Who has the ultimate authority to approve a DD form 2992?

The ultimate authority to approve a DD Form 2992, which is used for the assessment of physical fitness for duty and the management of aeromedical concerns among military personnel, rests with the unit commander. This is because the unit commander holds the responsibility for the operational readiness and safety of the aircrew.

The role of the unit commander includes making decisions that impact the entire unit, including the capabilities and health status of aircrew members. While a flight surgeon and medical officer can provide medical evaluations and recommendations based on health assessments and operational requirements, the final authority to approve or disapprove the DD Form 2992 lies with the commander, who integrates these medical recommendations with mission readiness considerations.

The aviation safety officer also plays an important role in ensuring safety protocols and risk assessments are followed, but they do not possess the authority to make final decisions regarding individual medical fitness for duty. Their input may inform the commander's decision, but it does not replace the commander's authority in this matter.