Skip Ribbon Commands
Skip to main content
Safety Recommendation Details

Safety Recommendation A-94-068
Details
Synopsis: ON JANUARY 7, 1994, A JETSTREAM J4101, N304UE, OPERATED BY ATLANTIC COAST AIRLINES OF STERLING, VIRGINIA, AS UNITED EXPRESS FLIGHT 6291, WAS ON A SCHEUDLED COMMUTER FLIGHT FROM DULLES INTERNATIONAL AIRPORT TO PORT COLUMBUS INTERNATIONAL AIRPORT, IN GAHANNA, OHIO. AT 2321 EASTERN STANDARD TIME, WHILE ON AIR INSTRUMENT LANDING SYSTEM (ILS) APPROACH TO RUNWAY 28L, THE AIRPLANE STRUCK A CONCRETE BLOCK BUILDING THAT WAS ABOUT 1.2 MILES EAST OF THE RUNWAY. THE PILOT, CO-PILOT, FLIGHT ATTENDANT, AND TWO PASSENGERS WERE FATALLY INJURED, AND THE THREE OTHER PASSENGERS, A HUSBAND AND WIFE AND THEIR 5-YEAR-OLD DAUGHTER, SUSTAINED MINOR INJURIES. THE AIRPLANE WAS DESTROYED BY POSTCRASH FIRE.
Recommendation: THE NTSB RECOMMENDS THAT THE FEDERAL AVIATION ADMINISTRATION: ISSUE AN AIRWORTHINESS DIRECTIVE TO REQUIRE THE REMOVAL AND REPLACEMENT OF ALL SAFETY BELTS MANUFACTURED BY PACIFIC SCIENTIFIC FOR PART NUMBER 1108435 BUCKLES, WITH THE 45 DEGREES LIFT LEVERS, AND PART NUMBER 1108460 BUCKLES WITH THE 90 DEGREES LIFT LEVERS, WITH BELTS HAVING BUCKLES OF A DIFFERENT DESIGN AS EXPEDITIOUSLY AS POSSIBLE, CONSISTENT WITH THE AVAILABILITY OF REPLACEMENT BUCKLES. (URGENT)
Original recommendation transmittal letter: PDF
Overall Status: Closed - Acceptable Action
Mode: Aviation
Location: COLUMBUS, OH, United States
Is Reiterated: No
Is Hazmat: No
Is NPRM: No
Accident #: DCA94MA027
Accident Reports: Stall and Loss of Control on Final Approach, Atlantic Coast Airlines, Inc./ United Express Flight 6291 Jetstream 4101, N304UE
Report #: AAR-94-07
Accident Date: 1/7/1994
Issue Date: 3/14/1994
Date Closed: 4/27/1995
Addressee(s) and Addressee Status: FAA (Closed - Acceptable Action)
Keyword(s):

Safety Recommendation History
From: NTSB
To: FAA
Date: 4/27/1995
Response: AS PREVIOUSLY MENTIONED, ON 10/7/94, THE FAA ISSUED AD 94-21-06, WHICH FULFILLS THE INTENT OF A-94-68. THEREFORE, THE BOARD CLASSIFIES A-94-68 "CLOSED--ACCEPTABLE ACTION."

From: FAA
To: NTSB
Date: 10/20/1994
Response: ON 10/7/94, THE FAA ISSUED AIRWORTHINESS DIRECTIVE 94-21-06 APPLICABLE TO CERTAIN PACIFIC SCIENTIFIC LAP BELT ASSEMBLIES & RESTRAINT SYSTEMS. THIS AD REQUIRES REMOVAL OF CERTAIN LAP BELT ASSEMBLIES & RESTRAINT SYSTEMS & REPLACEMENT WITH NEW DESIGN ASSEMBLIES IN ACCORDANCE WITH PACIFIC SCIENTIFIC SERVICE BULLETIN NO. 1108435-25-01 DATED 4/28/94.

From: NTSB
To: FAA
Date: 9/1/1994
Response: THE BOARD NOTES THAT THE FAA ISSUED A NOTICE OF PROPOSED RULEMAKING ASKING FOR COMMENTS ON A PROPOSED AD THAT ADDRESSES THIS ISSUE. HOWEVER A-94-68 WAS ISSUED AS AN "URGENT" RECOMMENDATION, THE BOARD BELIEVES THAT THE FAA SHOULD HAVE ISSUED AN EMERGENCY AD. THE NPRM PROCESS COULD TAKE SEVERAL MONTHS TO COMPLETE BEFORE AN AD BECOMES EFFECTIVE. ON 7/27/94, THE BOARD RESPONDED TO THE NPRM & THAT THE FAA EXPEDITE ACTIONS TO ISSUE AN EMERGENCY AD. NEVERTHELESS, BASED UPON THE FAA'S ACTIONS, THE BOARD CLASSIFIES A-94-68 AS "OPEN--ACCEPTABLE RESPONSE."

From: FAA
To: NTSB
Date: 6/6/1994
Response: PACIFIC SCIENTIFIC HAS ISSUED A SERVICE BULLETIN THAT WAS SENT TO APPROPRIATE OPERATORS & IS PROVIDING REDESIGNED REPLACEMENT BUCKLES TO OPERATORS WITH THE AFFECTED EQUIPMENT. THE DESIGN CHANGES TO THE SAFETY BELT BUCKLES WERE DEVELOPED BY THE MANUFACTURER, IN COOPERATION WITH FAA ENGINEERS & THE CIVIL AEROMEDICAL INSTITUTE. THE MANUFACTURER IS AGGRESSIVELY PURSUING THE REPLACEMENT OF AN AIRWORTHINESS DIRECTIVE TO REQUIRE MANDATORY REPLACEMENT OF THE BUCKLES WITHIN 90 DAYS. IF THE FAA ISSUES AN AIRWORTHINESS DIRECTIVE IT WILL BE SENT TO ALL OPERATORS OF AFFECTED AIRCRAFT. IN THE MEANTIME, THE FAA BELIEVES THE MANUFACTURERS NOTIFICATION TO ALL OPERATORS IS SUFFICIENT INTERIM ACTION.