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Refer CASR 67.265 and CASR 67.270.
CASA requires medical certificate holders who experience any medically significant changes in medical condition to inform CASA or a DAME of such changes.
The information is required to be conveyed to CASA or a DAME after the applicant has been aware of the change:
Thereafter, the DAME so informed is required to notify CASA of the matter within 5 working days. Refer CASR 67.125.
A licence holder must not perform any act authorised by the licence while he or she has a medically significant condition which impairs his or her ability to do the act. Before resuming the exercise of privileges under the licence, the licence holder must obtain prior confirmation of fitness from a DAME, as follows:
A DAME usually need not perform a full medical examination in these circumstances, but should satisfy him/herself that the applicant has recovered from the illness, injury or other medically significant condition and meets the required medical standard for exercise of the privileges of any licence held. However, clearance should only be issued after complete recovery - not in anticipation.
Licence holders who fail to observe these requirements may be subject to heavy penalties, so DAMEs should take every opportunity to emphasise these legal requirements to them.
Certain trivial conditions in medical certificate holders need not be reported to CASA unless present at an applicant's routine medical assessment. However, DAMEs are to advise applicants that these conditions must have resolved fully, without sequelae, prior to applicants resuming the exercise of privileges. Common examples include the following: