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# EURAMI Accreditation: Why We Put Ourselves Through It Every Three Years

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0110/2026

**Quality that isn't claimed – it's proven.**  Air ambulance is an industry in which almost every provider claims to meet the highest standards. For customers, insurers, and assistance companies, however, that's nearly impossible to verify from the outside – a polished website and genuine substance don't always look different at first glance. This is exactly where EURAMI accreditation comes in: an independent, voluntary proof that a provider doesn't just claim something, but can actually demonstrate it.  FAI Air Ambulance has been regularly certified by the European Aero-Medical Institute (EURAMI) since 2013 – and undergoes a comprehensive recertification audit every three years to maintain it.

**Why every three years?**

A one-time certification wouldn't say much. Fleets change, staff turn over, processes get adjusted, and regulatory requirements keep evolving. EURAMI deliberately set the re-accreditation cycle at three years: long enough to demonstrate stability and continuity, short enough to ensure that a standard, once achieved, doesn't just exist on paper but is genuinely lived in day-to-day operations.

For us, that means putting our entire organization back under scrutiny every three years – voluntarily, with external auditors, and with the same standards we held ourselves to the very first time.

**What does such an audit actually look like?**

A EURAMI audit isn't a single appointment but a multi-stage process. It begins with an extensive desktop review: manuals, organizational charts, training records, maintenance logs, and numerous other documents are submitted to EURAMI in advance and examined in detail by the auditors.

That's followed by the actual on-site visit. Over several days, the auditors speak with staff from medical, aviation, and administrative departments, inspect aircraft and medical equipment in person, and cross-check submitted documentation against everyday practice. They also trace a sample of previously completed missions – from the original request through planning to post-flight documentation. The process concludes with a detailed audit report that scores every single criterion and identifies any non-conformities, which must then be resolved within a defined timeframe.

_If you'd like to see what an EURAMI accreditation looks like in practice, EURAMI offers a short_[_**accreditation video**_](https://eurami.org/accreditation-video/)_._

**What does this certification do for us – and above all, for our customers?**

A EURAMI accreditation isn't a marketing seal; it's a substantive quality commitment. For customers, insurers, and assistance partners, it specifically means:

- **Independent confirmation instead of self-declaration.** It isn't FAI claiming the standards are met – an external, specialized institute confirms it based on evidence, documentation, and on-site inspections.
- **Comparability.** Anyone searching internationally for an air ambulance partner can rely on one consistent, audited standard, regardless of which country the provider is based in.
- **Reduced risk.** Structured processes across medicine, aviation, and organization lower the likelihood of errors in critical moments – exactly where it matters most.
- **Continuity.** Re-accreditation every three years ensures the standard applied not just at the time of the initial certification, but is maintained continuously over time.

In short: accreditation removes some of the uncertainty customers inevitably face when choosing a provider in a highly sensitive, often foreign-language, and hard-to-assess situation.

**What exactly gets audited?**

The current EURAMI audit catalog for the fixed wing air ambulance category comprises more than 800 individual criteria, organized into five major areas:

- **Business Organization & Ethics** – from corporate ethics, legal compliance, and financial stability to personnel management, transparent pricing, and ethical marketing.
- **Safety & Quality** – quality control, internal audit processes, and safety and risk management.
- **Operations** – from the moment a mission request comes in, through quote preparation, approval workflows, and mission planning, to monitoring active missions and post-mission review.
- **Medical** – the structure and equipping of the medical department, staff qualification and training, mission documentation, equipment and medication management, medical device inventory, and the actual conduct of a mission before, during, and after flight.
- **Aviation** – compliance with aviation regulations, aircraft maintenance and performance data, cabin and stretcher-system requirements, flight safety, and emergency and rescue equipment.

Every single one of these criteria has to be backed up with concrete evidence – manuals, organizational charts, training records, maintenance logs, contracts, signed declarations. The auditor doesn't check whether a process sounds plausible; they check whether it actually exists, is documented, and is genuinely practiced day to day.

**A real-world example:** In the Medical category, the catalog requires, among other things, a complete inventory list of the medical equipment carried for each mission type. It isn't enough to state that a particular device is on board – the auditor requires proof that this exact device, tracked by serial number, has been regularly maintained and calibrated, that the crew is trained in using it, and that its availability is genuinely assured for the relevant patient type – a neonate versus an adult in a critical-care transport, for instance. A single line in the audit catalog can quickly turn into an entire bundle of documents, training records, and processes that have to work in everyday operations – not just on the day of the audit.

**More than an appointment every three years**

FAI's relationship with EURAMI isn't limited to the actual audit appointment. Between certification cycles, we also stay in close contact with the institute – exchanging views on current professional and regulatory topics in the industry, and contributing our own suggestions and ideas for developing the standards further. For us, EURAMI isn't just an examining body; it's also an important partner for professional exchange and for advancing quality standards across the industry.

**FAI and EURAMI: a relationship since 2013**

Since our first accreditation in 2013, we successfully completed our EURAMI recertification audit for the fourth time in September 2026. Our Long Haul / Intercontinental Fixed Wing Accreditation is further enhanced by specific medical endorsements: Critical Care Transports, Paediatric Critical Care Transports, Neonatal Critical Care Transports, High Consequence Infectious Diseases Transports, and Mental Health Transports. On top of that, we hold a separate CAME accreditation (Commercial Airline Medical Escort) for our medical escort service.

This ongoing track record isn't an end in itself – it reflects what we promise our customers: that the quality visible on the day of an audit is the same quality reflected in our work every single day in between.

**Our standard: meeting the requirements isn't enough**

The EURAMI standards define comprehensive quality requirements that every accredited provider must demonstrably meet. For FAI, however, that's the starting point, not the goal. Our aim is to go beyond what's required in as many areas as possible – whether in the qualification and training of our medical staff, the equipping of our aircraft, the depth of our internal quality controls, or the transparency we offer our customers.

An accreditation confirms the demonstrated fulfillment of defined quality standards. What matters, though, is living that quality consistently in day-to-day operations. Because what ultimately counts is the quality that the patient and the client actually experience – long before an auditor arrives, and long after they've left.

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![Nico Raab](https://fai-api.gigabit.dev/fileadmin/user_upload/Nico_Raab.png)

_Author _**Nico Raab**Director Medical Operations

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