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identifiers within the same geographic area. (74)
Upgrade/Install Flight Deck Equipment:
Ensure that failure of the aircraft system to capture glideslope (or VNAV) is adequately
annunciated to the flight crew. (3)
Manufacturers should ensure that all equipment failures that may affect the safe operation
of the flight are properly annunciated to the flight crew. (45)
Airlines/operators should install FMS equipment (logic) which has the capability to
depict previously entered waypoints that are between the current present position and the
current "to" way point. (53)
Airlines/operators should install FMS equipment (logic) which has the capability to
depict previously entered waypoints behind the aircraft's flight path. (127)
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3rd choice - Tertiary priority for implementation
These are interventions which did not meet the criteria for the Recommended
or 2nd choice categories
Upgrade/Install Flight Deck Equipment:
Ensure FMS depiction is consistent with approach plate presentation. (4)
Install aural warning devices on aircraft to alert flight crew of arrival at MDA/DH. (14)
In the absence of GPS, regulatory agencies should install DME equipment at all
appropriate airports. (32)
Airlines/operators should establish and implement the use of electronic checklists or
other aids to ensure completion of all checklist items. (36)
The manufacturer of the FMS should ensure that the FMS logic displays NAVAIDís with
the same identifier in a progressive distance manner. (76)
Manufacturers should ensure that automated systems provide the flight crew with
sufficient information (automation feedback) to prevent mode confusion. (16)
Airlines/operators should ensure the currency of the FMS database and update as
appropriate. (51)
Ensure ATC awareness/training/procedures include CFIT prevention programs:
Air Traffic service providers should implement procedures that ensure that ATC trainees
are always supervised. (11)
Air Traffic service providers should implement and/or review procedures to ensure ATC
training does not create a hazard to flight operations. (108)
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Ensure CFIT prevention programs are developed, published, and implemented:
Airlines/operators should ensure that their training/standardization programs instruct
when to disengage automated systems and fly manually. (15)
Airlines/operators should ensure that their training/standardization programs establish
flight crew proficiency in the use of the FMS system. (52)
Airlines/operators should ensure that their training/standardization programs establish
flight crew proficiency in all uses of the HSI display. (62)
Airlines/operators should ensure that their training/standardization programs provide an
appropriate minimum amount of standard training. (114)
Airlines/operators should ensure that their training/standardization programs emphasize
the dangers of high rate of descent and unstable approaches. (116)
Airlines/operators should implement procedures to ensure appropriate crew pairing.
(Reference FSF corporate crew scheduling and fatigue evaluation.) (24)
Airlines/operators should implement maintenance procedures to ensure proper
functioning of the CVR at all times. (Note: This intervention was recorded as a potential
intervention for future accidents; it would not have prevented the subject accidents.) (27)
Airlines/operators should adopt the "delegated" approach to standard operating
procedures (e.g., monitored approach procedures). (30)
Airlines/operators should ensure that crew rest considerations (cabin crew and flight
crew) are calculated and administered by dispatch/crew scheduling rather than burdening
crews with these considerations. (31)
Airlines/operators should implement procedures to increase flightcrew awareness of
recent aircraft maintenance actions. (46)
Airlines/operators should ensure procedures do not increase pilot workload during critical
phases of flight. (120)
Airlines/operators should implement a true no-fault go around policy (learning vs.
blame). (123)
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Enhance Communication of ATC Instructions and Weather Information through
the use of Datalink:
Implement a system to automatically transmit ATC instructions/information between the
ground controller and the aircraft. (28)
Implement transmission of ATC instructions (between the ground and aircraft) via a
computer link that would allow downloading to the FMS. (29)
Implement real time (digital) transmission of airport and weather information to the
aircraft. (94)
Implement transmission of ATC instructions/information (between the ground and
aircraft) via a computer link as opposed to voice communications. (122)
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