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Printed page 29. PDF page 37.
treated, such as with CPAP therapy, are deemed fit. Once an applicant is assessed as fit, ongoing surveillance is required; this includes a recent consultation report from the attending physician. 1.13.3.2 Canadian Railway Medical Rules Subsection 4.9 - Severe SleepOpen official document at PDF page 37Aviation Investigation Report A15H0002: Collision with terrain, Air Canada, Airbus Industrie A320-211, C-FTJP, 29 March 2015
Printed page 32. PDF page 40.
this medical condition on the medical examination report. However, although TC had an ongoing surveillance protocol for OSA, it made no further requests for a consultation report from the captain's attending physician. Because the captain did not report any ongoingOpen official document at PDF page 40Aviation Investigation Report A15H0002: Collision with terrain, Air Canada, Airbus Industrie A320-211, C-FTJP, 29 March 2015
Printed page 73. PDF page 81.
regarding OSA. TC has indicated that it has an undocumented protocol for the assessment and ongoing surveillance of OSA in pilots. However, the actual method and practice used are typically left up to the individual CAME and regional aviation medicalOpen official document at PDF page 81Aviation Investigation Report A15H0002: Collision with terrain, Air Canada, Airbus Industrie A320-211, C-FTJP, 29 March 2015
Printed page 75. PDF page 83.
does not consistently follow its protocol for the assessment of aeromedical risk and ongoing surveillance in applicants who suffer from obstructive sleep apnea, some of the safety benefit of medical examinations will be lost, increasing the risk that pilots willOpen official document at PDF page 83Aviation Investigation Report A15H0002: Collision with terrain, Air Canada, Airbus Industrie A320-211, C-FTJP, 29 March 2015