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Safety Recommendation Details

Safety Recommendation A-91-065
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: REQUIRE THAT AN ASSESSMENT OF LOCAL FAA SURVEILLANCE EFFECTIVENESS BE A FORMAL PART OF NASIP INSPECTIONS, SO THAT NASIP FINDINGS CAN BE USED TO CORRECT OBSERVED DEFICIENCIES OF LOCAL INSPECTORS AS WELL AS THOSE OF THE AIRLINE.
Original recommendation transmittal letter: PDF
Overall Status: Closed - Acceptable Alternate 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: 3/9/1994
Addressee(s) and Addressee Status: FAA (Closed - Acceptable Alternate Action)
Keyword(s):

Safety Recommendation History
From: NTSB
To: FAA
Date: 3/9/1994
Response: THE BOARD NOTES THAT THE FLIGHT STANDARDS SERVICE'S EVALUATION AND ANALYSIS BRANCH CONDUCTS INTERNAL EVALUATIONS OF THE CERTIFICATE-HOLDING DISTRICT OFFICE TO DETERMINE THE EFFECTIVENESS OF THE OFFICE SURVEILLANCE PROGRAMS. WHEN A NASIP INSPECTION IS CONDUCTED, THE RESULTS ARE USED BY THE FLIGHT STANDARDS SERVICE'S EVALUATION AND ANALYSIS BRANCH IN CONJUCTION WITH THE EVALUATION OF THE CERTIFICATE-HOLDING DISTRICT OFFICE. THE BOARD FULLY UNDERSTANDS THAT THE OBJECTIVE OF THE NASIP PROGRAM IS TO ENSURE THAT IDENTIFIED AIR CARRIERS, AIR OPERATORS, AND AIR AGENCIES ARE OPERATING IN COMPLIANCE WITH THE FAA REGULATIONS AND TO CORRECT DEFICIENCIES AS NECESSARY. THE BOARD IS PLEASED TO LEARN THAT THE RESULTS OF THE NASIP INSPECTIONS ARE BEING USED AS A BASIS FOR EVALUATING THE EFFECTIVENESS OF THE DISTRICT OFFICE'S ROUTINE SURVEILLANCES. IN VIEW OF THE FOREGOING, RECOMMENDAITON A-91-65 IS CLASSIFIED "CLOSED--ACCEPTABLE ALTERNATE ACTION."

From: FAA
To: NTSB
Date: 10/25/1993
Response: THE FAA HAS REVIEWED IT PREVIOUS RESPONSE TO THIS RECOMMENDATION AND CONTINUES TO BELIEVE THAT THE INTENT OF THIS SAFETY ISSUE IS PROPERLY ADDRESSED THROUGH CURRENT PROCEDURES. THE FLIGHT STANDARDS SERVICE'S EVALUATION AND ANALYSIS BRANCH CONDUCTS INTERNAL EVALUATIONS OF THE CERTIFICATE HOLDING DISTRICT OFFICE TO DETERMINE THE EFFECTIVENESS OF THE OFFICE SURVEILLANCE PROGRAMS. IN EVERY CASE WHEN A NASIP INSPECTION IS CONDUCTED, THE RESULTS ARE USED IN CONJUNCTION WITH THE EVALUATION OF THE CERTIFICATE HOLDING DISTRICT OFFICE. AS PREVIOUSLY STATED, THE OBJECTIVE OF THE NASIP PROGRAM IS TO ENSURE THAT IDENTIFIED AIR CARRIERS, AIR OPERATORS, AND AIR AGENCIES ARE OPERATING IN COMPLIANCE WITH THE FAR'S AND TO CORRECT DEFICIENCIES AS NECESSARY.

From: NTSB
To: FAA
Date: 8/23/1993
Response: THE BOARD NOTES THAT THE FAA DOES NOT BELIEVES THAT THE NASIP INSPECTIONS WOULD BE THE BEST VEHICLE FOR LOCAL FAA OFFICE ASSESSMENTS. THE BOARD CONTINUES TO BELIEVE THAT THE NASIP TEAM HAS AN EXCELLENT OPPORTUNITY TO OBSERVE AND PROVIDE INSIGHT INTO THE OPERATION OF THE FSDO. BASED ON THE FAA'S RESPONSE, THE BOARD CLASSIFIES RECOMMENDATION A-91-65 "OPEN--UNACCEPTABLE RESPONSE," AND ASKS THE FAA TO RECONSIDER ITS POSITION CONCERNING THIS RECOMMENDATION.

From: FAA
To: NTSB
Date: 3/17/1993
Response: THE FAA AGREES WITH THE INTENT OF THIS RECOMMENDATION TO REQUIRE EFFECTIVE ASSESSMENTS OF LOCAL FAA SURVEILLANCE. HOWEVER, DUE TO THE NATURE AND SCOPE OF THE NATIONAL AVIATION SAFETY INSPECTION PROGRAM (NASIP) INSPECTIONS, THE FAA DOES NOT BELIEVE THAT THE NASIP INSPECTIONS WOULD BE THE BEST VEHICLE FOR LOCAL FAA OFFICE ASSESSMENTS. THE FAA HAS A CENTRALIZED STAFF TO CONDUCT OFFICE AND REGIONAL EVALUATIONS. THESE EVALUATIONS EXAMINE OFFICE PERFORMANCE IN DEPTH AND ALLOW HEADQUARTERS STAFF TO EVALUATE THOROUGHLY THE PERFORMANCE OF A PARTICULAR FAA FIELD OFFICE. THE FAA'S FLIGHT STANDARDS EVALUATION STAFF IS DEVELOPING A NEW STATISTICAL ANALYSIS PROCESS THAT, IN CONJUCTION WITH AUTOMATED REPORTS, AND TRACKING SYSTEMS WILL FURTHER IMPROVE THIS PROCESS.

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'S FLIGHT STANDARDS SERVICE IS ESTABLISHING AN INTERNAL DATA ANALYSIS SECTION THAT WILL BE ABLE TO USE DATA FROM THE NASIP, SELF-INTERNAL EVALUATIONS OF THE AIR CARRIERS, VOLUNTARY SELF-REPORTING OF AIR CARRIERS, AND THE COMPLIANCE AND ENFORCEMENT PROGRAM TO CORRECT OBSERVED DEFICIENCIES OF LOCAL INSPECTORS AND AIRLINES.