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.
Aug 4, 2015
From the Document
On October 31, 2014, at 1007:32 Pacific daylight time, the SpaceShipTwo (SS2) reusable suborbital rocket, N339SS, operated by Scaled Composites LLC (Scaled), broke up into multiple pieces during a rocket-powered test flight and impacted terrain over a 5-mile area near Koehn Dry Lake, California. The pilot received serious injuries, and the copilot received fatal injuries. SS2 was destroyed, and no one on the ground was injured as a result of the…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: In collaboration with the Commercial Spaceflight Federation, develop and issue human factors guidance for operators to use throughout the design and operation of a crewed vehicle. The guidance should address, but not be limited to, the human factors issues identified during the SpaceShipTwo accident investigation.
Study Focus: Review how launch and reentry activity affects airspace planning.
Response Status: Closed - Acceptable Action
Recipient: FAA
Aug 4, 2015
From the Document
On October 31, 2014, at 1007:32 Pacific daylight time, the SpaceShipTwo (SS2) reusable suborbital rocket, N339SS, operated by Scaled Composites LLC (Scaled), broke up into multiple pieces during a rocket-powered test flight and impacted terrain over a 5-mile area near Koehn Dry Lake, California. The pilot received serious injuries, and the copilot received fatal injuries. SS2 was destroyed, and no one on the ground was injured as a result of the…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Implement steps in your evaluation of experimental permit applications to ensure that applicants have (1) identified single flight crew tasks that, if performed incorrectly or at the wrong time, could result in a catastrophic hazard, (2) assessed the reasonableness, including human factor considerations, of the proposed mitigations to prevent errors that could result from performing those tasks, and (3)…
Response Status: Open - Acceptable Response
Recipient: FAA
Aug 4, 2015
From the Document
On October 31, 2014, at 1007:32 Pacific daylight time, the SpaceShipTwo (SS2) reusable suborbital rocket, N339SS, operated by Scaled Composites LLC (Scaled), broke up into multiple pieces during a rocket-powered test flight and impacted terrain over a 5-mile area near Koehn Dry Lake, California. The pilot received serious injuries, and the copilot received fatal injuries. SS2 was destroyed, and no one on the ground was injured as a result of the…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Develop a process to determine whether an experimental permit applicant has demonstrated the adequacy of existing mitigations to ensure public health and safety as well as safety of property before granting a waiver from the human error hazard analysis requirements of 14 Code of Federal Regulations 437.55.
Response Status: Closed - Acceptable Action
Recipient: FAA
Aug 4, 2015
From the Document
On October 31, 2014, at 1007:32 Pacific daylight time, the SpaceShipTwo (SS2) reusable suborbital rocket, N339SS, operated by Scaled Composites LLC (Scaled), broke up into multiple pieces during a rocket-powered test flight and impacted terrain over a 5-mile area near Koehn Dry Lake, California. The pilot received serious injuries, and the copilot received fatal injuries. SS2 was destroyed, and no one on the ground was injured as a result of the…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Develop and implement procedures and guidance for confirming that commercial space operators are implementing the mitigations identified in a safety-related waiver of federal regulations and work with the operators to determine the effectiveness of those mitigations that correspond to hazards contributing to catastrophic outcomes.
Response Status: Closed - Acceptable Action
Recipient: FAA
Aug 4, 2015
From the Document
On October 31, 2014, at 1007:32 Pacific daylight time, the SpaceShipTwo (SS2) reusable suborbital rocket, N339SS, operated by Scaled Composites LLC (Scaled), broke up into multiple pieces during a rocket-powered test flight and impacted terrain over a 5-mile area near Koehn Dry Lake, California. The pilot received serious injuries, and the copilot received fatal injuries. SS2 was destroyed, and no one on the ground was injured as a result of the…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Develop and issue guidance for experimental permit applicants that (1) includes the information in Advisory Circular 413-1, “License Application Procedures,” and (2) encourages commercial space vehicle manufacturers to begin the consultation process with the Office of Commercial Space Transportation during a vehicle’s design phase.
Response Status: Open - Acceptable Response
Recipient: FAA
Aug 4, 2015
From the Document
On October 31, 2014, at 1007:32 Pacific daylight time, the SpaceShipTwo (SS2) reusable suborbital rocket, N339SS, operated by Scaled Composites LLC (Scaled), broke up into multiple pieces during a rocket-powered test flight and impacted terrain over a 5-mile area near Koehn Dry Lake, California. The pilot received serious injuries, and the copilot received fatal injuries. SS2 was destroyed, and no one on the ground was injured as a result of the…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Develop and implement a program for Office of Commercial Space Transportation inspectors that aligns them with individual operators applying for an experimental permit or a launch license to ensure that the inspectors have adequate time to become familiar with the technical, operational, training, and management controls that they will inspect.
Study Focus: Review training practices and proficiency.
Response Status: Closed - Unacceptable Action
Recipient: FAA
Aug 4, 2015
From the Document
On October 31, 2014, at 1007:32 Pacific daylight time, the SpaceShipTwo (SS2) reusable suborbital rocket, N339SS, operated by Scaled Composites LLC (Scaled), broke up into multiple pieces during a rocket-powered test flight and impacted terrain over a 5-mile area near Koehn Dry Lake, California. The pilot received serious injuries, and the copilot received fatal injuries. SS2 was destroyed, and no one on the ground was injured as a result of the…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Direct Office of Commercial Space Transportation (AST) management to work with AST technical staff to (1) develop clearer policies, practices, and procedures that allow direct communications between staff and applicants, (2) provide clearer guidance on evaluating commercial space transportation permits, waivers, and licenses, and (3) better define the line between the information needed to ensure public…
Response Status: Closed - Acceptable Action
Recipient: FAA
Aug 4, 2015
From the Document
On October 31, 2014, at 1007:32 Pacific daylight time, the SpaceShipTwo (SS2) reusable suborbital rocket, N339SS, operated by Scaled Composites LLC (Scaled), broke up into multiple pieces during a rocket-powered test flight and impacted terrain over a 5-mile area near Koehn Dry Lake, California. The pilot received serious injuries, and the copilot received fatal injuries. SS2 was destroyed, and no one on the ground was injured as a result of the…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: In collaboration with the commercial space flight industry, continue work to implement a database of lessons learned from commercial space mishap investigations and encourage commercial space industry members to voluntarily submit lessons learned.
Response Status: Open - Unacceptable Response
Recipient: FAA
Aug 4, 2015
From the Document
On October 31, 2014, at 1007:32 Pacific daylight time, the SpaceShipTwo (SS2) reusable suborbital rocket, N339SS, operated by Scaled Composites LLC (Scaled), broke up into multiple pieces during a rocket-powered test flight and impacted terrain over a 5-mile area near Koehn Dry Lake, California. The pilot received serious injuries, and the copilot received fatal injuries. SS2 was destroyed, and no one on the ground was injured as a result of the…
Requested Action: TO THE COMMERCIAL SPACEFLIGHT FEDERATION: Advise commercial space operators to work with local emergency response partners to revise emergency response procedures and planning to ensure that helicopter and other resources are appropriately deployed during flights.
Study Focus: Review how launch and reentry activity affects airspace planning.
Response Status: Closed - Acceptable Action
Recipient: Commercial Spaceflight Federation
Aug 4, 2015
From the Document
On October 31, 2014, at 1007:32 Pacific daylight time, the SpaceShipTwo (SS2) reusable suborbital rocket, N339SS, operated by Scaled Composites LLC (Scaled), broke up into multiple pieces during a rocket-powered test flight and impacted terrain over a 5-mile area near Koehn Dry Lake, California. The pilot received serious injuries, and the copilot received fatal injuries. SS2 was destroyed, and no one on the ground was injured as a result of the…
Requested Action: TO THE COMMERCIAL SPACEFLIGHT FEDERATION: Work with the Federal Aviation Administration to develop and issue human factors guidance for operators to use throughout the design and operation of a crewed vehicle. The guidance should address, but not be limited to, the human factors issues identified during the SpaceShipTwo accident investigation.
Study Focus: Review how launch and reentry activity affects airspace planning.
Response Status: Open - Acceptable Response
Recipient: Commercial Spaceflight Federation
Jul 29, 2015
From the Document
On April 29, 2013, about 1527 local time, a Boeing 747-400 BCF, N949CA, operated by National Air Cargo, Inc., dba National Airlines, crashed shortly after takeoff from Bagram Air Base, Bagram, Afghanistan. All seven crewmembers—the captain, first officer, loadmaster, augmented captain and first officer, and two mechanics—died, and the airplane was destroyed from impact forces and postcrash fire. The 14 Code of Federal Regulations Part 121…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Create a certification for personnel responsible for the loading, restraint, and documentation of special cargo loads on transport-category airplanes, and ensure that the certification includes procedures; training; and duty hour limitations and rest requirements consistent with other safety-sensitive, certificated positions.
Study Focus: Review qualification and recent-experience requirements.
Response Status: Closed - Unacceptable Action
Recipient: FAA
Jul 29, 2015
From the Document
On April 29, 2013, about 1527 local time, a Boeing 747-400 BCF, N949CA, operated by National Air Cargo, Inc., dba National Airlines, crashed shortly after takeoff from Bagram Air Base, Bagram, Afghanistan. All seven crewmembers—the captain, first officer, loadmaster, augmented captain and first officer, and two mechanics—died, and the airplane was destroyed from impact forces and postcrash fire. The 14 Code of Federal Regulations Part 121…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Add a special emphasis item to Federal Aviation Administration (FAA) Order 1800.56O, “National Flight Standards Work Program Guidelines,” for inspectors of 14 Code of Federal Regulations Part 121 cargo operators to review their manuals to ensure that the procedures, documents, and support in the areas of cargo loading, cargo restraint, and methods for securing cargo on transport-category airplanes are…
Response Status: Closed - Unacceptable Action
Recipient: FAA
Jul 29, 2015
From the Document
On April 29, 2013, about 1527 local time, a Boeing 747-400 BCF, N949CA, operated by National Air Cargo, Inc., dba National Airlines, crashed shortly after takeoff from Bagram Air Base, Bagram, Afghanistan. All seven crewmembers—the captain, first officer, loadmaster, augmented captain and first officer, and two mechanics—died, and the airplane was destroyed from impact forces and postcrash fire. The 14 Code of Federal Regulations Part 121…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Include specific guidance in the Federal Aviation Administration inspector handbook that defines responsibilities for principal inspectors for the oversight of an operator’s loading, restraint, and documentation of special cargo loads.
Response Status: Closed - Acceptable Action
Recipient: FAA
Jul 29, 2015
From the Document
On April 29, 2013, about 1527 local time, a Boeing 747-400 BCF, N949CA, operated by National Air Cargo, Inc., dba National Airlines, crashed shortly after takeoff from Bagram Air Base, Bagram, Afghanistan. All seven crewmembers—the captain, first officer, loadmaster, augmented captain and first officer, and two mechanics—died, and the airplane was destroyed from impact forces and postcrash fire. The 14 Code of Federal Regulations Part 121…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Provide initial and recurrent training for all principal inspectors who have oversight responsibilities for air carrier cargo handling operations that specifically addresses operator cargo procedures, documents, restraint, and support for technical decisions related to special cargo loads.
Study Focus: Review training practices and proficiency.
Response Status: Closed - Acceptable Action
Recipient: FAA
May 4, 2015
From the Document
The National Transportation Safety Board (NTSB) urges the Federal Aviation Administration (FAA) to take action on the safety recommendations issued in this letter. These recommendations address the issuance of landing clearances with multiple airports in the vicinity and minimum safe altitude warning (MSAW) software limitations. The recommendations are derived from our investigations of wrong airport landing events. As a result of these…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Amend air traffic control procedures so that controllers withhold landing clearance until the aircraft has passed all other airports that may be confused with the destination airport.
Response Status: Open Acceptable Alternate Response
Recipient: FAA
May 4, 2015
From the Document
The National Transportation Safety Board (NTSB) urges the Federal Aviation Administration (FAA) to take action on the safety recommendations issued in this letter. These recommendations address the issuance of landing clearances with multiple airports in the vicinity and minimum safe altitude warning (MSAW) software limitations. The recommendations are derived from our investigations of wrong airport landing events. As a result of these…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Modify the minimum safe altitude warning (MSAW) software to apply the MSAW parameters for the flight plan destination airport to touchdown, rather than automatically reassigning the flight to another airport based on an observed (and possibly incorrect) trajectory.
Study Focus: Review the information and decisions needed before departure.
Response Status: Open Acceptable Alternate Response
Recipient: FAA
Jan 22, 2015
From the Document
The NTSB has long been concerned about rapid recovery of recorded information to guide investigations, help determine accident causes, and develop recommendations to prevent recurrences. To focus attention on this issue, the NTSB convened its Emerging Flight Data and Locator Technology Forum on October 7, 2014, in Washington, D.C. Forum discussions among government, industry, and investigative experts helped identify the following safety issues:…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Require that all aircraft used in extended overwater operations and operating under Title 14 Code of Federal Regulations (1) Part 121 or (2) Part 135 that are required to have a cockpit voice recorder and a flight data recorder, be equipped with a tamper-resistant method to broadcast to a ground station sufficient information to establish the location where an aircraft terminates flight as the result of an…
Response Status: Open - Acceptable Response
Recipient: FAA
Jan 22, 2015
From the Document
The NTSB has long been concerned about rapid recovery of recorded information to guide investigations, help determine accident causes, and develop recommendations to prevent recurrences. To focus attention on this issue, the NTSB convened its Emerging Flight Data and Locator Technology Forum on October 7, 2014, in Washington, D.C. Forum discussions among government, industry, and investigative experts helped identify the following safety issues:…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Require that all aircraft used in extended overwater operations and operating under Title 14 Code of Federal Regulations (1) Part 121 or (2) Part 135 that are required to have a cockpit voice recorder and a flight data recorder, be equipped with an airframe low frequency underwater locating device that will function for at least 90 days and that can be detected by equipment available on military, search…
Response Status: Open - Acceptable Response
Recipient: FAA
Jan 22, 2015
From the Document
The NTSB has long been concerned about rapid recovery of recorded information to guide investigations, help determine accident causes, and develop recommendations to prevent recurrences. To focus attention on this issue, the NTSB convened its Emerging Flight Data and Locator Technology Forum on October 7, 2014, in Washington, D.C. Forum discussions among government, industry, and investigative experts helped identify the following safety issues:…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Require that all newly manufactured aircraft used in extended overwater operations and operating under Title 14 Code of Federal Regulations (1) Part 121 or (2) Part 135 that are required to have a cockpit voice recorder and a flight data recorder, be equipped with a means to recover, at a minimum, mandatory flight data parameters; the means of recovery should not require underwater retrieval. Data should…
Response Status: Open - Unacceptable Response
Recipient: FAA
Jan 22, 2015
From the Document
The NTSB has long been concerned about rapid recovery of recorded information to guide investigations, help determine accident causes, and develop recommendations to prevent recurrences. To focus attention on this issue, the NTSB convened its Emerging Flight Data and Locator Technology Forum on October 7, 2014, in Washington, D.C. Forum discussions among government, industry, and investigative experts helped identify the following safety issues:…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Concurrent with the implementation of Safety Recommendations A-15-1 and A-15-3, coordinate with other international regulatory authorities and the International Civil Aviation Organization to harmonize the implementation of the requirements outlined in Safety Recommendations A-15-1 and A-15-3.
Response Status: Open - Acceptable Response
Recipient: FAA
Dec 1, 2014
From the Document
On January 7, 2013, about 1021 eastern standard time, smoke was discovered by cleaning personnel in the aft cabin of a Japan Airlines (JAL) Boeing 787-8, JA829J, which was parked at a gate at General Edward Lawrence Logan International Airport (BOS), Boston, Massachusetts. About the same time, a maintenance manager in the cockpit observed that the auxiliary power unit (APU) had automatically shut down. Shortly afterward, a mechanic opened the…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Provide your certification engineers with written guidance and training to ensure that (1) assumptions, data sources, and analytical techniques are fully identified and justified in applicants’ safety assessments for designs incorporating new technology and (2) an appropriate level of conservatism is included in the analysis or design, consistent with the intent of Advisory Circular 25.1309 (Arsenal draft).
Study Focus: Review qualification and recent-experience requirements.
Response Status: Closed - Acceptable Action
Recipient: FAA
Dec 1, 2014
From the Document
On January 7, 2013, about 1021 eastern standard time, smoke was discovered by cleaning personnel in the aft cabin of a Japan Airlines (JAL) Boeing 787-8, JA829J, which was parked at a gate at General Edward Lawrence Logan International Airport (BOS), Boston, Massachusetts. About the same time, a maintenance manager in the cockpit observed that the auxiliary power unit (APU) had automatically shut down. Shortly afterward, a mechanic opened the…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Develop written guidance for your certification engineers and engineering designees about the use of traceability principles to verify that the methods of compliance proposed by type certification applicants for special conditions involving new technology are correct and complete.
Study Focus: Review qualification and recent-experience requirements.
Response Status: Closed - Acceptable Action
Recipient: FAA
Dec 1, 2014
From the Document
On January 7, 2013, about 1021 eastern standard time, smoke was discovered by cleaning personnel in the aft cabin of a Japan Airlines (JAL) Boeing 787-8, JA829J, which was parked at a gate at General Edward Lawrence Logan International Airport (BOS), Boston, Massachusetts. About the same time, a maintenance manager in the cockpit observed that the auxiliary power unit (APU) had automatically shut down. Shortly afterward, a mechanic opened the…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Once the guidance requested in Safety Recommendation A-14-121 has been issued, provide training to your certification engineers and engineering designees on the subjects discussed in the guidance.
Study Focus: Review qualification and recent-experience requirements.
Response Status: Open - Acceptable Response
Recipient: FAA
Dec 1, 2014
From the Document
On January 7, 2013, about 1021 eastern standard time, smoke was discovered by cleaning personnel in the aft cabin of a Japan Airlines (JAL) Boeing 787-8, JA829J, which was parked at a gate at General Edward Lawrence Logan International Airport (BOS), Boston, Massachusetts. About the same time, a maintenance manager in the cockpit observed that the auxiliary power unit (APU) had automatically shut down. Shortly afterward, a mechanic opened the…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Require applicants to discuss key assumptions related to safety-significant failure conditions, their validation, and their traceability to requirements and proposed methods of compliance during certification planning meetings for type designs involving special conditions.
Study Focus: Review qualification and recent-experience requirements.
Response Status: Closed - Acceptable Alternate Action
Recipient: FAA
Nov 24, 2014
From the Document
On March 30, 2013, at 2320 Alaska daylight time, a Eurocopter AS350 B3 helicopter, N911AA, impacted terrain while maneuvering during a search and rescue (SAR) flight near Talkeetna, Alaska. The airline transport pilot, an Alaska state trooper serving as a flight observer for the pilot, and a stranded snowmobiler who had requested rescue were killed, and the helicopter was destroyed by impact and postcrash fire. The helicopter was registered to…
Requested Action: TO FORTY FIVE STATES, THE COMMONWEALTH OF PUERTO RICO AND THE DISTRICT OF COLUMBIA: Develop and implement a flight risk evaluation program that includes training for all employees involved in the operation and procedures that support the systematic evaluation of flight risks and consultation with others trained in flight operations if the risks reach a predefined level.
Study Focus: Review training practices and proficiency.
Response Status: Closed - Unacceptable Action - No Response Received
Recipient: State of Wisconsin, State of West Virginia, State of Washington, Commonwealth of Virginia, State of Utah, State of Texas, State of Tennessee, State of South Dakota, State of South Carolina, Commonwealth of Puerto Rico, Commonwealth of Pennsylvania, State of Oregon, State of Oklahoma, State of Ohio, State of North Dakota, State of North Carolina, State of New York, State of New Mexico, State of New Jersey, State of New Hampshire, State of Nevada, State of Nebraska, State of Montana, State of Missouri, State of Mississippi, State of Minnesota, State of Michigan, Commonwealth of Massachusetts, State of Maryland, State of Maine, State of Louisiana, Commonwealth of Kentucky, State of Kansas, State of Iowa, State of Indiana, State of Illinois, State of Georgia, State of Florida, District of Columbia, State of Delaware, State of Connecticut, State of Colorado, State of California, State of Arkansas, State of Arizona, State of Alaska, State of Alabama
Nov 24, 2014
From the Document
On March 30, 2013, at 2320 Alaska daylight time, a Eurocopter AS350 B3 helicopter, N911AA, impacted terrain while maneuvering during a search and rescue (SAR) flight near Talkeetna, Alaska. The airline transport pilot, an Alaska state trooper serving as a flight observer for the pilot, and a stranded snowmobiler who had requested rescue were killed, and the helicopter was destroyed by impact and postcrash fire. The helicopter was registered to…
Requested Action: TO FORTY FOUR STATES, THE COMMONWEALTH OF PUERTO RICO AND THE DISTRICT OF COLUMBIA: Use formalized dispatch and flight-following procedures that include up-to-date weather information and assistance with flight risk assessment decisions.
Study Focus: Review weather hazards and how they affect planning and flight decisions.
Response Status: Closed - Unacceptable Action - No Response Received
Recipient: State of Wisconsin, State of West Virginia, State of Washington, Commonwealth of Virginia, State of Utah, State of Texas, State of Tennessee, State of South Dakota, State of South Carolina, Commonwealth of Puerto Rico, Commonwealth of Pennsylvania, State of Oregon, State of Oklahoma, State of Ohio, State of North Dakota, State of North Carolina, State of New York, State of New Mexico, State of New Jersey, State of New Hampshire, State of Nevada, State of Nebraska, State of Montana, State of Minnesota, State of Mississippi, State of Missouri, State of Michigan, Commonwealth of Massachusetts, State of Maryland, State of Maine, State of Louisiana, Commonwealth of Kentucky, State of Kansas, State of Iowa, State of Indiana, State of Illinois, State of Georgia, State of Florida, District of Columbia, State of Delaware, State of Connecticut, State of Colorado, State of California, State of Arkansas, State of Arizona, State of Alabama, State of Alaska
Nov 24, 2014
From the Document
On March 30, 2013, at 2320 Alaska daylight time, a Eurocopter AS350 B3 helicopter, N911AA, impacted terrain while maneuvering during a search and rescue (SAR) flight near Talkeetna, Alaska. The airline transport pilot, an Alaska state trooper serving as a flight observer for the pilot, and a stranded snowmobiler who had requested rescue were killed, and the helicopter was destroyed by impact and postcrash fire. The helicopter was registered to…
Requested Action: TO FORTY FOUR STATES, THE COMMONWEALTH OF PUERTO RICO AND THE DISTRICT OF COLUMBIA: Provide all pilots who will perform night vision goggle (NVG) operations with formal NVG ground and flight training and require them to complete this training on an annual basis to remain on flight status.
Study Focus: Review training practices and proficiency.
Response Status: Closed - Unacceptable Action - No Response Received
Recipient: State of Wisconsin, State of West Virginia, State of Washington, Commonwealth of Virginia, State of Utah, State of Texas, State of Tennessee, State of South Dakota, State of South Carolina, Commonwealth of Puerto Rico, Commonwealth of Pennsylvania, State of Oregon, State of Oklahoma, State of Ohio, State of North Dakota, State of North Carolina, State of New York, State of New Mexico, State of New Jersey, State of New Hampshire, State of Nevada, State of Nebraska, State of Montana, State of Missouri, State of Mississippi, State of Minnesota, State of Michigan, Commonwealth of Massachusetts, State of Maryland, State of Maine, State of Louisiana, Commonwealth of Kentucky, State of Kansas, State of Iowa, State of Indiana, State of Illinois, State of Georgia, State of Florida, District of Columbia, State of Delaware, State of Connecticut, State of Colorado, State of California, State of Arkansas, State of Arizona, State of Alaska, State of Alabama
Nov 24, 2014
From the Document
On March 30, 2013, at 2320 Alaska daylight time, a Eurocopter AS350 B3 helicopter, N911AA, impacted terrain while maneuvering during a search and rescue (SAR) flight near Talkeetna, Alaska. The airline transport pilot, an Alaska state trooper serving as a flight observer for the pilot, and a stranded snowmobiler who had requested rescue were killed, and the helicopter was destroyed by impact and postcrash fire. The helicopter was registered to…
Requested Action: TO FORTY FOUR STATES, THE COMMONWEALTH OF PUERTO RICO AND THE DISTRICT OF COLUMBIA: Require all pilots who perform state law enforcement search and rescue missions to receive, on an annual basis, scenario-based simulator training in inadvertent instrument meteorological conditions that includes strategies for recognizing, avoiding, and safely escaping the conditions.
Study Focus: Review weather hazards and how they affect planning and flight decisions.
Response Status: Closed - Unacceptable Action - No Response Received
Recipient: State of North Dakota, State of Wisconsin, State of West Virginia, State of Washington, Commonwealth of Virginia, State of Utah, State of Texas, State of Tennessee, State of South Dakota, State of South Carolina, Commonwealth of Puerto Rico, Commonwealth of Pennsylvania, State of Oregon, State of Oklahoma, State of Ohio, State of North Carolina, State of New York, State of New Mexico, State of New Jersey, State of New Hampshire, State of Nevada, State of Nebraska, State of Montana, State of Missouri, State of Mississippi, State of Minnesota, State of Michigan, Commonwealth of Massachusetts, State of Maryland, State of Maine, State of Louisiana, Commonwealth of Kentucky, State of Kansas, State of Iowa, State of Indiana, State of Illinois, State of Georgia, State of Florida, District of Columbia, State of Delaware, State of Connecticut, State of Colorado, State of California, State of Arkansas, State of Arizona, State of Alaska, State of Alabama
Nov 24, 2014
From the Document
On March 30, 2013, at 2320 Alaska daylight time, a Eurocopter AS350 B3 helicopter, N911AA, impacted terrain while maneuvering during a search and rescue (SAR) flight near Talkeetna, Alaska. The airline transport pilot, an Alaska state trooper serving as a flight observer for the pilot, and a stranded snowmobiler who had requested rescue were killed, and the helicopter was destroyed by impact and postcrash fire. The helicopter was registered to…
Requested Action: TO FORTY FOUR STATES, THE COMMONWEALTH OF PUERTO RICO AND THE DISTRICT OF COLUMBIA: Create a formal tactical flight officer (TFO) training program that includes training on aeronautical decision-making, crew resource management, and operating aircraft navigational and communications equipment, and use TFOs during search and rescue operations.
Study Focus: Review the human factors that influence safe decisions.
Response Status: Closed - Unacceptable Action - No Response Received
Recipient: State of Wisconsin, State of West Virginia, State of Washington, Commonwealth of Virginia, State of Utah, State of Texas, State of Tennessee, State of South Dakota, State of South Carolina, Commonwealth of Puerto Rico, Commonwealth of Pennsylvania, State of Oregon, State of Oklahoma, State of Ohio, State of North Dakota, State of North Carolina, State of New York, State of New Mexico, State of New Jersey, State of New Hampshire, State of Nevada, State of Nebraska, State of Montana, State of Missouri, State of Mississippi, State of Minnesota, State of Michigan, Commonwealth of Massachusetts, State of Maryland, State of Maine, State of Louisiana, Commonwealth of Kentucky, State of Kansas, State of Iowa, State of Indiana, State of Illinois, State of Georgia, State of Florida, District of Columbia, State of Delaware, State of Connecticut, State of Colorado, State of California, State of Arkansas, State of Arizona, State of Alabama, State of Alaska
Nov 24, 2014
From the Document
On March 30, 2013, at 2320 Alaska daylight time, a Eurocopter AS350 B3 helicopter, N911AA, impacted terrain while maneuvering during a search and rescue (SAR) flight near Talkeetna, Alaska. The airline transport pilot, an Alaska state trooper serving as a flight observer for the pilot, and a stranded snowmobiler who had requested rescue were killed, and the helicopter was destroyed by impact and postcrash fire. The helicopter was registered to…
Requested Action: TO FORTY FOUR STATES, THE COMMONWEALTH OF PUERTO RICO AND THE DISTRICT OF COLUMBIA: Develop and implement a comprehensive safety management system for aircraft operations that (1) holds senior state personnel accountable for the safety of state law enforcement aircraft operations, (2) is tailored to the department’s missions, and (3) is based on industry best practices.
Response Status: Open - Unacceptable Response
Recipient: State of Wisconsin, State of West Virginia, State of Washington, Commonwealth of Virginia, State of Utah, State of Texas, State of Tennessee, State of South Dakota, State of South Carolina, Commonwealth of Puerto Rico, Commonwealth of Pennsylvania, State of Oregon, State of Oklahoma, State of Ohio, State of North Dakota, State of North Carolina, State of New York, State of New Mexico, State of New Jersey, State of New Hampshire, State of Nevada, State of Nebraska, State of Montana, State of Missouri, State of Mississippi, State of Minnesota, State of Michigan, Commonwealth of Massachusetts, State of Maryland, State of Maine, State of Louisiana, Commonwealth of Kentucky, State of Kansas, State of Iowa, State of Indiana, State of Illinois, State of Georgia, State of Florida, District of Columbia, State of Delaware, State of Connecticut, State of Colorado, State of California, State of Arkansas, State of Arizona, State of Alabama, State of Alaska
Nov 24, 2014
From the Document
On March 30, 2013, at 2320 Alaska daylight time, a Eurocopter AS350 B3 helicopter, N911AA, impacted terrain while maneuvering during a search and rescue (SAR) flight near Talkeetna, Alaska. The airline transport pilot, an Alaska state trooper serving as a flight observer for the pilot, and a stranded snowmobiler who had requested rescue were killed, and the helicopter was destroyed by impact and postcrash fire. The helicopter was registered to…
Requested Action: TO FORTY FOUR STATES, THE COMMONWEALTH OF PUERTO RICO AND THE DISTRICT OF COLUMBIA: Arrange for an audit of the safety management system implemented in response to Safety Recommendation A-14-105 to be conducted every 3 years by an outside organization.
Response Status: Open - Unacceptable Response
Recipient: State of Wisconsin, State of West Virginia, State of Washington, Commonwealth of Virginia, State of Utah, State of Texas, State of Tennessee, State of South Carolina, State of South Dakota, Commonwealth of Puerto Rico, Commonwealth of Pennsylvania, State of Oregon, State of Oklahoma, State of Ohio, State of North Dakota, State of North Carolina, State of New York, State of New Mexico, State of New Jersey, State of New Hampshire, State of Nevada, State of Nebraska, State of Montana, State of Missouri, State of Mississippi, State of Minnesota, State of Michigan, Commonwealth of Massachusetts, State of Maryland, State of Maine, State of Louisiana, Commonwealth of Kentucky, State of Kansas, State of Iowa, State of Indiana, State of Illinois, State of Georgia, State of Florida, District of Columbia, State of Delaware, State of Connecticut, State of Colorado, State of California, State of Arkansas, State of Arizona, State of Alaska, State of Alabama
Nov 24, 2014
From the Document
On March 30, 2013, at 2320 Alaska daylight time, a Eurocopter AS350 B3 helicopter, N911AA, impacted terrain while maneuvering during a search and rescue (SAR) flight near Talkeetna, Alaska. The airline transport pilot, an Alaska state trooper serving as a flight observer for the pilot, and a stranded snowmobiler who had requested rescue were killed, and the helicopter was destroyed by impact and postcrash fire. The helicopter was registered to…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Revise the Pilot’s Handbook of Aeronautical Knowledge to clarify the information it contains on attitude indicator pitch and bank limitations to explain that attitude indicators have pitch and bank indication limits, that the pitch indicating range is required to be at least ± 25°, and that, if an aircraft operates at a pitch that exceeds the indicating limits, the pitch indicator may stop and remain at…
Response Status: Closed - Acceptable Action
Recipient: FAA
Sep 25, 2014
From the Document
On August 14, 2013, about 0447 central daylight time (CDT), UPS flight 1354, an Airbus A300-600, N155UP, crashed short of runway 18 during a localizer nonprecision approach to runway 18 at Birmingham-Shuttlesworth International Airport (BHM), Birmingham, Alabama. The captain and first officer were fatally injured, and the airplane was destroyed by impact forces and postcrash fire. The scheduled cargo flight was operating under the provisions of…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Require operators to develop an annual recurrent dispatcher resource management module for dispatchers that includes participation of pilots to reinforce the need for open communication.
Study Focus: Review surface awareness and decisions during taxi, takeoff and landing.
Response Status: Closed - Unacceptable Action
Recipient: FAA
Sep 25, 2014
From the Document
On August 14, 2013, about 0447 central daylight time (CDT), UPS flight 1354, an Airbus A300-600, N155UP, crashed short of runway 18 during a localizer nonprecision approach to runway 18 at Birmingham-Shuttlesworth International Airport (BHM), Birmingham, Alabama. The captain and first officer were fatally injured, and the airplane was destroyed by impact forces and postcrash fire. The scheduled cargo flight was operating under the provisions of…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Advise operators of aircraft equipped with terrain awareness and warning systems (TAWS) of the circumstances of this accident, including that, in certain situations, an escalating series of TAWS warnings may not occur before impact with terrain or obstacles. Encourage operators to review their procedures for responding to alerts on final approach to ensure that these procedures are sufficient to enable…
Study Focus: Review surface awareness and decisions during taxi, takeoff and landing.
Response Status: Closed - Unacceptable Action
Recipient: FAA
Jul 16, 2014
From the Document
This report discusses the July 6, 2013, accident involving a Boeing 777-200ER, Korean registration HL7742, operating as Asiana Airlines flight 214, which was on approach to runway 28L when it struck a seawall at San Francisco International Airport (SFO), San Francisco, California. Three of the 291 passengers were fatally injured; 40 passengers, 8 of the 12 flight attendants, and 1 of the 4 flight crewmembers received serious injuries. The other…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Once the enhanced Boeing 777 training has been developed, as requested in Safety Recommendation A-14-37, require operators and training providers to provide this training to 777 pilots.
Study Focus: Review surface awareness and decisions during taxi, takeoff and landing.
Response Status: Closed - Acceptable Alternate Action
Recipient: FAA
Jul 16, 2014
From the Document
This report discusses the July 6, 2013, accident involving a Boeing 777-200ER, Korean registration HL7742, operating as Asiana Airlines flight 214, which was on approach to runway 28L when it struck a seawall at San Francisco International Airport (SFO), San Francisco, California. Three of the 291 passengers were fatally injured; 40 passengers, 8 of the 12 flight attendants, and 1 of the 4 flight crewmembers received serious injuries. The other…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Once the revision to the Boeing 777 Flight Crew Training Manual has been completed, as requested in Safety Recommendation A-14-39, require operators and training providers to incorporate the revised stall protection demonstration in their training.
Study Focus: Review surface awareness and decisions during taxi, takeoff and landing.
Response Status: Closed - Acceptable Alternate Action
Recipient: FAA
Jul 16, 2014
From the Document
This report discusses the July 6, 2013, accident involving a Boeing 777-200ER, Korean registration HL7742, operating as Asiana Airlines flight 214, which was on approach to runway 28L when it struck a seawall at San Francisco International Airport (SFO), San Francisco, California. Three of the 291 passengers were fatally injured; 40 passengers, 8 of the 12 flight attendants, and 1 of the 4 flight crewmembers received serious injuries. The other…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Convene a special certification design review of how the Boeing 777 automatic flight control system controls airspeed and use the results of that evaluation to develop guidance that will help manufacturers improve the intuitiveness of existing and future interfaces between flight crews and autoflight systems.
Study Focus: Review surface awareness and decisions during taxi, takeoff and landing.
Response Status: Open Acceptable Alternate Response
Recipient: FAA
Jul 16, 2014
From the Document
This report discusses the July 6, 2013, accident involving a Boeing 777-200ER, Korean registration HL7742, operating as Asiana Airlines flight 214, which was on approach to runway 28L when it struck a seawall at San Francisco International Airport (SFO), San Francisco, California. Three of the 291 passengers were fatally injured; 40 passengers, 8 of the 12 flight attendants, and 1 of the 4 flight crewmembers received serious injuries. The other…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Task a panel of human factors, aviation operations, and aircraft design specialists, such as the Avionics Systems Harmonization Working Group, to develop design requirements for context-dependent low energy alerting systems for airplanes engaged in commercial operations.
Study Focus: Review surface awareness and decisions during taxi, takeoff and landing.
Response Status: Open - Acceptable Response
Recipient: FAA
Jul 16, 2014
From the Document
This report discusses the July 6, 2013, accident involving a Boeing 777-200ER, Korean registration HL7742, operating as Asiana Airlines flight 214, which was on approach to runway 28L when it struck a seawall at San Francisco International Airport (SFO), San Francisco, California. Three of the 291 passengers were fatally injured; 40 passengers, 8 of the 12 flight attendants, and 1 of the 4 flight crewmembers received serious injuries. The other…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Once the minimum staffing level has been developed by the Aircraft Rescue and Firefighting (ARFF) Working Group, as requested in Safety Recommendation A-14-60, amend 14 Code of Federal Regulations 139.319(j) to require a minimum ARFF staffing level that would allow exterior firefighting and rapid entry into an airplane to perform interior firefighting and rescue of passengers and crewmembers.
Study Focus: Review surface awareness and decisions during taxi, takeoff and landing.
Response Status: Closed - Unacceptable Action
Recipient: FAA
Jul 16, 2014
From the Document
This report discusses the July 6, 2013, accident involving a Boeing 777-200ER, Korean registration HL7742, operating as Asiana Airlines flight 214, which was on approach to runway 28L when it struck a seawall at San Francisco International Airport (SFO), San Francisco, California. Three of the 291 passengers were fatally injured; 40 passengers, 8 of the 12 flight attendants, and 1 of the 4 flight crewmembers received serious injuries. The other…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Work with the Aircraft Rescue and Firefighting (ARFF) Working Group to develop and distribute policy guidance and training materials to ensure that all airport and mutual aid firefighting officers placed in command at the scene of an aircraft accident have at least a minimum level of ARFF training.
Study Focus: Review surface awareness and decisions during taxi, takeoff and landing.
Response Status: Closed - Acceptable Action
Recipient: FAA
Jul 1, 2014
From the Document
This special investigation report examines parasailing accidents in the United States and its territories, and identifies several areas where the risk associated with parasailing may be mitigated. Each year, an estimated 3 to 5 million people in the United States participate in parasailing; however, no federal regulations or guidelines establish specific training or certification for parasailing operators. There is no requirement for inspection…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: In accordance with 14 United States Code 141 and 49 United States Code 106(m),request assistance from the Coast Guard to enforce existing Federal Aviation Administration regulations applicable to parasailing operations.
Study Focus: Review qualification and recent-experience requirements.
Response Status: Closed - Acceptable Alternate Action
Recipient: FAA
Jul 1, 2014
From the Document
This special investigation report examines parasailing accidents in the United States and its territories, and identifies several areas where the risk associated with parasailing may be mitigated. Each year, an estimated 3 to 5 million people in the United States participate in parasailing; however, no federal regulations or guidelines establish specific training or certification for parasailing operators. There is no requirement for inspection…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Review all existing regulations and special provisions that are intended to separate parasailing and aircraft operations, and take appropriate action to ensure that these directives are in harmony and consistently applied nationwide to reduce the risk of midair collisions.
Study Focus: Review qualification and recent-experience requirements.
Response Status: Closed - Acceptable Action
Recipient: FAA
Jul 1, 2014
From the Document
This special investigation report examines parasailing accidents in the United States and its territories, and identifies several areas where the risk associated with parasailing may be mitigated. Each year, an estimated 3 to 5 million people in the United States participate in parasailing; however, no federal regulations or guidelines establish specific training or certification for parasailing operators. There is no requirement for inspection…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Work with the Coast Guard to resolve conflicts between (a) the existing Federal Aviation Administration special provision that gives aircraft right-of-way over parasailing vessels, and (b) the existing international and inland navigation rules that imply that parasailing vessels are restricted in their ability to maneuver and, therefore, should have the right-of-way.
Study Focus: Review qualification and recent-experience requirements.
Response Status: Closed - Acceptable Action
Recipient: FAA
May 6, 2014
From the Document
These recommendations address the need for consistency among National Weather Service (NWS) products, advisories relating to mountain wave activity (MWA), and the need for an additional weather product to be included in the flight information services-broadcast (FIS-B). The recommendations are derived from the National Transportation Safety Board’s (NTSB) investigation of recent accidents.
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Ensure that all Federal Aviation Administration (and contracted) preflight weather briefings include any products modified or created by the National Weather Service in response to Safety Recommendation A-14-17.
Study Focus: Review weather hazards and how they affect planning and flight decisions.
Response Status: Open - Acceptable Response
Recipient: FAA
May 6, 2014
From the Document
These recommendations address the need for consistency among National Weather Service (NWS) products, advisories relating to mountain wave activity (MWA), and the need for an additional weather product to be included in the flight information services-broadcast (FIS-B). The recommendations are derived from the National Transportation Safety Board’s (NTSB) investigation of recent accidents.
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Require that the National Weather Service (NWS) provide a primary aviation weather product (as recommended in Safety Recommendation A-14-18 to the NWS) that specifically addresses the potential for and existence of mountain wave activity and its associated aviation weather hazards.
Study Focus: Review weather hazards and how they affect planning and flight decisions.
Response Status: Open - Acceptable Response
Recipient: FAA
May 6, 2014
From the Document
These recommendations address the need for consistency among National Weather Service (NWS) products, advisories relating to mountain wave activity (MWA), and the need for an additional weather product to be included in the flight information services-broadcast (FIS-B). The recommendations are derived from the National Transportation Safety Board’s (NTSB) investigation of recent accidents.
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: In cooperation with the National Weather Service (NWS), revise the Interagency Agreement between the Federal Aviation Administration and the National Oceanic and Atmospheric Administration/NWS for the center weather service units (CWSU) and its accompanying statement of work if needed to add the new responsibilities of CWSU personnel in response to Safety Recommendations A-14-17 and/or A-14-18 to the NWS,…
Study Focus: Review weather hazards and how they affect planning and flight decisions.
Response Status: Open - Unacceptable Response
Recipient: FAA
May 6, 2014
From the Document
These recommendations address the need for consistency among National Weather Service (NWS) products, advisories relating to mountain wave activity (MWA), and the need for an additional weather product to be included in the flight information services-broadcast (FIS-B). The recommendations are derived from the National Transportation Safety Board’s (NTSB) investigation of recent accidents.
Requested Action: TO THE NATIONAL WEATHER SERVICE: Modify National Weather Service (NWS) aviation weather products to make them consistent with NWS nonaviation-specific advisory products when applicable, so that they advise of hazardous conditions including aviation hazards less than 3,000square miles in area that exist outside of terminal aerodrome forecast coverage areas.
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
May 6, 2014
From the Document
These recommendations address the need for consistency among National Weather Service (NWS) products, advisories relating to mountain wave activity (MWA), and the need for an additional weather product to be included in the flight information services-broadcast (FIS-B). The recommendations are derived from the National Transportation Safety Board’s (NTSB) investigation of recent accidents.
Requested Action: TO THE NATIONAL WEATHER SERVICE: Provide a primary aviation weather product that specifically addresses both the potential for and the existence of mountain wave activity and the associated aviation weather hazards (as recommended in Safety Recommendation A-14-14 to the Federal Aviation Administration).
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
May 6, 2014
From the Document
These recommendations address the need for consistency among National Weather Service (NWS) products, advisories relating to mountain wave activity (MWA), and the need for an additional weather product to be included in the flight information services-broadcast (FIS-B). The recommendations are derived from the National Transportation Safety Board’s (NTSB) investigation of recent accidents.
Requested Action: TO THE NATIONAL WEATHER SERVICE: In cooperation with the Federal Aviation Administration (FAA), revise the Interagency Agreement between the FAA and the National Oceanic and Atmospheric Administration/National Weather Service (NWS) for the center weather service units (CWSU) and its accompanying statement of work if needed to add the new responsibilities of CWSU personnel in response to Safety Recommendations A-14-17 and/or A-14-18 to the NWS,…
Study Focus: Review weather hazards and how they affect planning and flight decisions.
Response Status: Open - Unacceptable Response
Recipient: United States Department of Commerce, National Oceanic and Atmospheric Administration, National Weather Service
May 6, 2014
From the Document
These recommendations address the need for consistency among National Weather Service (NWS) products, advisories relating to mountain wave activity (MWA), and the need for an additional weather product to be included in the flight information services-broadcast (FIS-B). The recommendations are derived from the National Transportation Safety Board’s (NTSB) investigation of recent accidents.
Requested Action: TO THE NATIONAL WEATHER SERVICE: Establish a protocol that will enhance communication among meteorologists at the center weather service units, the Aviation Weather Center, and, as applicable, other National Weather Service facilities to ensure mutual situation awareness of critical aviation weather data among meteorologists at those facilities.
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
May 6, 2014
From the Document
These recommendations address the need for consistency among National Weather Service (NWS) products, advisories relating to mountain wave activity (MWA), and the need for an additional weather product to be included in the flight information services-broadcast (FIS-B). The recommendations are derived from the National Transportation Safety Board’s (NTSB) investigation of recent accidents.
Requested Action: TO THE NATIONAL WEATHER SERVICE: Establish standardized guidance for all National Weather Service aviation weather forecasters on the weighting of information reported in pilot reports (PIREPs) that will (1) promote consistent determination of hazard severity reported in a PIREP and (2) assist in aviation weather product issuance.
Study Focus: Review weather hazards and how they affect planning and flight decisions.
Response Status: Open - Unacceptable Response
Recipient: United States Department of Commerce, National Oceanic and Atmospheric Administration, National Weather Service
Aug 15, 2013
From the Document
Since 1997, the NTSB has investigated numerous accidents2 in Hawaii involving aircraft that encountered instrument meteorological conditions (IMC) and/or other adverse weather phenomena while operating under daytime visual flight rules (VFR) under the provisions of 14 Code of Federal Regulations (CFR) Part 135 or Part 91. These accidents, nine of which involved helicopters and four of which involved single-engine airplanes, resulted in 48…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Initiate an aviation weather camera program in Hawaii that includes the installation and maintenance of aviation weather cameras at critical locations in Hawaii. Establish public access to these aviation weather cameras’ real-time imagery.
Study Focus: Review weather hazards and how they affect planning and flight decisions.
Response Status: Open - Acceptable Response
Recipient: FAA
Aug 15, 2013
From the Document
Since 1997, the NTSB has investigated numerous accidents2 in Hawaii involving aircraft that encountered instrument meteorological conditions (IMC) and/or other adverse weather phenomena while operating under daytime visual flight rules (VFR) under the provisions of 14 Code of Federal Regulations (CFR) Part 135 or Part 91. These accidents, nine of which involved helicopters and four of which involved single-engine airplanes, resulted in 48…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Install and maintain aviation weather cameras in those mountain passes in the continental United States identified in its research as being high risk. Establish public access to these aviation weather cameras’ real-time imagery.
Study Focus: Review weather hazards and how they affect planning and flight decisions.
Response Status: Open - Acceptable Response
Recipient: FAA
Aug 15, 2013
From the Document
Since 1997, the NTSB has investigated numerous accidents2 in Hawaii involving aircraft that encountered instrument meteorological conditions (IMC) and/or other adverse weather phenomena while operating under daytime visual flight rules (VFR) under the provisions of 14 Code of Federal Regulations (CFR) Part 135 or Part 91. These accidents, nine of which involved helicopters and four of which involved single-engine airplanes, resulted in 48…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Equip flight service station specialists responsible for Hawaii and the continental United States with the technical capabilities and training to provide verbal preflight and en route briefings using aviation weather camera imagery.
Study Focus: Review weather hazards and how they affect planning and flight decisions.
Response Status: Open - Acceptable Response
Recipient: FAA
May 15, 2013
From the Document
On January 10, 2011, about 1057 Pacific standard time, the left wing of a Rockwell International S-2R,N4977X, impacted an unmarked and unlighted MET during an aerial seed application flight on Webb Tract Island, Oakley, California. Witnesses reported that they did not see the airplane perform any evasive maneuvers before the impact, indicating that the pilot did not see the obstruction. The pilot was fatally injured, and the airplane sustained…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Amend 14 Code of Federal Regulations Part 77 to require that all meteorological evaluation towers be registered, marked, and—where feasible—lighted.
Study Focus: Review weather hazards and how they affect planning and flight decisions.
Response Status: Open - Unacceptable Response
Recipient: FAA
May 15, 2013
From the Document
On January 10, 2011, about 1057 Pacific standard time, the left wing of a Rockwell International S-2R,N4977X, impacted an unmarked and unlighted MET during an aerial seed application flight on Webb Tract Island, Oakley, California. Witnesses reported that they did not see the airplane perform any evasive maneuvers before the impact, indicating that the pilot did not see the obstruction. The pilot was fatally injured, and the airplane sustained…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Create and maintain a publicly accessible national database for the required registration of all meteorological evaluation towers.
Study Focus: Review weather hazards and how they affect planning and flight decisions.
Response Status: Open - Unacceptable Response
Recipient: FAA
May 15, 2013
From the Document
On January 10, 2011, about 1057 Pacific standard time, the left wing of a Rockwell International S-2R,N4977X, impacted an unmarked and unlighted MET during an aerial seed application flight on Webb Tract Island, Oakley, California. Witnesses reported that they did not see the airplane perform any evasive maneuvers before the impact, indicating that the pilot did not see the obstruction. The pilot was fatally injured, and the airplane sustained…
Requested Action: TO THE UNITED STATES DEPARTMENT OF THE INTERIOR, THE UNITED STATES DEPARTMENT OF AGRICULTURE, AND THE UNITED STATES DEPARTMENT OF DEFENSE: As part of your organization’s review and approval of applications to build meteorological evaluation towers, provide a copy or direct applicants to Advisory Circular 70/7460-1, “Obstruction Marking and Lighting.”
Study Focus: Review weather hazards and how they affect planning and flight decisions.
Response Status: Open - Acceptable Response
Recipient: United States Department of the Interior, United States Department of Agriculture, United States Department of War
May 15, 2013
From the Document
On January 10, 2011, about 1057 Pacific standard time, the left wing of a Rockwell International S-2R,N4977X, impacted an unmarked and unlighted MET during an aerial seed application flight on Webb Tract Island, Oakley, California. Witnesses reported that they did not see the airplane perform any evasive maneuvers before the impact, indicating that the pilot did not see the obstruction. The pilot was fatally injured, and the airplane sustained…
Requested Action: TO 46 STATES AND FIVE TERRITORIES: Enact legislation requiring that meteorological evaluation towers erected in your state or territory are marked and registered in a directory.
Study Focus: Review weather hazards and how they affect planning and flight decisions.
Response Status: Open - Acceptable Response
Recipient: Territory of American Samoa, Virgin Islands of the United States, Commonwealth of the Northern Mariana Islands, District of Columbia, Commonwealth of Puerto Rico, State of Wisconsin, State of West Virginia, State of Washington, State of Vermont, State of Utah, State of Texas, State of Tennessee, State of South Dakota, State of South Carolina, State of Rhode Island, Commonwealth of Virginia, Commonwealth of Pennsylvania, State of Oregon, State of Oklahoma, State of Ohio, State of North Carolina, State of New Mexico, State of New Jersey, State of New Hampshire, State of Nevada, State of New York, State of Missouri, State of Mississippi, State of Minnesota, State of Michigan, State of Maryland, State of Maine, Commonwealth of Massachusetts, State of Louisiana, Commonwealth of Kentucky, State of Kansas, State of Iowa, State of Indiana, State of Illinois, State of Idaho, State of Hawaii, State of Georgia, State of Florida, State of Delaware, State of Connecticut, State of Colorado, State of California, State of Arkansas, State of Arizona, State of Alabama, State of Alaska, Territory of Guam
May 6, 2013
From the Document
On August 26, 2011, about 1841 central daylight time, a Eurocopter AS350 B2 helicopter, N352LN, crashed following a loss of engine power as a result of fuel exhaustion near the Midwest National Air Center (GPH), Mosby, Missouri. The pilot, flight nurse, flight paramedic, and patient were killed, and the helicopter was substantially damaged by impact forces. The emergency medical services (EMS) helicopter was registered to Key Equipment Finance,…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Prohibit flight crewmembers in 14 Code of Federal RegulationsPart 135 and 91 subpart K operations from using a portable electronic device for nonoperational use while at their dutystation on the flight deck while the aircraft is being operated.
Study Focus: Review aircraft-system operation, limitations and failure awareness.
Response Status: Closed - Unacceptable Action
Recipient: FAA
May 6, 2013
From the Document
On August 26, 2011, about 1841 central daylight time, a Eurocopter AS350 B2 helicopter, N352LN, crashed following a loss of engine power as a result of fuel exhaustion near the Midwest National Air Center (GPH), Mosby, Missouri. The pilot, flight nurse, flight paramedic, and patient were killed, and the helicopter was substantially damaged by impact forces. The emergency medical services (EMS) helicopter was registered to Key Equipment Finance,…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Require the installation of a crash-resistant flight recorder system on all newly manufactured turbine-powered, nonexperimental, nonrestricted-category aircraft that are not equipped with a flight data recorder and a cockpit voice recorder and are operating under 14 Code of Federal RegulationsParts 91, 121, or 135. The crash-resistant flight recorder system should record cockpit audio and images with a…
Study Focus: Review aircraft-system operation, limitations and failure awareness.
Response Status: Open - Unacceptable Response
Recipient: FAA