicine regulations. Nothing here evidences compliance with AAMedP-1.10 itself; the publication is carried out in the day-to-day handling by nations' own medical services, not in software.

Which NATO aeromedical and quality publications actually apply to a given programme is set by the contract and the customer's quality clause, not by this page. The standards explorer shows what sits alongside AAMedP-1.10 and STANAG 3526; if you are working out what a contract's medical or personnel-record clauses require, talk to us.

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Tell us how you need to work with AAMedP-1.10 and what you need from it. We will come back to you about what ComplyTrain can do.

Questions

Is AAMedP-1.10 mandatory?

Not by itself. AAMedP-1.10 sits under STANAG 3526, and a NATO nation is bound once it has ratified that STANAG, with the option to ratify with reservations, as two nations have done for this edition. Whether it affects your organisation depends on the contract or tasking that invokes it, not on the publication existing.

What is the difference between AAMedP-1.10 and STANAG 3526?

STANAG 3526 is the agreement NATO nations ratify; AAMedP-1.10 is the Allied Publication that sets out the procedure the agreement covers. The STANAG is the commitment, the AAMedP is what a nation's medical service and flight surgeons actually do.

Does AAMedP-1.10 define aircrew medical fitness categories?

No. It does not set out what any medical category means or the criteria a flight surgeon uses to reach one. It only governs how a host nation recognises a category a parent nation has already decided; the underlying medical standards stay in each nation's own aviation medicine regulations.

Who does AAMedP-1.10 apply to?

NATO nations' own military medical services and flight surgeons, in their roles as a "parent nation" or a "host nation". It does not address a supplier, a manufacturer or any commercial organisation directly.

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