NTSB · Safety Recommendation
Safety Recommendation A-92-076
Recommendation
THE NTSB RECOMMENDS THAT THE FEDERAL AVIATION ADMINISTRATION: UPDATE AND REISSUE ACOB 76-4 REGARDING THE OPERATIONAL CHARACTERISTICS OF CHEMICALLY GENERATED PASSENGER SUPPLEMENTAL OXYGEN SYSTEMS.
Safety Issue and Context
IN SEVERAL RECENT ACCIDENT INVESTIGATIONS, THE SAFETY BOARD FOUND THAT ALTHOUGH FLIGHT ATTENDANTS PROVIDED VALUABLE ASSISTANCE TO PASSENGERS DURING EMERGENCY SITUATIONS, THEY DID NOT ALWAYS FOLLOW THEIR AIR CARRIER'S APPROVED EMERGENCY PROCEDURES OR PERFORM THEIR DUTIES IN ACCORDANCE WITH TRAINING. THE SAFETY BOARD REVIEWED ITS INVESTIGATIONS OF ACCIDENTS AND INCIDENTS WHERE INFORMATION WAS AVAILABLE ON FLIGHT ATTENDANT PERFORMANCE DURING EMERGENCY SITUATIONS. THERE WERE MANY EXAMPLES OF FLIGHT ATTENDANTS WHO HAVE PERFORMED EXTREMELY WELL, EVEN HEROICALLY, DURING LIFE-THEATENING EMERGENCIES AND WHO WERE RESPONSIBLE FOR PREVENTING AND/OR MINIMIZING INJURIES TO PASSENGERS.
NONETHELESS, THERE HAVE BEEN MANY EXAMPLES OF FLIGHT ATTENDANTS WHO LACKED KNOWLEDGE ABOUT EMERGENCY EQUIPMENT AND PROCEDURES, OR WHO ACTED OTHERWISE CONTRARY TO THEIR TRAINING. IN 2 OF THE 24 EVACUATION CASES CITED IN THIS REPORT, THE ACTIONS OF SOME FLIGHT ATTENDANTS CONTRIBUTED TO AN INCREASE IN THE NUMBER OF PASSENGER INJURIES. IN SOME OF THE OTHER CASES, FLIGHT ATTENDANT ACTIONS CAME VERY CLOSE TO INCREASING THE NUMBER OF INJURIES. THE SAFETY BOARD IS CONCERNED THAT THESE SAME ACTIONS IN OTHER SITUATIONS COULD HAVE DISASTROUS RESULTS AND THAT FLIGHT ATTENDANT TRAINING MAY NOT ADEQUATELY PREPARE FLIGHT ATTENDANTS FOR ACTIONS THAT THEY MAY BE REQUIRED TO TAKE.
Response History
January 23, 1996 · NTSB Correspondence · FAA
THE BOARD NOTES THAT THE FAA HAS ISSUED ACO B 1-94-24, "TRAINING OF COCKPIT & CABIN CREWMEMBERS ON THE OPERATIONAL CHARACTERISTICS OF CHEMICALLY GENERATED SUPPLEMENTAL OXYGEN SYSTEM & UPDATING OF PASSENGER BRIEFING INFO," WHICH FULFILLS THE INTENT OF THIS RECOMMENDATION A-92-76 "CLOSED--ACCEPTABLE ACTION."
April 14, 1995 · Recipient Response · FAA
THE FAA ISSUED ACOB 1-94-24, TRAINING OF COCKPIT & CABIN CREWMEMBERS ON THE OPERATIONAL CHARACTERISTICS OF CHEMICALLY GENERATED SUPPLEMENTAL OXYGEN SYSTEM & UPDATING OF PASSENGER BRIEFING INFO. THIS ACOB IS INCLUDED IN REVISED FAA ORDER 8430-17, CHAPTER 2 ( COPY ENCLOSED). I CONSIDER THE FAA'S ACTION TO BE COMPLETED ON THIS RECOMMENDATION.
June 8, 1993 · NTSB Correspondence · FAA
THE BOARD NOTES THAT THE FAA AGREES WITH THIS RECOMMENDATION & WILL REVISE ACOB 76-4 TO ADDRESS THIS ISSUE. THEREFORE, THE BOARD CLASSIFIES A-92-76 "OPEN--ACCEPTABLE RESPONSE."
October 26, 1992 · Recipient Response · FAA
THE FAA AGREES WITH THIS RECOMMENDATION AND WILL REVISE ACOB 76-4 TO ADDRESS THIS ISSUE. I WILL PROVIDE THE BOARD WITH A COPY OF THE REVISED ACOB AS SOON AS IT IS ISSUED.