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A4 G1 Z1 is the standard MES (medical employment standard) of RAF ground personnel.
All explained in AP1269A (RAF Manual Assessment of Medical Fitness).
Factor A - Air
(i) A1 - fit for full flying duties of his branch/trade or restricted employability only because of anthropometric limitations.
(ii) A2 - fit for full flying duties of his branch/trade, but awarded to aircrew who would be A1 but for refractive error or a hearing standard reduced to H2.
(iii) A3 - fit for limited flying duties (limitations to be stated).
(iv) A4 - fit to fly as a passenger in a normal passenger carrying aircraft or as a patient on an aeromedical evacuation flight.
(v) A5 - unfit to be taken into the air.
Factor G - Ground
(i) G1 - fit for full ground duties of his branch/trade, including all general service duties and meets the minimum PULHHEEMS profile for his branch trade as detailed in AP1269A.
(ii) G2 - fit for full ground duties of his branch/trade, including all general service duties, but requires a medical marker, or does not meet the minimum PULHHEEMS profile for G1 in his branch/trade as detailed in AP1269A or has a limitation to a non-essential duty.
(iii) G3 - fit for full ground duties of his branch/trade but fit for limited essential general service duties only.
(iv) G4 - fit for limited ground duties of his branch/trade (limitation to be stated).
(v) G5 - unfit for all ground duties.
(c) Factor Z - Zone
(i) Z1 - fit to serve anywhere in the world with no climatic restriction.
(ii) Z2 - fit to serve anywhere in the world except in environments of low temperature.
(iii) Z3 - fit to serve anywhere in the world except in environments of high temperature and/or humidity.
(iv) Z4 - fit to serve in temperate climates only.
(v) Z5 - fit to serve in the UK only.