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Safety Recommendation Details

Safety Recommendation A-93-168
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: DIRECT THE OFFICE OF AVIATION SYSTEM STANDARDS AND FLIGHT STANDARDS SERVICE (OR THE ASSOCIATE ADMINISTRATOR FOR AVIATION STANDARDS AND AT THE ASSOCIATE ADMINISTRATOR FOR REGULATION AND CERTIFICATION) TO NEGOTIATE AND IMPLEMENT, BY AN ESTABLISHED DATE, A SURVEILLANCE SYSTEM FOR FAA FLIGHT OPERATIONS THAT IS AT LEAST EQUAL TO THAT OF THE AIR CARRIER INDUSTRY AS PREVIOUSLY AGREED TO IN 1990.
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: 2/19/1997
Addressee(s) and Addressee Status: FAA (Closed - Acceptable Action)
Keyword(s):

Safety Recommendation History
From: NTSB
To: FAA
Date: 2/19/1997
Response: THE BOARD BELIEVES THAT THE FAA'S ACTIONS MEET THE INTENT OF THE RECOMMENDATION & THEREFORE CLASSIFIES A-93-168 "CLOSED--ACCEPTABLE ACTION."

From: FAA
To: NTSB
Date: 10/7/1996
Response: THE FAA CONDUCTS REGULARLY SCHEDULED OVERSIGHT EVALUATIONS & FLIGHT STANDARDS SURVEILLANCE ACTIVITIES OF FAA AIRCRAFT OPERATIONS. TO FURTHER ENHANCE FLIGHT PROGRAM SAFETY, THE FAA HAS ISSUED CHANGE 5 TO ORDER 4040.9D (APPENDIX 15) WHICH INCLUDES POLICY & PROCEDURES FOR ESTABLISHING INTERNAL EVALUATIONS WITHIN EACH FAA AIRCRAFT OPERATING ORGANIZATION . I BELIEVE THAT THE FAA HAS MET THE FULL INTENT OF THIS RECOMMENDATION, & I CONSIDER THE FAA'S ACTION TO BE COMPLETED.

From: NTSB
To: FAA
Date: 1/23/1996
Response: THE BOARD NOTES THAT INTERNAL EVALUATIONS OF FAA AIRCRAFT OPERATING ORGANIZATIONS WERE SCHEDULED TO BEGIN IN OCTOBER 1995. ADDITIONALLY, THE FAA HAS INCORPORATED REGULARLY SCHEDULED SURVEILLANCE ACTIVITIES OF FAA AIRCRAFT OPERATIONS INTO ITS NATIONAL WORK PROGRAM. PENDING CONFIRMATION THAT INTERNAL EVALUATIONS OF FAA OPERATING ORGANIZATIONS WERE CONDUCTED, BOARD CLASSIFIES A-93-168 "OPEN--ACCEPTABLE RESPONSE."

From: FAA
To: NTSB
Date: 10/10/1995
Response: THE FAA'S REORGANIZATIONAL CHANGE TO SIX LINES OF BUSINESS HAS PLACED THE DIRECTOR, AIRCRAFT PROGRAM POLICY & PLANS STAFF, AAD-30, AS THE FOCAL POINT FOR DEVELOPING ALL ORGANIZATIONS OPERATING FAA AIRCRAFT. ORDER 4040.XX, FAA AIRCRAFT PROGRAM INTERNAL EVALUATION, WAS DEVELOPED TO PRESCRIBE THE POLICY & PROCEDURES GOVERNING INTERNAL EVALUATIONS. THIS ORDER & FAA ORDER 4040.24A, OPERATIONAL STANDARDS FOR FAA AIRCRAFT, ARE CURRENTLY IN FORMAL COORDINATION STAGES. INTERNAL EVALUATIONS OF FAA AIRCRAFT OPERATING ORGANIZATIONS ARE PLANNED TO BEGIN IN OCTOBER 1995. ADDITIONALLY, THE FAA HAS INCORPORATED REGULARLY SCHEDULED SURVEILLANCE ACTIVITIES OF FAA AIRCRAFT OPERATIONS INTO ITS NATIONAL WORK PROGRAM. I WILL PROVIDE THE BOARD WITH COPIES OF ORDERS 4040.XX & 4040.24A AS SOON AS THEY ARE ISSUED.

From: NTSB
To: FAA
Date: 9/19/1995
Response: THE BOARD NOTES THAT THE FAA HAS INITIATED QUALITY ASSURANCE & TECHNICAL AUDIT PROGRAMS FOR ALL FAA FLYING UNITS. THEREFORE, PENDING FURTHER CORRESPONDENCE ON THIS PROGRAM. THE BOARD CLASSIFIES A-93-168 "OPEN--ACCEPTABLE RESPONSE."

From: FAA
To: NTSB
Date: 3/15/1995
Response: THE FAA HAS DEVELOPED DRAFT FAA ORDER 4040.XX THAT PRESCRIBES THE FAA QUALITY ASSURANCE PROGRAM THAT MIRRORS GUIDANCE CONTAINED IN AC 120-56, AIR CARRIER VOLUNTARY DISCLOSURE REPORTING PROCEDURES, & IN AC 120-59, AIR CARRIER INTERNAL EVALUATION PROGRAM. ACTION NOTICE 4040-2 ISSUED IN MARCH 1994 ESTABLISHED PROCEDURES FOR THE FAA TO CONDUCT INTERNAL TECHNICAL AUDITS OF ALL FAA FLIGHT PROGRAMS. FISCAL YEAR 1994 AUDITS WERE CONDUCTED AT OKLAHOMA CITY HONOLULU, SACRAMENTO, BATTLE CREEK, & ATLANTIC CITY FLIGHT INSPECTION FIELD OFFICES.

From: FAA
To: NTSB
Date: 1/31/1994
Response: The FAA agrees with this safety recommendation. Flight Standards Service and AVN have started an initiative which will establish a surveillance system for FAA flight operations that is at least equal to that of the air carrier industry. The requirements for the program are established in FAA Order 4040.24, Operational Standards for FAA Aircraft. I have enclosed a copy of the order for the Board's information. I will keep the Board apprised of the FAA's progress on this safety recommendation.