Singapore legislation
Regulation 10
of Air Navigation (67 — Aviation Medical Certification) Regulations 2026
Regulation 10
Decrease in medical fitness
Subregulation 1
A holder of an aviation medical certificate —
who has a significant medical condition, and who knows or has reason to believe that he or she has a significant medical condition;
who knows or has reason to believe that she is pregnant;
who is —
prescribed any medication upon being diagnosed with; or
prescribed any new medication while receiving or undergoing treatment for,any long‑term or chronic illness or condition;
who is given a notice of unfitness under regulation 5(5) of the Air Navigation (99 — Breath Testing for Alcohol) Regulations 2019 (G.N. No. S 177/2019); or
who knows or has reason to believe that he or she has a problem with dependency on psychoactive substances,must inform the Director‑General of Civil Aviation in writing as soon as possible after the occurrence of the event.
Subregulation 2
A holder of an aviation medical certificate is deemed to be in a DMF state —
starting on the earliest of any of the following dates (where applicable):
the date of occurrence of any event in paragraph (1)(a), (b), (c), (d) or (e);
the date on which the Director‑General of Civil Aviation, a Designated Aviation Medical Examiner or an Aviation Medical Assessor assesses that the holder’s physical or mental condition, arising from any cause, is of aeromedical significance and could render the holder unable to safely exercise any functions or privileges under any licence held by the holder;
the date on which the Director‑General of Civil Aviation notifies the holder to undergo an aeromedical review for the purpose of ascertaining whether the holder’s medical fitness has decreased to an extent that would render the holder unable to safely exercise any functions or privileges under any licence held by the holder; and
ending on the date on which the Director‑General of Civil Aviation determines (based on an aeromedical review undergone by the holder of the aviation medical certificate or otherwise) that the holder is fit to resume exercising the functions and privileges under each licence held by the holder.
Subregulation 3
A holder of an aviation medical certificate who is, or is deemed to be, in a DMF state is not entitled, for the duration of the DMF state, to —
exercise or perform any privilege or function specified in Part A of the Eighth Schedule to the Air Navigation Order (O 2) under the heading “Privileges” in respect of any licence held by the holder;
perform any function specified in Part B of the Eighth Schedule to the Air Navigation Order in respect of a rating included in any such licence;
exercise any privileges of an air traffic controller licence specified in paragraph 62A(1) of the Air Navigation Order, or act as an air traffic controller in accordance with any air traffic controller rating specified in the Seventeenth Schedule to that Order, in respect of an air traffic controller licence held by the holder; and
undergo on‑the‑job training to act as an air traffic controller.
Subregulation 4
A person who contravenes paragraph (1) or (3) shall be guilty of an offence and shall be liable on conviction —
for a first offence — to a fine not exceeding $50,000 or to imprisonment for a term not exceeding 2 years or to both; and
for a second or subsequent offence — to a fine not exceeding $100,000 or to imprisonment for a term not exceeding 5 years or to both.
Subregulation 5
In paragraph (1), “significant medical condition” includes —
any of the following (no matter how minor):
any illness or condition that requires any medical treatment or attendance at a hospital, or that requires any medical treatment by or attendance before a medical specialist, in Singapore or elsewhere;
any personal injury resulting in bodily infirmity, defect or incapacity;
any mental infirmity, defect or incapacity;
any sequela of an illness, condition, injury, infirmity, defect or incapacity mentioned in sub‑paragraph (i), (ii) or (iii);
any abnormal psychological state; and
for a woman, termination of pregnancy.