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Safety Recommendation Details

Safety Recommendation A-86-088
Details
Synopsis: ON AUGUST 2, 1985, AT 1805:52 CENTRAL DAYLIGHT TIME, DELTA AIR LINES (DELTA) FLIGHT 191, A LOCKHEED L-1011-385-1, N726DA, CRASHED WHILE APPROACHING TO LAND ON RUNWAY 17L AT THE DALLAS/FORT WORTH INTERNATIONAL (DFW) AIRPORT, TEXAS. WHILE PASSING THROUGH THE RAIN SHAFT BENEATH A THUNDERSTORM, FLIGHT 191 ENTERED A MICROBURST WHICH THE PILOT WAS UNABLE TO TRAVERSE SUCCESSFULLY. THE AIRPLANE STRUCK THE GROUND ABOUT 6,300 FEET NORTH OF THE APPROACH END OF RUNWAY 17L, HIT A CAR ON A HIGHWAY NORTH OF THE RUNWAY KILLING THE DRIVER, STRUCK TWO WATER TANKS ON THE AIRPORT, AND BROKE APART. EXCEPT FOR A SECTION OF THE AIRPLANE CONTAINING THE AFT FUSELAGE AND EMPENNAGE, THE REMAINDER OF THE AIRPLANE DISINTEGRATED DURING THE IMPACT SEQUENCE, AND A SEVERE FIRE ERUPTED DURING THE IMPACT SEQUENCE. OF THE 163 PERSONS ABOARD, 134 PASSENGERS AND CREWMEMBERS WERE KILLED; 26 PAS SENGERS AND 3 CABIN ATTENDANTS SURVIVED.
Recommendation: THE NTSB RECOMMENDS THAT THE DALLAS/FORT WORTH INTERNATIONAL AIRPORT BOARD: REVISE ITS PROCEDURES FOR COORDINATING WITH AREA HOSPITALS DURING MASS CASUALTY DISASTERS TO PROVIDE THE HOSPITALS WITH TIMELY INFORMATION REGARDING ESTIMATED NUMBERS OF VICTIMS, INJURY CATEGORIES, DESTINATIONS, AND ARRIVAL TIMES.
Original recommendation transmittal letter: PDF
Overall Status: Closed - Acceptable Action
Mode: Aviation
Location: DALLAS/FT WORTH, TX, United States
Is Reiterated: No
Is Hazmat: No
Is NPRM: No
Accident #: DCA85AA031
Accident Reports: Delta Air Lines, Inc., Lockheed L-1011-385-1, N726DA
Report #: AAR-86-05
Accident Date: 8/2/1985
Issue Date: 9/3/1986
Date Closed: 6/4/1987
Addressee(s) and Addressee Status: Dallas/Fort Worth International Airport (Closed - Acceptable Action)
Keyword(s):

Safety Recommendation History
From: NTSB
To: Dallas/Fort Worth International Airport
Date: 6/4/1987
Response:

From: Dallas/Fort Worth International Airport
To: NTSB
Date: 4/24/1987
Response: THE RESPONSIBILITY FOR TIMELY COORDINATION OF RELIABLE CASUALTY/INJURY ESTIMATES WILL BE AFFORDED PARTICIPATING HOSPITALS BY THE ON-SCENE MEDICAL OFFICER VIA MOBILE TELEPHONE FROM THE ON-SITE DEPARTMENT OF PUBLIC SAFETY MOBILE COMMAND POST.

From: NTSB
To: Dallas/Fort Worth International Airport
Date: 3/30/1987
Response:

From: Dallas/Fort Worth International Airport
To: NTSB
Date: 10/16/1986
Response: THE ABSENCE OF A COMMON RADIO FREQUENCY AMONG AREA HOSPITALS MAKES THE LOGISTICS OF A SINGLE NOTIFICATION POINT IMPRACTICAL. NOTIFICATION OF THE HOSPITALS OF THE OCCURRENCE OF A MAJOR DISASTER SHOULD, ON ITS OWN, ACTIVATE THE HOSPITALS' EMERGENCY PLANS. THE INITIAL ANNOUNCEMENT WILL CONTAIN THE APPROXIMATE NUMBER OF VICTIMS INVOLVED. THIS INFORMATION SHOULD ALERT THE HOSPITALS AS TO THE LEVEL OF RESPONSE REQUIRED. THE EMERGENCY OPERATIONS CENTER COORDINATOR IS INSTRUCTED TO UPDATE HOSPITALS AS TIME PERMITS. AT PRESENT, INDIVIDUAL AMBULANCES DEPARTING A DISASTER SITE ARE DIRECTED TO SPECIFIC HOSPITALS BY THE ON SCENE MEDICAL OFFICER. THEY, IN TURN, ARE EXPECTED TO PROVIDE PERTINENT INFORMATION TO HOSPITALS PERTAINING TO THE STATUS OF THEIR VICTIMS AND ESTIMATED TIME OF ARRIVAL THROUGH THEIR RADIO/DISPATCH NETWORKS.