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Safety Recommendation Details

Safety Recommendation A-94-089
Details
Synopsis: ON OCTOBER 26, 1993, ABOUT 1552, N82, A BEECH SUPER KING AIR 300/F (BE-300/F, OWNED BY THE FEDERAL AVIATION ADMINISTRATION (FAA) AND OPERATED BY THE ATLANTIC CITY (ACY), NEW JERSEY, FLIGHT INSPECTION AREA OFFICE (FIAO), WAS DESTROYED WHEN IT CRASHED INTO MOUNTAINOUS TERRAIN NEAR FRONT ROYAL, VIRGINIA. THE THREE FLIGHT CREWMEMERS ABOARD RECEIVED FATAL INJURIES.
Recommendation: THE NTSB RECOMMENDS THAT THE FEDERAL AVIATION ADMINISTRATION: EQUIP FAA-OWNED AIRCRAFT WITH STATE-OF-THE ART FLIGHT RECORDERS AND GROUND PROXIMITY WARNING SYSTEMS AT THE EARLIEST PRACTICABLE OPPORTUNITY.
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: 4/21/1994
Date Closed: 2/8/1999
Addressee(s) and Addressee Status: FAA (Closed - Acceptable Action)
Keyword(s):

Safety Recommendation History
From: NTSB
To: FAA
Date: 2/8/1999
Response: SUBSEQUENT TO THE FAA'S LETTER, THE SAFETY BOARD WAS INFORMED BY FAA STAFF THAT FIVE LEAR-60 AIRCRAFT HAVE BEEN PURCHASED AND THAT ALL HAVE THE RECORDERS AND GPWS EQUIPMENT INSTALLED. FURTHER, WE HAVE BEEN INFORMED THAT THE BE-C90 AIRCRAFT HAVE BEEN REMOVED FROM FAA SERVICE, ALL OF THE INSTALLATION GOALS ON THE STATUS LIST HAVE BEEN MET, AND ALL FAA-OWNED AIRCRAFT (EXCEPT THE SIKORSKY S-76 AND THE AEROCOMMANDER) HAVE BEEN FITTED WITH RECORDERS AND GPWS. BASED ON THIS INFORMATION, A-94-89 IS CLASSIFIED "CLOSED--ACCEPTABLE ACTION."

From: FAA
To: NTSB
Date: 3/27/1997
Response: THE FAA PROVIDED A SUPPLEMENT TO THE ITS 9/16/96, LIST OF FAA-OWNED AIRCRAFT SHOWING EACH AIRCRAFT AND THE DATES WHEN THEY WOULD BE FITTED WITH CVR, FDR, AND GPWS. THIS UPDATED LIST SHOWS 3 BE-C90 AND 3 SABRE 80 AIRCRAFT BEING REMOVED FROM SERVICE SO INSTALLATION OF THE SYSTEMS DESCRIBED WILL NOT TAKE PLACE. THE FAA ALSO POINTED OUT THAT THE SIKORSKY S-76 AND THE AEROCOMMANDER AC-680 HELICOPTERS WOULD NOT HAVE THE DESCRIBED SYSTEMS INSTALLED BECAUSE THEY ARE USED IN RESEARCH AND DEVELOPMENT OPERATING REGIME. THE LIST PROVIDED BY THE FAA SHOWED 3 NEW LEAR-60 AIRCRAFT THAT WERE PURCHASED WITHOUT THE SYSTEMS INSTALLED. THESE AIRPLANES WOULD HAVE THE INSTALLATIONS COMPLETED AFTER FINAL ACCEPTANCE OF THE AIRPLANES.

From: NTSB
To: FAA
Date: 12/30/1996
Response: THE BOARD ACKNOWLEDGES THAT THE FAA HAS TAKEN INITIATIVES TOWARD A COMPREHENSIVE FLEET MODIFICATION; HOWEVER, THE PLAN OUTLINED IN THE CURRENT RESPONSE IS LENGTHY & INCOMPLETE. THIS RECOMMENDATION WAS ISSUED MORE THAN 18 MONTHS AGO, & THE FAA INDICATED IN AUGUST 1994 THAT CVR INSTALLATIONS WOULD BE COMPLETED BY AUGUST 1996. HOWEVER, THE CURRENT FAA RESPONSE INDICATES THAT SOME CVR & GPWS EQUIPMENT WILL NOT BE INSTALLED UNTIL FEBRUARY 1998. FURTHER, THE FAA LETTER STATES THAT TWO TECHNICAL CENTER AIRCRAFT WILL CONTINUE TO OPERATE WITHOUT FDRS OR GPWSS BECAUSE OF SPACE CONSTRAINTS. THE BOARD REEMPHASIZES ITS STRONG INTEREST IN THE INSTALLATION OF MODERN FDRS IN ALL AIRCRAFT OPERATED COMMERCIALLY. THE BOARD DOES NOT BELIEVE THAT SPACE FOR FLIGHT RECORDERS IS AN INSURMOUNTABLE ISSUE FOR THE FAA FLEET. INDUSTRY HAS PRODUCED A COMBINE CVR/FDR UNIT CURRENTLY OPERATING ON AIRCRAFT THAT FITS IN A 1/2 ATR SHORT RACK (ABOUT 5 X 8 X 12 INCHES). THEREFORE, THE BOARD URGES THE FAA TO RESEARCH THE ISSUE MORE THOROUGHLY &, IF NECESSARY, DUE TO SPACE CONSTRAINTS, RECONSIDER THE INSTALLATION OF FDRS THAT ARE SMALLER THAN THOSE IN COMMERCIAL AIR TRANSPORTS. THE BOARD URGES THE FAA TO RECONSIDER THE ISSUE OF AIRCRAFT INVENTORY REDUCTION & REQUESTS THAT THE FAA PROVIDE DATA TO INDICATE THE TIMING OF THE AIRCRAFT INVENTORY REDUCTIONS, THE COST OF THE RETROFIT, & SOME INDICATION OF THE EXPOSURE THAT FAA AIRCRAFT PRESENT IN THE NATIONAL AIRSPACE SYSTEM. PENDING RECEIPT OF ADDITIONAL INFO FROM THE FAA, THE BOARD CLASSIFIES A-94-89 "OPEN--UNACCEPTABLE RESPONSE."

From: FAA
To: NTSB
Date: 9/16/1996
Response: THE FAA HAS A COMPREHENSIVE PROGRAM UNDERWAY TO EQUIP FAA-OWNED AIRCRAFT WITH FLIGHT DATA RECORDERS & GROUND PROXIMITY WARNING SYSTEMS(GPWS). A ROSTER OF FAA AIRCRAFT BY TYPE & N-NUMBER IS ENCLOSED FOR THE BOARD'S INFO. A ROSTER PROVIDES THE STATUS OF INSTALLATION OF FLIGHT DATA RECORDERS & GPWS FOR EACH AIRCRAFT OR THE DATE THAT EACH INSTALLATION IS SCHEDULED TO BE COMPLETED. AS INDICATED ON THE ROSTER, THE FAA DOES NOT PLAN TO INSTALL FLIGHT DATA RECORDERS OR GPWS ON THE SIKORSKY 76 HELICOPTER AT THE TECHNICAL CENTER, THE AERO COMMANDER AC-680 AIRPLANE OR THE FIVE BEECHRAFT BE-C90'S BECAUSE OF SPACE CONSTRAINTS. THE BE-C90 AIRCRAFT WILL BE REMOVED FROM THE FAA INVENTORY BEGINNING OCTOBER 1996. THE THREE SABRE 80 AIRCRAFT ALSO WILL BE REMOVED FROM THE INVENTORY & WILL NOT BE RETROFITTED GPWS. THE COCKPIT VOICE RECORDER INSTALLATION PROGRAM WILL BE COMPLETED FOR THE APPLICABLE AIRCRAFT BY FEBRUARY 1998. THE ORIGINAL COMPLETION DATE HAD BEEN AUGUST 1996 BUT WAS EXTENTED AS A RESULT OF PHASE III MODIFICATIONS TO THE BE-300 FLEET. BECAUSE OF FLIGHT INSPECTION REQUIREMENTS, ONLY ONE BE-300 AIRPLANE CAN BE MADE AVAILABLE AT A TIME FOR A 6-WEEK MODIFICATION PROGRAM. ALL FLIGHT DATA RECORDER INSTALLATIONS WILL BE COMPLETED BY OCTOBER 1996. THE GPWS PROGRAM WILL BE COMPLETED BY FEBRUARY 1998. THE BULK OF THIS WORK INVOLVES THE BE-300 FLEET & IS AFFECTED BY THE SCHEDULE OF THE PHASE III MODIFICATIONS. I WILL KEEP THE BOARD APPRISED OF THE FAA'S PROGRESS ON THIS RECOMMENDATION.

From: NTSB
To: FAA
Date: 6/23/1995
Response: THE BOARD ACKNOWLEDGES THE FAA'S EFFORTS TO EXPEDITE THE INSTALLATION OF COCKPIT VOICE RECORDER & FLIGHT DATA RECORDER EQUIPMENT IN FLIGHT INSPECTION AIRCRAFT NOT SO EQUIPPED. ON THE OTHER HAND, THE BOARD WOULD LIKE ASSURANCE THAT ALL AIRCRAFT OPERATED BY THE FAA'S TECHNICAL CENTER, THE REGIONS, & HANGAR 6 ARE INCLUDED IN SUCH EFFORTS. THE BOARD BELIEVES THAT, AS SPECIFIED IN THE RECOMMENDATION, ALL FAA AIRCRAFT SHOULD BE EQUIPPED WITH STATE-OF-THE ART FDRS AS SOON AS PRACTICABLE. THE BOARD FURTHER BELIEVES THAT GPWS SHOULD BE INSTALLED IN ALL FAA AIRCRAFT. THE FAA STATES THAT IT INTENDS TO OPERATE ITS AIRCRAFT TO THE HIGHEST LEVELS OF SAFETY CONSISTENT WITH REGULATORY REQUIREMENTS FOR AIR CARRIERS. WITH THIS IN MIND, THE INSTALLATION OF CVR, FDR, & GPWS EQUIPMENT IS OBLIGATORY. PENDING THE REQUESTED INFO, THE BOARD CLASSIFIES A-94-89 "OPEN--ACCEPTABLE RESPONSE."

From: FAA
To: NTSB
Date: 7/20/1994
Response: COCKPIT VOICE RECORDERS & FLIGHT DATA RECORDERS ARE ALREADY INSTALLED IN 11 FLIGHT INSPECTION AIRCRAFT SIX BAE_800 AIRPLANES & FIVE SABRELINER 80 AIRPLANES). THE FAA IS INSTALLING THIS EQUIPMENT IN ALL REMAINING FLIGHT INSPECTION AIRCRAFT (18 BEECHCRAFT BE-300 AIRPLANES & TWO BEECHCRAFT F-90 AIRPLANES). THIS PROJECT BEGAN ON SEPTEMBER 30, 1992 & IS SCHEDULED FOR COMPLETION IN AUGUST 1996. EACH NEW FLIGHT INSPECTION AIRPLANE BEING PROCURED WILL BE EQUIPPED WITH A CVR & FDR. ACTIONS ARE ALSO UNDERWAY TO INSTALL THIS EQUIPMENT IN A BEECHARAFT MODEL BE-200 AIRPLANE ASSIGNED TO THE FAA TECHNICAL CENTER. THE FAA'S EVALUATION OF THE INSTALLATION OF CVR/FDR EQUIPMENT IN FIVE BEECHRAFT BE-C90 AIRPLANES ASSIGNED TO THE REGIONS & THE SIKORSKY S-76 HELICOPTER ASSIGNED TO THE TECHNICAL CENTER WILL BE COMPLETED BY DECEMBER 1994. THE RESULTS OF THE EVALUATION WILL BE COMPARED TO WHICH TO THE AIRCRAFT WILL REMAIN IN THE FAA INVENTORY & FOR HOW LONG.