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Safety Recommendation Details

Safety Recommendation A-91-031
Details
Synopsis: ON JANUARY 18, 1990, AT 1904 EASTERN STANDARD TIME, EASTERN AIRLINES FLIGHT 111 (EA 111), N8867E, A BOEING 727-225A, COLLIDED WITH N44UE, AN EPPS AIR SERVICE BEECHCRAFT KING AIR A100, WHILE EA 111 WAS LANDING ON RUNWAY 26 RIGHT AT THE WILLIAM B. HARTSFIELD INTERNATIONAL AIRPORT, ATLANTA, GEORGIA, AND AS THE KING AIR A100 WAS PREPARING TO TURN OFF THE RUNWAY AFTER HAVING LANDED AHEAD OF EA 111. BOTH AIRPLANES WERE IN RADIO COMMUNICATION WITH THE HARTSFIELD AIR TRAFFIC CONTROL (ATC) TOWER LOCAL CONTROLLER AT THE TIME OF THE ACCIDENT. AS A RESULT OF THE COLLISION, THE KING AIR A100 WAS DESTROYED AND THE B-727 RECEIVED SUBSTANTIAL DAMAGE. THE PILOT OF THE KING AIR WAS FATALLY INJURED, AND THE COPILOT WAS SERIOUSLY INJURED. THERE WERE NO PASSENGERS ONBOARD THE KING AIR AND THERE WERE NO REPORTED INJURIES ON THE B-727.
Recommendation: THE NTSB RECOMMENDS THAT THE FEDERAL AVIATION ADMINISTRATION: INCORPORATE INTO THE TRAINING SYLLABUS AT THE FEDERAL AVIATION ADMINISTRATION'S ACADEMY AT OKLAHOMA CITY, OKLAHOMA, MATERIALS WHICH STRESS THE IMPORTANCE OF AND THE NEED FOR GIVING TRAFFIC INFORMATION WHEN ISSUING AN ANTICIPATED SEPARATION LANDING CLEARANCE. STRESS THAT THIS INFORMATION WILL ENHANCE PILOT AWARENESS AND VISUAL ACQUISITION OF PRECEDING TRAFFIC, THEREBY PROVIDING A REDUNDANCY IN SEPARATION ASSURANCE FOR CONTROLLERS AND PILOTS.
Original recommendation transmittal letter: PDF
Overall Status: Closed - Acceptable Action
Mode: Aviation
Location: ATLANTA, GA, United States
Is Reiterated: No
Is Hazmat: No
Is NPRM: No
Accident #: DCA90MA017AB
Accident Reports: Runway Collision of Eastern Airlines Boeing 727, Flight 111 and EPPS Air Service
Report #: AAR-91-03
Accident Date: 1/18/1990
Issue Date: 6/12/1991
Date Closed: 3/27/1991
Addressee(s) and Addressee Status: FAA (Closed - Acceptable Action)
Keyword(s): Air Traffic Control, Training and Education

Safety Recommendation History
From: NTSB
To: FAA
Date: 3/27/1992
Response: We note that the FAA has amended its training syllabus at the academy to ensure that all controllers undergoing initial or field training are made aware of the importance of issuing traffic information during anticipated landing situations. This safety recommendation is also classified as "Closed--Acceptable Action."

From: FAA
To: NTSB
Date: 12/27/1991
Response: THE FAA HAS AMENDED TERMINAL LESSON PLANS T-14-28 (COURSE 50030, TOWER CAB TRAINING, VFR ARRIVAL PROCEDURES AND SEPARATION) AND TS-9-3 (COURSE 55029, LOCAL CONTROL, UNIT THREE). THESE AMENDMENTS ENSURE THAT ALL CONTROLLERS UNDERGOING INITIAL OR FIELD TRAINING ARE WELL VERSED ON THE IMPORTANCE OF ISSUING TRAFFIC INFORMATION DURING ANTICIPATED LANDING SITUATIONS. BOTH AMENDMENTS TO THE TRAINING COURSES WERE EFFECTIVE IN AUGUST 1991. THE FAA CONSIDERS ITS ACTION ON THIS SAFETY RECOMMENDATION TO BE COMPLETED.

From: NTSB
To: FAA
Date: 11/15/1991
Response: Safety Recommendation A-91-31 recommends that the FAA incorporate into the training syllabus at the FAA Academy at Oklahoma City, Oklahoma, materials that stress the importance of and the need for giving traffic information when issuing an anticipated separation landing clearance. Additionally, the training syllabus should strees that this information will enhance pilot awareness and visual acquisition of preceding traffic, thereby providing a redundancy in separation assurance for controllers and pilots. The Safety Board notes that the FAA agrees with this recommendation and is amending Terminal Lesson Plan T-14-28 (Course 50030, Tower Cab Training, VFR Arrival Procedures and Separation ) and Terminal Lesson Plan TS-9-3 (Course 55029, Local Control, Unit Three). Pending the issuance of the amended lesson plans, Safety Recommendation A-91-31 classified as "Open--Acceptable Response."

From: FAA
To: NTSB
Date: 8/12/1991
Response: THE FAA AGREES WITH THIS RECOMMENDATION AND IS AMENDING TERMINAL LESSON PLAN T-14-28 (COURSE 50030, TOWER CAB TRAINING, VFR ARRIVAL PROCEDURES AND SEPARATION) AND TERMINAL LESSON PLAN TS-9-3 (COURSE 55029, LOCAL CONTROL, UNIT THREE). THESE LESSON PLANS WILL BE AMENDED TO ENSURE THAT ALL CONTROLLERS UNDERGOING INITIAL OR FIELD TRAINING ARE WELL VERSED ON THE IMPORTANCE OF ISSUING TRAFFIC INFORMATION DURING ANTICIPATED LANDING SITUATIONS.