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Safety Recommendation Details

Safety Recommendation A-88-143
Details
Synopsis: ON NOVEMBER 15, 1987, CONTINENTAL AIRLINES, INC., FLIGHT 1713, A MCDONNELL DOUGLAS DC-9-14, N626TX, WAS OPERATING AS A REGULARLY SCHEDULED, PASSENGER-CARRYING FLIGHT BETWEEN DENVER, COLORADO, AND BOISE, IDAHO. THE AIRPLANE WAS CLEARED TO TAKE OFF FOLLOWING A DELAY OF APPROXIMATELY 27 MINUTES AFTER DEICING. THE TAKEOFF ROLL WAS UNEVENTFUL, BUT FOLLOWING A RAPID ROTATION, THE AIRPLANE CRASHED OFF THE RIGHT SIDE OF RUNWAY 35 LEFT. BOTH PILOTS, 1 FLIGHT ATTENDANT, AND 25 PASSENGERS SUSTAINED FATAL INJURIES. TWO FLIGHT ATTENDANTS AND 52 PASSENGERS SURVIVED.
Recommendation: THE NTSB RECOMMENDS THAT THE NATIONAL FIRE PROTECTION ASSOCIATION: ADVISE THE TECHNICAL COMMITTEE ON AIRPLANE RESCUE AND FIRE FIGHTING OPERATIONAL PROCEDURES OF THE PROBLEMS IDENTIFIED DURING THE INVESTIGATION OF THE AIRPLANE ACCIDENT AT DENVER, COLORADO, ON NOVEMBER 15, 1987, WITH A VIEW TOWARD DEVELOPING ADDITIONAL INFORMATION ON EMERGENCY ACCESS AREAS FOR AIRPLANES THAT MAY REST IN UNUSUAL ATTITUDES AND THE ADVISABILITY AND SAFETY OF DEFUELING WHILE PASSENGERS ARE TRAPPED IN AND UNDER THE FUSELAGE.
Original recommendation transmittal letter: PDF
Overall Status: Closed - Acceptable Action
Mode: Aviation
Location: DENVER, CO, United States
Is Reiterated: No
Is Hazmat: No
Is NPRM: No
Accident #: DCA88MA004
Accident Reports: Continental Airlines, Inc., Flight 1713 McDonnell Douglas DC-9-14, N626TX
Report #: AAR-88-09
Accident Date: 11/15/1987
Issue Date: 11/3/1988
Date Closed: 7/12/1989
Addressee(s) and Addressee Status: National Fire Protection Association (Closed - Acceptable Action)
Keyword(s):

Safety Recommendation History
From: NTSB
To: National Fire Protection Association
Date: 7/12/1989
Response: The National Transportation Safety Board has received the National Fire Protection Association (NFPA) response to Safety Recommendation A-88-143. This safety recommendation concerns advising the Technical Committee on Airplane Rescue and Fire Fighting Operational Procedures of the problems identified during the investigation of the airplane accident at Denver, Colorado, on November 15, 1987. The Safety Board is pleased with the progress the NFPA has been able to make even though this safety recommendation was received after the 1989 revision of NFPA 402M. Based on the work accomplished with the Technical Committee, Safety Recommendation A-88-143 has been classified as "Closed--Acceptable Action."

From: National Fire Protection Association
To: NTSB
Date: 4/7/1989
Response: THE NFPA REALIZES THE IMPORTANCE OF THE NTSB SAFETY RECOMMENDATION A-88- 143 AND HAS NOT ONLY PUBLISHED A RECENT ARTICLE IN FIRE COMMAND (MARCH, 1989 ISSUE ENCLOSED) BUT HAS FORWARDED THE SAFETY RECOMMENDATION TO JOHN ROONEY, CHAIRMAN OF THE AIRCRAFT RESCUE AND FIRE FIGHTING COMMITTEE, AS INDICATED IN MY LETTER OF DECEMBER 6, 1988. THE SUBCOMMITTEE ON AIRPORT/COMMUNITY EMERGENCY PLANNING (NFPA 424M) WILL BE MEETING FOR A DAY AND A HALF FOLLOWING OUR ANNUAL MEETING THIS MAY. SUBCOMMITTEE CHAIRMAN DAVIS PARSONS IS IN POSSESSION OF THE RECOMMENDATION AND IS EXPECTED TO TAKE THE APPROPRIATE ACTION REGARDING NFPA 424M. THE 1989 EDITION OF NFPA 402M WILL BE IN CIRCULATION BY THE END OF THIS SUMMER. THE TECHNICAL COMMITTEE ON AIRCRAFT RESCUE AND FIRE FIGHTING WILL BE MEETING OCTOBER 31 THROUGH NOVEMBER 2, 1989 IN PANAMA CITY, FL. AN AGENDA ITEM SCHEDULED FOR THIS MEETING IS TO ADDRESS THE RECOMMENDATION WITH REGARD TO THE 1989 EDITION OF NFPA 402M. YOUR CONCERN FOR INCORPORATING ADDITIONAL INFORMATION FROM THE RECOMMENDATION TO NFPA 402M WILL BE ADDRESSED AT THAT TIME. THE TWO MEMBERS OF THE AIRCRAFT RESCUE AND FIRE FIGHTING COMMITTEE, MESSRS. HAMMACK AND MUDROWSKY, ALSO OF THE NTSB STAFF, MAY WISH TO PROPOSE AN EARLIER REVISION CYCLE FOR NFPA 402M TO THE COMMITTEE. ALTHOUGH THE RECOMMENDATION WAS NOT AVAILABLE DURING THE EARLY DEVELOPMENT OF THE 1989 REVISION OF NFPA 402M, THE COMMITTEE WAS AWARE OF MANY OF THE PROBLEMS SURROUNDING THE DENVER ACCIDENT. I HAVE ENCLOSED FOR YOUR INFORMATION A COPY OF THE REWRITE WHICH APPEARED IN THE ANNUAL 1989 TECHNICAL COMMITTEE REPORT (TCR) AND THE COMMENTS RECEIVED ON THE REWRITE WHICH APPEARED IN THE ANNUAL 1989 TECHNICAL COMMITTEE DOCUMENTATION (TCD). WE APPRECIATE NTSB'S CONTINUED COOPERATION WITH NFPA ON FIRE SAFETY ASPECTS OF TRANSPORTATION ACCIDENTS.

From: NTSB
To: National Fire Protection Association
Date: 2/28/1989
Response: Thank you for your letter in response to the National Transportation Safety Board's Safety Recommendation A-88-143, which addresses dissemination of information about the problems encountered in rescue efforts after an aircraft accident in Denver, Colorado. The Safety Board appreciates the work which the National Fire Protection Association (NFPA) has done in implementing the safety recommendation, such as revision of the NFPA 402M, Manual for Aircraft Rescue and Fire Fighting Operational Procedures. However, the Safety Board notes that these actions were essentially completed before the safety recommendation was issued. To determine how the most recent revision to the NFPA Manual meets the intent of the safety recommendation, the Safety Board would benefit from a discussion of the manual sections which the NFPA believes to be applicable to the recommendation. The Safety Board is concerned that by missing the most recent 5-year revision cycle, information on subjects such as rescue operations when the airplane is resting in an unusual attitude and defueling of the airplane with trapped occupants on board may not be developed or disseminated in a timely manner. Publishing such information in a magazine is helpful, but may result in only "one time" reading. Publishing the information in a more permanent reference like the NFPA manuals is more effective. Pending your response to our request for more detailed information from the NFPA manual, Safety Recommendation A-88-143 has been classified as "Open-- Acceptable Action."

From: National Fire Protection Association
To: NTSB
Date: 12/6/1988
Response: WE AGREE THAT THE FACTS AND LESSONS LEARNED SHOULD BE DISSEMINATED TO THE NFPA COMMITTEE ON AIRCRAFT RESCUE AND FIRE FIGHTING, FIRESAFETY PROFESSIONALS AND THE FIRE SERVICE. TO THAT END, NFPA HAS ALREADY TAKEN SOME STEPS AND WILL TAKE FURTHER ACTION. FIRST, TOM KLEM, NFPA DIRECTOR OF FIRE INVESTIGATIONS, WORKED DIRECTLY WITH THE NTSB ACCIDENT INVESTIGATION TEAM TO COLLECT FACTS RELEVANT TO AIR CRASH RESCUE AND FIREFIGHTING ACTIVITIES. IN OCTOBER 1988, ED MUDROWSKY OF NTSB GAVE A PRESENTATION TO THE NFPA AIRCRAFT RESCUE AND FIRE FIGHTING COMMITTEE, AND SOME OF THE AVAILABLE LESSONS LEARNED WERE INCORPORATED INTO REVISIONS OF NFPA 402M, MANUAL FOR AIRCRAFT RESCUE AND FIRE FIGHTING OPERATIONAL PROCEDURES. WORK ON THE REVISED EDITION WAS COMPLETED, AND THE DOCUMENT WILL BE PRESENTED FOR ADOPTION AT THE NFPA ANNUAL MEETING, MAY 1989. ALSO, PRELIMINARY INCIDENT INFORMATION WAS PUBLISHED IN NFPA'S FIRE SERVICE PERIODICAL, FIRE COMMAND. RECOMMENDATION A-88-143 PLUS THE AIRCRAFT ACCIDENT REPORT WILL BE IMMEDIATELY FORWARDED TO THE CHAIRMAN FOR USE IN THE COMMITTEE'S WORK IN FURTHER REVIEW AND UPDATING OF NFPA 402M. FURTHER, LESSONS LEARNED AND RECOMMENDATIONS FROM THE NTSB AIRCRAFT ACCIDENT REPORT WILL BE PUBLISHED IN FIRE COMMAND FOR DISTRIBUTION TO THE FIRE SERVICE.