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Safety Recommendation Details

Safety Recommendation A-78-040
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: AMEND 14 CFR 135.27 TO REQUIRE THAT FLIGHT OPERATIONS MANUALS SPECIFY: (1) THE DUTIES AND RESPONSIBILITIES OF KEY MANAGEMENT PERSONNEL, AND (2) POSITIVE MEANS TO INSURE THAT THE CONTROL OF FLIGHTS BY COMPANY MANAGEMENT AS WELL AS BY THE PILOTS.
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: 7/2/1979
Addressee(s) and Addressee Status: FAA (Closed - Acceptable Action)
Keyword(s):

Safety Recommendation History
From: NTSB
To: FAA
Date: 7/2/1979
Response: We note that in the revised part 135, section 135.23 prescribesthe manual content, section 135.37 specifies the management personnel required, section 135.37 specifies personnel qualifications and section 135.77 assigns responsibilities for operational control. We are satisfied that these revisions fulfill this recommendation, which is now classified as closed--acceptable action.

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: FAA
To: NTSB
Date: 7/6/1978
Response: FAA LTR: ADOPTION OF THE PROPOSED AMENDMENT (NPRM 77-17) TO FAR PART 135, WHICH CONTAINS REVISED REQUIREMENTS PERTAINING TO MANAGEMENT PERSONNEL AND THEIR RESPONSIBILITIES, WILL ACCOMPLISH THE SUBSTANCE OF THIS RECOMMENDATION. 12/29/78 - FAA LTR: SECTION 135.23 CONTAINS THE REQUIREMENTS FOR MANAGEMENT PERSONNEL DUTIES AND RESPONSIBILITIES. SECTION 135.77 ASSIGNS A RESPONSIBILITY FOR OPERATIONAL CONTROL.