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Safety Recommendation Details

Safety Recommendation A-94-114
Details
Synopsis: ON DECEMBER 1, 1993, EXPRESS II FLIGHT 5719, A JETSTREAM BA-3100, REGISTRATION N334PX, WAS OPERATING AS A REGULARLY SCHEDULED FLIGHT UNDER 14 CODE OF FEDERAL REGULATIONS (CFR), PART 135, FROM MINNEAPOLIS/ST. PAUL INTERNATIONAL AIRPORT, ST. PAUL, MINNESOTA, TO INTERNATIONAL FALLS, MINNESOTA, WITH EN ROUTE STOP AT HIBBING, MINNESOTA (HIB). THE FLIGHT WAS OPERATED BY EXPRESS AIRLINES II, INC., UNDER THE TERMS OF A MARKETING AGREEMENT WITH NORTHWEST AIRLINES, INC., AS NORTHWEST AIRLINK. ABOUT 1950 CENTRAL STANDARD TIME, THE AIRPLANE COLLIDED WITH TERRAIN WHILE ON THE LOCALIZER BACK COURSE APPROACH TO RUNWAY 13 AT HIB. THE 2 FLIGHTCREW MEMBERS AND ALL 16 PASSENGERS WERE FATALLY INJURED IN THE ACCIDENT. THE AIRPLANE WAS DESTROYED.
Recommendation: THE NTSB RECOMMENDS THAT THE FEDERAL AVIATION ADMINISTRATION: ISSUE AN AIR CARRIER OPERATIONS BULLETIN DIRECTING PRINCIPAL OPERATIONS INSPECTORS TO ADVISE AIR CARRIERS TO REEMPHASIZE IN PILOT TRAINING MATERIALS THE NECESSITY FOR ADHERING TO THE MAXIMUM DESCENT RATE OF 1,000 FEET PER MINUTE AFTER PASSING THE FINAL APPROACH FIX, REGARDLESS OF THE EXISTENCE OF ICING CONDITIONS. (Supersedes Safety Recommendation A-92-065)
Original recommendation transmittal letter: PDF
Overall Status: Closed - Acceptable Action
Mode: Aviation
Location: HIBBING, MN, United States
Is Reiterated: No
Is Hazmat: No
Is NPRM: No
Accident #: DCA94MA022
Accident Reports: Controlled Collision with Terrain Express II Airlines, Inc./ Northwest Airlink Flight 5719 Jetstream BA-3100, N334PX
Report #: AAR-94-05
Accident Date: 12/1/1993
Issue Date: 6/13/1994
Date Closed: 8/29/1995
Addressee(s) and Addressee Status: FAA (Closed - Acceptable Action)
Keyword(s): Flightcrew,Icing,Training and Education,Weather

Safety Recommendation History
From: NTSB
To: FAA
Date: 8/29/1995
Response: THE BOARD NOTES THAT THE FAA ISSUED FLIGHT STANDARDS INFO BULLETIN FOR AIR TRANSPORTATION 95-07, "INSTRUMENT APPROACH PROCEDURES & TRAINING," THIS BULLETIN DIRECTS ALL POIS TO ADVISE AIR CARRIERS TO REEMPHASIZE IN PILOT TRAINING MATERIALS THE NECESSITY FOR ADHERING TO THE MAXIMUM DESCENT RATE OF 1,000 FPM AFTER PASSING THE FINAL APPROACH FIX, REGARDLESS OF THE EXISTENCE OF ICING CONDITIONS. THIS ACTION FULLY COMPLIES WITH THE INTENT OF A-94-114, WHICH IS THEREFORE CLASSIFIED "CLOSED--ACCEPTABLE ACTION."

From: FAA
To: NTSB
Date: 6/2/1995
Response: THE FAA ISSUED FLIGHT STANDARDS INFO BULLETIN FOR AIR TRANSPORTATION 95-07, INSTRUMENT APPROACH PROCEDURES & TRAINING. THIS BULLETIN DIRECTS ALL PRINCIPAL OPERATIONS INSPECTORS TO ADVISE AIR CARRIERS TO REEMPHASIZE IN PILOT TRAINING MATERIALS THE IMPORTANCE OF NOT EXCEEDING MAXIMUM DESCENT RATE OF 1,000 FEET PER MINUTE AFTER PASSING THE FINAL APPROACH FIX REGARDLESS OF THE EXISTENCE OF ICING CONDITIONS.

From: NTSB
To: FAA
Date: 3/6/1995
Response: THE BOARD NOTES THAT THE FAA WILL ISSUE A FLIGHT STANDARDS INFO BULLETIN (FSIB) DIRECTING ALL POIS TO DO AS THE BOARD'S RECOMMENDATION REQUESTED. THEREFORE, THE BOARD CLASSIFIES A-94-114 "OPEN--ACCEPTABLE RESPONSE" & AWAITS RECEIPT OF A COPY OF THE SUBJECT BULLETIN.

From: FAA
To: NTSB
Date: 8/29/1994
Response: THE FAA WILL ISSUE A FLIGHT STANDARDS INFO BULLETIN DIRECTING ALL PRINCIPAL OPERATIONS INSPECTORS TO ADVISE AIR CARRIERS TO REEMPHASIZE IN PILOT TRAINING MATERIALS THE NECESSITY FOR ADHERING TO THE MAXIMUM DESCENT RATE OF 1,000 FEET PER MINUTE AFTER PASSING THE FINAL APPROACH FIX, REGARDLESS OF THE EXISTENCE OF ICING CONDITIONS.