Saturday, January 11, 2003 - Page updated at 12:00 AM
Excerpts from Goglia's NTSB statement
Here is a portion of the statement on the Alaska Flight 261 crash written by National Transportation Safety Board member John Goglia and concurred in by NTSB acting Chairwoman Carol Carmody and members John Hammerschmidt and George Black.
"Let me reiterate, aircraft must be maintained with care and at all cost. Alaska Airlines expanded rapidly in the years before this accident. With the goal of becoming more profitable, as they became bigger and busier the pressures to keep their planes on schedule put increasing stress on their maintenance facilities. And this took its toll. The Federal Aviation Administration seemed to know this, but was nowhere effective in preventing the tragic chain of events. So N963AS (the plane that crashed) began its fateful path in a C-check years (sic) before falling to the ocean. Its maintainers found a jackscrew that needed to be pulled, but no spare was found and, as the part was arguably acceptable, they pushed the plane back into service, with no watch list, no trailers, or orders to keep track of its condition. There were no specific procedures to do so, and no one thought enough to ask for one. The aircraft was arguably, that is technically, legal, and it was probably safe, if it was carefully greased. It was not, we know that without question. And the lengthened inspection intervals were such that it was not to be looked at again, until it was in our laboratory. When it finally failed, ground support from Alaska Airlines seemed to encourage the crew to proceed with a broken plane on to their scheduled destination, for reasons perhaps of convenience both to passengers and maintenance — we won't really ever know. But the impression is inescapable. An aircraft that had been hustled out the door three years earlier for the convenience of scheduling was now encouraged to keep to its appointed routing. It is less coincidence than culture.
"NTSB has made several specific maintenance recommendations, some already accomplished, that will, if followed, prevent the recurrence of this particular accident. But maintenance, poorly done, will find a way to bite somewhere else. Alaska needs to re-constitute its will to performance and perfection on the shop floor. FAA needs to revitalize its Alaska staff and become more intelligent about its efforts to oversee. And if, while all this goes on, the manufacturers can also add greater margins for error, that is icing on the cake. I am interested to see what system enhancements come from this, but I am still left with a mechanic's perspective — you either maintain it or it breaks. This is universally applicable. Like the old adage says, 'you schedule maintenance, or the maintenance will schedule you.' "
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