Clinical Aviations

Mission Info

Personnel

Crew Briefing

Equipment & Submit

1. Date of Flight

2. Operating Base

3. Transport / Run Number

4. Aircraft Tail Number

5. Primary AMC Last Name

6. Primary AMC Employee Number

7. Secondary AMC Last Name

8. Secondary AMC Employee Number

9. Other AMC Last Name (if applicable)

10. Other AMC Employee Number (if applicable)

11. Pilot in Command Name (First, Last)

12. First Officer Name (First, Last)

13. Crew Briefing — Communications between medical crew and pilots

14. "Duty-on" or Start of Duty Day Time (e.g. 0700 or 1300)

15. Any crew safety concerns?

17. "Time out" called or extended rest required prior to flight?

19. Any anticipated weather issues during mission?

20. Does weather affect sending airport?

21. Does weather affect receiving airport?

22. Any aircraft mechanical issues discussed?

23. FBO for patient pick up and drop off confirmed?

24. Enroute landing alternatives discussed?

25. Any anticipated ground safety issues?

26. Any patient concerns discussed between AMC and Pilots?

27. Expected patient weight greater than 300 lbs?

28. Will additional lift assistance be required?

29. Adequate O₂ available for transport?

30. Total PSI O₂ Available

31. Any communication issues?

32. Daily safety topic reviewed?

33. Was this section completed and reviewed by ALL crew members (including both pilots and all medical crew)?

34. Individual Responsible for Submission