Report
on the January 1999 Detroit Snowstorm
PART II: FINDINGS
The review team was generally familiar with the events
chronicled above before it conducted its interviews in Detroit
and Minneapolis. Although the team did gather additional factual
details in the course of the interviews, its primary purpose in
conducting the interviews was to determine why the events of that
first weekend in January unfolded in the manner that they did and
what NWA and WCDA are doing to prevent a repetition of those
events. The team has analyzed the information it obtained from
the interviews and from NWA and WCDA documents. Based on that
analysis, the team makes the following findings regarding why the
January 1 Detroit snowstorm resulted in lengthy tarmac delays on
January 2 and 3 that left passengers stranded on aircraft for up
to 8½ hours. The findings are grouped into six subject-matter
areas: (1) NWAs arrival and departure planning; (2)
NWAs assessment of its preparations for Sundays
operations; (3) WCDAs and NWAs snow removal
operations; (4) aircraft positioning; (5) Sunday ground and
flight crew staffing levels; and (6) NWAs treatment of
passengers stranded on its aircraft.
NWAs Arrival and Departure Planning
- The decisions to reduce and then halt NWA operations
on Saturday. As a result of the SOC Directors
decision to permit Saturday arrivals later than suggested
by his Chief Dispatcher, a decision that the SOC Director
believes was reasonable, additional aircraft would land
at DTW, thus contributing to the gate congestion that
evening and the following day. Also, additional aircraft
would attempt to depart DTW that afternoon, increasing
the number of passengers subject to lengthy tarmac delays
into the early hours of Sunday.
Contributing to the SOC Directors decision to keep
NWAs operations at DTW going after 1:30 p.m. on
Saturday was his and NWAs strong commitment to doing
everything possible to safely transport its passengers to
their destinations on time and avoid stranding them overnight
at airports. While his decision achieved that goal for
Detroit-bound passengers who arrived Saturday afternoon, it
contributed to delaying and stranding passengers aboard
aircraft that night and the next day.
Also contributing to departure delays on Saturday, and the
number of aircraft queued for take-off that ultimately were
forced to return to gates, were the rapid snow accumulation,
poor visibility, and snow drifting onto active runways. These
conditions forced de-iced aircraft to wait for additional
plowing. These aircraft then required further de-icing.
- The decision to restart NWA operations on Sunday. The
plan formulated on Saturday night to commence DTW
operations at noon on Sunday was based on a central
assumption that proved to be incorrect: that NWA would
have enough gates available to accommodate the limited
arrivals scheduled for Sunday. As explained below, the
lack of clear and coordinated communications between the
SOC Director and his staff in Minneapolis and NWA
management at DTW prevented the SOC Director from
realizing that this assumption was incorrect until it was
too late to cancel or divert many of Sundays
planned arrivals. (As explained in later sections of our
findings, a variety of factors made gates unavailable.)
NWA management at DTW gave the SOC Director repeated
assurances Saturday night and early Sunday morning that
NWAs DTW facilities would be ready for operations
commencing at noon on Sunday. For the reasons listed below,
the SOC Director did not question these assurances until he
noticed that scheduled noon-hour departures were not leaving
their gates. By this time, several flights had already
departed for DTW.
First, the storm total of 10.6 inches of snow,
while uncommon for Detroit, did not seem to the SOC Director
to be an amount that would present an insurmountable
challenge to an airline accustomed to operating in harsh
winter weather, especially at its Minneapolis hub and other
airports in the northern tier of the United States. He was
initially unaware that high winds were causing drifting and
wind chills that reached 20 to 30 degrees on
Sunday and did not fully appreciate that DTWs
infrastructure was not as well equipped as Minneapolis to
respond to the aftermath of a large snowstorm.
Second, in his initial contacts with NWAs DTW
Control Center Manager, he was told of problems that seemed
surmountable in the time allotted and was given no indication
that they were not. He was not given a clear indication of
the magnitude of the problem created by the snowed-in
aircraft and baggage carts that had been parked in the alleys
the night before.
Third, he was aware that DTWs taxiways and
runways were plowed and therefore assumed that the rest of
the airport was sufficiently clear of snow to allow unimpeded
operations. He did not know until 1:00 p.m. that some of the
alleys were unplowed and blocked by parked aircraft and
baggage carts.
Fourth, while the SOC Director anticipated a
shortage of flight crews due to flight cancellations on
Saturday, he did not anticipate that the storms
aftermath would prevent crews already in the Detroit area
from getting to the airport, thus creating a more serious
crew shortage. Without sufficient crews, NWA could not launch
enough aircraft from DTW to free sufficient gates to deplane
passengers on incoming flights in a timely manner.
Finally, while addressing the DTW situation, he and
his staff were at the same time handling serious
weather-related problems at other airports, some of which
seemed at least as difficult as DTWs: NWA had a total
of about 50,000 passengers stranded at airports around the
country and the storm was disrupting all of the airline's
East Coast operations at the same time that the DTW situation
was unfolding.
- The decisions to delay and then stop NWA arrivals on
Sunday. Even when the SOC Director realized that DTW
would not be able to accept flights at noon, he believed
that the airport would be able to do so by mid-afternoon
and thus he simply delayed the launching of other flights
to time their DTW arrival for when he estimated that
gates would be available. He subsequently ordered
additional delays, but in the meantime, some flights had
departed for DTW. Moreover, flights already in the air
were allowed to continue to Detroit, as on one occasion
were flights that had taxied away from gates but had not
yet taken off for DTW. The SOC Director concedes that the
latter decision was a mistake. When the SOC Director at
3:40 p.m. requested a national ground stop of flights
scheduled to depart for DTW, 36 flights were already on
the ground at DTW. Of the 36, 29 were still waiting on
taxiways and ramps for gates, and the last of those to
deplane its passengers did not do so until approximately
11:30 p.m., after a wait of 8 hours 38 minutes.
The arrival on Sunday of more aircraft than DTW had
available gates, stranding passengers in aircraft for hours,
resulted in large part from inadequate communication between
the SOC Director and his staff in Minneapolis and NWA
management at DTW. The information that was passed on to the
SOC Director on Sunday morning was at times unclear and
incomplete and was transmitted in an ad hoc manner. As such,
the SOC Director and his staff had little basis for
questioning their assumptions about the progress of
Sundays preparations until too many aircraft were
already committed to arrive in Detroit. Even after noon on
Sunday, when the SOC Director and his staff began to get a
better understanding of the extent of the problems at DTW,
they still were not given a clear assessment of the situation
at the airport and, as a result, first implemented rolling
arrival delays rather than immediately requesting a national
ground stop of NWA flights into DTW. Additionally, as a draft
NWA internal review of the airlines response to the
storm concluded, "[t]he problems associated with a storm
of this intensity should not have been a surprise." To a
degree, then, the SOC Director and his staff did not ask the
right questions under the circumstances.
Although NWA has no operating standard indicating what is
a permissible ground delay, the SOC Directors and their staff
stated that they never would have permitted aircraft to leave
for DTW had they known that those aircraft might experience
major ground delays. They would likely have had that
knowledge, and avoided or mitigated any backlog of aircraft
waiting for gates, had they and key DTW personnel reviewed
major storm response issues in regularly scheduled conference
calls on Saturday and Sunday.
NWAs Assessment of its Preparations for Sundays
Operations
- A number of the NWA managers interviewed stated that they
always seemed a half hour away from reaching their goals
of clearing snow, moving aircraft, and preparing gates.
"We half-houred ourselves to death," stated one
NWA manager. Another common observation was that the
hours passed by like minutes that Sunday. These
perceptions suggest that while NWA employees at DTW
worked very hard in attempting to prepare the airport for
Sunday operations, they were so preoccupied with
"putting out fires" that they failed to
recognize and communicate the overall severity and
implications of the problems they faced throughout the
day. Indicative of this problem was the fact that NWA
management at DTW did not realize until noon, when
Sundays first flights were scheduled to depart,
freeing gates for arriving aircraft, that they were
severely short of crews to operate those flights.
NWA management at DTW was not alone in experiencing this
problem. The Airport Director, for example, was personally
engaged in, among other things, assisting passengers stranded
in the terminal buildings. As a result, he stated that he was
unaware of the fact that dozens of aircraft full of
passengers were stranded on his airports taxiways
until, at approximately 4:00 p.m., he was informed of this
situation by an individual in the terminal who had come to
pick up one of these passengers.
- One NWA executive observed that NWA management at DTW,
confronted with a combination of problems that it had
never before encountered, did not listen correctly to its
staff, did not close loops, and did not manage its
resources effectively. Had NWA had a snow emergency plan
for DTW that designated a person to oversee and assess
the airlines response to this severe snowstorm --
that is, to see the forest and not just the trees -- and
communicate its progress to the SOC Director, then the
SOC Director would have received a more accurate
assessment of that progress and would likely have
implemented a more conservative Sunday arrival schedule.
Snow Removal
- NWAs view. According to NWA, there were
serious shortcomings in WCDAs snow removal efforts.
NWA noted that on Saturday afternoon and early evening,
although DTW never officially closed and at least one
runway was at all times open, WCDAs plows could not
always keep up with the rate of snowfall and drifting
snow on runways, on taxiways, on ramps, and on the
de-icing pad being used by NWA. This caused departure
delays that were then exacerbated by recurrent aircraft
de-icing. On Sunday, NWA complained that WCDA did not
plow NWAs alleys as required by WCDAs snow
plan, did not notify NWA of the movement of its snowplow
crews as required by WCDAs snow plan, left snow
piles and drifts at the throats of alleys, created high
ridges of plowed snow along the sides of taxiways, and
did not plow a de-icing pad and areas where empty
aircraft could have been parked, all of which impeded or
prevented the movement of aircraft, particularly the
removal of empty aircraft from gates that were needed to
deplane passengers from arriving flights.
NWA concedes that it lacked sufficient equipment to
adequately plow the areas it was responsible for -- from the
terminals out to the end of the aircrafts tail,
including the area around the tires of its jet bridges. This
impeded the use of the jet bridges and rendered at least one
of them inoperable. This situation was exacerbated by the
fact that this was the first major snowstorm experienced by
DTW since NWA had switched from gate to remote de-icing of
aircraft. De-icing fluid applied to aircraft at the gate
would run off and help keep gate areas free of snow and ice.
NWA had not anticipated the impact of the absence of de-icing
fluid run-off at the gate areas.
NWA agreed that its decision to park aircraft and baggage
carts in alleys on Saturday night prevented it from using
gates in those areas on Sunday after that equipment became
snowed in. (See Appendix D.) NWA noted, however, that because
of weather conditions, the aircraft could not have been towed
elsewhere on Saturday night and that there was no other space
for the baggage carts given that virtually all NWA gates were
occupied.
- WCDAs view. According to WCDA, it
essentially fulfilled its snow removal responsibilities.
WCDA notes that all of its snowplow drivers were working
that weekend with the exception of one driver whose wife
was having a baby. WCDA insists that on Saturday, at
least one runway was always safe to use, and WCDA is
proud of the fact that it did not need to close the
airport. WCDA notes that the de-icing pad might not have
been plowed as soon or as often as needed by NWA, but
WCDA plowed the pad in the order of priority that it was
listed in the airport snow plan and did the best it could
to keep up with the heavy rate of snowfall.
WCDA concedes that on Sunday it did not notify NWA of the
movement of its snowplow crews. Moreover, it is undisputed
that icy conditions in plowed alleys and taxiways on Sunday
delayed aircraft movements and caused skidding, and that some
larger aircraft required wing walkers to negotiate taxiways
lined with snow banks. WCDA disagrees with many of NWAs
other complaints, however. Specifically, WCDA noted that it
was impossible to plow NWAs alleys per the snow plan
schedule because they were clogged with aircraft and baggage
carts that had been parked there the night before and had
become snowed in. As to snow piles, drifts, and ridges, WCDA
concedes that some might have existed, but insists that it
did the best it could to eliminate those obstacles and that
NWAs complaints are exaggerated. The Airport Director
noted that he personally counted 37 out of the total of 60
NWA gates that were clear of snow and from which parked
aircraft could have been moved by NWA. WCDA also insists that
the de-icing pad and prospective aircraft parking areas were
plowed.
WCDA noted that after the snowstorm, it asked all the
airlines to critique its snow plan in light of its
performance during the storm. NWA suggested a few changes
that WCDA made and are discussed below. WCDA considers these
changes minor. The other airlines suggested no changes to the
plan and generally thought that WCDA had done a good job
removing snow during and after the storm.
- The review team cannot resolve the differences between
NWAs and WCDAs recollections of snow removal
efforts. Under either version of events, however, it is
clear that communications between these two organizations
regarding snow removal priorities were haphazard. Indeed,
their lingering differences over this issue are
indicative of these communications problems. Both NWA and
WCDA could have improved snow removal efforts through
formal communications channels set up as part of a snow
emergency plan and through a clearer understanding of
their respective snow removal obligations.
Aircraft Positioning
- This issue is important because the positioning of
aircraft at various times during the weekend of the
snowstorm had an impact on NWAs ability to use its
gates for the aircraft that arrived on Sunday and its
ability to cater stranded aircraft or deplane passengers
using mobile or integrated aircraft stairs.
- As noted above, NWAs decision to park aircraft and
baggage carts in alleys on Saturday night prevented the
airline from using gates in those areas on Sunday after
that equipment had become snowed in.
- NWA and WCDA do not agree on where the aircraft that
experienced lengthy Sunday tarmac delays were parked. NWA
stated that most of their aircraft were parked on the
relatively remote Papa, Tango, and Whiskey taxiways. (See
Appendix C.) According to NWA, access to aircraft at
these locations for remote deplaning or catering was
virtually impossible because the taxiways are relatively
narrow to begin with and snow banks further impeded
access. WCDA stated that NWA aircraft were parked on the
relatively wide Uniform taxiway and on Zulu taxiway,
which provides access to hangers and various DTW ground
service support facilities. (See Appendix C.) WCDA stated
that these areas were plowed. NWA, on the other hand,
stated that it was actually denied use of Zulu for all
but two of its occupied aircraft because Zulu had not
been completely plowed and because the presence on Zulu
of two Air Canada diversions from Toronto prevented use
of that taxiway as a parking area for empty aircraft.
WCDA stated that it was unaware of any request for
aircraft parking space that was denied.
- The review team cannot resolve the differences between
NWAs and WCDAs recollections of where
aircraft were parked on the Sunday after the storm and on
other aircraft positioning issues. However, NWAs
and WCDAs persistent differences over this issue
are symptomatic of the communications problem between
these two organizations during the snowstorm and its
aftermath. Had a coordinated plan existed prior to the
storm that identified areas available for the
"overflow" parking of empty aircraft, and had
WCDA clearly understood NWAs aircraft positioning
needs on Sunday, then sufficient gates could have been
made available to accommodate much of Sundays
incoming aircraft. In addition, NWA might have been able
to initiate remote deplaning and catering operations as
needed, although the other factors discussed below would
have influenced that decision.
Sunday Ground and Flight Crew Staffing Levels
- Although it had stopped snowing at approximately 6:00
a.m. Sunday, partially plowed and unplowed streets and
highways, bitter cold temperatures, high winds, and
drifting snow made travel to the airport difficult. Heavy
traffic and partially unplowed roads and parking lots
hampered entry to the airport itself.
- NWAs overall Sunday staffing at DTW was less than
50% in the morning, increasing to about 66% through the
afternoon. NWAs Maintenance Department, the group
assigned NWAs snow removal responsibilities, was
almost fully staffed on Sunday due to the fact that the
midnight maintenance shift was held over Sunday morning
and that many maintenance employees drive four-wheel
drive vehicles and thus did not have as difficult a time
driving to work on Sunday. NWA management in Detroit
indicated that it had sufficient ground personnel to
handle the number of departures or movements of empty
aircraft from gates that would have been necessary to
allow the timely deplaning of passengers on arriving
aircraft.
- WCDA had 98% staffing on Sunday. As noted above, all but
one of the snow plow drivers, who are contract employees,
reported to work. Many WCDA employees reported to work
even though it was their day off. Lack of staff did not
hinder WCDAs Sunday operations. WCDA booked hotel
space for employees so they would not need to make
difficult trips to and from the airport.
- Most other airlines serving DTW had close to 100%
staffing once they restarted their operations on Sunday.
Although one airline experienced departure delays of up
to two hours, lack of staff generally did not hinder most
airlines Sunday operations. Most of these airlines
booked hotel space for employees so they would not need
to make difficult trips to and from the airport, but none
of these airlines indicated that the availability of
these hotel rooms was critical to maintaining adequate
staffing levels that weekend.
- Approximately 70% of the NWA flight crew members who are
based in Detroit do not live there and therefore must
commute to Detroit from other cities, usually on NWA
flights. Some of these crews were unable to get to
Detroit as planned on Saturday. Others were stranded on
Sunday arrivals that sat for hours on taxiways waiting
for gates to clear. In one case, a flight carrying a
number of flight crews from Minneapolis was assigned a
gate only after a member of one of those crews used his
cell phone to call a dispatcher in Minneapolis and advise
him of the situation. Because of poor road conditions,
many hotels in the area were not running their airport
shuttles, thus stranding crews staying at those hotels.
Crews that were able to make it to the airport were not
necessarily qualified on the types of aircraft that were
scheduled to depart.
- NWAs various automated crew communication and
scheduling systems were overloaded and in many cases
rendered ineffective. Crew Schedulers and Crew
Coordinators were so overwhelmed by the flight crew call
volume that they were unable to pass crew availability
information on to Operations Planners. Many crew members
could not get through to Coordinators and Schedulers to
report their status, and they eventually stopped trying.
Operations Planners were unable to work with Crew
Coordinators because they were taking calls directly from
crews. Scheduling and coordination problems created by
these circumstances exacerbated crew shortages.
- As noted above, although the SOC Director anticipated a
shortage of flight crews due to flight cancellations on
Saturday, he did not anticipate that the storms
aftermath would prevent crews already in the Detroit
area, in hotels or on incoming aircraft, from getting to
the airport terminal. NWA management at DTW also did not
anticipate this additional shortage. One NWA manager
interviewed considered the flight crew shortage the
airlines "biggest downfall" on Sunday, a
"piece that we missed." Without sufficient
crews, NWA stated that it could not launch enough
aircraft from DTW to free sufficient gates to deplane
passengers on incoming flights in a timely manner, and
that it could not taxi or tow unloaded aircraft away from
the gates because of inadequate space to park the
aircraft.
NWAs Treatment of Passengers Stranded on Its Aircraft
- The efforts of NWAs employees. Even some of
the angriest complaint letters received by DOT from
passengers who experienced hours-long ground delays
complimented the fine performance of the flight crews on
those aircraft. While flight crews could not reduce
ground delay time, they prevented a very bad situation
from getting worse. Additionally, NWA management at DTW
stressed to the review team that the NWA employees who
worked at DTW during the snowstorm and its aftermath
worked extremely hard to make a very difficult situation
as bearable as possible for passengers on aircraft and in
the terminal. They noted that they had received many
positive comments and letters from passengers about
NWAs performance that weekend.
It should be noted, however, that many passengers
interviewed by DOT stated that when they finally deplaned and
sought out their baggage on Sunday night, there were few, if
any, NWA personnel to be found in a terminal environment that
was characterized as "a zoo," lacking any
organization whatsoever. Some passengers who were assisted by
NWA personnel thought they were doing the best they could
under the circumstances, while others stated that NWA
personnel were "clueless" and "couldnt
have cared less." The latter type of observation was
also made by passengers who were returned to the terminal on
Saturday night.
- NWAs customer service orientation. Many NWA
managers interviewed by the review team unequivocally
agreed that ground delays of the length experienced on
the first weekend of January are unacceptable from a
customer service standpoint. In addition, as noted above,
many NWA employees received high praise from their
customers and management for their exceptional efforts in
assisting travelers during and after the snowstorm. It
should also be noted, however, that some NWA executives
interviewed minimized the impact of the long ground
delays. One NWA executive suggested that experiencing
these delays, which resulted in passengers spending up to
8½ hours in a confined space at times without food,
lavatories, and, in some cases, water, was no worse than
being diverted to another airport and being forced to
sleep in a terminal. Another observed that many NWA
customers pay considerable sums to sit in their aircraft
for as many as 13 hours on non-stop flights from the
United States to Asia, implying that passengers
experiences at DTW were somehow comparable. Some also
stated that the remedial measures that NWA has
implemented or is contemplating are to correct
"errors on the margin" and would not
necessarily prevent a recurrence of lengthy passenger
strandings.
- Use of other airlines gates. One airline,
Continental, provided an unused gate for NWAs use
at NWAs request. NWA deplaned passengers from three
flights at this gate. Other airlines indicated that NWA
either did not ask them for use of their gates or that
when NWA did ask, their gates were not available because
they were occupied or about to be occupied by their own
aircraft. All of the airlines that NWA did not ask for
gates stated that they would have made unused gates
available had NWA asked. Only one airline, US Airways,
declined to offer an available gate when asked for fear
that NWA would not be able to move its aircraft from the
gate once passengers had deplaned. The other airlines
were not aware of NWAs stranded passenger situation
until NWA contacted them about the use of their gates.
NWA conceded that it did not clearly communicate the
urgency of its gate requests and the temporary nature of its
use of the gates. NWA stressed, however, that cost of gate
rental was not a consideration in requesting other
airlines gates, given the minimal cost for such rental
(approximately $150 per use).
NWA clearly could have done more to secure use of other
airlines gates. As with other aspects of their response
to the snowstorm, NWAs efforts in this regard lacked
foresight and coordination. While the use of other
airlines gates might not have eliminated Sundays
tarmac delays, it certainly would have mitigated them.
- Stair deplaning. NWA considered and rejected twice
using the integrated stairs on some of its aircraft to
deplane passengers away from the gates into waiting car
rental company buses that had been requisitioned by WCDA
per WCDAs contract with those companies. It was
NWA's ultimate judgment, including that of a veteran NWA
de-icing manager, that it was too cold, windy, and icy on
Sunday to safely deplane passengers in this manner.
Representatives from every other airline interviewed
stated that they would have found a way to safely accomplish
remote deplaning to avoid stranding passengers on their
aircraft for up to 8½ hours. Moreover, NWAs own
irregular operations plan for its Minneapolis hub includes
stair deplaning procedures. And at DTW that Sunday, Spirit
Airlines did in fact safely deplane passengers using the
integrated stairs on one of its DC-9 aircraft, which are
similar to the DC-9s flown by NWA. That deplaning occurred in
Spirits hangar, with passengers being taken into
waiting rental car company buses and then to the terminal.
Spirit indicated that while its hangar offered its passengers
some protection from the elements, the passengers were still
exposed to the cold. Stranded NWA passengers who were later
interviewed almost unanimously indicated that they would have
preferred deplaning by remote stairs, and many urged NWA to
formulate a plan to do so should similar circumstances arise
in the future.
While NWAs hangars were not available for deplaning
because they were filled with aircraft, NWA did not consider
all of its stair deplaning options. NWA could have worked
with WCDA to identify and, if necessary, plow and de-ice a
relatively protected area of the airport to deplane
passengers, such as an area near a gate or other structure.
With respect to its aircraft lacking integrated stairs, NWA
understandably rejected the use of relatively unstable
maintenance stairs, the only type of mobile stairs they
owned, but apparently did not consider borrowing the
appropriate mobile passenger stairs from another airline. It
is possible that even if NWA had considered these options, it
still would have rejected stair deplaning. However, these
options should have been considered, at least as a last
resort for deplaning passengers that had been subject to the
longest ground delays.
- Remote catering and lavatory servicing. Remote
catering of aircraft on Sunday ran the risk of damaging
aircraft given that the drivers for catering contractors
are not necessarily trained to service aircraft parked on
potentially icy areas of the airport. However, as was the
case with remote deplaning, NWA could have worked with
WCDA to plow and de-ice areas near the aircraft to allow
safe remote catering. (If an area were safe enough to
perform catering, however, then stair deplaning would
likely also have been possible and might have been the
preferred option.) NWA was able to service lavatories on
three aircraft in an area near US Airways gates. It
had to cease this operation when US Airways indicated
that it was blocking access of its aircraft to its gates.
NWAs ability to perform limited remote lavatory
servicing suggests that with proper planning, a greater
number of such operations could have been performed if
necessary.
- Baggage problems. An examination of the problems
NWA had in delivering checked baggage to its passengers
who arrived at DTW on Sunday was beyond the scope of this
report. It should be noted, however, that almost every
passenger interviewed had major complaints about
NWAs handling of their baggage. Most of these
passengers did not see their baggage for days, and some
did not for weeks. Most found it difficult or impossible
to obtain information about their baggage from NWA, and
many who did receive information found that it was
incorrect.
Report on
the January 1999 Detroit Snowstorm
Part I ~ Part II ~ Part III ~ Appendices ~ Table of Contents