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508 

14 CFR Ch. I (1–1–19 Edition) 

§ 135.601 

§ 135.601

Applicability and definitions. 

(a) 

Applicability. 

This subpart pre-

scribes the requirements applicable to 
each certificate holder conducting heli-
copter air ambulance operations. 

(b) 

Definitions. 

For purposes of this 

subpart, the following definitions 
apply: 

(1) 

Helicopter air ambulance operation 

means a flight, or sequence of flights, 
with a patient or medical personnel on 
board, for the purpose of medical trans-
portation, by a part 135 certificate 
holder authorized by the Administrator 
to conduct helicopter air ambulance 
operations. A helicopter air ambulance 
operation includes, but is not limited 
to— 

(i) Flights conducted to position the 

helicopter at the site at which a pa-
tient or donor organ will be picked up. 

(ii) Flights conducted to reposition 

the helicopter after completing the pa-
tient, or donor organ transport. 

(iii) Flights initiated for the trans-

port of a patient or donor organ that 
are terminated due to weather or other 
reasons. 

(2) 

Medical personnel 

means a person 

or persons with medical training, in-
cluding but not limited to flight physi-
cians, flight nurses, or flight para-
medics, who are carried aboard a heli-
copter during helicopter air ambulance 
operations in order to provide medical 
care. 

(3) 

Mountainous 

means designated 

mountainous areas as listed in part 95 
of this chapter. 

(4) 

Nonmountainous 

means areas 

other than mountainous areas as listed 
in part 95 of this chapter. 

§ 135.603

Pilot-in-command instrument 

qualifications. 

After April 24, 2017, no certificate 

holder may use, nor may any person 
serve as, a pilot in command of a heli-
copter air ambulance operation unless 
that person meets the requirements of 
§ 135.243 and holds a helicopter instru-
ment rating or an airline transport 
pilot certificate with a category and 
class rating for that aircraft, that is 
not limited to VFR. 

§ 135.605

Helicopter terrain awareness 

and warning system (HTAWS). 

(a) After April 24, 2017, no person may 

operate a helicopter in helicopter air 
ambulance operations unless that heli-
copter is equipped with a helicopter 
terrain awareness and warning system 
(HTAWS) that meets the requirements 
in TSO–C194 and Section 2 of RTCA 
DO–309. 

(b) The certificate holder’s Rotor-

craft Flight Manual must contain ap-
propriate procedures for— 

(1) The use of the HTAWS; and 
(2) Proper flight crew response to 

HTAWS audio and visual warnings. 

(c) Certificate holders with HTAWS 

required by this section with an ap-
proved deviation under § 21.618 of this 
chapter are in compliance with this 
section. 

(d) The standards required in this 

section are incorporated by reference 
into this section with the approval of 
the Director of the Federal Register 
under 5 U.S.C. 552(a) and 1 CFR part 51. 
To enforce any edition other than that 
specified in this section, the FAA must 
publish notice of change in the F

ED

-

ERAL

R

EGISTER

and the material must 

be available to the public. All approved 
material is available for inspection at 
the FAA’s Office of Rulemaking (ARM– 
1), 800 Independence Avenue SW., Wash-
ington, DC 20591 (telephone (202) 267– 
9677) and from the sources indicated 
below. It is also available for inspec-
tion at the National Archives and 
Records Administration (NARA). For 
information on the availability of this 
material at NARA, call (202) 741–6030 or 
go to 

http://www.archives.gov/ 

federal

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register/ 

code

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of

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federal

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regulations/ 

ibr

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locations.html. 

(1) U.S. Department of Transpor-

tation, Subsequent Distribution Office, 
DOT Warehouse M30, Ardmore East 
Business Center, 3341 Q 75th Avenue, 
Landover, MD 20785; telephone (301) 
322–5377. Copies are also available on 
the FAA’s Web site. Use the following 
link and type the TSO number in the 
search box: 

http://rgl.faa.gov/ 

Regulatory

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and

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Guidance

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Library/ 

rgTSO.nsf/Frameset?OpenPage. 

(i) TSO C–194, Helicopter Terrain 

Awareness and Warning System 
(HTAWS), Dec. 17, 2008. 

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