Protocol registration and inspection procedure


The (candidate) pilot signs up via the website

He / she fills out a registration form. After receiving this, contact will be made by e-mail or telephone to confirm or change the appointment date. An oral review is also made of what is important for optimum preparation for flight testing.

Proof of identification

The inspector takes along a valid proof of identity or passport for identification purposes during the inspection. A driver's license is not accepted.

Flying license

The inspector must take his / her flight certificate / flight licenses and type rating to the inspection, if applicable. This does not apply to aspiring (LAPL and class 2) pilots.

Medical statement

The inspector can download the medical certificate via the website and must complete it completely before the inspection. If not all documents are complete, the inspection cannot take place and a new appointment will be made. The medical certificate must be signed by the examiner. This is scanned during the inspection.

Additional medical information

If the inspector suffers from a chronic illness or has an important illness, operation, disorder or disorder of a physical or psychological nature, a letter must be submitted in advance to the doctor or medical specialist treating him / her in which the current status of the patient is present. is mentioned. Preferably the data / letters are not older than 6 months. Specialist letters can be requested from the specialist's secretary or, if available, from the doctor. The doctor does not always have this, sometimes letters are not sent (in time) to the doctor.

Example 1

A judge suffers from type 2 diabetes mellitus. An overview of the latest laboratory data (glucose, HbA1c, kidney function, cholesterol levels) must be submitted.

Example 2

A judge has colorectal cancer, had surgery and was treated with chemotherapy. The patient has undergone medical recovery and half a year has elapsed between treatment and testing. A medical specialist letter must be submitted for a proper assessment.

Example 3

The inspector underwent hip replacement surgery a year ago. Here too, the inspector must submit a specialist letter.

Medication list

If an examiner uses medication, either daily or as required, but topical, then a medication list must be submitted. This list can be requested from your own pharmacy or doctor. This current medication list is mandatory.

Optometrist examination

If it is necessary for the examination, the examiner must undergo optometric / ophthalmic examination prior to the examination. You can make an appointment with one of the cooperating optometrists, see links to this on the website, 


The examiner must take the medical statement and all relevant medical information with him. The inspection takes on average 60 -75 minutes. The AME asks health questions and carries out a full physical examination from head to toe. A PPL test takes longer than a LAPL test. The same applies to an initial inspection versus a re-inspection. An electronic file is created in which all questions, research data and relevant additional correspondence and research data are listed. Only the AME has log-in codes for this file, called Empic, issued and managed by the IL&T, medical authority.

At the end of the inspection, AME and the inspector both sign for approval of the inspection.

Decision after the inspection

The AME has sufficient information to issue a medical certificate. The inspector then receives an officially certified certificate issued by the AME.

The AME has insufficient data for a decision and refers to a medical specialist for further investigation. After this a follow-up appointment must be made to complete the inspection.
The AME cannot issue a medical certificate because the inspector is rejected.

All decisions, approvals, partial approvals and rejections are substantiated with reference to the AME decision rules: Implementing rules EU 1178, AMC ARA, Part-Med and / or Guidelines Implementation rules of the EASA.
The AME fills out all medical data from the inspection and any additional information within 5 days in Empic and offers this to IL&T with decision-making.

Appeal / notice of objection

According to Article ARA.MED.325 of the EU Regulation 1178/2011, the ILT as a competent authority must introduce a procedure to review disputed cases (called the second assessment procedure) 

If you  If you disagree with the decision on medical fitness, a request can be submitted to the IL and T to reassess the disputed case. There are costs associated with this in accordance with Article 7 of the 2008 aviation tariff regulations.

You must submit a notice of objection to the IL and T. within 6 weeks of the date of the AME's decision. The address is:

inspection of living environment and transport

Attn: Medical Aviation Team

PO Box 16191

2500 BD The Hague

stating medically confidential

The notice of objection must be signed and must contain at least:

& #8211; the name and address of the submitter;

& #8211; the date;

& #8211; a description of the decision against which the objection is made;

& #8211; the grounds for the objection.

The IL and T medical assessor will make a decision within 8 weeks of receiving your notice of objection. This decision by the IL and T is open to objection. The decision on the objection is made by a medical assessor other than the person who took the contested decision. The objection is reviewed by an independent medical advisory committee and gives advice to the medical assessor regarding the suitability for medical certification. An appeal may be lodged against the decision on the objection.

Medical Authority of IL&T

The medical authority of the Human Environment and Transport Inspectorate can recall a decision from the AME at any time if it sees fit to do so. This also applies to the decision of a reinspection. The AME will consult with the medical authority on inspections that are complex in decision-making, in principle in advance.


The inspector must pay the AME for the service provided directly via PIN or internet banking after the inspection, regardless of the outcome of the decision. The inspector immediately receives a specified invoice via e-mail. If payment is not possible, the inspector is requested to make this known prior to the inspection, so that a suitable solution can be found.

Version 1-1-2020

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