This page provides convenient access to the flow charts, specifications, forms and other documents that are used by Civil Aviation Authority (CAA) medical assessors, aeromedical examiners and other health professionals for the assessment and medical certification of pilots, air traffic controllers and other licence holders.
There is further information available on the regulations and full details of the medical requirements for certification.
Class 1 and 2
Cardiology: cardiovascular examination
- bruce protocol
- ECG diagnostic software and acceptable diagnostics statements
- investigation of ECG abnormalities table
- medical reports - cardiology
- QRisk cardiovascular risk assessment tool
Cardiology: coronary artery disease
- coronary artery disease (investigation of suspected)
- coronary artery disease (post event / intervention)
Cardiology: hypertension
Cardiology: rhythm and conduction disturbances
- atrial fibrillation
- ablation for atrial flutter/fibrillation and other ventricular tachycardias
- ablation for WPW and AVNRT
- assessment of stroke risk
- brugada
- bundle branch block (Left)
- bundle branch block (Right)
- ectopy
- pacemaker
- Wolff-Parkinson-White (WPW) syndrome
Cardiology: other disorders
- aortic root dilatation
- aortic valve stenosis
- aortic valve replacement
- cardiomyopathy
- heart lung transplant
- heart valve disease - mitral valve prolapse and regurgitation
- neuro-cardiogenic syncope
- thoracic and abdominal aortic aneurysms
Dermatology
Gastrointestinal
Genitourinary
Infectious Disease
- applicants and certificate holders with a positive HIV status
- specification for HIV medical reports
- pre-exposure prophylaxis (PrEP) for the prevention of HIV infection
Mental Health
- alcohol and substance misuse
- depression and related disorders
- medical flight test - medication
- guidance for psychiatric reports
- initial class 1 drugs and alcohol testing flow chart
Metabolic & Endocrine
- diabetes certification guidance
- protocol for pilots treated with insulin and/or potentially hypoglycaemic medication
- diabetes briefing sheet
- medical flight test - diabetes
- medical reports - diabetes
- obesity information sheet
- medical flight test - obesity
- thyroid dysfunction
Musculoskeletal
- guidance for the assessment of prosthetic limbs
- guidance on hydroxychloroquine
- limb prosthesis assessment form
- medical flight test - musculoskeletal
- medical reports - musculoskeletal
Neurology
Obstetrics & Gynaecology
Oncology
Otorhinolaryngology (ENT)
Respiratory
- allergy
- bronchial reactivity test form (spirometry)
- medical reports - respiratory
- sarcoidosis
- sleep apnoea
Visual
Class 3 ATCO
- process for pilots and ATCOs who require a UK-issued licence and/or medical certificate
- ATCO medical requirements
- CAP 1251 - Air Traffic Controllers Licensing
Cardiology
- QRisk cardiovascular risk assessment tool
- bruce protocol
- ECG diagnostic software and acceptable diagnostic statements
- investigation of ECG abnormalities table
- medical reports - cardiology
- medical reports - hypertension
Dermatology
Gastrointestinal
Haematology
Infectious disease
- applicants and certificate holders with a positive HIV status
- specification for HIV medical reports
- pre-exposure prophylaxis (PrEP) for the prevention of HIV infection
Mental Health
Metabolic & Endocrine
- diabetes certification guidance
- diabetes briefing sheet
- diabetes report specification
- ATCO_diabetes operational/medical flight test report (ATCO)
- obesity information sheet for pilots and air traffic controllers
- thyroid dysfunction
Musculoskeletal
Neurology
Obstetrics & Gynaecology
Otorhinolaryngology (ENT)
Respiratory
Visual
FISO
Medical Declaration Pack - SRG 1419 Under review, in use pending update
Additionally, see below for:
Medical flight test (MFT) guidance and report forms
Medical flight test (MFT) guidance and report forms
- Guidance for medical flight tests (MFT)
- MFT report A - General including musculoskeletal
- MFT report B Performance-affecting medication
- MFT report C - Substandard vision in one eye
- MFT report D – Functional hearing assessment
- MFT report E - Pilot with limb prosthesis
- MFT report F Pilot with diabetes treated with potentially performance affecting hypoglycaemic medication
Information sheets
- Air Navigation Order (2016)
- secondary review of an AME or Medical Assessor assessment
- medical certificate validity table
- medical department Final Appeals Procedure
- medical department Fair Processing Notice
- safety pilot briefing sheet/Information for safety pilots
- secondary and final medical review cabin crew
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