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Safety Recommendation Details

Safety Recommendation A-90-127
Details
Synopsis: ON 9/8/89 N283AU, A BOEING 727-200 OPERATED AS USAIR FLIGHT 105 WAS A REGULARLY SCHEDULED REVENUE PASSENGER FLIGHT CONDUCTED UNDER 14 CODE OF FEDERAL REGULATIONS PART 121 FROM PITTSBURGH, PENNSYLVANIA (PIT), TO WICHITA, KANSAS, WITH AN EN ROUTE STOP IN KANSAS CITY, MISSOURI (MCI). FIFTY-EIGHT PASSENGERS, TWO FLIGHT CREWMEMBERS AND FOUR FLIGHT ATTENDANTS WERE ONBOARD. A FEDERAL AVIATION ADMINISTRATION INSPECTOR WHO WAS PERFORMING AN EN ROUTE INSPECTION OCCUPIED THE COCKPIT OBSERVER'S SEAT. THE FLIGHT FROM PITTSBURGH TO THE KANSAS CITY AREA WAS UNEVENTFUL. THE CAPTAIN WAS THE PILOT FLYING AND THE FIRST OFFICER WAS PERFORMING THE COMMUNICATIONS WITH AIR TRAFFIC CONTROL. USAIR 105 WAS CLEARED TO EXECUTE THE LOCALIZER BACK COURSE APPROACH TO RUNWAY 27 AT 2129:41. AT 2134:34, THE LOCAL CONTROLLER TOLD USAIR 105 "I" CAN'T TELL FOR SURE BUT IT APPEARS WE HAVE LOST THE LIGHTING ON THE SOUTH SIDE OF THE AIRPORT." THE FLIGHTCREW LATER DESCRIBED SEEING A BRIGHT FLASH ABOUT THIS TIME. SUBSEQUENT INSPECTION REVEALED THAT THE AIRPLANE STRUCK AND SEVERED FOUR ELECTRONIC TRANSMISSION CABLES, LOCATED ABOUT 75 FEET ABOVE THE GROUND, APPROXIMATELY 7,000 FEET EAST OF THE RUNWAY 27 THRESHOLD. THE FLIGHTCREW EXECUTED A MISSED APPROACH AND LANDED UNEVENTFULLY IN SALINA, KANSAS.
Recommendation: THE NTSB RECOMMENDS THAT THE FEDERAL AVIATION ADMINISTRATION: REVIEW THE TRAINING, POLICIES AND PROCEDURES REGARDING EN ROUTE FLIGHT INSPECTIONS AND REVISE THEM TO INCREASE THE LIKELIHOOD THAT FAA INSPECTORS WILL MONITOR ADEQUATELY CREW PERFORMANCE AND INFORM THE CREW, AS NECESSARY, WHEN VIOLATIONS OF FEDERAL AVIATION REGULATIONS OR UNSAFE PRACTICES HAVE OCCURRED.
Original recommendation transmittal letter: PDF
Overall Status: Closed - Acceptable Action
Mode: Aviation
Location: KANSAS CITY, MO, United States
Is Reiterated: No
Is Hazmat: No
Is NPRM: No
Accident #: DCA89IA071
Accident Reports: USAIR Flight 105 Boeing 737-200, N283AU
Report #: AAR-90-04
Accident Date: 9/8/1989
Issue Date: 9/28/1990
Date Closed: 7/11/1991
Addressee(s) and Addressee Status: FAA (Closed - Acceptable Action)
Keyword(s): Oversight, Training and Education

Safety Recommendation History
From: NTSB
To: FAA
Date: 7/11/1991
Response: Safety Recommendation A-90-127 states that the FAA should review the training, policies, and procedures regarding en route flight inspections. The Safety Board notes that the FAA has completed training seminars in compliance and enforcement for all inspectors that included current policies and procedures. The FAA also initiated training in specific operations of each carrier that they serve, revised training programs to emphasize inspector responsibilities, and is currently developing computer-based instruction addressing en route, ramp, and station facility inspections. Safety Recommendation A-90-127 is classified as "Closed-- Acceptable Action."

From: FAA
To: NTSB
Date: 12/18/1990
Response: RECENTLY THE FAA CONDUCTED COMPLIANCE & ENFORCEMENT SEMINARS FOR ALL INSPECTORS WHICH INCLUDED CURRENT POLICIES & PROCEDURES IN INDUSTRY MONITORING & COMMUNICATIONS & EDUCATING TOWARD COMPLIANCE. THE FAA ALSO INITIATED TRAINING IN SPECIFIC OPERATIONS OF EACH CARRIER THEY SERVE. THE FIRST SUCH COURSE WAS FOR USAIR & SPECIAL ATTENTION WAS GIVEN TO THE NEW USAIR CHECKLISTS. THE FAA HAS ALSO REVISED TRAINING PROGRAMS TO EMPHASIZE INSPECTOR RESPONSIBILITIES. THE FAA IS CURRENTLY DEVELOPING COMPUTER-BASED INSTRUCTION WHICH ADDRESSES EN ROUTE, RAMP, AND STATION FACILITY INSPECTIONS. I BELIEVE THAT THE FAA HAS MET THE INTENT...