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Safety Recommendation Details

Safety Recommendation A-91-055
Details
Synopsis: ON DECEMBER 3, 1990, AT 1354 EASTERN STANDARD TIME, NORTHWEST AIRLINES (NWA) FLIGHT 1482, A MCDONNELL DOUGLAS DC-9, AND NORTHWEST AIRLINES FLIGHT 299, A BOEING 727 (B-727), COLLIDED NEAR THE INTERSECTION OF RUNWAYS 09/27 AND 03C-21C AT DETROIT METROPOLITAN/WAYNE COUNTY AIRPORT (DTW), DETROIT MICHIGAN. THE DC-9 WAS TO BE A REGULARLY SCHEDULED PASSENGER FLIGHT TO PITTSBURGH, PENNSYLVANIA, AND THE B-727 WAS TO BE A REGULARLY SCHEDULED PASSENGER FLIGHT TO MEMPHIS, TENNESSEE. BOTH AIRPLANES WERE OPERATING UNDER FEDERAL AVIATION REGULATIONS (FAR) PART 121 AND INSTRUMENT METEOROLOGICAL CONDITIONS PREVAILED AT THE TIME AT DTW. THE B-727 WAS ON ITS TAKEOFF ROLL ON RUNWAY 3C AT THE TIME OF THE COLLISION, AND THE DC-9 HAD TAXIED ONTO THE RUNWAY JUST PRIOR TO THE ACCIDENT. THE B-727 WAS SUBSTANTIALLY DAMAGED, AND THE DC-9 WAS DESTROYED DURING THE COLLISION AND SUBSEQUENT FIRE. OF THE 40 PASSENGERS AND 4 CREWMEMBERS ABOARD THE DC-9, 7 PASSENGERS AND 1 FLIGHT ATTENDANT RECEIVED FATAL INJURIES. NONE OF THE 146 PASSENGERS AND 8 CREWMEMBERS ON THE B-727 WERE INJURED.
Recommendation: THE NTSB RECOMMENDS THAT THE FEDERAL AVIATION ADMINISTRATION: IDENTIFY, AT ALL 14 CFR 139 CERTIFICATED AIRPORT, COMPLEX INTERSECTIONS WHERE A POTENTIAL FOR PILOT CONFUSION EXITS. WHERE NEEDED, REQUIRE ADDITIONAL LIGHTING AND SIGNS.
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 #: DCA91MA010AB
Accident Reports: NW Airlines, Inc., Flights 1482 and 299 Runway Incursion and Collision
Report #: AAR-91-05
Accident Date: 12/3/1990
Issue Date: 7/23/1991
Date Closed: 8/31/1994
Addressee(s) and Addressee Status: FAA (Closed - Acceptable Action)
Keyword(s):

Safety Recommendation History
From: NTSB
To: FAA
Date: 8/31/1994
Response: THE BOARD FURTHER NOTES THAT THE FAA'S RUNWAY INCURSION ACTION TEAMS (RIAT) HAVE COMPLETED REVIEWS OF 50 AIRPORTS NATIONALLY THAT WERE IDENTIFIED AS HAVING COMPLEX INTERSECTIONS & HAVE MADE RECOMMENDATIONS TO REDUCE RUNWAY INCURSIONS. THE FAA BELIEVES THAT THE RIAT REVIEWS, TOGETHER WITH THE DEVELOPMENT OF THE NEW SIGN STANDARDS, WILL RESULT IN IMPROVEMENTS IN SURFACE GUIDANCE FOR ALL INTERSECTIONS AT AIRPORTS CERTIFIED UNDER 14 CFR PART 139. BASED ON THIS INFO, THE BOARD CLASSIFIES A-91-55 "CLOSED--ACCEPTABLE ACTION."

From: FAA
To: NTSB
Date: 1/31/1994
Response: NEW AIRPORT SIGN STANDARDS ARE BEING APPLIED TO ALL CERTIFICATED AIRPORTS. THE FAA AIRPORT CERTIFICATION PROGRAM INSPECTORS HAVE REVIEWED THE PLANS FOR APPLICATION OF THESE NEW STANDARDS, & THE INSTALLATION OF SIGNS, MARKINGS & IN-PAVEMENT SURFACE LIGHTING IS BEING ACCOMPLISHED. THESE NEW AIRPORT SIGN STANDARDS WILL IMPROVE GUIDANCE FOR AIRPORT USERS AT ALL CERTIFICATED AIRPORTS. THE FAA'S RUNWAY INCURSION ACTION TEAMS (RIAT) COMPLETED REVIEWS OF 50 AIRPORTS NATIONALLY WHICH WERE IDENTIFIED AS HAVING COMPLEX INTERSECTIONS. THESE TEAMS WERE COMPRISED OF AIRPORT OWNERS, FAA AIRPORTS & AIR TRAFFIC PERSONNEL, THE AIR LINE PILOTS ASSOCIATION, THE AIR TRANSPORT ASSOCIATION OF AMERICA, & OTHER INTERESTED PARTIES. THE TEAMS REVIEWED ALL ASPECTS OF THE AIRPORTS' SURFACE OPERATIONS & MADE RECOMMENDATIONS TO REDUCE RUNWAY INCURSIONS. THE FAA BELIEVES THAT THE RIAT REVIEWS, TOGETHER WITH THE DEVELOPMENT OF THE SIGN STANDARDS, HAVE RESULTED IN IMPROVEMENTS OF THE SIGN STANDARDS, HAVE RESULTED IN IMPROVEMENTS IN SURFACE GUIDNCE FOR ALL INTERSECTIONS AT AIRPORTS CERTIFIED UNDER 14 CFR PART 139. THIS REASON & THE RESTRICTIONS ON RESOURCES BOTH IN THE FAA & IN INDUSTRY LED THE FAA TO DISCONTINUE ADDITIONAL RIAT MEETINGS. HOWEVER, UNDER THE FAA'S AIRPORT CERTIFICATION PROGRAM, INSPECTORS WILL CONTINUE TO CONSULT WITH AIRPORT MANAGERS & AIR TRAFFIC CONTROL MANAGERS ABOUT INCURSIONS ON AIRPORTS. WHEN WARRANTED, THE INSPECTORS WILL ARRANGE A TEAM MEETING. I BELIEVE THAT THE FAA HAS ADEQUATELY ADDRESSED THIS RECOMMENDATION, & I PLAN NO FURTHER ACTION.

From: NTSB
To: FAA
Date: 3/15/1993
Response: THE BOARD NOTES THAT THE FAA HAS ESTABLISHED RUNWAY INCURSION ACTION TEAMS TO IDENTIFY COMPLEX INTERSECTIONS & OTHER POTENTIAL CONDITIONS OR PROCEDURES THAT COULD CAUSE RUNWAY INCURSIONS. THE BOARD ACKNOWLEDGES THE POSITIVE ACTION TAKEN BY THE FAA CONCERNING THIS RECOMMENDATION. HOWEVER, THE BOARD BELIEVES THAT A DIALOGUE SHOULD CONTINUE BETWEEN THE AGENCIES CONCERNING ACTIONS BEING TAKEN BY THE FAA TO CORRECT POTENTIAL HAZARDS AT 14 CFR PART 139 CERTIFICATED AIRPORTS. THEREFORE, THE BOARD CLASSIFIES RECOMMENDATION A-91-55 "OPEN--ACCEPTABLE RESPONSE" PENDING FURTHER INFORMATION CONCERNING ACTIONS TAKEN BY THE RUNWAY INCURSION ACTION TEAMS.

From: FAA
To: NTSB
Date: 12/9/1992
Response: THE FAA AGREES WITH THIS SAFETY RECOMMENDATION AND HAS ESTABLISHED RUNWAY INCURSION ACTION TEAMS TO IDENTIFY COMPLEX INTERSECTIONS, AS WELL AS OTHER CONDITIONS OR PROCEDURES, WHICH COULD CAUSE RUNWAY INCURSIONS. THESE TEAMS ARE COMPRISED OF AIRPORT OPERATORS, AIR TRAFFIC CONTROLLERS, FLIGHT STANDARDS PERSONNEL, PILOTS, AIR CARRIER PERSONNEL, FIXED-BASE OPERATORS, AND FAA AIRPORTS PERSONNEL. DURING FISCAL YEAR 1991 THESE TEAMS COMPLETED REVIEWS AT 22 AIRPORTS. FOR CALENDAR 1992, 20 AIRPORTS WERE REVIEWED. THE RUNWAY INCURSION ACTION TEAMS WILL PREPARE RECOMMENDATIONS BASED ON THE RESULTS OF THEIR REVIEW TO REDUCE THE RISK OF RUNWAY INCURSIONS.

From: NTSB
To: FAA
Date: 3/27/1992
Response: The Safety Board notes that the FAA is taking action in response to Safety Recommendations A-91-54 through -63 and A-91-65 through -66 and will keep us advised of progress. Pending our further evaluation of these safety recommendations, they are classified as "Open--Acceptable Response."

From: FAA
To: NTSB
Date: 10/3/1991
Response: THE FAA IS ESTABLISHING RUNWAY INCURSION ACTION TEAMS IN EACH REGIONAL AIRPORTS OFFICE. THESE TEAMS WILL BE COMPRISED TO AIRPORT OWNERS, FAA AIRPORTS PERSONNEL, AIR TRAFFIC CONTROLLERS, FLIGHT STANDARDS PERSONNEL, PILOTS, AIRLINE REPRESENTATIVES, AND FIXED BASE OPERATORS AND WILL INSPECT AT LEAST TWO AIRPORTS ANNUALLY. THESE TEAMS WILL IDENTIFY COMPLEX INTERSECTIONS, MAKE RECOMMENDATIONS, IMPLEMENT APPROPRIATE IMPROVEMENTS.

From: NTSB
To: FAA
Date:
Response: At the 1990 Board meeting addressing the NTSB’s Most Wanted List of Transportation Safety Improvements (MWL), the Board voted to place Safety Recommendations A-86-33, A-86-40 and A-86-42 on the Federal MWL under the issue category “Runway Incursions/ Ground Collisions of Aircraft.” On November 8, 2007 at the Board meeting addressing the Federal Most Wanted List of Transportation Safety Improvements the category’s name was changed to “Improve Runway Safety.” Since 1990, the Board has voted to include Safety Recommendations A-91-29, A-91-30, A-91-54 through A-91-58, A-91-110 through A-91-115, A-95-86, A-95-92, A-95-93, A-95-97, A-00-66, A-0067, A-00-68, and A-07-57 is this category as well.