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Safety Recommendation Details

Safety Recommendation A-72-005
Details
Synopsis: A PAN AMERICAN BOEING 747 STRUCK THE APPROACH LIGHT STRUCTURE (ALS) FOR RUNWAY 19L WHILE TAKING OFF FROM RUNWAY 01R AT THE SAN FRANCISCO INTERNATIONAL AIRPORT. THE CREW CONTINUED THE TAKEOFF AND, AFTER AN INFLIGHT INSPECTION FOR DAMAGE, DUMPED FUEL AND RETURNED FOR A LANDING AT SAN FRANCISCO. TWO PASSENGERS WERE INJURED DURING THE IMPACT WITH THE ALS AND EIGHT OTHERS SUSTAINED SERIOUS BACK INJURIES DURING THE EVACUATION AFTER THE LANDING. THE AIRCRAFT HAD BEEN DISPATCHED FOR A DEPARTURE FROM A CLOSED RUNWAY AND, UPON CHANGING TO AN OPEN RUNWAY, THE CREW DID NOT RECOMPUTE THE PROPER REFERENCE SPEEDS FOR TAKEOFF UNDER THE EXISTING CONDITIONS.
Recommendation: REQUIRE MANUFACTURERS TO INCLUDE INFORMATION IN THE AIRCRAFT FLIGHT MANUAL CONCERNING THE AIRCRAFT CONTROLLABILITY AND PERFORMANCE CHARACTERISTICS WITH THE LOSS OF ANY SYSTEM THAT INVOLVES FLIGHT CONTROLS. CONSIDERATION SHOULD BE GIVEN TO INCORPORATING TRAINING IN SUCH IN-FLIGHT EMERGENCIES IN ALL APPROVED SIMULATOR PROGRAMS AT THE EARLIEST POSSIBLE DATE."
Original recommendation transmittal letter: PDF
Overall Status: Closed - Unacceptable Action
Mode: Aviation
Location: San Francisco, CA, United States
Is Reiterated: No
Is Hazmat: No
Is NPRM: No
Accident #: 79468
Accident Reports: Pan American World Airways, Inc., Boeing 747, N747PA, Flight 845
Report #: AAR-72-17
Accident Date: 7/30/1971
Issue Date: 12/8/1971
Date Closed: 5/18/1972
Addressee(s) and Addressee Status: FAA (Closed - Unacceptable Action)
Keyword(s): Training and Education, Simulator

Safety Recommendation History
From: NTSB
To: FAA
Date: 9/16/1977
Response: Closed.

From: FAA
To: NTSB
Date: 2/24/1972
Response: FAA APPROVED FLIGHT MANUALS AND AIRLINE OPERATIONS MANUALS CONTAIN NORMAL, ABNORMAL AND EMERGENCY PROCEDURES AND INCLUDE INFORMATION CONCERNING THE CHARACTERISTICS AND HANDLING OF THE AIRCRAFT WHEN REASONABLY PROBABLE COMBINATIONS OF SYSTEMS OCCUR. PART 121 OF THE FAR'S REQUIRES PILOTS TO RECEIVE INITIAL AND RECURRENT TRAINING ON INFLIGHT EMERGENCIES. FAA BELIEVE THAT THE PRESENT MANUALS AND TRAINING PROCEDURES ARE SATISFACTORY AT THIS TIME.