AMC1 SPA.HOFO.165(i)
Additional procedures and equipment for operations in a hostile environment
MEDICALLY INCAPACITATED PASSENGER
(a) A ‘Medically incapacitated passenger’ means a person who is unable to wear the required survival equipment, including life jackets, survival suits and emergency breathing systems (EBSs), as determined by a medical professional. The medical professional’s determination should be made available to the pilot-in-command/commander prior to arrival at the offshore installation.
(b) The operator should establish procedures for the cases where the pilot-in-command/commander may accept a medically incapacitated passenger not wearing or partially wearing survival equipment. To ensure proportionate mitigation of the risks associated with an evacuation, the procedures should be based on, but not be limited to, the severity of the incapacitation, sea and air temperature, sea state, and number of passengers on board.
In addition, the operator should establish the following procedures:
(1) under which circumstances one or more dedicated persons are required to assist a medically incapacitated passenger during a possible emergency evacuation, and the skills and qualifications required;
(2) seat allocation for the medically incapacitated passenger and possible assistants in the helicopter types used to ensure optimum use of the emergency exits; and
(3) evacuation procedures related to whether or not the dedicated persons as described in (1) above are present.
For hostile environment operations, EASA regulations mandate procedures for medically incapacitated passengers unable to wear survival gear. Operators must define acceptance criteria considering incapacitation severity, environmental factors, and passenger numbers. Procedures must address dedicated assistance, seating arrangements optimizing emergency exit access, and tailored evacuation protocols.
* Summary by Aviation.Bot - Always consult the original document for the most accurate information.
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