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Assessing Fitness to Drive for Commercial and Private Vehicle Drivers

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Assessing Fitness to Drive for Commercial and Private Vehicle Drivers Assessing Fitness to Drive for commercial and private vehicle drivers Austroads Level 9, 287 Elizabeth Street 2016 SYDNEY NSW 2000 Australia Medical standards for Phone: +61 2 8265 3300 licensing and clinical www.austroads.com.au management guidelines As amended up to August 2017 Assessing Fitness to Drive for commercial and private vehicle drivers Help for professionals For guidance in assessing a patient’s fitness to drive contact your State or Territory driver licensing authority (see Appendix 9 for details). Information is also available from the Austroads website: www.austroads.com.au Assessing Fitness to Drive First Published 1998 Second Edition 2001 Third Edition 2003 Reprinted 2006 Fourth Edition 2012 Reprinted 2013 Fifth Edition 2016 Reprinted 2017 © Austroads Ltd 2017 This work is copyright. Apart from any use as permitted under the Copyright Act 1968, no part may be reproduced by any process without the prior written permission of Austroads. National Library of Australia Cataloguing-in-Publication data: Assessing Fitness to Drive 2016 as amended up to August 2017 ISBN: 978-1-925451-95-5 Austroads Publication Number: AP-G56-17 Design and typesetting: d fa Design Published by Austroads Ltd Level 9, Robell House 287 Elizabeth Street Sydney NSW 2000 Australia Phone: +61 2 8265 3300 Fax: +61 2 8265 3399 Email: [email protected] www.austroads.com.au Austroads believes this publication to be correct at the time of printing and does not accept responsibility for any consequences arising from the use of information herein. Readers should rely on their own skill and judgement to apply information to particular issues. Document History 1 September 2016 Document first published. 1 August 2017 Corrections relating to repaired abdominal and thoracic aneurysms to reflect agreed policy (page 51) and visual aids (page 127). Contact details updated in Appendix 9. Assessing Fitness to Drive for commercial and private vehicle drivers 2016 Medical standards for licensing and clinical management guidelines a resource for health professionals in Australia As amended up to August 2017 Austroads Austroads is the peak organisation of Australasian road transport and traffic agencies. Austroads’ purpose is to support our member organisations to deliver an improved Australasian road transport network. To succeed in this task, we undertake leading-edge road and transport research which underpins our input to policy development and published guidance on the design, construction and management of the road network and its associated infrastructure. Austroads provides a collective approach that delivers value for money, encourages shared knowledge and drives consistency for road users. Austroads is governed by a Board consisting of senior executive representatives from each of its eleven member organisations: • Roads and Maritime Services New South Wales • Roads Corporation Victoria • Department of Transport and Main Roads Queensland • Main Roads Western Australia • Department of Planning, Transport and Infrastructure South Australia • Department of State Growth Tasmania • Department of Transport Northern Territory • Territory and Municipal Services Directorate, Australian Capital Territory • Commonwealth Department of Infrastructure and Regional Development • Australian Local Government Association • New Zealand Transport Agency. National Transport Commission The National Transport Commission is an inter-governmental agency charged with improving the productivity, safety and environmental performance of Australia’s road, rail and intermodal transport system. As an independent statutory body, the NTC develops and submits reform recommendations for approval to the Transport and Infrastructure Council, which comprises federal, state and territory transport, infrastructure and planning ministers. The NTC also plays an important role in implementation planning to ensure reform outcomes are realised on the ground, as well as coordinating, monitoring, evaluating and maintaining the implementation of approved reforms. NTC’s vision Australia’s prosperity and community liveability is enhanced by the movement of people and goods. NTC’s mission To champion and facilitate changes that improve productivity, safety and environmental outcomes. NTC’s role By developing national regulatory and operational reform and implementation strategies for road, rail and intermodal transport. iv Assessing Fitness to Drive 2016 Endorsements These standards are endorsed by: Australasian Chapter of Addiction Medicine Australian Diabetes Society Australasian Faculty of Occupational and Environmental Medicine Australian and New Zealand Association of Neurologists Australasian Sleep Association Epilepsy Society of Australia Occupational Therapy Australia Optometry Australia Royal Australian and New Zealand College of Ophthalmologists Australian College of Rural and Remote Medicine Royal Australian College of Physicians Australasian Faculty of Rehabilitation Medicine Assessing Fitness to Drive 2016 v Acknowledgements Setting these standards involved extensive consultation across a wide range of stakeholders including regulators, employers and health professionals. The NTC and Austroads gratefully acknowledge all contributors including the members of the Maintenance Advisory Group and various working groups, and the project team and consultants. In particular, the contributions of various health professional organisations and individual health professionals are recognised as invaluable to the review process. Maintenance Advisory Group Austroads Ms Cheryl Richey Department of Planning, Transport and Infrastructure, South Australia Ms Jean Phillips Department of Transport and Main Roads, Queensland Ms Trudy Struber Roads and Maritime Services, New South Wales Ms Mary Drewett Transport for New South Wales Ms Irene Siu VicRoads Dr Marilyn Di Stefano Ms Robyn Seymour Australian College of Rural and Remote Medicine Dr Ken Mackey Australasian Faculty of Occupational and Environmental Medicine Dr Bruce Hocking Royal Australian College of General Practitioners Dr Nigel Stocks Victorian Institute of Forensic Medicine Associate Professor Morris Odell Australian Trucking Association Ms Louise Bilato Mr Bill McKinley Older driver/multiple medical conditions working group VicRoads Ms Fiona Morris Royal Australian College of General Practitioners Dr Nigel Stocks Occupational Therapy Australia Dr Angela Berndt Associate Professor Stacey George Professor Carolyn Unsworth Monash University of Accident Research Centre Associate Professor Judith Charlton Dr Sjaan Koppel Victorian Institute of Forensic Medicine Associate Professor Morris Odell Alzheimer’s Australia Ms Jenny Philipp vi Assessing Fitness to Drive 2016 Diabetes working group Australian Diabetes Society Professor Stephen Twigg Diabetes Australia Ms Renza Scibilia Australian Diabetes Educators Association Ms Toni Rice Mr Brett Fenton Australian College of Rural and Remote Medicine Dr Ken Mackey Department of Planning, Transport and Infrastructure, South Australia Ms Jean Phillips Hearing working group Consultant audiologist Dr Ross Dineen Deaf Australia Mr Kyle Miers Deaf Victoria Ms Melissa Lowrie Roads and Maritime Services, New South Wales Ms Mary Drewitt Australian Trucking Association Mr Alex Stojanovic Vision working group Royal Australian and New Zealand College of Ophthalmologists Dr Paul Beaumont Dr Michael Delaney Mr Gerhard Schlenther University of Sydney, Discipline of Orthoptics The Hon. Research Associate Neryla Jolly Optometry Australia Mr Luke Arundel National Transport Commission Ms Belinda Irwin Mr Paul Davies Ms Tania Wilson Consultants: Project Health Dr Bruce Hocking Ms Fiona Landgren Assessing Fitness to Drive 2016 vii Contributing health professional organisations The following organisations contributed substantially to the review process: Australian and New Zealand Association of Neurologists Australian Diabetes Educators Association Australian Diabetes Society Australasian Sleep Association Cardiac Society of Australia and New Zealand Epilepsy Society of Australia Occupational Therapy Australia Optometry Australia Royal Australian and New Zealand College of Ophthalmologists Royal Australasian College of Physicians – Chapter of Addiction Medicine Royal Australasian College of Physicians – Australasian Faculty of Occupational and Environmental Medicine Contributing consumer health organisations Alzheimer’s Australia Deaf Australia Deaf Victoria Diabetes Australia Legal disclaimer These licensing standards and management guidelines have been compiled using all reasonable care, based on expert medical opinion and relevant literature, and Austroads believes them to be correct at the time of printing. However, neither Austroads nor the authors accept responsibility for any consequences arising from their application. Health professionals should maintain an awareness of any changes in healthcare and health technology that may affect their assessment of drivers. Health professionals should also maintain an awareness of changes in the law that may affect their legal responsibilities. Where there are concerns about a particular set of circumstances relating to ethical or legal issues, advice may be sought from the health professional’s medical defence organisation or legal advisor. Other queries about the standards should be directed to the relevant driver licensing authority. viii Assessing Fitness to Drive 2016 Foreword In 2015, 12091 people were killed on Australian roads, and many tens of thousands hospitalised
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