Narrative:Downeast Airlines Flight 46 departed Boston with a 65-minute delay due to adverse weather encountered on an earlier flight leg that day. Around 20:30 the crew requested weather information for Rockland and 3 alternate airports. Weather at Rockland was indefinite ceiling, 300 feet, sky obscured, visibility 3/4 mile in fog; wind light and variable - conditions deteriorating. Navy Brunswick Approach Control then cleared the flight to descend to 3000 feet at captain's discretion. At 20:42 the flight was cleared to cruise at 3000 feet for a Richmond runway 03 approach. Last radio transmission was when the crew reported inbound from the Sprucehead NDB. The Twin Otter struck trees 80 feet above the ground with its left wing and continued striking trees before coming to rest 1,2 miles SSW of the runway 03 threshold, 340 feet from initial impact. The aircraft fuselage came to rest on its left side with the forward 16 feet-section of the fuselage crushed.
Probable Cause:
PROBABLE CAUSE: "The failure of the flight crew to arrest the aircraft's descent at the minimum descent altitude for the non-precision approach, without the runway environment in sight, for unknown reasons.
Although the Safety Board was unable to determine conclusively the reason(s) for the flight crew's deviation from standard instrument procedures, it is believed that inordinate management pressures, the first officer's marginal instrument proficiency, the captain's inadequate supervision of the flight, inadequate crew training and procedures, and the captain's chronic fatigue were all factors in the accident."
Accident investigation:
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Investigating agency: | NTSB  |
Status: | Investigation completed |
Duration: | 1 years | Accident number: | NTSB/AAR-80-05 | Download report: | Final report
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Classification:
Insufficient rest / fatigue
Controlled Flight Into Terrain (CFIT) - Ground
Sources:
» ICAO Circular 173-AN/109 (1-30)
» NTSB Safety Recommendations A-80-42/43
» NTSB-AAR-80-5
Follow-up / safety actions
NTSB issued 5 Safety Recommendations
Issued: 20-MAY-1980 | To: FAA | A-80-41 |
PUBLISH A MAINTENANCE BULLETIN TO ALERT FEDERAL AVIATION ADMINISTRATION MAINTENANCE INSPECTERS TO THE SAFETY HAZARD ASSOCIATED WITH INSTALLATION OF MIXED-COLOR COCKPIT INSTRUMENT LIGHTING. THE BULLETIN SHOULD REQUIRE THAT THE PRACTICE OF INSTALLING MIXED-COLOR LIGHTING BE DISCONTINUED AND THAT, WHERE THIS PRACTICE HAS BEEN IMPLEMENTED IN THE PAST, THE LIGHTING BE CHANGED TO A UNIFORM CONFIGURATION. (Closed - Acceptable Action) |
Issued: 20-MAY-1980 | To: FAA | A-80-42 |
REQUIRE THAT 14 CFR 135 OPERATORS EMPHASIZE CREW COORDINATION DURING RECURRENT TRAINING, ESPECIALLY WHEN PILOTS ARE QUALIFIED FOR BOTH SINGLE-PILOT/ AUTOPILOT AND TWO-PILOT OPERATIONS. THESE REQUIREMENTS SHOULD BE OUTLINED IN AN OPERATOR\'S APPROVED TRAINING CURRICULUM. (Closed - Acceptable Alternate Action) |
Issued: 20-MAY-1980 | To: FAA | A-80-43 |
UPGRADE FLIGHT OPERATIONS MANUALS OF 14 CFR 135 OPERATORS TO ASSURE STANDARDIZATION BY CLEARLY DELINEATING OPERATIONAL DUTIES AND RESPONSIBILITIES OF ALL REQUIRED COCKPIT CREWMEMBERS. (Closed - Acceptable Alternate Action) |
Issued: 25-MAY-1980 | To: FAA | A-80-22 |
INSURE THAT LIGHTED VISIBILITY MARKERS ARE INSTALLED SOUTH OF THE KNOX COUNTY REGIONAL AIRPORT ROCKLAND, MAINE, WITHIN SIGHT IN CLEAR VISIBILITY CONDITIONS OF THE NORMAL WEATHER OBSERVATION POSITION. ONE OF THE MARKERS SHOULD BE PLACED ABOUT 3/4 STATUTE MILE FROM THE POINT OF OBSERVATION. (Closed - Unacceptable Action) |
Issued: 25-MAY-1980 | To: FAA | A-80-23 |
ESTABLISH GUIDELINES ON THE LOCATION AND NUMBER OF VISIBILITY MARKERS NECESSARY AT AIRPORTS TO ASSURE REPRESENTATIVE SURFACE VISIBILITY VALUES FOR AIRPORT RUNWAYS AND THE AIRPORT RUNWAY ENVIRONMENT. (Closed - Unacceptable Action) |
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Photos

accident date:
30-05-1979type: de Havilland Canada DHC-6 Twin Otter 200
registration: N68DE
Map
This map shows the airport of departure and the intended destination of the flight. The line between the airports does
not display the exact flight path.
Distance from Boston-Logan International Airport, MA to Rockland-Knox County Regional Airport, ME as the crow flies is 242 km (151 miles).
Accident location: Approximate; accuracy within a few kilometers.
This information is not presented as the Flight Safety Foundation or the Aviation Safety Network’s opinion as to the cause of the accident. It is preliminary and is based on the facts as they are known at this time.