N686PA

Substantial
Fatal

Saab 2000S/N: 2000-017

Accident Details

Date
Friday, October 18, 2019
NTSB Number
DCA20MA002
Location
Unalaska, AK
Event ID
20191018X02019
Coordinates
53.898334, -166.544170
Aircraft Damage
Substantial
Highest Injury
Fatal
Fatalities
1
Serious Injuries
1
Minor Injuries
3
Uninjured
37
Total Aboard
42

Probable Cause and Findings

The landing gear manufacturer’s incorrect wiring of the wheel speed transducer harnesses on the left main landing gear during overhaul. The incorrect wiring caused the antiskid system not to function as intended, resulting in the failure of the left outboard tire and a significant loss of the airplane’s braking ability, which led to the runway overrun. Contributing to the accident were (1) Saab’s design of the wheel speed transducer wire harnesses, which did not consider and protect against human error during maintenance; (2) the Federal Aviation Administration’s lack of consideration of the runway safety area dimensions at Unalaska Airport during the authorization process that allowed the Saab 2000 to operate at the airport; and (3) the flight crewmembers’ inappropriate decision, due to their plan continuation bias, to land on a runway with a reported tailwind that exceeded the airplane manufacturer’s limit. The safety margin was further reduced because of PenAir’s failure to correctly apply its company-designated pilot-in-command airport qualification policy, which allowed the accident captain to operate at one of the most challenging airports in PenAir’s route system with limited experience at the airport and in the Saab 2000 airplane.

Aircraft Information

Registration
N686PA
Make
SAAB
Serial Number
2000-017
Engine Type
Turbo-shaft
Year Built
1995
Model / ICAO
2000SB20
Aircraft Type
Fixed Wing Multi Engine
No. of Engines
2

Registered Owner (Historical)

Name
WELLS FARGO TRUST CO NA TRUSTEE
Address
MAC U1228-051
299 S MAIN ST FL 5
Status
Deregistered
City
SALT LAKE CITY
State / Zip Code
UT 84111-2689
Country
United States

Analysis

On October 17, 2019, about 1740 Alaska daylight time, PenAir flight 3296, a Saab 2000, N686PA, overran the runway while landing at the Thomas Madsen Airport (PADU), Unalaska, Alaska. The airplane passed through the airport perimeter fence, crossed a road, and came to rest on shoreline rocks. Of the 42 passengers and crewmembers on board, 1 passenger was fatally injured, and several other passengers sustained serious or minor injuries. The airplane received substantial damage. The regularly scheduled domestic passenger flight was operating under the provisions of 14 Code of Federal Regulations Part 121 from Ted Stevens International Airport (KANC), Anchorage, Alaska, to PADU.

Data Source

Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# DCA20MA002