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Safety Recommendation Details

Safety Recommendation A-05-016
Details
Synopsis: On December 18, 2003, about 1226 central standard time, Federal Express Corporation (FedEx) flight 647, a Boeing MD-10-10F (MD-10),1 N364FE, crashed while landing at Memphis International Airport (MEM), Memphis, Tennessee. The right main landing gear collapsed after touchdown on runway 36R, and the airplane veered off the right side of the runway. After the gear collapsed, a fire developed on the right side of the airplane. Of the two flight crewmembers and five nonrevenue FedEx pilots2 on board the airplane, the first officer and one nonrevenue pilot received minor injuries during the evacuation. The postcrash fire destroyed the airplane’s right wing and portions of the right side of the fuselage. Flight 647 departed from Metropolitan Oakland International Airport, Oakland, California, about 0832 (0632 Pacific standard time) and was operating under the provisions of 14 Code of Federal Regulations (CFR) Part 121 on an instrument flight rules flight plan.
Recommendation: TO THE FEDERAL AVIATION ADMINISTRATION: Verify that all 14 Code of Federal Regulations (CFR) Part 121 operators emergency door/slide trainers are configured to accurately represent the actual airplane exit door/slide and that their flight crew emergency exit door/slide training provides the intended hands-on emergency procedures training as described in 14 CFR 121.417, to include pulling the manual inflation handle.
Original recommendation transmittal letter: PDF
Overall Status: Closed - Acceptable Action
Mode: Aviation
Location: Memphis, TN, United States
Is Reiterated: No
Is Hazmat: No
Is NPRM: No
Accident #: DCA04MA011
Accident Reports: Hard Landing, Gear Collapse Federal Express Flight 647, Boeing MD-10-10F, N364FE
Report #: AAR-05-01
Accident Date: 12/18/2003
Issue Date: 5/31/2005
Date Closed: 9/13/2012
Addressee(s) and Addressee Status: FAA (Closed - Acceptable Action)
Keyword(s): Evacuation, Flightcrew, Training and Education

Safety Recommendation History
From: NTSB
To: FAA
Date: 9/13/2012
Response: On March 18, 2011, the FAA issued Notice 8900.149, “Accuracy of Emergency Exit and Escape Devices Training Provided to Flightcrew Members,” which directed FAA principal operations inspectors to ensure the accuracy of devices used to train flightcrew members with respect to emergency exits and escape devices. The notice also states that emergency training programs under Section 121.417 should include pulling the manual inflation handle. Accordingly, Safety Recommendation A-05-16 is classified CLOSED—ACCEPTABLE ACTION.

From: NTSB
To: FAA
Date: 1/19/2006
Response: The Safety Board notes the FAA's response that guidance regarding the requirements for emergency door/slide trainers to accurately represent actual airplane exits and door slides and training in the location, function, and operation of emergency equipment is incorporated into FAA Order 8400.10 with respect to flight attendant training. As noted above for A-05-15, the FAA is revising the order to incorporate guidance on training of the flight crew. The Board further notes that to complement these efforts, the FAA will issue a notice emphasizing inspectors' oversight of emergency training, particularly hands-on emergency training as described in 14 CFR 121.417. The Safety Board would appreciate being informed of the anticipated date for issuing this notice. Pending the issuance of that notice and revisions to FAA Order 8400.10, Safety Recommendation A-05-16 is classified OPEN -- ACCEPTABLE RESPONSE.

From: FAA
To: NTSB
Date: 9/8/2005
Response: Letter Mail Controlled 9/14/2005 3:07:09 PM MC# 2050430: - From Marion C. Blakey, Administrator: Since 1991, the FAA has issued guidance to inspectors calling their attention to the accuracy of the training being delivered in respect to emergency exit doors and slides. Air Carrier Operations Bulletin 8-76-46, Crewmember Emergency Training: Use of Mockups, called for ensuring accurate representation of the operation of the door handles and the actions and forces required to operate each exit and ensuring the device is "equipped with a manual inflation handle, if applicable." Similarly, Flight Standards Bulletin for Air Transportation 94-12 called for special attention to the adequacy of training in the location, function, and operation of emergency equipment. The training addresses emergency exits, emergency egress, slides, and water survival equipment, including life rafts and slide rafts. Subsequently, the FAA has incorporated the guidance from the documents mentioned above in FAA Order 8400.10 regarding training of flight attendants. The FAA is currently drafting similar handbook paragraphs regarding training of the flightcrew. To complement the steps already taken to address this safety recommendation, the FAA will issue a notice emphasizing inspectors' oversight of emergency training and specifically directing their attention to the airplane exit door/slide and the pertinent training that should provide the intended hands-on emergency procedures training as described in 14 CFR 121.417, to include pulling the manual inflation handle. I will provide the Board with copies of the revision to FAA Order 8400.10 and the notice as soon as they are issued.