This Decision addresses efficiency/proportionality as well as safety issues related to Annex IV (Part-MED) to Commission
Regulation (EU) No 1178/2011. As both rulemaking tasks (RMTs), RMT.0287 and RMT.0700, amend the provisions
prescribed in Part-MED, the European Aviation Safety Agency (EASA) decided to merge the outcome of the respective
consultations and publish one ED Decision on the update of Part-MED and applicable parts of Part ARA to prevent any
inconsistencies that may emerge during the rulemaking process.
The specific objectives of RMT.0287 are to solve the consistency issues, close the loopholes in the rules, as identified
through the implementation experience, as well as keep the requirements up to date with the new developments in the
field of medicine in order to ensure that they are fit for purpose and can be implemented in practice.
The objective of RMT.0700 is to address the recommendations issued by the EASA-led Germanwings Task Force on the
accident of the Germanwings Flight 9525 and the related safety recommendations issued by the Bureau d’Enquêtes et
d’Analyses pour la Sécurité de l’Aviation Civile (BEA).
In summary, the amendments introduced are expected to improve the level of safety by providing further clarification and
guidance regarding:
— medical examination for applicants for and holders of class 1 certificates by including drug and alcohol screening and
comprehensive mental health assessment as well as improved follow-up in case of medical history of psychiatric
conditions;
— medical examination for applicants for and holders of class 2/light aircraft pilot licence (LAPL) medical certificates as
well as cabin crew medical reports including operating pilot restriction limitation (ORL) for class 2 pilots and
clarification for insulin-treated diabetes for cabin crew;
— decrease of medical fitness and use of different types of medication;
— obligations of the aero-medical centres (AeMCs) and aero-medical examiners (AMEs);
— the training, oversight and competency assessment of the AMEs in order to increase the quality of the aero-medical
examinations;
— implementation of the medical provisions in line with the new developments in the field of medicine such as
anticoagulation protocols and colour vision tests; and
— the European aeromedical data repository (EAMR).
Moreover, the amendments aim to ensure harmonisation between the requirements of Part-MED and Part ATCO.MED
(Annex IV to Commission Regulation (EU) 2015/340). Finally, the amendments introduced through this Decision are
expected to enhance clarity and consistency of rules in line with better regulation principles.

issuing Acceptable Means of Compliance and Guidance Material to Article 3 and to Annex II (Part-SAO) to Commission Implementing Regulation (EU) 2018/1976 ‘Acceptable means of compliance and guidance material to the operational rules for sailplanes’

The European Plan for Aviation Safety (EPAS) is built on a proactive approach to support the future
growth of aviation while securing a high and uniform level of safety for all Member States (MSs). This
proactive approach allows the European Commission (EC), the European Aviation Safety Agency
(EASA) and MSs to take the necessary actions at the right time in order to prioritise the risks to be
managed and to face the challenges posed by the increasing complexity and continued growth in civil
aviation, as well as to ensure safe, secure and environmental friendly implementation of new business
models and new technologies.
EPAS is consistent with the goals and objectives of the Global Aviation Safety Plan (GASP) to enhance
the level of safety in aviation and to support MSs in fostering mature safety management capabilities.
This EPAS edition captures the GASP goals under a new vision:
‘achieve constant safety improvement within a growing aviation industry’
The overall safety objective is to maintain and whenever feasible to further improve the present safety
performance level of the European aviation system in the face of upcoming changes. In the field of air
traffic management (ATM), the performance ambitions adopted with the ATM Master Plan (ATM MP)1
reflect this overall objective.
The 2019-2023 EPAS edition integrates safety information from various sources, such as the Annual
Safety Review (ASR), the Standardisation Annual Report (SAR), and the ATM MP, which is the European
plan implementing the Global Air Navigation Plan (GANP). The objective is to obtain an overarching,
consolidated aviation safety picture at European level, supporting the prioritisation of safety actions.
More specifically, as safety is the highest priority for the implementation of the European ATM MP,
this EPAS edition embraces European actions stemming from the ATM MP. It thus establishes an initial
alignment with the ATM MP.
This EPAS edition reflects the new priorities agreed for the implementation of the new Basic
Regulation (NBR), which entered into force on 11 September 2018. The related implementing rules
will be aligned accordingly over the following years. The precise scope as well as the near-term
priorities for 2019-2021 were agreed at the June 2018 EASA Management Board (MB) meeting, on the
basis of a roadmap defining on the one hand how the work ahead to adapt to the NBR will be
addressed and on the other hand setting related priorities for EASA rulemaking. While certain NBR
provisions were already considered under the 2018-2022 EPAS edition, the NBR prioritisation has a
major impact on this EPAS edition.
As an integral part of the NBR roadmap, EASA will provide MSs with targeted support in order to
complement the Standardisation activities and to reinforce the common understanding and
implementation of the European aviation safety regulations, thus enabling a robust and harmonised
European aviation system.