Safety recommendations, recipients, status, and linked accident/report context.
What Is This Collection?
When an NTSB investigation exposes a fixable problem, the Board issues formal safety recommendations to the FAA, manufacturers, and operators. These records track each recommendation, who received it, and how they responded. Many of the rules you train under started here.
Jun 8, 2020
From the Document
On January 29, 2019, about 0650 eastern standard time, a single-engine, turbine-powered Bell 407 helicopter, N191SF, being operated as a helicopter air ambulance (HAA) flight, collided with forested terrain about 4 miles northeast of Zaleski, Ohio.1 The certificated commercial pilot, flight nurse, and flight paramedic died, and the helicopter was destroyed. The helicopter was registered to and operated by Viking Aviation, LLC, doing business as…
Requested Action: TO SURVIVAL FLIGHT: Revise its flight risk assessment procedures to incorporate the elements described by Advisory Circular 135-14B, including procedures for determining prior flight refusals by another helicopter air ambulance operator and forecast en route weather.
Study Focus: Review weather hazards and how they affect planning and flight decisions.
Response Status: Open - Acceptable Response
Recipient: Survival Flight
Jun 8, 2020
From the Document
On January 29, 2019, about 0650 eastern standard time, a single-engine, turbine-powered Bell 407 helicopter, N191SF, being operated as a helicopter air ambulance (HAA) flight, collided with forested terrain about 4 miles northeast of Zaleski, Ohio.1 The certificated commercial pilot, flight nurse, and flight paramedic died, and the helicopter was destroyed. The helicopter was registered to and operated by Viking Aviation, LLC, doing business as…
Requested Action: TO SURVIVAL FLIGHT: Develop a procedure for tracking actual pilot duty times in compliance with Title 14 Code of Federal Regulations 135.267.
Study Focus: Review qualification and recent-experience requirements.
Response Status: Open - Acceptable Response
Recipient: Survival Flight
Jun 8, 2020
From the Document
On January 29, 2019, about 0650 eastern standard time, a single-engine, turbine-powered Bell 407 helicopter, N191SF, being operated as a helicopter air ambulance (HAA) flight, collided with forested terrain about 4 miles northeast of Zaleski, Ohio.1 The certificated commercial pilot, flight nurse, and flight paramedic died, and the helicopter was destroyed. The helicopter was registered to and operated by Viking Aviation, LLC, doing business as…
Requested Action: TO SURVIVAL FLIGHT: Develop a process to ensure shift change briefings are performed, to include comprehensive preflight risk assessments, before the acceptance of any flight requests.
Study Focus: Review qualification and recent-experience requirements.
Response Status: Open - Acceptable Response
Recipient: Survival Flight
Jun 8, 2020
From the Document
On June 3, 2016, about 4:05 p.m. local time, a FedEx W900 local delivery truck and all its cargo were destroyed by a fire while delivering packages to a business in Brampton, Ontario, Canada; no injuries were reported. The fire began among a shipment of four, large-format lithium ion batteries, each of which were individually packaged in a fiberboard box. No other dangerous goods were on board. The shipment of the four lithium-ion batteries…
Requested Action: TO THE PIPELINE AND HAZARDOUS MATERIALS SAFETY ADMINISTRATION: Propose to the International Civil Aviation Organization to remove its special provision A88 from its Technical Instructions for the Safe Transport of Dangerous Goods by Air allowing special permits for low-production or prototype lithium-ion cells or batteries shipped by airplane and eliminate any exceptions to the testing of United Nations Manual of Tests and Criteria, Part III,…
Response Status: Open - Unacceptable Response
Recipient: PHMSA
Jun 8, 2020
From the Document
On June 3, 2016, about 4:05 p.m. local time, a FedEx W900 local delivery truck and all its cargo were destroyed by a fire while delivering packages to a business in Brampton, Ontario, Canada; no injuries were reported. The fire began among a shipment of four, large-format lithium ion batteries, each of which were individually packaged in a fiberboard box. No other dangerous goods were on board. The shipment of the four lithium-ion batteries…
Requested Action: TO THE PIPELINE AND HAZARDOUS MATERIALS SAFETY ADMINISTRATION: Once the International Civil Aviation Organization removes special provision A88 from the Technical Instructions for the Safe Transport of Dangerous Goods by Air, remove the exemption from United Nations Manual of Tests and Criteria, Part III, Sub-section 38.3 testing from Title 49 Code of Federal Regulations 173.185(e) for low-production or prototype lithium-ion batteries, when…
Response Status: Open - Unacceptable Response
Recipient: PHMSA
Jun 2, 2020
From the Document
These recommendations address the need for crash-resistant flight recorder systems and crash-protected image recorder systems on existing and newly manufactured turbine-powered helicopters. These recommendations are derived from several NTSB investigations of turbine-powered helicopter accidents in which the lack of a crash-resistant or crash-protected flight recording system that records parametric data, cockpit audio, and images hindered our…
Requested Action: TO AIRBUS HELICOPTERS, BELL, LEONARDO HELICOPTER DIVISION, MD HELICOPTERS, AND ROBINSON HELICOPTER COMPANY: Install, on your newly manufactured turbine-powered helicopters that are not equipped with a flight data recorder and a cockpit voice recorder, a crash-resistant flight recorder system that records cockpit audio and images with a view of the cockpit environment to include as much of the outside view as possible and parametric data per…
Response Status: Open - Acceptable Response
Recipient: Airbus, Bell Helicopter Textron, Inc., Leonardo Helicopters, MD Helicopters, Robinson Helicopter Company
Jun 2, 2020
From the Document
These recommendations address the need for crash-resistant flight recorder systems and crash-protected image recorder systems on existing and newly manufactured turbine-powered helicopters. These recommendations are derived from several NTSB investigations of turbine-powered helicopter accidents in which the lack of a crash-resistant or crash-protected flight recording system that records parametric data, cockpit audio, and images hindered our…
Requested Action: TO AIRBUS HELICOPTERS, BELL, LEONARDO HELICOPTER DIVISION, AND SIKORSKY: Install, on your newly manufactured turbine-powered helicopters that are equipped with a flight data recorder and a cockpit voice recorder, a crash-protected cockpit image recorder system compliant with Technical Standard Order C176a, “Cockpit Image Recorder Equipment,” or equivalent. The cockpit image recorder should be equipped with an independent power source consistent…
Response Status: Open - Acceptable Response
Recipient: Airbus, Bell Helicopter Textron, Inc., Leonardo Helicopters, Sikorsky Aircraft
Jun 2, 2020
From the Document
These recommendations address the need for crash-resistant flight recorder systems and crash-protected image recorder systems on existing and newly manufactured turbine-powered helicopters. These recommendations are derived from several NTSB investigations of turbine-powered helicopter accidents in which the lack of a crash-resistant or crash-protected flight recording system that records parametric data, cockpit audio, and images hindered our…
Requested Action: TO AIRBUS HELICOPTERS, BELL, LEONARDO HELICOPTER DIVISION, MD HELICOPTERS, ROBINSON HELICOPTER COMPANY, AND SIKORSKY: Provide, on your existing turbine-powered helicopters that are not equipped with a flight data recorder or a cockpit voice recorder, a means to install a crash-resistant flight recorder system that records cockpit audio and images with a view of the cockpit environment to include as much of the outside view as possible and…
Response Status: Open - Acceptable Response
Recipient: Airbus, Bell Helicopter Textron, Inc., Leonardo Helicopters, MD Helicopters, Robinson Helicopter Company, Sikorsky Aircraft
Jun 2, 2020
From the Document
These recommendations address the need for crash-resistant flight recorder systems and crash-protected image recorder systems on existing and newly manufactured turbine-powered helicopters. These recommendations are derived from several NTSB investigations of turbine-powered helicopter accidents in which the lack of a crash-resistant or crash-protected flight recording system that records parametric data, cockpit audio, and images hindered our…
Requested Action: TO AIRBUS HELICOPTERS, BELL, LEONARDO HELICOPTER DIVISION, AND SIKORSKY: Provide, on your existing turbine-powered helicopters that are equipped with a flight data recorder and a cockpit voice recorder, a means to install a crash-protected cockpit image recorder system that is compliant with Technical Standard Order C176a, “Cockpit Image Recorder Equipment,” or equivalent. The cockpit image recorder system should be equipped with an independent…
Response Status: Open - Acceptable Response
Recipient: Airbus, Bell Helicopter Textron, Inc., Leonardo Helicopters, Sikorsky Aircraft
Mar 10, 2020
From the Document
This safety research report provides updated information regarding trends in the prevalence of over-the-counter, prescription, and illicit drugs identified by toxicology testing of flying pilots who died in aviation accidents during the years 2013 through 2017. The data for this update were obtained from the Federal Aviation Administration (FAA) Civil Aerospace Medical Institute’s Forensic Sciences Laboratory toxicology database and the National…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Revise the Aeronautical Information Manual and the Pilot’s Handbook of Aeronautical Knowledge, FAA-H-8083-25B, to explicitly state marijuana’s classification as an illicit drug per federal law and, thus, its prohibited use by airmen.
Study Focus: Review fitness for flight and physiological hazards.
Response Status: Open - Acceptable Response
Recipient: FAA
Feb 20, 2020
From the Document
The National Transportation Safety Board (NTSB) is providing the following information to urge the Federal Aviation Administration (FAA) to act on the safety recommendation issued in this report. This recommendation is derived from discussions during our September 2019 Most Wanted List Roundtable: Alaska Part 135 Flight Operations – Charting a Safer Course. Information supporting this recommendation is discussed below. Because the NTSB continues…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Work with stakeholders that service the Alaska aviation industry to implement a safety-focused working group to review, prioritize, and integrate Alaska's aviation safety needs into the FAA's safety enhancement process.
Response Status: Open - Acceptable Response
Recipient: FAA
Jan 29, 2020
From the Document
On November 6, 2019, the flight crew of Republic Airways flight 4439, an Embraer EMB-175, declared an emergency shortly after takeoff from ATL with six passengers on board, reporting a pitch trim-related flight control issue and difficulty controlling the airplane. The captain (who was in the left seat and the pilot flying) later reported recognizing the flight control issue after a failed attempt to engage the autopilot about 2,200 ft mean sea…
Requested Action: TO THE CIVIL AVIATION AGENCY OF BRAZIL: Once Embraer develops inspection instructions for the wiring in the captain’s and first officer’s control columns as requested in Safety Recommendation A-20-1, require operators of Embraer EMB-170/175/190/195/Lineage 1000 series airplanes to inspect that wiring for damage, in compliance with Embraer’s instructions, replace where needed, and ensure proper clearance from adjacent components, including the…
Study Focus: Review aircraft-system operation, limitations and failure awareness.
Response Status: Closed - Unacceptable Action
Recipient: Foreign, Brazil, Departamento de Aviacao Civil
Jan 29, 2020
From the Document
On November 6, 2019, the flight crew of Republic Airways flight 4439, an Embraer EMB-175, declared an emergency shortly after takeoff from ATL with six passengers on board, reporting a pitch trim-related flight control issue and difficulty controlling the airplane. The captain (who was in the left seat and the pilot flying) later reported recognizing the flight control issue after a failed attempt to engage the autopilot about 2,200 ft mean sea…
Requested Action: TO THE CIVIL AVIATION AGENCY OF BRAZIL: Once inspections are completed as outlined in the instructions developed in response to Safety Recommendation A-20-1, require Embraer to review the inspection results and revise design and maintenance documentation for Embraer EMB-170/175/190/195/Lineage 1000 series airplanes as necessary to prevent any hazards identified during the inspections.
Study Focus: Review aircraft-system operation, limitations and failure awareness.
Response Status: Closed - Acceptable Alternate Action
Recipient: Foreign, Brazil, Departamento de Aviacao Civil
Jan 29, 2020
From the Document
On November 6, 2019, the flight crew of Republic Airways flight 4439, an Embraer EMB-175, declared an emergency shortly after takeoff from ATL with six passengers on board, reporting a pitch trim-related flight control issue and difficulty controlling the airplane. The captain (who was in the left seat and the pilot flying) later reported recognizing the flight control issue after a failed attempt to engage the autopilot about 2,200 ft mean sea…
Requested Action: TO THE CIVIL AVIATION AGENCY OF BRAZIL: Once Embraer revises design and maintenance documentation for Embraer EMB-170/175/190/195/Lineage 1000 series airplanes as requested in Safety Recommendation A-20-3, require operators of these airplanes to incorporate these changes.
Study Focus: Review aircraft-system operation, limitations and failure awareness.
Response Status: Closed - Acceptable Alternate Action
Recipient: Foreign, Brazil, Departamento de Aviacao Civil
Jan 29, 2020
From the Document
On November 6, 2019, the flight crew of Republic Airways flight 4439, an Embraer EMB-175, declared an emergency shortly after takeoff from ATL with six passengers on board, reporting a pitch trim-related flight control issue and difficulty controlling the airplane. The captain (who was in the left seat and the pilot flying) later reported recognizing the flight control issue after a failed attempt to engage the autopilot about 2,200 ft mean sea…
Requested Action: TO THE CIVIL AVIATION AGENCY OF BRAZIL: In coordination with the Federal Aviation Administration, Embraer, and US operators, determine if changes to the Embraer EMB-170/175/190/195/Lineage 1000 series airplane Pitch Trim Runaway checklists are required to adequately address all potential trim system failures, and make such changes as necessary.
Study Focus: Review aircraft-system operation, limitations and failure awareness.
Response Status: Closed - Acceptable Action
Recipient: Foreign, Brazil, Departamento de Aviacao Civil
Dec 12, 2019
From the Document
This report discusses the April 17, 2018, accident involving a Boeing 737-7H4, N772SW, operated by Southwest Airlines as flight 1380, that experienced a failure of its left CFM International CFM56-7B turbofan engine while climbing through flight level 320 en route to the flight’s assigned cruise altitude (the flight had departed from LaGuardia Airport, Queens, New York, about 30 minutes earlier). Portions of the left engine inlet and fan cowl…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Require Boeing to determine the critical fan blade impact location(s) on the CFM56-7B engine fan case and redesign the fan cowl structure on all Boeing 737 next-generation-series airplanes to ensure the structural integrity of the fan cowl after a fan-blade-out event.
Study Focus: Review aircraft-system operation, limitations and failure awareness.
Response Status: Closed - Acceptable Action
Recipient: FAA
Mar 28, 2019
From the Document
This report discusses the May 15, 2017, accident involving a Learjet 35A, N452DA, operated by Trans-Pacific Air Charter, LLC, that departed controlled flight while on a circling approach to runway 1 at Teterboro Airport, Teterboro, New Jersey, and impacted a commercial building and parking lot. The pilot-in-command (PIC) and the second-in-command died; no one on the ground was injured. The airplane was destroyed by impact forces and postcrash…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Develop guidance for Title 14 Code of Federal Regulations Part 135 operators to help them create and implement effective crew resource management training programs.
Study Focus: Review surface awareness and decisions during taxi, takeoff and landing.
Response Status: Open - Unacceptable Response
Recipient: FAA
Mar 8, 2019
From the Document
This report discusses the March 8, 2017, accident involving Ameristar Air Cargo, Inc., dba Ameristar Charters, flight 9363, a Boeing MD-83 airplane, which overran the departure end of runway 23L at Willow Run Airport, Ypsilanti, Michigan, after the captain executed a rejected takeoff. The 110 passengers and 6 flight crewmembers evacuated the airplane via emergency escape slides; however, one slide failed to inflate and could not be used. One…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Ensure the operators of Boeing DC-9/MD-80 series and 717 model airplanes have procedures that define who is responsible for monitoring the wind that affects parked airplanes and for notifying maintenance personnel when conditions could meet or exceed the ground gust criteria specified in the Aircraft Maintenance Manual.
Study Focus: Review surface awareness and decisions during taxi, takeoff and landing.
Response Status: Closed - Acceptable Action
Recipient: FAA
Oct 11, 2018
From the Document
This report discusses the July 7, 2017, incident involving Air Canada flight 759, an Airbus A320-211, Canadian registration C-FKCK, which was cleared to land on runway 28R at San Francisco International Airport, San Francisco, California, but instead lined up with parallel taxiway C. Four air carrier airplanes were on taxiway C awaiting clearance to take off from runway 28R. The incident airplane descended to an altitude of 100 ft above ground…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Establish a group of human factors experts to review existing methods for presenting flight operations information to pilots, including flight releases and general aviation flight planning services (preflight) and aircraft communication addressing and reporting system messages and other in-flight information; create and publish guidance on best practices to organize, prioritize, and present this…
Study Focus: Review surface awareness and decisions during taxi, takeoff and landing.
Response Status: Open - Acceptable Response
Recipient: FAA
Oct 11, 2018
From the Document
This report discusses the July 7, 2017, incident involving Air Canada flight 759, an Airbus A320-211, Canadian registration C-FKCK, which was cleared to land on runway 28R at San Francisco International Airport, San Francisco, California, but instead lined up with parallel taxiway C. Four air carrier airplanes were on taxiway C awaiting clearance to take off from runway 28R. The incident airplane descended to an altitude of 100 ft above ground…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Establish a requirement for airplanes landing at primary airports within Class B and Class C airspace to be equipped with a system that alerts pilots when an airplane is not aligned with a runway surface.
Study Focus: Review surface awareness and decisions during taxi, takeoff and landing.
Response Status: Open - Acceptable Response
Recipient: FAA
Oct 11, 2018
From the Document
This report discusses the July 7, 2017, incident involving Air Canada flight 759, an Airbus A320-211, Canadian registration C-FKCK, which was cleared to land on runway 28R at San Francisco International Airport, San Francisco, California, but instead lined up with parallel taxiway C. Four air carrier airplanes were on taxiway C awaiting clearance to take off from runway 28R. The incident airplane descended to an altitude of 100 ft above ground…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Collaborate with aircraft and avionics manufacturers and software developers to develop the technology for a cockpit system that provides an alert to pilots when an airplane is not aligned with the intended runway surface, and, once such technology is available, establish a requirement for the technology to be installed on airplanes landing at primary airports within Class B and Class C airspace.
Study Focus: Review surface awareness and decisions during taxi, takeoff and landing.
Response Status: Open - Acceptable Response
Recipient: FAA
Oct 11, 2018
From the Document
This report discusses the July 7, 2017, incident involving Air Canada flight 759, an Airbus A320-211, Canadian registration C-FKCK, which was cleared to land on runway 28R at San Francisco International Airport, San Francisco, California, but instead lined up with parallel taxiway C. Four air carrier airplanes were on taxiway C awaiting clearance to take off from runway 28R. The incident airplane descended to an altitude of 100 ft above ground…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Conduct human factors research to determine how to make a closed runway more conspicuous to pilots when at least one parallel runway remains in use, and implement a method to more effectively signal a runway closure to pilots during ground and flight operations at night.
Study Focus: Review surface awareness and decisions during taxi, takeoff and landing.
Response Status: Open - Acceptable Response
Recipient: FAA
Oct 10, 2018
From the Document
The National Transportation Safety Board (NTSB) is providing the following information to urge the Federal Aviation Administration (FAA) to take action on the safety recommendations issued in this report. These recommendations address the need to install cockpit voice recorders (CVR) with a minimum 25-hour recording capability on all newly manufactured airplanes required to have a CVR and retrofit these CVRs on existing aircraft required to have…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Require all newly manufactured airplanes that must have a cockpit voice recorder (CVR) be fitted with a CVR capable of recording the last 25 hours of audio.
Response Status: Open - Acceptable Response
Recipient: FAA
Oct 10, 2018
From the Document
The National Transportation Safety Board (NTSB) is providing the following information to urge the Federal Aviation Administration (FAA) to take action on the safety recommendations issued in this report. These recommendations address the need to install cockpit voice recorders (CVR) with a minimum 25-hour recording capability on all newly manufactured airplanes required to have a CVR and retrofit these CVRs on existing aircraft required to have…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: By January 1, 2024, require retrofit of all cockpit voice recorders (CVR) on all airplanes required to carry both a CVR and a flight data recorder with a CVR capable of recording the last 25 hours of audio. (Superseded by A-24-9)
Response Status: Closed - Unacceptable Action/Superseded
Recipient: FAA
Aug 8, 2018
From the Document
On April 28, 2017, about 2348 central daylight time (CDT), a Pilatus PC-12 airplane impacted terrain near AMA shortly after takeoff. The airline transport pilot and two flight crewmembers were fatally injured, and the airplane was destroyed. The airplane was registered to and operated by Rico Aviation LLC, under the provisions of Title 14 Code of Federal Regulations Part 135 as an air ambulance flight. The flight, which was operating on an…
Requested Action: TO THE NATIONAL WEATHER SERVICE: Revise National Weather Service Instruction 10-811 to include guidance on the issuance of airmen’s meteorological information advisories and other products that advise of nonconvective turbulence hazards when convective significant meteorological information advisories are active, or may be issued, in the same region.
Study Focus: Review weather hazards and how they affect planning and flight decisions.
Response Status: Open - Acceptable Response
Recipient: United States Department of Commerce, National Oceanic and Atmospheric Administration, National Weather Service
Aug 8, 2018
From the Document
On April 28, 2017, about 2348 central daylight time (CDT), a Pilatus PC-12 airplane impacted terrain near AMA shortly after takeoff. The airline transport pilot and two flight crewmembers were fatally injured, and the airplane was destroyed. The airplane was registered to and operated by Rico Aviation LLC, under the provisions of Title 14 Code of Federal Regulations Part 135 as an air ambulance flight. The flight, which was operating on an…
Requested Action: TO THE NATIONAL WEATHER SERVICE: Develop and provide formal training to your aviation weather forecasters on the analysis, interpretation, and forecasting of low-level turbulence.
Study Focus: Review weather hazards and how they affect planning and flight decisions.
Response Status: Open - Acceptable Response
Recipient: United States Department of Commerce, National Oceanic and Atmospheric Administration, National Weather Service
Apr 26, 2018
From the Document
On October 2, 2016, about 1157 Alaska daylight time, Ravn Connect flight 3153, a turbine-powered Cessna 208B Grand Caravan airplane, N208SD, collided with steep, mountainous terrain about 10 nautical miles northwest of Togiak Airport (PATG), Togiak, Alaska. The two commercial pilots and the passenger were killed, and the airplane was destroyed. The scheduled commuter flight was operated under visual flight rules (VFR) by Hageland Aviation…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Although controlled flight into terrain (CFIT)-avoidance training programs are not required by federal regulation for Title 14 Code of Federal Regulations Part 135 fixed-wing operations, work with Part 135 operators in Alaska to improve any voluntarily implemented training programs aimed at reducing the risk of CFIT accidents involving continuation of flight under visual flight rules (VFR) into instrument…
Study Focus: Review training practices and proficiency.
Response Status: Open - Acceptable Response
Recipient: FAA
Apr 26, 2018
From the Document
On October 2, 2016, about 1157 Alaska daylight time, Ravn Connect flight 3153, a turbine-powered Cessna 208B Grand Caravan airplane, N208SD, collided with steep, mountainous terrain about 10 nautical miles northwest of Togiak Airport (PATG), Togiak, Alaska. The two commercial pilots and the passenger were killed, and the airplane was destroyed. The scheduled commuter flight was operated under visual flight rules (VFR) by Hageland Aviation…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Work with Title 14 Code of Federal Regulations Part 135 certificate holders that operate under visual flight rules in the aircraft’s required terrain awareness and warning system (TAWS) class to (1) ensure that management and pilots are aware of the risks associated with distraction (from continuous nuisance alerts) and complacency (brought about by routine use of the terrain inhibit feature); (2) develop…
Study Focus: Review qualification and recent-experience requirements.
Response Status: Open - Unacceptable Response
Recipient: FAA
Apr 26, 2018
From the Document
On October 2, 2016, about 1157 Alaska daylight time, Ravn Connect flight 3153, a turbine-powered Cessna 208B Grand Caravan airplane, N208SD, collided with steep, mountainous terrain about 10 nautical miles northwest of Togiak Airport (PATG), Togiak, Alaska. The two commercial pilots and the passenger were killed, and the airplane was destroyed. The scheduled commuter flight was operated under visual flight rules (VFR) by Hageland Aviation…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Modify the terrain awareness and warning system requirements in Technical Standard Order C151 such that, once the alerts are manually inhibited, they do not remain inhibited indefinitely if the pilot does not uninhibit them.
Response Status: Open - Acceptable Response
Recipient: FAA
Apr 26, 2018
From the Document
On October 2, 2016, about 1157 Alaska daylight time, Ravn Connect flight 3153, a turbine-powered Cessna 208B Grand Caravan airplane, N208SD, collided with steep, mountainous terrain about 10 nautical miles northwest of Togiak Airport (PATG), Togiak, Alaska. The two commercial pilots and the passenger were killed, and the airplane was destroyed. The scheduled commuter flight was operated under visual flight rules (VFR) by Hageland Aviation…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Install communications equipment throughout Alaska, after determining what would be most effective, to allow increased access to the instrument flight rules system, giving priority to those areas used by Title 14 Code of Federal Regulations Part 135 operators.
Study Focus: Review instrument planning, procedures and operating decisions.
Response Status: Open - Acceptable Response
Recipient: FAA
Feb 6, 2018
From the Document
On October 28, 2016, about 1432 central daylight time, American Airlines flight 383, a Boeing 767-323, N345AN, had started its takeoff ground roll at Chicago O’Hare International Airport, Chicago, Illinois, when an uncontained engine failure and subsequent fire occurred. The flight crew aborted the takeoff and stopped the airplane on the runway, and the flight attendants initiated an emergency evacuation. Of the 2 flight crewmembers, 7 flight…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Establish and lead an industry group that evaluates current and enhanced inspection technologies regarding their appropriateness and effectiveness for applications using nickel alloys, and use the results of this evaluation to issue guidance pertaining to the inspection process for nickel alloy rotating engine components.
Study Focus: Review surface awareness and decisions during taxi, takeoff and landing.
Response Status: Open - Acceptable Response
Recipient: FAA
Feb 6, 2018
From the Document
On October 28, 2016, about 1432 central daylight time, American Airlines flight 383, a Boeing 767-323, N345AN, had started its takeoff ground roll at Chicago O’Hare International Airport, Chicago, Illinois, when an uncontained engine failure and subsequent fire occurred. The flight crew aborted the takeoff and stopped the airplane on the runway, and the flight attendants initiated an emergency evacuation. Of the 2 flight crewmembers, 7 flight…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Require subsurface in-service inspection techniques, such as ultrasonic inspections, for critical high-energy, life-limited rotating parts for all engines.
Study Focus: Review surface awareness and decisions during taxi, takeoff and landing.
Response Status: Open - Acceptable Response
Recipient: FAA
Feb 6, 2018
From the Document
On October 28, 2016, about 1432 central daylight time, American Airlines flight 383, a Boeing 767-323, N345AN, had started its takeoff ground roll at Chicago O’Hare International Airport, Chicago, Illinois, when an uncontained engine failure and subsequent fire occurred. The flight crew aborted the takeoff and stopped the airplane on the runway, and the flight attendants initiated an emergency evacuation. Of the 2 flight crewmembers, 7 flight…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Revise Advisory Circular (AC) 20-128A, “Design Considerations for Minimizing Hazards Caused by Uncontained Turbine Engine and Auxiliary Power Unit Rotor Failure,” based on an analysis of uncontained engine failure data since the time that the AC was issued, to minimize hazards to an airplane and its occupants if an uncontained engine failure were to occur. The revised AC should include modifications to the…
Study Focus: Review surface awareness and decisions during taxi, takeoff and landing.
Response Status: Open - Acceptable Response
Recipient: FAA
Jan 16, 2018
From the Document
These recommendations are derived from our investigation of a July 6, 2016, accident involving an experimental research and development Bell 525 helicopter, N525TA, which broke up in flight and impacted terrain near Italy, Texas. The two test pilots received fatal injuries, and the helicopter was destroyed.1 The helicopter was being operated under the provisions of Title 14 Code of Federal Regulations (CFR) Part 91 as a developmental flight…
Requested Action: TO BELL HELICOPTER TEXTRON: Provide information about the lessons learned from the July 6, 2016, accident specific to the benefits of recording devices for parametric data, cockpit audio, and cockpit images during experimental flight test activities to interested manufacturers, flight test industry groups, and other appropriate parties.
Response Status: Open - Acceptable Response
Recipient: Bell Helicopter Textron, Inc.
May 9, 2017
From the Document
On June 25, 2015, about 1215 Alaska daylight time, a single-engine, turbine-powered, float-equipped de Havilland DHC-3 (Otter) airplane, N270PA, collided with mountainous, tree-covered terrain about 24 miles east-northeast of Ketchikan, Alaska. The commercial pilot and eight passengers sustained fatal injuries, and the airplane was destroyed. The airplane was owned by Pantechnicon Aviation, of Minden, Nevada, and operated by Promech Air, Inc.,…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Implement ways to provide effective terrain awareness and warning system (TAWS) protections while mitigating nuisance alerts for single-engine airplanes operated under 14 Code of Federal Regulations Part 135 that frequently operate at altitudes below their respective TAWS class design alerting threshold.
Study Focus: Review aircraft-system operation, limitations and failure awareness.
Response Status: Open - Acceptable Response
Recipient: FAA
May 9, 2017
From the Document
On June 25, 2015, about 1215 Alaska daylight time, a single-engine, turbine-powered, float-equipped de Havilland DHC-3 (Otter) airplane, N270PA, collided with mountainous, tree-covered terrain about 24 miles east-northeast of Ketchikan, Alaska. The commercial pilot and eight passengers sustained fatal injuries, and the airplane was destroyed. The airplane was owned by Pantechnicon Aviation, of Minden, Nevada, and operated by Promech Air, Inc.,…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Establish minimum initial and recurrent training requirements for personnel authorized to exercise operational control, including, but not limited to, approved subject knowledge areas, training hours, subject hours, and qualification modules.
Study Focus: Review aircraft-system operation, limitations and failure awareness.
Response Status: Closed - Unacceptable Action
Recipient: FAA
May 9, 2017
From the Document
On June 25, 2015, about 1215 Alaska daylight time, a single-engine, turbine-powered, float-equipped de Havilland DHC-3 (Otter) airplane, N270PA, collided with mountainous, tree-covered terrain about 24 miles east-northeast of Ketchikan, Alaska. The commercial pilot and eight passengers sustained fatal injuries, and the airplane was destroyed. The airplane was owned by Pantechnicon Aviation, of Minden, Nevada, and operated by Promech Air, Inc.,…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Publish an advisory circular that provides guidance on operational control best practices, including, but not limited to, such areas as risk mitigation strategies, joint flight safety responsibilities, prior experience of operational control personnel, and operational control personnel duty time limitations.
Study Focus: Review aircraft-system operation, limitations and failure awareness.
Response Status: Open - Unacceptable Response
Recipient: FAA
May 9, 2017
From the Document
On June 25, 2015, about 1215 Alaska daylight time, a single-engine, turbine-powered, float-equipped de Havilland DHC-3 (Otter) airplane, N270PA, collided with mountainous, tree-covered terrain about 24 miles east-northeast of Ketchikan, Alaska. The commercial pilot and eight passengers sustained fatal injuries, and the airplane was destroyed. The airplane was owned by Pantechnicon Aviation, of Minden, Nevada, and operated by Promech Air, Inc.,…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Revise Federal Aviation Administration Order 8900.1 to include guidance for inspector oversight of operational control training program subject areas, including, but not limited to, the criteria for a qualification module.
Study Focus: Review aircraft-system operation, limitations and failure awareness.
Response Status: Closed - Unacceptable Action
Recipient: FAA
May 9, 2017
From the Document
On June 25, 2015, about 1215 Alaska daylight time, a single-engine, turbine-powered, float-equipped de Havilland DHC-3 (Otter) airplane, N270PA, collided with mountainous, tree-covered terrain about 24 miles east-northeast of Ketchikan, Alaska. The commercial pilot and eight passengers sustained fatal injuries, and the airplane was destroyed. The airplane was owned by Pantechnicon Aviation, of Minden, Nevada, and operated by Promech Air, Inc.,…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Analyze automatic dependent surveillance-broadcast (ADS-B) data from Ketchikan air tour operations on an ongoing basis and meet annually with Ketchikan air tour operators to engage in a nonpunitive discussion of any operational hazards reflected in the data and collaborate on mitigation strategies for any hazards identified.
Study Focus: Review aircraft-system operation, limitations and failure awareness.
Response Status: Closed - Unacceptable Action
Recipient: FAA
Apr 13, 2017
From the Document
Pilot weather reports (PIREPs), which are brief reports from pilots describing observed in-flight weather conditions, are an important source of weather information in the National Airspace System (NAS). Complete, accurate, and timely weather information is essential to support flight safety for all aircraft operations—large and small—in the NAS; it is vital for use in avoiding inadvertent encounters with hazardous weather and preventing…
Requested Action: TO THE AVIATION ACCREDITATION BOARD INTERNATIONAL, THE NATIONAL ASSOCIATION OF FLIGHT INSTRUCTORS, AND THE SOCIETY OF AVIATION AND FLIGHT EDUCATORS (EACH, RESPECTIVELY): Encourage your members to teach their students, during initial flight training, recurrent flight training, and flight reviews, the importance of pilot weather reports (PIREPs) and include, at a minimum, (1) real-world examples that illustrate the value of both fair-weather and…
Study Focus: Review weather hazards and how they affect planning and flight decisions.
Response Status: Open - Unacceptable Response
Recipient: Society of Aviation and Flight Educators, National Association of Flight Instructors, Aviation Accreditation Board International
Apr 13, 2017
From the Document
Pilot weather reports (PIREPs), which are brief reports from pilots describing observed in-flight weather conditions, are an important source of weather information in the National Airspace System (NAS). Complete, accurate, and timely weather information is essential to support flight safety for all aircraft operations—large and small—in the NAS; it is vital for use in avoiding inadvertent encounters with hazardous weather and preventing…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Provide air traffic controllers with automated pilot weather report (PIREP) data-collection tools that incorporate design elements to prevent input errors, increase quantity, and improve the timeliness of PIREPs disseminated to the National Airspace System.
Study Focus: Review weather hazards and how they affect planning and flight decisions.
Response Status: Open - Acceptable Response
Recipient: FAA
Apr 13, 2017
From the Document
Pilot weather reports (PIREPs), which are brief reports from pilots describing observed in-flight weather conditions, are an important source of weather information in the National Airspace System (NAS). Complete, accurate, and timely weather information is essential to support flight safety for all aircraft operations—large and small—in the NAS; it is vital for use in avoiding inadvertent encounters with hazardous weather and preventing…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Incorporate automation technology that captures data elements from air traffic controllers’ displays, including aircraft type, time, location, and altitude, to automatically populate these data into a pilot weather report (PIREP)-collection and -dissemination tool that will enable controllers to enter the remaining PIREP elements and disseminate PIREPs through a common exchange model directly to the…
Study Focus: Review weather hazards and how they affect planning and flight decisions.
Response Status: Open - Acceptable Response
Recipient: FAA
Apr 13, 2017
From the Document
Pilot weather reports (PIREPs), which are brief reports from pilots describing observed in-flight weather conditions, are an important source of weather information in the National Airspace System (NAS). Complete, accurate, and timely weather information is essential to support flight safety for all aircraft operations—large and small—in the NAS; it is vital for use in avoiding inadvertent encounters with hazardous weather and preventing…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Revise Federal Aviation Administration Orders JO 7110.65W, “Air Traffic Control”; JO 7110.10Y, “Flight Services”; and JO 7210.3Z, “Facility Operation and Administration,” to ensure that the chapters of the orders that address pilot weather reports (PIREPs) include improved and consistent guidance about PIREP coding, handling, solicitation, and dissemination.
Study Focus: Review weather hazards and how they affect planning and flight decisions.
Response Status: Open - Unacceptable Response
Recipient: FAA
Apr 13, 2017
From the Document
Pilot weather reports (PIREPs), which are brief reports from pilots describing observed in-flight weather conditions, are an important source of weather information in the National Airspace System (NAS). Complete, accurate, and timely weather information is essential to support flight safety for all aircraft operations—large and small—in the NAS; it is vital for use in avoiding inadvertent encounters with hazardous weather and preventing…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Provide a reliable means of electronically accepting pilot weather reports directly from all users who are eligible to submit reports, and ensure that the system has the capacity to accept and make available all such reports to the National Airspace System.
Study Focus: Review weather hazards and how they affect planning and flight decisions.
Response Status: Open - Acceptable Response
Recipient: FAA
Apr 13, 2017
From the Document
Pilot weather reports (PIREPs), which are brief reports from pilots describing observed in-flight weather conditions, are an important source of weather information in the National Airspace System (NAS). Complete, accurate, and timely weather information is essential to support flight safety for all aircraft operations—large and small—in the NAS; it is vital for use in avoiding inadvertent encounters with hazardous weather and preventing…
Requested Action: TO THE NATIONAL AIR TRAFFIC CONTROLLERS ASSOCIATION: Work with the Federal Aviation Administration to develop and distribute to all air traffic control (ATC) facilities best practices guidance for the solicitation and dissemination of pilot weather reports for each type of ATC facility.
Study Focus: Review weather hazards and how they affect planning and flight decisions.
Response Status: Open - Acceptable Response
Recipient: National Air Traffic Controllers Association
Mar 7, 2017
From the Document
On May 13, 2014, about 1511 central daylight time, a Beechcraft Beechjet 400A, registration number N412GJ, equipped with two PWC JT15D-5 engines, experienced a fire in the No. 2 (right) engine following a birdstrike during takeoff roll at Sugar Land Regional Airport (SGR), Sugar Land, Texas. The flight crew successfully rejected the takeoff and discharged both fire bottles, which extinguished the fire. During an examination of the airplane, fuel…
Requested Action: TO TRANSPORT CANADA: Require that all JT15D-5 engines installed on Raytheon/Hawker Beechjet 400A airplanes be modified to dampen the rub-induced excitation that can occur between the engine fan and fan case during birdstrike or foreign object ingestion events.
Study Focus: Review aircraft-system operation, limitations and failure awareness.
Response Status: Open - Acceptable Response
Recipient: Foreign, Canada, Transport Canada, Civil Aviation
Feb 2, 2017
From the Document
On June 7, 2013, about 0925 coordinated universal time, an EMB-145LR, registration B-3052, operating as China Eastern Airlines flight MU2947, departed the left side of runway 18L onto taxiway A2 while landing at Hongqiao International Airport, Shanghai, China, in moderate rain. The flight originated from Huai’an Lianshui Airport, Jiangsu, China. The 25 crewmembers and 44 passengers were uninjured, and the nose landing gear sustained minor…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: After Embraer issues the operations bulletin as recommended in Safety Recommendation A-17-3, notify operators of Embraer aircraft that the use of binder brackets to hold chart binders could cause a hazardous condition if a binder becomes dislodged from the bracket and encourage operators to comply with the Embraer operations bulletin.
Study Focus: Review surface awareness and decisions during taxi, takeoff and landing.
Response Status: Closed - Acceptable Action
Recipient: FAA
Dec 8, 2016
From the Document
These recommendations are intended to prevent the incorrect installation of the reversing lever (beta arm) and related components in PT6A engines, which can cause the propeller to transition uncommanded to feather in flight. They are derived from investigations of accidents in which the beta arm or related components were found incorrectly positioned. As a result of these investigations, the NTSB is issuing one safety recommendation each to the…
Requested Action: TO PRATT AND WHITNEY CANADA: As soon as practicable, complete the development and implementation of a redesigned guide pin assembly for PT6A engines to prevent the possibility of the reversing lever (beta arm) and guide pin being incorrectly installed.
Response Status: Open - Acceptable Response
Recipient: Pratt & Whitney
Nov 3, 2016
From the Document
On November 10, 2015, about 1453 eastern standard time, Execuflight flight 1526, a British Aerospace HS 125-700A (Hawker 700A), N237WR, departed controlled flight while on a nonprecision localizer approach to runway 25 at Akron Fulton International Airport (AKR) and impacted a four-unit apartment building in Akron, Ohio. The captain, first officer, and seven passengers died; no one on the ground was injured. The airplane was destroyed by impact…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Require all 14 Code of Federal Regulations Part 135 operators to install flight data recording devices capable of supporting a flight data monitoring program.
Study Focus: Review surface awareness and decisions during taxi, takeoff and landing.
Response Status: Open - Unacceptable Response
Recipient: FAA
Nov 3, 2016
From the Document
On November 10, 2015, about 1453 eastern standard time, Execuflight flight 1526, a British Aerospace HS 125-700A (Hawker 700A), N237WR, departed controlled flight while on a nonprecision localizer approach to runway 25 at Akron Fulton International Airport (AKR) and impacted a four-unit apartment building in Akron, Ohio. The captain, first officer, and seven passengers died; no one on the ground was injured. The airplane was destroyed by impact…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: After the action in Safety Recommendation A-16-34 is completed, require all 14 Code of Federal Regulations Part 135 operators to establish a structured flight data monitoring program that reviews all available data sources to identify deviations from established norms and procedures and other potential safety issues.
Study Focus: Review surface awareness and decisions during taxi, takeoff and landing.
Response Status: Open - Unacceptable Response
Recipient: FAA
Nov 3, 2016
From the Document
On November 10, 2015, about 1453 eastern standard time, Execuflight flight 1526, a British Aerospace HS 125-700A (Hawker 700A), N237WR, departed controlled flight while on a nonprecision localizer approach to runway 25 at Akron Fulton International Airport (AKR) and impacted a four-unit apartment building in Akron, Ohio. The captain, first officer, and seven passengers died; no one on the ground was injured. The airplane was destroyed by impact…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Require all 14 Code of Federal Regulations Part 135 operators to establish safety management system programs.
Study Focus: Review surface awareness and decisions during taxi, takeoff and landing.
Response Status: Closed - Acceptable Action
Recipient: FAA
Oct 6, 2016
From the Document
On March 5, 2015, at 1102 eastern standard time, Delta Air Lines flight 1086, a Boeing MD-88, N909DL, was landing on runway 13 at LaGuardia Airport (LGA), New York, New York, when it departed the left side of the runway, contacted the airport perimeter fence, and came to rest with the airplane’s nose on an embankment next to Flushing Bay. The 2 pilots, 3 flight attendants, and 98 of the 127 passengers were not injured; the other 29 passengers…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: If the systems described in Safety Recommendation A-16-23 are shown to be technically and operationally feasible, work with operators and the system manufacturers to develop procedures that ensure that airplane-based braking ability results can be readily conveyed to, and easily interpreted by, arriving flight crews, airport operators, air traffic control personnel, and others with a safety need for this…
Study Focus: Review surface awareness and decisions during taxi, takeoff and landing.
Response Status: Open - Acceptable Response
Recipient: FAA
Oct 6, 2016
From the Document
On March 5, 2015, at 1102 eastern standard time, Delta Air Lines flight 1086, a Boeing MD-88, N909DL, was landing on runway 13 at LaGuardia Airport (LGA), New York, New York, when it departed the left side of the runway, contacted the airport perimeter fence, and came to rest with the airplane’s nose on an embankment next to Flushing Bay. The 2 pilots, 3 flight attendants, and 98 of the 127 passengers were not injured; the other 29 passengers…
Requested Action: TO US OPERATORS OF MD-80 SERIES AIRPLANES(AMERICAN AIRLINES, DELTA AIRLINES, AND ALLEGIANT AIR): Collaborate with the Federal Aviation Administration and Boeing to (1) conduct a study to examine reverse thrust engine pressure ratio (EPR)-related operational data, procedures, and training and (2) identify industry-wide best practices that have been shown to be effective in reliably preventing EPR exceedances to mitigate the risks associated with…
Study Focus: Review surface awareness and decisions during taxi, takeoff and landing.
Response Status: Open - Acceptable Response
Recipient: American Airlines, Inc., Delta Airlines, Inc., Allegiant Air
Sep 1, 2016
From the Document
On January 13, 2015, about 2058 eastern standard time (EST), a Cessna 152, N757ZM, crashed into shallow water at a public beach in New Smyrna Beach, Florida. The commercial pilot died, and the airplane was substantially damaged by impact forces. A review of air traffic control (ATC) data indicated that the pilot had requested assistance from ATC, telling the controller that she could not continue flight under visual flight rules (VFR) and that…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Develop, in collaboration with your internal offices that investigate aviation accidents and incidents and also organizations familiar with the challenges facing pilots confronting an emergency situation, and require recurrent national training for air traffic controllers, including scenario-based training, to instruct them on identifying and responding to emergency situations to include the following: (1)…
Study Focus: Review preparation and response to abnormal or emergency situations.
Response Status: Closed - Acceptable Action
Recipient: FAA
Sep 1, 2016
From the Document
On January 13, 2015, about 2058 eastern standard time (EST), a Cessna 152, N757ZM, crashed into shallow water at a public beach in New Smyrna Beach, Florida. The commercial pilot died, and the airplane was substantially damaged by impact forces. A review of air traffic control (ATC) data indicated that the pilot had requested assistance from ATC, telling the controller that she could not continue flight under visual flight rules (VFR) and that…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: In collaboration with your internal offices that investigate aviation accidents and incidents and also organizations familiar with the challenges facing pilots confronting an emergency situation, annually revise the required training described in Safety Recommendation A-16-18 at the national level to ensure that the training is current and relevant and includes lessons learned from recent events throughout…
Study Focus: Review preparation and response to abnormal or emergency situations.
Response Status: Closed - Acceptable Action
Recipient: FAA
Jun 21, 2016
From the Document
On December 8, 2014, about 1041 eastern standard time, an Embraer EMB-500 airplane (marketed as the Phenom 100), N100EQ, registered to and operated by Sage Aviation LLC, crashed while on approach to runway 14 at Montgomery County Airpark (GAI), Gaithersburg, Maryland. The airplane impacted three houses and the ground about 3/4 mile from the approach end of the runway. A postcrash fire involving the airplane and one of the three houses, which…
Requested Action: TO THE GENERAL AVIATION MANUFACTURERS ASSOCIATION: Work with the Federal Aviation Administration to develop a system that can automatically alert pilots when the ice protection systems should be activated on turbofan airplanes that require a type rating and are certified for single-pilot operations and flight in icing conditions.
Study Focus: Review weather hazards and how they affect planning and flight decisions.
Response Status: Open - Acceptable Response
Recipient: General Aviation Manufacturers Association
Feb 9, 2016
From the Document
On July 28, 2011, about 04:11 Korean standard time, Asiana Airlines Flight 991, a B747 400F airplane on a scheduled cargo flight from Incheon, Republic of Korea, to Shanghai, China, crashed into international waters about 130 km west of Jeju International Airport. The flight crew reported a cargo fire to Shanghai Area Control Center and attempted to divert to Jeju International Airport. The two pilots aboard the flight died. The wreckage of the…
Requested Action: TO THE PIPELINE AND HAZARDOUS MATERIALS SAFETY ADMINISTATION: Require that Class 3 flammable liquids and fully regulated Class 9 lithium batteries be physically segregated when stowed on board an aircraft such that packages containing these materials may not be placed on the same or adjacent pallets or ULDs.
Response Status: Closed - Acceptable Action
Recipient: PHMSA
Feb 9, 2016
From the Document
On July 28, 2011, about 04:11 Korean standard time, Asiana Airlines Flight 991, a B747 400F airplane on a scheduled cargo flight from Incheon, Republic of Korea, to Shanghai, China, crashed into international waters about 130 km west of Jeju International Airport. The flight crew reported a cargo fire to Shanghai Area Control Center and attempted to divert to Jeju International Airport. The two pilots aboard the flight died. The wreckage of the…
Requested Action: TO THE PIPELINE AND HAZARDOUS MATERIALS SAFETY ADMINISTATION: Establish maximum loading density requirements that restrict the quantities of Class 3 flammable hazardous materials or Class 9 lithium batteries stowed on a single pallet or ULD, or on a group of pallets or ULDs, within an aircraft such that cargo fires can be effectively managed by on-board fire suppression capabilities.
Response Status: Closed - Acceptable Alternate Action
Recipient: PHMSA
Sep 24, 2015
From the Document
On May 31, 2014, about 2140 eastern daylight time, a Gulfstream Aerospace Corporation G-IV, N121JM, registered to SK Travel, LLC, and operated by Arizin Ventures, LLC, crashed after it overran the end of runway 11 during a rejected takeoff at Laurence G. Hanscom Field (BED), Bedford, Massachusetts. The airplane rolled through the paved overrun area and across a grassy area, collided with approach lights and a localizer antenna, passed through…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Identify nonfrangible structures outside of a runway safety area during annual 14 Code of Federal Regulations Part 139 inspections and place increased emphasis on replacing nonfrangible fittings of any objects along the extended runway centerline up to the perimeter fence with frangible fittings, wherever feasible, during the next routine maintenance cycle.
Study Focus: Review surface awareness and decisions during taxi, takeoff and landing.
Response Status: Open Acceptable Alternate Response
Recipient: FAA
Sep 24, 2015
From the Document
On May 31, 2014, about 2140 eastern daylight time, a Gulfstream Aerospace Corporation G-IV, N121JM, registered to SK Travel, LLC, and operated by Arizin Ventures, LLC, crashed after it overran the end of runway 11 during a rejected takeoff at Laurence G. Hanscom Field (BED), Bedford, Massachusetts. The airplane rolled through the paved overrun area and across a grassy area, collided with approach lights and a localizer antenna, passed through…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Develop and issue guidance on the appropriate use and limitations of the review of engineering drawings in a design review performed as a means of showing compliance with certification regulations.
Study Focus: Review surface awareness and decisions during taxi, takeoff and landing.
Response Status: Open - Acceptable Response
Recipient: FAA