from Page 600 of 746 from the current FAA Aeronautical Information
Manual - which is available here-
http://www.faa.gov/regulations_policies/handbooks_manuals/aviation/ -
4th and 5th items in the table

-------------------------------------------------

EMS Multiple Helicopter Operations

b. Recommended Procedures.

1. Landing Zone Operations. The first helicopter
to arrive on−scene should establish
communications with the ground unit at least 10 NMs
from the LZ to receive a LZ briefing and to provide
ground control the number of helicopters that can be
expected. An attempt should be made to contact other
helicopters on 123.025 to pass on to them pertinent
LZ information and the ground unit’s frequency.
Subsequent helicopters arriving on scene should
establish communications on 123.025 at least 10
NMs from the LZ. After establishing contact on
123.025, they should contact the ground unit for
additional information. All helicopters should
monitor 123.025 at all times.

(a) If the landing zone is not established by
the ground unit when the first helicopter arrives,
then the first helicopter should establish altitude
and orbit location requirements for the other
arriving helicopters. Recommended altitude separation
between helicopters is 500 feet (weather and
airspace permitting). Helicopters can orbit on
cardinal headings from the scene coordinates. (See
FIG 10−2−9.)

(b) Upon landing in the LZ, the first
helicopter should update the other helicopters on the
LZ conditions, i.e., space, hazards and terrain.

(c) Before initiating any helicopter movement
to leave the LZ, all operators should attempt to
contact other helicopters on 123.025, and state their
position and route of flight intentions for departing
the LZ.

2. Hospital Operations. Because many
hospitals require landing permission and have
established procedures (frequencies to monitor,
primary and secondary routes for approaches and
departures, and orbiting areas if the heliport is
occupied) pilots should always receive a briefing
from the appropriate facility (communication center,
flight following, etc.) before proceeding to the
hospital.

(a) In the event of multiple helicopters
coming into the hospital heliport, the helicopter
nearest to the heliport should contact other inbound
helicopters on 123.025 and establish intentions.
Follow the guidelines established in the LZ
operations.

(b) To facilitate approach times, the pilot−in−
command of the helicopter occupying the hospital
heliport should advise any other operators whether
the patient will be off loaded with the rotor blades
turning or stopped, and the approximate time to do so.

(c) Before making any helicopter movement
to leave the hospital heliport, all operators should
attempt to contact other helicopters on 123.025 and
state their position and route of flight intentions for
departing the heliport.

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