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Safety Recommendation Details

Safety Recommendation A-91-110
Details
Synopsis: ON FEBRUARY 1, 1991, AT 1807 PACIFIC STANDARD TIME, USAIR FLIGHT 1493 (USA1493), N388US, A BOEING 737-300 (B-737), COLLIDED WITH SKYWEST FLIGHT 5569(SKW5569), N683A, V, A FAIRCHILD METROLINER (SA-227-AC), WHILE USA1493 WAS LANDING ON RUNWAY 24 LEFT AT LOS ANGELES INTERNATIONAL AIRPORT (LAX), LOS ANGLES, CALIFORNIA. SKW5569 WAS POSITIONED ON THE SAME RUNWAY, AT INTERSECTION 45, AWAITING CLEARANCE FOR TAKEOFF. AS A RESULT OF THE COLLISION, BOTH AIRPLANES WERE DESTROYED. ALL 10 PASSENGERS AND 2 CREWMEMBERS ABOARD THE METROLINER AND 20 PASSENGERS AND 2 CREWMEMBERS ABOARD THE B-737 WERE FATALLY INJURED.
Recommendation: THE NTSB RECOMMENDS THAT THE FEDERAL AVIATION ADMINISTRATION: CONDUCT A ONE-TIME EXAMINATION OF THE AIRPORT LIGHTING AT ALL U.S. TOWER-CONTROLLED AIRPORTS TO ELIMINATE OR REDUCE RESTRICTIONS TO VISIBILITY FROM THE CONTROL TOWER TO THE RUNWAYS AND OTHER TRAFFIC MOVEMENT AREA.
Original recommendation transmittal letter: PDF
Overall Status: Closed - Acceptable Action
Mode: Aviation
Location: LOS ANGELES, CA, United States
Is Reiterated: No
Is Hazmat: No
Is NPRM: No
Accident #: DCA91MA018AB
Accident Reports: Runway Collision of USAIR Flight 1493, Boeing 737 and Skywest Flight 5569 Fairchild Metroliner
Report #: AAR-91-08
Accident Date: 2/1/1991
Issue Date: 12/3/1991
Date Closed: 2/10/1994
Addressee(s) and Addressee Status: FAA (Closed - Acceptable Action)
Keyword(s):

Safety Recommendation History
From: NTSB
To: FAA
Date: 2/10/1994
Response: THE BOARD NOTES THAT THE FAA HAS COMPLETED EXAMINATION OF ALL U.S. TOWER-CONTROLLED AIRPORTS TO DETERMINE IF RESTRICTIONS TO VISIBILITY FROM THE CONTROL TOWER TO THE RUNWAYS AND OTHER MOVEMENT AREAS EXIST. RESTRICTIONS WERE IDENTIFIED AT 26 AIRPORT TRAFFIC CONTROL TOWERS, FURTHERMORE, MOST OF THE RESTRICTIONS HAVE BEEN RESOLVED WITH ADDITIONAL LIGHTING, REALIGNMENTS, ADJUSTMENTS, GLARE SHIELDING, AND RELOCATIONS. TWO LOCATIONS WILL REQUIRE LONG-TERM CONSTRUCTION PROJECTS (A CONTROL TOWER AND A PASSENGER TERMINAL) TO ELIMINATE RESTRICTIONS. HOWEVER, BASED ON THIS INFORMATION, THE BOARD CLASSIFIES RECOMMENDATION A-91-110 "CLOSED--ACCEPTABLE ACTION."

From: FAA
To: NTSB
Date: 10/5/1993
Response: ALL REGIONAL AIR TRAFFIC DIVISION MANAGERS HAVE CANVASSED THEIR FACILITIES TO DETERMINE IF RESTRICTIONS TO VISIBILITY FROM THE CONTROL TOWER TO THE RUNWAYS AND OTHER MOVEMENT AREAS EXIT. RESTRICTIONS WERE IDENTIFIED AT 26 AIRPORT TRAFFIC CONTROL TOWERS. MOST OF THE RESTRICTIONS HAVAE BEEN RESOLVED--CORRECTIVE ACTIONS TAKEN INCLUDE LIGHTING, REALIGNMENTS, ADJUSTMENTS, GLARE SHIELDING, AND RELOCATIONS. RESOLUTION OF IDENTIFIED RESTRICTIONS AT TWO LOCATIONS REQUIRES LONG-TERM CONSTRUCTION PROJECTS (A CONTROL TOWER AND PASSENGER TERMINAL).

From: NTSB
To: FAA
Date: 4/8/1993
Response: THE BOARD NOTES THAT THE FAA HAS ASKED ALL REGIONAL AIR TRAFFIC DIVISION MANAGERS TO CANVASS THEIR FACILITIES TO DETERMINE IF RESTRICTIONS EXIST TO VISIBILITY FROM THE CONTROL TOWER TO THE RUNWAYS & OTHER MOVEMENT AREAS. IN ADDITION, THIS IS A SPECIAL AREA OF EMPHASIS FOR THE RUNWAY INCURSION ACTION TEAMS. BASED ON THIS INFO, A-91-110 IS CLASSIFIED "OPEN--ACCEPTABLE RESPONSE."

From: FAA
To: NTSB
Date: 5/4/1992
Response:

From: FAA
To: NTSB
Date: 3/2/1992
Response: ALL REGIONAL AIR TRAFFIC DIVISION MANAGERS HAVE BEEN REQUESTED TO CANVASS THEIR FACILITIES TO DETERMINE IF RESTRICTIONS TO VISIBILITY FROM THE CONTROL TOWER TO THE RUNWAYS AND OTHER MOVEMENT AREAS EXIST. THE FAA WILL TAKE APPROPRIATE ACTION BASED ON THE RESULTS OF THE REVIEW. ADDITIONALLY THIS IS A SPECIAL AREA OF EMPHASIS FOR THE RUNWAY INCURSION ACTION TEAMS. THESE FAA/AIRPORT/USER TEAMS VISITED 18 AIRPORTS IN 1991 AND WILL VISIT AN ADDITIONAL 24 AIRPORTS IN 1992. I WILL KEEP THE BOARD APPRISED OF THE FAA'S PROGRESS ON THIS SAFETY RECOMMENDATION.

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.