By relegating pilot actions to factor status and minimizing management’s role, the board purposefully deemphasized decision-making’s impact on flight safety.
PenAir flight 3296 crashed near the airport on landing Thursday, Oct. 17, 2019, in Unalaska, Alaska. on the 2019 accident involving PenAir flight 3296, in a Saab 2000 aircraft, at Dutch Harbor airport in Alaska. This was the second fatality accident of a large passenger air carrier in the U.S. in a decade. The board assigned probable cause to the manufacturer’s mis-wiring during overhaul of the left main landing gear two years previously.
PenAir brought the Saab 2000s on line in 2016 with a 300-hour minimum for captains at three airports, including Dutch Harbor, due to “special requirements” such as mountainous terrain. The minimums remained in the general operating manual, or GOM, after the sale to Ravn, with no exceptions. FAA personnel charged with oversight of PenAir professed satisfaction with the company but, after the accident, its principal operations inspector told investigators the captain’s approval process for special operations was not followed. In its report, the NTSB noted pilot safety concerns and concluded FAA oversight was insufficient.Dutch Harbor has an automated weather system and onsite weather observer with 18 years of experience who provides updates from anemometers.
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