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I feel that unlike other organisations that allow PPL pilots to operate their flights, CSF organisations do little or nothing to ensure the safety of their operations. The total screening I received before flying for them was sending a scan of my licence and medical. At the time I was a commercial pilot, with a class 1 medical and operating a charter category twin engined aircraft under the IFR.
While I was instructing, I flew with a number of pilots on check rides before allowing them to fly our company aircraft, a number of whom I either refused to sign off, or recommended additional training, all of whom held PPLs and had conducted CSF flights in similar aircraft.
Furthermore, the patients that I flew had almost no idea of the nature of their flight, let alone that there was any difference between the licencing or medical requirements between commercial or private pilots.
As an added submission, I feel that other commercial passenger carrying operations (ie skydiving) need to be carefully investigated as yet again, passengers are in no way informed of the "lesser" training or medical requirements of the pilots, and assume that they are in the hands of commercial pilots considering they have paid for their ticket (albeit one way).