(B)  
after arriving at the HEMS operating site, the installation of the stretcher precludes the HEMS technical crew member from occupying the front seat; or

(C)  
the medical passenger requires the assistance of the HEMS technical crew member in flight.

(ii)  
In the cases described in (i), the operational minima shall be as defined by the applicable airspace requirements; the HEMS operating minima contained in Table 1 of SPA.HEMS.120 shall not be used.

(iii)  Only in the case described in (i)(A) may the commander land at a HEMS operating site without the technical crew member assisting from the front seat.

(2)  
Night flight. The minimum crew by night shall be:

(i)  
two pilots; or

(ii)  
one pilot and one HEMS technical crew member in specific geographical areas defined by the operator in the operations manual taking into account the following: 

(A)  
adequate ground reference;

(B)  
flight following system for the duration of the HEMS mission;

(C)  
reliability of weather reporting facilities;

(D)  
HEMS minimum equipment list;

(E)  
continuity of a crew concept;

(F)  
minimum crew qualification, initial and recurrent training;

(G)  
operating procedures, including crew coordination;

(H)  
weather minima; and

(I)  
additional considerations due to specific local conditions.

(f)  
Crew training and checking

(1)  
Training and checking shall be conducted in accordance with a detailed syllabus approved by the competent authority and included in the operations manual.

(2)  
Crew members

(i)  
Crew training programmes shall: improve knowledge of the HEMS working environment and equipment; improve crew coordination; and include measures to minimise the risks associated with en-route transit in low visibility conditions, selection of HEMS operating sites and approach and departure profiles.

(ii)  
The measures referred to in (f)(2)(i) shall be assessed during:

(A)  
VMC day proficiency checks, or VMC night proficiency checks when night HEMS operations are undertaken by the operator; and

(B)  
line checks.

SPA.HEMS.135 HEMS medical passenger and other personnel briefing
(a)  
Medical passenger. Prior to any HEMS flight, or series of flights, medical passengers shall have been briefed to ensure that they are familiar with the HEMS working environment and equipment, can operate on-board medical and emergency equipment and can take part in normal and emergency entry and exit procedures.

(b)  
Ground emergency service personnel. The operator shall take all reasonable measures to ensure that ground emergency service personnel are familiar with the HEMS working environment and equipment and the risks associated with ground operations at a HEMS operating site.
　
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本文鏈接地址：Annexes to the draft Commission Regulation on ‘Air Operations - OPS’(163)