GENERAL INFORMATION FOR NTSB REPORT: ANC00IA010
Data Source NTSB AVIATION ACCIDENT/INCIDENT DATABASE
NTSB Report Nbr ANC00IA010
Event Id 20001212X20060
Local Date 11/02/1999
Local Time 640
State AK
Airport Name JUNEAU INTERNATIONAL
Event Type INCIDENT
Injury Severity NONE
Record Status
Mid Air Collision NO
Event Location ON AIRPORT/AIRSTRIP

WEATHER INFORMATION
Weather Briefing Complete FULL
Basic Weather Conditions VISUAL METEOROLOGICAL COND
Light Condition DAWN
Cloud Condition SCATTERED
Cloud Height above Ground Level (ft) 1600
Ceiling Height above Ground Level (ft) 3800
Cloud Type OVERCAST
Visibility RVR (ft) 0
Visibility RVV (sm) 0
Visibility (sm) 10
Wind Direction (deg) 0
Wind Condition Flag U
Wind Speed (knots) 0
Wind Condition Indicated Calm

AIRCRAFT INFORMATION
Aircraft 1
Type of Operation PART 121: AIR CARRIER
Registration Number N792AS
Aircraft Make BOEING
Aircraft Model 737
Aircraft Series 400
Aircraft Damage NONE
Aircraft Fire NONE
Aircraft Explosion NONE
Aircraft Type AIRPLANE
Aircraft Homebuilt UNKNOWN
Phase of Flight LANDING
Aircraft Use UNKNOWN
Category of Operation SCHEDULED
Flight Plan Filed IFR
Domestic/International DOMESTIC
Passenger/Cargo PASSENGER ONLY
Operator Name ALASKA AIRLINES INC
Operator Doing Business As
Owner Name FIRST SECURITY BANK
Number of Seats 140
Number of Engines 2
ELT Installed UNKNOWN
ELT Operated UNKNOWN
Departure Airport Id PASI
Departure City SITKA
Departure State ALASKA
Last Departure Point NO
Destination Local CRASH AT DESTINATION CITY
Destination Airport Id PAJN
Destination City
Runway Id 8
Runway Length 4900
Runway Width 150
Air Carrier Operating Certificates YES
Air Carrier Other Operating Certificates UNKNOWN
Rotocraft/Agriculture Operating Certificate UNKNOWN
Cert Max Gross Wgt 143500
Landing Gear RETR

ENGINE INFORMATION

Aircraft 1 - Engine : #1
Engine Manufactuer Cfm
Engine Model CFM-56-3C-1
Engine Horsepower 22000
Engine Thrust LBS

INJURY INFORMATION
Injury Summary for Aircraft 1
Fatal Serious Minor None
Crew 0 0 0 4
Pass 0 0 0 0
Total 0 0 0 58
Sequence of Events for Aircraft 1
Occurrence #1
MISCELLANEOUS/OTHER
Phase of Operation: LANDING - ROLL

Events Sequence for Occurrence #1 of Aircraft 1
Event Seq # Event Group Code Subject Modifier Personnel Cause/Factor
1 1 AIRPORT EQUIPMENT, SNOW REMOVAL OTHER
2 1 CONTROL TOWER CLOSED FACTOR
3 2 TRAFFIC ADVISORY NOT PERFORMED FLIGHTCREW CAUSE
4 2 FLIGHT ADVISORIES NOT ISSUED ATC PERSONNEL (FSS) CAUSE
5 2 AIR/GROUND COMMUNICATIONS NOT VERIFIED DRIVER OF VEHICLE FACTOR




AIRCRAFT 1 PRELIMINARY REPORT


HISTORY OF FLIGHT On November 2, 1999, about 0640 Alaska standard time, a Boeing 737-400 airplane, N792AS, nearly collided with a snow plow during landing on runway 08 at the Juneau International Airport, Juneau, Alaska. The airplane was being operated by Alaska Airlines, Seattle, Washington, as Flight 73, an instrument flight rules (IFR) scheduled passenger flight under Title 14, CFR Part 121, when the incident occurred. The captain, the first officer, three cabin crew members, and the 53 passengers, were not injured. Neither the airplane or the snow plow were damaged. Visual meteorological conditions prevailed. An IFR flight plan was filed. The flight originated at the Rocky Gutierrez Airport, Sitka, Alaska, about 0600. After departing Sitka, Flight 73 proceeded toward Juneau. The Juneau Air Traffic Control Tower (ATCT) was closed, and was not scheduled to open until 0700. A Federal Aviation Administration (FAA) Automated Flight Service Station (AFSS) was in operation at the time of the incident. Juneau AFSS personnel cannot see the runway. The driver of Plow 11, a Juneau Airport field maintenance dump truck equipped with a snow removal blade, was training a new driver on the airport. The plow was moving eastbound along the right edge of runway 08, about 3,000 feet from the approach end of the runway. According to the driver of Plow 11, the right edge of the plow blade was about 5 feet inside the runway edge stripe. At 0629:10, a Beech 1900 cargo airplane, call sign ACE Air 41, contacted the Juneau AFSS on the common traffic advisory frequency (CTAF) of 118.7 MHz, at BARLO intersection (the final approach fix on the instrument approach to runway 08, 9.2 nautical miles west of the Juneau airport), stating: "Ace Air 41, BARLO, inbound for (runway) eight." The AFSS specialist at the in-flight one position acknowledged the radio contact, and then asked the driver of Plow 11, who was also monitoring the CTAF, if he heard the radio call from ACE Air 41 reporting BARLO. The driver acknowledged the call by stating: "Ground, that's affirmative, maintenance, at this time men and equipment are clear of the runway, I'd like to get back out after he's down and clear." The in-flight one AFSS specialist then advised Plow 11, "Airfield maintenance, roger, after ACE Air, about 10 minutes behind him is the other Alaska jet." The driver of Plow 11 acknowledged the information. At 0632:28, Alaska Flight 73 contacted the Juneau AFSS stating: "Juneau radio, Alaska 73 is with you, just leaving SISTERS (VOR) for the LDA 2 (localizer type directional aid) to runway 08." The AFSS specialist at the in-flight one position acknowledged the radio call. The SISTERS VOR is 16 miles from BARLO intersection, and 25.2 miles from runway 08. At 0633:35, Ace Air 41 reported, "Juneau, Ace Air 41 down and clear, if you'd close us out please." The AFSS specialist at the in-flight two position acknowledged the radio call. At 0634:51, the driver of Plow 11 called the AFSS and stated: "Juneau radio, airfield maintenance, if you have no reported traffic, like to have men and equipment on the runway." The AFSS specialist at the in-flight two position said "stand by" and at 0635:23 stated: "and Juneau airfield maintenance, no known traffic at this time, the jet's due in, in about 10 minutes at 45 (minutes past the hour)." The driver of Plow 11 acknowledged the radio call. At 0642:25, Alaska Flight 73 called the Juneau AFSS and stated: "ah we just landed and there was a truck on the runway, we ah just barely missed it... ah it, we had to swerve very far to the left of the runway to miss the truck." The AFSS specialist at the in-flight one position acknowledged the radio call, and replied, "Alaska 73 roger, sorry, I missed your last report, I didn't hear a BARLO area report, I thought it was ASORT, was the last one." ASORT intersection is 21 miles from the SISTERS VOR. It is usually a reporting point for airplanes arriving from the north, not from Sitka. Alaska Flight 73 then stated: "We don't think that's correct, but in any event, I think we called the report, but we just, the truck was on the runway." The driver of Plow 11 then stated: "radio, maintenance was just outside the lights, I never got a call, it's the grace of God that we're all right." Following the incident, ground maintenance personnel from the Juneau Airport measured and diagrammed the scuff marks on the runway produced by Flight 73 swerving to avoid the snow plow. Their measurements revealed that as the Alaska Airlines jet passed the plow truck, the airplane's right main landing gear was about 18 feet to the left of the runway center stripe. The outboard end of the right wing was about 16 feet to the right the center stripe. The left side of the plow truck's blade was about 27 feet to the left of the right runway edge stripe. The distance from the right wing tip, to the plow truck, was about 32 feet. Plow 11 was facing east, away from the approaching jet. The truck is equipped with strobe lights on the back of the truck, and a rotating beacon on the top of the cab. According to an FAA inspector with the Juneau Flight Standards District Office, the strobe and beacon lights were functional and operating at the time of the incident. The incident occurred during the period of dawn. METEOROLOGICAL INFORMATION On November 2, 1999, at 0653, an Aviation Routine Weather Report (METAR) for the Juneau Airport was reporting in part: Wind, calm; visibility, 10 statute miles; clouds and sky condition, 1,600 feet scattered, 2,800 feet scattered, 3,800 feet overcast; temperature, 35 degrees F; dew point, 33 degrees F; altimeter, 29.69 inHg; remarks, variable broken ceiling, lower to the east, higher to the west. COMMUNICATIONS Ground and airborne communications at the Juneau airport are all conducted on the Juneau CTAF when the ATCT is closed. The driver of Plow 11, and the crew of Flight 73, were utilizing the CTAF. When the Juneau ATCT is closed, there are no mandatory reporting points for arriving aircraft to the Juneau airport. When Flight 73 made their initial radio call at the SISTERS VOR, no men or equipment were on the Juneau runway. No advisory of men and equipment on the runway was provided to Flight 73 by the Juneau AFSS. After reporting SISTERS VOR, Flight 73 made no other radio calls. A transcript of communications with the Juneau AFSS is included in this report. AERODROME AND GROUND FACILITIES The Juneau International airport is owned and operated by the City and Borough of Juneau. The airport has a hard-surface runway on a 080 to 260 degree magnetic orientation. Runway 08 is 8,456 feet long by 150 feet wide, and is equipped with sequenced lead-in lights to runway 08, high intensity runway lights, runway end identifier lights, medium intensity approach lighting, and a visual approach slope indicator. ADDITIONAL INFORMATION AFSS specialists provide assistance in emergency situations, in-flight services, and preflight services to airman. In-flight services are provided to aircraft in flight, or operating on an airport surface, and may include NAVAID monitoring, local airport advisories (LAA), delivery of air traffic control clearances, advisory services to pilots, notice to airman (NOTAM), search and rescue services, weather information, flight planning, and other services. Under two letters of agreement between the Juneau Airport, and the Juneau AFSS, airport conditions which could affect the safe operation of the airport are provided to the AFSS by Juneau airport personnel via fax, radio, telephone, or in person. Airport personnel will keep the AFSS informed of personnel authorized to issue NOTAM information. Airport personnel will advise the AFSS before moving onto an airport movement area, and when vehicles are clear of movement areas. They will ensure the work force supervisor has two-way radio communication with the AFSS on the CTAF, and will ensure the vehicular traffic does not conflict with aircraft arrivals, departures, or ground movements within the airport movement area. When the Juneau ATCT is closed, the AFSS will monitor the CTAF. Advise work personnel of known aircraft arrivals, departures, or ground movements, and will advise work personnel of any nonreported vehicles on the airport movement area. Advisories to pilots about airfield conditions may be provided by AFSS personnel by radio, or NOTAM. A radio report of men and equipment on the airport, provided by Juneau airport maintenance personnel to the AFSS, constitutes a local NOTAM. According to the FAA's Flight Services Handbook (FAA order 7110.10), a local airport advisory (LAA) is a terminal service provided by designated facilities located at airports without an operating control tower. The elements and phraseology of an LAA, are stated in Paragraph 4-4-2, include: "7. Traffic - Factual information about observed or reported traffic which may constitute a collision hazard. This may include positions of aircraft in flight or aircraft and vehicles operating on the airport; 9. NOTAM - NOTAM's concerning local NAVAID's and field conditions pertinent to flight." Paragraph 4-4-4, Authorized LAA Frequency states, in part: "Provide LAA on 123.6 or 123.65 at non-tower locations and on the tower local control frequency at an airport with a part-time FAA tower when that facility is not operating. ...Encourage the pilot to guard the LAA frequency or tower control frequency while approximately within a 10-mile radius of the airport." The FAA Handbook does not require the LAA to be issued at the 10 mile point, nor is it an advisory that is only given upon request of the pilot. Section 4 -1-9, "Traffic Advisory Practices at Airports Without Operating Control Towers" of the Aeronautical Information Manual (AIM), contains recommended communication practices. For in-bound aircraft, when a traffic control tower in not in operation, and a flight service station is open, the AIM recommends communication on the CTAF. For inbound aircraft, communications should be provided when the airplane is 10 miles out, entering downwind, base, and final, and when leaving the runway. The same recommended practices are contained in Section 3.100 of Alaska Airlines flight operations manual.

AIRCRAFT 1 FINAL REPORT


The scheduled passenger flight was inbound for landing during the period of dawn. A cargo airplane was also inbound, preceding the passenger flight. The airport air traffic control tower (ATCT) was closed. An automated flight service station (AFSS) was in operation. AFSS personnel cannot see the runway. An airport maintenance crew was conducting snow removal training on the runway in a plow equipped truck. The passenger flight crew contacted the AFSS at the VOR (25.2 miles away), and advised they were inbound for landing. At that time, the plow was off the runway, waiting for the cargo airplane to arrive. The crew of the passenger airplane was not advised of any airfield maintenance activity. After the cargo airplane landed, the plow driver informed the AFSS of his intentions, and drove onto the runway to continue training. AFSS personnel advised the driver of the plow that the passenger airplane was about 10 minutes behind the cargo airplane. Without any further communication, the passenger flight touched down on the runway while the plow was driving along the right edge of the runway, facing away from the arriving jet. The passenger jet swerved to the left during the roll out to miss the plow truck. The right wing tip of the jet passed about 32 feet from the plow truck. The verbal report of men and equipment on the runway, given by the plow driver to the AFSS is a local NOTAM only. The local NOTAM was not transmitted to the arriving passenger flight. When the ATCT is closed, there are no mandatory reporting points for arriving airplanes. There are only recommended traffic advisories for position reporting of arriving traffic. The recommended traffic advisories are contained in the company flight operations manual.

AIRCRAFT 1 CAUSE REPORT


The failure of the flight crew to provide a recommended landing traffic advisory, and the failure of flight service station personnel to provide a flight advisory to the arriving airplane concerning men and equipment operating on the runway. Factors in the incident were operations at an airport when the control tower was closed, and the failure of the snow plow driver to verify the eminent arrival of the airplane.


END REPORT