German plane at wrong altitude at time of crash, Air Force says
WASHINGTON - March 31, 1998 09:43 a.m. EST - A German military
transport was flying at the wrong altitude when it collided with a
U.S. Air Force C-141 off Africa last year, killing all 33 people
aboard the two planes, a U.S. probe released Tuesday found.
The six month air force investigation also concluded that poor
management of air traffic through Angolan airspace was a "substant-
ially contributing factor" in the Sept. 13 disaster.
The German Tupolev 154 carrying 22 people was flying to Windhoek,
Namibia from Niamey, Niger at an altitude of 35,000 feet when it
collided with the C-141, which was heading from Windhoek to the
Azores with a nine-member crew.
"The primary cause of this accident, in my opinion, was GAF 074
(the call sign of the German plane) flying a cruise level (FL 35O)
which was not the level that they had filed for (FL 390)," Colonel
William Schell, the chief of the investigating board said in his
report. FL 350 refers to flight level 35,000 feet and FL 390 to
flight level 39,000 feet.
Moreover, the flight levels filed for the German plane were in-
correct under international Civil Aviation Organization regulations,
the report found.
The Luanda air traffic controllers had all the pertinent infor-
mation they needed to provide critical advisories to both aircraft,
the report said, but apparently failed to act on it.
The "complicated and sporadic operation" of the aeronautics
telecommunications network linking the air traffic controllers was
another "substantially contributing factor" in the disaster, the
report said.
"Routing of messages to affected air traffic control agencies is
not direct and is convoluted, creating unnecessary delays and
unfortunate misroutings," the report said.
"Specifically, ATC (air traffic control) agency - Windhoek did
not receive a flight plan or a departure message on GAF 074 (the
German plane), which could have been used by the controllers to
identify the conflict so they could have advised REACH 4201 (the
U.S. plane)," the report said.
Having received neither a flight plan nor a departure message
for the German aircraft, Windhoek air traffic controllers were un-
aware the plane was approaching as the C-141 was heading north, the
report said.
Luanda air traffic control, which recieved flight plans for both
aircraft but a departure message only for the U.S. plane, was in
radio contact with the German plane but not in radio contact with
the U.S. plane, the report said.
"If ATC agency-Luanda was unable to contact GAF 074, it should
have used other communication means (HF radio, telefax or telephone)
to contact REACH 4201 through ATC agency-Windhoek, as outlined in
governing documents," the report said.
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Study finds FAA doesn't punish violators
WASHINGTON - March 31, 1998 10:25 a.m. EST -- Federal Aviation
Administration inspectors often find airline safety and airport
security violations in the course of their work, but seldom write up
or punish the violators, a new government review has found.
The General Accounting Office, in a report to Congress, said
interviews conducted during its review found some inspectors who
complained that they were so inundated with paperwork or second-
guessing that they did not write up the violations they discovered.
In nearly 96 percent of the 2 million inspections from 1990
through 1996, there were no reports of problems or violations.
Coming after criticism of FAA policies following the 1996 Valu-
Jet crash in Florida and the explosion of TWA Flight 800 two months
later, "GAO questions whether this rate (of finding violations) is
a meaningful measure of the aviation industry's compliance with
regulations," the auditors wrote.
Sen. John McCain, R-Ariz., who requested the report along with
Sen. Slade Gorton, R-Wash., said Monday: "I am very concerned that
once again the FAA has fallen short by not fully utilizing its cap-
abilities to help determine potential aviation safety and security
problems."
The FAA refused immediate comment, saying it not had a chance to
review the final report.
In a response included in the report, the FAA said it does not
have adequate legal resources to litigate all the violations it
unearths. In addition, the agency said it has sought to work cooper-
atively with airlines to correct problems rather than respond
punitively.
The FAA is the government entity charged with operating and en-
suring the safety of the nation's aviation system. It has been crit-
icized over the years for lax management and coziness with the
airlines it regulates.
The agency's new administrator, Jane Garvey, has pledged better
results and is about to unveil a set of safety priorities that will
guide the FAA's operation in coming years.
The FAA has a 3,000-member inspection staff spread over five
program offices, with a total budget of $535 million. The GAO re-
viewed the Flight Standards Service, which is primarily charged
with aviation safety, and the Office of Civil Aviation Security,
charged with flight security.
Overall, during the government fiscal years of 1990 through
1996, the GAO found, some 96 percent of Flight Standards'
inspections and 91 percent of Security's inspections resulted
in no reports of problems or violations.
But follow-up interviews with 600 safety inspectors and 175
security special agents found that 35 percent of the Flight Safety
inspectors, and 32 percent of the Security inspectors, said that
they reported half or fewer of the problems or violations they
observed.
To correct the deficiencies, the GAO suggested that FAA in-
spectors report all observed problems or violations, start disting-
uishing between major and minor violations, and integrate their
enforcement and inspection databases to better identify major
violators.
--- DB 1.39/004487
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