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Safety Recommendation Details

Safety Recommendation A-97-067
Details
Synopsis: On 5/11/96, about 1415 eastern daylight time, a McDonnell Douglas DC-9-32 crashed into the everglades swamp shortly after takeoff from Miami International Airport, Miami Florida, the airplane, N904VJ, was operated by ValuJet Airlines, Inc., as ValuJet flight 592. Both pilots, the three flight attendants, and all 105 passengers were killed. Before the accident, the flightcrew reported to air traffic control that it was experiencing smoke in the cabin and cockpit. Visual meteorological conditions existed in the Miami area at the time of the takeoff. The destination of the flight was Hartsfield International Airport, Atlanta, Georgia. Flight 592 was on an instrument flight rules flight plan.
Recommendation: TO THE FEDERAL AVIATION ADMINISTRATION: Require all air carriers to develop and implement programs to ensure that aircraft components that are hazardous (other than chemical oxygen generators) are properly identified and that effective procedures are established to safely handle those components after they are removed from aircraft.
Original recommendation transmittal letter: PDF
Overall Status: Closed - Acceptable Action
Mode: Aviation
Location: Miami, FL, United States
Is Reiterated: No
Is Hazmat: No
Is NPRM: No
Accident #: DCA96MA054
Accident Reports: In-Flight Fire and Impact With Terrain Valujet Airlines Flight 592 DC-9-32, N904VJ
Report #: AAR-97-06
Accident Date: 5/11/1996
Issue Date: 9/9/1997
Date Closed: 2/23/2004
Addressee(s) and Addressee Status: FAA (Closed - Acceptable Action)
Keyword(s): Hazmat

Safety Recommendation History
From: NTSB
To: FAA
Date: 2/23/2004
Response: The Safety Board reviewed Chapter 11 of AC 120-16D, which discusses procedures, information, instructions, guidance, and precautions that should be contained in operators' manuals concerning hazardous materials. This information includes identifying or recognizing aircraft components or consumable materials that contain hazardous materials; the safe movement, storage, or handling of those aircraft components or consumable materials within the facility; determining the proper packaging, marking, labeling, and materials compatibility of aircraft components or consumable materials containing hazardous materials while they are within the facility; specific hazards associated with aircraft components or consumable materials containing hazardous materials to be moved, stored, or handled; and proper disposal of unserviceable aircraft components or consumable materials containing hazardous materials. Issuance of the AC including Chapter 11 meets the intent of Safety Recommendations A-97-67 and -69, which are classified "Closed--Acceptable Action."

From: FAA
To: NTSB
Date: 7/21/2003
Response: Letter Mail Controlled 8/7/2003 10:17:48 AM MC# 2030379 AC 120-16D applies to 14 CFR Parts 119, 121, and 135 air carriers. For 14 CFR Part 135 operations, the AC applies only to operations conducted with aircraft type-certificated for a seating capacity of 10 seats or more (excluding any pilot seat). Chapter 11 of the AC discusses procedures, information, instructions, guidance, and precautions that should be contained in operators' manuals concerning hazardous materials. This includes identifying or recognizing aircraft components or consumable materials that contain hazardous materials; the safe movement, storage, or handling of those aircraft components or consumable materials within the facility or one of the maintenance providers' facilities; determining the proper packaging, marking, labeling, and materials compatibility of aircraft components or consumable materials containing hazardous materials while they are within the facility or maintenance provider's facilities; specific hazards associated with aircraft components or consumable materials containing hazardous materials to be moved, stored, or handled within the facility; and proper disposal of unserviceable aircraft components or consumable materials containing hazardous materials. Additionally, Chapter 10 of the AC includes human factors as part of the initial training program. The FAA believes that the requirements for improved and specific hazardous material training programs, authorizations, and notifications included in the NPRM in response to Safety Recommendation A-97-65 will complete the requirements of these recommendations. I believe that the FAA has satisfactorily responded to these safety recommendations, and I look forward to your response.

From: NTSB
To: FAA
Date: 4/24/2001
Response: PENDING ISSUANCE OF REVISIONS TO AC 120-16C THAT MEET THE INTENT OF THESE RECOMMENDATIONS, A-97-67, -69, AND -73 REMAIN CLASSIFIED "OPEN--ACCEPTABLE RESPONSE."

From: FAA
To: NTSB
Date: 10/2/2000
Response: Letter Mail Controlled 10/04/2000 3:48:25 PM MC# 2001485 ON 5/22/98, THE FAA ISSUED FLIGHT STANDARDS HANDBOOK BULLETIN FOR AIRWORTHINESS 98-10, AIR CARRIER CONTROL AND HANDLING OF AIRCRAFT COMPONENTS OR CONSUMABLE MATERIALS THAT CONTAIN HAZARDOUS MATERIALS. THE BULLETIN PROVIDED INFORMATION AND GUIDANCE TO PRINCIPAL INSPECTORS WITH CERTIFICATE AND SURVEILLANCE RESPONSIBILITIES FOR AIR CARRIERS THAT HAVE AIRCRAFT COMPONENTS OR CONSUMABLE MATERIALS CONTAINING HAZARDOUS MATERIALS. THE BULLETIN PROVIDED SIMILAR HAZARDOUS MATERIALS INFORMATION FOR REPAIR STATIONS. THE FAA ALSO INFORMED THE BOARD THAT ADVISORY CIRCULAR (AC) 120-16C, CONTINUOUS AIRWORTHINESS MAINTENANCE PROGRAMS, WOULD BE REVISED TO INCORPORATE THE INFORMATION CONTAINED IN THE BULLETINS. ON 7/23/99, THE BOARD STATED THAT IT DID NOT BELIEVE THE BULLETIN MEETS THE INTENT OF A-97-65 BECAUSE IT DID NOT REQUIRE AN INSPECTOR'S SIGNATURE BLOCK ON WORK CARDS THAT CALL FOR HANDLING A COMPONENT CONTAINING HAZARDOUS MATERIALS. THE BOARD FURTHER STATED THAT IT WAS CONCERNED THAT WORK DONE BY 14 CFR PART 145 REPAIR STATIONS AND 14 CFR PART 121 OR 135 AIR CARRIERS IS NOT ADDRESSED IN THE BULLETIN. THE BOARD CLASSIFIED A-97-65 IN AN "OPEN UNACCEPTABLE" STATUS PENDING ADDITIONAL INFORMATION. A-97-67, -69, AND -73 WERE CLASSIFIED IN AN "OPEN ACCEPTABLE" STATUS PENDING THE ISSUANCE OF ORDER 8300.10 AND REVISED AC 120-16C. THE FAA HAS CONSIDERED THE BOARD'S CONCERNS AND BELIEVES ITS CURRENT AND PLANNED ACTIONS ARE APPROPRIATE TO ADDRESS THESE RECOMMENDATIONS. THE FAA ISSUED HAZARDOUS MATERIALS INFORMATION AMENDMENTS TO THE AIRWORTHINESS INSPECTOR'S HANDBOOK THROUGH FLIGHT STANDARDS HANDBOOK BULLETIN FOR AIRWORTHINESS 98-10 FOR AIR CARRIERS AND FLIGHT STANDARDS HANDBOOK BULLETIN FOR AIRWORTHINESS 99-10 FOR REPAIR STATIONS. THESE TWO BULLETINS HAVE SIGNIFICANTLY HEIGHTENED AWARENESS OF CURRENT HAZARDOUS MATERIALS HANDLING AND SHIPPING REGULATIONS FOR AIR CARRIERS AND REPAIR STATIONS. THE FAA IS CONTINUING ITS EFFORT TO REVISE AC 120-16C TO INCLUDE HAZARDOUS MATERIAL INFORMATION. IN THE LONG TERM, THE FAA IS CONSIDERING RULEMAKING ACTIVITY TO AMEND THE CURRENT AIR CARRIER HAZARDOUS MATERIALS MANUAL REQUIREMENTS AND TRAINING REGULATIONS IN 14 CFR PARTS 121, 145, AND 135 TO INCORPORATE SPECIFIC REQUIREMENTS FOR IMPROVED AND SPECIFIC HAZARDOUS MATERIALS TRAINING PROGRAMS. THE RULES WOULD IDENTIFY THE SPECIFIC HAZARDOUS TRAINING NEEDED FOR EACH AIR CARRIER OR REPAIR STATION EMPLOYEE BASED ON THE NATURE OF THE HAZARDOUS MATERIALS FUNCTION OR RESPONSIBILITY PERFORMED BY THE EMPLOYEE. IT IS ANTICIPATED THAT THE AC WILL BE ISSUED BY DECEMBER 2000. I WILL PROVIDE THE BOARD WITH A COPY OF THE AC AS SOON AS IT IS ISSUED.

From: NTSB
To: FAA
Date: 7/23/1999
Response: A-97-67, -69, AND -73 ARE CLASSIFIED "OPEN--ACCEPTABLE RESPONSE," PENDING FURTHER CORRESPONDENCE REGARDING THE SAFETY BOARD'S CONCERNS.

From: FAA
To: NTSB
Date: 7/23/1998
Response: Letter Mail Controlled 7/27/98 3:17:30 PM MC# 980931: On May 22, 1998, the FAA issued Flight Standards Handbook Bulletin for Airworthiness 98-10, Air Carrier Control and Handling of Aircraft Components or Consumable Materials That Contain Hazardous Materials. The bulletin provides information and guidance to principal inspectors with certificate and surveillance responsibilities for air carriers that have aircraft components or consumable materials containing hazardous materials. The bulletin directs principal inspectors to ensure that their air carriers include the following information in their manuals and that they provide appropriate personnel training: * Procedures and information to assist maintenance, shipping, and stores personnel in identifying or recognizing aircraft components or consumable materials that contain hazardous materials. If those aircraft components or consumable materials are to be moved, stored, or handled within the air carriers or contract maintenance providers' facilities, procedures and instructions relating to the safe movement, storage, or handling of those aircraft components or consumable materials must be included. * Procedures and information for determining the proper packaging, marking, labeling, and materials compatibility, including instructions for the safe movement, storage, and handling of aircraft components or consumable materials that contain hazardous materials while they are within the air carriers' facilities. * Information, guidance, and precautions regarding the specific hazards associated with aircraft components or consumable materials containing hazardous materials that are to be moved, stored, or handled within the air carriers' facilities. * Information, instructions, and detailed procedures for the proper disposal of unserviceable aircraft components or consumable materials containing hazardous materials. The bulletin also directs principal inspectors to ensure that air carriers are aware of all regulations governing air transportation of hazardous materials, that they conduct hazardous materials training in accordance with 14 CFR Part 172, and that they implement a system to ensure that their personnel remain current on the hazardous materials regulations. I have enclosed a copy of the bulletin for the Board's information. The FAA is also revising FAA Order 8300.10, Airworthiness Inspector Handbook, and Advisory Circular (AC) 120-16D, Continuous Airworthiness Maintenance Programs, to incorporate the information contained in the bulletin. I will provide the Board with copies of the order and AC as soon as they are revised.

From: FAA
To: NTSB
Date: 11/17/1997
Response: The FAA agrees with the intent of these safety recommendations and is revising FAA Order 8300.10, Airworthiness Inspector Handbook, and Advisory Circular (AC) 120-16D, Continuous Airworthiness Maintenance Programs. These documents will be revised to incorporate the information to address each of these safety recommendations. It is anticipated that the order will be revised by April 1998 and the AC by October 1998. I will provide the Board with copies of these documents as soon as they are revised. As an immediate response, the FAA will issue a flight standards handbook bulletin to address specific programs, procedures, information, and training to assist maintenance, shipping, and stores personnel in identifying or recognizing aircraft components or consumable material that contains hazardous materials. The bulletin will provide information, guidance, and precautions regarding specific hazards associated with aircraft components or consumable materials that are to be moved, stored, or handled by air carrier or maintenance provider personnel. It is anticipated that the bulletin will be issued in November 1997. I will provide the Board with a copy of the bulletin as soon as it is issued.