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Safety Recommendation Details

Safety Recommendation A-85-074
Details
Synopsis: ABOUT 0805 ATLANTIC STANDARD TIME ON AUGUST 2, 1984, A PILATUS BRITTEN-NORMAN MODEL BN-2A-6 ISLANDER AIRPLANE, N589SA, CRASHED SHORTLY AFTER DEPARTING THE VIEQUES AIRPORT, VIEQUES, PUERTO RICO. THE AIRPLANE, WHICH IS MANUFACTURED PRINCIPALLY IN THE UNITED KINGDOM, WAS BEING OPERATED BY VIEQUES AIR LINK, INCORPORATED, IN AN AIR TAXI OPERATION. THE PILOT AND EIGHT PASSENGERS WERE KILLED. THE NATIONAL TRANSPORTATION SAFETY BOARD'S FINDINGS IN THE ACCIDENT INDICATE THAT THE AIRPLANE'S FUEL WAS CONTAMINATED BY WATER DURING REFUELING SHORTLY BEFORE TAKEOFF AND, AS A CONSEQUENCE, THE LEFT ENGINE LOST POWER SHORTLY AFTER TAKEOFF.
Recommendation: THE NTSB RECOMMENDS THAT THE FEDERAL AVIATION ADMINISTRATION: AMEND THE FAA'S OPERATIONS SPECIFICATIONS APPLICABLE TO VIEQUES AIR LINK, INC., AND OTHER U.S. OPERATORS OF PILATUS BRITTEN-NORMAN BN-2, BN-2A, BN-2B, BN-2T, AND BN-2A MK III MODEL AIRPLANES ENGAGED IN COMMUTER/AIR TAXI OPERATIONS, TO REQUIRE THAT PREFLIGHT CHECKS FOR FUEL CONTAMINATION BE MADE BEFORE THE FIRST FLIGHT OF THE DAY AND AFTER EACH REFUELING OPERATION IN STRICT ACCORDANCE WITH THE MANUFACTURER'S INSTRUCTIONS.
Original recommendation transmittal letter: PDF
Overall Status: Closed - Acceptable Alternate Action
Mode: Aviation
Location: VIEQUES, PR, United States
Is Reiterated: No
Is Hazmat: No
Is NPRM: No
Accident #: DCA84AA033
Accident Reports: Vieques Air Link, Inc., Britten- Norman BN-2A-6 Islander, N589SA
Report #: AAR-85-08
Accident Date: 8/2/1984
Issue Date: 9/25/1984
Date Closed: 9/24/1986
Addressee(s) and Addressee Status: FAA (Closed - Acceptable Alternate Action)
Keyword(s):

Safety Recommendation History
From: NTSB
To: FAA
Date: 9/24/1986
Response: We are pleased to be informed of the amendment to the BN-2 series Aircraft Flight Manual (AFM) that will contain procedures for preflight checks for fuel contamination for the first flight of the day and for each refueling operation. We also are pleased to receive a copy of the FAA's Action Notice A 8430.3, FAR Part 135 Preflight Checks Involving Pilatus Britten-Norman LTD BN-2 Series Aircraft, dated May 1, 1986. The proposed amendment to the AFM, and the contents of the notice, meet the intent of this recommendation which is classified as "Closed--Acceptable Alternate Action."

From: FAA
To: NTSB
Date: 6/3/1986
Response: "PILATUS BRITTEN-NORMAN LTD IS ISSUING AN AMENDMENT TO THE BN-2 SERIES AFM. THE MANUAL CHANGE WILL CONTAIN PROCEDURES FOR PREFLIGHT CHECKS FOR FUEL CONTAMINATION FOR THE FIRST FLIGHT OF THE DAY AND FOR EACH REFUELING OPERATION.......AS AN INTERIM MEASURE, THE FAA ISSUED AN ACTION NOTICE TO ALL FAA REGIONS CONTAINING GUIDANCE REGUARDING PREFLIGHT CHECKS FOR FUEL CONTAMINATION FOR THE BN-2A SERIES AIRPLANES. ENCLOSED FOR THE BOARD'S INFORMATION IS A COPY OF ACTION NOTICE A 8430.3, FAR PART 135 PERFLIGHT CHECKS INVOLVING PILATUS BRITTEN-NORMAN LTD BN-2 SERIES AIRCRAFT, DATED MAY 1, 1986. THIS NOTICE WAS SENT TO FAA FLIGHT STANDARDS DIVISION MANAGERS AND ALL GENERAL AVIATION, AIR CARRIER, AND FLIGHT STANDARDS DISTRICT OFFICERS. THE NOTICE REQUESTS THAT ALL FAA PRINCIPAL OPERATIONS INSPECTORS WHO PERFORM SURVEILLANCE ON OPERATORS OF BRITTEN-NORMAN BN-2 SERIES AIRCRAFT REQUIRE THAT A PREFLIGHT CHECK FOR FUEL CONTAMINATION BE MADE BEFORE THE FIRST FLIGHT OF THE DAY AND AFTER EACH REFUELING OPERATION. THEY ARE ALSO ADVISED TO REVIEW THE CONTENTS OF THE NOTICE WITH THEIR ASSIGNED CARRIERS AND REQUIRE THAT THESE OPERATIONS INCORPORATE THE IMPORTANCE OF FUEL SUMPING OF THE BN-2 AIRCRAFT IN THEIR OPERATIONS MANUAL AIRCREW TRAINING PROGRAM.

From: FAA
To: NTSB
Date: 1/13/1986
Response: The FAA's investigation relative to these recommendations is continuing. Recommendation A-85-74 is being reviewed by the FAA's Central Region Flight Standards Division for its evaluation and comments. Recommendations A-85-73, -75, and -76 have been forwarded to the FAA's Brussels, Belgium, Aircraft Certification Office for evaluation and coordination with the United Kingdom Civil Airworthiness Authority and to the manufacturer Pilatus Britten-Norman, LTD. I anticipate that the FAA's investigation will be completed by March 20, 1986, and I will advise the Board of the FAA's further actions shortly thereafter.