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VOLUME 11  flight standards programs


Section 1  Turbine-Powered Airplane Operations and All Air Ambulance Airplane Operations

11-274    BACKGROUND. The Federal Aviation Administration (FAA) is continuing to review the exercise of operational control by operators conducting or seeking to conduct operations under Title 14 of the Code of Federal Regulations (14 CFR) part 135. This review involves all operators conducting or making an application to conduct operations using turbine-powered airplanes and any airplanes in air ambulance operations.

11-275    DEFINITIONS.

Indicates new/changed information.

A.    Turbine-Powered Airplane. Turbine-powered airplanes include turbopropeller, turbojet, and turbofan airplanes.

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B.    Air Ambulance Airplane. Air ambulance airplanes include any airplane (regardless of type of powerplant) used, equipped, or intended to be used in air ambulance service. Air ambulance airplanes are usually equipped with at least medical oxygen, suction, and a stretcher, incubator, or other approved patient restraint/containment device. The airplane need not be used exclusively as an air ambulance airplane and the equipment need not be permanently installed to fall within the subject group.

Indicates new/changed information.

C.    Air Ambulance Operations. Air ambulance operations involve the air transportation of a person with a health condition that requires medical personnel, as determined by a health care provider, or holding out to the public as willing to provide air transportation to a person with a health condition that requires medical personnel, as determined by a health care provider.

Indicates new/changed information. Indicates new/changed information.

D.    Holding Out to the Public. Holding out to the public includes, but is not limited to, advertising, solicitation, or association with a hospital or medical care provider. Holding out to the public can occur even without notification in advertising and solicitation that the air transportation service may or may not be provided by one or more FAA-approved certificate holders. In other words, holding out to the public can occur even when the advertisement or solicitation does not actually state the name of the entity involved in the transportation of the patient. Helicopter operations associated with helicopter air ambulances (HAA) are not included in this definition of holding out.


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A.    Reporting Information. Report required information to the Air Transportation Division (AFS-200) through the dedicated FAA email address 9-AWA-AVS-AFS-250-840085@faa.gov.

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B.    AFS-200 Concurrence. PIs must receive AFS-200ís concurrence before authorizing the airplane on the operations specifications (OpSpecs).


Indicates new/changed information.

A.    Contact AFS-200. Before adding any affected airplanes (turbine-powered and air ambulance) to the OpSpecs of any operator or applicant seeking authorization to conduct airplane air ambulance operations, PIs must provide AFS-200 through the dedicated FAA email address 9-AWA-AVS-AFS-250-840085@faa.gov, with the following information:

1)    The air operatorís or applicantís name (as applicable).
2)    The air operatorís 14 CFR part 119 certificate number.
3)    The airplane registration number.
4)    The airplane serial number.
Indicates new/changed information.

B.    Receive Concurrence. PIs must receive AFS-200ís concurrence before they add the airplane to the OpSpecs.

Indicates new/changed information.

C.    Exemption for Newly Manufactured Airplanes. Newly manufactured airplanes delivered directly to the certificate holder are exempted from the notification requirements of this section and may be added to the certificate holderís OpSpecs without approval from AFS-200.

RESERVED. Paragraphs 11-278 through 11-399.