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Safety Recommendation Details

Safety Recommendation A-85-068
Details
Synopsis: ABOUT 1117:38 PACIFIC DAYLIGHT TIME, ON AUGUST 24, 1984, WINGS WEST AIRLINES, FLIGHT 628, A BEECH C99 (N6399U) AND AESTHETEC INC., ROCKWELL COMMANDER 112TC, N112SM, COLLIDED IN MIDAIR NEAR SAN LUIS OBISPO, CALIFORNIA. THE WEATHER AT THE TIME OF THE COLLISION WAS CLEAR. FLIGHT 628 HAD JUST DEPARTED SAN LUIS OBISPO COUNTY AIRPORT EN ROUTE TO SAN FRANCISCO INTERNATIONAL AIRPORT, CALIFORNIA, AND WAS CLIMBING ON A WESTBOUND HEADING. THE ROCKWELL COMMANDER HAD DEPARTED PASO ROBLES, CALIFORNIA, ON A TRAINING FLIGHT AND WAS DESCENDING TOWARD THE SAN LUIS OBISPO COUNTY AIRPORT ON AN EASTBOUND TRACK. THE AIRPLANES COLLIDED HEAD-ON AT AN ALTITUDE OF ABOUT 3,400 FEET. THE WRECKAGE OF BOTH AIRPLANES FELL INTO AN OPEN FIELD ABOUT 8 NMI WEST NORTHWEST OF THE SAN LUIS OBISPO COUNTY AIRPORT. ALL 17 PERSONS, INCLUDING THE 2 PILOTS AND 13 PASSENGERS ONBOARD FLIGHT 628 AND THE 2 PILOTS ONBOARD THE ROCKWELL, WERE KILLED.
Recommendation: THE NTSB RECOMMENDS THAT THE AIRCRAFT OWNERS AND PILOTS ASSOCIATION, THE PILOTS INTERNATIONAL ASSOCIATION, INC., THE HELICOPTER ASSOCIATION INTERNATIONAL, AND THE NATIONAL ASSOCIATION OF FLIGHT INSTRUCTORS: DISSEMINATE THE FACTS, CONDITIONS, AND CIRCUMSTANCES OF THE MIDAIR COLLISION AT THE SAN LUIS OBISPO COUNTY AIRPORT TO MEMBERS OF YOUR ORGANIZATION, URGING THEM TO ADHERE TO THE RECOMMENDED TRAFFIC ADVISORY PRACTICES AND THE PROCEDURES FOR THE CONDUCT OF A PRACTICE INSTRUMENT APPROACH AT UNCONTROLLED AIRPORTS IN THE AIRMAN'S INFORMATION MANUAL.
Original recommendation transmittal letter: PDF
Overall Status: Closed - Acceptable Action
Mode: Aviation
Location: SAN LUIS OBISPO, CA, United States
Is Reiterated: No
Is Hazmat: No
Is NPRM: No
Accident #: DCA84AA034AB
Accident Reports: Midair Collision of Wings West Airlines Beech C-99 (N6399U) and Aesthtec, Inc., Rockwell Commander 112TC N112SM
Report #: AAR-85-07
Accident Date: 8/24/1984
Issue Date: 9/20/1985
Date Closed: 8/1/1991
Addressee(s) and Addressee Status: Aircraft Owners and Pilots Association (Closed - Acceptable Action)
Helicopter Association International (Closed - Acceptable Action)
National Association of Flight Instructors (Closed - Acceptable Action)
Pilots International Association, Inc. (Closed - Acceptable Action)
Keyword(s):

Safety Recommendation History
From: NTSB
To: National Association of Flight Instructors
Date: 9/24/1987
Response:

From: National Association of Flight Instructors
To: NTSB
Date: 8/20/1987
Response: THE JULY/AUGUST 1987 EDITION OF THE NEWSLETTER WAS MAILED TO ALL MEMBERS OF THE NAFI ON AUGUST 12, 1987. I HANDCARRIED A COPY TO YOUR OFFICE ON AUGUST 18.

From: National Association of Flight Instructors
To: NTSB
Date: 11/17/1986
Response: DISSEMINATE THE FACTS, CONDITIONS, AND CIRCUMSTANCES OF THE MIDAIR COLLISION AT THE SAN LUIS OBISPO COUNTY AIRPORT TO MEMBERS OF YOUR ORGANIZATION, URGING THEM TO ADHERE TO THE RECOMMENDED TRAFFIC ADVISORY PRACTICES AND THE PROCEDURES FOR THE CONDUCT OF A PRATICE INSTRUMENT APPROACH AT UNCON TROLLED AIRPORTS IN THE AIRMEN'S INFORMATION MANUAL.

From: NTSB
To: National Association of Flight Instructors
Date: 11/17/1986
Response:

From: NTSB
To: Aircraft Owners and Pilots Association
Date: 2/18/1986
Response: The Safety Board is pleased with all of the actions taken by the Aircraft Owners and Pilots Association (AOPA) to inform its members of the importance of careful visual scanning and, specifically, the circumstances of the midair collision at San Luis Obispo. AOPA's action fully complies with the Safety Board's intent in issuing this recommendation. Safety Recommendation A-85-68 has been classified as CLOSED—ACCEPTABLE ACTION.

From: Aircraft Owners and Pilots Association
To: NTSB
Date: 11/12/1985
Response: ENCLOSED ARE SAMPLES OF THE INFORMATION AOPA HAS DISSEMINATED RECENTLY ON THIS ISSUE AS WELL AS THE RELATED NEED FOR CONTINUING EMPHASIS ON SEE-AND-AVOID PROCEDURES. THE FIRST ITEM FROM OUR MONTHLY MAGAZINE COLUMN, "SAFETY CORNER," SPECIFICALLY COVERS THE SAN LUIS OBISPO ACCIDENT AND USE OF THE CTAF. THE FINAL ENCLOSURE IS INCLUDED TO UPDATE YOU ON THE AOPA AIR SAFETY FOUNDATION COLLISION AVOIDANCE TRIANING PROGRAM "TAKE TWO AND SEE" REFERENCED BY THE BOARD IN PREVIOUS RECOMMENDATIONS.

From: NTSB
To: Helicopter Association International
Date: 8/1/1991
Response:

From: Helicopter Association International
To: NTSB
Date: 5/21/1991
Response: (SUMMARIZED) HAI HAS PUBLISHED THE FACTS, CONDITIONS, AND CIRCUMSTANCES SURROUNDING THE SAN LUIS OBISPO ACCIDENT, NOT ONLY TO ITS MEMBERS, BUT TO THE LARGER HELICOPTER AUDIENCE WHICH IS REACHED THROUGH ROTOR MAGAZINE. THEY HAVE INCLUDED SEVERAL ARTICLES WHICH REVIEW ONGOING PROBLEMS AT UNCONTROLLED AIRPORTS AND HELIPORTS, AND PROPOSED IMPROVEMENTS WHICH ARE NEEDED TO MAKE THE UNICOM/CTAF SELF-ANNOUNCE PROCEDURES A MORE VIABLE AND EFFECTIVE PROGRAM.

From: NTSB
To: Helicopter Association International
Date: 12/29/1989
Response:

From: Helicopter Association International
To: NTSB
Date: 7/1/1987
Response: A RESPONSE HAS NOT BEEN RECIEVED FROM EITHER OF THESE ORGANIZATIONS.

From: NTSB
To: Helicopter Association International
Date: 7/1/1987
Response:

From: NTSB
To: Pilots International Association, Inc.
Date: 8/19/1987
Response:

From: Pilots International Association, Inc.
To: NTSB
Date: 7/9/1987
Response: UPON EXAMINING OUR BACK FILES, I FOUND THAT PIA DID PUBLISH THE SAFETY RECOMMENDATION INFORMATION IN OUR WINTER, 1986 ISSUE OF FLIGHT LINE.

From: NTSB
To: Pilots International Association, Inc.
Date: 7/1/1987
Response: