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  2. Licences and certification ›
  3. Aviation Medicine ›
  4. Information for DAME, DAO, CO and medical specialists ›
  5. Designated aviation medical examiner's handbook ›
  6. 6.7 Periodic examinations requirements

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6.7 Periodic examinations requirements

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< Back to the DAME Handbook table of contents

Timing of periodic examinations

Certificate Frequency Requirements on Initial Issue
Class 1 ATPL 12-monthly until age 60, then 6-monthly Audio, Eye, ECG, Serum Lipids, Blood Glucose
Class 1 CPL 12-monthly Audio, Eye, ECG, Serum Lipids, Blood Glucose
Class 2 Four-yearly until age 40, then two- yearly N/A
Class 3 Two-yearly Audio, Eye, ECG, Serum Lipids, Blood Glucose

Examinations

Type Examination
Audio Hearing test / audiogram
Eye Specialist eye examination
ECG Electrocardiogram
Serum Lipids Total Cholesterol(fasting), HDL and LDL fractions
Blood Glucose Blood Glucose (fasting)
Stress ECG Exercise ECG on Bruce Protocol (no requirement for cardiologist referral)

Notes:

  1. All ECGs performed in connection with medical examinations marked with an asterisk (*) in the 'Age' column in the Class 1 and 3 table below are to be forwarded to the CASA Aviation Medicine Section.
  2. All abnormal ECGs are to be forwarded to the Aviation Medicine Section with medical assessment forms.
  3. Each applicant who scores more than 14 points on the Coronary Heart Disease Risk Factor Prediction Chart (CRI) must undergo a stress test evaluated by a cardiologist.
  4. Each applicant for a Class 1 or Class 3 medical certificate should have his/her risk score calculated at the original medical examination, then at the first medical examination after age 25, thereafter every 5 years until age 60, thereafter annually.
  5. Fasting serum lipid estimations must include total cholesterol, high and low density lipoprotein cholesterol fractions: be certain to specify this on the pathology request form as an 'Occupational Requirement'. (This alerts the pathology laboratory that the investigation is not HIC rebatable and usually ensures it will be performed, even when other lipid values are within normal limits).
  6. On occasions, applicants may have undergone certain of these tests or specialist reviews independently of the CASA requirement. CASA will accept certified true copies of recent results (only).

Classes 1 and 3 additional requirements

The image below gives the additional tests/examinations that are required at each renewal examination for applicants for Class 1 and 3 Medical Certificates. Requirements for applicants aged more than 80 years will be advised individually.

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  • 1.1 Abbreviations used in this Handbook
  • 1.2 The origin and development of the CASA DAME Handbook
  • 1.3 The purpose of the DAME Handbook
  • 2.1 Appointment and legal status of DAMEs
  • 2.2 Qualifications and experience
  • 2.3 Duration of designation
  • 2.4 Duties and responsibilities of DAMEs
  • 2.5 Duties and responsibilities of DAOs and COs
  • 2.6 Facilities and equipment
  • 3.1 Powers under the Civil Aviation Safety Regulations
  • 3.2 Indemnification of medical reporting
  • 3.3 Fees
  • 4.1 Licences
  • 4.2 Classes of medical certificates for licence types
  • 4.3 Duration of validity
  • 4.4 Special reports and periodic tests required for medical certification
  • 5.1 Submission of medical examinations
  • 5.2 Regulatory requirements
  • 5.3 The medical certificate
  • 5.4 Medical certificate extension or short-term re-issue
  • 5.5 Actions on medical certificates
  • 5.6 Identification of CASA examiners (DAMEs, DAOs and COs)
  • 6.1 Electrocardiographs
  • 6.2 Hearing tests
  • 6.3 Special hearing tests
  • 6.4 Assessment by Designated aviation ophthalmologists or Credential optometrist
  • 6.5 Temporary incapacity of certificate holders
  • 6.6 Additional investigations and specialist opinions
  • 6.7 Periodic examinations requirements
  • 6.8 Tests for alcohol and other drugs
  • 6.9 Tests of colour vision
  • 6.10 Health promotion activities
  • 7.1 Conditions and endorsements
  • 7.2 Frequently used conditions endorsed on medical certificates
  • 7.3 Multi-crew endorsement
  • 8.1 Quality assurance and audit
  • 9.1 Aviation reference number (ARN) and identification
  • 9.2 Use of multiple DAMEs
  • 10.1 Acceptable blood pressure levels
  • 11.1 Code of conduct for DAMEs, DAOs and COs
  • 12.1 DAME's assessment and issue of Class 2 certificates
  • 12.2 DAME prerequisites for eligibility to be a DAME delegate for issue of Class 2 medical certificates
  • 12.3 Excluded medical conditions and prior endorsements
  • 12.4 CASA's approach to aeromedical risk assessment for clinical problems other than excluded medical conditions
  • 12.5 DAME Clinical Practice Guidelines
  • 12.6 Procedure for a DAME to issue a Class 2 medical certificate
  • 13. MRS online terms and conditions
Last modified: 27 June 2019
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