Protocol registration and inspection procedure
The (candidate) pilot or candidate registers via the website www.doctoronboard.nl. He / she fills in an application form. He / she fills in an application form. Upon receipt of this, you will be contacted by e-mail or telephone to confirm or change the appointment date. It will also be discussed orally what is important for optimal preparation for the flight inspection.
If the examiner already has a previous medical certificate as well as a pilot license and associated rating, this must be included.
Proof of identification
The examiner must bring along a valid passport or EU identity card for identification purposes. A driver's license is not accepted.
The examiner must bring his / her flight certificate (s) to the inspection, if applicable. This does not apply to student pilots.
Application form / application form
The examiner can download the application form / registration form 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 statement must be signed by the examiner. This will be scanned during the inspection.
Additional medical information
If the candidate suffers from a (chronic) illness, or otherwise undergoes a physical or psychological condition or an operation, a letter must be requested in advance from the patient's own treating physician or medical specialist stating the current status of the patient. Preferably, the data / letters are not older than 6 months. The examiner's letters can be obtained from the specialist's secretary or, if available, from the general practitioner. The GP does not always have this information, sometimes letters are not sent to the GP (on time).
If a candidate uses medication, either daily or if necessary, but up to date, a medication list must be made available. This list can be requested from your own pharmacy or general practitioner.
If necessary for the examination, the examiner must undergo an optometric / ophthalmic examination prior to the examination. For class 1 inspections this applies at the initial inspection at an aero medical center, afterwards every 2-5 years depending on age and periodically on indication for some eye or refractive disorders. For class 2 inspections this applies at the initial inspection and afterwards only on indication. For LAPL inspection this only applies on indication, so not on a routine basis.
The examiner must bring the application form and all relevant medical data with him to the examination. The examination takes an average of 60 minutes, sometimes longer with additional examinations (ECG, audiometry, spirometry). The AME asks questions about physical and mental health and conducts physical examinations. This includes: blood pressure measurement at rest, height and weight, vision near, intermediate and long distances, (with initial class 2 and LAPL tests) color examination, ENT examination, auscultation of heart and lungs, feeling for glands and important vascular areas, exploratory abdominal examination, impression of neck and spine, strength of arms and legs, reflexes, impression of skin, exploratory neurological and balance examination. The same applies to an initial inspection versus a re-inspection. An electronic file is created containing all questions, research data and relevant additional correspondence and reports. Only the AME has login codes for this file, called Empic, issued and managed by the IL&T, Medical Assessor / inspector.
During the inspection, AME and examiner both sign for approval of the inspection and, if applicable, when switching from another AME or aero medical center, an Add Read Rights statement, in which the AME may inspect all previous inspections in Empic.
Class 1 inspections foreign license
For class 1 inspections of pilots with an EU foreign license, the medical certificate falls under the supervision of that country. For example, a pilot has a Belgian license, then the competent authority of Belgium is responsible for the decision-making according to EASA regulations. With no particulars and no special restrictions,
the AME can issue the medical certificate. If a restriction needs to be imposed, it will be done by the authority of that country. All relevant medical data is passed on to the authority by the AME with the consent of the examiner. If a pilot disputes a decision, this must be done in the country of origin. The rules of that country apply. If an examiner has a SIC, the foreign authority is contacted about issuing a new certificate.
Decision after the inspection
The AME has sufficient data to issue a medical certificate. The examiner will then receive an official medical certificate issued by the AME.
The AME has insufficient data or is unauthorized (with some limitations) for a decision and refers to the Medical Assessor, who then makes a decision and, where possible, with any limitations, issues the medical certificate and sends it to the examiner.
The AME cannot issue a medical certificate because the inspector is rejected.
All decisions, approvals, partial approvals and rejections, are substantiated by the rules: EU Implementing Rules (EU 2019/27), Acceptable Means of Compliance, Part-Med and / or Guidelines of the EASA.
The AME fills in all medical data of the examination and any additional information in Empic within 5 days and submits this to ILENT with decision-making, within 5 days after the examination.
Issue of medical certificate by Medical Assessor
If a restriction must be imposed by the MA, it will also issue the medical. In all cases where the MA issues the medical and sends it to the pilot, additional assessment and processing costs will be charged by the Medical Assessor, which is between € 90 and € 100. This is regardless of whether or not a medical certificate is issued. Should the MA decide not to declare the pilot fit, he will not receive a new medical certificate.
The examiner can lodge a written appeal and address it to the AME within six weeks of rejection. The AME submits this to the MA for assessment. A response to the dispute follows below.
Objection option via the ILENT
If the pilot does not agree with a decision and the response to the dispute, a written objection can be lodged against this, on the basis of the provisions of the General Administrative Law Act, within six weeks of the date on which this decision was sent.
The notice of objection must be signed and must contain at least:
- the name and address of the submitter;
- the date;
- a description of the decision against which the objection is directed;
- the grounds for the objection.
You can address the notice of objection to:
Human Environment and Transport Inspectorate (ILENT)
Attn Medical Aviation team
PO Box 16191
2500 BD THE HAGUE
Quoting 'MEDICAL CONFIDENTIAL'
ILENT Medical Assessor
The Medical Authority of the Human Environment and Transport Inspectorate can recall a decision of the AME at any time, if it sees reason to do so. This also applies to the decision of a re-inspection. In principle, the AME will consult with the medical authority for examinations that are complex in the decision-making process.
The examiner must pay the AME after the inspection for the service provided, regardless of the outcome of this decision. Payment must be made immediately via a Tikkie (free of charge) or Pin payment (2% storage). Cash is not accepted for AME security reasons.