TC 3-04.1-6 — Aeromedical Training For Flight Personnel

TC 3-04.1-6 governs aeromedical training and physiological responses affecting Army Aviation crewmembers.

Search TC 3-04.1-6

  • Publication number: TC 3-04.1-6
  • Title: AEROMEDICAL TRAINING FOR FLIGHT PERSONNEL
  • Date: 07/30/2026
  • Proponent: T2COM
  • Status: ACTIVE

View TC 3-04.1-6 on armypubs.army.mil


It covers altitude physiology, stress and fatigue, gravitational forces, toxic hazards, vision, spatial disorientation, and oxygen equipment. It requires specified training for crewmembers and establishes requirements for refresher training, chamber exercises, and decompression response.

Applies to: TC 3-04.1-6 applies to the Active Army, Army National Guard/Army National Guard of the United States and United States Army Reserve unless otherwise stated.

Topics covered

  • Aeromedical training requirements
  • Altitude physiology
  • Stress and fatigue in flying operations
  • Gravitational forces
  • Aviation toxicology
  • Vision and night vision
  • Spatial disorientation
  • Oxygen equipment and cabin pressurization

Questions and answers

How often must continuation training be conducted under TC 3-04.1-6?

The training must be conducted once a year. (paragraph 1-11)

What subjects are minimum continuation training requirements?

The following subjects provide minimum training requirements for the unit to reach adequate safety and efficiency in the aviation environment: Altitude physiology. Spatial disorientation. Aviation protective equipment. Stress, fatigue, and exogenous factors. (paragraph 1-11)

Who must be included in the unit aeromedical training program?

The commander must include all crewmembers in the unit aeromedical training program. (paragraph 1-14)

How often must qualifying crewmembers complete aeromedical refresher training?

Army fixed-wing (FW) and rotary-wing (RW) rated and nonrated crewmembers who fly in pressurized aircraft, or in aircraft that routinely exceed 10,000 feet mean sea level (MSL), or Army military free fall (MFF)/high altitude parachutists (HAPs) on order for high altitude low opening parachute operations (HALO)/Special Operations must complete aeromedical refresher training every 5 years. (paragraph 1-4)

What must crewmembers and passengers do after cabin decompression?

All crewmembers and passengers must breathe supplemental O2 after cabin decompression occurs. (paragraph 10-40)

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