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Safety Recommendation Details

Safety Recommendation A-94-173
Details
Synopsis: ON JANUARY 7, 1994, A JETSTREAM J4101, N304UE, OPERATED BY ATLANTIC COAST AIRLINES AS UNITED EXPRESS FLIGHT 6291, WAS ON A SCHEDULED FLIGHT FROM DULLES INTERNATIONAL AIRPORT TO PORT COLUMBUS INTERNATIONAL AIRPORT, IN GAHANNA, OHIO. AT 2321 EASTERN STANDARD TIME, WHILE ON AN INSTRUMENT LANDING SYSTEM 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. 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: ENSURE THAT THE TRAINING PROGRAMS FOR 14 CODE OF FEDERAL REGULATIONS PART 135 PILOTS PLACE AN INCREASED EMPHASIS ON STALL WARNING RECOGNITION AND RECOVERY TECHNIQUES, TO INLCUDE STICK SHAKER AND STICK PUSHER, DURING TRAINING.
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: 10/24/1994
Date Closed: 11/14/1995
Addressee(s) and Addressee Status: FAA (Closed - Acceptable Action)
Keyword(s): Part 135, Training and Education, Upset Recovery

Safety Recommendation History
From: NTSB
To: FAA
Date: 11/14/1995
Response: THE BOARD NOTES THAT THE FAA ISSUED FLIGHT STANDARDS INFO BULLETIN 95-10A, "INSTRUMENT APPROACH PROCEDURES & TRAINING," WHICH BECAME EFFECTIVE 6/26/95. THE FSIB DIRECTS ALL PRINCIPAL OPERATIONS INSPECTORS TO ENSURE THAT THEIR APPROPRIATE OPERATORS PLACE EMPHASIS ON STALL WARNING RECOGNITION & RECOVERY TECHNIQUES, INCLUDING STICK SHAKER & STICK PUSHER, DURING TRAINING. BECAUSE THE FSIB COMPLIES WITH THE INTENT OF THE RECOMMENDATION, A-94-173 IS CLASSIFIED "CLOSED--ACCEPTABLE ACTION."

From: FAA
To: NTSB
Date: 8/7/1995
Response: THE FAA ISSUED FLIGHT STANDARDS INFO BULLETIN 95-10A, INSTRUMENT APPROACH PROCEDURES & TRAINING. THIS BULLETIN BECAME EFFECTIVE 6/26/95, & DIRECTS PRINCIPAL OPERATIONS INSPECTORS TO ENSURE THAT THEIR APPROPRIATE 14 CFR PART 135 OPERATORS PLACE EMPHASIS ON STALLWARNING RECOGNITION & RECOVERY TECHNIQUES, INCLUDING STICK SHAKER & STICK PUSHER, DURING TRAINING.

From: NTSB
To: FAA
Date: 4/27/1995
Response: THE BOARD NOTES THAT THE FAA WILL ISSUE A FLIGHT STANDARDS INFO BULLETIN DIRECTING ALL PRINCIPAL OPERATIONS INSPECTORS TO ENSURE THAT THEIR APPROPRIATE OPERATORS PLACE EMPHASIS ON STALL WARNING RECOGNITION & RECOVERY TECHNIQUES, INCLUDING STICK SHAKER & STICK PUSHER, DURING TRAINING. THEREFORE, THE BOARD CLASSIFIES A-94-173 "OPEN--ACCEPTABLE RESPONSE & AWAITS RECEIPT OF A COPY OF THE SUBJECT BULLETIN.

From: FAA
To: NTSB
Date: 12/21/1994
Response: THE FAA AGREES WITH THIS RECOMMENDATION. THE FAA WILL ISSUE A FLIGHT STANDARDS INFO BULLETIN DIRECTING PRINCIPAL OPERATIONS INSPECTORS TO ENSURE THAT THEIR APPROPRIATE OPERATORS PLACE EMPHASIS ON STALL WARNING RECOGNITION & RECOVERY TECHNIQUES, INCLUDING STICK SHAKER & STICK PUSHER, DURING TRAINING.