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Safety Recommendation Details

Safety Recommendation A-90-062
Details
Synopsis: ON FEBRUARY 23, 1988, A BOEING 747-122 OPERATED BY UNITED AIRLINES AS FLIGHT 811 DEPARTED LOS ANGELES, CALIFORNIA, AS A SCHEDULED FLIGHT TO SYDNEY, AUSTRALIA, WITH EN ROUTE STOPS AT HONOLULU, HAWAII, AND AUCKLAND, NEW ZEALAND. THE FLIGHT DEPARTMENT HONOLULU AT 0155 ON FEBRUARY 24, 1988, WITH 3 FLIGHT CREWMEMBERS, 15 CABIN ATTENDANTS, AND 337 PASSENGERS. ABOUT 20 MINUTES INTO THE FLIGHT, AND NEAR 23,000 FEET, A RAPID DECOMPRESSION OCCURRED WHEN THE FORWARD STARBOARD CARGO DOOR SEPARATED FROM PART OF THE CABIN FUSELAGE. THE AIRPLANE RETURNED TO HONOLULU INTERNATIONAL AIRPORT, LANDING SAFELY ON RUNWAY 8L AT 0234 WHERE AN EMERGENCY EVACUATION WAS CONDUCTED. OF THE 355 OCCUPANTS ON BOARD WHEN THE FLIGHT DEPARTED HONOLULU, 9 WERE LOST DURING THE DECOMPRES SION; AND 1 CREWMEMBER, 15 FLIGHT ATTENDANTS, AND 22 PASSENGERS WERE INJURED DURING THE DECOMPRESSION AND EMERGENCY EVACUATION.
Recommendation: THE NTSB RECOMMENDS THAT THE STATE OF HAWAII DEPARTMENT OF TRANSPORTATION: DEVELOP, IN COOPERATION WITH THE DEPARTMENT OF DEFENSE, PROCEDURES FOR DIRECT RADIO COMMUNICATION BETWEEN AIRCRAFT RESCUE AND FIREFIGHTING VEHICLES OPERATED BY THE STATE OF HAWAII AND HICKAM AIR FORCE BASE THAT WOULD BE USED WHEN RESPONDING TO AIRPORT EMERGENCIES AT HONOLULU INTERNATIONAL AIRPORT.
Original recommendation transmittal letter: PDF
Overall Status: Closed - Acceptable Action
Mode: Aviation
Location: HONOLULU, HI, United States
Is Reiterated: No
Is Hazmat: No
Is NPRM: No
Accident #: DCA89MA027
Accident Reports: Explosive Decompression - Loss of Cargo Door in Flight, United Airlines Flight 811 Boeing 747-122, N4713U
Report #: AAR-92-02
Accident Date: 2/24/1989
Issue Date: 5/4/1990
Date Closed: 7/3/1995
Addressee(s) and Addressee Status: Honolulu International Airport (Closed - Acceptable Action)
Keyword(s):

Safety Recommendation History
From: NTSB
To: Honolulu International Airport
Date: 7/3/1995
Response: THE BOARD NOTES THAT THE STATE OF HAWAII & THE DEPARTMENT OF DEFENSE HAVE IMPLEMENTED A COMMON TACTICAL COMMUNICATION FREQUENCY FOR BOTH EMERGENCY AIRCRAFT RESCUE & FIREFIGHTING CREWS WHEN RESPONDING TO AN AIRPORT EMERGENCY. THIS ACTION FULLY COMPLIES WITH THE INTENT OF A-90-62, WHICH THEREFORE HAS BEEN CLASSIFIED "CLOSED--ACCEPTABLE ACTION." THE BOARD APPRECIATES YOUR EFFORTS TO IMPROVE THE SAFETY OF THE AVIATION TRANSPORTATION SYSTEM.

From: Honolulu International Airport
To: NTSB
Date: 3/13/1995
Response: FOLLOWING RECEIPT OF A-90-62, MEASURES WERE UNDERTAKEN TO IMPLEMENT THE CHANGES PROPOSED BY THE BOARD. THE RESULT WAS A CONVERSION TO A COMMON TACTICAL FREQUENCY USED BY BOTH EMERGENCY AIRCRAFT RESCUE FIREFIGHTING CREWS WHEN UNDERTAKING AIRPORT EMERGENCY RESPONSE. THE MEASURE WAS IMPLEMENTED ON 9/26/90, THROUGH THE ACQUISITION OF THE NECESSARY EQUIPMENT & ENACTMENT OF CHANGES TO AIRPORT-HICKAM AFB JOINT USE AGREEMENT. COPIES OF MEETING MINUTES LEADING TO THE ADOPTION OF THE MEASURE, THE IMPLEMENTATION TRANSMITTAL LETTER & A COPY OF OUR CURRENT AGREEMENT WHICH CONFIRMS THE CONTINUATION OF THE ARRANGEMENTS ARE ENCLOSED. WE APOLOGIZE FOR ANY CONFUSION OVER THIS MATTER AS WE HAD ASSUMED THAT CONFIRMATION OF THE CHANGES HAD BEEN PROVIDED TO YOUR OFFICE. PLEASE LET ME KNOW IF WE CAN BE OF ANY FURTHER ASSISTANCE ON THIS SUBJECT.

From: NTSB
To: Honolulu International Airport
Date: 3/3/1995
Response: TO DATE, THE BOARD HAS NOT RECEIVED A RESPONSE TO THIS RECOMMENDATION LETTER. IF NO RESPONSE IS FORTHCOMING WITHIN 45 DAYS, A-90-062 WILL BE CLASSIFIED "CLOSED--UNACCEPTABLE ACTION."