NTSB issues scathing final report on Flight 261 crash

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NTSB issues scathing final report on Flight 261 crash

SEATTLE (AP) =97 The National Transportation Safety Board's final report on=
=20
Alaska Airlines Flight 261 says safety breakdowns that led to the deadly=20
crash were "less coincidence than culture." Alaska needs to reconstitute=20
its will to performance and perfection on the shop floor," board member=20
John Goglia wrote in a 235-page report detailing findings the board=20
approved during a public hearing last month. A separate statement=20
recommends that the Federal Aviation Administration consider taking a new=20
look at Alaska because of continuing concerns about its maintenance=20
programs.  All 88 passengers and crew on the MD-83 were killed Jan. 31,=20
2000, when the plane plunged into the Pacific off Southern California. At=20
the December hearings in Washington, D.C., the NTSB announced its finding=20
that shoddy maintenance by the Seattle-based airline was the reason for a=20
lack of grease, excessive wear and eventual failure of the jet's jackscrew=
=20
=97 a tail component that helps move the plane's stabilizer and sets the=20
angle of flight.

The board also criticized FAA oversight of Alaska, saying the agency should=
=20
do a better job monitoring airline maintenance and inspections. In December=
=20
2001, federal prosecutors in San Francisco announced they had not found=20
evidence of criminal wrongdoing in the crash. The prosecutors now plan to=20
closely review the NTSB report to see if their own investigation should be=
=20
reopened, The Seattle Times reported Saturday, citing unnamed=20
law-enforcement officials. Family members of those killed in the crash are=
=20
pressing prosecutors to reopen the case. Alaska did not respond to The=20
Times' request for comment on the final report, issued Friday. On Saturday,=
=20
airline spokesman Jack Evans told The Associated Press the company stands=20
by earlier statements that it has overhauled its maintenance operations=20
since the crash, and they are now among the best in the industry.
In its final report, issued Friday, the safety board said it still=20
questions the "depth and effectiveness" of Alaska's actions to correct=20
maintenance problems since the Flight 261 crash and "remains concerned=20
about the overall adequacy of Alaska Airlines' maintenance program."

"There needs to be an assurance that Alaska Airlines has permanently=20
remedied the recurring maintenance problems we have documented in our=20
exhaustive investigation," wrote Carol Carmody, NTSB chairwoman. "The=20
public expects and deserves no less." Her statement goes on to say the FAA=
=20
"should not have to be coaxed by the NTSB into being more proactive, and I=
=20
hope we have not served to perpetuate any problems at Alaska Airlines that=
=20
the recommended inspection was intended to identify and correct." The board=
=20
criticized the FAA for allowing Alaska to extend maintenance intervals for=
=20
lubricating and checking wear on the jackscrew assembly without proper=20
analysis, even as the carrier increased its flight hours. The component=20
that failed is a 2-foot-long, 1-1/2 inch-diameter threaded shaft that moves=
=20
up and down, raising and lowering the leading edge of the horizontal=20
stabilizer, the winglike structure on the tail that controls the plane's=
 pitch.

Investigators did not find any grease in the jackscrew's acme nut or on=20
working areas of the screw itself. The board said interviews with the=20
Alaska mechanic who performed the last lubrication before the crash, in=20
September 1999, "revealed his lack of knowledge about how to properly=20
perform the procedure." The last major maintenance check of the plane was=20
in September 1997, according to Goglia. During that check, a senior Alaska=
=20
mechanic determined the jackscrew should be replaced because it had reached=
=20
the highest limit of allowable wear, though automatic replacement was not=20
required. Other mechanics, facing a deadline to complete the check,=20
performed a new wear test and concluded the part was within its wear limit.=
=20
Alaska didn't have another jackscrew in stock at the time and never ordered=
=20
one in response to the original replacement request.



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