Helicopter Air Ambulance Operations
Helicopters provide a means of transporting people in urgent need of medical assistance. These operations are unique due to the urgent nature of the flight. Each year thousands of patients are transported by helicopter while being attended by medical personnel trained to respond to their needs. Helicopter air ambulances (HAA) are equipped with medical monitoring and support systems to ensure proper care en route.
The HAA industry continues to expand. In response to the dynamic growth of this industry, the Federal Aviation Administration (FAA) has issued this advisory circular (AC) to provide information and guidelines to assist existing HAA operators, other Title 14 of the Code of Federal Regulations (14 CFR) part 135 operators considering becoming an HAA operator and those considering new-startup HAA operations. To address an increase in fatal HAA accidents, the FAA has implemented new operational procedures and additional equipment requirements for HAA operations. The FAA, HAA operators and medical community all play vital roles in applying these changes to ensure safety. Implementing a safety culture will benefit all aspects of HAA operations.
Part 135 subpart L addresses safety improvements for commercial helicopter operations through requirements for equipment, pilot testing, alternate airports and increased weather minimums for all General Aviation (GA) helicopter operations. Many of these requirements also address National Transportation Safety Board (NTSB) safety recommendations directed at improving HAA safety.
|135-42||AFS-220||Extended Operations (ETOPS) and Operations in the North Polar Area||06-10-2008|
|135-7A||AFS-330||Part 135: Additional Maintenance Requirements for Aircraft Type Certificated for Nine or Less Passenger Seats||03-28-2008|
|135-17||AFS-250||Pilot Guide - Small Aircraft Ground Deicing (pocket) Contains information and recommendations to assist pilots in conducting ground operations during weather conditions conducive to aircraft icing. Also contains information and guidance regarding deicing and anti-icing fluids and procedures for use and identifies the aircraft critical surfaces which must be free of contamination prior to takeoff.||12-14-1994|
|135-16||AFS-250||Ground Deicing & Anti-icing Training & Checking This AC provides one means, but not the only means, of complying with FAR Sections 135.227, 135.345, & 135.351 (referred to as the FAR Part 135 ground deicing rule).||12-12-1994|
|135-10A||AFS-340||Approved Aircraft Inspection Program Provides information and guidance which can be used to develop an approved aircraft inspection program (AAIP) for operators subject to provisions of FAR Section 135.419.||12-22-1993|
|135-15||AFS-250||Emergency Medical Service/Airplane (EMS/A) Provides information and guidance material which may be used by Air Ambulance and Emergency Medical Service/Airplane (EMS/A). These guidelines are applicable to EMS/A operations under FAR Part 135 and are also recommended for EMS operations conducted by public service and other operators.||11-19-1990|
|135-5B||AFS-330||Maintenance Program Approval for Carry-On Oxygen Equipment for Medical Purposes Provides a means whereby air taxi operators may submit a maintenance program to comply with FAR Part 135, Section 135.91.||09-26-1983|
|135-9||AFS-220||FAR Part 135 Icing Limitations To provide guidance to commuter/air taxi operators to assist them to comply with Section 135.227.||05-30-1981|
|135.169-1||AIR-110||Small Propeller-Driven Air Taxi Airplanes that meet Sections 135.169 (formerly 135.144) Provides a summary of and information on small propeller-driven air taxi airplanes that comply with section 135.169(b) and may continue operations under FAR 135 with ten or more passenger seats.||09-24-1979|
|135-4A||ACS-100||Aviation Security: Air Taxi Commercial Operators (ATCO) Provides recommended security measures applicable to ATCO operations that should minimize the effects of crimes directed against air transportation.||04-15-1976|