Skip to content

A gradual release of Avioverse begins in October 2026. Request early access →

SUBPART J: HELICOPTER EMERGENCY MEDICAL SERVICE OPERATIONS

ANNEX V (Part-SPA) · Air Operations · Regulation (EU) No 965/2012 · SPA.HEMS.100 – SPA.HEMS.155

On this page
  1. SPA.HEMS.100 Helicopter emergency medical service (HEMS) operations

    Helicopters shall only be operated for the purpose of HEMS operations if the operator has been approved by the competent authority.

    GM1 SPA.HEMS.100(a) Helicopter emergency medical service (HEMS) operations

    GM1 SPA.HEMS.100(c) Helicopter emergency medical service (HEMS) operations

  2. SPA.HEMS.105 HEMS HEC operations

    HEMS HEC operations may be conducted with either of the following:

    AMC1 SPA.HEMS.105(b) HEMS HEC operations

    GM1 SPA.HEMS.105(b) HEMS HEC operations

    AMC1 SPA.HEMS.105(b)(2) HEMS HEC operations

  3. SPA.HEMS.110 Equipment requirements for HEMS operations

    The installation on a helicopter of all dedicated medical equipment and any subsequent modifications to that equipment and, where appropriate, its…

    AMC1 SPA.HEMS.110(b) Equipment requirements for HEMS operations

    GM1 SPA.HEMS.110(b) Equipment requirements for HEMS operations

    AMC1 SPA.HEMS.110(d)(3) Equipment requirements for HEMS operations

    GM1 SPA.HEMS.110(d)(3) Equipment requirements for HEMS operations

    AMC1 SPA.HEMS.110(d)(6) &(d)(7) Equipment requirements for HEMS operations

    AMC1 SPA.HEMS.110(d)(8) Equipment requirements for HEMS operations

    AMC1 SPA.HEMS.110(e)(1) Equipment requirements for HEMS operations

    AMC1 SPA.HEMS.110(e)(2) Equipment requirements for HEMS operations

  4. SPA.HEMS.115 Communication

    In addition to that required by CAT.IDE.H, helicopters conducting HEMS flights shall have communication equipment capable of conducting two-way…

  5. SPA.HEMS.120 HEMS operating minima

    HEMS flights operated under VFR shall comply with the HEMS-specific weather minima for the dispatch and en-route phase of the HEMS flight.

    GM1 SPA.HEMS.120 HEMS operating minima

    GM2 SPA.HEMS.120 HEMS operating minima

    AMC1 SPA.HEMS.120(a) HEMS operating minima

    GM1 SPA.HEMS.120(a) HEMS operating minima

    AMC1 SPA.HEMS.120(c)(2) HEMS operating minima

  6. SPA.HEMS.125 Performance requirements for HEMS operations

    Performance class 3 operations over a hostile environment shall only be conducted provided one of the following conditions are met:

    AMC1 SPA.HEMS.125(a) Performance requirements for HEMS operations

    GM1 SPA.HEMS.125(a) Performance requirements for HEMS operations

    AMC1 SPA.HEMS.125(a)(3) Performance requirements for HEMS operations

    GM1 SPA.HEMS.125(c)(3) Performance requirements for HEMS operations

    GM2 SPA.HEMS.125(c)(3) Performance requirements for HEMS operations

    AMC1 SPA.HEMS.125(c)(4) Performance requirements for HEMS operations

    AMC2 SPA.HEMS.125(c)(4) Performance requirements for HEMS operations

    GM1 SPA.HEMS.125(c)(4) Performance requirements for HEMS operations

  7. SPA.HEMS.130 Crew requirements

    Selection. The operator shall establish criteria for the selection of flight crew members for the HEMS task, taking their previous experience into account.

    AMC1 SPA.HEMS.130 Crew requirements

    AMC1 SPA.HEMS.130(a) Crew requirements

    AMC1 SPA.HEMS.130(d) Crew requirements

    AMC1 SPA.HEMS.130(e) Crew requirements

    AMC1 SPA.HEMS.130(e)(1)(ii) Crew requirements

    GM1 SPA.HEMS.130(e)(3) Crew requirements

    AMC1 SPA.HEMS.130(f)(1) Crew requirements

    AMC2 SPA.HEMS.130(f)(1) Crew requirements

    GM1 SPA.HEMS.130(f)(1) Crew requirements

    GM2 SPA.HEMS.130(f)(1) Crew requirements

    GM3 SPA.HEMS.130(f)(1) Crew requirements

    AMC1 SPA.HEMS.130(f)(2)(ii) (B) Crew requirements

    AMC1 SPA.HEMS.130(g)(1) Crew requirements

    GM1 SPA.HEMS.130(g)(1) Crew requirements

    AMC1 SPA.HEMS.130(g)(2) Crew requirements

    GM1 SPA.HEMS.130(g)(2) Crew requirements

    GM2 SPA.HEMS.130(g)(2) Crew requirements

  8. SPA.HEMS.135 HEMS medical passenger and other personnel briefing

    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…

    AMC1 SPA.HEMS.135(a) HEMS medical passenger and other personnel briefing

    AMC1 SPA.HEMS.135(b) HEMS medical passenger and other personnel briefing

    GM1 SPA.HEMS.135(b) HEMS medical passenger and other personnel briefing

  9. AMC1.1 SPA.HEMS.135(a) HEMS medical passenger and other personnel briefing

    HEMS MEDICAL PASSENGER BRIEFING Another means of complying with the rule as compared to that contained in AMC1 SPA.HEMS.135(a) is to make use of a…

  10. SPA.HEMS.140 Information, procedures and documentation

    The operator shall assess, mitigate, and minimise the risks associated with the HEMS environment as part of its risk analysis and management process.

    AMC1 SPA.HEMS.140 Information, procedures and documentation

    AMC2 SPA.HEMS.140 Information, procedures and documentation

    GM1 SPA.HEMS.140(b) Information, procedures and documentation

  11. SPA.HEMS.145 HEMS operating base facilities

    If crew members are required to be on standby with a reaction time of less than 45 minutes, dedicated suitable accommodation shall be provided close to…

    AMC1 SPA.HEMS.145(b) HEMS operating base facilities

  12. SPA.HEMS.150 Fuel/energy supply – alleviation

    As an alternative to points CAT.OP.MPA.191(b), (c), and (d), when the helicopter emergency medical services (HEMS) mission is conducted under visual…

  13. SPA.HEMS.151 Aircraft tracking system

    The operator shall establish and maintain a monitored aircraft tracking system for HEMS operations for the entire duration of the HEMS mission.

    AMC1 SPA.HEMS.151 Aircraft tracking system

  14. SPA.HEMS.155 Refuelling with passengers on board

    A refuelling procedure with either rotors stopped or rotors turning shall be provided in accordance with point CAT.OP.MPA.200 ‘Special refuelling or…

Consolidated from the EASA Easy Access Rules (revision 27 Mar 2026, extracted 17 Aug 2026) for convenience. Not the official publication — verify against the Official Journal of the European Union and the EASA publications before operational use.

Ask Metis about SPA.HEMS.100 – SPA.HEMS.155 →

Metis opens with Avioverse in October 2026 · request early access.

ShareLinkedInX