Clear for Takeoff: A Pilot’s Guide to Securing an EASA or CAA Class 1 Medical

Before you can take to the skies, there is a critical step that every aspiring pilot must take: securing an EASA or CAA Class 1 Medical or equivalent ICAO medical. This medical certification is a prerequisite for anyone who wants to pilot an aircraft in the UK and involves a thorough assessment of your physical and mental fitness to ensure that you’re both capable and safe to fly. From navigating the medical examination to ensuring that all the necessary paperwork is in order, there are many steps involved in the certification process.  

In this guide, we will break down everything you need to know about the process, so read on for all the information you need to secure your EASA or CAA Class 1 Medical.  

EASA or CAA Class 1 Medical  

The CAA or EASA Class 1 Medical is a mandatory requirement for all commercial, private, and airline transport pilots. The medical examination is to ensure that pilots are physically and mentally fit to fly an aircraft, as they are responsible for the safety of everyone onboard the aircraft.  

It is illegal to fly without a valid medical, and the pilot can be grounded and faced with legal action, significant fines, or imprisonment. Therefore, it is essential for pilots to ensure that they have valid Class 1 Medical certification before flying a commercial aircraft. 

To receive a CAA/EASA Class 1 Medical certification, a pilot must undergo a medical examination that will take about half a day at an Aeromedical Centre. The medical examination involves several tests and assessments, which we will break down below. 

Medical History Evaluation 

During the medical history evaluation, the pilot is required to provide details of their medical history, including any past or present medical conditions, surgeries, or hospitalisations. The doctor will ask questions about the pilot’s family medical history, lifestyle, and any medication they are currently taking that could impair their ability to pilot an aircraft.  

Eyesight Test 

The eyesight test is designed to assess the pilot’s visual acuity and depth perception. The pilot must have a minimum of 6/6 vision in each eye, should not have any colour vision deficiencies, and should be able to focus on objects at different distances. 

Physical Examination 

The physical examination is conducted to evaluate the pilot’s overall physical health. The doctor will check the pilot’s blood pressure, heart rate, and respiratory rate, before assessing their range of motion, strength, and flexibility.  


The electrocardiogram (ECG) is a test that measures the electrical activity of the heart and is used to detect any abnormalities in the heart’s rhythm or structure. The pilot must have a normal ECG to be considered fit to fly. 

Lung Function Test 

The pilot will be asked to blow into a device that measures their lung capacity and function to evaluate their respiratory system.  

Blood Test 

The blood test is used to evaluate the pilot’s blood count, and the pilot must have a normal haemoglobin level to be considered fit to fly. This test is also used to detect any blood disorders that may affect the pilot’s ability to fly an aircraft. 

Urine Test 

This final test evaluates the pilot’s kidney function to detect any relevant medical conditions or drug usage.  

Hearing Test 

An audiogram is required a part of the medical examination process. 

Preparing for the Medical 

There are several steps a pilot can take to ensure that they are mentally and physically prepared for the assessment, including: 

  • Before the medical examination, the pilot must ensure that they have all the necessary paperwork in order. This includes their medical history, vaccination records, and any other relevant medical documents required by the clinic performing the medical. Additionally, the pilot should bring their photo ID and a photocopy of their passport. 
  • To ensure that the pilot is physically prepared for the medical examination, they should avoid consuming caffeine or alcohol and get a good night’s sleep before the test. Additionally, the pilot should avoid engaging in any strenuous physical activity the day before the medical examination. 

The EASA/CAA Class 1 Medical certification is normally valid for 12 months. Therefore, it is recommended that pilots undertake the medical examination at least three months before the certification expiry date. This will allow sufficient time to complete any additional tests or follow-up appointments that may be required. 

Book your EASA/CAA Class 1 Medical 

Heathrow Medical is a leading provider of EASA and CAA Class 1 Medical examinations. To book your CAA/EASA Class 1 Medical examination or to discuss any questions you have, please visit the Heathrow Medical website. 

Recent Post