13 May 2019: De Havilland DHC-2 — Mountain Air Service LLC

13 May 2019: De Havilland DHC-2 — Mountain Air Service LLC

6 fatalities • Ketchikan, AK, United States

Probable cause

The inherent limitations of the see-and-avoid concept, which prevented the two pilots from seeing the other airplane before the collision, and the absence of visual and aural alerts from both airplanes’ traffic display systems, while operating in a geographic area with a high concentration of air tour activity. Contributing to the accident were (1) the Federal Aviation Administration’s provision of new transceivers that lacked alerting capability to Capstone Program operators without adequately mitigating the increased risk associated with the consequent loss of the previously available alerting capability and (2) the absence of a requirement for airborne traffic advisory systems with aural alerting among operators who carry passengers for hire.

— NTSB Determination

Contributing factors

  • Pilot
  • Pilot of other aircraft
  • Central warning
  • FAA/Regulator
  • Design
  • FAA/Regulator
  • Effect on operation
  • Pilot
  • Pilot of other aircraft
  • Central warning
  • FAA/Regulator
  • Design
  • FAA/Regulator
  • Effect on operation
  • Incorrect use/operation
  • Operator
  • FAA/Regulator

Conditions

Weather
VMC, wind 130/11kt, vis 10sm

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