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Safety Recommendation Details

Safety Recommendation A-87-027
Details
Synopsis: ON MARCH 4, 1987, NORTHWEST ORIENT AIRLINK FLIGHT 2268, A CASA C-212-CC, N160FB, WAS OPERATING AS A REGULARLY SCHEDULED PASSENGER FLIGHT BETWEEN MANSFIELD, OHIO, AND DETROIT, MICHIGAN, WITH AN EN ROUTE STOP IN CLEVELAND, OHIO. ABOUT 1434 EASTERN STANDARD TIME, THE AIRPLANE CRASHED IN VISUAL METEOROLOGICAL CONDITIONS ON FINAL APPROACH TO RUN WAY 21R AT THE DETROIT METROPOLITAN WAYNE COUNTY AIRPORT. WITNESSES REPORTED THAT THE AIRPLANE APPEARED TO BE FAST AND SLIGHTLY HIGH ON THE APPROACH. THEY OBSERVED THE AIRPLANE MAKE A SHARP ROLL TO THE LEFT AND ENTER A DESCENDING NOSE DOWN ATTITUDE, FOLLOWED BY A ROLL TO THE RIGHT BEFORE IT STRUCK THE RAMP AREA IN A RIGHT WING-DOWN, NOSEDOWN ATTITUDE 650 FEET OF THE RUNWAY CENTERLINE AND 1,350 FEET BEYOND THE RUNWAY THRESHOLD. THE AIRPLANE FLIPPED UPSIDE DOWN AND SKIDDED ABOUT 400 FEET BEFORE STRIKING THREE GROUND-SUPPORT VEHICLES. IT CAME TO REST UPSIDE DOWN AND BURNED IN FRONT OF CONCOURSE F AT GATE 10. NINE OF THE 19 OCCUPANTS, INCLUDING 2 FLIGHTCREW MEMBERS, WERE KILLED IN THE ACCIDENT. FIVE OCCUPANTS SUSTAINED SERIOUS INJURIES AND FIVE ESCAPED WITH MINOR INJURIES. THREE GROUND-SUPPORT PERSONNEL SUSTAINED MINOR INJURIES IN THE ACCIDENT. ALTHOUGH THE INVESTIGATION IS CONTINUING AND THE PROBABLE CAUSE(S) OF THE ACCIDENT HAS NOT YET BEEN DETERMINED, THE SAFETY BOARD HAS SERIOUS CONCERN REGARDING THE UNITED STATES CERTIFICATION OF THE CASA C-212, PARTICULARLY WITH RESPECT TO THE LACK OF AN ADEQUATE STALL WARNING SYSTEM.
Recommendation: THE NTSB RECOMMENDS THAT THE FEDERAL AVIATION ADMINISTRATION: ISSUE A GENERAL NOTICE (GENOT) IMMEDIATELY TO ALL UNITED STATES OWNERS AND OPERATORS OF THE CASA C-212 AIR PLANE DESCRIBING THE BACKGROUND AND SIGNIFICANT FINDINGS OF THE RECENT FLIGHT TEST OF THE CASA C-212. THE NOTICE SHOULD PROVIDE AN EVALUATION OF THE EXISTING CASA C-212 STALL CHARACTERISTICS, OPERATIONAL PRECAUTIONS, AND TRAINING PROCEDURES TO PRECLUDE INADVERTENT STALLS UNTIL AN APPROVED ARTIFICAL STALL WARNING SYSTEM IS INSTALLED. (URGENT)
Original recommendation transmittal letter: PDF
Overall Status: Closed - Acceptable Action
Mode: Aviation
Location: ROMULUS, MI, United States
Is Reiterated: No
Is Hazmat: No
Is NPRM: No
Accident #: DCA87MA022
Accident Reports: Fischer Bros. Aviation, Inc. dba NW Airlink, Flight 2268 Construcciones Aeronautics, S.A. (CASA) C-212-CC, N160FB
Report #: AAR-88-08
Accident Date: 3/4/1987
Issue Date: 3/31/1987
Date Closed: 8/19/1987
Addressee(s) and Addressee Status: FAA (Closed - Acceptable Action)
Keyword(s): Training and Education,Upset Recovery

Safety Recommendation History
From: NTSB
To: FAA
Date: 8/19/1987
Response: We are pleased to note that the FAA has issued a General Notice to all flight standards field offices addressing the flight characteristics of the CASA 212 aircraft. This recommendation is classified as "Closed--Acceptable Action."

From: FAA
To: NTSB
Date: 6/16/1987
Response: THE FAA ISSUED A GENOT TO ALL FLIGHT STANDARDS FIELD OFFICES ADDRESSING THE FLIGHT CHARACTERISTICS OF THE CASA 212 AIR CRAFT.