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Safety Recommendation Details

Safety Recommendation A-78-039
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: THE NTSB RECOMMENDS THAT THE FEDERAL AVIATION ADMINISTRATION: REVIEW THE FLIGHT OPERATIONS AND TRAINING MANUALS OF ALL COMMUTER AIRLINES TO INSURE THAT THE REQUIREMENTS OF 14 CFR 135 ARE MET AND PRACTICED.
Original recommendation transmittal letter: PDF
Overall Status: Closed - Acceptable Action
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 - Acceptable Action)
Keyword(s): Oversight, Training and Education

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

From: NTSB
To: FAA
Date: 6/11/1987
Response: The faa's response of 6/25/80, indicated that all flight operations and training manuals were reviewed during the air taxi certification which was completed 12/1/79. This recommendation is therefore classified as closed--acceptable action.

From: FAA
To: NTSB
Date: 6/25/1980
Response: FAA LETTER: ALL FLIGHT OPERATIONS AND TRAINING MANUALS WERE REVIEWED DURING THE AIR TAXI RECERTIFICATION WHICH WAS COMPLETED DECEMBER 1, 1979.

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-78-38 and 39 will be presented to the safety board for closing action based on your prompt and constructive action. Although these two recommendations have been kept open by the board, faa feels that actions taken to date do, in fact, justify closing actions as suggested by chairman king.

From: FAA
To: NTSB
Date: 7/6/1978
Response: FAA LTR: FLIGHT OPERATIONS AND TRAINING MANUALS OF ALL AIR TAXI CERTIFICATE HOLDERS ARE REVIEWED PERIODICALLY TO DETERMINE COMPLIANCE WITH APPLICABLE FEDERAL AVIATION REGULATIONS.