1-
3) Alternate:
- Helipad/Landing Zone (LZ)
a. General description of surface material and location:
b. Grid coordinates:
c. Cardinal direction and distance from emergency department:
d. Elevation:
1) Above ground level:
2) Above sea level:
e. Max capacity (largest aircraft):
f. Weight limit:
g. Dimensions:
h. Air POC:
1) Name:
2) Pager:
3) Telephone:
4) Mobile phone:
- Helipad drawing or pictures (attach to survey):
- Recommended ambulance services:
Name Phone # Freq. Call sign
a.
b.
c.