Assessing Fitness to Drive

Assessing Fitness to Drive (AFTD) is a joint NTC and Austroads publication. It contains nationally-agreed medical standards for granting a driver's license.

Access an online copy, order printed copies or download a PDF version on the Austroads website.

The 2022 edition of AFTD came into effect from 22 June 2022.

About AFTD

Health professionals use AFTD to help assess a patient's medical fitness to drive. Driver licensing authorities then consider this information to make licensing decisions.

It includes advice on how medical conditions may impact a person’s ability to drive safely. The guidelines are based on the latest medical knowledge and input from: 

  • medical associations 
  • patient representative groups
  • driver licensing authorities
  • industry. 

We review the medical standards approximately every three years. The most recent review  was done in 2021. Email us to suggest a change for consideration in the next review. 

The current version of AFTD differs from the previous (2016) edition. Learn more about the changes on the Austroads website

Where does it apply

The medical standards in AFTD apply in all Australian states and territories. They are used in private and commercial driver license decisions for: 

  • heavy vehicles
  • light vehicles 
  • motorbikes.

Further advice

The NTC partners with Austroads to manage AFTD. We are responsible for developing the content of the guidelines. Austroads is responsible for publishing the guidelines and working with organisations who use them.

Contact the relevant organisation for advice

For questions about how AFTD impacts decisions about your driver license, contact the driver licensing authority in you state or territory. Contact details can be found in Appendix 9 of the current AFTD

For questions about how to use the guidelines, contact Austroads

If you have a suggestion about something we should consider in the next AFTD review, please email

More work on the standards for heavy vehicle drivers

Through engagement to develop the latest version of AFTD, the heavy vehicle industry raised two issues that were out of scope. These issues will be addressed through future NTC projects: 

  • request to provide guidance on mandatory screening for heavy vehicle drivers 
  • request to include guidance on “fitness for duty” for heavy vehicle drivers.

Learn more about how these issues will be addressed and share your input.