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Safety Recommendation Details

Safety Recommendation A-94-176
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: IMMEDIATELY ISSUE AN EMERGENCY AIRWORTHINESS DIRECTIVE INFORMING ALL OPERATORS AND AFFECTED PARTIES, INCLUDING THE U.S. DEPARTMENT OF DEFENSE AND FOREIGN GOVERNMENTS, OF THE SAFETY BOARD'S FINDINGS, AND REQUIRE ALL OPERATORS WHOSE AIRCRAFT HAVE THE AFFECTED PACIFIC SCIENTIFIC SAFETY BELT BUCKLES TO INFORM PASSENGERS AND CREWMEMBERS BEFORE EACH FLIGHT ABOUT THE NEED TO ALIGN THE BUCKLE INSERT WHEN LIFTING THE BUCKLE RELEASE LEVER TO ENSURE EASY RELEASE OF THE SAFETY BELTS. (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: 11/1/1994
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: THE BOARD NOTES THAT THE AD ADEQUATELY ADDRESSES THE NEED TO REPLACE DEFECTIVE RELEASE BUCKLES. ADDITIONALLY, THE LETTERS FROM THE FAA TO ALL AIRWORTHINESS AUTHORITIES & DOD DESCRIBING THE AD & URGING DISSEMINATION OF THE PROPER METHOD TO OPERATE THE BUCKLES SATISFY THE INTENT OF RECOMMENDATION A-94-176. THEREFORE, THE BOARD CLASSIFIES A-94-176 "CLOSED--ACCEPTABLE ACTION."

From: FAA
To: NTSB
Date: 12/23/1994
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. ALL AFFECTED ASSEMBLIES MUST BE REPLACED & REMOVED FROM SERVICE BY 2/22/95. PACIFIC SCIENTIFIC HAS ESTABLISHED A PROGRAM TO TRACK THE REPLACEMENT OF THE AFFECTED LAP BELTS & HAS REPORTED TO THE FAA THAT ALL COMMERCIAL U.S. OPERATORS HAVE REPLACED THE AFFECTED LAP BELTS. PACIFIC SCIENTIFIC HAS ALSO REPORTED THAT OF THE ORIGINAL 27,000 AFFECTED ASSEMBLIES WORLDWIDE APPROXIMATELY 30 PERCENT HAVE BEEN REMOVED FROM SERVICE & REPLACED WITH THE REVISED CONFIGURATION. THE FAA ALSO SENT A LETTER TO ALL AIRWORTHINESS AUTHORITIES & TO THE DEPARTMENT OF DEFENSE INFORMING THEM OF THE AD & REQUESTING THAT THEY ADVISE ALL CREWMEMBER OF THE PROPER METHOD TO RELEASE THE SEAT BELT BUCKLE IN CASE OF AN EMERGENCY. THE LETTER REQUESTS THAT THEY ADVISE THEIR OPERATOR TO PLACE SPECIAL EMPHASIS ON INFORMING PASSENGERS & CREWMEMBERS BEFORE EACH FLIGHT ABOUT THE NEED TO ALIGN THE BUCKLE INSERT WHEN LIFTING THE BUCKLE RELEASE LEVER TO ENSURE EASY RELEASE OF THE SAFETY BELTS.