--- title: "SPA.HEMS.100 – SPA.HEMS.155: SUBPART J: HELICOPTER EMERGENCY MEDICAL SERVICE OPERATIONS (Part-SPA) — rule index · Avioverse" description: "SPA.HEMS.100 – SPA.HEMS.155, Regulation (EU) No 965/2012. Helicopters shall only be operated for the purpose of HEMS operations if the operator has been…" url: "https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j" --- # SUBPART J: HELICOPTER EMERGENCY MEDICAL SERVICE OPERATIONS ANNEX V (Part-SPA) · Air Operations · Regulation (EU) No 965/2012 · SPA.HEMS.100 – SPA.HEMS.155 On this page 1. ## [SPA.HEMS.100 Helicopter emergency medical service (HEMS) operations](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-100) Helicopters shall only be operated for the purpose of HEMS operations if the operator has been approved by the competent authority. [GM1 SPA.HEMS.100(a) Helicopter emergency medical service (HEMS) operations](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-100#gm1-spa-hems-100-a) [GM1 SPA.HEMS.100(c) Helicopter emergency medical service (HEMS) operations](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-100#gm1-spa-hems-100-c) 2. ## [SPA.HEMS.105 HEMS HEC operations](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-105) HEMS HEC operations may be conducted with either of the following: [AMC1 SPA.HEMS.105(b) HEMS HEC operations](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-105#amc1-spa-hems-105-b) [GM1 SPA.HEMS.105(b) HEMS HEC operations](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-105#gm1-spa-hems-105-b) [AMC1 SPA.HEMS.105(b)(2) HEMS HEC operations](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-105#amc1-spa-hems-105-b-2) 3. ## [SPA.HEMS.110 Equipment requirements for HEMS operations](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-110) The installation on a helicopter of all dedicated medical equipment and any subsequent modifications to that equipment and, where appropriate, its… [AMC1 SPA.HEMS.110(b) Equipment requirements for HEMS operations](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-110#amc1-spa-hems-110-b) [GM1 SPA.HEMS.110(b) Equipment requirements for HEMS operations](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-110#gm1-spa-hems-110-b) [AMC1 SPA.HEMS.110(d)(3) Equipment requirements for HEMS operations](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-110#amc1-spa-hems-110-d-3) [GM1 SPA.HEMS.110(d)(3) Equipment requirements for HEMS operations](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-110#gm1-spa-hems-110-d-3) [AMC1 SPA.HEMS.110(d)(6) &(d)(7) Equipment requirements for HEMS operations](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-110#amc1-spa-hems-110-d-6) [AMC1 SPA.HEMS.110(d)(8) Equipment requirements for HEMS operations](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-110#amc1-spa-hems-110-d-8) [AMC1 SPA.HEMS.110(e)(1) Equipment requirements for HEMS operations](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-110#amc1-spa-hems-110-e-1) [AMC1 SPA.HEMS.110(e)(2) Equipment requirements for HEMS operations](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-110#amc1-spa-hems-110-e-2) 4. ## [SPA.HEMS.115 Communication](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-115) In addition to that required by CAT.IDE.H, helicopters conducting HEMS flights shall have communication equipment capable of conducting two-way… 5. ## [SPA.HEMS.120 HEMS operating minima](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-120) HEMS flights operated under VFR shall comply with the HEMS-specific weather minima for the dispatch and en-route phase of the HEMS flight. [GM1 SPA.HEMS.120 HEMS operating minima](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-120#gm1-spa-hems-120) [GM2 SPA.HEMS.120 HEMS operating minima](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-120#gm2-spa-hems-120) [AMC1 SPA.HEMS.120(a) HEMS operating minima](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-120#amc1-spa-hems-120-a) [GM1 SPA.HEMS.120(a) HEMS operating minima](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-120#gm1-spa-hems-120-a) [AMC1 SPA.HEMS.120(c)(2) HEMS operating minima](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-120#amc1-spa-hems-120-c-2) 6. ## [SPA.HEMS.125 Performance requirements for HEMS operations](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-125) Performance class 3 operations over a hostile environment shall only be conducted provided one of the following conditions are met: [AMC1 SPA.HEMS.125(a) Performance requirements for HEMS operations](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-125#amc1-spa-hems-125-a) [GM1 SPA.HEMS.125(a) Performance requirements for HEMS operations](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-125#gm1-spa-hems-125-a) [AMC1 SPA.HEMS.125(a)(3) Performance requirements for HEMS operations](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-125#amc1-spa-hems-125-a-3) [GM1 SPA.HEMS.125(c)(3) Performance requirements for HEMS operations](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-125#gm1-spa-hems-125-c-3) [GM2 SPA.HEMS.125(c)(3) Performance requirements for HEMS operations](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-125#gm2-spa-hems-125-c-3) [AMC1 SPA.HEMS.125(c)(4) Performance requirements for HEMS operations](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-125#amc1-spa-hems-125-c-4) [AMC2 SPA.HEMS.125(c)(4) Performance requirements for HEMS operations](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-125#amc2-spa-hems-125-c-4) [GM1 SPA.HEMS.125(c)(4) Performance requirements for HEMS operations](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-125#gm1-spa-hems-125-c-4) 7. ## [SPA.HEMS.130 Crew requirements](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-130) Selection. The operator shall establish criteria for the selection of flight crew members for the HEMS task, taking their previous experience into account. [AMC1 SPA.HEMS.130 Crew requirements](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-130#amc1-spa-hems-130) [AMC1 SPA.HEMS.130(a) Crew requirements](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-130#amc1-spa-hems-130-a) [AMC1 SPA.HEMS.130(d) Crew requirements](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-130#amc1-spa-hems-130-d) [AMC1 SPA.HEMS.130(e) Crew requirements](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-130#amc1-spa-hems-130-e) [AMC1 SPA.HEMS.130(e)(1)(ii) Crew requirements](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-130#amc1-spa-hems-130-e-1-ii) [GM1 SPA.HEMS.130(e)(3) Crew requirements](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-130#gm1-spa-hems-130-e-3) [AMC1 SPA.HEMS.130(f)(1) Crew requirements](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-130#amc1-spa-hems-130-f-1) [AMC2 SPA.HEMS.130(f)(1) Crew requirements](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-130#amc2-spa-hems-130-f-1) [GM1 SPA.HEMS.130(f)(1) Crew requirements](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-130#gm1-spa-hems-130-f-1) [GM2 SPA.HEMS.130(f)(1) Crew requirements](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-130#gm2-spa-hems-130-f-1) [GM3 SPA.HEMS.130(f)(1) Crew requirements](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-130#gm3-spa-hems-130-f-1) [AMC1 SPA.HEMS.130(f)(2)(ii) (B) Crew requirements](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-130#amc1-spa-hems-130-f-2-ii) [AMC1 SPA.HEMS.130(g)(1) Crew requirements](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-130#amc1-spa-hems-130-g-1) [GM1 SPA.HEMS.130(g)(1) Crew requirements](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-130#gm1-spa-hems-130-g-1) [AMC1 SPA.HEMS.130(g)(2) Crew requirements](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-130#amc1-spa-hems-130-g-2) [GM1 SPA.HEMS.130(g)(2) Crew requirements](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-130#gm1-spa-hems-130-g-2) [GM2 SPA.HEMS.130(g)(2) Crew requirements](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-130#gm2-spa-hems-130-g-2) 8. ## [SPA.HEMS.135 HEMS medical passenger and other personnel briefing](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-135) Medical passenger. Prior to any HEMS flight, or series of flights, medical passengers shall have been briefed to ensure that they are familiar with the… [AMC1 SPA.HEMS.135(a) HEMS medical passenger and other personnel briefing](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-135#amc1-spa-hems-135-a) [AMC1 SPA.HEMS.135(b) HEMS medical passenger and other personnel briefing](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-135#amc1-spa-hems-135-b) [GM1 SPA.HEMS.135(b) HEMS medical passenger and other personnel briefing](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-135#gm1-spa-hems-135-b) 9. ## [AMC1.1 SPA.HEMS.135(a) HEMS medical passenger and other personnel briefing](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/amc1-1-spa-hems-135-a-hems-medical-passenger-and-other-personnel-briefing) HEMS MEDICAL PASSENGER BRIEFING Another means of complying with the rule as compared to that contained in AMC1 SPA.HEMS.135(a) is to make use of a… 10. ## [SPA.HEMS.140 Information, procedures and documentation](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-140) The operator shall assess, mitigate, and minimise the risks associated with the HEMS environment as part of its risk analysis and management process. [AMC1 SPA.HEMS.140 Information, procedures and documentation](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-140#amc1-spa-hems-140) [AMC2 SPA.HEMS.140 Information, procedures and documentation](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-140#amc2-spa-hems-140) [GM1 SPA.HEMS.140(b) Information, procedures and documentation](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-140#gm1-spa-hems-140-b) 11. ## [SPA.HEMS.145 HEMS operating base facilities](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-145) If crew members are required to be on standby with a reaction time of less than 45 minutes, dedicated suitable accommodation shall be provided close to… [AMC1 SPA.HEMS.145(b) HEMS operating base facilities](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-145#amc1-spa-hems-145-b) 12. ## [SPA.HEMS.150 Fuel/energy supply – alleviation](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-150) As an alternative to points CAT.OP.MPA.191(b), (c), and (d), when the helicopter emergency medical services (HEMS) mission is conducted under visual… 13. ## [SPA.HEMS.151 Aircraft tracking system](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-151) The operator shall establish and maintain a monitored aircraft tracking system for HEMS operations for the entire duration of the HEMS mission. [AMC1 SPA.HEMS.151 Aircraft tracking system](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-151#amc1-spa-hems-151) 14. ## [SPA.HEMS.155 Refuelling with passengers on board](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-j/spa-hems-155) A refuelling procedure with either rotors stopped or rotors turning shall be provided in accordance with point CAT.OP.MPA.200 ‘Special refuelling or… Consolidated from the EASA Easy Access Rules (revision 27 Mar 2026, extracted 13 Oct 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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