A CAA Class 1 Medical is a legal requirement for all commercial pilots in the UK. It covers vision, hearing, heart health, lung function and mental fitness, and is completed at an authorised Aeromedical Centre. Before beginning airline pilot training, aspiring commercial pilots must obtain a Class 1 Medical Certificate. This confirms you meet the medical standards required to safely operate commercial aircraft. For most cadet programmes and airline pathways, a valid Class 1 Medical is essential.
What Does the Medical Include?
The assessment is completed at an authorised Aeromedical Centre and typically covers:
- Eyesight and colour vision tests
- Hearing checks
- ECG and heart testing
- Blood pressure checks
- Lung function testing
- Urine and blood tests
- General medical examination
- Discussion of medical history, medications and previous conditions
Eyesight Requirements
Many people assume glasses automatically prevent you from becoming a pilot, but this is not usually the case. Many pilots wear glasses or contact lenses successfully. Colour vision is also tested carefully as it is important for cockpit operations.
Mental & Physical Health
The medical assesses both physical and mental fitness. Some conditions may require further review, but honesty throughout the process is extremely important. If you have concerns, speaking to an aviation medical examiner early — before investing heavily in training — can be very helpful.
When Should You Get One?
Before Your Appointment
The Class 1 Medical is one of the first major steps toward becoming an airline pilot. Completing it early removes uncertainty and allows you to invest in training with confidence.