EASA Class 2 medical: more information

We have gathered the information on what the Class 2 medical involves.

Blood test

Using a finger prick, we measure the haemoglobin (Hb) level in your blood. Cholesterol is measured if there are 2 or more risk factors. The test takes place in our own laboratory, and the results are available immediately.

Urine test

At every examination, the urine sample you provide on site is tested for glucose, blood and protein.

Vision test

Good eyesight is, of course, essential to perform your duties safely and efficiently. As a pilot, you face factors that can affect your vision and how you interpret what you see. Examples include reduced oxygen partial pressure at high altitude and fatigue. Your eyesight also declines as you get older. At every examination, your vision is tested at 30–50 cm, 1 metre and 6 metres. If you wear glasses, we measure first without them and then with your corrective glasses or contact lenses. The requirement for distance visual acuity is 0.5 (6/12) or better in each eye. Visual acuity with both eyes together must be 0.7 (6/9) or better. If you want to fly at night, you must not be colour blind.

Physical examination

Based on the questionnaire you completed digitally, you will undergo a thorough physical examination. As well as the mobility, coordination and balance of your body, we examine your eyes, ears, abdomen, heart and lungs for possible abnormalities.

Additional tests

Which additional tests you need depends on your age and on whether there is a medical indication. At our centre, we carry out the following additional tests:

  • ECG
  • spirometry
  • audiometry
  • tonometry
  • lipid test
  • perimetry
  • tympanometry

In specific cases where further testing is needed, it is done by specialists outside our practice. We work with a number of specialists, and in that case we arrange the referral.

  • optometrist
  • ophthalmologist
  • psychologist/psychiatrist
Stethoscope on a desk

The additional tests explained

ECG (electrocardiogram)

The ECG gives us information about how your heart muscle is working. We use a 12-lead digital system, and the results are stored in your medical file. We record the ECG at rest. To do this, we place 4 electrodes on your wrists and ankles and 6 electrodes on your chest, around your heart. We record the electrocardiogram at the initial examination and then at the age of 40. From the age of 50, the ECG is recorded every 2 years.

Spirometry (lung function test)

How well your lungs work (your lung function) can be measured with a lung function test. The test measures how much air you can breathe out and also how much air you can blow out in 1 second. The lung function test shows whether you have a condition. Your lung function is measured with a special device: a spirometer. You stand and close your teeth and lips around the mouthpiece of the device. You can breathe through it normally. The assistant asks you to breathe in deeply and then blow out as hard and as much as you can. These measurements are taken at least 3 times to get a reliable result. This test is carried out when clinically indicated.

Audiometry (hearing test)

If you want to fly under instrument flight rules (IFR), pure-tone audiometry is carried out. You hear sounds of different frequencies and intensities through headphones. You must not have a hearing loss of more than 35 dB at any of the frequencies 500, 1000 or 2000 Hz, or of more than 50 dB at 3000 Hz, in either ear. At revalidation and renewal examinations, this test is carried out every 5 years until the age of 40 and every 2 years after that. For the hearing test, you sit in an approved soundproof booth.

Tonometry (eye pressure measurement)

A 'puff' of air is used to measure the pressure in your eyeball. If this pressure is too high, it can cause serious damage to the retina (glaucoma). The test is done at your initial examination and when indicated.

Ready to request your examination?

Request your appointment online; for revalidations you can often be seen within a few days. Any questions? Call us on +31 (0)85 022 0118.