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Safety Recommendation Details

Safety Recommendation A-88-099
Details
Synopsis: ON MARCH 4, 1987, FISCHER BROS. AVIATION, INC., DOING BUSINESS AS NORTHWEST AIRLINK, FLIGHT 2268, A CONSTRUCCIONES AERONAUTICAS, S.A. (CASA) C-212-CC, N160FB, CRASHED JUST INSIDE THE THRESHOLD OF RUNWAY 21R AT THE DETROIT METROPOLITAN WAYNE COUNTY AIRPORT IN ROMULUS, MICHIGAN. NINE OF THE 19 PERSONS ON BOARD WERE KILLED. THE AIRPLANE WAS DESTROYED BY IMPACT FORCES AND POSTCRASH FIRE. ON MAY 8, 1987, EXECUTIVE AIR CHARTER, INC., DOING BUSINESS AS AMERICAN EAGLE, FLIGHT 5452, A CASA C-212-CC, CRASHED SHORT OF RUNWAY 9 WHILE ON A VISUAL APPROACH TO THE AIRPORT AT MAYAGUEZ, PUERTO RICO, IN VISUAL METEOROLOGICAL CONDITIONS. BOTH CREWMEMBERS WERE KILLED AND THE FOUR PASSENGERS SUSTAINED MINOR INJURIES. THE AIRPLANE WAS DESTROYED BY IMPACT FORCES AND POSTCRASH FIRE.
Recommendation: THE NTSB RECOMMENDS THAT THE FEDERAL AVIATION ADMINISTRATION: REISSUE TO OPERATIONS AND MAINTENANCE INSPECTORS FEDERAL AVIATION ADMINISTRATION NOTICE N8320.301 OF SEPTEMBER 17, 1984, PROMPTED BY SAFETY BOARD RECOMMENDATION A-84-15.
Original recommendation transmittal letter: PDF
Overall Status: Closed - Unacceptable 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: 10/17/1988
Date Closed: 1/9/1990
Addressee(s) and Addressee Status: FAA (Closed - Unacceptable Action)
Keyword(s):

Safety Recommendation History
From: NTSB
To: FAA
Date: 1/9/1990
Response: The status of Safety Recommendation A-88-99, which states that FAA Notice N8320.301 should be reissued, has been changed to "Closed--Unacceptable Action." As the Safety Board letter of May 19, 1989, stated, the Safety Board concluded that Notice N8320.301 should be reissued as a reminder to POI's and PMI's about maintenance concerns because of such concerns found in two accidents. The subject of maintenance continues to be an issued in such accidents as the April 28, 1988, explosive decompression of a Boeing 737 over Hawaii, and is further examined in other Safety Board accident reports and safety recommendations.

From: FAA
To: NTSB
Date: 9/15/1989
Response: THE FAA DOES NOT AGREE WITH THIS SAFETY RECOMMENDATION AND DOES NOT PLAN TO REISSUE ACTION NOTICE 8320.301. THE INFORMATION CONTAINED IN THE ACTION NOTICE IS ADDRESSED IN CURRENT REGULATIONS AND AIRWORTHINESS INSPECTOR'S HANDBOOKS.

From: NTSB
To: FAA
Date: 5/19/1989
Response: Safety Recommendation A-88-99 contained a typographical error by referring to Safety Recommendation A-84-15 rather than Safety Recommendation A-84-14. Regardless of which safety recommendation was referred to, the Safety Board firmly believes that the FAA should reissue Notice N8320.301, which concerned the separation of the maintenance organization from the inspection organization, the adequacy of the organization to perform required inspections, and the need to have inspection functions clearly defined and separated from other maintenance, preventive maintenance, and alteration functions. Although most of the notice's information is in the airworthiness inspector's handbooks and regulatory requirements, the Safety Board found maintenance concerns in both CASA-212 accident investigations. While maintenance was not cited in the probable cause of one of the accidents, maintenance concerns were discussed in the Safety Board's analysis of that accident. Maintenance was cited in the probable cause of the other accident; the Safety Board found that the operator's maintenance program was deficient. Therefore, the Safety Board concludes that Notice N8320.301 should be reissued as a reminder to POI's and PMI's about maintenance concerns, and asks the FAA to reconsider its position. The Safety Board has classified Safety Recommendation A-88-99 as "Open--Unacceptable Action" pending further response.

From: FAA
To: NTSB
Date: 1/12/1989
Response: THE FAA DOES NOT AGREE WITH THIS RECOMMENDATION AND DOES NOT PLAN TO REISSUE ACTION NOTICE 8320.301. THE INFORMATION CONTAINED IN THE ACTION NOTICE IS ADDRESSED IN CURRENT REGULATIONS AND AIRWORTHINESS INSPECTOR'S HANDBOOKS. THE SAFETY BOARD'S PROBABLE CAUSE OF THE ACCIDENT CLEARLY STATES THAT THE PILOTS OPERATED THE AIRCRAFT CONTRARY TO THE FLIGHT MANUAL. THERE IS NO INDICATION OF ANY MAINTENANCE PROBLEMS THAT AFFECTED THE OPERATION OF THE AIRCRAFT. I DO NOT AGREE WITH THIS RECOMMENDATION, AND I PLAN NO FURTHER ACTION.