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On Amending And Supplementing The Norms Regarding Examinareamedicală Of Drivers And Candidates For Driving License

Original Language Title: cu privire la modificarea şi completarea Normelor privind examinareamedicală a conducătorilor de vehicule şi a candidaţilor pentru obţinerea permisului de conducere

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This decision partially transposes pt. 12 of Annex I and Annex III to transpose the EU Council and Parliament Directive nr.2006 / 126 / EC of 20 December 2006 on the driving license published in the EU Official Journal No L 403 / 18 of 30 December 2006. in order to execute the provisions of Article
. 9 letter a) of Law no. 131-XVI of 7 June 2007 on road safety (republished in the Official Gazette of the Republic, 2015 nr.11-21 article 6) and art. 8 of Law no. 60 of 30 March 2012 on the social inclusion of people with disabilities (Official Gazette of the Republic of Moldova, 2012, no. 155-159, art. 508), as amended, the Government DECIDES:
1. The rules on medical examination of drivers and candidates for obtaining a driving license, approved by Government Decision no. 12 of 19 January 2009 (Official Gazette of the Republic of Moldova, 2009, no. 19-21, art. 78), as amended, is amended and supplemented as follows:
1) paragraph 3 is supplemented by subparagraphs 6 ) 7) 8) as follows:
"6) on the expiry of validity of a medical certificate obtained previously;
7) to request transport undertakings with the informed consent of the person;
8) reasoned request from law enforcement in the prosecution. "
2) Paragraph 6 reads as follows:
"6. Applicants for a driving license must undergo an appropriate examination to ensure that they have the visual acuity required to drive a vehicle. On examination, it pays particular attention to the following: visual acuity, field of vision, visual ability in low light, glare and contrast sensitivity, diplopia and other eye diseases that endanger safe driving.
If vehicle drivers in Group 1, the driver of the vehicle was subjected to a medical examination conducted by a competent medical authority to demonstrate that visual function is not affected in other ways (including sensitivity to bright light and contrast and to in low light conditions).
1) Group 1:
a) Applicants for a driving license or renewal of such license must have a binocular visual acuity, with corrective lenses including at least 0.5 when using both eyes. Horizontal visual field should be at least 120 degrees, the extension should be at least 50 degrees left and right and 20 degrees up and down. Should not be weaknesses within a range of 20 degrees to the centerline.
When detected or declared an evolutionary eye condition, the person is deemed fit for driving, provided the applicant to undergo periodic examinations carried out by a competent medical authority.
B) Applicants for medical examination for obtaining a driving license or renewal of that permit and who have completely lost vision in one eye or who use only one eye (eg in the case of diplopia) must have a visual acuity of at least 0.5 with corrective lenses included. Competent medical authority must certify the existence of that condition sufficiently long view monocular to allow adaptation and that in that eye, visual field meets the requirements set out in paragraph 1) a).
C) After the recent emergence of diplopia or after the loss of vision in one eye, there should be an adjustment period (six months) during which prohibits driving vehicles. After this period, the person is deemed fit for driving under favorable opinion from specialists ophthalmologists (from the Commission).
2) Group 2:
a) persons who consider themselves capable of driving the vehicle must have a visual acuity, with corrective lenses if necessary, of at least 0.8 and at best eye 0,1 to weaker eye. If corrective lenses are used to obtain values ​​of 0.8 and 0.1, that acuity (0,8 and 0,1) must be achieved either by using glasses exceeding plus eight diopters or using lenses contact. The correction must be well tolerated.
Horizontal visual field should be at least 160 degrees in both eyes, the extension should be at least 70 degrees left and right and 30 degrees up and down. Should not be weaknesses within a range of 30 degrees to the centerline.

B) candidates not admitted to driving or vehicle drivers that contrast sensitivity is faulty or suffering from diplopia.
C) After a substantial loss of vision in one eye should be an adjustment period (six months) during which prohibits driving vehicles. After this period, driving is only allowed following a favorable opinion from specialists ophthalmologists (from the Commission). "
3) in section 9 paragraph 1), letter a) shall read as follows:
"a) candidates not admitted to driving or vehicle drivers with heart rhythm disorders."
4) Sections 5 and 6 will read as follows:

"ADiabetul mellitus Section 5

10. For the purposes of this point, severe hypoglycaemia means that the assistance of another person is needed and chronic hypoglycaemia means second episode of acute hypoglycemia within 12 months.
1) Group 1:
a) Candidates or vehicle drivers suffering from diabetes are admitted to driving when they are medicated, and glycosylated hemoglobin is under control. The applicant must obtain a permit which authorized medical examination indicated the frequency interval between examinations should not exceed five years.
B) are not allowed for applicants or drivers driving the vehicle with repeated episodes of severe hypoglycaemia and / or who are not fully aware of its implications. A vehicle driver with diabetes should demonstrate that they understand the risks of hypoglycemia and is able to keep under control these episodes. As awareness of the risks of hypoglycaemia argument serves presence monitoring data by that blood sugar levels and knowledge of the danger signs of hypoglycaemia and prevention of these conditions.
2) Group 2:
a) Drivers of vehicles who suffer from diabetes are admitted to driving categories of Group 2, and if they follow a medical treatment risk of inducing hypoglycaemia (ie insulin, and some tablets) the following criteria apply:
in the last 12 months there has been no severe hypoglycaemia;
Driver of the vehicle is fully aware of the implications of hypoglycemia;
Driver of the vehicle shows that can manage these episodes by regular monitoring of blood glucose levels at least twice a day and when he intends to lead;
Driver of the vehicle demonstrates that they understand the risks of hypoglycemia;
No other complications of diabetes that might affect your ability to drive.
In these circumstances people can be considered fit for driving subject of an opinion of a competent medical authority and to regular medical examinations must take place at intervals not exceeding three years.
B) An episode of severe hypoglycaemia during the hours of activity, even if not related to driving, should be reported and lead to a reassessment of the ability to drive.
11. Candidates or vehicle drivers suffering from diabetes must have a document certifying the presence of diabetes, treatment methods applied and meet the doctor. Glucose excursions through treatment must be maintained correctly within the optimal compensation criteria, confirmed by monitoring data contained in the extract from the outpatient medical record (027 F s).

Section 6 of neurological disorders

12. Candidates or vehicle drivers suffering from serious neurological conditions deemed unfit for driving.
Neurological disorders associated diseases or surgery that affects the central or peripheral nervous system, which lead to sensory or motor deficiencies and affect balance and coordination, will be considered in relation to their functional effects and the risks of progression. In such cases, applicants or drivers of vehicles shall be deemed fit for driving subject to periodic assessment to the risk of aggravation.
Seizures or other sudden disturbances of the state of consciousness constitute a danger to road safety if they occur in a person driving a vehicle.

Epilepsy is defined as such if there were two or more seizures at an interval less than five years. A provoked epileptic seizure is defined as a seizure which has a recognizable provoking factor that can be avoided.
It is necessary to draft a special report stating the period of driving prohibition and follow-up required.
It is necessary to identify specific epileptic syndrome and type of crisis for a proper evaluation of the ability to drive (including the risk of further seizures) and prescribe appropriate therapy. They are performed by a neurologist.
1) Group 1:
a) Leaders vehicle group 1 with epilepsy should be monitored ability to drive until at least five years pass without crisis. If the person suffers from epilepsy can not be considered fit for driving unconditionally. The authority responsible for conducting medical examinations must be notified thereof.
B) Seizures caused: the applicant who has had a seizure favored by a recognizable provoking factor that is unlikely to occur while driving can be declared fit to drive, according to neurological opinion.
C) first crisis (unprovoked) or single unprovoked crisis: the applicant who has had a first unprovoked epileptic seizure can be declared able to drive after a period of six months who have never had seizures and if upon a proper medical evaluation.
D) Loss of consciousness: Loss of consciousness should be assessed according to the risk of recurrence while driving.
E) Epilepsy: Drivers of vehicles or candidates may be declared fit to drive after a year in which no more seizures.
F) Seizures exclusively in sleep: The applicant or driver of the vehicle which not only seizures during sleep can be declared fit to drive if this pattern was observed for a period which shall not be less than the period epilepsy seizure free required. If attacks or seizures occur during waking requires a further period of one year without seizures before being considered suitable for driving.
G) Depression not influence the state of awareness or responsiveness: The applicant or driver of the vehicle who had other crises than those for which it was shown that affects neither the knowledge nor the state of responsiveness may be declared apt to result if this pattern was observed for a period which should not be less than the required period without seizures in epilepsy. If there are any other attacks or crisis requires a further period of one year without seizures before being considered suitable for driving.
H) changing or eliminating seizures caused by antiepileptic drug therapy in a doctor's recommendation: The patient may be advised not to drive for six months after stopping treatment. Seizures that occur during changes or elimination of medication prescribed by the doctor leading the driving ban for three months earlier if treatment is resumed.
I) after curative surgery to see the letter e).
2) Group 2:
a) The applicant shall not follow antiepileptic medication during the crisis should not exist. Thorough neurological examinations should not confirm a condition related to cerebral pathology and should not register any epileptiform activity on the electroencephalogram (EEG). After a flare should make an EEG and an appropriate neurological exam.
B) Seizures caused: the applicant who has had a seizure caused by a recognizable factor that is unlikely to occur while driving can be declared fit to drive, according to neurological opinion. After a flare should make an EEG and an appropriate neurological exam. A person with a structural lesion intracerebral and presenting an increased risk of seizures should not drive vehicles of group 2 until the epilepsy risk drops to 2% per year. Specialty exam must be performed, as appropriate, in accordance with other relevant sections.

C) first crisis (unprovoked) or single unprovoked crisis: the applicant who has had a first unprovoked epileptic seizure can be declared able to drive after a period of five years who have not had seizures and not taking medication if a neurological exam was performed properly. Specialized authorities may grant the vehicle with good prognosis, based on data from medical records, lead earlier than this.
D) Loss of consciousness: Loss of consciousness should be assessed according to the risk of recurrence while driving. The risk of recurrence should be 2% per year.
E) Epilepsy: it must be a period of ten years without seizures and without administration of antiepileptic drug treatment. Specialized authorities may grant the vehicle with good prognosis, based on data from medical records, lead earlier than this. This applies in the case of "juvenile epilepsy".
F) Certain conditions (eg, birth arterovenoase or intracerebral haemorrhage) entail an increased risk of seizures, even in cases where there was no previous crisis. In such a situation must carry out an examination by a competent medical authority; the risk of a crisis must not exceed 2% per year for determining fitness for driving.
121. Sleep apnea obstructive.
1) For the purposes of this paragraph, moderate apnea obstructive sleep corresponds to a number of episodes of apnea and hypopnea per hour (apnea-hypopnea index) between 15 and 29 and severe sleep apnea obstructive apnea-hypopnea index corresponds to a minimum of 30, both associated with excessive daytime sleepiness.
2) Candidates or for vehicle drivers suspected apnea in moderate or severe obstructive sleep are subject to medical examinations, for an opinion authorized before issuing or renewal of driving license.
3) Candidates or vehicle drivers who have moderate or severe apnea obstructive sleep and proving that control their disease adequately satisfy the appropriate treatment and show improvement in terms somnolence, whether appropriate, as confirmed by an authorized medical opinion can be deemed suitable for driving.
4) Candidates or vehicle drivers who have moderate or severe apnea obstructive sleep and undergoing treatment must be subject to periodical medical examinations at intervals not exceeding three years for vehicle group leaders 1:01 year for vehicle drivers in group 2, to determine the extent consistent with treatment, the need to continue treatment and maintain adequate vigilance. "
5) Chapter III shall be repealed;
6) paragraph 24 is completed at the end of a sentence: "In its decision the doctor has the right to request medical examination of persons under investigations and consultations necessary for determining driving fitness."
7) in section 26, after paragraph one shall be supplemented by a paragraph as follows:
"When person is recognized fit for driving indicated the validity of a medical certificate. The validity of a medical certificate is 10 years for people aged up to 65 years and 3 years for people aged over 65, unless the person requires medical examination with another periodicity, depending on the condition detected. In such cases medical certificate indicating the next examination period. Medical certificate validity period is determined by the President of the Commission, individually for each applicant, based on the person's health and possible risks driving the vehicle, taking into account the conclusions and recommendations of the commission members. "
2. Annex to the Rules on medical examination of drivers and candidates for driving license reads as follows:


"Annex
at
rules on medical examination of drivers and candidates to obtain


driving license

"1.CONDUCĂTOR AUTO (medical reasons)
01. Correcting and / or protect eyesight
01.01.
Glasses 01.02. Lens (lens) Contact

01.05. Aprons eye
01.06. Glasses or contact lenses
01.07. 02
specific optical devices. Hearing Aids / Aids communication device
03. Prosthetics / orthotics limb
03.01. Prosthetics / orthotics upper limb
03.02. Prosthetics / orthotics limb 2.ADAPTĂRI

THE VEHICLE 10.
Modified transmission 10.02. Automatic gear selection
10.04.
Adapted gearshift lever 15.
15.01 modified clutch.
Adapted clutch pedal 15.02.
Manual clutch 15.03.
Automatic clutch 15.04. Measures to prevent obstruction or clutch pedal
20.
Modified brake system 20.01.
Adapted brake pedal 20.03. Adapted brake pedal for the left foot
20.04.
Brake pedal by sole 20.05.
Inclined brake pedal 20.06. Brake service manual (adapted)
20.07. Maximum utilization of the enhanced service brake force ... N (1) [for example, "20.07 (300N)"]
20.09. Parking brake adapted
20.12. Separation before the brake pedal / pedal to the floor /
detached brake pedal 20.13.
Knee operated brake 20.14. Electronic brake-operated service
25.
Modified accelerator systems 25.01. Accelerator pedal adapted
25.03. Accelerator pedal inclined
25.04.
Manually operated accelerator pedal 25.05. Accelerator pedal operated knee
25.06. Servoacceleraţii (electronic, pneumatic, etc.)
25.08. Accelerator pedal placed on the left
25.09. Separation before the accelerator / pedal to the floor / detached accelerator pedal
31.
Pedal adjustments and protections 31.01. Additional set of pedals parallel
31.02. Pedals at (or near) the same level
31.03. Obstruction or power protection accelerator and brake pedals when they are not operated leg
31.04. 32
raised floor. Accelerator and brake systems combined service
32.01. Accelerator and brake service combined system acted as an arm
32.02. Accelerator and brake service as servo system combined
33. Systems accelerator, brake and steering combined service
33.01. Acceleration, brake service and direction as a combined servo systems operated with one hand
33.02. Acceleration, brake service and direction as servo driven system combined with two hands
35. Control devices adapted (switches for lights, windshield wiper and washer, horn, direction indicators, etc.)
35.02. Control devices operable without releasing the steering wheel can
35.03. Control devices operable without releasing the steering wheel with his left hand
35.04. Control devices operable without releasing the steering wheel with his right hand
35.05. Control devices operable without releasing the steering wheel can and accelerator and brake controls combined
40.
Change direction 40.01. Maximum utilization of steering force ... N (1) [for example, "40.01 (140N)"]
40.05. Adjusted steering wheel (steering wheel thicker / thinner, smaller diameter steering wheel, etc.)
40.06.
Tilting steering wheel 40.09. Driven by foot
40.11.
40.14 handle driving. Alternative adjusted steering arm acted
40.15. Steering system with two arms adapted to alternately acted
42. Mirror (mirrors) mirrors amended (modified)
42.01.
Adapted mirror 42.03. Additional interior rear-view mirror for observing traffic
42.05. View mirror blind spot
43. Seat Driver
43.01. Driver's seat height suitable for vision and normal distance from the steering wheel and pedals
43.02. Driver's seat adjusted to body shape
43.03. Driver's seat with lateral support for good stability
43.04. Driver's seat with arm rest
43.06.
Adapted seat belt 43.07. Seatbelt harness
44. Modifications to motorcycles (under code required)
44.01.
44.02 Single operated brake. Hand brake (adapted) (front wheel)
44.03. Hand brake (adapted) (for the rear wheel)
44.04. Throttle lever (adapted)
44.08. Seat height allowing the driver, in sitting position, to have two feet while on the road surface.
44.09. The maximum force which can apply brake on the front wheel ... N (1) [for example, "44.09" (140N)]

44.10. The maximum force that can be applied to the rear wheel brake ... N (1) [for example, "44.10" (240 N)]
44.11. Foot restraint adapted
44.12.
Adapted lever 45. Only motorcycle with sidecar
46. Only 47
tricycles. Restricted to vehicles with more than two wheels that do not require driver equilibrium position when starting, stopping and standing
50. Restricted to a specific vehicle / chassis a number (vehicle identification number, VIN)
Letters used in conjunction with codes 01-44 for additional specifications:
a - b
left - right || | c - hand
d - e
leg - middle
f - g
arm - thumb

61 3.CODURI for limited use. Limited to travel during the day (for example: one hour after sunrise and one hour before sunset)
62. Limited to journeys within a radius of ... km from holder's residence or only inside city / region
63. Driving without passengers
64. Limited to journeys with a maximum speed ... km / h
65. Driving authorized only in the presence of an attendant who possess driving license category at least equivalent
66. Without 67
trailer. Driving on motorways is not permitted
68. No alcohol is allowed
69. Restricted to driving vehicles equipped with an immobilizer etilotest according to EN 50436. The indication of an expiry date is optional (for example, "69" or "69 (01.01.2016»)

70 ADMINISTRATIVE 4.ASPECTE. the change permit no. ... issued by ... (hallmark EU / UN if a third country, for example, "70.0123456789.NL")
71. duplicate license no. ... (hallmark EU / UN if a third country for example, "71.987654321HR")
73. Limited to vehicles in category B with 3 or 4 wheels and motor (B1)
78. Restricted to vehicles with automatic transmission 79
. (... ) Restricted to vehicles meeting the specifications indicated in brackets, the application of Article 13 of this Directive
79.01. Limited to two-wheeled vehicles with or without sidecar
79.02. Limited to vehicles of category AM with three wheels or
easy quadricycle type 79.03.
79.04 Restricted to tricycles. Limited to tricycles combined with a trailer having a maximum authorized mass not exceeding 750 kg
79.05. Category A1 motorcycle with a power / mass greater than 0.1 kW / kg
79.06. Category BE vehicle where the maximum authorized mass of the trailer exceeds 3 500 kg
80. Limited to hold a driving license for a category A vehicle type motor tricycle under the age of 24 years
81. Limited to hold a driving license for a vehicle of category type motorcycle with two wheels who have not reached 21 years
95. The driver CPC holder which fulfills the obligation of professional aptitude
96. Category B vehicles combined with a trailer with a maximum authorized mass of over 750 kg, where the maximum authorized weight of such a combination exceeds 3 500 kg but not exceeding 4 250 kg
97. It is not entitled to drive a vehicle of category C1.
Codes 100 and above: national codes valid only for driving EU member state which issued the permit.
Where a code applies to all categories for which the permit has been issued, it can be printed under headings 9, 10 and 11. "

Paul PRIME MINISTER FILIP