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NTSB · Safety Recommendation

Safety Recommendation A-24-035

Recommendation

TO THE INTERNATIONAL COUNCIL OF AIR SHOWS, INC.: In collaboration with the Federal Aviation Administration and other air show industry stakeholders develop standardized, unambiguous terms to help ensure that the directives that air bosses provide performers, such as those related to show lines, are clear and brief.

Safety Issue and Context

This report discusses the November 12, 2022, accident involving two historic, former military airplanes operated by the Commemorative Air Force (CAF) that collided in flight during a performance in the CAF’s Wings Over Dallas air show. The pilot, copilot, flight engineer, and two scanners on board the Boeing B-17G and the pilot of the Bell P-63F were fatally injured, and both airplanes were destroyed. No injuries to persons on the ground were reported.

Safety issues identified in this report included the limited ability of the Boeing B-17G pilot and the Bell P-63F pilot to see and avoid each other’s airplane due, in part, to the inherent limitations of the see and-avoid concept for collision avoidance; the air boss’s ineffective aircraft deconfliction strategy for the accident performance; the lack of adequate air show safety oversight, risk assessments, and air boss oversight; air show safety culture issues; and the need for standardized terms for air show communications to ensure clarity and brevity.

As a result of this investigation, the National Transportation Safety Board makes four safety recommendations to the Federal Aviation Administration, two safety recommendations to the International Council of Air Shows Inc., and one safety recommendation to the CAF.

Response History

December 8, 2025 · NTSB Correspondence · International Council of Air Shows

ICAS stated that it has developed a new air boss manual that is with the FAA for review and approval. We note that some of the topics addressed in the manual include applicable FAA regulations and guidance, the waiver process, safety briefings, site layouts, multi-aircraft operations, and communication and coordination. ICAS also reported it planned to publish a best practices document for air bosses with standardized terms for communicating with performers and information on performing safety risk assessments and daily debriefings. We are aware, however, that ICAS has instead included these best practices in its air boss manual and no longer intends to publish a separate document.

In June 2025, the FAA informed us that a joint FAA/industry team, which includes representatives from ICAS, had been established and meets regularly to discuss these safety recommendations and other safety-related issues at aviation events. The FAA reported that it anticipates approving the ICAS air boss manual after it has updated the FAA’s aviation event policy, which is expected to be completed in 2026.

We are encouraged to learn that ICAS is working with the FAA and industry to improve its policies, as recommended. Pending our review of the published ICAS air boss manual, the Board has voted to classify Safety Recommendations A-24-35 and -36 OPEN-- ACCEPTABLE RESPONSE.

March 12, 2025 · Recipient Response · International Council of Air Shows

-From Dan Hollowell, Vice President, Safety and Operations, International Council of Air Shows, Inc.: We acknowledge receipt of the National Transportation Safety Board’s (NTSB) Safety Recommendation A-24-35 and appreciate the Board’s commitment to improving air show safety. We recognize the critical importance of clear and standardized communication between air bosses and performers, particularly regarding directives related to show lines and flight operations.

In response to this recommendation, we are taking the following steps in collaboration with the Federal Aviation Administration (FAA) and key air show industry stakeholders:

1. Development of ICAS Air Boss Best Practices – ICAS is in the final stages of development of a set of best practices for air bosses. These best practices will focus on the importance of clarity, brevity and a standardized vocabulary for air bosses so that regardless of the air show or the air boss, air show performers will receive consistent, succinct directives. These best practices were discussed at length in the Air Boss Safety Standdown at the ICAS Convention in December 2024. This document will be completed by June 1, 2025, and will be shared with the entire air boss community and the NTSB when finalized.

Read Recommendation

Recommendation Facts

Status
Open - Acceptable Response
Issued
December 12, 2024
Priority
CLASS II
Recipient
International Council of Air Shows
Adopted
December 4, 2024
Related Investigation
CEN23MA034
Related Report
AIR-24-07
December 12, 2024 · NTSB Correspondence · International Council of Air Shows

The NTSB is an independent federal agency charged by Congress with investigating every civil aviation accident in the United States and significant events in the other modes of transportation—railroad, transit, highway, marine, pipeline, and commercial space. We determine the probable cause of the accidents and events we investigate, and issue safety recommendations aimed at preventing future occurrences. In addition, we conduct transportation safety research studies and offer information and other assistance to family members and survivors for any accident or event investigated by the agency.

We also serve as the appellate authority for enforcement actions involving aviation and mariner certificates issued by the Federal Aviation Administration (FAA) and US Coast Guard, and we adjudicate appeals of civil penalty actions taken by the FAA.

The attached letter from the NTSB Chair provides information about the NTSB’s December 12, 2024, report, In-Flight Collision During Air Show Commemorative Air Force Boeing B-17G, N7227C, and Bell P-63F, N6763 Dallas, Texas November 12, 2022 (NTSB/AIR-24-07). The details of this accident investigation and the resulting safety recommendation may be found in the attached report, which can also be accessed at http://www.ntsb.gov. For more information about NTSB and our recommendation process, please refer to additional guidance on responding to our safety recommendations on our website.

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 recommendation by number (for example, A 24 35 and -36). 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.

All communications regarding safety recommendations will be stored by the NTSB and viewable by the public. Please do not send privileged or confidential communications in response to this recommendation. Responses marked as confidential or privileged (or similar designations) will be considered nonresponsive. If you have concerns about this protocol, please contact us at ExecutiveSecretariat@ntsb.gov.

The NTSB is an independent federal agency charged by Congress with investigating every civil aviation accident in the United States and significant events in the other modes of transportation—railroad, transit, highway, marine, pipeline, and commercial space. We determine the probable causes of the accidents and events we investigate and issue safety recommendations aimed at preventing future occurrences. In addition, we conduct transportation safety research studies and offer information and other assistance to family members and survivors for each accident or event we investigate.

We also serve as the appellate authority for enforcement actions involving aviation and mariner certificates issued by the Federal Aviation Administration (FAA) and US Coast Guard, and we adjudicate appeals of civil penalty actions taken by the FAA. We are providing the following information to urge the International Council of Air Shows Inc. (ICAS) to act on the safety recommendations in this letter because we believe your organization can help reduce the risk of future accidents. For more information about the NTSB and our recommendation process, please see the attached 1-page summary.

This letter provides information about the National Transportation Safety Board’s (NTSB) December 4, 2024, report In-Flight Collision During Air Show, Commemorative Air Force Boeing B-17G, N7227C, and Bell P-63F, N6763, AIR-24-07. 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: • The air boss’s and air show event organizer’s lack of an adequate, prebriefed aircraft separation plan for the air show performance.

• The diminished ability of the Boeing B-17G pilot and the Bell P-63F pilot to see and avoid each other’s aircraft, and the inherent limitations of the see-and-avoid concept for collision avoidance. • The lack of Federal Aviation Administration (FAA) guidance for air bosses and air show event organizers on developing plans and performing risk assessments that ensure the separation of aircraft that are not part of an approved maneuvers package. • The lack of FAA requirements and guidance for recurrent evaluations of air bosses and direct surveillance of their performance. Accordingly, the NTSB makes the following safety recommendations to the ICAS:

• In collaboration with the Federal Aviation Administration and other air show industry stakeholders, develop standardized, unambiguous terms to help ensure that the directives that air bosses provide performers, such as those related to show lines, are clear and brief. (A-24-35)

• In collaboration with the Federal Aviation Administration (FAA) and the warbird community, establish standard operating procedures for air show event organizers and air bosses that include: 1) applying administrative controls to ensure that multiple, dissimilar aircraft not operated as part of an approved maneuvers package remain deconflicted; 2) performing a safety risk assessment for each performance to determine hazards and apply effective mitigations, including consideration for any revenue ride flights conducted during air show operations; and 3) completing a daily debriefing that includes continuous feedback to the FAA and the International Council of Air Shows to address any identified deficiencies.

(A-24-36) 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 this urgent recommendation. When replying, please refer to the safety recommendation by number (Safety Recommendations A-24-35 and -36). We encourage you to submit your response to ExecutiveSecretariat@ntsb.gov. If your reply, including attachments, exceeds 20 megabytes, 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.

From the report In-Flight Collision During Air Show Commemorative Air Force Boeing B-17G, N7227C, and Bell P-63F, N6763 in Dallas, Texas on November 12, 2022. Report number AIR-24-07, report published on December 12, 2024.

2.3.3 Need for Air Boss Oversight

2.3.3.1 Recurrent Evaluations

Effective June 30, 2018 (less than 4 years before the accident), the FAA accepted and recognized the ICAS ABRP manual as meeting the requirement for issuing an air boss LOA. Per this arrangement, the FAA will issue an air boss LOA based on a recommendation from ICAS, relying on ICAS subject matter experts to provide objective feedback. Although ICAS administers the ARBP, the FAA is the only authority for the issuance of air show certificates of waiver and the final authority for the issuance of an air show air boss LOA.

The air boss of the accident performance held a valid FAA-issued air boss LOA with a recognized air boss, multiple venue designation, which is the highest, most experienced level. The process for obtaining the LOA for this level designation required the air boss to successfully complete various testing and experience requirements, as well as an evaluation conducted by an ICAS recognized Air Boss Evaluator, a