Recommendation R20040091

Recommendation issued to: Civil Aviation Safety Authority

Recommendation details
Output No: R20040091
Date issued: 13 January 2005
Safety action status:
Background: Why this Recommendation was developed

Output text

Safety Recommendation

The Australian Transport Safety Bureau recommends that the Civil Aviation Safety Authority review the medical certification standards to consider the potential increased significance of diastolic blood pressure to the risk of a cardiac event in applicants for an aviation medical certificate.

Initial response
Date issued: 11 May 2005
Response from: Civil Aviation Safety Authority
Action status: Monitor
Response text:

CASA has been applying a cardio risk screening tool for almost ten years, which is based on internationally recognised research and provides an appropriate balance in assessing risk factors.

There are a range of diagnostic tools that provide an indicative measure of possible cardiac events including body mass index and other factors. While there are risks associated with all screening methods, these need to be balanced against the false positive results found in the screening procedures.

The Authority will ensure that its medial [sic] certification assessment process remains consistent with current medical best practice and will continue to monitor research into the medical significance of diastolic blood pressure to the risk of a cardiac event.

CASA is also in the process of establishing a review of the literature relating to this subject. The results of the review will determine whether CASA changes its current screening tool.

ATSB Note:

As at 26 March 2008, no further advice had been received from CASA on their review and any consequent changes to its screening tool. The ATSB reclassifies the recommendation as Closed - Partially Accepted.

Further correspondence
Response from: Civil Aviation Safety Authority
Response status: Closed - Partially Accepted
Response text:
Last update 01 April 2011