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Safety Recommendation Details

Safety Recommendation A-12-072
Details
Synopsis: On April 2, 2011, about 0934 mountain daylight time, an experimental Gulfstream Aerospace Corporation GVI (G650), N652GD, crashed during takeoff from runway 21 at Roswell International Air Center, Roswell, New Mexico. The two pilots and the two flight test engineers were fatally injured, and the airplane was substantially damaged by impact forces and a postcrash fire. The airplane was registered to and operated by Gulfstream as part of its G650 flight test program. The flight was conducted under the provisions of 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed at the time of the accident.
Recommendation: TO THE FEDERAL AVIATION ADMINISTRATION: Amend Order 7210.3V to ensure that, when practicable, emergency response notification telephone or communication lines are recorded, with valid time references, in air traffic control facilities.
Original recommendation transmittal letter: PDF
Overall Status: Closed - Acceptable Action
Mode: Aviation
Location: Roswell, NM, United States
Is Reiterated: No
Is Hazmat: No
Is NPRM: No
Accident #: DCA11MA076
Accident Reports: Crash During Experimental Test Flight, Gulfstream Aerospace Corporation GVI (G650), N652GD
Report #: AAR-12-02
Accident Date: 4/2/2011
Issue Date: 11/15/2012
Date Closed: 8/2/2018
Addressee(s) and Addressee Status: FAA (Closed - Acceptable Action)
Keyword(s):

Safety Recommendation History
From: NTSB
To: FAA
Date: 8/2/2018
Response: You reported that Order JO 7210.3AA, “Facility Operation and Administration,” which was issued on August 17, 2017, includes the recommended revisions. However, we reviewed that order and did not find any provisions about recording emergency communications. We contacted your office and, in a July 9, 2018, e-mail from your staff, we were informed about Order 7210.3AA CHG1, which was published on March 29, 2018, and states in section 3-4-1 that air traffic facilities must record emergency response notifications by telephone or communication lines to the maximum extent practicable, and that a time source must be provided. We believe the revised order satisfies the intent of Safety Recommendation A-12-72, which is classified CLOSED--ACCEPTABLE ACTION.

From: FAA
To: NTSB
Date: 5/24/2018
Response: -From Daniel K. Elwell, Acting Administrator: On August 17. 2017. the Federal Aviation Administration (FAA) issued Order JO 7210.3AA. Facility Operation and Administration. which amended FAA Order JO 7210.3Z. The new guidance in Chapter 3. Section 4. Recorders. Paragraph 3-4-1.b. states ... Air traffic facilities must record emergency response notifications by telephone or communication lines to the maximum extent practicable.'' The new guidance can be found on the following website: https://www.faa.gov/regulations_policies/orders_noticcs/index.cfm/go/document.information/documentlD/1029468 I believe that the FAA has effect ively addressed this Safety Recommendation and consider our actions complete.

From: NTSB
To: FAA
Date: 7/21/2016
Response: You reported that Order JO 7210.3Y now requires ATC facilities to record operational communications to the maximum extent practicable. We point out, however, that the focus of this recommendation is not the recording of operational communications but the recording of emergency communications between ATC facilities and aircraft rescue and firefighting (ARFF) personnel, which is not addressed in the revised order. In our investigation of this accident, we could not determine an exact response time because the emergency communications at ROW had not been recorded. Without this recording, important information, such as the initial accident notification time and the details that ATC provided ARFF during the notification, could not be obtained to support the investigation. As a result, we were forced to rely on radio logs from dispatcher records (which did not have valid time references) and postaccident photographs to determine an approximate response time. We continue to believe that recordings of emergency communications between ATC facilities and ARFF can provide valuable information during an accident or incident investigation to help determine exact response times or actual notification instructions that controllers have provided to ARFF personnel. The intent of this recommendation is to ensure that all communications between ATC and emergency responders such as ARFF occurring on tower “crash phones” or via any other means are recorded and retained for post-event review. We are not aware of any specific FAA requirement to do so, and have found in this and other events that pertinent emergency communications were conducted on unrecorded lines. We note that you consider your actions in response to this recommendation complete; however, we encourage you to reconsider your position based on the additional background information that we have provided. Pending your response to this request and your revising Order JO 7210.3Y as recommended, Safety Recommendation A-12-72 remains classified OPEN—ACCEPTABLE RESPONSE.

From: FAA
To: NTSB
Date: 11/25/2014
Response: -From Michael P. Huerta, Administrator: The Federal Aviation Administration's (FAA) Air Traffic Organization revised FAA Order JO 7210.3Y, Facility Operation and Administration, Use of Recorders, paragraph 3-4-1, to require air traffic facilities to record communications to the maximum extent practicable. This order is available at the following Web site: http://www.faa.gov/documentLibrary/media/Order/FAC_Basic.pdf. Air traffic control facilities do not have segregated, dedicated emergency response notification telephone or communication lines. However, facilities are required to record each operating position to include all data transmitted and/or received via radio, telephone, Voice Switching and Control System, or automated means such as Modes, Data Link, and satellite. Facility management must advise operating positions when the recording equipment associated with these positions is not operating or otherwise unavailable for recording. Facility management must then ensure that a written record or equivalent, to the extent possible, is made for all instrument flight rule clearances. In addition, this order requires operational voice recorders to be provided a time source with valid time references. I believe the FAA has effectively addressed this safety recommendation and consider our actions complete.

From: NTSB
To: FAA
Date: 5/13/2013
Response: We look forward to reviewing the amended chapter 3 of Order JO 7210.3, which should specify that air traffic facilities must record emergency response notification telephone or communication lines to the maximum extent practicable. Pending our review of this change, Safety Recommendation A-12-72 is classified OPEN-ACCEPTABLE RESPONSE.

From: FAA
To: NTSB
Date: 2/12/2013
Response: -From Michael P. Huerta, Administrator: The FAA plans to amend chapter 3 of FAA Order JO 7210.3, Facility Operation and Administration, to specify that air traffic facilities must record emergency response notification telephone or communication lines to the maximum extent practicable. We anticipate this change will become effective by July 2013. I will keep the Board informed of the FAA's progress on this safety recommendation and provide an update by November 2013.