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Survival Factors

This review explores the survival factors and training deficiencies related to a non-revenue pilot opening the L1 door on a FedEx aircraft. It examines the FAA training regulations, the FedEx training program, and the differences in guidance interpretation. Findings highlight inadequate training and door trainer compliance.

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Survival Factors

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  1. Survival Factors Cindy Keegan

  2. Non-Revenue Pilot Opens L1 Door • Non-revenue pilot stated that he pulled manual inflation handle only • Both manual inflation and slide release handles found on the cabin floor

  3. Reviewed L1 Door Error • FAA training regulations • Memphis FedEx training facility

  4. Federal Regulation • Title 14 CFR Part 121.417: • operate each type emergency exit • use the actions and forces necessary to deploy the slide • FAA legal interpretation: • both flight and cabin crewmembers require hands-on training with the manual inflation handle

  5. Airplane Door Sill FedEx door trainer without girt flap

  6. Airplane Door Sill FedEx door trainer with girt flap

  7. POI Guidance • FAA Order 8400.10, Air Transport Aviation Inspector’s Handbook: • POI to ensure training device accurately represents the operation of the doors, slides, and rafts

  8. Differences in Guidance

  9. POI Interpretation of Part 121.417 • FedEx crewmembers were not required to use manual inflation handle

  10. FindingsFedEx Training Program • Did not comply with regulations: • Did not require hands-on training using the manual inflation handle • POI did not have adequate guidance to approve FedEx emergency door training

  11. Survival Factors Findings • Inadequate flight crewmember training • Door trainer compliance

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