[Code of Federal Regulations]
[Title 32, Volume 6]
[Revised as of July 1, 2005]
From the U.S. Government Printing Office via GPO Access
[CITE: 32CFR861.4]

[Page 161-168]
 
                        TITLE 32-NATIONAL DEFENSE
 
                CHAPTER VII--DEPARTMENT OF THE AIR FORCE
 
PART 861_DEPARTMENT OF DEFENSE COMMERCIAL AIR TRANSPORTATION QUALITY AND 
SAFETY REVIEW PROGRAM--Table of Contents
 
Sec. 861.4  DOD air transportation quality and safety requirements.

    (a) General. The DOD, as a customer of air transportation and 
operational support services, expects air carriers used by DOD to employ 
programs and business practices that not only ensure good service but 
also enhance the safety, operational, and maintenance standards 
established by applicable Civil Aviation Authority (CAA) regulations. 
Accordingly, and as required by the references in Sec. 861.1 (a) and 
(b), the DOD has established a set of quality and safety criteria and 
requirements that reflect the type programs and practices DOD seeks from 
air carriers providing services to DOD. Air carriers must meet and 
maintain these requirements in order to be eligible for DOD business. 
Air carriers providing air transportation services to DOD either 
directly by contract or agreement, or indirectly through the General 
Services Administration (GSA) City Pair Program or some other 
arrangement, must be approved by DOD prior to providing such services 
and remain in an approved status throughout the contract, agreement, or 
arrangement performance period. This approval entails successful 
completion of initial and recurring on-site surveys as well as periodic 
performance evaluations in accordance with the reference in Sec. 
861.1(b). The quality and safety criteria and requirements set forth in 
this part complement rather than replace the CAA criteria applicable to 
air carriers. Air carriers normally remain fully subject to applicable 
CAA regulations (CARs) while performing business for the DOD, even when 
the aircraft involved is used exclusively for DOD missions. The 
inspection and oversight criteria set forth in this part do not, as a 
general rule, apply to air carriers providing only operational support 
services to DOD. However, in the event concerns relating to the safety 
of such a carrier arise, the CARB or higher authority may, on a case-by-
case basis, direct an appropriate level of oversight under the authority 
of this part.
    (b) Applicability. (1) The evaluation, quality and safety criteria 
and requirements set forth in this part apply to air carriers providing 
or seeking to provide air transportation services to DOD.
    (2) Foreign air carriers performing portions of GSA City Pair routes 
awarded to U.S. air carriers under a code-sharing arrangement, as well 
as foreign air carriers providing individually-ticketed passenger 
service to DOD personnel traveling on official business, may be subject 
to limited oversight and review pursuant to Sec. 861.6.
    (3) The inspection and oversight requirements, as well as the 
quality and safety criteria of this part may, on a case-by-case basis 
and at the discretion of the CARB or higher authority, be applied to air 
carriers seeking to provide or providing operational support services as 
defined in Sec. 861.3(l).
    (4) The inspection and oversight requirements of this part do not 
apply to aircraft engaged in medical transport services if procured 
under emergency conditions to save life, limb or eyesight. Likewise, the 
inspection and oversight requirements of this part are not applicable 
when DOD is not involved in the procurement of the medical 
transportation services. For example, when specific medical treatment is 
obtained on an individual basis by or for DOD personnel with medical 
transportation provided, as needed, at the direction of the non-DOD 
medical care giver. This includes situations where DOD, through TRICARE 
or otherwise, pays for such transportation as part of the costs of 
medical services provided.
    (c) Scope and nature of the evaluation program--(1) Evaluation 
requirement.

[[Page 162]]

The provision of air transportation services under a contract or 
agreement with or on behalf of DOD, requires the successful completion 
of an initial on-site survey and approval by the CARB under this part in 
order to be eligible for DOD business. In addition, U.S. air carriers 
awarded contracts under the GSA City Pair Program, including those that 
perform part of the contract under a code-sharing arrangement with the 
U.S. air carrier awarded the contract, must successfully complete an 
initial on-site survey and be approved by the CARB for DOD use under 
this part prior to beginning performance of the GSA contract. Once 
approved by DOD, air carriers providing air transportation services are 
subject to recurring on-site surveys and performance evaluations and 
assessments throughout the duration of the relevant contract or 
agreement. The frequency and scope of these surveys and performance 
reviews will be in accordance with Enclosure 3 of the reference in Sec. 
861.1(b).
    (2) Office of primary responsibility. Evaluations are performed by 
the DOD Air Carrier Survey and Analysis Office located at Scott Air 
Force Base, Illinois. The mailing address of this office is HQ AMC/DOB, 
402 Scott Drive Unit 3A1, Scott AFB IL 62225-5302. The website address 
is https://public.scott.af.mil/hqamc/dob/index.htm.
    (3) Items considered in the evaluation process. The specifics of the 
applicable DOD contract or agreement (if any), the applicable CAA 
regulations, and the experienced judgment of DOD personnel will be used 
to evaluate an air carrier's capability to perform services for DOD. The 
survey may also include, with the air carrier's coordination, 
observation of cockpit crew performance, as well as ramp inspections of 
selected company aircraft. In the case of air carriers seeking to 
provide air transportation services, after satisfactory completion of 
the initial survey and approval by the CARB as a DOD air carrier, 
follow-up surveys will be conducted on a recurring basis and when 
otherwise required to validate adherence to DOD quality and safety 
requirements. DOD personnel will also assess these quality and safety 
requirements when conducting periodic air carrier performance 
evaluations. The size of an air carrier, along with the type and scope 
of operations will be considered during the on-site survey. For example, 
while an air taxi operator may not have a formal flight control 
function, such as a 24-hour dispatch organization, that same air taxi 
operator is expected to demonstrate some type of effective flight 
following capability. On the other hand, a major air carrier is expected 
to have a formal flight control or dispatch function. Both, however, 
will be evaluated based on the effectiveness and quality of whatever 
flight following function they do maintain. In the case of air carriers 
seeking to provide operational support services, the type, scope and 
frequency of evaluation, if any, performed by DOD or other entity will 
be as directed by the CARB or higher authority.
    (d) Status of aircraft performing services for DOD. All air carriers 
providing air transportation or operational support services to the DOD 
shall have FAA or CAA air carrier or commercial operator certificates 
and shall remain under FAA and/or CAA regulatory and safety oversight 
during performance of the DOD mission. Aircraft performing services for 
or on behalf of DOD shall be on the air carrier's operating certificate, 
and remain on that certificate while performing the DOD mission. The 
installation of any special equipment needed to perform services for DOD 
shall be FAA or CAA approved or an appropriate FAA or CAA waiver 
obtained.
    (e) Evaluation requirements. The air carrier requirements stated in 
this part provide the criteria against which would-be DOD and GSA City 
Pair Program air carrier contractors, as well as air carriers providing 
services on behalf of DOD, may be subjectively evaluated by DOD. These 
requirements are neither all-inclusive nor inflexible in nature. They 
are not replacements for the certification criteria and other 
regulations established by the CAA. Rather, these requirements 
complement CAA certification criteria and regulations and describe the 
enhanced level of service required by DOD. The relative weight accorded 
these requirements in a given case, as well as the determination of 
whether an air carrier meets or exceeds them, is a matter

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within the sole discretion of the DOD Air Carrier Survey and Analysis 
Office and the CARB, subject to the statutory minimums provided in the 
reference in Sec. 861.1(a).
    (1) Quality and safety requirements--prior experience. U.S. and 
foreign air carriers applying for DOD approval in order to conduct air 
transportation services for or on behalf of DOD under a contract or 
agreement with DOD, the GSA City Pair Program, or by some other 
arrangement are required to possess 12 months of continuous service 
equivalent to the service sought by DOD. In applying this requirement, 
the following guidance will be used by DOD authorities:
    (i) ``12 months'' refers to the 12 calendar months immediately 
preceding the request for DOD approval.
    (ii) ``Continuous'' service means the carrier must have performed 
revenue-generating services of the nature for which DOD approval is 
sought, as an FAA Part 121, 125, 127, or 135 (14 CFR 121, 125, 127, or 
135) air carrier (or foreign CAA equivalent if appropriate) on a 
recurring, substantially uninterrupted basis. The services must have 
occurred with such frequency and regularity as to clearly demonstrate 
the carrier's ability to perform and support sustained, safe, reliable, 
and regular services of the type DOD is seeking. Weekly flight activity 
is normally considered continuous, while sporadic or seasonal operations 
(if such operations are the only operations conducted by the carrier) 
may not suffice to establish a carrier's ability to perform and support 
services in the sustained, safe, reliable, and regular manner required 
by DOD. The ability of a carrier to perform services of the type sought 
by DOD may be called into question if there have been lengthy periods of 
time during the qualifying period in which the carrier has not operated 
such services. Consequently, any cessation, or nonperformance of the 
type of service for which approval is sought may, if it exceeds 30 days 
in length during the qualifying period and depending on the underlying 
factual circumstances, necessitate ``restarting'' the 12-month 
continuous service period needed to obtain DOD approval.
    (iii) ``Equivalent to the services sought by DOD'' means service 
offered to qualify for DOD approval must be substantially equivalent to 
the type of service sought by DOD. The prior experience must be 
equivalent in difficulty and complexity with regard to the distances 
flown, weather systems encountered, international and national 
procedures, the same or similar aircraft, schedule demands, aircrew 
experience, number of passengers handled, frequency of operations, and 
management required. There is not a set formula for determining whether 
a particular type of service qualifies. The performance of cargo 
services is not considered to be ``substantially equivalent'' to the 
performance of passenger services, and may not be used to meet the 12 
continuous months requirement for passenger services. However, when a 
carrier already providing cargo services to DOD applies to carry 
passengers, the CARB may consider the carrier's cargo performance and 
experience in assessing whether a carrier is qualified to carry 
passengers on a specific type or category of aircraft, over certain 
routes or stage lengths, or under differing air traffic control, 
weather, or other conditions. The following examples are illustrative 
and not intended to reflect or predict CARB action in any given case:

    Example 1: Coyote Air has operated commercial passenger commuter 
operations in the U.S. for a number of years flying a variety of twin-
engine turboprop aircraft. They have also been a DOD-approved cargo 
carrier, providing international cargo services using DC-10 freighter 
aircraft. Coyote Air purchases a passenger version DC-10, and seeks DOD 
approval to provide international passenger service for DOD. The CARB 
may decide that although Coyote Air has provided passenger services for 
12 continuous months, those services are not substantially equivalent to 
those being sought by DOD. While the carrier may have considerable 
operational experience with the DC-10, its commuter passenger operations 
are not substantially equivalent to the service now proposed--
international passenger services on large jet aircraft.
    Example 2: Acme Air has been a DOD-approved cargo carrier for 
several years, operating domestic and international missions with MD-11 
freighter aircraft. At the same time, Acme has been performing 
commercial international passenger services with B-757

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aircraft. Acme Air purchases a MD-11 passenger aircraft and applies to 
perform passenger services for DOD using the MD-11. Assuming Acme has 
performed B-757 passenger service for 12 continuous months immediately 
preceding its application, the CARB may consider these passenger 
services substantially equivalent to those proposed since both involve 
the operation of large multi-engine aircraft in an international 
environment. The CARB may also consider Acme's operational history with 
its MD-11 freighter aircraft in determining whether the carrier is 
competent to provide MD-11 passenger service in the same environment.

    (iv) Once approved by DOD, an air carrier's failure to maintain 
continuous operations of the type for which approval has been granted 
may, at the discretion of the CARB, be grounds for nonuse or suspension 
under this part, rendering the carrier ineligible for DOD business 
during the nonuse or suspension period. Any cessation or nonperformance 
of the type of service for which approval has been obtained may, if it 
exceeds 30 days in length and depending on the circumstances, provide 
the basis for the CARB to take appropriate action.
    (2) Quality and safety requirements--air carrier management. 
Management has clearly defined safety as the number one company 
priority, and safety is never sacrificed to satisfy passenger concern, 
convenience, or cost. Policies, procedures, and goals that enhance the 
CAA's minimum operations and maintenance standards have been established 
and implemented. A cooperative response to CAA inspections, critiques, 
or comments is demonstrated. Proper support infrastructure, including 
facilities, equipment, parts, and qualified personnel, is provided at 
the certificate holder's primary facility and en route stations. 
Personnel with aviation credentials and experience fill key management 
positions. An internal quality audit program or other method capable of 
identifying in-house deficiencies and measuring the company's compliance 
with their stated policies and standards has been implemented. Audit 
results are analyzed in order to determine the cause, not just the 
symptom, of any deficiency. The result of sound fiscal policy is evident 
throughout the company. Foreign code-sharing air carrier partners are 
audited at least every two years using DOD-approved criteria and any 
findings resolved. Comprehensive disaster response plans and, where 
applicable, family support plans, must be in place and exercised on a 
regular basis.
    (3) Quality and safety requirements--operations--(i) Flight safety. 
Established policies that promote flight safety. These policies are 
infused among all aircrew and operational personnel who translate the 
policies into practice. New or revised safety-related data are promptly 
disseminated to affected personnel who understand that deviation from 
any established safety policy is unacceptable. An audit system that 
detects unsafe practices is in place and a feedback structure informs 
management of safety policy results including possible safety problems. 
Management ensures that corrective actions resolve every unsafe 
condition.
    (ii) Flight operations. Established flight operations policies and 
procedures are up-to-date, reflect the current scope of operations, and 
are clearly defined to aviation department employees. These adhered-to 
procedures are further supported by a flow of current, management-
generated safety and operational communications. Managers are in touch 
with mission requirements, supervise crew selection, and ensure the risk 
associated with all flight operations is reduced to the lowest 
acceptable level. Flight crews are free from undue management pressure 
and are comfortable with exercising their professional judgment during 
flight activities, even if such actions do not support the flight 
schedule. Effective lines of communication permit feedback from line 
crews to operations managers. Personnel records are maintained and 
reflect such data as experience, qualifications, and medical status.
    (iii) Flight crew hiring. Established procedures ensure that 
applicants are carefully screened, including a review of the 
individual's health and suitability to perform flight crew duties. 
Consideration is given to the applicant's total aviation background, 
appropriate experience, and the individual's potential to perform 
safely. Freedom from alcohol abuse and illegal drugs is required. If 
new-hire cockpit

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crewmembers do not meet industry standards for experience and 
qualification, then increased training and management attention to 
properly qualify these personnel are required.
    (iv) Aircrew training. Training, including recurrent training, which 
develops and refines skills designed to eliminate mishaps and improve 
safety, is essential to a quality operation. Crew coordination training 
that facilitates full cockpit crews training and full crew interaction 
using standardized procedures and including the principles of Crew 
Resource Management (CRM) is required. Programs involving the use of 
simulators or other devices that can provide realistic training 
scenarios are desired. Captain and First Officer training objectives 
cultivate similar levels of proficiency. Appropriate emergency 
procedures training (e.g., evacuation procedures) is provided to flight 
deck and flight attendant personnel as a total crew whenever possible; 
such training focuses on cockpit and cabin crews functioning as a 
coordinated team during emergencies. Crew training--be it pilot, 
engineer, or flight attendant--is appropriate to the level of risk and 
circumstances anticipated for the trainee. Training programs have the 
flexibility to incorporate and resolve recurring problem areas 
associated with day-to-day flight operations. Aeromedical crews must 
also be trained in handling the specific needs of the categories of 
patients normally accepted for transportation on the equipment to be 
used. Trainers are highly skilled in both subject matter and training 
techniques. Training received is documented, and that documentation is 
maintained in a current status.
    (v) Captain upgrade training. A selection and training process that 
considers proven experience, decision making, crew resource management, 
and response to unusual situations, including stress and pressure, is 
required. Also important is emphasis on captain responsibility and 
authority.
    (vi) Aircrew scheduling. A closely monitored system that evaluates 
operational risks, experience levels of crewmembers, and ensures the 
proper pairing of aircrews on all flights is required. New captains are 
scheduled with highly experienced first officers, and new or low-time 
first officers are scheduled with experienced captains. Except for 
aircraft new to the company, captains and first officers assigned to DOD 
charter passenger missions possess at least 250 hours combined 
experience in the type aircraft being operated. The scheduling system 
involves an established flight duty time program for aircrews, including 
flight attendants, carefully managed so as to ensure proper crew rest 
and considers quality-of-life factors. Attention is given to the stress 
on aircrews during strikes, mergers, or periods of labor-management 
difficulties.
    (vii) In-flight performance. Aircrews, including flight attendants 
and flight medical personnel, are fit for flight duties and trained to 
handle normal, abnormal, and emergency situations. They demonstrate crew 
discipline and a knowledge of aviation rules; use company-developed 
standardized procedures; adhere to checklists; and emphasize safety, 
including security considerations, throughout all preflight, in-flight, 
and postflight operations. Qualified company personnel evaluate aircrews 
and analyze results; known performance deficiencies are eliminated. 
Evaluations ensure aircrews demonstrate aircraft proficiency in 
accordance with company established standards. Flight crews are able to 
determine an aircraft's maintenance condition prior to flight and use 
standardized methods to accurately report aircraft deficiencies to the 
maintenance activity.
    (viii) Operational control/support. Effective mission control 
includes communications with aircrews and the capability to respond to 
irregularities or difficulties. Clear written procedures for mission 
preparation and flight following aircraft and aircrews are provided. 
There is access to weather, flight planning, and aircraft maintenance 
data. There are personnel available who are knowledgeable in aircraft 
performance and mission requirements and that can correctly respond to 
emergency situations. There is close interface between operations and 
maintenance, ensuring a mutual awareness of aircraft operational and 
maintenance status. Procedures to notify

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DOD in case of an accident or serious incident have been established. 
Flight crews involved in such accidents or incidents report the 
situation to company personnel who, in turn, have procedures to evaluate 
the flight crew's capability to continue the mission. Aircraft involved 
in accidents or incidents are inspected in accordance with Civil 
Aviation Regulations and a determination made as to whether or not the 
aircraft is safe for continued operations.
    (ix) DOD charter procedures. Detailed procedures addressing military 
charter requirements are expected. The level of risk associated with DOD 
charter missions does not exceed the risks inherent in the carrier's 
non-DOD daily flight operations. Complete route planning and airport 
analyses are accomplished, and actual passenger and cargo weights are 
used in computing aircraft weight and balance.
    (4) Quality and safety requirements--maintenance. Maintenance 
supervisors ensure all personnel understand that in spite of scheduling 
pressure, peer pressure, supervisory pressure, or other factors, the 
airplane must be airworthy prior to flight. Passenger and employee 
safety is a paramount management concern. Quality, completeness, and 
integrity of work are trademarks of the maintenance manager and 
maintenance department. Nonconformance to established maintenance 
practices is not tolerated. Management ensures that contracted 
maintenance, including repair and overhaul facilities, is performed by 
maintenance organizations acceptable to the CAA.
    (i) Maintenance personnel. Air carriers are expected to hire and 
train the number of employees required to safely maintain the company 
aircraft and support the scope of the maintenance operations both at 
home station (the company's primary facility) and at en route locations. 
These personnel ensure that all maintenance tasks, including required 
inspections and airworthiness directives, are performed; that 
maintenance actions are properly documented; and that the discrepancies 
identified between inspections are corrected. Mechanics are fit for 
duty, properly certificated, the company verifies certification, and 
these personnel possess the knowledge and the necessary aircraft-
specific experience to accomplish the maintenance tasks. Noncertified 
and inexperienced personnel received proper supervision. Freedom from 
alcohol abuse and illegal drugs is required.
    (ii) Quality assurance. A system that continuously analyzes the 
performance and effectiveness of maintenance activities and maintenance 
inspection programs is required. This system evaluates such functions as 
reliability reports, audits, component tear-down reports, inspection 
procedures and results, tool calibration program, real-time aircraft 
maintenance actions, warranty programs, and other maintenance functions. 
The extent of this program is directly related to the air carrier's size 
and scope of operation. The cause of any recurring discrepancy or 
negative trend is researched and eliminated. Action is taken to prevent 
recurrence of these discrepancies and preventive actions are monitored 
to ensure effectiveness. The results of preventive actions are provided 
to appropriate maintenance technicians.
    (iii) Maintenance inspection activity. A process to ensure required 
aircraft inspections are completed and the results properly documented 
is required. Also required is a system to evaluate contract vendors, 
suppliers, and their products. Inspection personnel are identified, 
trained (initial and recurrent), and provided guidance regarding 
inspector responsibility and authority. The inspection activity is 
normally a separate entity within the maintenance department.
    (iv) Maintenance training. Training is conducted commensurate with 
the size and type of maintenance function being performed. Continuing 
education and progressive experience are provided for all maintenance 
personnel. Orientation, familiarization, on-the-job, and appropriate 
recurrent training for all full and part-time personnel are expected. 
The use of such training aids as mockups, simulators, and computer-based 
training enhances maintenance training efforts and is desired. Training 
documentation is required; it is current, complete, well maintained, and

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correctly identifies any special authorization such as inspection and 
airworthiness release. Trainers are fully qualified in the subject 
manner.
    (v) Maintenance control. A method to control maintenance activities 
and track aircraft status is required. Qualified personnel monitor 
maintenance preplanning, ensure completion of maintenance actions, and 
track deferred discrepancies. Deferred maintenance actions are 
identified to supervisory personnel and corrected in accordance with the 
criteria provided by the manufacturer or regulatory agency. Constant and 
effective communications between maintenance and flight operations 
ensure an exchange of critical information.
    (vi) Aircraft maintenance program. Aircraft are properly certified 
and maintained in a manner that ensures they are airworthy and safe. The 
program includes the use of manufacturer's and CAA information, as well 
as company policies and procedures. Airworthiness directives are 
complied with in the prescribed time frame, and service bulletins are 
evaluated for applicable action. Approved reliability programs are 
proactive, providing management with visibly on the effectiveness of the 
maintenance program; attention is given to initial component and older 
aircraft inspection intervals and to deferred maintenance actions. 
Special tools and equipment are calibrated.
    (vii) Maintenance records. Maintenance actions are well documented 
and provide a complete record of maintenance accomplished and, for 
repetitive actions, maintenance required. Such records as aircraft log 
books and maintenance documentation are legible, dated, clean, readily 
identifiable, and maintained in an orderly fashion. Inspection 
compliance, airworthiness release, and maintenance release records, 
etc., are completed and signed by approved personnel.
    (viii) Aircraft appearance. Aircraft exteriors, including all 
visible surfaces and components, are clean and well maintained. 
Interiors are also clean and orderly. Required safety equipment and 
systems are available and operable.
    (ix) Fueling and servicing. Aircraft fuel is free from 
contamination, and company fuel facilities (farms) are inspected and 
results documented. Procedures and instructions pertaining to servicing, 
handling, and storing fuel and oil meet established safety standards. 
Procedures for monitoring and verifying vendor servicing practices are 
included in this program.
    (x) Maintenance manuals. Company policy manuals and manufacturer's 
maintenance manuals are current, available, clear, complete, and adhered 
to by maintenance personnel. These manuals provide maintenance personnel 
with standardized procedures for maintaining company aircraft. 
Management policies, lines of authority, and company maintenance 
procedures are documented in company manuals and kept in a current 
status.
    (xi) Maintenance facilities. Well maintained, clean maintenance 
facilities, adequate for the level of aircraft repair authorized in the 
company's CAA certificate are expected. Safety equipment is available in 
hangars, shops, etc., and is serviceable. Shipping, receiving, and 
stores areas are likewise clean and orderly. Parts are correctly 
packaged, tagged, segregated, and shelf life properly monitored.
    (5) Quality and safety requirements--security. Company personnel 
receive training in security responsibilities and practice applicable 
procedures during ground and in-flight operations. Compliance with 
provisions of the appropriate standard security program, established by 
the Transportation Security Administration or foreign equivalent, is 
required for all DOD missions.
    (6) Quality and safety requirements--specific equipment 
requirements. Air carriers satisfy DOD equipment and other requirements 
as specified in DOD agreements.
    (7) Quality and safety requirements--oversight of commuter or 
foreign air carriers in code-sharing agreements. Air carriers awarded a 
route under the Passenger Standing Route Order (PSRO) program, the GSA 
City Pair Program, or other DOD program, that includes performance of a 
portion of the route by a commuter or foreign air carrier with which it 
has a code-sharing arrangement, must have a formal procedure in place to 
periodically review and assess the code-sharing air carrier's safety, 
operations, and maintenance

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programs. The extent of such reviews and assessments must be consistent 
with, and related to, the code-sharing air carrier's safety history. 
These procedures must also provide for actual inspections of the foreign 
code-sharing air carrier if the above reviews and assessments indicate 
questionable safety practices.
    (8) Quality and safety requirements--aeromedical transport 
requirements. (i) The degree of oversight is as determined by the CARB 
or higher authority. When an inspection is conducted, DOD medical 
personnel may also participate to assess the ability to provide the 
patient care and any specialty care required by DOD. The CARB's review 
will be limited solely to issues related to flight safety.
    (ii) Portable Electronic Devices (PEDs) used in the provision of 
medical services or treatment on board aircraft are tested for non-
interference with aircraft systems and the results documented to show 
compliance with 14 CFR 91.21 or other applicable CAA regulations. If 
there are no CAA regulations, actual use/inflight testing of the same or 
similar model PED prior to use with DOD patients is the minimum 
requirement.