Airborne Sensor Operators (ASOs) are not universally required to undergo flight physicals—but they absolutely should be considered part of professional readiness.
ASOG Focus Area | Training & Education
Source | ASOG Training Center
When most people think of flight physicals, they picture pilots sitting in the doctor’s office, vision charts on the wall, heart rate monitors at the ready. It’s an accepted part of being a pilot...after all, aviation demands a level of health and readiness that goes beyond everyday standards. But there’s another group of professionals who spend just as many hours in the air, shoulder-to-shoulder with pilots, and who are equally vital to mission success: Airborne Sensor Operators (ASOs).
And yet, for many organizations, routine medical certification is not part of the ASO’s professional checklist.
The Other Side of the Cockpit Door
“Pilots can’t do their jobs alone. If we’re flying a mission, the crew in the back is just as critical,” says one veteran Aerial Surveying & Mapping ASO. “If an ASO isn’t sharp, if they’re tired, struggling with vision or health issues his or her effectiveness and safety drop instantly.”
ASOs are not passive passengers. They monitor sophisticated sensor systems, interpret real-time data, coordinate with pilots and ground teams, and maintain situational awareness across the entire mission. The workload is demanding, often involving long hours of concentration in noisy, turbulent, and ergonomically challenging environments.
Hidden Risks in the Air
The cockpit may draw the spotlight, but the mission position carries its own hazards:
- Fatigue: Long flights and rotating schedules strain the body and impair decision-making.
- Noise & Vibration: Constant exposure wears down hearing, balance, and focus.
- Ergonomic Strain: Hours spent hunched over consoles can damage posture, eyes, and musculoskeletal health.
- Stress: Missions often involve high stakes, from search and rescue to surveillance to wildfire support.
For example, the Flight Medicine Clinic at MacDill Air Force Base outlines that flight physicals are not just for pilots—they’re also provided to aircrew, air traffic controllers, special duty operators, and firefighters. These exams include cardiovascular screening, vision and hearing tests, and occupational health evaluations.
Professionalism in Practice
Aviation is built on standards. The reason flight physicals exist for pilots is not just about individual health, it’s about protecting the crew, the aircraft, and the job at hand. That same logic applies to ASOs.
By adopting flight physicals as part of their professional identity, ASOs elevate their role in the aviation safety chain. It demonstrates commitment not only to personal well-being but to crew readiness and mission success.
Some progressive organizations already require annual or bi-annual physicals for all crew members, regardless of their role. Others leave it optional, placing the responsibility in the hands of the operator. But as the profession continues to evolve, ASOG advocates that “fit-to-fly” should be a standard across the board.
Raising the Bar
Airborne Sensor Operation is more than a job—it’s a profession. And professions come with standards of excellence. Flight physicals should be part of that standard.
For ASOs, a medical checkup is not about passing or failing—it’s about ensuring that when you step onto the aircraft, you are bringing your best, both for your own safety and for the team that depends on you.
After all, the next time you look to the back of the aircraft and see the crew working seamlessly, you’ll know it’s not just training and technology keeping the mission on track. It’s also the health and readiness of every person on board.
Fit to fly? It shouldn’t just be a pilot’s question—it should be an ASO’s too.