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Safety Recommendation Details

Safety Recommendation A-91-119
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: ESTABLISH A COMPREHENSIVE EDUCATIONAL PROGRAM TO ALERT PILOTS TO THE POTENTIAL ADVERSE EFFECTS ON FLIGHTCREW PERFORMANCE THAT MAY ARISE FROM THE MISUSE OF PRESCRIBED AND OVER-THE COUNTER MEDICATION.
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: 2/16/1994
Addressee(s) and Addressee Status: FAA (Closed - Acceptable Action)
Keyword(s): Alcohol, Flightcrew, Training and Education

Safety Recommendation History
From: NTSB
To: FAA
Date: 2/16/1994
Response: THE BOARD NOTES THAT THE FAA IS PRESENTING A BLOCK OF TRAINING AT ALL AVIATION MEDICAL EXAMINER (AME) SEMINARS ON THE TOPIC OF "OVER-THE-COUNTER AND PRESCRIPTION MEDICATION" AND HAS ISSUED AN EDUCATIONAL BROCHURE FOR AMES TO DISTRIBUTE TO PILOTS. BASED ON THIS INFORMATION, AND THE FAA'S CONTINUED COMMITMENT TO EDUCATE AMES THROUGH SEMINARS, ESTABLISHED BULLETINS, NEWSLETTERS AND EDUCATIONAL AND ADVISORY MATERIAL, THE BOARD CLASSIFIED RECOMMENDATION A-91-119 "CLOSED--ACCEPTABLE ACTION."

From: NTSB
To: FAA
Date: 4/8/1993
Response: THE BOARD NOTES THAT THE FAA AGREES WITH THE INTENT OF THIS RECOMMENDATION & WILL DEVELOP EDUCATIONAL & ADVISORY MATERIALS ON THE HAZARDS OF MISUSE OF MEDICATION FOR AVIATION MEDICAL EXAMINERS TO DISTRIBUTE TO PILOTS AT THE TIME OF THEIR MEDICAL EXAMINATIONS. THEREFORE, THE BOARD CLASSIFIES RECOMMENDATION A-91-119 "OPEN--ACCEPTABLE RESPONSE."

From: FAA
To: NTSB
Date: 12/11/1992
Response: THE FAA AGREES WITH THE INTENT OF THIS RECOMMENDATION. THE TOPIC OF "OVER-THE-COUNTER AND PRESCRIPTION MEDICATION" IS CURRENTLY BEING PRESENTED IN AN INSTRUCTIONAL BLOCK OF TRAINING AT ALL AVIATION MEDICAL (AME) SEMINARS. TO DATE, THE FAA HAS PRESENTED SEVEN AME SEMINARS REACHING APPROXIMATELY 500 AME'S. THE FAA HAS ISSUED AN EDUCATIONAL BROCHURE FOR DISTRIBUTION TO PILOTS BY AME'S. THE FAA WILL CONTINUE TO EDUCATE AME'S THROUGH SEMINARS, ESTABLISHED BULLETINS, NEWLETTERS AND EDUCATIONAL AND ADVISORY MATERIAL FOR USE BY AME'S IN COUNSELING PILOT MEDICAL CERTIFICATE APPLICANTS ON THE HAZARDS OF MISUSE OF OVER-THE-COUNTER AND PRESCRIPTION MEDICATION.

From: FAA
To: NTSB
Date: 3/2/1992
Response: THE FAA AGREES WITH THE INTENT OF THIS SAFETY RECOMMENDATION AND WILL DEVELOP EDUCATIONAL AND ADVISORY MATERIALS FOR USE BY AVIATION MEDICAL EXAMINERS (AME) IN COUNSELING PILOT MEDICAL CERTIFICATE APPLICANTS ON THE HAZARDS OF MISUSE OF MEDICATION. INSTRUCTION TO AME'S ON THE USE OF THESE MATERIALS WILL BE PROVIDED THROUGH ALREADY ESTABLISHED BULLETINS, SEMINARS, AND NEWSLETTERS. THE FAA WILL ALSO PRODUCE BROCHURES FOR DISTRIBUTION TO PILOTS BY AME'S AT THE TIME OF THEIR MEDICAL EXAMINATIONS. I WILL KEEP THE BOARD APPRISED OF THE FAA'S PROGRESS ON THIS SAFETY RECOMMENDATION.