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VOLUME 3  GENERAL TECHNICAL ADMINISTRATION

chapter 30  EMERGENCY EVACUATION AND DITCHING DEMONSTRATIONS

Section 8  Reporting Evacuation Demonstrations

3-2946    GENERAL. The Team Leader is responsible for preparing and distributing the emergency evacuation or ditching demonstration report. The report must include at least the following:

Indicates new/changed information.

A.    Federal Aviation Administration (FAA) Form 8430-1, Emergency Evacuation Demonstration Report, (Figure 3-116) is required for each demonstration attempt. For example, if two demonstrations are unsuccessful and a third is satisfactory, three forms must be completed and submitted as part of the demonstration report package.

B.    The passenger information briefing card is required by Title 14 of the Code of Federal Regulations (14 CFR) part 121, § 121.571(b) or part 125, § 125.327, as applicable.

C.    A diagram of the aircraft is required, including emergency equipment, exits, exits used, the number of approved passenger seats, and the location of seats which were used by flight attendants (F/A).

D.    A list of names and specialty of each member of the FAA team is required.

Indicates new/changed information

3-2947    FAA FORM 8430-1. Emergency Evacuation Demonstration Report (see Figure 3-116) must be completed in accordance with the instructions in Table 3-120, Instructions for Emergency Evacuation Demonstration Report.

Indicates new/changed information.

3-2948    DISTRIBUTION.

A.    Regional Flight Standards Division (RFSD). After the district office manager reviews and initials the report, a copy must be forwarded to the RFSD. The original package will be retained in the certificate-holding district office (CHDO) file for 6 years, in accordance with the current edition of FAA Order 1350.14, Records Management.

Indicates new/changed information.

B.    Air Transportation Division (AFS-200). A Flight Standards (AFS) specialist will review the report, sign and date block 25, and forward a complete copy of the report to AFS-200.

Table 3-120.  Instructions for Emergency Evacuation Demonstration Report

BLOCK NUMBER

DEMONSTRATION

1

Fill in date and time of the demonstration (use 24-hour time).

2

Check results of the demonstration (Sat or Unsat).

3

Fill in full and proper name of the airline and its four-letter designator.

4

Complete aircraft make, model, series, and number (for example: MD-9-80 (N 23AA)).

5

Fill in names and titles of FAA team members.

6

Check the appropriate block for the type of demonstration. Both an aborted takeoff and ditching demonstration block may be checked, if applicable.

7

Check the reasons for conducting the demonstration.

8

Enter the total number of flightcrew, F/A, and passengers aboard the airplane.

9

Check the applicable Regulations.

10

List each exit used and the number of persons who evacuated from that exit (for example, LF3/46).

11

Check the appropriate block for the type of slide used.

12

Enter the total elapsed time in the appropriate block.

13

Check the appropriate box which describes the airplane location.

14–20

Check the appropriate box (Sat or Unsat).

21

Briefly describe how nondesignated exits were blocked (for example, exits were blocked with red lights).

22

Briefly describe how the demonstration was initiated (for example, deactivated the normal source of power).

23

Remarks must reference the appropriate block number. More than one line may be used for one item. Comments must be listed for each unsatisfactory item.

24

The Team Leader signs this report and the district office manager initials it.

Figure 3-116.  Emergency Evacuation Demonstration Report

EMERGENCY EVACUATION DEMONSTRATION REPORT

Instructions: Attach briefing card required by 14 CFR part 121, § 121.571(b) or part 125, § 125.327(c) and diagram of aircraft showing location of flight attendant seats, emergency equipment, and exits used for the demonstration.

1. Date and Time of Demonstration:

2. Results:

A.☐ Satisfactory

B.☐ Unsatisfactory

3. Name of Operator and Designator:

4. Make, Model, Series, and N Number:

5. Name and Title of FAA team members:

6. Type of Demonstration

A.☐ Aborted Takeoff Full-Scale

B.☐ Aborted Takeoff Partial

C.☐ Ditching Full-Scale

D.☐ Ditching Partial

7. Reason for Demonstration

A.☐ Initial Type Certification

B.☐ Initial Introduction Into Service (this operator)

C.☐ Increased Seating Capacity

D.☐ Change in Cabin Configuration

E.☐ Change in F/A Number, Duties, Location, or Procedures

F.☐ Change in Exit Number Location, or Opening Mechanism

G.☐ Other (Specify)

8. Number of Persons on Board

A. Flightcrew ____

B. Flight Attendants ____

C. Passengers ____

D. Total ____

9. Applicable Regulations

A.☐ 121.291(a)

B.☐ 121.291(b)

C.☐ 121.291(c)

D.☐ 121.291(e)

E.☐ 25.803(c)

F.☐ 125.189(a)

G.☐ 125.189(c)

10. Exits Used*

11. Type Slides Used

A.☐ Inflatable

B.☐ Noninflatable

C.☐ Slide Raft

12. Time Record

A

B

C

A.☐ Aborted Takeoff Full-Scale

B.☐ Aborted Takeoff Partial

C.☐ Ditching Full-Scale

D.☐ Ditching Partial

___Sec.

___Sec.

___Min.

___Min.

D

E

F

Comment Record

13. Airplane Location

17. Crew Knowledge

A.☐ Hangar

B.☐ Ramp

A.☐ Satisfactory

B.☐ Unsatisfactory

14. Company Safety Precautions

18. Equipment Reliability

A.☐ Satisfactory

B.☐ Unsatisfactory

A.☐ Satisfactory

B.☐ Unsatisfactory

15. Emergency Equipment Inspections

19. Company Procedures

A.☐ Satisfactory

B.☐ Unsatisfactory

A.☐ Satisfactory

B.☐ Unsatisfactory

16. Crew Performance

20. Other (Record in Block 23)

A.☐ Satisfactory

B.☐ Unsatisfactory

A.☐ Satisfactory

B.☐ Unsatisfactory

*Exit Code: L--Left; R--Right; W--Window; F--Floor Level; VS--Ventral Stairs; T--Tail; C--Cockpit; U--Upper Deck; B--Below Main Cabin Floor. Number the Exits from Cockpit to Tail.

FAA Form 8430-1 (6-87)

Figure 3-116.  Emergency Evacuation Demonstration Report (Continued)

EMERGENCY EVACUATION DEMONSTRATION REPORT

21. How Nondesignated Exits Were Blocked:

22. Initiation Signal:

23. Discrepancies/Recommendations: (Make Reference to Appropriate Blocks)

Block

Remarks

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

24. District Office Action:

District Office Manager’s Initials:

Team Leader’s name (type)

Signature

Date

25. Regional Office Review:

Specialist’s name (type)

Signature

Date

FAA Form 8430-1 (6-87)

RESERVED. Paragraphs 3-2949 through 3-2965.