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Safety Recommendation Details

Safety Recommendation A-82-071
Details
Synopsis: ON FEBRUARY 21, 1982 AT 1533 E.S.T., PILGRIM AIRLINES FLIGHT 458, A SCHEDULED COMMUTER PASSENGER FLIGHT, MADE AN EMERGENCY LANDING ON THE NORTHWEST BRANCH OF THE SCITUATE RESERVOIR NEAR PROVIDENCE, RHODE ISLAND, AFTER A FIRE ERUPTED IN THE COCKPIT WHILE THE AIRCRAFT WAS EN ROUTE UNDER INSTRUMENT CONDITIONS BETWEEN GROTON, CONNECTICUT, AND BOSTON, MASSACHUSETTS, AT 4,000 FEET. THE FIRE, WHICH SPREAD FROM THE COCKPIT TO THE CABIN IN FLIGHT, DESTROYED THE AIRCRAFT AFTER IMPACT. THE CAPTAIN AND FIRST OFFICER WERE SERIOUSLY INJURED. ONE PASSENGER WAS KILLED, EIGHT PASSENGERS HAD SERIOUS INJURIES, AND ONE PASSENGER SUSTAINED MINOR INJURIES.
Recommendation: THE NTSB RECOMMENDS THAT THE FEDERAL AVIATION ADMINISTRATION: ISSUE A MAINTENANCE BULLETIN CALLING ATTENTION TO THE NEED FOR PROPERLY FUNCTIONING PUBLIC ADDRESS SYSTEMS TO ASSURE THAT SAFETY MESSAGES BY THE CREW ARE UNDERSTANDABLE IN ALL PARTS OF THE CABIN BOTH ON THE GROUND AND IN FLIGHT.
Original recommendation transmittal letter: PDF
Overall Status: Closed - Acceptable Action
Mode: Aviation
Location: PROVIDENCE, RI, United States
Is Reiterated: Yes
Is Hazmat: No
Is NPRM: No
Accident #: DCA82AA016
Accident Reports: Pilgrim Airlines Flight 458, DeHavilland DHC-6-100, N127PM
Report #: AAR-82-07
Accident Date: 2/21/1982
Issue Date: 7/27/1982
Date Closed: 5/24/1983
Addressee(s) and Addressee Status: FAA (Closed - Acceptable Action)
Keyword(s):

Safety Recommendation History
From: NTSB
To: FAA
Date: 10/25/1985
Response: From the Safety Study Airline Passenger Safety Education: A Review of Methods Used to Present Safety Information (NTSB/SS-85/09). The Board adopted this Safety Study on 10/25/1985. The quality of the public address systems can affect greatly the understandability of safety announcements made by the flightcrew and the flight attendants. The Safety Board reiterates its earlier recommendations on the importance of passengers being able to hear safety messages in all parts of the cabin when an airplane is on the ground with engines running and during flight: A-82-71.

From: NTSB
To: FAA
Date: 5/24/1983
Response: The FAA has issued an amended Maintenance Bulletin 23-1 which reemphasizes the need for properly functioning public address systems as requested by the Board. However, the intelligibility of aircraft public address systems, irrespective of the maintenance, continues to be of concern to the Safety Board. Our staff will continue to examine the performance of aircraft public address systems during future investigations. Based on the information included in your response, the Board has placed Safety Recommendation A-82-71 in a "Closed--Acceptable Action" status.

From: FAA
To: NTSB
Date: 11/15/1982
Response: FAA LETER: IN OUR PREVIOUS RESPONSE, WE STATED THAT WE WOULD AMEND MAINTENANCE BULLETIN 23-1, AIRCRAFT PUBLIC ADDRESS SYSTEMS. ENCLOSED IS A COPY OF THE AMENDED BULLETIN.

From: FAA
To: NTSB
Date: 10/18/1982
Response: FAA LETTER: THE FAA AGREES WITH THIS RECOMMENDATION AND HAS AMENDED PREVIOUSLY PUBLISHED MAINTENANCE BULLETIN 23-1, "AIRCRAFT PUBLIC ADDRESS SYSTEMS." THE AMENDED MATERIAL REEMPHASIZES THE NEED FOR PROPERLY FUNCTIONING PUBLIC ADDRESS SYSTEMS TO ASSURE THAT SAFETY MESSAGES BY THE CREW ARE UNDERSTANDABLE IN ALL AREAS OF THE CABIN BOTH ON THE GROUND AND IN FLIGHT.