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.
Dec 17, 2007
From the Document
On February 7, 2006, about 2359 eastern standard time, United Parcel Service Company (UPS) flight 1307, a McDonnell Douglas DC-8-71F, N748UP, landed at its destination airport, Philadelphia International Airport (PHL), Philadelphia, Pennsylvania, after a cargo smoke indication in the cockpit. The captain, first officer, and flight engineer evacuated the airplane after landing. The flight crewmembers sustained minor injuries, and the airplane and…
Requested Action: TO THE PIPELINE AND HAZARDOUS MATERIALS SAFETY ADMINISTRATION: Eliminate regulatory exemptions for the packaging, marking, and labeling of cargo shipments of small secondary lithium batteries (no more than 8 grams equivalent lithium content) until the analysis of the failures and the implementation of risk-based requirements asked for in Safety Recommendation A-07-108 are completed.
Response Status: Closed - Acceptable Alternate Action
Recipient: PHMSA
Dec 17, 2007
From the Document
On February 7, 2006, about 2359 eastern standard time, United Parcel Service Company (UPS) flight 1307, a McDonnell Douglas DC-8-71F, N748UP, landed at its destination airport, Philadelphia International Airport (PHL), Philadelphia, Pennsylvania, after a cargo smoke indication in the cockpit. The captain, first officer, and flight engineer evacuated the airplane after landing. The flight crewmembers sustained minor injuries, and the airplane and…
Requested Action: TO THE CARGO AIRLINE ASSOCIATION: Work with your member airlines and other groups, such as the Air Transport Association, major aircraft manufacturers, and the Aircraft Rescue and Firefighting (ARFF) Working Group, to develop and disseminate accurate and complete airplane Emergency Response diagrams for ARFF personnel at airports with cargo operations.
Study Focus: Review preparation and response to abnormal or emergency situations.
Response Status: Closed - Exceeds Recommended Action
Recipient: Cargo Airline Association
Oct 18, 2007
From the Document
On September 6, 2005, about 1605 central daylight time, the flight crew of a Sikorsky S-76A helicopter (equipped with 12 seats), N90421, operated by Houston Helicopters, Inc., executed a forced ditching into the open waters of the Gulf of Mexico about 24 miles southeast of Sabine Pass, Texas, following an in-flight fire and eventual dual-engine power loss. Both flight crewmembers and three of the 10 passengers sustained serious injuries; seven…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Require that all existing and new turbine-powered helicopters operating in the Gulf of Mexico and certificated with five or more seats be equipped with externally mounted liferafts large enough to accommodate all occupants.
Study Focus: Review qualification and recent-experience requirements.
Response Status: Closed - Unacceptable Action
Recipient: FAA
Oct 18, 2007
From the Document
On September 6, 2005, about 1605 central daylight time, the flight crew of a Sikorsky S-76A helicopter (equipped with 12 seats), N90421, operated by Houston Helicopters, Inc., executed a forced ditching into the open waters of the Gulf of Mexico about 24 miles southeast of Sabine Pass, Texas, following an in-flight fire and eventual dual-engine power loss. Both flight crewmembers and three of the 10 passengers sustained serious injuries; seven…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Require that all offshore helicopter operators in the Gulf of Mexico provide their flight crews with personal flotation devices equipped with a waterproof, global-positioning-system-enabled 406 megahertz personal locator beacon, as well as one other signaling device, such as a signaling mirror or a strobe light.
Study Focus: Review aircraft-system operation, limitations and failure awareness.
Response Status: Closed - Unacceptable Action
Recipient: FAA
May 2, 2007
From the Document
On September 29, 2006, about 1657 Brasilia standard time,1 a Boeing 737-800 (PR-GTD) operated by Gol Airlines of Brazil and an Embraer Legacy 600 business jet (N600XL) owned and operated by Excelaire of Long Island, New York, collided in flight over the Amazon jungle approximately 100 nautical miles (nm)2 southeast of Cachimbo Air Base, Brazil. The Boeing 737 was destroyed by in-flight breakup and impact forces; all 154 occupants were killed.…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Require, for all aircraft required to have a traffic alert and collision avoidance system (TCAS) installed and for existing and future system designs, that the airborne loss of collision avoidance system functionality, for any reason, provide an enhanced aural and visual warning requiring pilot acknowledgment.
Study Focus: Review traffic awareness and collision avoidance.
Response Status: Closed - Acceptable Alternate Action
Recipient: FAA
Feb 27, 2007
From the Document
On September 24, 2004, about 1642 Hawaiian standard time, a Bell 206B helicopter, N16849, registered to and operated by Bali Hai Helicopter Tours, Inc., of Hanapepe, Hawaii, impacted mountainous terrain in Kalaheo, Hawaii, on the island of Kauai, 8.4 miles northeast of Port Allen Airport in Hanapepe. The commercial pilot and the four passengers were killed, and the helicopter was destroyed by impact forces and postimpact fire. The nonstop…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION:In cooperation with Hawaii commercial air tour operators, aviation psychologists, and meteorologists, among others, develop a cue-based training program for commercial air tour pilots in Hawaii that specifically addresses hazardous aspects of local weather phenomena and in-flight decision-making.
Study Focus: Review weather hazards and how they affect planning and flight decisions.
Response Status: Open - Unacceptable Response
Recipient: FAA
Feb 27, 2007
From the Document
On September 24, 2004, about 1642 Hawaiian standard time, a Bell 206B helicopter, N16849, registered to and operated by Bali Hai Helicopter Tours, Inc., of Hanapepe, Hawaii, impacted mountainous terrain in Kalaheo, Hawaii, on the island of Kauai, 8.4 miles northeast of Port Allen Airport in Hanapepe. The commercial pilot and the four passengers were killed, and the helicopter was destroyed by impact forces and postimpact fire. The nonstop…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION:Once a cue-based training program that specifically addresses hazardous aspects of local weather phenomena and weather-related, decision-making issues is developed (as requested in Safety Recommendation A-07-18), require all commercial air tour operators in Hawaii to provide this training to newly hired pilots.
Study Focus: Review weather hazards and how they affect planning and flight decisions.
Response Status: Open - Unacceptable Response
Recipient: FAA
May 17, 2006
From the Document
Certification of systems that are critical to safety of flight has been an issue in several National Transportation Safety Board accident investigations of transport-category airplanes. In 1999, the Safety Board expressed concern about the Federal Aviation Administration's (FAA) certification process during its investigation of the rudder actuator in USAir flight 427. In 2000, the Board suggested the need for a directed examination of the…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Compile a list of safety-critical systems derived from the safety assessment process for each type certification project, and place in the official type certification project file the documentation for the rationale, analysis methods, failure scenarios, supporting evidence, and associated issue papers used to identify and assess safety-critical systems.
Study Focus: Review qualification and recent-experience requirements.
Response Status: Closed - Acceptable Action
Recipient: FAA
May 17, 2006
From the Document
Certification of systems that are critical to safety of flight has been an issue in several National Transportation Safety Board accident investigations of transport-category airplanes. In 1999, the Safety Board expressed concern about the Federal Aviation Administration's (FAA) certification process during its investigation of the rudder actuator in USAir flight 427. In 2000, the Board suggested the need for a directed examination of the…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Amend the advisory materials associated with 14 Code of Federal Regulations 25.1309 to include consideration of structural failures and human/airplane system interaction failures in the assessment of safety-critical systems.
Study Focus: Review qualification and recent-experience requirements.
Response Status: Closed - Acceptable Action
Recipient: FAA
May 17, 2006
From the Document
Certification of systems that are critical to safety of flight has been an issue in several National Transportation Safety Board accident investigations of transport-category airplanes. In 1999, the Safety Board expressed concern about the Federal Aviation Administration's (FAA) certification process during its investigation of the rudder actuator in USAir flight 427. In 2000, the Board suggested the need for a directed examination of the…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Adopt Society of Automotive Engineers ARP5150 into 14 Code of Federal Regulations Parts 21, 25, 33, and 121 to require a program for the monitoring and ongoing assessment of safety-critical systems throughout the life cycle of the airplane. Safety-critical systems will be identified as a result of A-06-36. Once in place, use this program to validate that the underlying assumptions made during design and…
Study Focus: Review qualification and recent-experience requirements.
Response Status: Closed - Acceptable Action
Recipient: FAA
Mar 24, 2006
From the Document
On March 23, 2004, about 1918:34 central standard time, an Era Aviation Sikorsky S-76A++ helicopter, N579EH, crashed into the Gulf of Mexico about 70 nautical miles (nm) south-southeast of Scholes International Airport (GLS), Galveston, Texas. The helicopter was transporting eight oil service personnel to the Transocean, Inc., drilling ship Discoverer Spirit, which was en route to a location about 180 miles south-southeast of GLS. The captain,…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Ensure that the infrastructure for the National Automatic Dependent Surveillance Broadcast (ADS-B) Program in the Gulf of Mexico is operational by fiscal year 2010.
Response Status: Closed - Acceptable Action
Recipient: FAA
Mar 24, 2006
From the Document
On March 23, 2004, about 1918:34 central standard time, an Era Aviation Sikorsky S-76A++ helicopter, N579EH, crashed into the Gulf of Mexico about 70 nautical miles (nm) south-southeast of Scholes International Airport (GLS), Galveston, Texas. The helicopter was transporting eight oil service personnel to the Transocean, Inc., drilling ship Discoverer Spirit, which was en route to a location about 180 miles south-southeast of GLS. The captain,…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Until the infrastructure for the National Automatic Dependent Surveillance Broadcast (ADS-B) Program in the Gulf of Mexico is fully operational, require principal operations inspectors of Gulf of Mexico aircraft operators to inform the operators about the benefits of commercial flight-tracking systems and encourage the operators to acquire such systems.
Response Status: Closed - Acceptable Action
Recipient: FAA
Feb 7, 2006
From the Document
Emergency medical services (EMS) aviation operations (conducted with either helicopters or fixed-wing aircraft) provide an important service to the public by transporting seriously ill patients or donor organs to emergency care facilities. The pressure to safely and quickly conduct these operations in various environmental conditions (for example, inclement weather, at night, and unfamiliar landing sites for helicopter operations) makes EMS…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Require all emergency medical services operators to comply with 14 Code of Federal Regulations Part 135 operations specifications during the conduct of all flights with medical personnel on board.
Study Focus: Review weather hazards and how they affect planning and flight decisions.
Response Status: Closed - Acceptable Action
Recipient: FAA
Feb 7, 2006
From the Document
Emergency medical services (EMS) aviation operations (conducted with either helicopters or fixed-wing aircraft) provide an important service to the public by transporting seriously ill patients or donor organs to emergency care facilities. The pressure to safely and quickly conduct these operations in various environmental conditions (for example, inclement weather, at night, and unfamiliar landing sites for helicopter operations) makes EMS…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Require all emergency medical services (EMS) operators to develop and implement flight risk evaluation programs that include training all employees involved in the operation, procedures that support the systematic evaluation of flight risks, and consultation with others trained in EMS flight operations if the risks reach a predefined level.
Study Focus: Review weather hazards and how they affect planning and flight decisions.
Response Status: Closed - Acceptable Action
Recipient: FAA
Feb 7, 2006
From the Document
Emergency medical services (EMS) aviation operations (conducted with either helicopters or fixed-wing aircraft) provide an important service to the public by transporting seriously ill patients or donor organs to emergency care facilities. The pressure to safely and quickly conduct these operations in various environmental conditions (for example, inclement weather, at night, and unfamiliar landing sites for helicopter operations) makes EMS…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Require emergency medical services operators to use formalized dispatch and flight- -following procedures that include up-to-date weather information and assistance in flight risk assessment decisions.
Study Focus: Review weather hazards and how they affect planning and flight decisions.
Response Status: Closed - Acceptable Alternate Action
Recipient: FAA
Feb 7, 2006
From the Document
Emergency medical services (EMS) aviation operations (conducted with either helicopters or fixed-wing aircraft) provide an important service to the public by transporting seriously ill patients or donor organs to emergency care facilities. The pressure to safely and quickly conduct these operations in various environmental conditions (for example, inclement weather, at night, and unfamiliar landing sites for helicopter operations) makes EMS…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Require emergency medical services (EMS) operators to install terrain awareness and warning systems on their aircraft and to provide adequate training to ensure that flight crews are capable of using the systems to safely conduct EMS operations.
Study Focus: Review weather hazards and how they affect planning and flight decisions.
Response Status: Closed - Acceptable Action
Recipient: FAA
Dec 15, 2004
From the Document
On May 11, 2003, approximately 1533 central daylight time, a Bell 407 helicopter, N491PH, registered to and operated by Petroleum Helicopters, Inc. (PHI), of Lafayette, Louisiana, was substantially damaged during an autorotative water landing in the Gulf of Mexico, following a loss of engine power while in cruise flight. The airline transport pilot and his three revenue passengers were not injured. Visual meteorological conditions prevailed and…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Conduct a review of the emergency procedure training for pilots of helicopters equipped with the Rolls-Royce Model 250 series IV engine to evaluate pilots propensity to take inappropriate action in response to an in-flight failure of the full authority digital electronic control (FADEC) system and require any necessary changes to emergency procedures and training to better prepare pilots to cope with…
Study Focus: Review weather hazards and how they affect planning and flight decisions.
Response Status: Closed - Acceptable Alternate Action
Recipient: FAA
Dec 15, 2004
From the Document
On May 11, 2003, approximately 1533 central daylight time, a Bell 407 helicopter, N491PH, registered to and operated by Petroleum Helicopters, Inc. (PHI), of Lafayette, Louisiana, was substantially damaged during an autorotative water landing in the Gulf of Mexico, following a loss of engine power while in cruise flight. The airline transport pilot and his three revenue passengers were not injured. Visual meteorological conditions prevailed and…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Require Rolls Royce to modify the Model 250 series IV engine control system so that backup engine control is available immediately following loss of primary full authority digital electronic control function and such that the backup system does not impose undue workload on the pilot.
Study Focus: Review weather hazards and how they affect planning and flight decisions.
Response Status: Closed - Acceptable Action
Recipient: FAA
Jun 24, 2004
From the Document
On December 17, 2000, about 1821 central standard time, a Beech BE-23, N2324J, impacted hilly, wooded terrain en route from Spirit of St. Louis Airport (SUS), Chesterfield, Missouri, to Tulsa, Oklahoma.1 The commercial-rated pilot, the sole occupant of the airplane, was killed, and the airplane was destroyed. Radar data indicate that about 1 hour after its departure from SUS, the airplane’s heading and altitude became erratic. Between 1809 and…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Evaluate carbon monoxide detector technology for use in general aviation aircraft.
Response Status: Closed - Acceptable Action
Recipient: FAA
Jun 24, 2004
From the Document
On December 17, 2000, about 1821 central standard time, a Beech BE-23, N2324J, impacted hilly, wooded terrain en route from Spirit of St. Louis Airport (SUS), Chesterfield, Missouri, to Tulsa, Oklahoma.1 The commercial-rated pilot, the sole occupant of the airplane, was killed, and the airplane was destroyed. Radar data indicate that about 1 hour after its departure from SUS, the airplane’s heading and altitude became erratic. Between 1809 and…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Develop specific standards to ensure any detection device used in general aviation aircraft quickly and distinctly alerts the user to the presence of carbon monoxide (CO) in the cockpit before the CO reaches a level that would impair a pilots ability to safely operate an aircraft.
Response Status: Closed - Acceptable Action
Recipient: FAA
Jun 24, 2004
From the Document
On December 17, 2000, about 1821 central standard time, a Beech BE-23, N2324J, impacted hilly, wooded terrain en route from Spirit of St. Louis Airport (SUS), Chesterfield, Missouri, to Tulsa, Oklahoma.1 The commercial-rated pilot, the sole occupant of the airplane, was killed, and the airplane was destroyed. Radar data indicate that about 1 hour after its departure from SUS, the airplane’s heading and altitude became erratic. Between 1809 and…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Require the installation of carbon monoxide (CO) detectors meeting the standards developed as a result of Safety Recommendation A-04-27 in all single-engine reciprocating-powered airplanes with forward-mounted engines and enclosed cockpits that are already equipped with any airplane system needed for the operation of such a CO detector.
Study Focus: Review aircraft-system operation, limitations and failure awareness.
Response Status: Closed - Unacceptable Action
Recipient: FAA
Apr 29, 2004
From the Document
On June 16, 2001, about 1438 central daylight time, a Cirrus Design SR22, equipped with an undeployed ballistic parachute system, was destroyed while landing on runway 20 at the Springfield-Branson Regional Airport (SGF), in Springfield, Missouri. The airplane touched down 1,000 to 1,500 feet beyond the approach end of the runway, bounced several times, and veered off the left side of the runway. The airplane then crossed a sod area, a taxiway,…
Requested Action: TO THE NATIONAL FIRE PROTECTION ASSOCIATION AND THE INTERNATIONAL ASSOCIATION OF FIRE CHIEFS: In cooperation with Ballistic Recovery Systems, Inc., and Cirrus Design, develop and distribute a safety bulletin to your membership to raise awareness among non-airport fire/rescue organizations crews regarding the hazards associated with ballistic parachute devices during general aviation rescue and firefighting operations.
Study Focus: Review surface awareness and decisions during taxi, takeoff and landing.
Response Status: Closed - Reconsidered
Recipient: National Fire Protection Association, International Association of Fire Chiefs
Dec 2, 2003
From the Document
On October 25, 2002, about 1022 central daylight time, a Raytheon (Beechcraft) King Air A100, N41BE, operated by Aviation Charter, Inc., crashed while the flight crew was attempting to execute the VOR approach to runway 27 at Eveleth-Virginia Municipal Airport, Eveleth, Minnesota. The crash site was located about 1.8 nautical miles southeast of the approach end of runway 27. The two pilots and six passengers were killed, and the airplane was…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: If the panel requested in Safety Recommendation A-03-53 determines that a requirement for the installation of low-airspeed alert systems in airplanes engaged in commercial operations under 14 Code of Federal Regulations Parts 121 and 135 is feasible, establish requirements for low-airspeed alert systems, based on the findings of this panel. (Superseded by A-10-12)
Study Focus: Review surface awareness and decisions during taxi, takeoff and landing.
Response Status: Closed - Unacceptable Action/Superseded
Recipient: FAA
Aug 18, 2003
From the Document
On February 16, 2000, about 1951 Pacific standard time, Emery Worldwide Airlines, Inc., (Emery) flight 17, a McDonnell Douglas1 DC-8-71F (DC-8), N8079U, crashed in an automobile salvage yard shortly after takeoff, while attempting to return to Sacramento Mather Airport (MHR), Rancho Cordova, California, for an emergency landing. Emery flight 17 was operating under the provisions of 14 Code of Federal Regulations (CFR) Part 121 as a scheduled…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Require all DC-8 operators to train DC-8 flight crewmembers to look for symmetry between the right and left side elevators, control tabs, and geared tabs during the preflight inspection, consistent with Boeing's June 2001 flight operations bulletin guidance.
Study Focus: Review maintenance and airworthiness responsibilities.
Response Status: Closed - Acceptable Action
Recipient: FAA
Jan 8, 2003
From the Document
On January 31, 2000, about 1621 Pacific standard time, Alaska Airlines, Inc., flight 261, a McDonnell Douglas MD-83, N963AS, crashed into the Pacific Ocean about 2.7 miles north of Anacapa Island, California. The 2 pilots, 3 cabin crewmembers, and 83 passengers on board were killed, and the airplane was destroyed by impact forces. Flight 261 was operating as a scheduled international passenger flight under the provisions of 14 Code of Federal…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Review and revise aircraft certification regulations and associated guidance applicable to the certification of transport-category airplanes to ensure that wear-related failures are fully considered and addressed so that, to the maximum extent possible, they will not be catastrophic.
Study Focus: Review qualification and recent-experience requirements.
Response Status: Closed - Acceptable Action
Recipient: FAA
Nov 29, 2001
From the Document
The term "public aircraft" refers not to a specific population of aircraft, but to government-sponsored flights meeting specific criteria laid out in the Code of Federal Regulations (CFR). Essentially, public aircraft operations are a subset of government-sponsored aircraft operations. Public aircraft status means, among other things, that an aircraft will not be subject to some of the regulatory requirements applicable to "civil" (or civilian)…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Revise the General Aviation and Air Taxi Activity Survey data collection system to more clearly distinguish between government aircraft operations that qualify for statutory public aircraft status and those that do not.
Response Status: Closed - Reconsidered
Recipient: FAA
Nov 29, 2001
From the Document
The term "public aircraft" refers not to a specific population of aircraft, but to government-sponsored flights meeting specific criteria laid out in the Code of Federal Regulations (CFR). Essentially, public aircraft operations are a subset of government-sponsored aircraft operations. Public aircraft status means, among other things, that an aircraft will not be subject to some of the regulatory requirements applicable to "civil" (or civilian)…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Identify and implement methods independent of the General Aviation and Air Taxi Activity Survey that can be used to check the accuracy of nonairline flight hour estimates.
Response Status: Closed - Acceptable Action
Recipient: FAA
Nov 29, 2001
From the Document
The term "public aircraft" refers not to a specific population of aircraft, but to government-sponsored flights meeting specific criteria laid out in the Code of Federal Regulations (CFR). Essentially, public aircraft operations are a subset of government-sponsored aircraft operations. Public aircraft status means, among other things, that an aircraft will not be subject to some of the regulatory requirements applicable to "civil" (or civilian)…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Implement a program that will (a) measure and track the currency of aircraft owner contact information in the Civil Aircraft Registry and (b) systematically improve the currency of this information in a measurable way.
Study Focus: Review qualification and recent-experience requirements.
Response Status: Closed - Acceptable Action
Recipient: FAA
Nov 29, 2001
From the Document
The term "public aircraft" refers not to a specific population of aircraft, but to government-sponsored flights meeting specific criteria laid out in the Code of Federal Regulations (CFR). Essentially, public aircraft operations are a subset of government-sponsored aircraft operations. Public aircraft status means, among other things, that an aircraft will not be subject to some of the regulatory requirements applicable to "civil" (or civilian)…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Revise the sampling strategy of the General Aviation and Air Taxi Activity Survey to achieve a precision of public use flight hour estimates (in terms of sampling error) that is equivalent to the precision of estimates for personal, business, or corporate subcategories of general aviation.
Response Status: Closed - Acceptable Action
Recipient: FAA
Nov 29, 2001
From the Document
The term "public aircraft" refers not to a specific population of aircraft, but to government-sponsored flights meeting specific criteria laid out in the Code of Federal Regulations (CFR). Essentially, public aircraft operations are a subset of government-sponsored aircraft operations. Public aircraft status means, among other things, that an aircraft will not be subject to some of the regulatory requirements applicable to "civil" (or civilian)…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Develop a new reporting matrix on the General Aviation and Air Taxi Activity Survey form that separates the administrative purpose of flight (for example, personal, business, corporate, regional, air taxi, air tours, sightseeing, public use, air medical services, search and rescue, and so on) from the actual flying activity performed (for example, transport of passengers, flight instruction, aerial…
Study Focus: Review fitness for flight and physiological hazards.
Response Status: Closed - Acceptable Action
Recipient: FAA
Nov 29, 2001
From the Document
The term "public aircraft" refers not to a specific population of aircraft, but to government-sponsored flights meeting specific criteria laid out in the Code of Federal Regulations (CFR). Essentially, public aircraft operations are a subset of government-sponsored aircraft operations. Public aircraft status means, among other things, that an aircraft will not be subject to some of the regulatory requirements applicable to "civil" (or civilian)…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Revise the General Aviation and Air Taxi Activity Survey form so that aircraft owners can report public aircraft flight hours according to the level of government served (Federal, State, or local) within each purpose-of-flight category.
Response Status: Closed - Reconsidered
Recipient: FAA
Nov 29, 2001
From the Document
The term "public aircraft" refers not to a specific population of aircraft, but to government-sponsored flights meeting specific criteria laid out in the Code of Federal Regulations (CFR). Essentially, public aircraft operations are a subset of government-sponsored aircraft operations. Public aircraft status means, among other things, that an aircraft will not be subject to some of the regulatory requirements applicable to "civil" (or civilian)…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Remove Civil Air Patrol flight hours from future estimates of public aircraft activity so that the figures are consistent with the current statutory definition of public aircraft.
Response Status: Closed - Acceptable Action
Recipient: FAA
Nov 29, 2001
From the Document
The term "public aircraft" refers not to a specific population of aircraft, but to government-sponsored flights meeting specific criteria laid out in the Code of Federal Regulations (CFR). Essentially, public aircraft operations are a subset of government-sponsored aircraft operations. Public aircraft status means, among other things, that an aircraft will not be subject to some of the regulatory requirements applicable to "civil" (or civilian)…
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: In cooperation with the General Services Administration, define purpose-of-flight categories in the Federal Aviation Interactive Reporting System that correspond to purpose-of-flight categories in the General Aviation and Air Taxi Activity Survey.
Response Status: Closed - Acceptable Action
Recipient: FAA
Nov 29, 2001
From the Document
These recommendations address the collection of Federal public aircraft activity data. The recommendations are derived from a Safety Board study of public aircraft safety and are consistent with the evidence we found and the findings of the study. As a result of this study, the Safety Board has issued 10 safety recommendations, 2 of which are addressed to the General Services Administration (GSA). Information supporting these recommendations is…
Requested Action: TO THE GENERAL SERVICES ADMINISTRATION: Collect and maintain aircraft flight hour data from Federal agencies in such a way that it is possible to distinguish Federal public aircraft flight operations from other Federal government-sponsored flight operations.
Response Status: Closed - Acceptable Action
Recipient: General Services Administration, Interagency Committee on Aviation Policy
Nov 29, 2001
From the Document
These recommendations address the collection of Federal public aircraft activity data. The recommendations are derived from a Safety Board study of public aircraft safety and are consistent with the evidence we found and the findings of the study. As a result of this study, the Safety Board has issued 10 safety recommendations, 2 of which are addressed to the General Services Administration (GSA). Information supporting these recommendations is…
Requested Action: TO THE GENERAL SERVICES ADMINISTRATION: In cooperation with the Federal Aviation Administration, define purpose-of-flight categories in the Federal Aviation Interactive Reporting System that correspond to purpose-of-flight categories in the General Aviation and Air Taxi Activity Survey.
Response Status: Closed - Acceptable Alternate Action
Recipient: General Services Administration, Interagency Committee on Aviation Policy
Apr 26, 2001
From the Document
ON 3/5/00, ABOUT 1811 PACIFIC STANDARD TIME, SOUTHWEST AIRLINES FLIGHT 1455, A BOEING 737-300, OVERRAN THE DEPARTURE END OF RUNWAY 8 AFTER LANDING AT BURBANK GLENDALE PASADENA AIRPORT, BURBANK, CALIFORNIA. THE AIRPLANE TOUCHED DOWN AT APPROXIMATELY 181 KNOTS, AND ABOUT 20 SECONDS LATER, AT APPROXIMATELY 32 KNOTS, COLLIDED WITH A BLAST FENCE AND AN AIRPORT PERIMETER WALL AND CAME TO REST ON A CITY STREET OUTSIDE OF THE AIRPORT PROPERTY. DURING…
Requested Action: THE NTSB RECOMMENDS THAT THE FAA: ISSUE AN AIRWORTHINESS DIRECTIVE TO REQUIRE ALL OPERATORS OF BOEING 737-300 THROUGH -500 SERIES AIRPLANES TO REPLACE THE SLIDE COVER LATCH BRACKETS ON FORWARD SLIDE COMPARTMENTS WITH THE TYPE OF SLIDE COVER LATCH BRACKETS INSTALLED ON THE FORWARD SLIDE COMPARTMENTS OF BOEING 737-600 THROUGH -900 SERIES AIRPLANES.
Study Focus: Review surface awareness and decisions during taxi, takeoff and landing.
Response Status: Closed - Acceptable Action
Recipient: FAA
Apr 26, 2001
From the Document
ON 3/5/00, ABOUT 1811 PACIFIC STANDARD TIME, SOUTHWEST AIRLINES FLIGHT 1455, A BOEING 737-300, OVERRAN THE DEPARTURE END OF RUNWAY 8 AFTER LANDING AT BURBANK GLENDALE PASADENA AIRPORT, BURBANK, CALIFORNIA. THE AIRPLANE TOUCHED DOWN AT APPROXIMATELY 181 KNOTS, AND ABOUT 20 SECONDS LATER, AT APPROXIMATELY 32 KNOTS, COLLIDED WITH A BLAST FENCE AND AN AIRPORT PERIMETER WALL AND CAME TO REST ON A CITY STREET OUTSIDE OF THE AIRPORT PROPERTY. DURING…
Requested Action: THE NTSB RECOMMENDS THAT THE FAA: ISSUE AN AIRWORTHINESS DIRECTIVE TO REQUIRE INITIAL AND PERIODIC INSPECTIONS (AT APPROPRIATE INTERVALS) OF THE PIVOT BRACKET ASSEMBLIES ON ALL TRANS AERO INDUSTRIES MODEL 90835 JUMPSEATS INSTALLED ON BOEING 737-300 THROUGH -500 SERIES AIRPLANES.
Study Focus: Review surface awareness and decisions during taxi, takeoff and landing.
Response Status: Closed - Acceptable Alternate Action
Recipient: FAA
Apr 16, 2001
From the Document
SINCE MARCH 1998, THE NATIONAL TRANSPORTATION SAFETY BOARD HAS LEARNED OF SIX AIRPLANES ON WHICH FLIGHT CONTROL CABLE TERMINALS HAVE FRACTURED. ADDITIONAL TERMINALS FROM SOME OF THESE SIX AIRPLANES AND TERMINALS FROM FOUR OTHER AIRPLANES WERE ALSO EXAMINED AND FOUND TO BE CRACKED. NINE OF THESE 10 AIRPLANES WERE PIPER AIRCRAFT THAT HAD AT LEAST ONE FRACTURED OR CRACKED MS21260-S4 TERMINAL, ILLUSTRATED IN FIGURE 1 (ATTACHED). THE 10TH AIRPLANE…
Requested Action: THE NTSB RECOMMENDS THAT THE FAA: ISSUE APPROPRIATE AIRWORTHINESS DIRECTIVES, APPLICABLE TO PIPER PA-28, PIPER PA-44, AND CESSNA 172 SERIES AIRPLANES OLDER THAN 15 YEARS, TO REQUIRE RECURRENT VISUAL INSPECTIONS, ON AN APPROPRIATE, CALENDAR-BASED INTERVAL, FOR EVIDENCE OF CORROSION PITS OR CRACKING ON CONTROL CABLE TERMINALS THAT WERE OR MAY HAVE BEEN CONSTRUCTED FROM SAE-AISI 303 SE STAINLESS STEEL. THE INSPECTIONS SHOULD BE PERFORMED AFTER…
Study Focus: Review maintenance and airworthiness responsibilities.
Response Status: Closed - Acceptable Alternate Action
Recipient: FAA
Apr 16, 2001
From the Document
SINCE MARCH 1998, THE NATIONAL TRANSPORTATION SAFETY BOARD HAS LEARNED OF SIX AIRPLANES ON WHICH FLIGHT CONTROL CABLE TERMINALS HAVE FRACTURED. ADDITIONAL TERMINALS FROM SOME OF THESE SIX AIRPLANES AND TERMINALS FROM FOUR OTHER AIRPLANES WERE ALSO EXAMINED AND FOUND TO BE CRACKED. NINE OF THESE 10 AIRPLANES WERE PIPER AIRCRAFT THAT HAD AT LEAST ONE FRACTURED OR CRACKED MS21260-S4 TERMINAL, ILLUSTRATED IN FIGURE 1 (ATTACHED). THE 10TH AIRPLANE…
Requested Action: THE NTSB RECOMMENDS THAT THE FAA: DETERMINE WHICH CURRENTLY CERTIFICATED AIRCRAFT MODELS ARE AUTHORIZED TO HAVE CONTROL CABLE TERMINALS MADE FROM SAE-AISI 303 SE STAINLESS STEEL, EVALUATE THE NEED TO REQUIRE RECURRENT VISUAL INSPECTION, ON AN APPROPRIATE, CALENDAR-BASED INTERVAL, OF THE TERMINALS ON THESE AIRCRAFT, AND REQUIRE SUCH INSPECTIONS IF NEEDED.
Study Focus: Review qualification and recent-experience requirements.
Response Status: Closed - Acceptable Action
Recipient: FAA
Apr 16, 2001
From the Document
SINCE MARCH 1998, THE NATIONAL TRANSPORTATION SAFETY BOARD HAS LEARNED OF SIX AIRPLANES ON WHICH FLIGHT CONTROL CABLE TERMINALS HAVE FRACTURED. ADDITIONAL TERMINALS FROM SOME OF THESE SIX AIRPLANES AND TERMINALS FROM FOUR OTHER AIRPLANES WERE ALSO EXAMINED AND FOUND TO BE CRACKED. NINE OF THESE 10 AIRPLANES WERE PIPER AIRCRAFT THAT HAD AT LEAST ONE FRACTURED OR CRACKED MS21260-S4 TERMINAL, ILLUSTRATED IN FIGURE 1 (ATTACHED). THE 10TH AIRPLANE…
Requested Action: THE NTSB RECOMMENDS THAT THE FAA: IMMEDIATELY NOTIFY ALL MANUFACTURERS OF BOTH ROTARY AND FIXED-WING AIRCRAFT OF THE CRACKING AND CORROSION PROBLEMS CURRENTLY BEING EXPERIENCED WITH TERMINALS MADE FROM SAE-AISI 303 SE STAINLESS STEEL.
Response Status: Closed - Acceptable Action
Recipient: FAA
Jul 14, 2000
From the Document
Since its inception, the National Transportation Safety Board has been concerned about the evacuation of commercial airplanes in the event of an emergency. Several accidents investigated by the Safety Board in the last decade that involved emergency evacuations prompted the Safety Board to conduct a study on the evacuation of commercial airplanes.
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Require all newly certificated commercial airplanes to meet the evacuation demonstration requirements prescribed in Title 14 Code of Federal Regulations Part 25, regardless of the number of passenger seats on the airplane.
Study Focus: Review qualification and recent-experience requirements.
Response Status: Closed - Unacceptable Action
Recipient: FAA
Jul 14, 2000
From the Document
Since its inception, the National Transportation Safety Board has been concerned about the evacuation of commercial airplanes in the event of an emergency. Several accidents investigated by the Safety Board in the last decade that involved emergency evacuations prompted the Safety Board to conduct a study on the evacuation of commercial airplanes.
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Require all commercial operators to meet the partial evacuation demonstration requirements prescribed in Title 14 Code of Federal Regulations Part 121, regardless of the number of passenger seats on the airplane.
Study Focus: Review preparation and response to abnormal or emergency situations.
Response Status: Closed - Unacceptable Action
Recipient: FAA
Jul 14, 2000
From the Document
Since its inception, the National Transportation Safety Board has been concerned about the evacuation of commercial airplanes in the event of an emergency. Several accidents investigated by the Safety Board in the last decade that involved emergency evacuations prompted the Safety Board to conduct a study on the evacuation of commercial airplanes.
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Conduct additional research that examines the effects of different exit row widths, including 13 inches and 20 inches, on exit hatch removal and egress at type III exits. The research should use an experimental design that reliably reflects actual evacuations through type III exits on commercial airplanes.
Study Focus: Review preparation and response to abnormal or emergency situations.
Response Status: Closed - Acceptable Action
Recipient: FAA
Jul 14, 2000
From the Document
Since its inception, the National Transportation Safety Board has been concerned about the evacuation of commercial airplanes in the event of an emergency. Several accidents investigated by the Safety Board in the last decade that involved emergency evacuations prompted the Safety Board to conduct a study on the evacuation of commercial airplanes.
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Issue, within 2 years, a final rule on exit row width at type III exits based on the research described in A-00-74.
Study Focus: Review preparation and response to abnormal or emergency situations.
Response Status: Closed--No Longer Applicable
Recipient: FAA
Jul 14, 2000
From the Document
Since its inception, the National Transportation Safety Board has been concerned about the evacuation of commercial airplanes in the event of an emergency. Several accidents investigated by the Safety Board in the last decade that involved emergency evacuations prompted the Safety Board to conduct a study on the evacuation of commercial airplanes.
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Require type III overwing exits on newly manufactured aircraft to be easy and intuitive to open and have automatic hatch stowage out of the egress path.
Study Focus: Review preparation and response to abnormal or emergency situations.
Response Status: Closed - Unacceptable Action
Recipient: FAA
Jul 14, 2000
From the Document
Since its inception, the National Transportation Safety Board has been concerned about the evacuation of commercial airplanes in the event of an emergency. Several accidents investigated by the Safety Board in the last decade that involved emergency evacuations prompted the Safety Board to conduct a study on the evacuation of commercial airplanes.
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Require air carriers to provide all passengers seated in exit rows in which a qualified crewmember is not seated a preflight personal briefing on what to do in the event the exit may be needed.
Study Focus: Review the information and decisions needed before departure.
Response Status: Closed - Unacceptable Action
Recipient: FAA
Jul 14, 2000
From the Document
Since its inception, the National Transportation Safety Board has been concerned about the evacuation of commercial airplanes in the event of an emergency. Several accidents investigated by the Safety Board in the last decade that involved emergency evacuations prompted the Safety Board to conduct a study on the evacuation of commercial airplanes.
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Require the aft flight attendants on Fokker 28 and Fokker 100 airplanes to be seated adjacent to the overwing exits, their assigned primary exits.
Study Focus: Review preparation and response to abnormal or emergency situations.
Response Status: Closed--No Longer Applicable
Recipient: FAA
Jul 14, 2000
From the Document
Since its inception, the National Transportation Safety Board has been concerned about the evacuation of commercial airplanes in the event of an emergency. Several accidents investigated by the Safety Board in the last decade that involved emergency evacuations prompted the Safety Board to conduct a study on the evacuation of commercial airplanes.
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Review the 6-foot height requirement for exit assist means to determine if 6 feet continues to be the appropriate height below which an assist means is not needed. The review should include, at a minimum, an examination of injuries sustained during evacuations.
Study Focus: Review preparation and response to abnormal or emergency situations.
Response Status: Closed - Acceptable Action
Recipient: FAA
Jul 14, 2000
From the Document
Since its inception, the National Transportation Safety Board has been concerned about the evacuation of commercial airplanes in the event of an emergency. Several accidents investigated by the Safety Board in the last decade that involved emergency evacuations prompted the Safety Board to conduct a study on the evacuation of commercial airplanes.
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Require flight operations manuals and safety manuals to include on abnormal and emergency procedures checklists a checklist item that directs flight crews to initiate or consider emergency evacuation in all emergencies that could reasonably require an airplane evacuation (for example, cabin fire or engine fire).
Study Focus: Review aircraft-system operation, limitations and failure awareness.
Response Status: Closed - Acceptable Action
Recipient: FAA
Jul 14, 2000
From the Document
Since its inception, the National Transportation Safety Board has been concerned about the evacuation of commercial airplanes in the event of an emergency. Several accidents investigated by the Safety Board in the last decade that involved emergency evacuations prompted the Safety Board to conduct a study on the evacuation of commercial airplanes.
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Review air carriers' procedures to ensure that for those situations in which crews anticipate an eventual evacuation, adequate guidance is given both to pilots and flight attendants on providing passengers with precautionary safety briefings.
Study Focus: Review preparation and response to abnormal or emergency situations.
Response Status: Closed - Acceptable Action
Recipient: FAA
Jul 14, 2000
From the Document
Since its inception, the National Transportation Safety Board has been concerned about the evacuation of commercial airplanes in the event of an emergency. Several accidents investigated by the Safety Board in the last decade that involved emergency evacuations prompted the Safety Board to conduct a study on the evacuation of commercial airplanes.
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Review air carrier training programs to ensure that evacuation procedures call, at a minimum, for evacuation through all available floor level exits that are not blocked by a hazard.
Study Focus: Review preparation and response to abnormal or emergency situations.
Response Status: Closed - Acceptable Action
Recipient: FAA
Jul 14, 2000
From the Document
Since its inception, the National Transportation Safety Board has been concerned about the evacuation of commercial airplanes in the event of an emergency. Several accidents investigated by the Safety Board in the last decade that involved emergency evacuations prompted the Safety Board to conduct a study on the evacuation of commercial airplanes.
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Review air carrier procedures and training programs to ensure that the commands used for slide evacuations are consistent with the commands used for slide evacuations during certification.
Study Focus: Review qualification and recent-experience requirements.
Response Status: Closed - Acceptable Action
Recipient: FAA
Jul 14, 2000
From the Document
Since its inception, the National Transportation Safety Board has been concerned about the evacuation of commercial airplanes in the event of an emergency. Several accidents investigated by the Safety Board in the last decade that involved emergency evacuations prompted the Safety Board to conduct a study on the evacuation of commercial airplanes.
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Establish a task force to address the issue of providing periodic hands-on familiarization training, or the equivalent, for aircraft rescue and firefighting personnel at all Title 14 Code of Federal Regulations Part 139 certified airports on each airplane type that serves the airport on a scheduled basis.
Study Focus: Review preparation and response to abnormal or emergency situations.
Response Status: Closed - Acceptable Action
Recipient: FAA
Jul 14, 2000
From the Document
Since its inception, the National Transportation Safety Board has been concerned about the evacuation of commercial airplanes in the event of an emergency. Several accidents investigated by the Safety Board in the last decade that involved emergency evacuations prompted the Safety Board to conduct a study on the evacuation of commercial airplanes.
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Require air carriers to conduct periodic joint evacuation exercises involving flight crews and flight attendants.
Study Focus: Review preparation and response to abnormal or emergency situations.
Response Status: Closed - Unacceptable Action
Recipient: FAA
Jul 14, 2000
From the Document
Since its inception, the National Transportation Safety Board has been concerned about the evacuation of commercial airplanes in the event of an emergency. Several accidents investigated by the Safety Board in the last decade that involved emergency evacuations prompted the Safety Board to conduct a study on the evacuation of commercial airplanes.
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Conduct research and explore creative and effective methods that use state-of-the-art technology to convey safety information to passengers. The presented information should include a demonstration of all emergency evacuation procedures, such as how to open the emergency exits and exit the aircraft, including how to use the slides.
Study Focus: Review preparation and response to abnormal or emergency situations.
Response Status: Closed - Unacceptable Action
Recipient: FAA
Jul 14, 2000
From the Document
Since its inception, the National Transportation Safety Board has been concerned about the evacuation of commercial airplanes in the event of an emergency. Several accidents investigated by the Safety Board in the last decade that involved emergency evacuations prompted the Safety Board to conduct a study on the evacuation of commercial airplanes.
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Require minimum comprehension testing for safety briefing cards.
Study Focus: Review preparation and response to abnormal or emergency situations.
Response Status: Closed - Unacceptable Action
Recipient: FAA
Jul 14, 2000
From the Document
Since its inception, the National Transportation Safety Board has been concerned about the evacuation of commercial airplanes in the event of an emergency. Several accidents investigated by the Safety Board in the last decade that involved emergency evacuations prompted the Safety Board to conduct a study on the evacuation of commercial airplanes.
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Develop advisory material to address ways to minimize the problems associated with carry-on luggage during evacuations.
Study Focus: Review preparation and response to abnormal or emergency situations.
Response Status: Closed - Acceptable Action
Recipient: FAA
Jul 14, 2000
From the Document
Since its inception, the National Transportation Safety Board has been concerned about the evacuation of commercial airplanes in the event of an emergency. Several accidents investigated by the Safety Board in the last decade that involved emergency evacuations prompted the Safety Board to conduct a study on the evacuation of commercial airplanes.
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Require air carriers that operate Boeing 727's to include in the auxiliary power unit (APU) procedures instructions that when passengers are on board, the flight crew will make a public address announcement about APU starts immediately prior to starting the APU.
Study Focus: Review preparation and response to abnormal or emergency situations.
Response Status: Closed - Acceptable Action
Recipient: FAA
Jul 14, 2000
From the Document
Since its inception, the National Transportation Safety Board has been concerned about the evacuation of commercial airplanes in the event of an emergency. Several accidents investigated by the Safety Board in the last decade that involved emergency evacuations prompted the Safety Board to conduct a study on the evacuation of commercial airplanes.
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Require all newly manufactured transport-category airplanes operating under Title 14 Code of Federal Regulations Part 121 to be equipped with independently powered evacuation alarm systems operable from each crewmember station, and establish procedures and provide training to flight crews and flight attendants regarding the use of such systems.
Study Focus: Review preparation and response to abnormal or emergency situations.
Response Status: Closed - Unacceptable Action
Recipient: FAA
Jul 14, 2000
From the Document
Since its inception, the National Transportation Safety Board has been concerned about the evacuation of commercial airplanes in the event of an emergency. Several accidents investigated by the Safety Board in the last decade that involved emergency evacuations prompted the Safety Board to conduct a study on the evacuation of commercial airplanes.
Requested Action: TO THE FEDERAL AVIATION ADMINISTRATION: Document the extent of false indications for cargo smoke detectors on all airplanes and improve the reliability of the detectors.
Study Focus: Review preparation and response to abnormal or emergency situations.
Response Status: Closed - Acceptable Action
Recipient: FAA