The process involved and the required procedure for a DAME to follow for the issue a Class 2 medical certificate is sequentially as follows:
- The DAME must conduct a medical examination of the applicant
- The DAME must refer the application to CASA in the following circumstances:
- the previous certificate was endorsed with DNR (Do Not Revalidate)
- the previous certificate was suspended or cancelled
- if an excluded medical condition (see Chapter 12.3 Excluded medical conditions and prior endorsements) is apparent or disclosed.
- If the DAME's assessment following the medical examination is consistent with the DAME Clinical Guidelines (see Chapter 12.5 DAME clinical practice guidelines), the DAME must issue a Class 2 medical certificate provided:
- all necessary investigations and information required have been reviewed
- the DAME is satisfied that the assessment supports the issue of the Class 2 medical certificate
- there is no countervailing reason under the DAME delegation, the relevant regulations or this Chapter 12 why a Class 2 medical certificate should not be issued.
- If the DAME's assessment following the medical examination is inconsistent with the DAME Guidelines, the DAME must:
- not issue a Class 2 medical certificate
- refer the applicant to CASA, with an opinion concerning a departure from the Guidelines
- ensure that the applicant is informed that the DAME's assessment is inconsistent with the DAME Guidelines and that the applicant must be referred to CASA for assessment.
- Where the Guidelines are silent on a medical condition affecting a particular applicant, the DAME may make a decision based on the best medical knowledge and evidence available to the medical profession at the time. Reference should be made to the ICAO medical manual and other suitable references. Links are provided within MRS. However the evidential basis for the risk assessment must be clearly described.
- If, following an applicant's medical examination, the DAME:
- assesses that a Class 2 medical certificate should not be issued
- holds a reasonable doubt about the applicant's suitability to be issued with a Class 2 medical certificate, then the DAME must do the following
- not issue a medical certificate
- refer the applicant to CASA for medical assessment
- inform CASA of the DAME's reasons for not issuing the certificate
- ensure that the applicant is informed of the DAME's inclination or doubt, and that his or her application must be referred to CASA for assessment.
- DAMEs must offer applicants the opportunity to 'show cause' why a particular restriction may not be applied to their certificate.
- DAMEs must provide details of review options (CASA reconsideration, Administrative Appeals Tribunal) to applicants.
Flowchart of Class 2 medical certificate procedure
Flowchart of Class 2 medical certificate procedure