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Safety Recommendation Details

Safety Recommendation A-17-038
Details
Synopsis: On June 25, 2015, about 1215 Alaska daylight time, a single-engine, turbine-powered, float-equipped de Havilland DHC-3 (Otter) airplane, N270PA, collided with mountainous, tree-covered terrain about 24 miles east-northeast of Ketchikan, Alaska. The commercial pilot and eight passengers sustained fatal injuries, and the airplane was destroyed. The airplane was owned by Pantechnicon Aviation, of Minden, Nevada, and operated by Promech Air, Inc., of Ketchikan. The flight was conducted under the provisions of 14 Code of Federal Regulations (CFR) Part 135 as an on-demand sightseeing flight; a company visual flight rules flight plan (by which the company performed its own flight-following) was in effect. Marginal visual flight rules conditions were reported in the area at the time of the accident. The flight departed about 1207 from Rudyerd Bay about 44 miles east-northeast of Ketchikan and was en route to the operator’s base at the Ketchikan Harbor Seaplane Base, Ketchikan.
Recommendation: TO THE FEDERAL AVIATION ADMINISTRATION: Expand the application of Federal Aviation Administration Order 8900.1, volume 3, chapter 19, section 6, “Safety Assurance System: Flight Training Curriculum Segments,” paragraphs 3-1251(B) and 3-1252, which address controlled flight into terrain-avoidance training programs for 14 Code of Federal Regulations (CFR) Part 135 helicopter operations, to all 14 CFR Part 135 operations.
Original recommendation transmittal letter: PDF
Overall Status: Open - Acceptable Response
Mode: Aviation
Location: Ketchikan, AK, United States
Is Reiterated: Yes
Is Hazmat: No
Is NPRM: No
Accident #: ANC15MA041
Accident Reports: Collision with Terrain Promech Air, Inc. de Havilland DHC-3, N270PA, Ketchikan, Alaska, June 25, 2015
Report #: AAR-17-02
Accident Date: 6/25/2015
Issue Date: 5/9/2017
Date Closed:
Addressee(s) and Addressee Status: FAA (Open - Acceptable Response)
Keyword(s):

Safety Recommendation History
From: NTSB
To: FAA
Date: 4/26/2018
Response: The following is from the NTSB Aviation Accident Report “Collision with Terrain Hageland Aviation Services, Inc. dba Ravn Connect Flight 3153 Cessna 208B, N208SD, Togiak, Alaska October 2, 2016.” Report number AAR-18-02. Adopted on April 17, 2018 and published on April 26, 2018. As a result of the NTSB’s investigation of the Promech CFIT accident and others involving fixed-wing aircraft (including the 2013 CFIT accident involving a Cessna 208B operated by Hageland), on May 9, 2017, the NTSB issued Safety Recommendation A-17-38 to the FAA to Expand the application of Federal Aviation Administration Order 8900.1, volume 3, chapter 19, section 6, “Safety Assurance System: Flight Training Curriculum Segments,” paragraphs 3-1251(B) and 3-1252, which address [CFIT]-avoidance training programs for...Part 135 helicopter operations, to all…Part 135 operations. On July 21, 2017, the FAA replied that it agreed that guidance for terrain avoidance can be expanded to include fixed-wing operations and that it was evaluating its guidance, regulations, and policy to determine potential options to satisfy the safety recommendation. On October 26, 2017, pending responsive action from the FAA to implement recommended changes, the NTSB classified Safety Recommendation A-17-38 “Open—Acceptable Response.” Due to its relevance to the circumstances of this accident, the NTSB reiterates Safety Recommendation A-17-38.

From: NTSB
To: FAA
Date: 10/26/2017
Response: You indicated that the guidance for terrain avoidance can be expanded to include fixed wing operations and to emphasize the importance of operational control. We note, however, that because this would be an operational change, you must first evaluate the existing guidance, regulations, and policy for Part 135 operators to determine if there are any alternative solutions that would satisfy these recommendations. Pending our review of the results of your evaluation, and a plan for establishing the recommended training requirements and incorporating the recommended changes into Order 8900.1, Safety Recommendations A-17-38, -39, and -41 are classified OPEN--ACCEPTABLE RESPONSE.

From: FAA
To: NTSB
Date: 7/21/2017
Response: -From Michael P. Huerta, Administrator: The FAA agrees that guidance for terrain avoidance can be expanded to include fixed-wing operations and to emphasize the importance of operational control. However, because this operational control change would require rulemaking, we intend to evaluate our current guidance, regulations, and policy, for part 135 operators to determine potential options to satisfy these safety recommendations.

From: NTSB
To: FAA
Date: 5/9/2017
Response: On April 25, 2017, the National Transportation Safety Board (NTSB) adopted its report concerning the June 25, 2015, accident in which a single-engine, turbine-powered, float-equipped de Havilland DHC-3 (Otter) airplane, N270PA, collided with mountainous, tree-covered terrain about 24 miles east-northeast of Ketchikan, Alaska.1 Additional information about this accident and the resulting recommendations may be found in the report of the investigation, which can be accessed at our website, http://www.ntsb.gov, under report number NTSB/AAR-17/02. As a result of this investigation, we issued 10 new recommendations, including 1 to the Cruise Lines International Association and the following 9 recommendations to the Federal Aviation Administration.