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NTSB · Safety Recommendation

Safety Recommendation A-20-036

Recommendation

TO THE FEDERAL AVIATION ADMINISTRATION: Establish a confidential voluntary data clearinghouse of deidentified pilot selection data that can be used to conduct studies useful for identifying effective, scientifically based pilot selection strategies. This program should be modeled after programs like Aviation Safety Information and Analysis Sharing and Flight Operations Quality Assurance.

Safety Issue and Context

On February 23, 2019, at 1239 central standard time, Atlas Air Inc. (Atlas) flight 3591, a Boeing 767-375BCF, N1217A, was destroyed after it rapidly descended from an altitude of about 6,000 ft mean sea level (msl) and crashed into a shallow, muddy marsh area of Trinity Bay, Texas, about 41 miles east-southeast of George Bush Intercontinental/Houston Airport (IAH), Houston, Texas. The captain, first officer (FO), and a nonrevenue pilot riding in the jumpseat died. Atlas operated the airplane as a Title 14 Code of Federal Regulations Part 121 domestic cargo flight for Amazon.com Services LLC, and an instrument flight rules flight plan was filed.

The flight departed from Miami International Airport (MIA), Miami, Florida, about 1033 (1133 eastern standard time) and was destined for IAH.

Response History

March 21, 2024 · NTSB Correspondence · FAA

We note that you disagree with this recommendation because you believe an FAA database that contains deidentified pilot selection data would add or withhold a second-level FAA endorsement of an FAA-certificated pilot. You believe the recommended database should be implemented by a different agency, such as the Department of Labor.

We point out that this recommendation does not ask for an FAA database. Instead, it asks you to establish a program, like ASIAS, that includes airline pilot selection data instead of safety data. Although ASIAS was initiated by the FAA and the aviation community, it is not an FAA database. The ASIAS procedures, operations, and analysis activities are governed by the ASIAS Executive Board, which includes aircraft operators, labor groups, manufacturers, government agencies, participating airlines, and air traffic operations.

We also point out that ASIAS nonpublic data sources, such as airline safety data, are safeguarded by the MITRE Corporation in a deidentified manner to foster broad participation and engagement.

We continue to believe that establishing a program like ASIAS for collecting and analyzing deidentified airline pilot selection data would provide air carriers important aviation safety information for use in their hiring decisions. We also believe the FAA has the needed knowledge of aviation operations and safety to establish such a program. However, because you have not taken any action to address this recommendation, Safety Recommendation A-20-36 is classified CLOSED-- UNACCEPTABLE ACTION.

July 10, 2023 · Recipient Response · FAA

-From Polly Trottenberg, Acting Administrator: The Federal Aviation Administration (FAA) emphasized in its previous responses to the Board its disagreement with this recommendation due to the unintended consequences of an FAA-provided database adding (or withholding) a second-level FAA endorsement of an FAA-certificated pilot. While the Board states in its July 26, 2022, letter that the primary purpose of this recommended database is related to aviation safety issues, the Board has not addressed the FAA’s underlying concern that we may unintentionally disenfranchise otherwise fully-qualified FAA-certificated pilots.

The FAA continues to believe that the recommended database is best implemented by a separate Federal department, such as the Department of Labor (DOL). Specifically, the Bureau of Labor and Statistics, an agency in DOL, measures labor market activity, working conditions, price changes, and productivity in the U.S. economy to support public and private decision-making, including the economic impact on the aviation industry.

Further, on June 10, 2021, the FAA published the Pilot Records Database (PRD) Final Rule (86 FR 31006) that implemented statutory requirements to facilitate electronic sharing of pilot records among air carriers and other operators. By rule, air carriers and operators are required to upload pilot records to the PRD and access the PRD to evaluate the available data for each pilot prior to making a hiring decision. The PRD is intended to help ensure that no records about a pilot’s performance with previous employers, which could influence a future employer’s decision, go unidentified.

For the above reasons and reasons contained in our previous letters, I believe the FAA has effectively addressed Safety Recommendation A-20-36 and consider our actions complete, with no further actions planned.

July 26, 2022 · NTSB Correspondence · FAA

You reported that the FAA does not have the statutory authority to set pilot selection criteria; however, an ASIAS-like resource for operators that compares how pre-employment screening measures correlate with training and job performance would result in an FAA database that could be used by operators to base their pilot selection decisions. You also believe that such a resource, if provided by the FAA, would add, or withhold, a second-level FAA endorsement of an FAA-certificated pilot and could undermine the FAA’s minimum selection requirements for pilot certification.

We believe that the information in the recommended data clearinghouse is primarily related to aviation safety issues, and not to the economic issues of pay, benefits, union considerations, and pilot surpluses or shortages, discussed in the FAA’s January 7, 2022, letter. We do not believe that an organization such as the Department of Labor has the needed knowledge of aviation operations and safety to create the recommended data clearinghouse. We continue to believe that establishing a confidential voluntary data clearinghouse of deidentified pilot selection data will provide air carriers important aviation safety information for use in their hiring decisions and ask you to reconsider.

Pending our receipt and review of a plan to develop the recommended program, Safety Recommendation A-20-36, remains classified OPEN-- UNACCEPTABLE RESPONSE.

January 7, 2022 · Recipient Response · FAA

-From Steve Dickson, Administrator: The Federal Aviation Administration (FAA) previously noted that its authority to establish minimum certification requirements for pilot certificates and ratings, the conditions under which those certificates and ratings are necessary, and the privileges and limitations of those certificates and ratings under Title 14, CFR Part 61, “Certification: Pilots, Flight Instructors, and Ground Instructors.” The FAA issues certificates and ratings to those who meet specific requirements and have taken FAA-approved training.

The FAA sets minimum selection requirements for certification, not selection criteria, as the FAA does not have the statutory authority to set pilot selection criteria.

The FAA also understands the Board’s position that “the intent of this recommendation is to develop an Aviation Safety Information and Analysis Sharing (ASIAS)-like resource that operators can use to compare how pre-employment screening measures correlate with training and job performance. This recommendation is not asking [the FAA] to set pilot selection criteria.”

However, while the Board believes this recommendation is not asking the FAA to set pilot selection criteria, the very creation of the above-described ASIAS-like resource will eventually result in an FAA database capable of providing operators with values from which they may base their selection decisions. A candidate pilot may be selected based on being above or below a certain value, which may or may not describe that candidate’s potential based on future experience and training. The unintended consequence of this proposed ASIAS-like resource is that an FAA-provided database adds (or withholds) a second-level FAA endorsement of an FAA-certificated pilot.

Pilot selection by an operator occurs after FAA certification. This process is inherently economic as operators must consider pay, benefits, union considerations, pilot surpluses or shortages, and other business-related factors that impact an operator’s ability to attract and maintain its pilot workforce. For these reasons, the FAA continues to believe that another agency can more appropriately address this recommendation, such as the Department of Labor.

The FAA supports operators through the Pilot Records Database, where operators can review the careers of pilot candidates and make decisions that they feel are consistent with the operator’s business needs. The FAA also continually monitors the training requirements necessary for various certification levels, and if warranted, will continue to expand these requirements to maintain safety in the National Airspace System.

May 26, 2021 · NTSB Correspondence · FAA

We note that the FAA considered addressing this recommendation as part of the PRD rulemaking; however, you determined that including voluntary data, such as air carrier hiring decisions, would be inappropriate. In addition, you believe this recommendation would be a conflict of interest because you would be recommending that operators not hire pilots who meet your minimum levels of safety as part of their FAA certification.

We point out that the intent of this recommendation is to develop an ASIAS-like resource that operators can use to compare how pre-employment screening measures correlate with training and job performance. This recommendation is not asking you to set pilot selection criteria. In our Trinity Bay accident report, we discuss a 2019 report on airline selection practices in which FAA researchers urged airlines to share data about the utility of different selection methods for predicting pilot success, and encouraged airlines improve the quality of the predictive and performance measures used to assess pilots, both in training and in the operational environment.

To facilitate identifying such measures, FAA researchers encouraged airlines to share information through a clearinghouse of deidentified pilot selection data, modeled after other confidential safety data sharing initiatives like the ASIAS and FOQA programs.

We continue to believe that such a clearinghouse could allow airlines to pool resources to conduct studies to identify effective, scientifically based pilot selection strategies while protecting the anonymity of the pilots upon whom the research is based. Although you indicated that the FAA’s actions are complete, we encourage you to reconsider your response to this recommendation based on the information we have provided. In the meantime, pending our receipt and review of a plan to develop the recommended program, Safety Recommendation A-20-36 is classified OPEN-- UNACCEPTABLE RESPONSE.

October 2, 2020 · Recipient Response · FAA

-From Steve Dickson, Administrator: The FAA establishes minimum certification requirements for pilot certificates and ratings, the conditions under which those certificates and ratings are necessary, and the privileges and limitations of those certificates and ratings. The FAA’s established requirements are published in Title 14, Code of Federal Regulations Part 61, Certification: Pilots, Flight Instructors, and Ground Instructors. The FAA issues certificates and ratings to those who meet requirements and who have taken FAA approved courses.

The FAA sets minimum selection requirements for certification, not selection criteria, as the FAA does not have the statutory authority to set pilot selection criteria.

The FAA does collect voluntary data, but that data is strictly protected under Title 49 of the United States Code § 44735, Limitation on Disclosure of Safety Information. Section 44735 subsection (a) provides the administrator with statutory authority to protect a report, data, or other information described in subsection (b) from public disclosure - pursuant to Section 552 (b)(3)(B) of Title 5, if the report, data, or other information is submitted to the FAA voluntarily, and is not required to be submitted to the administrator under any other provision of law. This subsection describes these protected voluntary data as:

(1) Reports, data, or other information developed under the Aviation Safety Action Program. (2) Reports, data, or other information produced or collected under the Flight Operational Quality Assurance Program. (3) Reports, data, or other information developed under the Line Operations Safety Audit Program. (4) Reports, data, or other information produced or collected for purposes of developing and implementing a safety management system acceptable to the administrator.

(5) Reports, analyses, and directed studies, based in whole or in part on reports, data, or other information described in paragraphs (1) through (4), including those prepared under the Aviation Safety Information Analysis and Sharing Program (or any successor program).

The FAA also considered implementing this recommendation through the PRD. As described above, the FAA published the PRD NPRM proposing to require the use of an FAA-managed electronic PRD made up of pilot records and mandated by statutory requirements. This proposal identifies all air carriers, fractional-ownerships, and other operators or entities that would be required to input data into and access the PRD to evaluate the available data for each pilot candidate prior to making a hiring decision. The PRD should contain information about a pilot’s history, which would be used by a hiring air carrier to assess that pilot’s suitability.

August 5, 2020 · NTSB Correspondence · FAA

The attached letter from the NTSB Chairman provides information about the NTSB’s July 14, 2020, report Rapid Descent and Crash into Water, Atlas Air Inc. Flight 3591, Boeing 767-375BCF, N1217A, Trinity Bay, Texas, February 23, 2019, AAR 20/02. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov.

The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendations by number (for example, Safety Recommendations A-20-33 through -38, A-15-7 and -8, A-05-1, and A-10-17, -19, and -20). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply exceeds 20 megabytes, including attachments, please e mail us at the same address for instructions on how to send larger documents.

Please do not submit both an electronic copy and a hard copy of the same response.

This letter provides information about the National Transportation Safety Board’s (NTSB) July 14, 2020, report, Rapid Descent and Crash into Water, Atlas Air Inc. Flight 3591, Boeing 767-375BCF, N1217A, Trinity Bay, Texas, February 23, 2019, AAR 20/02. The details of this accident investigation and the resulting safety recommendations may be found in the attached report, which can also be accessed at http://www.ntsb.gov.

As a result of this investigation, we identified the following safety issues:

• Inadvertent activation of the go-around mode; • Flight crew performance; • Atlas Air Inc.’s (Atlas’) evaluation of the first officer (FO); • Industry pilot hiring process deficiencies; • Awareness information for Boeing 767 and 757 pilots; • Adaptations of automatic ground collision avoidance technology; and • Cockpit image recorders.

Read Recommendation

Recommendation Facts

Status
Closed - Unacceptable Action
Issued
August 5, 2020
Priority
CLASS II
Recipient
FAA
Adopted
July 14, 2020
Closed
March 21, 2024
Related Investigation
DCA19MA086
Related Report
AAR-20-02

For the above reasons and reasons contained in our previous letter, I believe that the FAA has effectively addressed this safety recommendation, and consider our actions complete. The FAA will take no further action on this safety recommendation.

However, as the PRD is designed to be a database of required documents, the inclusion of voluntary data, such as air carrier hiring decisions, would be inappropriate. The PRD will not contain any information regarding the strategy used by the hiring air carriers when making a hiring decision, as this information is not required. Any potential strategies used by the hiring air carriers would be applied outside of the PRD process. It is anticipated that the data contained within the PRD will be used as part of the strategy, as the PRD is only one data source.

Beyond the current regulatory framework for pilot certificates and ratings, statutory limitations of protecting information submitted to the administrator from public disclosure, combined with the FAA’s forthcoming PRD regulatory requirements, the FAA believes there is an inherent conflict of interest if the FAA implemented this recommendation as it is outside the scope of the FAA’s safety mission. As a safety regulatory agency, we certify minimum levels of safety for inclusion in the National Airspace System. The FAA is structured this way to allow operators to hire pilots with the knowledge that they passed these minimum levels of certification.

However, the Board is asking the FAA to take this a step further. By influencing the hiring decisions of operators above and beyond this minimum level of certification, the FAA would be directly interfering with an economic process. The conflict of interest would occur when the FAA certifies a pilot but implicitly recommends against their hiring due to current selection trends as identified through a voluntary database the FAA manages.

The FAA continues to review pilot certification requirements to ensure the appropriate level of training and experience is attained and relies on the operators to hire certificated pilots with experience that matches the unique requirements of their operation. While this recommendation may prove useful for operators, the FAA is the wrong Federal agency to implement it and requests that the Board reassign this recommendation to the Department of Labor.

Accordingly, the NTSB makes the following safety recommendations to the Federal Aviation Administration (FAA). Additional information regarding these recommendations can be found in the noted sections of the report.

• Inform Title 14 Code of Federal Regulations Part 119 certificate holders, air tour operators, fractional ownership programs, corporate flight departments, and governmental entities conducting public aircraft operations about the hiring process vulnerabilities identified in this accident, and revise Advisory Circular 120-68H, “Pilot Records Improvement Act and Pilot Records Database,” to emphasize that operators should include flight operations subject matter experts early in the records review process and ensure that significant training issues are identified and fully evaluated. (A-20-33) (See section 2.4.2.)

• Implement the pilot records database and ensure that it includes all industry records for all training started by a pilot as part of the employment process for any Title 14 Code of Federal Regulations Part 119 certificate holder, air tour operator, fractional ownership program, corporate flight department, or governmental entity conducting public aircraft operations regardless of the pilot’s employment status and whether the training was completed. (A-20-34) (See section 2.5.1.)

• Ensure that industry records maintained in the pilot records database are searchable by a pilot’s certificate number to enable a hiring operator to obtain all background records for a pilot reported by all previous employers. (A-20 35) (See section 2.5.1.) • Establish a confidential voluntary data clearinghouse of deidentified pilot selection data that can be used to conduct studies useful for identifying effective, scientifically based pilot selection strategies. This program should be modeled after programs like Aviation Safety Information and Analysis Sharing and Flight Operations Quality Assurance. (A-20-36) (See section 2.5.2.)

• Issue a safety alert for operators to inform pilots and operators of Boeing 767- and 757-series airplanes about the circumstances of this accident and alert them that, due to the close proximity of the speedbrake lever to the left go-around mode switch, it is possible to inadvertently activate the go-around mode when manipulating or holding the speedbrake lever as a result of unintended contact between the hand or wrist and the go around switch. (A-20-37) (See section 2.6.1.)

• Convene a panel of aircraft performance, human factors, and aircraft operations experts to study the benefits and risks of adapting military automatic ground collision avoidance system technology for use in civil transport-category airplanes and make public a report on the committee’s findings. (A-20-38) (See section 2.6.2.) In addition, the NTSB reiterates the following recommendations to the FAA:

• Require that all existing aircraft operated under Title 14 Code of Federal Regulations (CFR) Part 121 or 135 and currently required to have a cockpit voice recorder and a flight data recorder be retrofitted with a crash-protected cockpit image recording system compliant with Technical Standard Order TSO-C176a, “Cockpit Image Recorder Equipment,” TSO-C176a or equivalent. The cockpit image recorder should be equipped with an independent power source con/sistent with that required for cockpit voice recorders in 14 CFR 25.1457. (A-15-7) (See section 2.7)

• Require that all newly manufactured aircraft operated under Title 14 Code of Federal Regulations (CFR) Part 121 or 135 and required to have a cockpit voice recorder and a flight data recorder also be equipped with a crash-protected cockpit image recording system compliant with Technical Standard Order TSO-C176a, “Cockpit Image Recorder Equipment,” or equivalent. The cockpit image recorder should be equipped with an independent power source consistent with that required for cockpit voice recorders in 14 CFR 25.1457. (A-15-8) (See section 2.7) In the same report, we also reiterated and classified four previously issued safety recommendations to the FAA:

• Require all Part 121 and 135 air carriers to obtain any notices of disapproval for flight checks for certificates and ratings for all pilot applicants and evaluate this information before making a hiring decision. (A-05-1, classified “Open—Unacceptable Response” in section 2.5.1)

• Require 14 Code of Federal Regulations Part 121, 135, and 91K operators to document and retain electronic and/or paper records of pilot training and checking events in sufficient detail so that the carrier and its principal operations inspector can fully assess a pilot’s entire training performance. (A 10-17, classified “Open—Unacceptable Response” in section 2.5.1)

• Require 14 Code of Federal Regulations Part 121, 135, and 91K operators to provide the training records requested in Safety Recommendation A-10-17 to hiring employers to fulfill their requirement under the Pilot Records Improvement Act. (A-10-19, classified “Open—Unacceptable Response” in section 2.5.1) • Develop a process for verifying, validating, auditing, and amending pilot training records at 14 Code of Federal Regulations Part 121, 135, and 91K operators to guarantee the accuracy and completeness of the records. (A-10-20, classified “Open—Unacceptable Response” in section 2.5.1)

The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days of the date of this letter, detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendations by number (Safety Recommendations A-20-33 through -38, A-15-7 and -8, A-05-1, and A-10-17, -19, and -20). We encourage you to submit your response to ExecutiveSecret