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Safety Recommendation Details

Safety Recommendation A-09-129
Synopsis: On June 4, 2007, about 1600 central daylight time, a Cessna Citation 550, N550BP, impacted Lake Michigan shortly after departure from General Mitchell International Airport, Milwaukee, Wisconsin (MKE).1 The two pilots and four passengers were killed, and the airplane was destroyed. The airplane was being operated by Marlin Air under the provisions of 14 Code of Federal Regulations (CFR) Part 135 and departed MKE about 1557 with an intended destination of Willow Run Airport (YIP), near Ypsilanti, Michigan. At the time of the accident flight, marginal visual meteorological conditions prevailed at the surface, and instrument meteorological conditions prevailed aloft; the flight operated on an instrument flight rules flight plan.
Recommendation: TO THE AMERICAN HOSPITAL ASSOCIATION: Inform its members, through its website, newsletters, and conferences, of the Federal Aviation Administration’s (FAA) role in aviation safety with respect to medical/air ambulance services and provide FAA contact information. Further, the American Hospital Association should urge its members to communicate any safety concerns related to medical/air ambulance services to the FAA.
Original recommendation transmittal letter: PDF
Overall Status: Closed - Acceptable Action
Mode: Aviation
Location: Milwaukee, WI, United States
Is Reiterated: No
Is Hazmat: No
Accident #: CHI07MA160
Accident Reports: Loss of Control and Impact with Water, Marlin Air Cessna Citation 550, N550BP
Report #: AAR-09-06
Accident Date: 6/4/2007
Issue Date: 10/27/2009
Date Closed: 8/13/2013
Addressee(s) and Addressee Status: American Hospital Association (Closed - Acceptable Action)
Keyword(s): Helicopter Emergency Medical Services, Helicopter Emergency Medical Services (Public Operators), Reporting, Training and Education

Safety Recommendation History
From: NTSB
To: American Hospital Association
Date: 8/13/2013
Response: The AHA’s July 1, 2013, issuance of the safety advisory (SA) titled “Hospitals that Contract with Medical Air Ambulance Services Should Report Safety Concerns to FAA” and its distribution of the SA to all AHA members satisfies Safety Recommendation A-09-129, which is classified CLOSED—ACCEPTABLE ACTION.

From: American Hospital Association
Date: 7/2/2013
Response: -From Roslyne D.W. Shulman, Director, Policy Department, American Hospital Association: This email responds to your January 22, 2013 letter to Mr. Richard Umbdenstock, the President and CEO of the American Hospital Association (AHA), in which you request that the AHA update NTSB on its actions in reference to Safety Recommendation A-02-129, which the NTSB issued to AHA as a result of a June 4, 2007 crash of a Cessna Citation 550 which had been chartered by the University of Michigan Hospital to transport a medical team and harvested human organs. This email is to inform you of the issuance of an AHA Safety Advisory: “HOSPITALS THAT CONTRACT WITH MEDICAL/AIR AMBULANCE SERVICES SHOULD REPORT SAFETY CONCERNS TO FAA” that was sent to all members of the AHA on July 1, 2013. The NTSB’s Jeff Marcus, who helped us develop the content for this advisory, also received a copy today. Let me know if you have any questions or comments regarding the AHA’s Safety Advisory.

From: NTSB
To: American Hospital Association
Date: 1/22/2013
Response: The National Transportation Safety Board (NTSB) is an independent federal agency charged by Congress with investigating every civil aviation accident in the United States and significant accidents in other modes of transportation?railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we conduct special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to provide assistance to victims and their family members impacted by major transportation disasters. This letter addresses Safety Recommendation A-09-129, which the NTSB issued to the American Hospital Association (AHA) as a result of our investigation of the June 4, 2007, impact into Lake Michigan shortly after departure from General Mitchell International Airport, Milwaukee, Wisconsin, of a Cessna Citation 550 which had been chartered by the University of Michigan Hospital to transport a medical team and harvested human organs that were to be used in a transplant operation. To date, the we have received no information regarding AHA actions to address Safety Recommendation A-09-129, and would appreciate receiving a reply regarding any actions that the AHA has either taken or planned to address this important safety issue. We are interested in knowing whether and how our recommendations are implemented, both to ensure the public the highest level of safety and to identify creative solutions that can be shared with others. A copy of our October 27, 2009, letter issuing Safety Recommendation A-09-129 is enclosed for your convenience, and the full NTSB report of the Milwaukee, Wisconsin, accident investigation (Report Number AAR-09/06) is available on our website at