Skip Ribbon Commands
Skip to main content
Safety Recommendation Details

Safety Recommendation A-95-040
Details
Synopsis: On 7/2/94, about 1843 eastern daylight time, a Douglas DC-9-31, N954VJ, operated by USAIR, Inc., as flight 1016, collided with trees and a private residence near the Charlotte/ Douglas International Airport, Charlotte, North Carolina, shortly after the flightcrew executed a missed approach from the instrument landing system approach to runway 18R. The captain, first officer, one flight attendant, and one passenger received minor injuries. Two flight attendants and 14 passengers sustained serious injuries. The remaining 37 passengers received fatal injuries. The airplane was destroyed by impact forces and a postcrash fire. Instrument meteorological conditions prevailed at the time of the accident, and an instrument flight rules flight plan had been filed. Flight 1016 was being conducted under 14 code of federal regulations part 121 as a regularly scheduled passenger flight from Columbia, South Carolina, to Charlotte.
Recommendation: TO THE FEDERAL AVIATION ADMINISTRATION: Amend FAA Order, 7110.65 Air Traffic Control, chapter 2, General Control, section 9, automatic terminal info service procedures, paragraph 2-141, operating procedures, to ensure that broadcasts are promptly updated whenever any conditions conducive to thunderstorms are observed. These conditions would include, but not be limited to, windshear, lighting, and rain. Additionally, require that controllers issue these items until the info is broadcast on the ATIS and the pilots have acknowledged receipt of the info.
Original recommendation transmittal letter: PDF
Overall Status: Closed - Reconsidered
Mode: Aviation
Location: CHARLOTTE, NC, United States
Is Reiterated: No
Is Hazmat: No
Is NPRM: No
Accident #: DCA94MA065
Accident Reports: Flight into Terrain during Missed Approach USAir 1016, DC-9-31, N954VJ
Report #: AAR-95-03
Accident Date: 7/2/1994
Issue Date: 5/16/1995
Date Closed: 6/9/1997
Addressee(s) and Addressee Status: FAA (Closed - Reconsidered)
Keyword(s): Air Traffic Control, Thunderstorms/Rain/Snow, Weather

Safety Recommendation History
From: NTSB
To: FAA
Date: 6/9/1997
Response: THE BOARD CONTINUES TO BELIEVE THAT AIR TRAFFIC CONTROLLERS ARE IN A UNIQUE POSITION TO OBSERVE RAPIDLY CHANGING WEATHER CONDITIONS & SHOULD BE ENCOURAGED TO FORWARD THE ADVISORY OBSERVATIONS TO THE PILOT IN A TIMELY FASHION. HOWEVER, THE BOARD ACKNOWLEDGES THAT CURRENT PROCEDURES & REQUIREMENTS, IF COMPLIED WITH, ARE ADEQUATE. THEREFORE, THE BOARD CLASSIFIES A-95-40 "CLOSED--RECONSIDERED."

From: FAA
To: NTSB
Date: 1/6/1997
Response: THE MAJORITY OF CONTROLLERS ARE NOT QUALIFIED TO MAKE WEATHER OBSERVATIONS. THUS, THE REQUEST THAT ALL CONTROLLERS "OBSERVE & REPORT WEATHER INFO TO PILOTS" GOES BEYOND THE QUALIFICATIONS OF MOST OF THE CONTROLLER WORKFORCE. CURRENT PROCEDURES ADEQUATELY ADDRESS THE ISSUE.

From: NTSB
To: FAA
Date: 7/26/1996
Response: THE BOARD NOTES THAT FAA ORDER 7110.65J, DATED 7/20/95, DOES NOT REQUIRE CONTROLLERS TO UPDATE ATIS BROADCASTS WHEN CONTROLLERS OBSERVE CONDITIONS CONDUCIVE TO THUNDERSTORMS, AS REQUESTED IN THE RECOMMENDATION. PARAGRAPH 2-9-2 IN FAA ORDER 7110.65J DIRECTS THE CONTROLLERS TO RECORD A NEW ATIS BROADCAST AFTER RECEIVING OFFICIAL WEATHER REPORTS, WHICH IS NOT THE INTENT OF THE RECOMMENDATION. TOWER CONTROLLERS ARE IN A UNIQUE POSITION TO OBSERVE & REPORT WEATHER INFO TO PILOTS. THUNDERSTROM ACTIVITY IS A HAZARD TO FLIGHT SAFETY, & PILOTS SHOULD BE ADVISED IMMEDIATELY WHEN THOSE CONDITIONS ARE PRESENT. PARAGRAPH 2-9-2 REQUIRES CONTROLLERS TO ADVISE PILOTS OF PERTINENT INFO UNTIL PILOTS INDICATE THAT THEY HAVE THE CURRENT ATIS BROADCAST. THE INTENT OF THE RECOMMENDATION IS TO ENSURE PILOTS ARE ADVISED OF THUNDERSTORM ACTIVITY AT OR NEAR AN AIRPORT, REGARDLESS OF ATIS INFO. TO ACCOMPLISH THAT GOAL, CONTROLLERS SHOULD ADVISE THE PILOT OF OBSERVED CONDITIONS UNTIL THE ATIS RECORDING IS BROADCAST. THEREFORE, PENDING A REQUIREMENT TO BROADCAST "OBSERVED" WEATHER CONDITIONS, THE BOARD CLASSIFIES A-95-040 "OPEN--UNACCEPTABLE RESPONSE."

From: FAA
To: NTSB
Date: 8/14/1995
Response: THE CURRENT PROCEDURES CONTAINED IN FAA ORDER 7110.65H ADDRESS THIS RECOMMENDATION. ORDER 7110.65H, PARAGRAPHS 2-141A.3, 2-141B, 2-142E, & 2-142H, CURRENTLY REQUIRE AIR TRAFFIC CONTROLLERS TO UPDATE PROMPTLY THE AUTOMATIC TERMINAL INFO SERVICE WHEN REPORTS OF ANY PERTINENT DATA ARE RECEIVED, INCLUDING THUNDERSTORM ACTIVITY.