Civil Aviation Safety Authority Of Papua New Guinea PNG MEDICAL MANUAL VOLUME 5 PART E Control Copy Number: …………… PNG MEDICAL MANUAL PRELIMINARY AUTHORISATION Page III of XIII AUTHORIZATION This manual is a Civil Aviation Safety Authority document setting out the procedures for aviation medical practices and forms part of the Civil Aviation Safety Authority Manual Suite. This manual sets out responsibilities; specific procedures and systems applicable to Aviation Medical Standards and Certification. The main purpose of the PNG Medical Manual is to assist and guide designated aviation medical examiners (DAMEs), medical assessors (MAs) and CASA, in decisions relating to the medical fitness of licence applicants as specified in Annex 1. The originator or Controlling Authority of this document is the Principal Medical Officer (PMO). For the purpose of ensuring that the process detailed in this document is standardised, I require all designated aviation medical examiners and relevant staff to use this document in the performance of their duties. This manual is a living document and I encourage DAMEs, Mas and CASA staff to continually contribute to its improvement taking into account the legislative changes, annex amendments and latest technological changes and experience, and also to your work practices covered by the procedures contained in this document. This document has been issued under the authority of the Director of the Civil Aviation Safety Authority. Rev. No. 01 Civil Aviation Safety Authority of Papua New Guinea Revision Date: 30/11/2017 PNG MEDICAL MANUAL PRELIMINARY AUTHORISATION Page IV of XIII INTENTIONALLY LEFT BLANK Rev. No. 01 Civil Aviation Safety Authority of Papua New Guinea Revision Date: 30/11/2017 PNG MEDICAL MANUAL PRELIMINARY CONDITION OF USE Page V of XIII CONDITION OF USE The assigned manual holder is responsible for the care and upkeep of the manual, and for its revision, in accordance with any instructions or revision material provided by the Civil Aviation Safety Authority. Assigned manual holders are to ensure that they familiarise themselves with the content of the manual, including any revision received. Manual holders with staff management or supervisory responsibilities shall ensure that their subordinate staffs are fully aware of changes to work practices or duties which may occur as a result of revisions to the manual. The manual holder is encouraged to identify, recommend and submit any request to amend any part of this manual via the Revision Request Form. Manual holders and users are not permitted to make any alternations, erasures or use marks of emphasis in this manual. This manual must be returned to the Civil Aviation Safety Authority on cessation of Designated Aviation Medical Examiner Instrument of Approval, or otherwise recalled by the Chief Executive Officer/Director. In the event a manual is lost, stolen or damaged beyond usability, the following process will apply: (1) The manual holder is required to provide written report of the details of the loss, theft or damage to the Chief Executive Officer, as soon as practicable. (2) If the loss of the manual is determined to be caused by any failure of care by the holder, a reimbursement and/ or replacement costs may be applied by the Civil Aviation Safety Authority. Rev. No. 01 Civil Aviation Safety Authority of Papua New Guinea Revision Date: 30/11/2017 PNG MEDICAL MANUAL INTER -RELATION OF CIVIL AVIATION MANUAL PRELIMINARY Page VI of XIII SUITE INTENTIONALLY LEFT BLANK Rev. No. 01 Civil Aviation Safety Authority of Papua New Guinea Revision Date: 30/11/2017 PNG MEDICAL MANUAL INTER -RELATION OF CIVIL AVIATION MANUAL PRELIMINARY PageI VI of XIII SUITE INTER-RELATION OF CIVIL AVIATION MANUAL SUITE CORPORATE MANUALS Volume 5 – Part E:PNG Medical Manual Rev. No. 01 Civil Aviation Safety Authority of Papua New Guinea Revision Date: 30/11/2017 PNG MEDICAL MANUAL PRELIMINARY RECORD OF REVISIONS Page VIII of XIII RECORD OF REVISIONS This table is to be completed by the manual holder upon receipt of each authorized revision or amendment. Amendments and additions are marked with change bars on the right side of the page. Refer to the ‘List of Effective Pages’ which indicates the pages that have changed. To request a change, or make any recommendations to this manual, complete a Revision Request Form’ contained in the Quality Manual and forward to the manual originator or Controlling Authority. Rev. Effective Entered Insert Rev. Effective Entered Insert No. Date By Date No. Date By Date 0 01/06/2016 1 30/11/2017 Rev. No. 01 Civil Aviation Safety Authority of Papua New Guinea Revision Date: 30/11/2017 PNG MEDICAL MANUAL PRELIMINARY LIST OF EFFECTIVE PAGES Page IX of XIII LIST OF EFFECTIVE PAGES Page No. Rev. No. Effective Date Page No. Rev. No. Effective Date Preliminary I 1 30/11/17 II 1 30/11/17 Part 3 III 1 30/11/17 1-42 1 30/11/17 IV 1 30/11/17 V 1 30/11/17 Vi 1 30/11/17 VII 1 30/11/17 VIII 1 30/11/17 IX 1 30/11/17 X 1 30/11/17 XI 1 30/11/17 XII 1 30/11/17 XIII 1 30/11/17 Part 1 1-4 1 30/11/17 Part 2 1-38 1 30/11/17 Rev. No. 01 Civil Aviation Safety Authority of Papua New Guinea Revision Date: 30/11/2017 PNG MEDICAL MANUAL PRELIMINARY HISTORY OF REVISIONS Page X of XIII HISTORY OF REVISIONS Rev. No Reference Areas Subjected To Change Effective Date 0.00 Initial Issue All pages 30/06/2017 0.01 All All pages 30/11/2017 Rev. No. 01 Civil Aviation Safety Authority of Papua New Guinea Revision Date: 30/11/2017 PNG MEDICAL MANUAL PRELIMINARY TABLE OF CONTENTS Page XI of XIII TABLE OF CONTENTS AUTHORIZATION .............................................................................................................III CONDITION OF USE ........................................................................................................ V INTER-RELATION OF CIVIL AVIATION MANUAL SUITE ............................................VII RECORD OF REVISIONS ..............................................................................................VIII LIST OF EFFECTIVE PAGES ..........................................................................................IX HISTORY OF REVISIONS .............................................................................................. X TABLE OF CONTENTS .................................................................................................. XI DISTRIBUTION LIST....................................................................................................... XII ABBREVIATIONS ...........................................................................................................XIII SECTION 1: INTRODUCTION ............................................ ..........................................14 SECTION 2: PNG MEDICAL CERTIFICATION SYSTEM ... .........................................18 SECTION 3: CARDIOLOGY................................................ .........................................56 Rev. No. 01 Civil Aviation Safety Authority of Papua New Guinea Revision Date: 30/11/2017 PNG MEDICAL MANUAL PRELIMINARY DISTRIBUTION LIST PageI XI of XIII DISTRIBUTION LIST DOCUMENT NUMBER NAME AND TITLE OF HOLDER Master LIBRARY 001 DIRECTOR 002 CHIEF OPERATIONS OFFICER 003 EXECUTIVE MANAGER SAFETY REGULATION 004 PRINCIPAL MEDICAL OFFICER (PMO) 005 MANAGER PEL BRANCH 006 SENIOR PEL INSPECTOR 007 FCL INSPECTOR 008 AMEL INSPECTOR 09 ATSL INSPECTOR 010 MANAGER - FLIGHT OPERATIONS 011 MANAGER – AVIATION FACILITIES Rev. No. 01 Civil Aviation Safety Authority of Papua New Guinea Revision Date: 30/11/2017 PNG MEDICAL MANUAL PRELIMINARIES ABBREVIATIONS Page 1 of 1 ABBREVIATIONS Rev. No. 01 Civil Aviation Safety Authority of Papua New Guinea Revision Date: 30/11/2017 PNG Medical Examiners’ - Medical Manual Part 1 – Introduction Approved By: Principal Medical Officer Revision: 01 Date:30/11/ 2017 Table of Contents Subsections to Part 1 are identified as: Page Medical Examiners’ - Medical Manual ....................................................................................... 1 1.1 About this Manual .................................................................................................... 2 1.2 Who will use this Manual ......................................................................................... 2 1.3 Structure of this Manual ........................................................................................... 2 1.4 Copies of this Medical Manual ................................................................................. 3 1.5 Terminology ............................................................................................................. 3 1.6 Definitions ................................................................................................................ 3 1.7 Abbreviations ........................................................................................................... 3 1.1 About this Manual This Medical Manual aims, in conjunction with the relevant legislation, to provide information, guidance, policy, and requirements relating to medical certification under the Civil Aviation Act 2000(as amended). This document is to be used in conjunction with: • The Civil Aviation Act 2000 • The Civil Aviation Rules (CARs) including Rule Part 67; • The General Directions and Emergency Directives issued by the Director of Civil Aviation; • Civil Aviation Authority (CAA) medical certification forms; • Advice from the CAA Principal Medical Officer-Dr Robin Sios via e-mail [email protected] Whenever an inconsistency occurs between this document