In closing, I would
like to recognize the hard work of the NTSB staff in producing this report, and
thank my fellow Board Members for their very thoughtful participation in the
Today we have called
on the FAA to revise its oversight and guidance in a way that will ensure that
airlines have, and follow, appropriate procedures for securing special cargo
loads, using only FAA-approved data as a source.
We have also called
for initial and recurrent training for FAA inspectors, specifically addressing
many facets of cargo operations involving special loads, including operator
procedures, documents, restraint, and support for technical decisions.
We have recommended that
the FAA establish appropriate limitations on the deferral of surveillance items
for both Part 121 and 135 operators, and implement temporary risk-reduction
measures when items are deferred.
And last but not
least, we have called for a certification for personnel who are responsible for
the loading, restraint, and documentation of special cargo loads on
Many of the safety
lapses we saw in the Bagram accident had their roots in a poorly defined
standard for the loadmaster position in use at NAC; not only is there no training
or guidance regarding how a loadmaster must handle special cargo, there is not
even a definition of what a loadmaster is.
recommendations to the FAA, if acted upon, will help to clarify blurred lines,
help to standardize previously ambiguous areas of oversight and guidance, and
prepare FAA inspectors to determine whether this clearer guidance is being
revealed that the seven people who died in Bagram were operating in a world in
whichimportant considerations were handled by individual supposition rather
than by a system of best practices incorporated into procedures that are easily
accessible and that have been shown to work.
It is up to the FAA
to provide oversight and guidance regarding such procedures; it is up to each
and every operator to include such procedures in their training and
documentation; and it is up to individual employees to follow such procedures.
We stand adjourned.