Special Investigation Report on Emergency Medical Services Operations [January 25, 2006] [open pdf - 3MB]
Alternate Title: Special Investigation Report on Emergency Medical Services Operations
"This report discusses safety issues identified during the Safety Board's special investigation of 55 emergency medical services (EMS) aircraft accidents that occurred in the United States between January 2002 and January 2005. Safety issues discussed in this report focus on less stringent requirements for EMS operations conducted without patients on board, a lack of aviation flight risk evaluation programs for EMS operations, a lack of consistent, comprehensive flight dispatch procedures for EMS operations, and no requirements to use technologies such as terrain awareness and warning systems to enhance EMS flight safety. [...]. This special investigation report is not intended to represent a comprehensive statistical analysis of EMS accidents. Because 14 CFR Part 135 operators are not required to maintain flight activity data, such an analysis is not possible. The purpose of this report is to discuss the safety issues identified during the Safety Board's investigation and suggest recommendations that, if implemented, could address these issues. (See appendix C for a list of accidents that were examined during the Board's investigation that might have been prevented by the corrective actions proposed in this report.) The Safety Board also recognizes that the use of EMS aircraft operations involves aspects of public policy (for example, the decision to use EMS aircraft instead of ground transportation, the reimbursement structure of vital services, and the economic competition among EMS operators) that will not be the focus of this report."
Special Investigation Report NTSB/SIR-06/01
National Transportation Safety Board: http://www.ntsb.gov