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Safety Recommendation Details

Safety Recommendation A-93-037
Details
Synopsis: ON JUNE 8, 1992, GP EXPRESS AIRLINES, INC., FLIGHT 861, A BEECHCRAFT MODEL C99, N118GP, CRASHED WHILE MANEUVERING TO LAND AT THE ANNISTON METROPOLITAN AIRPORT, ANNISTON, ALABAMA. THE FLIGHT WAS SCHEDULED PASSENGER FLIGHT FROM THE WILLIAM B. HARTSFIELD ATLANTA INTERNATIONAL AIRPORT IN ATLANTA, GEORGIA, ON AN INSTRUMENT FLIGHT RULES FLIGHT PLAN TO ANNISTON, ALABAMA. THE CAPTAIN AND TWO PASSENGERS RECEIVED FATAL INJURIES. THE FIRST OFFICE AND TWO PASSENGERS WERE SERIOUSLY INJURED. THE AIRPLANE WAS DESTROYED BY IMPACT AND POSTCRASH FIRE.
Recommendation: THE NTSB RECOMMENDS THAT THE FEDERAL AVIATION ADMINISTRATION: DEVELOP GUIDANCE AND EVALUATION CRITERIA FOR PRINCIPAL OPERATIONS INSPECTORS TO USE TO ENSURE THAT AIRLINE COCKPIT RESOURCE MANAGEMENT TRAINING PROGRAMS ADEQUATELY ADDRESS CREW INTERACTION, DECISION-MAKING PROCESS, INFORMATION GATHERING, FLIGHTCREW COMMUNICATION, AND LEADERSHIP SKILLS.
Original recommendation transmittal letter: PDF
Overall Status: Closed - Acceptable Action
Mode: Aviation
Location: ANNISTON, AL, United States
Is Reiterated: No
Is Hazmat: No
Is NPRM: No
Accident #: ATL92MA118
Accident Reports: Controlled Collision with Terrain GP Express Airlines, Inc., Flight 861 A Beechcraft C99, N118GP
Report #: AAR-93-03
Accident Date: 6/8/1992
Issue Date: 4/2/1993
Date Closed: 11/19/1993
Addressee(s) and Addressee Status: FAA (Closed - Acceptable Action)
Keyword(s): Crew Resource Management, Flightcrew, Training and Education

Safety Recommendation History
From: NTSB
To: FAA
Date: 3/13/1995
Response: Notation 6532: The National Transportation Safety Board has reviewed your Notice of Proposed Rulemaking (NPRM), "Air Carrier and Commercial Operator Training Programs," which was published in Volume 59, Federal Register 64272 on December 13, 1994. The notice, affecting 14 CFR Parts 121 and 135, proposes to revise the training and qualification requirements for certain air carriers and commercial operators by: (1) Requiring certain certificate holders operating under part 135, and permitting certain others, to comply with part 121 training, checking, and qualification requirements, and (2) mandating Crew Resource Management (CRM) training requirements for part 121 and certain part 135 operators. The Safety Board strongly supports this NPRM. Air carrier accident investigation experience has shown repeatedly that shortcomings in flight crew performance have been cited in the majority of commuter and major air carrier accidents. And, human factors research and operating experience have led to significant advances in knowledge about the significance of human performance factors (e.g. communication, decisionmaking, leadership, management) in safe flight operations. Based on this information, the Safety Board has issued numerous safety recommendations to the Federal Aviation Administration (FAA) advocating the upgrading of air carrier pilot training, checking, and qualification requirements; mandating CRM training requirements; and fostering greater use of aircraft flight simulator devices in training programs. Specifically, the proposed rulemaking is responsive to Safety Recommendations A-94-191, -192, -195, and -196, contained in the recently adopted "Commuter Airline Safety study," as well as several earlier recommendations that advocated upgrading part 135 training, checking and qualification requirements to make them comparable/equivalent to those of part 121. (A-86-101, A-86-108, A-88-126, A-90-128, and A-94-24.) The proposed rule also is responsive to Safety Recommendations A-88-69, A-88-71, A-89-124, A-90-135, A-93-37, and A-94-2 addressed to the FAA, that advocated CRM training for flightcrews of part 121 and part 135 operators. The proposed rule also is responsive to Safety Recommendations A-86-103 and A-93-72 that advocated greater use of aircraft flight simulator devices in the training programs of part 135 operators. Finally, the proposed rule also is responsive to Safety Recommendations A-86-l07, A-88-l37, A-90-l07, and A-90-l08, to the FAA, that advocated upgrading existing pilot operating experience requirements for scheduled part 121 and 135 operations. The Safety Board believes that adoption of this proposed rule would contribute significantly toward improving the level of safety in commuter airline operations, as well as in major air carrier operations. The Safety Board appreciates the opportunity, to comment on this proposed rule.

From: NTSB
To: FAA
Date: 11/19/1993
Response: THE BOARD NOTES THAT THE FAA ISSUED ADVISORY CIRCULAR (AC) 120-51A, "CRM TRAINING," ON FEBRUARY 10, 1993, AND THAT THIS AC WAS SENT TO ALL DISTRICT OFFICES AND IS BEING USED BY POIS, ALONG WITH OTHER MATERIAL TO EVALUATE THE EFFECTIVENESS OF CRM TRAINING. THIS AC PRESENTS GUIDELINES FOR DEVELOPING, IMPLEMENTING, REINFORCING, AND ASSESSING CRM TRAINING PROGRAMS FOR FLIGHT CREWMEMBER AND OTHER PERSONNEL ESSENTIAL TO FLIGHT SAFETY. THE FAA HAS ALSO PUBLISHED A CRM HANDBOOK THAT PROVIDES FURTHER GUIDANCE AND MATERIAL ON CRM. BASED ON THIS INFORMATION, THE BOARD CLASSIFIES RECOMMENDATION A-93-37 "CLOSED--ACCEPTABLE ACTION."

From: FAA
To: NTSB
Date: 6/16/1993
Response: ON 2/10/93, THE FAA ISSUED ADVISORY CIRCULAR (AC) 120-51A CREW RESOURCE MANAGEMENT TRAINING. THIS AC PRESENTS GUIDELINES FOR DEVLOPING, IMPLEMENTING, REINFORCING, AND ASSESSING CREW RESOURCE MANAGMENT (CRM) TRAINING PROGRAMS FOR FLIGHT CREWMEMBERS AND OTHER PERSONNEL ESSENTIAL TO FLIGHT SAFETY. THESE PROGRAMS ARE DESIGNED TO BECOME AN INTEGRAL PART OF TRAINING AND OPERATIONS. IN ADDITION, A CRM HANDBOOK WAS PUBLISHED IN AUUST 1992 WHICH PROVIDED FURTHER GUIDANCE AND REFERENCED MATERIAL ON CRM.