Roads / Safety / Assessing Fitness to Drive

Assessing Fitness to Drive (AFTD) is a joint NTC and Austroads publication containing the nationally agreed medical standards for the purposes of drivers licensing.

Assessing Fitness to Drive

On 1 August 2017 the PDF version of Assessing Fitness to Drive was reissued with corrections relating to:

  • repaired abdominal and thoracic aneurysms; and
  • use of visual aids, specifically telescopic lenses (bioptic lenses) and electronic aids.

For more information, please see the Austroads website.

Assessing Fitness to Drive is a joint NTC and Austroads publication containing the nationally agreed medical standards for the purposes of drivers licensing.

Its primary purpose is to increase road safety in Australia by assisting health professionals to:

  • assess the fitness of their patients to drive
  • promote responsible behaviour in their patients
  • conduct medical examinations for licensing drivers as required by licensing authorities
  • provide information to inform conditional licence decisions.

The standards apply to private and commercial drivers of heavy vehicles, light vehicles and motorbikes.

The NTC reviews the medical standards contained in Assessing Fitness to Drive every three years. The most recent review was completed in 2016.

The 2016 revisions to the standards were nationally endorsed by all Australian transport and infrastructure ministers in June 2016 and came into effect on 1 October 2016. A summary of the changes in the new edition and other support materials are also available on the Austroads website.

Drivers or health professionals with any enquiries about how the updated standards may affect them should contact the relevant driver licensing authority in their state or territory.

Austroads is responsible for publication and distribution of Assessing Fitness to Drive. To download a PDF of the updated Assessing Fitness to Drive or to purchase a hard copy, please visit the Austroads website.


Assessing Fitness to Drive was developed by the NTC and Austroads in consultation with medical professionals, driver licensing authorities, industry representatives and consumer health groups.

Health professionals use Assessing Fitness to Drive to advise driver licensing authorities about how their patients’ health and medical conditions might affect their ability to drive. The driver licensing authority considers this advice in their decision about an individual’s licence status.

If you have any queries relating to the use of Assessing Fitness to Drive, please contact the relevant state or territory road transport agency.

Find a copy

To obtain a copy of Assessing Fitness to Drive, please go to the Austroads website.

Last Updated: 15/11/2018