Skip Ribbon Commands
Skip to main content
Safety Recommendation Details

Safety Recommendation A-93-019
Details
Synopsis: ON SUNDAY, MARCH 22, 1992, ABOUT 2135 EASTERN STANDARD TIME, A FOKKER 28-4000 (F-28), N485US, OPERATING AS USAIR FLIGHT 405, CRASHED DURING AN ATTEMPTED TAKEOFF FROM RUNWAY 13 AT LAGUARDIA AIRPORT, FLUSHING, NEW YORK. THE AIRPLANE WAS OPERATING UNDER TITLE 14, CODE OF FEDERAL REGULATIONS (CFR), PART 121, AS A SCHEDULED PASSENGER FLIGHT FROM JACKSONVILLE, FLORIDA, TO CLEVELAND, OHIO, WITH A STOPOVER AT LAGUARDIA AIRPORT. THERE WERE 47 PASSENGERS, 2 FLIGHTCREW MEMBERS AND 2 CABINCREW MEMBERS ON BOARD. THE CAPTAIN, ONE OF THE CABINCREW MEMBERS, AND 25 PASSENGERS RECEIVED FATAL INJURIES. IMPACT FORCES AND THE SUBSEQUENT FIRE DESTROYED THE AIRPLANE.
Recommendation: THE NTSB RECOMMENDS THAT THE FEDERAL AVIATION ADMINISTRATION: IF GATE HOLDS ARE REQUIRED TO LIMIT DEICING FLUID HOLDOVER TIME, ENCOURAGE AIR TRAFFIC CONTROL (ATC) TO INITIATE THE GATE HOLDS AS SOON AS A DEICING OPERATION BEGINS RATHER THAN AFTER DELAYS HAVE EXCEEDED 15 MINUTES, AS IN THE CURRENT AIR TRAFFIC CONTROL DEFINITION OF GATE HOLD.
Original recommendation transmittal letter: PDF
Overall Status: Closed - Acceptable Action
Mode: Aviation
Location: FLUSHING, NY, United States
Is Reiterated: No
Is Hazmat: No
Is NPRM: No
Accident #: DCA92MA025
Accident Reports: Takeoff Stall in Icing Conditions USAIR Flight 405, FOKKER F-28, N485US
Report #: AAR-93-02
Accident Date: 3/22/1992
Issue Date: 3/18/1993
Date Closed: 3/9/1994
Addressee(s) and Addressee Status: FAA (Closed - Acceptable Action)
Keyword(s): Air Traffic Control, Icing, Weather

Safety Recommendation History
From: NTSB
To: FAA
Date: 3/9/1994
Response: THE BOARD NOTES THAT THE USE OF GATE HOLD PROCEDURES IS NOT LIMITED TO WAITING UNTIL DELAYS EXCEED 15 MINUTES. FURTHERMORE, THE FAA ENCOURAGES ATC FACILITIES, AIRPORT OPERATORS, AND USERS TO TAKE IMMEDIATE ACTION BY IMPLEMENTING LOCAL DEICING PLANS INCLUDING GATE HOLD PROCEDURES WHEN NECESSARY WHEN ICING CONDITIONS EXITS. THIS RECOMMENDATION IS THEREFORE CLASSIFIED "CLOSED--ACCEPTABLE ACTION."

From: FAA
To: NTSB
Date: 10/26/1993
Response: THE FAA DOES NOT REQUIRE THE USE OF GATE HOLD PROCEDURES TO LIMIT DEICING FLUID HOLDOVER TIME AND IS NOT RESPONSIBLE FOR LIMITATIONS PLACE UPON PILOTS BY HOLDOVER TIMES. HOWEVER, THE FAA'S TRAFFIC SERVICE HAS RECOMMENDED THAT ITS AIR TRAFFIC CONTROL FACILITIES CONSIDER GATE HOLD PROCEDURES AS ONE TOOL TO AGGRESSIVELY MANAGE DEPARTURE RUNWAY QUEUES AND MINIMIZE THE TIME AN AIRCRAFT SPENDS ON THE GROUND AFTER BEING DEICED. GATE HOLD PROCEDURES INITIATED AS PART OF AN AIRPORT DEICING PLAN ARE IMPLEMENTED DYNAMICALLY. THE USE OF GATE HOLD PROCEDURES IS NOT LIMITED TO WAITING UNTIL DELAYS EXCEED 15 MINUTES. THE FAA ENCOURAGES AIR TRAFFIC CONTROL FACILITIES, AIRPORT OPERATORS, AND USERS TO TAKE IMMEDIATE ACTION BY IMPLEMENTING LOCAL AIRPORT DEICING PLANS WHEN ICING CONDITIONS EXIT.

From: FAA
To: NTSB
Date: 5/27/1993
Response: Gate hold procedures initiated as part of an airport deicing plan are implemented at the time the airport deicing plan is implemented. The requirements of FAA Order 7210.3J, Facility Operation and Administration, do not instruct air traffic control to delay gate hold procedures when a deicing plan is implemented. I plan no further action on this safety recommendation.