Becoming Cabin Crew? Here’s What You Need to Know About the Class 4 Aviation Medical
Working as cabin crew is more than just a career — it’s a responsibility. Flight attendants are entrusted with passenger safety, security, and wellbeing on every flight. To ensure you’re fit to carry out these important duties, the South African Civil Aviation Authority (SACAA) requires a Class 4 Aviation Medical.
If you’re preparing to join the skies as cabin crew or starting your journey as a student pilot, this guide will walk you through everything you need to know about the Class 4 medical.
What is a Class 4 Aviation Medical?
A Class 4 Aviation Medical is an official health assessment required under SACAA regulations. It applies to:
Cabin crew members — to ensure you are physically fit to manage passenger safety and emergencies.
Student pilots — as part of the entry requirements into training.
Without this certificate, you cannot legally begin or continue your aviation role.
What Does the Class 4 Medical Include?
At the Aviation Medical Centre, we perform all the necessary checks for your Class 4 medical in one convenient location. The exam typically includes:
Vision assessment
Hearing test (audiometry)
ECG (heart health screening)
Lung function test
Comprehensive physical examination
Blood tests, if required
These investigations are designed to ensure you meet the physical standards set by the SACAA for your role.
Why Is It Important for Cabin Crew?
Cabin crew are responsible for the safety of hundreds of passengers at a time. The Class 4 aviation medical ensures:
Safety – confirming you can respond effectively in emergencies.
Regulatory compliance – meeting SACAA cabin crew medical standards.
Passenger trust – giving airlines and passengers confidence in your ability to perform your role.
In short, your medical certification is a key part of professional responsibility in aviation.
How Long Does the Process Take?
A Class 4 medical examination usually takes around 60–90 minutes, depending on whether additional tests are needed. Most of the required investigations — from ECGs to audiometry — are completed on-site at our centre. If X-rays are needed, we coordinate directly with our radiology partner in the same area, keeping the process seamless.
In most cases, you’ll receive your SACAA-compliant medical certificate on the same day.
Tips to Prepare for Your Appointment
To make your appointment smooth and stress-free, here’s what to bring:
A valid ID or passport
Your medical history or records of any ongoing conditions
Glasses or contact lenses, if you use them
Your previous medical certificate (if renewing)
It’s also best to avoid heavy caffeine or alcohol before your ECG, as these can affect your test results.
Where to Book in South Africa
The Aviation Medical Centre, located at Rand Airport in Germiston, offers a supportive, professional environment designed to take the stress out of your aviation medical. Our team provides clear guidance throughout the process, with all key tests done on-site and secure, affordable parking available.
Our focus is simple: efficient service, expert care, and clear results so you can take the next step in your aviation career with confidence.
Your Class 4 Aviation Medical is the first step in ensuring you’re ready to take on the vital role of cabin crew or begin your journey as a student pilot. It’s not just a regulatory requirement — it’s your gateway to the skies.
Book your Class 4 Aviation Medical in South Africa today with the Aviation Medical Centre and start your aviation career with confidence.
