AR 40-8 governs temporary flying restrictions for aircrew exposed to physiological conditions affecting flight efficiency.
View AR 40-8 on armypubs.army.mil
It implements NATO STANAG 3474 and addresses aeromedical responsibilities, exogenous factors, vision, and internal control evaluation. It requires minimum self-imposed restrictions and periodic evaluation of aviation medicine controls.
Aircrew members consult an aeromedical provider anytime a physical or psychological condition is suspected or known to be detrimental to the safe performance of flight duty. (paragraph 4)
Aircrew members will notify their aeromedical provider when they have participated in activities or received treatment for which flying restrictions may be appropriate. (paragraph 4)
Any medical or dental procedure requiring the use of any type of general, spinal, epidural, or regional anesthesia or sedation. (paragraph 4)
Answers that indicate deficiencies must be explained and the corrective action identified in supporting documentation. (paragraph 4)
Certification that the evaluation has been conducted must be accomplished on DA Form 112 (Internal Control Evaluation Certification). (paragraph 4)