23. The Fifth Schedule to the principal Order is amended —
by deleting the words “and 12(2)” in the Schedule reference and substituting the words “, 12(2) and 29(1)”;
by deleting the words “power units inoperative and the remaining power unit or units” in item 2(e)(i) in paragraph 4 and substituting the words “engines inoperative and the remaining engine or engines”;
by deleting the words “Scale B(iv)” in paragraph (iii)(a) under Scale A in paragraph 5 and substituting the words “Scale B(xii)”;
by deleting the words “Scale B(vi)” in paragraph (iii)(b) under Scale A in paragraph 5 and substituting the words “Scale B(xiv)”;
by deleting paragraphs (i) to (vi) under Scale B in paragraph 5 and substituting the following paragraphs:
“(i) An aeroplane shall be equipped with accessible and adequate medical supplies including the following:
one or more first aid kits;
in the case of aeroplanes operating for the purpose of public transport and required to carry cabin crew as part of its operating crew, one universal precaution kit (or 2 universal precaution kits if the aircraft is authorised to carry more than 250 passengers) for the use of cabin crew members in managing incidents of ill health associated with a case of a suspected communicable disease, or in the case of illness involving contact with body fluids; and
in the case of aeroplanes operating for the purpose of public transport of passengers with a maximum total weight authorised exceeding 5,700 kg, one medical kit for the use of medical doctors or other qualified persons in treating in-flight medical emergencies.
(ii) A helicopter shall be equipped with accessible and adequate medical supplies including the following:
one first aid kit; and
in the case of helicopters operating for the purpose of public transport and required to carry cabin crew as part of its operating crew, one universal precaution kit for the use of cabin crew members in managing incidents of ill health associated with a case of suspected communicable disease, or in the case of illness involving contact with body fluids.
(iii) The number of first aid kits set out in the right column in the table below shall be carried in every aeroplane which is authorised to carry the number of passengers set out in the left column:
0 – 100
101 – 200
201 – 300
301 – 400
401 – 500
More than 500
(iv) Where an aeroplane is required to carry more than one first aid kit and universal precaution kit, these shall be distributed as evenly as practicable throughout the passenger cabins and should be readily accessible to cabin crew members.
(v) The medical kit, when carried, shall be stored in a secure manner and in an appropriate location.
(vi) The first aid kit shall include the following:
list of contents of the first aid kit;
antiseptic swabs (10/pack);
bandage with adhesive strips;
bandage gauze measuring 7.5 cm by 4.5 m;
triangular bandage with safety pins;
dressing for burns measuring 10 cm by 10 cm;
sterile dressing for compress measuring 7.5 cm by 12 cm;
sterile dressing gauze measuring 10.4 cm by 10.4 cm;
adhesive tape measuring 2.5 cm in a roll;
sterile strips (or equivalent adhesive strip);
hand cleanser or cleansing towelettes;
pad, shield or tape for the eye;
a pair of scissors measuring 10 cm;
adhesive surgical tape measuring 1.2 cm by 4.6 m;
multiple pairs of disposable gloves;
mouth to mouth resuscitation mask with one-way valve;
mild to moderate analgesic;
incident record form; and
a current edition of a first-aid manual.
(vii) In addition to the number of universal precaution kits that are required to be carried in accordance with paragraph (i)( b), the operator shall make available on an aeroplane such additional kits as may be necessary during a period of increased public health risk, such as during an outbreak of a serious communicable disease having pandemic potential for the purpose of cleaning up any potentially infectious body contents such as blood, urine, vomit and faeces and to protect operating crew members who are assisting in the care of passengers with potentially infectious cases of suspected communicable disease.
(viii) A universal precaution kit shall include the following:
dry powder that can convert small liquid spill into a sterile granulated gel;
germicidal disinfectant for surface cleaning;
face/eye mask (separate or combined);
large absorbent towel;
pick-up scoop with scraper;
bio-hazard disposal waste bag; and
(ix) The medical kit required under paragraph (i)(c) shall include the following medical supplies:
list of contents of the medical kit;
sphygmomanometer (electronic preferred);
3 different sizes of oropharyngeal airways;
syringes in the appropriate range of sizes;
needles in the appropriate range of sizes;
intravenous catheters in the appropriate range of sizes;
needle disposal box;
system for delivering intravenous fluids;
emergency tracheal catheter or a large gauge intravenous cannula;
umbilical cord clamp;
basic life support cards;
flashlight and batteries; and
oral and injectable drugs as follows:
Antihistamine – injectable;
Dextrose 50% (or equivalent) – injectable: 50ml;
Nitroglycerin tablets, or spray;
Sedative anticonvulsant – injectable;
Antiemetic – injectable;
Bronchial dilator – inhaler;
Atropine – injectable;
Adrenocortical steroid – injectable;
Diuretic – injectable;
Medication for postpartum bleeding;
Sodium chloride 0.9% (minimum 250 ml);
Acetyl salicylic acid (aspirin) for oral use; and
Oral beta blocker.
(x) If a cardiac monitor is available (with or without an AED), epinephrine 1:10000 (can be a dilution of epinephrine 1:1000) shall be added to the list of drugs set out in paragraph (ix)(w).
(xi) In the case of a flying machine used for the public transport of passengers in which, while the flying machine is at rest on the ground, the sill of any external door intended for the disembarkation of passengers, whether normally or in an emergency —
is more than 1.82 metres from the ground when the under-carriage of the machine is in the normal position for taxiing; or
would be more than 1.82 metres from the ground if the under-carriage or any part thereof should collapse, break or fail to function,
the flying machine shall be equipped with an apparatus which is readily available for use at each such door consisting of a device or devices which will enable passengers to reach the ground safely in an emergency while the flying machine is on the ground, and which can be readily fixed in position for use.
(xii) For all aircraft on all flights a safety harness shall be provided for each flight crew member seat in place of the safety belt referred to under Scale A. The safety harness shall incorporate a device which will automatically restrain the occupant’s torso in the event of rapid deceleration or incapacitation of the occupant.
Note 1: Depending on the design, the lock on an inertia reel device may suffice for this purpose.
(xiii) If the commander cannot, from his own seat, see all the passengers’ seats in the aircraft, the aircraft shall be equipped with a means of indicating to the passengers that seat belts or harnesses should be fastened.
(xiv) A forward or rearward facing (within 15° of the longitudinal axis of the aircraft) seat, fitted with a safety harness shall be provided for the use of each cabin crew member specified in paragraph 18(8) of the Order, and shall be located near floor level and emergency exits.”; and
Note: Note 2: Safety harness includes shoulder straps and seat belt which may be used independently.
by deleting paragraph (iii) under Part I of Scale K1 in paragraph 5 and substituting the following paragraph:
The quantity of oxygen required for the purpose of complying with paragraphs (i) and (ii) of this Part of this Scale shall be computed in accordance with the information and instructions relating thereto as specified in the operations manual relating to the aircraft.”.