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Safety Recommendation Details

Safety Recommendation A-82-014
Details
Synopsis: AS A RESULT OF ITS CONTINUING INVESTIGATION OF THE CRASH OF AIR FLORIDA FLIGHT 90, A BOEING 737-222 (N62AF) ON JANUARY 13, 1982, THE NATIONAL TRANSPORTATION SAFETY BOARD BELIEVES THAT IMMEDIATE CORRECTIVE ACTION IS NEEDED IN THE AREA OF COLD-WEATHER OPERATIONS PROCEDURES. THE AIRCRAFT HAD DEPARTED FROM RUNWAY 36 AT WASHINGTON NATIONAL AIRPORT IN MODERATE TO HEAVY SNOWFALL AND LOW VISIBILITY. THE AIRCRAFT FAILED TO ACHIEVE A SUFFICIENT RATE OF CLIMB, STRUCK THE 14TH STREET BRIDGE ABOUT 4,500 FEET FROM THE DEPARTURE END OF THE RUNWAY, AND CRASHED INTO OF THE POTOMAC RIVER. SEVENTY-FOUR OF THE 79 PERSONS ABOARD THE AIRCRAFT WERE KILLED EITHER ON IMPACT OR BY DROWNING, AND 4 PERSONS IN AUTOMOBILES ON THE BRIDGE WERE KILLED WHEN THE VEHICLES WERE STRUCK BY THE DESCENDING AIRCRAFT.
Recommendation: THE NTSB RECOMMENDS THAT THE FEDERAL AVIATION ADMINISTRATION: EXPAND THE TRAINING CURRICULA FOR AIR TRAFFIC CONTROLLERS AND TRAINEES TO ASSURE THAT INSTRUCTION INCLUDES THE HAZARDS ASSOCIATED WITH STRUCTURAL AND ENGINE ICING OF AIRCRAFT.
Original recommendation transmittal letter: PDF
Overall Status: Closed - Acceptable Action
Mode: Aviation
Location: Washington, DC, United States
Is Reiterated: No
Is Hazmat: No
Is NPRM: No
Accident #: DCA82AA011
Accident Reports: Air Florida, Inc., Boeing 737-222, N62AF, Collision with 14th Street Bridge
Report #: AAR-82-08
Accident Date: 1/13/1982
Issue Date: 1/28/1982
Date Closed: 3/14/1983
Addressee(s) and Addressee Status: FAA (Closed - Acceptable Action)
Keyword(s): Air Traffic Control, Icing, Training and Education, Weather

Safety Recommendation History
From: NTSB
To: FAA
Date: 3/14/1983
Response: We have reviewed Air Traffic Service Bulletin No. 82-2, dated December 1982, and entitled "Winter Operations." This bulletin and the meteorological portion of Phase II in the basic air traffic controller training program include adequate instruction concerning the hazards associated with airplane structural and engine icing. The training curricula and the Air Traffic Service Bulletin satisfy the intent of Safety Recommendation A-82-14 which has been classified as "Closed--Acceptable Action."

From: FAA
To: NTSB
Date: 1/31/1983
Response: FAA LETTER: ENCLOSED FOR YOUR INFORMATION AND FILE IS A COPY OF AIR TRAFFIC SERVICE BULLETIN NO. 82-2, DATED DECEMBER 1982, PERTAINING TO WINTER OPERATIONS INCLUDING AIRCRAFT ICING.

From: NTSB
To: FAA
Date: 12/30/1982
Response: As stated in our letter of August 3, 1982, we are satisfied that the curricula used in the meteorological portion of Phase II in the basic air traffic controller training program training includes adequate instruction concerning the various forms of icing and its effects on airplane performance. We await the FAA's publication of the Air Traffic Service Bulletin to advise the air traffic controllers of the hazards associated with structural and engine icing. This recommendation is classified in an "Open--Acceptable Action" status.

From: FAA
To: NTSB
Date: 10/5/1982
Response: FAA LTR: AS NOTED IN OUR LETTER OF JUNE 7, 1982, IT IS EXPECTED THAT THE INFORMATIONAL DATA PERTAINING TO THE HAZARDS ASSOCIATED WITH AIRCRAFT STRUCTURAL AND ENGINE ICING WILL BE PUBLISHED IN THE SEPTEMBER OR OCTOBER 1982 ISSUE OF THE BULLETIN. A COPY OF THE BULLETIN WILL BE FORWARDED TO THE BOARD WHEN PUBLISHED.

From: NTSB
To: FAA
Date: 8/3/1982
Response: We have reviewed the curricula used in the meteorological portion of Phase II in the basic air traffic controller training program. We concur with the FAA that this training includes adequate instruction concerning the various forms of icing and its Data Source: NTSB Recommendations to FAA and FAA Responses effects on aircraft structural/engine icing and on aircraft performance. We also note that the FAA plans to publish, in September or October 1982, and Air Traffic Service Bulletin to advise all air traffic controllers of the hazards associated with aircraft structural and engine icing. The training curricula and the Air Traffic Service Bulletin are in complete accord with the intent of Safety Recommendation A-82-14 which will be classified as "Open--Acceptable Action" awaiting receipt of the bulletin.

From: FAA
To: NTSB
Date: 6/7/1982
Response: FAA LTR: THE FAA ENCLOSED COPIES OF THE CURRICULA USED IN THE METEOROLOGICAL PORTION OF PHASE II IN THE BASIC AIR TRAFFIC CONTROLLERS TRAINING PROGRAM, AS REQUESTED BY NTSB. IN ADDITION, A COPY OF THE AIR TRAFFIC SERVICE BULLETIN, PERTAINING TO THE HAZARDS ASSOCIATED WITH AIRCRAFT STRUCTURAL AND ENGINE ICING, WILL BE TRANSMITTED TO THE BOARD IN SEPTEMBER OR OCTOBER 1982.

From: NTSB
To: FAA
Date: 4/19/1982
Response: The FAA advises that air traffic controllers and trainees receive indepth training concerning the various forms of icing and its effects on aircraft performance during the basic training program. We would appreciate receiving a copy of the curricula used in the meteorological portion of Phase II in this basic air traffic controller program. In addition, the FAA advises that an Air Traffic Service Bulletin will be issued to advise all air traffic controllers and trainees of the hazards associated with aircraft structural and engine icing. We would appreciate receiving a copy of this Air Traffic Service Bulletin. Recommendation A-82-14 will be classified as "Open--Acceptable Action" pending receipt of the training curricula and bulletin.

From: FAA
To: NTSB
Date: 2/22/1982
Response: FAA LTR: AIR TRAFFIC CONTROLLERS AND TRAINEES RECEIVE INDEPTH TRAINING CONCERNING THE FORMS OF ICING AND ITS EFFECTS ON AIRCRAFT PERFORMANCE DURING THE METEOROLOGICAL PORTION OF PHASE II OF THE BASIC AIR TRAFFIC CONTROL TRAINING PROGRAM. ALSO, THE FAA WILL ADVISE THE PRESENT WORK FORCE, VIA THE AIR TRAFFIC SERVICE BULLETIN, OF THE HAZARDS ASSOCIATED WITH STRUCTURAL AND ENGINE ICING OF AIRCRAFT.