--- title: "SPA.VEMS.110 Equipment requirements for VEMS operations — Part-SPA · Avioverse" description: "The installation on a VTOL-capable aircraft (VCA) of all dedicated medical equipment and any subsequent modifications to that installation and, where…" url: "https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-o/spa-vems-110" --- # SPA.VEMS.110 Equipment requirements for VEMS operations ANNEX V (Part-SPA) · Regulation (EU) No 965/2012 · EAR revision 27 Mar 2026 IR Implementing rule ## SPA.VEMS.110 Equipment requirements for VEMS operations (a) The installation on a VTOL-capable [aircraft](https://avioverse.aero/glossary/easa/aircraft) (VCA) of all dedicated medical equipment and any subsequent modifications to that installation and, where appropriate, its operation, shall be approved in accordance with Regulation (EU) No 748/2012. (b) For VFR flights by day over routes or areas navigated by reference to visual landmarks, the VCA shall be equipped with tools providing own-ship position and obstacles on a moving map display. The map and obstacle database(s) shall be kept up to date. (c) For VFR flights by day, the VCA shall be equipped with a means of measuring and displaying to the pilot the attitude and the stabilised heading or with other equivalent tools to mitigate pilot disorientation in case of reduced visual cues. (d) Any VCA used in VEMS missions shall be equipped with tools having an ADS-B Out capability. (e) Instruments and equipment required under point (d) shall be certified in accordance with the applicable airworthiness requirements. (f) The IAM operator shall ensure that all relevant information is documented in the minimum equipment list (MEL). IR · SPA.VEMS.110 — Regulation (EU) No 965/2012 · Regulation (EU) 2024/1111 · Air OPS Easy Access Rules · EAR revision 27 Mar 2026 AMC Acceptable means of compliance ## AMC1 SPA.VEMS.110 Equipment requirements for VEMS operations MOVING MAP DISPLAYS The moving map display should show the relative altitude of the surrounding terrain and obstacles to that of the VCA, and should be one of the following: (a) a TAWS that is airworthiness approved; (b) a display that is integrated in the cockpit environment and is airworthiness approved; (c) a type B EFB software application. The database should cover the area where the VCA usually performs VEMS operations. AMC · AMC1 SPA.VEMS.110 — Regulation (EU) No 965/2012 · ED Decision 2025/010/R · Air OPS Easy Access Rules · EAR revision 27 Mar 2026 GM Guidance material ## GM1 SPA.VEMS.110 Equipment requirements for VEMS operations GENERAL Approval requirements in accordance with Regulation (EU) No 748/2012 apply to permanently installed equipment. Non-permanently installed equipment is not subject to the airworthiness approval requirements of Regulation (EU) No 748/2012. In addition, no licensed personnel are required to install or remove non-permanently installed equipment. In any case, no equipment (medical or not, installed or not) can affect the airworthiness or the safe operation of the [aircraft](https://avioverse.aero/glossary/easa/aircraft) even in the case of failure or malfunction. GM · GM1 SPA.VEMS.110 — Regulation (EU) No 965/2012 · ED Decision 2025/010/R · Air OPS Easy Access Rules · EAR revision 27 Mar 2026 GM Guidance material ## GM2 SPA.VEMS.110 Equipment requirements for VEMS operations AUTOPILOT If the VEMS operator chooses to install an autopilot on the VCA, the autopilot should have at least the following functions: (a) attitude hold, (b) altitude hold mode, and (c) heading hold mode. GM · GM2 SPA.VEMS.110 — Regulation (EU) No 965/2012 · ED Decision 2025/010/R · Air OPS Easy Access Rules · EAR revision 27 Mar 2026 GM Guidance material ## GM3 SPA.VEMS.110 Equipment requirements for VEMS operations MOVING MAPS — TRAINING Point ORO.FC.125 requires differences training or familiarisation when introducing new equipment and procedures. For EFB applications, AMC4 SPA.EFB.100(b)(3) defines the related training. In either case, the training focuses not only on the usage of the equipment or the [EFB application](https://avioverse.aero/glossary/easa/efb-application), but also on its limitations, including the following limitations of moving maps: (a) Not all terrain and obstacles will be included in the database. (b) In VFR, the proper selection of altitude and efficient visual scanning of the environment remain the primary means of obstacle and terrain avoidance. (c) A type B EFB software application can only be used for increased situational awareness. GM · GM3 SPA.VEMS.110 — Regulation (EU) No 965/2012 · ED Decision 2025/010/R · Air OPS Easy Access Rules · EAR revision 27 Mar 2026 [All rules in SUBPART O: EMERGENCY MEDICAL SERVICE OPERATIONS WITH MANNED VTOL-CAPABLE AIRCRAFT (VEMS)](https://avioverse.aero/regulations/easa/air-ops/part-spa/subpart-o) 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.