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Safety Recommendation Details

Safety Recommendation A-78-037
Details
Synopsis: ON SEPTEMBER 6, 1977, ALASKA AERONAUTICAL INDUSTRIES FLIGHT 30, A DHC-6-200, CRASHED INTO MOUNT ILIAMNA WHEN THE AIRCRAFT STRAYED OFF COURSE EN ROUTE FROM ILIAMNA, ALASKA, TO ANCHORAGE. THE 11 PASSENGERS AND 2 CREWMEMBERS DIED IN THE ACCIDENT. THE NATIONAL TRANSPORTATION SAFETY BOARD'S INVESTIGATION REVEALED POOR OPERATIONAL PRACTICES, POOR MAINTENANCE PRACTICES, AND INADEQUATE TRAINING PRACTICES BY THE OPERATOR, AND INADEQUATE SURVEILLANCE OF THE OPERATOR BY THE FEDERAL AVIATION ADMINISTRATION. ALASKA AERONAUTICAL INDUSTRIES IS THE 12TH LARGEST COMMUTER AIRLINE IN THE NATION AND TRANSPORTS MORE THAN 150,000 PASSENGERS EACH YEAR. AS SUCH, THE SAFETY BOARD BELIEVES THAT THE COMPANY'S OPERATING PROCEDURES MUST PROVIDE A HIGH LEVEL OF SAFETY TO THE PUBLIC, AND THAT FAA'S SURVEILLANCE MUST INSURE THAT ADEQUATE STANDARDS ARE MAINTAINED.
Recommendation: TO THE FEDERAL AVIATION ADMINISTRATION: TO THE FEDERAL AVIATION ADMINISTRATION: Revise the surveillance requirements of commuter airlines by FAA inspectors to provide more stringent monitoring. (Superseded by A-86-110)
Original recommendation transmittal letter: PDF
Overall Status: Closed - Superseded
Mode: Aviation
Location: Iliamna, AK, United States
Is Reiterated: Yes
Is Hazmat: No
Is NPRM: No
Accident #: DCA77AA026
Accident Reports: Alaska Aeronautical Industries, Inc. DeHavilland DHC-6-200, N563MA
Report #: AAR-78-05
Accident Date: 9/6/1977
Issue Date: 5/4/1978
Date Closed: 6/11/1987
Addressee(s) and Addressee Status: FAA (Closed - Superseded)
Keyword(s):

Safety Recommendation History
From: FAA
To: NTSB
Date: 6/11/1987
Response:

From: NTSB
To: FAA
Date: 6/11/1987
Response: On 4/25/79, the faa issued notice n8000.176 providing for increased surveillance for operators under new part 135. Subsequently, on 5/30/80, the faa issued notice n8000.298, extending the provisions of the earlier notice. Although these actions, together with the revised part 135, effective 12/1/78, were responsive to this recommendation, we maintained the recommendation in an open status because of the recurrence of commuter aircraft accidents where the adequacy of faa surveillance came into question. However, as a result of the following accidents: (1) bar harbor airlines flight 1808, beech b-99, n300wp, auburn-lewiston airport, me, 8/25/85; (2) henson airlines flight 1517, beech b-99, n339ha, shenandoah valley airport, grottoes, va, 9/23/85; and (3) simmons airlines flight 1746, emb110p1, alpena, mi, 3/13/86; the board on 10/9/86 issued safety recommenda- tions a-86-110 and -111. These subsequent recommendations also address theissue of faa surveillance. Consequently, safety recommendation a-78-37 is now classified as closed--superseded. A-78-37 is superseded by A-86-110.

From: FAA
To: NTSB
Date: 6/25/1980
Response: FAA LETTER: ON APRIL 25, 1979, THE FAA ISSUED NOTICE N8000.176, INCREASED SURVEILLANCE FOR OPERATORS UNDER NEW PART 135. THIS DOCUMENT PUT IN PLACE A COMPREHENSIVE SERIES OF STEPS CALLING FOR INCREASED SURVEILLANCE AND OTHER STEPS FOR OPERATIONS UNDER NEW PART 135. SPOT INSPECTIONS OF ALL PART 135 OPERATORS ARE INCLUDED IN THE PROGRAM AND THE OBJECTIVES ARE TO REDUCE COMMUTER ACCIDENTS AND INCREASE OPERATOR AWARENESS OF THE STRINGENT NEW REQUIREMENTS OF PART 135. ON MAY 30, 1980, THE FAA ISSUED NOTICE N8000.198, WHICH EXTENDS THE PROVISIONS OF NOTICE N8000.176 UNTIL DECEMBER 1, 1980. THIS NEW NOTICE PROVIDES FOR INCREASED SURVEILLANCE FOR AT LEAST 1 YEAR OF OPERATIONS UNDER REVISED PART 135.

From: NTSB
To: FAA
Date: 9/6/1979
Response: From the accident report of Universal Airways, Inc. Beech 70, Excaliber Conversion, N777AE in Gulfport, Mississippi on March 1, 1979. The Board adopted this report on 9/6/1979. As a result of this investigation, the Safety Board reiterates Safety Recommendations A-78-37 and -38, issued to the Federal Aviation Administration on May 17, 1978.`

From: FAA
To: NTSB
Date: 7/23/1979
Response: FAA LTR: NOTICE N8000.176, "INCREASED SURVEILLANCE FOR OPERATORS UNDER PART 135," WAS ISSUED APRIL 25, 1979. THIS NOTICE DIRECTS INCREASED SURVEILLANCE OF SCHEDULED AIR TAXI OPERATORS COMPLYING WITH THE NEW PART 135 AND PRESCRIBES ADDITIONAL ACTIONS WHICH EMPHASIZE THE HIGHER LEVEL OF SAFETY REQUIRED IN PART 135 OPERATIONS.

From: NTSB
To: FAA
Date: 6/28/1979
Response: From the accident report of Antilles Air Boats, Inc. Grumman G21A, N7777V St. Thomas Virgin Islands on September 2, 1978. The Board issued this report on 6/28/1979. On May 17, 1978, the Safety Board issued Safety Recommendations A-78-37 through -41 in connection with a commuter airlines accident which occurred on September 6, 1977. The recommendations are applicable to this accident investigation; thus, the Safety Board reiterates that them to the Federal Aviation Administration.

From: NTSB
To: FAA
Date: 7/26/1978
Response: Ack. Receipt of faa ltr dtd 7/6/78. Recs. A-78-37, 40 and 41 will be evaluated after we examine the updated part 135, which we expect the faa to issue shortly.

From: FAA
To: NTSB
Date: 7/6/1978
Response: FAA LTR: THE FAA RECENTLY DEVELOPED A REGULATORY PROPOSAL (NPRM 77-17) TO UPDATE FAR PART 135, AIR TAXI OPERATORS AND COMMERCIAL OPERATORS OF SMALL AIRCRAFT, WHICH, WHEN ADOPTED, WILL PLACE ADDITIONAL OPERATING REQUIREMENTS ON COMMUTER AIRLINES. WE BELIEVE THE UPDATED PART 135 AND THE ONGOING AGENCY PROGRAM REVIEW WILL CONTINUE TO PROVIDE APPROPRIATE GUIDANCE FOR THE SURVEILLANCE OF COMMUTER AIRLINES BY FAA FIELD INSPECTORS.