If any of the following conditions are present, the patient must not be issued with a Recreational Aviation Medical Practitioner’s Certificate (RAMPC).
| Condition | Criterion: Not fit to hold an unconditional licence if; | Restriction from |
|---|---|---|
| Blackouts | Has the patient ever experienced blackouts that cannot be diagnosed as syncope, seizure or another condition? | Austroads |
| Acute Myocardial Infarction | Has the patient ever had an Acute Myocardial Infarction? | Austroads |
| Angina | Is the patient subject to, or does the patient have any of the following: angina pectoris at rest; angina pectoris on minimal exertion despite medical therapy; unstable angina? | Austroads |
| Coronary Artery Bypass Grafting | Has the patient ever had Coronary Artery Bypass Grafting or is the need for such a procedure indicated? | Austroads |
| Percutaneous coronary intervention (PCI) e.g. angioplasty | Has the patient ever had or is there need for a Percutaneous coronary intervention? | Austroads |
| Atrial Fibrillation | Has the patient ever had an episode of fibrillation resulting in syncope or incapacitating symptoms? | Austroads |
| Paroxysmal arrythmias (e.g. SVT atrial flutter, idiopathic ventricular tachycardia) | Has the patient had near or definite collapse? | Austroads |
| Cardiac arrest | Has the patient ever suffered from cardiac arrest? | Austroads |
| Cardiac Pacemaker | Does the patient require a cardiac pacemaker or has one been implanted or replaced? | Austroads |
| Implantable cardioverter defibrillator (ICD) | Has the patient ever had an implantable cardioverter defibrillator implanted for ventricular arrhythmias or is the need for such a procedure indicated? | Austroads |
| ECG Changes: Strain patterns, bundle branch blocks, heart block, etc. | Does the patient’s conduction defect cause symptoms? | Austroads |
| Aneurysms - abdominal and thoracic | Does the patient have an unrepaired aortic aneurysm, whether thoracic or abdominal? | Austroads |
| Valvular heart disease | Does the patient have symptoms on moderate exertion? | Austroads |
| Dilated Cardiomyopathy | Does the patient have a dilated cardiomyopathy? | Austroads |
| Hypertrophic Cardiomyopathy | Does the patient have Hypertrophic Cardiomyopathy? | Austroads |
| Congenital Disorders | Does the patient have a complicated congenital heart disorder? | Austroads |
| Heart Failure | Does the patient experience symptoms on moderate exertion? | Austroads |
| Heart Transplant | Has the patient had a heart or heart/lung transplant, or is such a procedure indicated? | Austroads |
| Hypertension | Does the patient have blood pressure that is consistently greater than 200 systolic or greater than 110 diastolic (whether treated or untreated)? | Austroads |
| Syncope | Does the patient have a severe enough condition to cause episodes of loss of consciousness without warning? | Austroads |
| Diabetes treated by glucose lowering agents other than insulin | Does the patient have end-organ complications that may affect driving, as per the Austroads publication, or has the patient had a recent ‘severe hypoglycaemic event’? | Austroads |
| Insulin-treated diabetes | Does the patient have insulin-treated diabetes? | Austroads |
| Musculoskeletal Disorders | Is the patient’s ability to perform the required driving activities inadequate? | Austroads |
| Dementia | Has the patient ever had a diagnosis of dementia? | Austroads |
| Seizures and Epilepsy | Has the patient ever experienced a seizure? | Austroads |
| Ménière’s disease | Does the patient have Ménière’s disease that has produced vertigo within the preceding 2 years? | Austroads |
| Aneurysms (unruptured intracranial aneurysms) and other vascular malformations of the brain | Does the patient have an unruptured intracranial aneurysm or other vascular malformation at high risk of major symptomatic haemorrhage? | Austroads |
| Head Injury | Has the patient ever had head injury producing significant impairment of any of the following: visuospatial perception, insight, judgment, attention, reaction time, memory, sensation, muscle power, coordination, vision (including visual fields)? | Austroads |
| Neuromuscular conditions | Does the patient have peripheral neuropathy, muscular dystrophy or any other neuromuscular disorder that significantly impairs muscle power, sensation or coordination? | Austroads |
| Stroke | Has the patient ever had a stroke producing significant impairment of any of the following: visuospatial perception; insight; judgement; attention, reaction time, memory, sensation, muscle power; coordination; vision (including visual fields)? | Austroads |
| Space-occupying lesions (including brain tumours) | Has the patient ever had a space-occupying lesion that results in significant impairment of any of the following: visuospatial perception, insight, judgment, attention, reaction time, memory, sensation, muscle power, coordination, vision (including visual fields)? | Austroads |
| Subarachnoid haemorrhage | Has the patient ever had a subarachnoid haemorrhage? | Austroads |
| Other neurological conditions | Does the patient have a neurological disorder that significantly impairs any of the following: visuospatial perception, insight, judgment, attention, reaction time, memory, sensation, muscle power, coordination, vision (including visual fields)? | Austroads |
| Psychiatric conditions | Does the patient have a chronic psychiatric condition of such severity that it is likely to impair any of the following; the insight, behaviour, cognitive ability or perception required for safe driving? | Austroads |
| Sleep apnoea | Does the patient have any of the following: established sleep apnoea syndrome (meaning, sleep apnoea on a diagnostic sleep study and moderate to severe excessive daytime sleepiness); frequent self-reported episodes of sleepiness or drowsiness while driving, any motor vehicle crash caused by inattention or sleepiness; a sleep disorder that, in opinion of the medical practitioner, represents a significant driving risk? | Austroads |
| Narcolepsy | Has the patient ever had narcolepsy confirmed? | Austroads |
| Substance use disorder | Does the patient have an alcohol or other substance use disorder, such as substance dependence or heavy frequent alcohol or other substance use, which is likely to impair safe driving? | Austroads |
| Visual Fields | Does the patient’s binocular visual field NOT have a horizontal extent of at least 110 degrees within 10 degrees above and below the horizontal midline, or if there is any significant visual field loss (scotoma) within a central radius of 20 degrees of the foveal fixation or other scotoma likely to impede driving performance? | Austroads |
| Monocular vision | Is the patient monocular? | Austroads |
| Diplopia | Does the patient experience any diplopia (other than physiological diplopia) when fixating objects within the central 20 degrees of the primary direction of gaze? | Austroads |
| Cancer | Has the patient had cancer within last 5 years (excluding basal cell carcinomas)? | CASA |
| ECG changes | Has the patient ever had any ECG changes? | CASA |
| Heart failure | Does the patient have a history of past or current heart failure? See Form 166 guidance material for qualifications. |
CASA |
| Hearing | Is the patient unable to hear a conversational voice from a distance of 2 metres? | CASA |
| Physical limitations | Does the patient have any physical limitations or disabilities? | CASA |
| Transient ischaemic attacks (TIA) | Has the patient ever had a transient ischaemic attack? | CASA |
| Multiple Sclerosis, Cerebral Palsy, Parkinson’s Disease | Does the patient have any of these conditions? | CASA |
| Head Injury | Does the patient have a history of head injury that is more than trivial? |
CASA |
| Renal calculus disease | Does the patient have any history of renal calculi or renal colic? | CASA |
| Vestibular disorders | Does the patient have active vertigo, or a history of benign paroxysmal positional vertigo? | CASA |
| CASA Audit | Is the patient currently subject to medical audit conditions imposed by CASA | CASA |
| Visual Acuity | Does the patient FAIL the visual acuity standard? (visual acuity standard is that the patient’s visual acuity is corrected by his or her lenses to at least 6/12 in 1 eye and at least 6/18 in the other eye) |
CASA |