Section 135.601
Section 135.601

14 CFR Ch. I (1-1-19 Edition)
Applicability and definitions.

(a) Applicability. This subpart prescribes the requirements applicable to
each certificate holder conducting helicopter 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 transportation, 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 patient or donor organ will be picked up.
(ii) Flights conducted to reposition
the helicopter after completing the patient, or donor organ transport.
(iii) Flights initiated for the transport 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, including but not limited to flight physicians, flight nurses, or flight paramedics, who are carried aboard a helicopter 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.
Section 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 helicopter air ambulance operation unless
that person meets the requirements of
Section 135.243 and holds a helicopter instrument rating or an airline transport
pilot certificate with a category and
class rating for that aircraft, that is
not limited to VFR.

Section 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 helicopter 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 Rotorcraft Flight Manual must contain appropriate 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 approved deviation under Section 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 FEDERAL REGISTER 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., Washington, DC 20591 (telephone (202) 267-
9677) and from the sources indicated
below. It is also available for inspection 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/
federallregister/
codeloflfederallregulations/
ibrllocations.html.
(1) U.S. Department of Transportation, 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/
RegulatorylandlGuidancelLibrary/
rgTSO.nsf/Frameset?OpenPage.
(i) TSO C-194, Helicopter Terrain
Awareness
and
Warning
System
(HTAWS), Dec. 17, 2008.

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