Skip Ribbon Commands
Skip to main content
Safety Recommendation Details

Safety Recommendation A-93-164
Details
Synopsis: ON OCTOBER 26, 1993, ABOUT 1552, N82 A BEECH SUPER KING AIR 300/F, OWNED BY THE FEDERAL AVIATION ADMINISTRATION (FAA) AND OPERATED BY THE FLIGHT INSPECTION AREA OFFICE (FIAO) AT ATLANTIC CITY, NEW JERSEY, WAS DESTROYED DUE TO AN IN-FLIGHT COLLISION WITH TERRAIN NEAR FRONT ROYAL, VIRGINIA. ALL THREE CREWMEMBERS RECEIVED FATAL INJURIES. THE AIRPLANE HAD DEPARTED THE NEARBY WINCHESTER REGIONAL AIRPORT IN VISUAL METEOROLOGICAL CONDITIONS (VMC). HOWEVER, WITNESSES INDICATED THAT INSTRUMENT METEOROLOGICAL CONDITIONS (IMC) PREVAILED AT THE ACCIDENT SITE, WHICH WAS ABOUT 15 MILES FROM THE DEPARTURE AIRFIELD. AN INSTRUMENT FLIGHT RULES (IFR) FLIGHT PLAN TO NEWPORT NEWS, VIRGINIA, WAS ON FILE IN THE AIR TRAFFIC CONTROL (ATC) SYSTEM, BUT THE FLIGHT PLAN HAD NOT YET BEEN ACTIVATED. THE FLIGHT WAS OPERATING UNDER PROVISIONS OF TITLE 14 CODE OF FEDERAL REGULATIONS (CFR) PART 91.
Recommendation: THE NTSB RECOMMENDS THAT THE FEDERAL AVIATION ADMINISTRATION: INCORPORATE AERONAUTICAL DECISION MAKING TECHNIQUES AND SKILLS AS PRESENTED IN FAA ADVISORY CIRCULAR 60-22 INTO THE OFFICE OF AVIATION SYSTEM STANDARDS AIRCREW TRAINING PROGRAM.
Original recommendation transmittal letter: PDF
Overall Status: Closed - Acceptable Action
Mode: Aviation
Location: FRONT ROYAL, VA, United States
Is Reiterated: No
Is Hazmat: No
Is NPRM: No
Accident #: DCA94GA010
Accident Reports: Controlled Flight into Terain Federal Aviation Administration Beech Super King Air 300/F, N82
Report #: AAR-94-03
Accident Date: 10/26/1993
Issue Date: 11/24/1993
Date Closed: 9/19/1995
Addressee(s) and Addressee Status: FAA (Closed - Acceptable Action)
Keyword(s): Flightcrew, Training and Education

Safety Recommendation History
From: NTSB
To: FAA
Date: 9/19/1995
Response: THE BOARD NOTES THAT THE FAA HAS INCORPORATED AERONAUTICAL DECISION MAKING TECHNIQUES & SKILLS IN THE CURRENT AIRCREW TRAINING PROGRAM. THEREFORE THE BOARD CLASSIFIES A-93-164 "CLOSED--ACCEPTABLE ACTION."

From: FAA
To: NTSB
Date: 3/15/1995
Response: TRAINING ON AERONAUTICAL DECISIONMAKING TECHNIQUES & SKILLS, AS DESCRIBED IN ADVISORY CIRCULAR 120-51, CREW RESOURCE MANAGEMENT TRAINING, IS BEING CONDUCTED UNDER THE SAFETY AWARENESS REVIEW THAT BEGAN IN FEBRUARY 1994. TRAINING OF ALL CREWMEMBERS AT EVERY FIAO AS COMPLETED BY 7/31/94. I BELIEVE THAT THE FAA HAS MET THE FULL INTENT OF THIS RECOMMENDATION, & I CONSIDER THE FAA'S ACTION TO BE COMPLETED.

From: FAA
To: NTSB
Date: 1/31/1994
Response: The FAA agrees with these safety recommendations. Training for cockpit resource management (CRM) and aeronautical decisionmaking (ADM) techniques, as presented in the referenced advisory circulars, is being developed by the FAA in concert with the Civil Aeromedical Institute (CAMI) and industry. A prototype course will be conducted in February 1994 with final implementation in March 1994. The results of this program will be implemented at each AVN flight operations unit and in the AVN aircrew training program. The CRM and ADM programs will be professionally facilitated with CAMI participation and will be conducted for all crewmembers. The training will include interpersonal relations, conflict resolution, and emphasis on processes to be used to alert managers and supervisors of problem situations. A quality action team has been established to take a broad look at the implication of safety, standardization, and training in the FAA aircraft program. Efforts of this team will result in a plan to be developed by January 31, 1994. In the interim, managers of FAA flight programs met with all flight crewmembers regarding CRM's responsibilities during the standdown completed the week of November 15, 1993. The role of CRM in AVN flight operations, ADM techniques, and the facts of the N82 accident were topics at the November standdown and are regular discussion topics at safety briefings for all flightcrews. I will keep the Board apprised of the FAA's progress on these safety recommendations.