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SPA.HEMS.125 Performance requirements for HEMS operations

ANNEX V (Part-SPA) · Regulation (EU) No 965/2012 · EAR revision 27 Mar 2026

IRImplementing rule

SPA.HEMS.125Performance requirements for HEMS operations

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

(1)The HEMS operating site used for take-off, landing or HEMS HEC operations is located above 7000-ft altitude and the helicopter is certified as Category A or equivalent, as determined by the Agency;

(2)The planned HEMS operation does not require the transportation of medical personnel, medical supplies or ill or injured persons, and either the helicopter is certified as Category A or equivalent, as determined by the Agency, or all the following conditions are met:

(i)the helicopter is equipped with crash-resistant fuel systems;

(ii)the helicopter is equipped with a safety belt with upper torso restraint system for use on each passenger seat for each passenger aged 24 months or more;

(iii)the altitude of at least one of the HEMS operating sites used during the HEMS operation is not lower than 3 000 ft;

(iv)the operator has been granted an approval by the competent authority in accordance with point CAT.POL.H.420 of Annex IV;

(3)At least one HEMS operating site used for take-off, landing or HEMS HEC operations during the HEMS operation is located at or above 8 000-ft altitude and all the following conditions are met:

(i)the helicopter is equipped with crash-resistant fuel systems;

(ii)the helicopter is equipped with a safety belt with upper torso restraint system for use on each passenger seat for each passenger aged 24 months or more;

(iii)a helicopter certified as Category A or equivalent, as determined by the Agency, is not available or not suitable for the operation due to either of the following reasons:

(A)insufficient performance margins to operate at the HEMS operating site, or no capability to conduct HEMS HEC operations, if applicable;

(B)helicopters certified as Category A or equivalent, as determined by the Agency, and that might otherwise be dispatched, are on a HEMS mission or not yet ready for the next mission, leading to a delay in the intervention incompatible with the emergency;

(iv)the operator has established a procedure to achieve compliance with point (iii);

(v)the operator has been granted an approval by the competent authority in accordance with point CAT.POL.H.420 of Annex IV;

(vi)the operator shall record all missions flown with a helicopter that is not certified as Category A or equivalent, as determined by the Agency.

(b)By way of derogation from point CAT.POL.H.400(d)(2) of Annex IV, if the criteria of point (a)(1) are met, then helicopter night operations may be conducted in performance class 3.

(c)Take-off and landing

(1)Helicopters that conduct operations to or 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 that conduct operations to or 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 point CAT.POL.H.225.

(3)Helicopters that conduct operations to or from a HEMS operating site located in a hostile environment shall be:

(i)operated in accordance with performance class 2, or if the conditions defined in point (a) are met, in performance class 3;

(ii)exempt from the approval required by point CAT.POL.H.305(a) of Annex IV, provided compliance is shown with point CAT.POL.H.305(b)(2) and (b)(3) of Annex IV.

(4)The HEMS operating site features shall provide adequate clearance from all obstructions, and shall provide for safe operations. For night operations, the helicopter lighting system shall adequately illuminate the landing site and surrounding obstacles. [for HEMS operations covered by point (61)(a) of Annex I to Regulation (EU) No 965/2012 applicable from 25 May 2024 — Implementing Regulation (EU) 2023/1020 for HEMS operations covered by point (61)(b) of Annex I to Regulation (EU) No 965/2012 applicable from 25 May 2028 — Implementing Regulation (EU) 2023/1020]

IR · SPA.HEMS.125 — Regulation (EU) No 965/2012 · Regulation (EU) 2023/1020 · Air OPS Easy Access Rules · EAR revision 27 Mar 2026

AMCAcceptable means of compliance

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

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CRASH-RESISTANT FUEL SYSTEMS A crash-resistant fuel system is a system that has been demonstrated to comply with CS 27.952(a)(1)(2)(3)(5)&(6), CS 27.952(f), and CS 27.963(g) Initial Issue of 14 November 2003 (or any subsequent amendment) or CS 29.952(a)(1)(2)(3)(5)&(6), CS 29.952(f), and CS 29.963(b) Initial Issue of 14 November 2003 (or any subsequent amendment) or one of the following or equivalent:

(a)FAR 27.952(a)(1)(2)(3)(5)&(6), FAR 27.952.(f), and FAR 27.963(g) at Amendment 27-30 of 2 November 1994 or any subsequent amendment;

(b)FAR 29.952(a)(1)(2)(3)(5)&(6), FAR 29.952(f), and FAR 29.963(b) at Amendment 29-35 of 2 November 1994 or any subsequent amendment;

(c)JAR 27.952(a)(1)(2)(3)(5)&(6), JAR 27.952.(f), and JAR 27.963(g) Change 0 of 6 September 1993 or any subsequent amendment;

(d)JAR 29.952(a)(1)(2)(3)(5)&(6), JAR 29.952(f), and JAR 29.963(b) change 0 of 5 November 1993 or any subsequent amendment. NOTE: If compliance with CS 27.952 (a)(4), CS 29.952 (a)(4), FAR 27.952 (a)(4), FAR 29.952 (a)(4), JAR 27.952 (a)(4) or JAR 29.952 (a)(4) is addressed, then only 114 kg (250 lbs) is required under CS 27.963(g), CS 29.963(b), FAR 27.963(g), FAR 29.963(b), JAR 27.963(g) or JAR 29.963(b).

AMC · AMC1 SPA.HEMS.125(a) — Regulation (EU) No 965/2012 · ED Decision 2023/007/R · Air OPS Easy Access Rules · EAR revision 27 Mar 2026

GMGuidance material

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

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CRASH-RESISTANT FUEL SYSTEMS The operator may ensure compliance of the fuel system based on a statement by the type-certificate or supplemental type-certificate holder.

GM · GM1 SPA.HEMS.125(a) — Regulation (EU) No 965/2012 · ED Decision 2023/007/R · Air OPS Easy Access Rules · EAR revision 27 Mar 2026

AMCAcceptable means of compliance

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

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PERFORMANCE CLASS 3 WITH A HELICOPTER NOT CERTIFIED AS CATEGORY A OR EQUIVALENT

(a)If a stretcher is likely to be necessary for the mission, the helicopter should be able to carry a deployed stretcher without preventing compliance with the crew composition requirements of SPA.HEMS.130, i.e. without preventing the two pilots, or a pilot and a HEMS crew member, from occupying the two forward-facing seats in the cockpit.

(b)Considering the limitations for Performance class 3 operations included in CAT.POL.H.400, the planned mission needs to remain outside congested hostile areas and is expected to be completed by sunset.

(c)If the HEMS mission unexpectedly needs to be continued by night, or it unexpectedly requires a HEMS flight into a congested hostile area, the operator should ensure that a category A helicopter is dispatched.

(d)The records required by point (vi) of SPA.HEMS.125(a)(3) should contain the following information for each mission, and be kept for 3 years:

(1)the criteria that the operator used for the dispatch in accordance with SPA.HEMS.125 (a)(3);

(2)the criteria that the operator used for the dispatch as described in (a) and (b) above;

(3)the contingency options that were available to meet (c), and whether they were triggered or not;

(4)all elements relevant to the mission including destinations, altitude, weather conditions, mass and balance.

AMC · AMC1 SPA.HEMS.125(a)(3) — Regulation (EU) No 965/2012 · ED Decision 2023/007/R · Air OPS Easy Access Rules · EAR revision 27 Mar 2026

GMGuidance material

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

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PERFORMANCE CLASS 2 OPERATIONS AT A HEMS OPERATING SITE As the risk profile at a HEMS operating site is already well known, operations without an assured safe forced landing capability do not need a separate approval and the requirements does not call for the additional risk assessment that is specified in CAT.POL.H.305(b)(1).

GM · GM1 SPA.HEMS.125(c)(3) — Regulation (EU) No 965/2012 · ED Decision 2023/007/R · Air OPS Easy Access Rules · EAR revision 27 Mar 2026

GMGuidance material

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

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TAKE-OFF AND LANDING PERFORMANCE — HEMS OPERATING SITES USED FOR TRAINING AND CHECKING The operator’s risk assessment required under CAT.POL.H.305(b)(1) may take into consideration the following elements pertaining to take-off and landing performance when defining such HEMS operating sites, for the purpose of compliance with SPA.HEMS.125(c)(3)(ii):

(a)altitude;

(b)direction of the approach to the operating site;

(c)prevalent winds;

(d)site weather conditions and operating limitations;

(e)whether there are safe forced landing options, the helicopter has flyaway capability, or none of these;

(f)performance margins regarding hover out of ground effect (HOGE) capability, considering the expected average temperature for exercise;

(g)any defined escape routes during operations;

(h)the maximum number of people on board during manoeuvres in addition to the flight crew and technical crew members.

GM · GM2 SPA.HEMS.125(c)(3) — Regulation (EU) No 965/2012 · ED Decision 2023/007/R · Air OPS Easy Access Rules · EAR revision 27 Mar 2026

AMCAcceptable means of compliance

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

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CRITERIA FOR THE HEMS OPERATING SITE

(a)In order to select a HEMS operating site from the air, the operator should define either:

(1)minimum HEMS operating site dimensions of at least 2 × D by day (the largest dimensions of the helicopter when the rotors are turning) and at least 4 × D in length and 2 × D in width by night, to be estimated by the crew from the air; or

(2)alternative criteria for the HEMS operating site together with operating procedures and training, which mitigate the risks identified in the operator’s risk assessment. In this case the operator may choose not to define minimum site dimensions. By night, for operations other than HEC, the HEMS operating site should include an area that the crew estimates to be least at least 4 × D in length and 2 × D in width, which should be free of relevant obstacles.

(b)The pre-surveyed HEMS operating site dimensions should be at least 2 × D.

(c)The operator may provide guidelines to its commanders on whether to land, proceed with e.g. a one-skid landing, hover landing or proceed with HEMS HEC operations. The commander should decide which technique to employ.

(d)Before operating at a HEMS operating site, the commander should estimate whether it is suitable for safe operations based on the above and on the environmental conditions.

AMC · AMC1 SPA.HEMS.125(c)(4) — Regulation (EU) No 965/2012 · ED Decision 2023/007/R · Air OPS Easy Access Rules · EAR revision 27 Mar 2026

AMCAcceptable means of compliance

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

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ILLUMINATION OF HEMS OPERATING SITES AT NIGHT For night operations, the illumination should be sufficient to allow the pilot to:

(a)identify the landing area in flight and determine the landing direction; and

(b)make a safe approach, landing and take-off.

AMC · AMC2 SPA.HEMS.125(c)(4) — Regulation (EU) No 965/2012 · ED Decision 2023/007/R · Air OPS Easy Access Rules · EAR revision 27 Mar 2026

GMGuidance material

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

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ILLUMINATION OF HEMS OPERATING SITES AT NIGHT A landing site may provide additional illumination from the ground, which complements the illumination from the helicopter but does not replace it. Some ground lights might contribute to blinding or masking obstacles.

GM · GM1 SPA.HEMS.125(c)(4) — Regulation (EU) No 965/2012 · ED Decision 2023/007/R · Air OPS Easy Access Rules · EAR revision 27 Mar 2026

All rules in SUBPART J: HELICOPTER EMERGENCY MEDICAL SERVICE OPERATIONS

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.

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