Endorsements on a medical certificate

Medical certificates may be issued with an endorsement. This outlines restrictions placed on the holder of that certificate.

The information below explains how each restriction impacts on a certificate holder's ability to exercise privileges on a license. This applies to:

  • pilots
  • air traffic controllers (ATCs).

If you have any questions about the licensing regulations, contact us.

Renew by CASA only

The medical application must come to us to assess and issue the medical certificate. A designated aviation medicine examiner (DAME) cannot re-validate the medical certificate themselves.

We recommend if you have this restriction, you plan for and book appointments with your DAME well in advance of the expiry of the current medical certificate.

When booking the appointments, you should:

  • consider the time constraints for specialist reports and tests
  • make sure that your appointments all fit in this timeframe.

Specialist reports can be done up to 3 months in advance of your medical examination with your DAME.

Distance vision correction

You must wear distance vision correction whilst exercising the privileges of your license.

You must carry 2 pairs of corrections. For example you could:

  • wear contact lenses and carry one spare pair of glasses, or
  • wear one pair of glasses and carry one spare pair of glasses.

Reading correction

Reading correction to be available whilst exercising the privileges of this license.

The pilot must carry 2 pairs of correction lenses. For example, they could:

  • wear contact lenses and carry a spare pair of glasses, or
  • carry 2 pairs of glasses.

Mustering or agricultural flying

The condition precludes you from flying an aircraft for:

  • mustering or
  • other agricultural flying.

For CASA surveillance

DAME's can revalidate your certificate, if appropriate.

For example, a reason could be 'if it will not adversely affect the safety of air navigation'.

The revalidated certificate may be for up to 2 months duration. The new medical certificate will only be issued after:

  • all required reports have been received and
  • the medical reviewed by a CASA medical officer.

CASA will define the surveillance requirements that apply to this certificate in a letter. The requirements may include medical reports and / or test results.

These reports and tests must have been conducted within 3 months of your medical certificate application for us to consider them ‘recent'. We take this approach because reports and tests that are conducted outside of this timeframe may be less relevant , in terms of the risk assessment that we perform.

Ideally, all the required reports and tests are available when the DAME performs their assessment. If not, the DAME may still revalidate your certificate for up to 2 months duration. This is to provide additional time to obtain the required reports and tests.

ATPL operations

Not valid for ATPL operations.

This restriction applies to Class 1 medical certificates, where you are fit to exercise the privileges of a commercial pilot's licence (CPL) but not an air transport pilots licence (ATPL).

Rotary wing operations

Not valid for rotary wing operations. With this condition applied, you are unable to use the certificate for flying rotary wing aircraft.

Operation of rotary wing aircraft, particularly close to the ground, place unique demands on the bodily systems that orientate a pilot in space.

Impairments in bodily systems, particularly vision, may therefore be of particular safety-relevance in rotary wing operations.

Qualified co-pilot

Holder to fly as or with a qualified co-pilot.

A letter is sent with the certificate advising you must fly only as, or with, a qualified co-pilot.


Headset must be worn whilst exercising the privileges of this license.

You must always wear a headset whilst exercising the privileges of your license.

Special condition

There is a special condition placed on the holder of the certificate.

Specifics on the condition are not detailed on your certificate. This is because:

  • there are many potential aero-medically significant conditions
  • the requirements of medical-in-confidence.

The letter that accompanies the certificate, which is provided to the you as the certificate holder, will define the special condition in detail.

ICAO Convention Chapter 6 of Annex 1

Holder does not fully meet requirements of ICAO Convention Chapter 6 of Annex 1.

This condition applies if you have failed to meet the colour vision standards. The Civil Aviation Safety Regulations defines these standards.


Must not fly within 24 hours of venesection.

This treatment consists of the removal of blood by venesection (similar to donating blood). This is also sometimes called phlebotomy.

Last updated:
22 Jul 2022
Online version available at: https://www.casa.gov.au//licences-and-certificates/aviation-medicals-and-certificates/endorsements-medical-certificate
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