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NTSB · Safety Recommendation

Safety Recommendation A-24-036

Recommendation

TO THE INTERNATIONAL COUNCIL OF AIR SHOWS, INC.: 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.

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-24-36 and appreciate the Board’s dedication to enhancing air show safety. We fully support the need for clear and structured operational procedures to ensure the safe integration of diverse aircraft within air show environments.

Prior to receiving this recommendation, ICAS had taken the following actions in collaboration with the Federal Aviation Administration (FAA), the Commemorative Air Force (CAF), the Experimental Aircraft Association (EAA), and the ICAS air boss community:

1. Development of SAFO 24005 – ICAS, CAF and EAA worked with the FAA to develop Safety Alert for Operators (SAFO) 24005 to address the lack of formal procedures for aircraft conducting multi-aircraft demonstrations at air shows. The SAFO was published by the FAA to provide clarity on a variety of issues involved in multi-aircraft performances at air shows, specifically: ensuring all participants, specifically the air boss and the pilots, have experience in the planned activity, providing a structure in which aircraft can maintain geographical, vertical, lateral and time separation, and ensuring that the activity is simplified to reduce the possible introduction of unscripted operations.

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

The full SAFO can be found here.

2. Development of the ICAS Multi-Aircraft Operations Best Practices – ICAS, CAF, and EAA and experienced air show professionals worked to develop and implement a best practices document for the safe execution of multi-aircraft operations at air shows. Built into these best practices are multiple safeguards to ensure that aircraft remain deconflicted laterally, vertically and sequentially. These best practices provide consistency and familiarity to pilots performing in dissimilar aircraft formation flights.

ICAS introduced these best practices in July 2024 and has conducted training for these best practices in the fall and winter of 2024, and we plan on continuing to train the air boss community on these best practices in the spring and summer of 2025. ICAS has also updated both educational courses we offer air bosses (Air Boss 201 and the ICAS Air Boss Academy) to provide education of these best practices to new air boss applicants. ICAS reviewed these best practices for existing air bosses at the Air Boss Safety Standdown in December 2024. The ICAS Multi-Aircraft Operations Best Practices can be found here.

3. 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 include the requirement for air bosses to conduct a safety risk assessment for each act of an air show. These best practices will also include a requirement to debrief each day’s activities between the air boss and the event organizer to identify risks and hazards that were identified each day of a show or practice. These risks and hazards will be presented at the performer safety briefing the following day.

This document will be completed by June 1, 2025, and will be shared with the entire air boss community and the NTSB when finalized.

4. Development of ICAS Air Boss Training Manual – ICAS in in the final stages of implementation of a new air boss training manual. This manual will focus on ensuring air bosses are consistently trained on FAA regulations, FAA guidance, waiver processes, air show operations, participant safety briefings, air show site layouts, weather considerations, emergency procedures, ATC coordination, multi-aircraft operations, military operations, pyrotechnics, parachute operations, day and night operations, ground-based acts, and the ICAS Air Boss Recognition Program Manual.

This training manual will be completed by June 1, 2025, and will be shared with all air bosses, the ICAS membership and the NTSB when finalized.

We remain committed to working closely with the FAA, CAF, EAA, the air boss community, the warbird community, and industry stakeholders to implement these critical safety measures. We will provide the NTSB with regular progress updates and remain open to further recommendations that enhance air show safety.

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 Air Show Safety Oversight CAF pilots participated in various air shows each year, some of which were hosted by other event organizers, held at locations other than an aircraft’s base, or included performances that combined CAF operated aircraft with warbirds operated by other museums or private owners. According to experienced CAF air show pilots, warbird performances commonly involved multiple solo airplanes, including a mix of bombers and fighters, and such performances were not particularly complicated to fly.

However, one pilot said that, typically, the fighters would remain at higher altitudes than the bombers, and the altitudes would be discussed ahead of time with the air boss, during the participants safety briefing.

2.3.1 Participants Safety Briefing Requirements The air boss briefed general aspects of the accident performance with the participants during the required Air Show Participants Safety briefing. According to the FAA IIC for Wings Over Dallas, the air boss’s b