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This guideline provides guidance about conditions where a pilot/controller should consult a DAME and when to notify CASA about a medical condition.
Pilots/controllers are required to ground themselves if:
until cleared by a DAME or CASA AvMed to return to flying/controlling.
This includes any adjustments in medication dose or commencement of new medications, to ensure that there are no unforeseen side effects. (Refer to the Civil Aviation Safety Regulations 1998 (CASR) Part 67.265).
The regulations do not specifically list those conditions which are considered medically significant and safety-relevant. The definition of “medically significant conditions” and “safety-relevant” provide guidance as to the sorts of conditions that require grounding and notification to CASA.
The definition of medically significant condition is described in the regulations as:
Regulation 67.010: medically significant condition includes:
The definition of safety-relevant contained in the CASR is broad:
For the purposes of this Part, a medically significant condition is safety-relevant if it reduces, or is likely to reduce, the ability of someone who has it to exercise a privilege conferred or to be conferred, or perform a duty imposed or to be imposed, by a licence that he or she holds or has applied for.
Pilots/controllers should consult a DAME, but are not required to notify CASA AvMed about common, minor, self-limiting conditions which resolve within the permitted timeframes stipulated in When should CASA be notified? , for example:
A DAME can return a pilot/controller to duty once they are satisfied the condition has fully resolved without sequelae, and if relevant, there are no adverse effects from medication or treatment.
CASA AvMed must be notified about conditions that are universally medically significant and safety relevant, for example:
This list is not intended to be complete and requires a DAME’s clinical judgement of the specific circumstances of a particular condition in the context of the certificate holder’s other medical history and occupation.
In accordance with the regulations, medical certificate holders have an obligation to notify CASA or a DAME about any medical significant changes in their medical condition: (CASR Part 67.265)
If the holder of a medical certificate tells a DAME about a medically significant condition, and the condition is safety-relevant, the DAME must notify CASA in writing within 5 working days (CASR Part 67.125)
If there is doubt about whether a medical condition is safety relevant, or if CASA needs to be notified, AvMed should be contacted for further advice.
The Clinical Practice Guideline is provided by way of guidance only and subject to the Clinical practice guidelines disclaimer