Skip Ribbon Commands
Skip to main content
Safety Recommendation Details

Safety Recommendation A-90-139
Details
Synopsis: ON OCTOBER 28, 1989, ABOUT 1837 HAWAIIAN STANDARD TIME, ALOHA ISLANDAIR, FLIGHT 1712, A DE HAVILLAND DHC-6-300, TWIN OTTER, N707PV, COLLIDED WITH MOUNTAINOUS TERRAIN WHILE EN ROUTE ON A SCHEDULED PASSENGER FLIGHT FROM THE KAHULUI AIR PORT, MAUI, HAWAII TO KAUNAKAKAI AIRPORT, MOLOKAI, HAWAII. THE FLIGHT WAS CONDUCTED UNDER VISUAL FLIGHT RULES (VFR) AND UNDER THE PROVISIONS OF 14 CFR PART 135.
Recommendation: THE NTSB RECOMMENDS THAT THE FEDERAL AVIATION ADMINISTRATION: REQUIRE THE HONOLULU FLIGHT STANDARDS DISTRICT OFFICE (FSDO-13) TO DISTRIBUTE A BULLETIN TO GENERAL AVIATION OPERATORS (14 CFR PART 91) OF THE FACTS AND CIRCUMSTANCES OF THIS ACCIDENT AND ENCOURAGE THOSE OPERATORS TO USE IFR SERVICES OR RADAR FLIGHT FOLLOWING DURING PERIODS OF DARKNESS AND MARGINAL VFR WEATHER.
Original recommendation transmittal letter: PDF
Overall Status: Closed - Acceptable Action
Mode: Aviation
Location: HALAWA,MOLOKAI, HI, United States
Is Reiterated: No
Is Hazmat: No
Is NPRM: No
Accident #: DCA90MA005
Accident Reports: Aloha IslandAir, Inc., Flight 1712 DeHavilland Twin Otter, DHC-6-300, N707PV
Report #: AAR-90-05
Accident Date: 10/28/1989
Issue Date: 11/21/1990
Date Closed: 10/21/1992
Addressee(s) and Addressee Status: FAA (Closed - Acceptable Action)
Keyword(s): Air Traffic Control, General Aviation

Safety Recommendation History
From: NTSB
To: FAA
Date: 10/21/1992
Response: THE BOARD NOTES THAT FSDO-13'S ACCIDENT PREVENTION PROGRAM MANAGER HAS CONDUCTED 26 SAFETY SEMINARS THROUGHOUT HAWAII TO DISCUSS THE CAUSAL FACTORS RELATED TO THIS ACCIDENT, & THAT ON 11/18/91, THE FAA ISSUED HANDBOOK BULLETIN NO. GA-91-14, OPERATOR ENCOURAGEMENT TO USE ATC RADAR SERVICES DURING NIGHT VFR OPERATIONS. BASED ON THIS INFORMATION, THE BOARD CLASSIFIES RECOMMENDATION A-90-139 AS "CLOSED--ACCEPTABLE ACTION."

From: FAA
To: NTSB
Date: 8/4/1992
Response: THE FAA AGREES WITH THIS SAFETY RECOMMENDATION. THE HONOLULU FLIGHT STANDARDS DISTRICT OFFICE'S ACCIDENT PREVENTION PROGRAM MANAGER HAS CONDUCTED 26 SAFETY SEMINARS THROUGHOUT HAWAII TO DISCUSS THE CASUAL FACTORS RELATED TO THE ACCIDENT. THROUGH A SERIES OF ACCIDENT PREVENTION NEWSLETTERS, THE FAA HAS PUBLISHED INFORMATION REGARDING NIGHT FLIGHT OPERATIONS CONDUCTED OVER WATER UNDER VFR NEAR MOUNTAINOUS TERRAIN AND HAS DISSEMINATED THESE NEWSLETTERS TO AIRMEN IN HAWAII. ADDITIONALLY, ON NOVEMBER 18, 1991, THE FAA ISSUED HANDBOOK BULLETIN NO. GA-91-14, OPERATORS ENCOURAGEMENT TO USE ATC RADAR SERVICES DURING NIGHT VFR OPERATIONS. THIS BULLETIN DIRECTS ALL AVIATION SAFETY INSPECTORS TO ENCOURAGE PILOTS TO USE AIR TRAFFIC CONTROL SERVICES DURING NIGHT VFR OPERATIONS AND/OR IN MARGINAL VFR CONDITIONS. THE FAA, THROUGH THE ACCIDENT PREVENTION PROGRAM, WILL CONTINUE TO EDUCATE AIRMEN ON THE ASSOCIATED HAZARDS OF SUCH OPERATIONS.

From: NTSB
To: FAA
Date: 5/22/1991
Response: Safety Recommendation A-90-139 recommends that the FAA require the Honolulu FSDO to distribute a bulletin to general aviation operators on the circumstances of this accident and encourage those operators to use IFR services or radar flight following during periods of darkness and marginal visual flight rules (VFR) weather. The Safety Board notes that the FAA agrees with this safety recommendation and that it will take steps to implement it. Pending further information, Safety Recommendation A-90-139 is classified as "Open--Acceptable Response."

From: FAA
To: NTSB
Date: 2/8/1991
Response: THE FAA AGREES WITH THIS SAFETY RECOMMENDATION AND WILL DISSEMINATE INFORMATION ABOUT THE FACTS AND CIRCUMSTANCES SURROUNDING THIS ACCIDENT TO PILOTS IN THE HONOLULU AREA THROUGH THE ACCIDENT PREVENTION PROGRAM AND INCLUDE THIS INFORMATION IN FAA ORDER 8700.1, GENERAL AVIATION OPERATIONS INSPECTOR'S HANDBOOK. THE FAA WILL ALSO INSTRUCT ITS INSPECTORS TO ENCOURAGE PILOTS OPERATING IN ACCORDANCE WITH VFR RULES UNDER 14 CFR PART 91 TO AVAIL THEMSELVES WHENEVER POSSIBLE AND PRACTICAL OF THE AIR TRAFFIC CONTROL SERVICES.