Skip Ribbon Commands
Skip to main content
Safety Recommendation Details

Safety Recommendation A-91-066
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 THE SUBJECT OF LOW-VISIBILITY TAXI PROBLEMS BECOME A RECURRING SUBJECT IN ALL AIRLINE OPERATIONS MANUALS AND PILOT TRAINING FORUMS.
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: 8/30/1994
Addressee(s) and Addressee Status: FAA (Closed - Acceptable Action)
Keyword(s): Flightcrew, Training and Education

Safety Recommendation History
From: NTSB
To: FAA
Date: 8/30/1994
Response: THE BOARD NOTES THAT THE FAA HAS INCLUDED, AS AN INSERTED BULLETIN IN THE FLIGHT STANDARDS HANDBOOK FOR AIR TRANSPORTATION, EXPLICIT INSTRUCTIONS TO PRINCIPAL OPERATIONS INSPECTORS TO ENSURE THAT THEIR ASSIGNED OPERATORS INCLUDE IN APPROVED INDOCTRINATION PERIODS & INITIAL & RECURRENT TRAINING PROGRAMS A DISCUSSION OF LOW VISIBILITY TAXI OPERATIONS. THIS ACTION FULFILLS THE INTENT OF A-91-66, & THE BOARD CLASSIFIED IT "CLOSED--ACCEPTABLE ACTION."

From: FAA
To: NTSB
Date: 7/13/1994
Response: ON 3/7/94, THE FAA ISSUED HANDBOOK BULLETIN 94-05, LOW VISIBILITY TAXI OPERATIONS. THE BULLETIN DIRECTS PRINCIPAL OPERATIONS INSPECTORS TO ENSURE THAT THEIR ASSIGNED 14 CFR PARTS 121, 125, 129, & 135 OPERATORS ARE TRAINING FLIGHT CREWMEMBERS ON THE INFORMATION AND GUIDANCE CONTAINED IN THE SURFACE MOVEMENT GUIDANCE & CONTROL SYSTEM PLAN, THE REQUIRED COMMUNICATION & COORDINATION, & THE USE OF LOW VISIBILITY CHART GUIDANCE. THE BULLETIN DIRECTS THAT AIRCREW INDOCTRINATION, INITIAL, & RECURRING TRAINING PROGRAMS INCLUDE LOW VISIBILITY TAXI PROCEDURES WERE APPLICABLE. PRINCIPAL OPERATIONS INSPECTORS WILL ENSURE THAT EACH OPERATOR HAS PROVIDED FLIGHT CREWMEMBERS WITH ADEQUATE PROCEDURES FOR COMPLIANCE WITH LOW VISIBILITY TAXI REQUIREMENTS.

From: NTSB
To: FAA
Date: 11/2/1993
Response: THE BOARD NOTES THAT THE FAA ISSUED ADVISORY CIRCULAR (AC) 120-57, "SURFACE MOVEMENT GUIDANCE AND CONTROL SYSTEM," ON SEPTEMBER 4, 1992. ADDITIONALLY, ON JANUARY 19, 1993, THE FAA ISSUED FLIGHT STANDARDS INFORMATION BULLETIN (FSIB) FOR AIR TRANSPORTATION 93-04, "LOW VISIBILITY TAXI OPERATION." ALTHOUGH BOTH AC AND THE FSIB PROVIDE SURFACE MOVEMENT GUIDANCE, NEITHER OUTLINES PRCOCEDURES FOR INCLUDING INSTRUCTION AND TECHNIQUES FOR LOWER VISIBILITY TAXI OPERATIONS IN AIRLINE OPERATIONS' MANUALS AND PILOT TRAINING PROGRAMS AS REQUESTED IN RECOMMENDATION A-91-66. THEREFORE, BASED ON THE CURRENT INFORMATION, THE BOARD CLASSIFIED RECOMMENDATION A-91-66 "OPEN--UNACCEPTABLE RESPONSE" AND REQUESTS THAT THE FAA RECONSIDER ITS POSITION CONCERNING THIS RECOMMENDATION.

From: FAA
To: NTSB
Date: 6/16/1993
Response: THE FAA AGREES WITH THE INTENT OF THIS RECOMMENDATION. ON SPETEMBER 4, 1992, THE FAA ISSUED ADVISORY CIRCULAR (AC) 120-57, SURFACE MOVEMENT GUIDANCE AND CONTROL SYSTEM. THE AC DESCRIBES STANDARDS AND PROVIDES GUIDANCE IN THE DEVELOPMENT OF A SURFACE MOVEMENT GUIDANCE AND CONTROL SYSTEM PLAN FOR U.S. AIRPORTS CONDUCTING OPERATIONS IN VISIBILITY CONDITIONS LESS THAN 1,200 FEET RUNWAY VISUAL RANGE (RVR). THE AC, IN CONJUCTION WITH 14 CFR PART 139 AND OTHER RELATED AC'S AND ORDERS, APPLIES TO ALL AIRPORTS SEEKING APPROVAL FOR TAKEOFF AND LANDING OPERATIONS BELOW 600 FEET RVR AND FOR AIRPORTS SEEKING ANY INITIAL CATEGORY III LANDING APPROVAL AFTER THE EFFECTIVE DATE OF THE AC. BY JANUARY 1, 1995, ALL AIRPORTS WITH OPERATIONS BELOW 1,200 FEET RVR SHOULD FOLLOW THE GUIDANCE IN AC 1200-57. ON JANUARY 19, 1993, THE FAA ISSUED FLIGHTS STANDARDS INFORMATION BULLETIN FOR AIR TRANSPORTATION 93-04, LOW VISIBILITY TAXI OPERATIONS. THIS BULLETIN ANNOUNCED THE ISSUANCE OF AC-120-57 AND DIRECTS FLIGHT STANDARDS DISTRICT OFFICES TO ENSURE THAT SPECIFIC AIR CARRIER OPERATORS ARE ADDRESSING APPROPRIATE ITEMS IN THE SURFACE MOVEMENT GUIDANCE AND CONTROL SYSTEM PLAN WITH PILOT TRAINING AND THAT EACH OPERATOR IS PROVIDING AIRCREWS WITH THE APPROPRIATE INFORMATION FOR FLIGHT OPERATIONS. I BELIEVE THAT THE FAA HAS COMPLETELY ADDRESSED THIS RECOMMENDATION, AND I CONSIDER THE FAA'S ACTION TO BE COMPLETED.

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 AGREES WITH THIS SAFETY RECOMMENDATION AND PLANS TO ISSUE A HANDBOOK BULLETIN TO ADDRESS LOW-VISIBILITY TAXI OPERATIONS AND ENCOURAGE THE INCLUSION OF LOW-VISIBILITY TAXI PROBLEMS AS A RECURRING SUBJECT IN ALL AIRLINE OPERATIONS MANUALS AND PILOT TRAINING FORUMS.