(b)  
Take-off and landing

(1)  
Helicopters conducting operations to/from a final approach and take-off area (FATO) at a hospital that is located in a congested hostile environment and that is used as a HEMS operating base shall be operated in accordance with performance class 1.

(2)  
Helicopters conducting operations to/from a FATO at a hospital that is located in a congested hostile environment and that is not a HEMS operating base shall be

operated in accordance with performance class 1, except when the operator holds an approval in accordance with CAT.POL.H.225.

(3)  
Helicopters conducting operations to/from a HEMS operating site located in a hostile environment shall be operated in accordance with performance class 2, and be exempt from the approval required by CAT.POL.H.305 (a), provided compliance is shown with CAT.POL.H.305 (b)(2) and (b)(3). 

(4)  
The HEMS operating site shall be big enough to provide adequate clearance from all obstructions. For night operations, the site shall be illuminated to enable the site and any obstructions to be identified.

SPA.HEMS.130 Crew requirements
(a)  
Selection. The operator shall establish criteria for the selection of flight crew members for the HEMS task, taking previous experience into account.

(b)  
Experience. The minimum experience level for the commander conducting HEMS flights shall not be less than:

(1) 
 either:

(i)  
1 000 hours as pilot-in-command/commander of aircraft of which 500 hours are as pilot-in-command/commander on helicopters; or

(ii)  
1 000 hours as co-pilot in HEMS operations of which 500 hours are as pilot-in-command under supervision and 100 hours pilot-in-command/commander of helicopters;

(2)  
500 hours’ operating experience in helicopters, gained in an operational environment similar to the intended operation; and

(3)  
for pilots engaged in night operations, 20 hours of VMC at night as pilot-in-command/commander.

(c)  
Operational training. Successful completion of operational training in accordance with the HEMS procedures contained in the operations manual.

(d)  
Recency. All pilots conducting HEMS operations shall have completed a minimum of 30 minutes’ flight by sole reference to instruments in a helicopter or in an FSTD within the last 6 months.

(e)  
Crew composition

(1)  
Day flight. The minimum crew by day shall be one pilot and one HEMS technical crew member.

(i)  
This may be reduced to one pilot only when:

(A)  
at a HEMS operating site the commander is required to fetch additional medical supplies. In such case the HEMS technical crew member may be left to give assistance to ill or injured persons while the commander undertakes this flight;
　
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本文鏈接地址：Annexes to the draft Commission Regulation on ‘Air Operations - OPS’(162)