Introduction
Introduction .................................................................................................................................... 13 
   1.1       Foreword ............................................................................................................................................... 13 
   1.2       Summary of changes ............................................................................................................................ 13 
   1.3       Definitions ............................................................................................................................................. 14 
   1.4       Abbreviations ........................................................................................................................................ 16 
   1.5       Cabin Operations Safety Best Practices Guide .................................................................................... 21 
                   IATA Cabin Safety .......................................................................................................................... 22 
   2.1       IATA Cabin Safety Initiatives ................................................................................................................ 22 
               Cabin Safety Extranet Site................................................................................................................. 22 
               Cabin Operations Safety Conference ................................................................................................ 22 
               Cabin Safety Guidelines .................................................................................................................... 23 
               Health and Safety Guidelines ............................................................................................................ 23 
               Cabin Safety Data and Analysis ........................................................................................................ 23 
               IATA Cabin Operations Safety Technical Group (COSTG) ............................................................... 24 
               IATA Operational Safety Audit (IOSA) ............................................................................................... 25 
                   Safety Management ....................................................................................................................... 26 
   3.1       Safety Management System (SMS) in Cabin Operations .................................................................... 26 
   3.2       Safety Risk Management...................................................................................................................... 27 
               Risk Assessments in Cabin Operations ............................................................................................ 27 
               Safety Performance Indicators (SPIs) ............................................................................................... 28 
   3.3       SMS Training ........................................................................................................................................ 30 
   3.4       Safety Reporting ................................................................................................................................... 31 
               Characteristics of Effective Reports................................................................................................... 31 
               Process Flow ..................................................................................................................................... 35 
               Submission of Reports ....................................................................................................................... 35 
               Evaluation and Classification of a Report .......................................................................................... 36 
               Closure of Reports ............................................................................................................................. 40 
               The Value of Effective Cabin Safety Reports .................................................................................... 40 
   3.5       Documentation ...................................................................................................................................... 41 
               Document Control .............................................................................................................................. 41 
               IOSA Table 5.1 – Operations Manual Content Specifications........................................................... 42 
                   Fatigue Risk Management............................................................................................................. 43 
   4.1       Definition of Fatigue .............................................................................................................................. 43 
               Transient Fatigue ............................................................................................................................... 43 
               Cumulative Fatigue ............................................................................................................................ 43 
   4.2       Fatigue Risk Management System (FRMS) ......................................................................................... 43 
               Stakeholders ...................................................................................................................................... 44 
               Components of a FRMS .................................................................................................................... 44 
4th Edition 2018                                                                                                                                                1
            Cabin Operations Safety Best Practices Guide
             Fatigue Management Guide for Airline Operators .............................................................................45 
             FRMS Policy and Documentation ......................................................................................................45 
             Fatigue Safety Action Group ..............................................................................................................45 
             Fatigue Risk Management Processes ...............................................................................................45 
             FRMS Promotion Processes ..............................................................................................................47 
             FRMS Training for Operators .............................................................................................................47 
    4.3    Cabin Crew Fatigue............................................................................................................................... 48 
             Sleep ..................................................................................................................................................48 
             Contributory Factors ...........................................................................................................................48 
             Symptoms and Effects of Fatigue ......................................................................................................49 
             Fatigue Preventive Strategies ............................................................................................................49 
             Personal Mitigation Strategies ...........................................................................................................50 
             IMSAFE ..............................................................................................................................................50 
             Flight Time, Flight Duty Periods and Rest Periods ............................................................................50 
                Cabin Crew ...................................................................................................................................... 52 
    5.1    Number and Composition of Cabin Crew.............................................................................................. 52 
             Cabin Crew Safety Responsibilities ...................................................................................................52 
             Senior Cabin Crewmember ................................................................................................................52 
             Other Cabin Crew...............................................................................................................................53 
    5.2    Cabin Crew Qualifications ..................................................................................................................... 53 
    5.3    Cabin Crew Uniforms ............................................................................................................................ 54 
    5.4    Cabin Crew Medical Standards ............................................................................................................. 55 
             Aeromedical Assessment ...................................................................................................................55 
             Alcohol, Drugs and Medication ..........................................................................................................55 
    5.5    Media and Social Media Policy ............................................................................................................. 55 
    5.6    Human Factors ...................................................................................................................................... 56 
             Human Factors Training .....................................................................................................................56 
    5.7    Crew Resource Management (CRM) .................................................................................................... 57 
             CRM Training .....................................................................................................................................57 
    5.8    Threat and Error Management (TEM) ................................................................................................... 58 
             Threat and Error Management Framework ........................................................................................59 
    5.9    Cabin Crew Training.............................................................................................................................. 62 
             Training Records ................................................................................................................................63 
             Competency-based Training ..............................................................................................................63 
                Communication .............................................................................................................................. 64 
    6.1    Authority Definitions .............................................................................................................................. 64 
    6.2    Chain of Command ............................................................................................................................... 64 
    6.3    Common Language ............................................................................................................................... 65 
2                                                                                                                                             4th Edition 2018
                                                                                                                                      Introduction
   6.4       Signals and Commands ........................................................................................................................ 65 
   6.5       Read-Back Instructions ......................................................................................................................... 66 
   6.6       Cooperation and Coordination .............................................................................................................. 66 
                   Operator Policies ........................................................................................................................... 67 
   7.1       In-flight Entertainment (IFE) Systems ................................................................................................... 67 
   7.2       Personal Transportation Devices.......................................................................................................... 67 
               Operators’ Experience and Risk Assessment of PTDs ..................................................................... 68 
               Recommendations regarding PTDs................................................................................................... 68 
   7.3       Portable Electronic Devices (PEDs) ..................................................................................................... 69 
               Transmitting and Non-transmitting Electronic Devices ...................................................................... 69 
               Aircraft Fitted With On-Board Connectivity ........................................................................................ 69 
               Use of Portable Electronic Devices on Board.................................................................................... 70 
               Risk Assessment & Management - PEDs ......................................................................................... 71 
               Permitted, Restricted and Prohibited Portable Electronic Devices.................................................... 72 
               Medical Portable Electronic Devices ................................................................................................. 73 
               Monitoring PED Use in the Cabin ...................................................................................................... 73 
               Passenger Awareness of PED Policy ................................................................................................ 74 
               Low-Visibility Operations ................................................................................................................... 74 
                     Suspected Electromagnetic Interference Report ........................................................................... 74 
                     Publication of PED policy............................................................................................................... 75 
                     Cabin Crew Training ...................................................................................................................... 75 
   7.4       Non-certified Comfort Devices .............................................................................................................. 76 
               Risk Assessment – Non-certified Comfort Devices ........................................................................... 77 
               Decision Tool – Comfort Devices ...................................................................................................... 77 
   7.5       Onboard Smoking Policy ...................................................................................................................... 78 
               Electronic Cigarettes .......................................................................................................................... 79 
   7.6       Carry-On Baggage ................................................................................................................................ 80 
               Contents of Carry-on Baggage .......................................................................................................... 80 
               Risk Assessment – Carry-on Baggage .............................................................................................. 81 
               Carry-on Baggage Allowance ............................................................................................................ 82 
               Identification of Carry-on Baggage .................................................................................................... 83 
               Excess Carry-on Baggage ................................................................................................................. 83 
               Passenger Awareness of Carry-on Baggage .................................................................................... 83 
               Responsibilities .................................................................................................................................. 84 
               Oversized, Fragile and Special Articles ............................................................................................. 85 
   7.7       Smart luggage....................................................................................................................................... 85 
               Smart Luggage with Integrated Lithium Batteries.............................................................................. 86 
               Smart Luggage with Integrated Active Devices ................................................................................. 86 
4th Edition 2018                                                                                                                                            3
              Cabin Operations Safety Best Practices Guide
               Quick Reference.................................................................................................................................87 
               Recommendations for Operators .......................................................................................................88 
               Smart luggage firefighting procedures ...............................................................................................88 
               Safety Risk Assessment – Smart Luggage ........................................................................................89 
    7.8      Carriage of Lithium Batteries ................................................................................................................. 89 
               Damaged or Faulty Lithium Batteries .................................................................................................91 
               Carriage without Prior Approval of the Operator ................................................................................91 
               Carriage with Prior Approval of the Operator .....................................................................................91 
               Risk Assessment - Lithium Batteries..................................................................................................92 
               Passenger Awareness of Lithium Batteries .......................................................................................93 
    7.9      Pets in the Passenger Cabin ................................................................................................................. 94 
    7.10     Expectant Mothers ................................................................................................................................ 94 
    7.11     Passengers of Size ............................................................................................................................... 95 
    7.12     Non-discrimination................................................................................................................................. 95 
                  Carriage of Special Category Passengers ................................................................................... 96 
    8.1      Deportees, Prisoners, Persons in Custody and under Administrative Control ..................................... 96 
               Determination of requirement for an Escort .......................................................................................97 
               Procedures for Carriage Without an Escort .......................................................................................97 
             Procedures for Carriage With an Escort ............................................................................................97 
             General guidance for the transport of persons in lawful custody, persons under arrest, or convicted
      criminals under escort .....................................................................................................................................98 
    8.2      Unaccompanied Minors......................................................................................................................... 99 
               Risk Assessment – Unaccompanied Minors ......................................................................................99 
               Tracking of Unaccompanied Minors...................................................................................................99 
               Care of Unaccompanied Minors On Board ......................................................................................100 
    8.3      Passengers with Children.................................................................................................................... 100 
    8.4      Passengers with Infants ...................................................................................................................... 101 
               Infants Reaching Two Years of Age within the Validity of Ticket .....................................................101 
               Bassinets and Infant Floatation Equipment .....................................................................................101 
    8.5      Child and Infant Restraints .................................................................................................................. 101 
               Infant Restraint .................................................................................................................................102 
               Child Restraint ..................................................................................................................................102 
               Policies and Procedures...................................................................................................................102 
               Permitted Locations in the Cabin .....................................................................................................102 
               Awareness of Policy .........................................................................................................................103 
    8.6      Passengers with Reduced Mobility ..................................................................................................... 104 
               Categories and Codes......................................................................................................................104 
               Boarding and Disembarking .............................................................................................................105 
               Maximum Number and Requirement for Assistants ........................................................................105 
4                                                                                                                                           4th Edition 2018
                                                                                                                                           Introduction
               Evacuation Procedure ..................................................................................................................... 106 
               Seating ............................................................................................................................................. 106 
               Accessible Lavatories ...................................................................................................................... 106 
   8.7       Individual Safety Briefings .................................................................................................................. 106 
   8.8       Incapacitated Passengers .................................................................................................................. 107 
               Medical Clearance ........................................................................................................................... 107 
               Refusal or Removal of Incapacitated Passengers........................................................................... 107 
               Disembarkation of Incapacitated Passengers ................................................................................. 107 
               Transit of Incapacitated Passengers ............................................................................................... 107 
               Group Travel .................................................................................................................................... 108 
               Medical Information Form ................................................................................................................ 108 
               Frequent Traveler’s Medical Card ................................................................................................... 108 
   8.9       Medical Equipment ............................................................................................................................. 108 
               Wheelchairs ..................................................................................................................................... 108 
               Oxygen............................................................................................................................................. 109 
               Stretchers......................................................................................................................................... 109 
               Loading of Special Equipment ......................................................................................................... 109 
               Mobility Aids ..................................................................................................................................... 109 
   8.10      Service Animals .................................................................................................................................. 110 
                     Emotional Support or Psychiatric Service Animals...................................................................... 110 
                   Safety Equipment and Systems ................................................................................................. 111 
   9.1       Preflight Checks .................................................................................................................................. 111 
   9.2       Usage of Equipment ........................................................................................................................... 111 
   9.3       Axes .................................................................................................................................................... 112 
   9.4       Bassinets ............................................................................................................................................ 112 
   9.5       Cabin Crew Stations ........................................................................................................................... 112 
   9.6       Cabin Crew High-visibility Outerwear ................................................................................................. 113 
   9.7       Doors and Exits................................................................................................................................... 114 
   9.8       Emergency Lighting ............................................................................................................................ 115 
   9.9       Emergency Locator Transmitters........................................................................................................ 115 
   9.10      Hand-held Fire Extinguishers ............................................................................................................. 116 
   9.11      Automatic Fire Extinguishers .............................................................................................................. 116 
   9.12      Non-mandatory Firefighting Equipment .............................................................................................. 117 
   9.13      Fixed Oxygen Systems ....................................................................................................................... 117 
   9.14      Flashlights ........................................................................................................................................... 117 
   9.15      Life Vests/Jackets and Floatation Devices ......................................................................................... 118 
   9.16      Megaphones ....................................................................................................................................... 118 
   9.17      Passenger Address System ............................................................................................................... 118 
4th Edition 2018                                                                                                                                                 5
            Cabin Operations Safety Best Practices Guide
    9.18    Passenger Safety Information Cards .................................................................................................. 119 
                   Design and Location.....................................................................................................................119 
    9.19    Passenger Seats ................................................................................................................................. 120 
    9.20    Seatbelts ............................................................................................................................................. 120 
                   “Y Fixing” Seatbelts ......................................................................................................................120 
                   Airbag Seatbelts ...........................................................................................................................120 
                   Three-point Seatbelts ...................................................................................................................121 
                   Extension Seatbelts......................................................................................................................121 
                   Cabin Crew Seat Harness ............................................................................................................121 
    9.21    Portable Oxygen Bottles...................................................................................................................... 121 
    9.22    Protective Breathing Equipment.......................................................................................................... 122 
    9.23    Restraining Devices for Unruly Passengers ....................................................................................... 122 
    9.24    Safety Demonstration Kits ................................................................................................................... 122 
    9.25    Slides, Slide/Rafts and Life Rafts ........................................................................................................ 123 
    9.26    Emergency/Survival Equipment .......................................................................................................... 123 
    9.27    Smoke Detectors ................................................................................................................................. 124 
                  Aircraft Door Safety.................................................................................................................... 125 
    10.1    Risk Assessment – Door Procedures ................................................................................................. 125 
    10.2    Operation of Aircraft Doors ................................................................................................................. 126 
                   Door Operation Policy ..................................................................................................................126 
                   Cabin Crew Door Operating Responsibilities ...............................................................................127 
                   Departure - Door closing ..............................................................................................................127 
                   Preparing Doors for Departure .....................................................................................................127 
                   Preparing Doors for Arrival ...........................................................................................................128 
                   Arrival – Door Opening .................................................................................................................128 
                   Signals ..........................................................................................................................................129 
    10.3    Removal of Ground Equipment from Aircraft Cabin Doors ................................................................. 129 
    10.4    Inadvertent Slide Deployment ............................................................................................................ 130 
                   Communication and coordination .................................................................................................130 
                   Stop Drop Review ........................................................................................................................132 
                   Cross Check Procedures .............................................................................................................133 
                   Reopening Of Cabin Doors ..........................................................................................................133 
                   Door operation with a door checker .............................................................................................133 
                   Threat and Error Management in Slide Deployment....................................................................134 
                   Establishment of memory aids .....................................................................................................134 
                   Door Armed Warning Systems .....................................................................................................134 
                  Preflight ....................................................................................................................................... 136 
    11.1    Crew Briefings ..................................................................................................................................... 136 
6                                                                                                                                              4th Edition 2018
                                                                                                                                            Introduction
                       Journey Briefing between Flight Crew and Cabin Crew .............................................................. 136 
                       Safety Briefing of Cabin Crew...................................................................................................... 137 
                       Service Briefing of Cabin Crew .................................................................................................... 137 
   11.2      Aircraft Protection and Access Control of Restricted Areas ............................................................... 137 
                       Cabin Inspectors .......................................................................................................................... 138 
   11.3      Security Search/Checks ..................................................................................................................... 138 
                       Baggage Identification Check ...................................................................................................... 139 
   11.4      Safety Equipment Check .................................................................................................................... 139 
   11.5      Galley Checks ..................................................................................................................................... 139 
                       Reporting Defective Galley Equipment ........................................................................................ 139 
   11.6      Communication with Ground Staff ...................................................................................................... 139 
   11.7      Passenger Information List (PIL) ........................................................................................................ 140 
   11.8      Cabin Crew Positions for Boarding ..................................................................................................... 140 
   11.9      Passenger Seating ............................................................................................................................. 140 
                       Risk Assessment - Use of Crew Seats by Passengers ............................................................... 141 
   11.10  Passenger Count ................................................................................................................................ 141 
                     Discrepancies .............................................................................................................................. 141 
   11.11  Fueling with Passengers Embarking, On Board or Disembarking ..................................................... 142 
   11.12  Ordinance Signs ................................................................................................................................. 143 
                     No Smoking Sign ......................................................................................................................... 143 
                     Fasten Seatbelt Sign ................................................................................................................... 143 
                     Portable Electronic Device Sign .................................................................................................. 143 
   11.13  Passenger Safety Briefing .................................................................................................................. 143 
                     Safety Announcements ................................................................................................................ 144 
                     Briefing of Passengers Seated Adjacent to Self-help Exits ......................................................... 145 
   11.14  Cabin Service on the Ground in the Event of a Delay ........................................................................ 146 
   11.15  Deicing and Anti-icing ......................................................................................................................... 146 
                      Departure .................................................................................................................................... 147 
   12.1      Preparation for Aircraft Movement ...................................................................................................... 147 
   12.2      Preparation of Doors for Departure .................................................................................................... 147 
   12.3      Cabin Secure Check ........................................................................................................................... 147 
   12.4      Cabin Crew Seated for Departure ...................................................................................................... 148 
   12.5      Takeoff Signal ..................................................................................................................................... 148 
   12.6      Silent Review ...................................................................................................................................... 148 
   12.7      Sterile Flight Deck ............................................................................................................................... 150 
   12.8      Entering and Leaving the Flight Deck ................................................................................................. 150 
                      In Flight ....................................................................................................................................... 152 
   13.1      Cabin Services .................................................................................................................................... 152 
4th Edition 2018                                                                                                                                                   7
            Cabin Operations Safety Best Practices Guide
                   Service of Hot Beverages.............................................................................................................152 
    13.2    Monitoring the Cabin ........................................................................................................................... 153 
    13.3    Galley Safety ....................................................................................................................................... 154 
                   Use of Galley Equipment..............................................................................................................154 
                   Liquid Spillage from Galley Rubbish Bins and Drains..................................................................154 
                   Use of Dry Ice ...............................................................................................................................155 
                   Circuit Breakers ............................................................................................................................156 
    13.4    Service to Flight Crew ......................................................................................................................... 156 
    13.5    Service of Alcohol................................................................................................................................ 157 
                   Cabin Crew Response to Signs of Intoxication ............................................................................158 
    13.6    Turbulence .......................................................................................................................................... 158 
                   Risk Assessment – Turbulence ....................................................................................................159 
                   Levels of Turbulence ....................................................................................................................159 
                   Causes of turbulence ...................................................................................................................160 
                   Proactive Fasten Seat Belt Policy ................................................................................................160 
                   Communication ............................................................................................................................161 
                   Anticipated turbulence ..................................................................................................................161 
                   Unanticipated turbulence..............................................................................................................161 
                   Cabin Crew Response .................................................................................................................161 
                   Turbulence reporting ....................................................................................................................162 
    13.7    Dangerous Goods ............................................................................................................................... 164 
                  Descent and Landing ................................................................................................................. 165 
    14.1    Descent ............................................................................................................................................... 165 
    14.2    Passenger Briefing Prior to Landing ................................................................................................... 165 
    14.3    Return of Coats, Jackets and Other Clothing ..................................................................................... 165 
    14.4    Pre-landing Cabin Secure Checks ...................................................................................................... 165 
    14.5    Descent and Landing Signals ............................................................................................................. 165 
    14.6    Cabin Crew Seated for Landing and Arrival ........................................................................................ 165 
                  Arrival .......................................................................................................................................... 167 
    15.1    Preparation of Doors for Arrival........................................................................................................... 167 
    15.2    Door Opening ...................................................................................................................................... 167 
    15.3    Passenger Disembarkation ................................................................................................................. 167 
    15.4    Post disembarkation ............................................................................................................................ 167 
                  Abnormal and Emergency Procedures .................................................................................... 168 
    16.1    Management of Emergencies ............................................................................................................. 168 
                   Levels of Stress ............................................................................................................................168 
                   Landing Categories ......................................................................................................................168 
                   Unplanned and Planned Emergencies.........................................................................................168 
8                                                                                                                                               4th Edition 2018
                                                                                                                                            Introduction
                       Urgent Communication ................................................................................................................ 168 
                       Managing Filming During Emergencies ....................................................................................... 168 
   16.2      Crewmember Incapacitation ............................................................................................................... 169 
                       Flight Crew Incapacitation ........................................................................................................... 169 
                       Suggested Cabin Crew Incapacitation Drill ................................................................................. 170 
   16.3      Cabin Pressurization ........................................................................................................................... 170 
                       Non-pressurization ....................................................................................................................... 170 
                       Depressurization .......................................................................................................................... 170 
                       Hypoxia ........................................................................................................................................ 171 
                       Guidance for Depressurization Procedures ................................................................................. 172 
                       Suggested Cabin Crew Depressurization Drill ............................................................................ 173 
   16.4      Rapid Deplaning ................................................................................................................................. 173 
                       Suggested Cabin Crew Rapid Deplaning Drill ............................................................................. 174 
   16.5      Emergency Evacuations ..................................................................................................................... 174 
                       Initiating Evacuation ..................................................................................................................... 175 
                       Unplanned Emergency Evacuation ............................................................................................. 175 
                       Planned Emergency Evacuation.................................................................................................. 175 
                       The Brace Position....................................................................................................................... 178 
                       Suggested Cabin Crew Drill – Emergency Evacuation ............................................................... 181 
                       Carry-on Baggage during an Evacuation .................................................................................... 181 
                       The Effect of Smoke and Fire during Evacuation ........................................................................ 182 
                       Slide Evacuation with Infants and Young Children ...................................................................... 182 
                       Passenger Commands during an Emergency ............................................................................. 183 
                     Aircraft Rescue and Firefighting Signals ..................................................................................... 185 
                     Evacuation of Cabin Crew ........................................................................................................... 186 
                     Post-evacuation ........................................................................................................................... 186 
                     Ditching ........................................................................................................................................ 187 
   16.6      Fire ...................................................................................................................................................... 188 
                       Prevention and Early Detection ................................................................................................... 188 
                       Smoke and Burning Odors .......................................................................................................... 189 
                       Hidden Fires................................................................................................................................. 190 
                       Fighting a Fire .............................................................................................................................. 191 
                       Lithium Battery Fires .................................................................................................................... 192 
   16.7      Cabin Fume Events ............................................................................................................................ 194 
   16.8      Escaped Animals in the Cabin ............................................................................................................ 195 
                       Prevention .................................................................................................................................... 195 
                       Indicators ..................................................................................................................................... 195 
                       Assessment ................................................................................................................................. 195 
4th Edition 2018                                                                                                                                                   9
         Cabin Operations Safety Best Practices Guide
                  Potential Hazards and Suggested Containment Method .............................................................196 
                  Suggested Cabin Crew Drill – Escaped Wildlife Inflight...............................................................196 
                 Security ....................................................................................................................................... 197 
 17.1    IATA Security Management Systems Manual .................................................................................... 197 
 17.2    Liquids, Aerosols and Gels (LAGs) ..................................................................................................... 197 
                  Medical and Special Dietary Requirements .................................................................................198 
                  LAGS Purchased as Duty Free ....................................................................................................198 
 17.3    Reinforced Flight Deck Door ............................................................................................................... 198 
 17.4    Unruly Passengers .............................................................................................................................. 199 
                  Company Policy ...........................................................................................................................199 
                  Levels of Threat............................................................................................................................202 
                   Contributing factors .....................................................................................................................204 
                  Preventative Measures.................................................................................................................204 
                  Identification of and Response to Unruly/Disruptive Passengers ................................................205 
                  Warning Cards .............................................................................................................................207 
                  Restraining Devices .....................................................................................................................208 
                  Post incident .................................................................................................................................208 
                  Legal Aspects ...............................................................................................................................208 
                Police Involvement .......................................................................................................................209 
                The Role of the Pilot-in-Command ...............................................................................................210 
                Reporting of Incidents and Required Documentation for Prosecution .........................................210 
 17.5    Crew Protection During Layovers ....................................................................................................... 211 
                 Health and Medical Care On Board .......................................................................................... 212 
 18.1    Cabin Insect Extermination (Disinsectization/Disinsecting) ................................................................ 212 
                  Method 1: Preflight and top of descent combined ........................................................................212 
                  Method 2: Blocks Away ................................................................................................................212 
                  Method 3: Residual ......................................................................................................................212 
                  Proof of Disinsecting/Disinsectization ..........................................................................................212 
                  Risk Assessment - Disinsectization .............................................................................................213 
 18.2    Medical Care Policy............................................................................................................................. 213 
 18.3    Passive Screening of Passengers ...................................................................................................... 214 
 18.4    Medical Event Process ........................................................................................................................ 215 
 18.5    Reporting of Medical Incidents ............................................................................................................ 215 
 18.6    When to Cease Cardiopulmonary Resuscitation (CPR) ..................................................................... 216 
 18.7    Handling of a Death on Board ............................................................................................................. 216 
 18.8    Carriage of Medical Portable Electronic Devices (MPEDs) ................................................................ 217 
                  Airway Pressure Devices .............................................................................................................217 
                  Portable Oxygen Concentrators ...................................................................................................217 
10                                                                                                                                           4th Edition 2018
                                                                                                                                         Introduction
                     Acceptance and Use of MPEDs .................................................................................................. 217 
   18.9       Emergency Equipment and Supplies ................................................................................................. 217 
                     First Aid Kits ................................................................................................................................. 217 
                     Medical Kit ................................................................................................................................... 218 
                     Universal Precaution Kits ............................................................................................................. 218 
                     Automatic External Defibrillators.................................................................................................. 218 
                     Survival Equipment ...................................................................................................................... 218 
   18.10  Training ............................................................................................................................................... 219 
   18.11  Cabin Crew Manual ............................................................................................................................ 219 
   18.12  Cabin Crew Protection ........................................................................................................................ 219 
   18.13  Crew Immunization ............................................................................................................................. 219 
   18.14  Carriage of Passengers with Communicable Diseases...................................................................... 219 
                    Food and Hygiene ...................................................................................................................... 220 
   19.1       Acceptance of Catering Supplies on Aircraft ...................................................................................... 220 
   19.2       Crew Service Briefings ....................................................................................................................... 220 
   19.3       Hygiene and Sanitation ....................................................................................................................... 220 
                     Risks and Prevention ................................................................................................................... 220 
                     Personal Hygiene......................................................................................................................... 221 
                     Galley Equipment......................................................................................................................... 222 
                     Special Cleaning .......................................................................................................................... 222 
   19.4       Food Safety......................................................................................................................................... 222 
                     Adequate Temperature ................................................................................................................ 223 
                     Keeping Food at the Correct Temperature .................................................................................. 223 
                     Heating Process........................................................................................................................... 223 
                     Insects and Foreign Objects ........................................................................................................ 223 
   19.5       Suspected Food Poisoning ................................................................................................................. 223 
   19.6       Allergen Management ......................................................................................................................... 223 
   19.7       Special Meals...................................................................................................................................... 224 
   19.8       Potable Water and Ice ........................................................................................................................ 225 
                     IATA Drinking-Water Quality Pool ............................................................................................... 225 
   19.9       Feedback from Passengers and Crew ............................................................................................... 225 
   19.10  Reporting of Service Delivery Irregularities ........................................................................................ 225 
                    References and Appendices ..................................................................................................... 226 
   20.1       Phonetic Alphabet ............................................................................................................................... 226 
   20.2       References.......................................................................................................................................... 226 
                     Expanded use of PEDs ................................................................................................................ 226 
                     Electronic cigarettes .................................................................................................................... 227 
                     Evacuation ................................................................................................................................... 227 
4th Edition 2018                                                                                                                                              11
             Cabin Operations Safety Best Practices Guide
                    Lithium Batteries...........................................................................................................................227 
 20.3       Related Organizations ......................................................................................................................... 228 
 Appendix A – Cabin Crew Checklist for Fires Involving Batteries and Portable Electronic Devices (PED).... 230 
 Appendix B – Amplified Cabin Crew Checklist for Fires Involving Batteries and Portable Electronic Devices
 (PEDs) ............................................................................................................................................................. 233 
 Appendix C – Sample Fatigue Report Form for Cabin Crew .......................................................................... 239 
 Appendix D – Sample Unruly Passenger Policy ............................................................................................. 241 
 Appendix E - Sample Airline Violation Warning .............................................................................................. 244 
 Appendix F - Sample Passenger Notification Card ......................................................................................... 245 
 Appendix G – Sample Unruly Passenger Incident Report .............................................................................. 246 
 Appendix H – Sample Briefing to Authorities Cards ........................................................................................ 250
12                                                                                                                                               4th Edition 2018