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Safety Recommendation Details

Safety Recommendation A-94-174
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 ALL PART 135 OPERATORS THAT INCORPORATE BOTH A HIGH SPEED APPROACH PROFILE AND A COUPLED APPROACH PROFILE IN THE TRAINING MANUAL FOR ALL AIRPLANES TRAIN PILOTS TO PROFICIENCY FOR THOSE APPROACH PROFILES.
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: 7/17/1995
Addressee(s) and Addressee Status: FAA (Closed - Acceptable Action)
Keyword(s): Part 135, Training and Education

Safety Recommendation History
From: NTSB
To: FAA
Date: 7/17/1995
Response: THE BOARD NOTES THAT ON 3/31/95, THE FAA ISSUED FLIGHT STANDARDS INFO BULLETIN FOR AIR TRANSPORTATION 95-07, "INSTRUMENT APPROACH PROCEDURES & TRAINING." THE BULLETIN CONTAINS THE RECOMMENDED GUIDANCE & INFO FOR PRINCIPAL OPERATIONS INSPECTORS OF ALL AIR CARRIER (BOTH 14 CFR PARTS 121 & 135) INSTRUMENT APPROACH TRAINING & PROCEDURES. THE BOARD IS PLEASED THAT THE FAA EXTENDED THE SCOPE FOR THE RECOMMENDATION TO INCLUDE PART 121 AS WELL AS PART 135 CARRIERS. THEREFORE, THE BOARD CLASSIFIES A-94-174 "CLOSED--ACCEPTABLE ACTION."

From: FAA
To: NTSB
Date: 5/2/1995
Response: THE FAA ISSUED A FLIGHT STANDARD INFO BULLETIN FOR AIR TRANSPORTATION 95-07, INSTRUMENT APPROACH PROCEDURE & TRAINING. THIS BULLETIN DIRECTS PRINCIPAL OPERATIONS INSPECTORS TO ENSURE THAT ALL 14 CFR PART 135 OPERATORS WHO INCORPORATE A HIGH SPEED APPROACH PROFILE & A COUPLED APPROACH PROFILE IN THEIR TRAINING MANUALS TRAIN PILOTS TO PROFICIENCY FOR THESE APPROACH PROFILES.

From: NTSB
To: FAA
Date: 4/27/1995
Response: THE BOARD NOTES THAT THE FAA WILL ISSUE AN FSIB DIRECTING ALL POIS TO ENSURE THAT ALL 14 CFR PART 135 OPERATORS THAT INCORPORATE HIGH-SPEED COUPLED APPROACH PROFILES IN THEIR TRAINING MANUALS TRAIN PILOTS TO PROFICIENCY FOR THESE APPROACH PROFILES. THEREFORE, THE BOARD CLASSIFIES A-94-174 "OPEN--ACCEPTABLE RESPONSE" PENDING RECEIPT OF A COPY OF THE SUBJECT BULLETIN.

From: FAA
To: NTSB
Date: 12/21/1994
Response: THE FAA AGREES WITH THIS RECOMMENDATION. THE FSIB WILL DIRECT PRINCIPAL OPERATIONS INSPECTORS TO ENSURE THAT ALL 14 CFR PART 135 OPERATORS WHO INCORPORATE A HIGH SPEED APPROACH PROFILE & A COUPLED APPROACH PROFILE IN THEIR TRAINING MANUALS TRAIN PILOTS TO PROFICIENCY FOR THESE APPROACH PROFILES.