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NTSB SAFETY RECOMMENDATION
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National Transportation Safety Board
Washington, DC 20594
November 16, 2009
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NTSB Safety Recommendation A-09-130
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The National Transportation Safety Board recommends the following to the Federal Aviation
Administration:
Seek specific legislative authority to regulate helicopter emergency medical services (HEMS) operations
conducted using government-owned aircraft to achieve safety oversight commensurate with that
provided to civil HEMS operations. (A-09-130)
Also, the National Transportation Safety Board reiterates the following previously issued
recommendations to the Federal Aviation Administration:
Require all emergency medical services (EMS) operators to develop and implement flight risk evaluation
programs that include training all employees involved in the operation, procedures that support the
systematic evaluation of flight risks, and consultation with others trained in EMS flight operations if the
risks reach a predefined level. (A-06-13)
Require all emergency medical services (EMS) operators to install terrain awareness and warning
systems on their aircraft and to provide adequate training to ensure that flight crews are capable of using
the systems to safety conduct EMS operations. (A-06-15)
Require all rotorcraft operating under 14 Code of Federal Regulations Parts 91 and 135 with a transport-
category certification to be equipped with a cockpit voice recorder (CVR) and a flight data recorder
(FDR). For those transport-category rotorcraft manufactured before October 11, 1991, require a CVR and
an FDR or an onboard cockpit image recorder with the capability of recording cockpit audio, crew
communications, and aircraft parametric data. (A-06-17)
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http://www.ntsb.gov/recs/letters/2009/A09_130.pdf
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The complete recommendation letter is available on the Web
at the URL indicated above.
The letter is in the Portable Document Format (PDF) and can
be read using the Acrobat Reader 5.0 or later from Adobe
(http://www.adobe.com/prodindex/acrobat/readstep.html).
An archive of recommendation letters is available at
http://www.ntsb.gov/recs/letters/letters.htm.
Electronic versions of letters may or may not include
enclosures; however, related publications, accident
briefs, and aviation accident synopses may be found
on the NTSB website.
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