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Safety Recommendation Details

Safety Recommendation A-86-091
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 FEDERAL AVIATION ADMINISTRATION: REQUIRE AIRPORT CERTIFICATION INSPECTORS TO CONDUCT COMMUNICATIONS TESTS IN ACCORDANCE WITH FEDERAL AVIATION ADMINISTRATION GUIDELINES FOR EMERGENCY PLAN NOTIFICATION PROCEDURES OF MUTUAL-AID AGENCIES AS PART OF THE ANNUAL AIRPORT CERTIFICATION INSPECTION AND TO EVALUATE THE TIME LINES AND EFFECTIVENESS OF THOSE NOTIFICATION PROCEDURES.
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: 4/2/1990
Addressee(s) and Addressee Status: FAA (Closed - Acceptable Action)
Keyword(s):

Safety Recommendation History
From: NTSB
To: FAA
Date: 4/2/1990
Response: Safety Recommendation A-86-90 addresses a need to develop guidelines for use by airport certification inspectors to determine the timeliness and effectiveness of emergency notification procedures at certified airports. The Safety Board has reviewed Order 5280.5A, the Airport Certification Program Handbook, and finds that the document meets the intent of Safety Recommendation A-86-90. The Airport Certification/Safety Inspection Checklist (FAA Form 5280-4) addresses the intent of Safety Recommendation A-86-91. Based on our review of these documents, we have classified both of these safety recommendations as "Closed--Acceptable Action."

From: FAA
To: NTSB
Date: 10/27/1989
Response: On September 12, 1989, the FAA issued Order 5280.5A, Airport Certification Program Handbook, to implement a number of changes in the conduct of airport certification inspections. I have enclosed a copy of the order for the Board's information. Paragraph 321(a) of the order requires that the airport certification inspector conduct a communications test of the emergency plan notification procedures of mutual aid agencies to evaluate the timeliness and effectiveness of the notification procedures. The inspector is to randomly select telephone numbers listed in the emergency plan and contact the mutual aid agency listed to verify telephone number currency and the agency's knowledge of their requirements under the emergency plan. Paragraph 321(d) of the order requires that procedures for annual review of the airport emergency plan and triennial full-scale exercise must be included in the airport emergency plan. Airport operators have until December 31, 1990, to conduct a full-scale exercise. An annual review of the airport emergency plan may consist of the airport operator conducting a table-top exercise or a review meeting with a representative of each of the agencies with which the plan was coordinated. Additionally, the FAA is planning to review and emphasize the importance of the airport emergency plan and notification procedures during a special session at the October 30 through November 3, 1989, certification inspector recurrent training course. Presentations and critiques will be given by personnel from the Dallas/Ft. Worth, Orlando, and Detroit airports, consultant groups, and FAA inspectors who have participated in accident investigations or emergency exercises. The FAA will continue to emphasize the importance of the airport emergency plans throughout the year and will provide increased education on this subject for airport operators and airport certification inspectors. I believe that the FAA has met fully the intent of these safety recommendations, and I plan no further action.

From: NTSB
To: FAA
Date: 5/23/1989
Response: Thank you for your April 14, 1989, response to Recommendations A-86-90 and -91. These recommendations stemmed from the National Transportation Safety Board's investigation of an accident involving Delta Air Lines Flight 191, a Lockheed L- 1011, that crashed while approaching to land at the Dallas/Ft. Worth International Airport on August 2, 1985. We requested the FAA to develop guidelines for use by airport certification inspectors to determine the timeliness and effectiveness of emergency notification procedures at certificated airports. We also requested the FAA to require airport certification inspectors to conduct communications tests in accordance with FAA guidelines for emergency plan notification procedures of mutual- aid agencies as part of the annual airport certification inspection and to evaluate the timeliness and effectiveness of those notification procedures. We have reviewed the FAA's revised 14 CFR Part 139, Certification and Operations: "Land Airports Serving Certain Air Carriers" and Advisory Circular 150/5200-31, "Airport Emergency Plan" that were enclosed with the FAA's response. These contain excellent guidance for airport operators, but they do not specifically address guidelines for airport certification inspectors. We now await the revised Airport Certification Program Handbook Order 5280.5A to determine the FAA's responsiveness to these recommendations. For the present we are holding Safety Recommendations A- 86-90 and -91 in an "Open--Acceptable Action" status.

From: FAA
To: NTSB
Date: 4/14/1989
Response: THE FAA HAS PROVIDED THE BOARD WITH FAR PART 139-14 (14 CFR 139.325) AS WELL AS AC 150/5200-31 AIRPORT EMERGENCY PLAN. WE ARE TOLD THAT THE AIRPORT CERTIFICATION PROGRAM HANDBOOK ORDER 5280.5A WILL INSTRUCT AIRPORT CERTIFICATION INSPECTORS HOW TO PARTICIPATE.

From: NTSB
To: FAA
Date: 12/9/1986
Response: The Safety Board finds that the actions planned by the FAA appear to comply with the intent of the subject recommendations. Pending the Board's review of the final rule for the revised 14 CFR Part 139 and the planned revision to FAA Order 5280.5, Airport Certification Program Handbook, Safety Recommendations A-86-90 and -91 have been classified as "Open--Acceptable Action." Your efforts to improve aviation safety are appreciated.

From: FAA
To: NTSB
Date: 11/6/1986
Response: THE FAA AGREES WITH THIS RECOMMENDATION. THE FAA IS IN THE PROCESS OF REVISING ORDER 5280.5 TO INCORPORATE GUIDELINES FOR THE AIRPORT CERTIFICATION INSPECTORS TO CONDUCT COMMUNICATIONS TESTS TO EVALUATE THE TIMELINESS AND EFFECTIVENESS OF THE NOTIFICATION PROCEDURES.