Section 135.621 14 CFR Ch. I (1-1-19 Edition) of at least 8 hours before that person-s next duty period; (iv) Each operations control specialist must be relieved of all duty with the certificate holder for at least 24 consecutive hours during any 7 consecutive days. (h) Drug and alcohol testing. Operations control specialists must be tested for drugs and alcohol according to the certificate holder-s Drug and Alcohol Testing Program administered under part 120 of this chapter. Section 135.621 Briefing of medical personnel. (a) Except as provided in paragraph (b) of this section, prior to each helicopter air ambulance operation, each pilot in command, or other flight crewmember designated by the certificate holder, must ensure that all medical personnel have been briefed on the following - (1) Passenger briefing requirements in Section 135.117(a) and (b); and (2) Physiological aspects of flight; (3) Patient loading and unloading; (4) Safety in and around the helicopter; (5) In-flight emergency procedures; (6) Emergency landing procedures; (7) Emergency evacuation procedures; (8) Efficient and safe communications with the pilot; and (9) Operational differences between day and night operations, if appropriate. (b) The briefing required in paragraphs (a)(2) through (9) of this section may be omitted if all medical personnel on board have satisfactorily completed the certificate holder-s FAA-approved medical personnel training program within the preceding 24 calendar months. Each training program must include a minimum of 4 hours of ground training, and 4 hours of training in and around an air ambulance helicopter, on the topics set forth in paragraph (a)(2) through (9) of this section. (c) Each certificate holder must maintain a record for each person trained under this section that - (1) Contains the individual-s name, the most recent training completion date, and a description, copy, or ref- erence to training materials used to meet the training requirement. (2) Is maintained for 24 calendar months following the individual-s completion of training. [Doc. No. FAA-2010-0982, 79 FR 9975, Feb. 21, 2014; Amdt. 135-129A, 79 FR 41126, July 15, 2014] APPENDIX A TO PART 135 - ADDITIONAL AIRWORTHINESS STANDARDS FOR 10 OR MORE PASSENGER AIRPLANES Applicability 1. Applicability. This appendix prescribes the additional airworthiness standards required by Section 135.169. 2. References. Unless otherwise provided, references in this appendix to specific sections of part 23 of the Federal Aviation Regulations (FAR part 23) are to those sections of part 23 in effect on March 30, 1967. Flight Requirements 3. General. Compliance must be shown with the applicable requirements of subpart B of FAR part 23, as supplemented or modified in SectionSection 4 through 10. Performance 4. General. (a) Unless otherwise prescribed in this appendix, compliance with each applicable performance requirement in sections 4 through 7 must be shown for ambient atmospheric conditions and still air. (b) The performance must correspond to the propulsive thrust available under the particular ambient atmospheric conditions and the particular flight condition. The available propulsive thrust must correspond to engine power or thrust, not exceeding the approved power or thrust less - (1) Installation losses; and (2) The power or equivalent thrust absorbed by the accessories and services appropriate to the particular ambient atmospheric conditions and the particular flight condition. (c) Unless otherwise prescribed in this appendix, the applicant must select the takeoff, en route, and landing configurations for the airplane. (d) The airplane configuration may vary with weight, altitude, and temperature, to the extent they are compatible with the operating procedures required by paragraph (e) of this section. (e) Unless otherwise prescribed in this appendix, in determining the critical engine inoperative takeoff performance, the accelerate-stop distance, takeoff distance, changes in the airplane-s configuration, 514 VerDate Sep<11>2014 08:20 May 17, 2019 Jkt 247048 PO 00000 Frm 00524 Fmt 8010 Sfmt 8002 Y:\SGML\247048.XXX 247048