AFS-16-7212-E

March 18, 2016

 Exemption No. 10690F

 Regulatory Docket No. FAA-2013-0034

Mr. Stephen Dickson

Senior Vice President Flight Operations

Delta Air Lines, Inc.

1010 Delta Boulevard

Atlanta, GA 30354

Dear Mr. Dickson:

This letter is to inform you that we have granted your petition for a limited exemption from 

14 CFR § 121.803(c)(3) which requires airplanes with seating capacity of more than nine 

passengers to carry an Emergency Medical Kit (EMK) with contents as specified in 

Appendix A to part 121. It explains the basis for our decision, describes its effect, and lists 

the conditions and limitations.

The Basis for Our Decision

By letter dated January 25, 2016, you petitioned the Federal Aviation Administration (FAA) 

for a limited exemption from 14 CFR §121.803(c)(3) which requires airplanes with seating 

capacity of more than nine passengers to carry an EMK with contents as specified in 

Appendix A to Part 121. The FAA has previously issued a Grant of Exemption regarding 

similar relief (Exemption No. 10690E, issued January 31, 2016).

As of the date of the grant of exemption, Exemption No. 10690E allows the members and 

associate members of Airlines for America, the National Air Carrier Association, and the 

Regional Airline Association to an exemption for use during periods of temporary supply 

shortages, beyond operator control, affecting availability of injectable drugs Atropine, 

Dextrose, Epinephrine and/or Lidocaine, as required in Appendix A to part 121. 
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In your petition, you indicate that there has been no change in the conditions and reasons 

relative to public interest and safety that were the basis for granting the original exemption.

The FAA has determined that good cause exists for not publishing a summary of the petition 

in the Federal Register because the requested amendment to the exemption would not set a 

precedent, and any delay in acting on this petition would be detrimental to Delta Air Lines 

(Delta).

Our Decision

As previously noted, Exemption No. 10690E was granted to the members and associate 

members of Airlines for America, the National Air Carrier Association, and the Regional 

Airline Association, as listed in Attachment 1 of the Grant of Exemption. Any new or 

additional members of these associations or other air carriers operating under the provisions of 

part 121 must petition the FAA separately to be able to exercise similar relief as that provided 

by Exemption No. 10690E. Air carriers may only exercise similar relief when they are listed 

in Attachment 1 to Exemption No. 10690E, as amended. 

As additional air carriers are granted similar relief, they will be added to the list in Attachment 

1 and the exemption number will be amended with a new sequential alpha designator to 

indicate that the list of air carriers granted similar relief in Attachment 1 has been amended. 

The FAA has determined that the justification for the issuance of Exemption No. 10690E, as 

amended, remains valid with respect to this exemption and is in the public interest. Therefore, 

under the authority provided by 49 U.S.C. §§ 106(f), 40113 and 44701, which the FAA 

Administrator has delegated to me, Delta Air Lines, Inc. is granted similar relief as that 

contained in No. 10690E to the extent necessary to allow aircraft to be operated without 

meeting the requirements of Appendix A to part 121 regarding emergency medical kit (EMK) 

required contents Atropine, Dextrose, Epinephrine and/or Lidocaine, when EMK suppliers 

and/or refurbishers are unable to obtain and supply Atropine, Dextrose, Epinephrine and/or 

Lidocaine, subject to the following conditions and limitations.

Delta has been added to the list in Attachment 1 to this Grant of Exemption and the exemption 

number has been amended to Exemption No. 10690F to reflect the amendment to the list of 

air carriers able to exercise the relief provided by this Grant of Exemption. 

Conditions and Limitations

1. A copy of this exemption must be carried on board each aircraft operating with an 

emergency medical kit (EMK) that does not include Atropine, Dextrose, Epinephrine 

and/or Lidocaine as required by Appendix A to part 121. 

2. As part of the requirement under §119.43(c) to keep each of its employees and other 

persons used in its operation informed of the provisions of its operations specifications 

that apply to that employee’s or person’s duties and responsibilities, the certificate 
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holders must inform crewmembers that an emergency medical kit on board that 

aircraft may not contain Atropine, Dextrose, Epinephrine and/or Lidocaine. 

3. Should the supply of Atropine, Dextrose, Epinephrine and/or Lidocaine become 

available to EMK suppliers and/or refurbishers, exemption holders must refurbish the 

EMK with the missing drug(s) at the next scheduled refurbishment date.

4. This exemption may be used for flights conducted outside of the United States. 

Exemption No.10690E and Exemption No. 10690F both remain active and both terminate on 

January 31, 2020, unless sooner superseded or rescinded. 

Sincerely,

/s/

John Barbagallo

Deputy Director, Flight Standards Service
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Attachment 1

The relief provided by Exemption No. 10690F is limited to the air carriers listed below: 

Airlines for America

Alaska Airlines

American Airlines

Atlas Air, Inc.

Hawaiian Airlines, Inc.

JetBlue Airways Corp.

Southwest Airlines Co.

United Airlines, Inc

Air Canada (Associate Member)

National Air Carrier Association

Air Transport International

Allegiant Air

Atlas Air, Inc.

Eastern Airlines

Everts Air Cargo

Kalitta Air

Lyndon Air Cargo

Miami Air International

National Airlines

National Air Cargo

Northern Air Cargo

Omni Air International

Southern Air

Spirit Airlines

Sun Country Airlines

USA Jet Airlines

Western Global

Regional Airline Association

Air Wisconsin Airlines Corp.

Cape Air

CommutAir

Compass Airlines

Empire Air

Endeavor Airlines

Envoy

ExpressJet Airlines

GoJet Airlines

Grand Canyon Airlines/Scenic
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Great Lakes Aviation

Hawaii Island Air

Horizon Air

Jazz Air

Mesa Airlines

New England Airlines

Piedmont Airlines

PSA Airways

RAVN Alaska

Republic Airlines

Seaborne Airlines

Shuttle America

Silver Airways

SkyWest Airlines

Surf Air

Trans States Airlines

Additional Air Carriers

Delta Air Lines, Inc.