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Safety Recommendation Details

Safety Recommendation A-72-224
Details
Synopsis: EASTERN AIR LINES, INC., FLIGHT 346 WAS INVOLVED IN A LANDING ACCIDENT ON MAY 18, 1972, AT APPROXIMATELY 1521 EASTERN DAYLIGHT TIME, AT THE FORT LAUDERDALE-HOLLYWOOD INTERNATIONAL AIRPORT, FORT LAUDERDALE, FLORIDA. THE ACCIDENT OCCURRED FOLLOWING A STRAIGHT-IN LOCALIZER APPROACH TO RUNWAY 9L WHEN THE AIRCRAFT TOUCHED DOWN HARD ON THE RUNWAY, RESULTING IN THE FAILURE OF THE MAIN LANDING GEAR ANDTHE SEPARATION OF THE TAIL SECTION FROM THE AIRCRAFT. THE AIRCRAFT WAS DESTROYED BY SUBSEQUENT GROUND FIRE. AT THE TIME OF THE ACCIDENT, HEAVY RAINSHOWERS, ASSOCIATED WITH THUNDERSTORM ACTIVITY, WERE OCCURRING AT THE AIRPORT. THERE WERE SIX PASSENGERS AND A CREW OF FOUR ABOARD THE AIRCRAFT, AND INJURIES WERE SUSTAINED BY THE CAPTAIN, ONE STEWARDESS, AND ONE PASSENGER. THE NATIONAL TRANSPORTATION SAFETY BOARD DETERMINES THAT THE PROBABLE CAUSE OF THIS ACCIDENT WAS THE DECISION OF THE PILOT TO INITIATE AND CONTINUEAN INSTRUMENT APPROACH UNDER WEATHER CONDITIONS WHICH PRECLUDED ADEQUATE VISUAL REFERENCE AND THE FAULTY TECHNIQUES USED BY THE PILOT DURING THE LANDING PHASE OF THAT APPROACH. THE BOARD ALSO FINDS THAT THE FLIGHTCREW'S NONADHERENCE TO PRESCRIBED OPERATIONAL PRACTICES AND PROCEDURES COMPROMISED THE SAFE OPERATION OF THE FLIGHT.
Recommendation: REEMPHASIZE TO ALL FLIGHT CREWMEMBERS THE NECESSITY FOR TOTAL CREW COORDINATION AND ADHERENCE TO APPROVED PROCEDURES.
Original recommendation transmittal letter: PDF
Overall Status: Closed - Acceptable Action
Mode: Aviation
Location: Fort Lauderdale, FL, United States
Is Reiterated: No
Is Hazmat: No
Is NPRM: No
Accident #: 79697
Accident Reports: Eastern Air Lines, Inc., DC-9-31, N8961E
Report #: AAR-72-31
Accident Date: 5/18/1972
Issue Date: 7/5/1972
Date Closed: 1/1/1975
Addressee(s) and Addressee Status: FAA (Closed - Acceptable Action)
Keyword(s): Crew Resource Management

Safety Recommendation History
From: FAA
To: NTSB
Date: 2/16/1973
Response: FAA AGREES WITH THE BOARD'S RECOMMENDATION. THEY HAVE ALWAYS GIVEN THIS MATTER CONSIDERABLE ATTENTION DURING THEIR INSPECTION AND SURVEILLANCE ACTIVITIES. HOWEVER, THEY HAVE INSTRUCTED THEIR FIELD PERSONNEL TO REEMPHASIZE THE NEED FOR TOTAL CREW COORDINATION AND STRICT ADHERENCE TO APPROVED PROCEDURES. THEY HAVE ALSO REQUESTED THAT FLIGHT CREWMEMBERS NOT ONLY BECOME FAMILIAR WITH THE AIR CARRIER OPERATION BULLETIN 71-9, BUT ALSO BECOME AWARE OF THE CONSEQUENCES OF NOT FOLLOWING PRESCRIBED PROCEDURES.