ATL92MA118

NTSB accident investigation · Beech C99 · Anniston, AL · June 8, 1992

Accident · FatalClass 1 · MajorFinal report
Date
June 8, 1992, 08:53 local (13:53 UTC)
Place
Anniston, AL
Injuries
3 fatal, 3 serious
Damage
Destroyed
Phase of flight
Approach
Aircraft
N118GPBeech C99
Weather
Visual (VMC) · Day
Status
Completed · report October 8, 1993
Report
Approved by Office Director
Investigation class
Class 1
Safety recommendations
Yes
FAA report
19920608018799A
Case key
8669

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

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Probable cause

The failure of senior management of gp express to provide adequate training and operational support for the startup of the southern operation, which resulted in the assignment of an inadequately prepared captain with a relatively inexperienced first officer in revenue passenger service, and the failure of the flightcrew to use approved instrument flight procedures, which resulted in a loss of situational awareness and terrain clearance. Contributing to the causes of the accident was gp express' failure to provide approach charts to each pilot and to establish stabilized approach criteria. Also contributing were the inadequate crew coordination and a role reversal on the part of the captain and first officer. (NTSB report AAR-93/03)

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.

In flight collision with terrain/waterApproach - faf/outer marker to threshold (ifr)
Ifr procedure - improperPilot in commandCause
Inadequate trainingCompany/operator managementCause
Information insufficientCompany/operator managementFactor
Crew/group coordination - inadequateFactor

Analysis

This was the first day on duty in the southern region operation for both pilots. In addition, they had never flown together. During the flight, the flightcrew lost awareness of their airplane's position, erroneously believed that the flight was receiving radar services from ATC, and commenced the approach from an excessive altitude and at a cruise airspeed without accomplishing the published procedure specified on the approch chart. The crew believed that the airplane was south of the airport, and turned toward the north to execute the ILS rwy 5 approach. In actuality, the airplane had intercepted the back course localizer signal, and the airplane continued a controlled descent until it impacted terrain.

Aircraft

Registration
N118GP
Reported as
Beech C99
Category
Airplane
Serial number
U-185
Airframe hours
9,725
Engine
P&W PT6A-36, 750 horsepower, turbo prop
Damage
Destroyed
Fire
On-Ground
Flight
Part 135
Operator
Gp Express Airlines, Inc.
Registered owner
Gp Express Airlines, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
Continuous airworthiness · March 16, 1992 · 60 hours before
Departed
ATL · Atlanta, GA
Flight plan
IFR
Airport
ANB · Anniston Metropolitan, runway 5, 7,001 × 150 ft, asphalt

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.

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
29
Certificates
Commercial, Flight instructor, Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Toxicology
Performed
Flight hours
1,700 total · 24 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
60° at 6 knots
Visibility
3 statute miles
Lowest ceiling
1,500 ft broken
Temperature
73 °F, dew point 72 °F
Altimeter
30.00 inHg
Observed at
ANB, 8 nm away

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.