ATL89MA012

NTSB incident investigation · Aerospatiale ATR-42-300 · Yardley, PA · October 12, 1988

Incident · No injuriesMajor investigationFinal report
Date
October 12, 1988, 14:35 local (18:35 UTC)
Place
Yardley, PA
Injuries
39 uninjured
Phase of flight
Enroute
Aircraft
N17810Aerospatiale ATR-42-300AF 1Boeing 707-300
Weather
Visual (VMC) · Day
Status
Completed · report January 16, 1990
Report
Approved by Office Director
Case key
8072

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the incident.

On this page

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Near collision between aircraftDescent - normal
Procedures/directives - not followedAtc personnel(artcc)Factor
Instructions,written/verbal - not understoodAtc personnel(artcc)Factor
Supervision - inadequateAtc personnel(supervisor)Cause
Ifr separation standards - not maintainedAtc personnel(artcc)Cause
Information insufficientAtc personnel(artcc)Factor
Near collision between aircraftDescent - normal
Procedures/directives - not followedAtc personnel(artcc)Factor
Instructions,written/verbal - not understoodAtc personnel(artcc)Factor
Supervision - inadequateAtc personnel(supervisor)Cause
Ifr separation standards - not maintainedAtc personnel(artcc)Cause
Information insufficientAtc personnel(artcc)Factor

Analysis

Bfr tkof, corrected flt plan was put in ATC computer for airforce 1 (AF1) to take nonstandard rte to newark. After tkof,AF1 was vctrd nw with handoff to NY ARTCC (zny), then east via Yardley (ard) to newark; 15 mi west of ard, zny initiatedhandoff to NY TRACON (N90). TRACON supvr adzd zny that AF1 shld be dscndg to 9000' drg handoff, then N90 ctlr tld wash ARTCC (zdc) ctlr in adj sector to 'stop the newark arrivals only.' Zny ctlr clrd AF1 to dscnd & chg to N90 freq, but w/ogiving zdc mandatory pointout of AF1. Meanwhile, bar harbor flt 494 was being ctld by zdc & was inbnd to ard on a NE hdgat 11,000'. Noting an automated handoff was accepted by N90, zdc ctlr clrd flt 494 to dscnd to 7000' & chg to N90 freq.N90 ctlr noted dvlpg situation, but thought all flts fm zdc sector wld be held in zdc airspace. Subsequently, he took corrective actn, but standard sepn btn acft was lost nr base of 10,000' cld layer. Inv revealed inadequate monitoring & coordination btn ATC facilities; svrl controllers & supvrs lacked trng or awareness of their responsibilities.

Bfr tkof, corrected flt pln was put in ATC computer for air force 1 (AF1) to take nonstandard rte to newark. After tkof,AF1 was vctrd nw with handoff to NY ARTCC (zny), then east via Yardley (ard) to newark; 15 mi west of ard, zny initiatedhandoff to NY TRACON (N90). TRACON supvr adzd zny that AF1 shld be dsndg to 9000' drg handoff, then N90 ctlr tld wash ARTCC (zdc) ctlr in adj sector to 'stop the newark arrivals only.' Zny ctlr clrd AF1 to dscnd & chg to N90 freq, but w/ogiving zdc mandatory pointout of AF1. Meanwhile, bar harbor flt 494 was being ctld by zdc & was inbnd to ard on a NE hdgat 11,000'. Noting an automated handoff was accepted by N90, zdc ctlr clrd flt 494 to dscnd to 7000' & chg to N90 freq.N90 ctlr noted dvlpg situation, but thought all flts fm zdc sector wld be held in zdc airspace. Subsequently, he took corrective actn, but standard sepn btn acft was lost nr base of 10,000' cld layer. Inv revealed inadequate monitoring & coordination btn ATC facilities; svrl controllers & supvrs lacked trng or awareness of their responsibilities.

Aircraft · 2

Registration
N17810
Reported as
Aerospatiale ATR-42-300 (ATR 42-300)
Category
Airplane
Serial number
093
Airframe hours
898
Engine
P&W PW120, 2,000 horsepower, turbo prop
Damage
No damage
Flight
Part 121
Operator
Bar Harbor Airways, doing business as Bar Harbor A/L,Ea X, Cont'L X
Registered owner
Continental Airlines Inc
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · September 24, 1988 · 137 hours before
Departed
BWI · Baltimore, MD
Destination
EWR · Newark, NJ
Flight plan
IFR

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Registration
AF 1
Reported as
Boeing 707-300
Category
Airplane
Serial number
27000
Engine
P&W JT3D, 12,000 lbs thrust, turbo fan
Damage
No damage
Flight
Armed forces
Operator
89th Military Airlift Wing
Registered owner
89th Military Airlift Wing
Airworthiness certificate
Standard, Transport
Departed
PHL · Philadelphia, PA
Destination
EWR · Newark, NJ
Flight plan
IFR

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot, aircraft N17810
Age
40
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
6,260 total
Role
Pilot, aircraft 2
Certificate
Military
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Left

Weather

Conditions
Visual (VMC) · Day
Visibility
7 statute miles
Lowest ceiling
9,000 ft broken
Temperature
10 °F
Altimeter
29.00 inHg