DCA90MA017

NTSB accident investigation · Beech A100 · Atlanta, GA · January 19, 1990

Accident · FatalClass 1 · MajorFinal report
Date
January 18, 1990, 19:04 local (Jan 19, 1990, 00:04 UTC)
Place
Atlanta, GA
Injuries
1 fatal, 1 serious, 157 uninjured
Phase of flight
Landing
Aircraft
N44UEBeech A100N8867EBoeing 727
Weather
Visual (VMC) · Night/dark
Status
Completed · report May 3, 1993
Report
Board-adopted at Board Meeting
Investigation class
Class 1
NTSB office
Major Investigations Division
Safety recommendations
Yes
Case key
15933

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

(1) Failure of the federal aviation administration to provide air traffic control procedures that adequately take into consideration human performance factors such as those which resulted in the failure of the north local controller to detect the developing conflict between N44UE and ea 111, and (2) the failure of the north local controller to ensure the separation of arriving aircraft which were using the same runway. Contributing to the accident was the failure of the north local controller to follow the prescribed procedure of issuing appropriate traffic information to ea 111, and failure of the north final controller and the radar monitor controller to issue timely speed reductions to maintain adequate separation between aircraft on final approach.

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.

On ground/water collision with objectLanding - roll
Light condition - dark night
Exterior light(s) - inoperative
Control tower service - inadequateAtc personnel(lcl/gnd/clnc)Factor
Ifr separation standards - not maintainedAtc personnel(lcl/gnd/clnc)Cause
Procedure inadequateFaa(other/organization)Cause
On ground/water collision with objectLanding - roll
Light condition - dark night
Control tower service - inadequateAtc personnel(lcl/gnd/clnc)Factor
Ifr separation standards - not maintainedAtc personnel(lcl/gnd/clnc)Cause
Procedure inadequateFaa(other/organization)Cause

Analysis

Drg arr at ngt, Beech A100 (king air, N44UE) was clrd for an ILS rwy 26R apch behind Continental flt 9687, then eastern airline (ea) flt 111 (Boeing 727, N8867E) was clrd for the same apch behind the king air. After lndg, flt 9687 had a radio problem & the twr ctlr had difficulty communicating with flt 9687. Meanwhile, the king air lndd & its crew had moved the acft to the rgt side of the rwy nr twy-d (the primary twy for gen avn acft). The turnoff for twy-d was abt 3800'FM the apch end of rwy 26R. Before the king air was clr of the rwy, ea 111 lndd & converged on the king air. The crew of ea 111 did not see the king air until moments bfr the acdnt. The capt tried to avoid a collision, but the Boeing's rgt wing struck the king air, shearing the top of its fuselage & cockpit. Some of the king air's strobe/beacon lgts were inop, though they most likely would have been extinguished for the IMC apch. The local ctlr did not issue a tfc adzy to ea 111 with the lndg clnc. (See: NTSB/AAR-91/03)

Aircraft · 2

Registration
N44UE
Reported as
Beech A100
Category
Airplane
Serial number
B-140
Engine
P&W PT6A-28, 680 horsepower, turbo prop
Damage
Destroyed
Flight
Positioning · Part 91
Registered owner
Eps Air Service
Departed
Peachtree Arpt, GA
Destination
ATL · Atlanta, GA
Flight plan
IFR
Airport
ATL · Hartsfield-Atlanta Intl, runway 26R, 9,000 × 150 ft, concrete

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
N8867E
Reported as
Boeing 727
Category
Airplane
Serial number
20823
Engine
P&W JT8D-15, 15,500 lbs thrust, turbo fan
Damage
Substantial damage
Flight
Part 121
Operator
Eastern Airlines, doing business as Eastern Airlines
Registered owner
Wilmington Trust Co Trustee
Airworthiness certificate
Standard, Transport
Departed
LGA · New York, NY
Destination
ATL · Atlanta, GA
Flight plan
IFR
Airport
ATL · Hartsfield-Atlanta Intl, runway 26R, 9,000 × 150 ft, concrete

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot, aircraft N44UE
Age
30
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
1,653 total
Role
Pilot, aircraft N8867E
Age
49
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
13,320 total · 7,432 in this make and model · 215 in the last 90 days

Weather

Conditions
Visual (VMC) · Night/dark
Wind
290° at 3 knots
Visibility
3 statute miles
Lowest ceiling
10,000 ft overcast
Temperature
63 °F, dew point 61 °F
Altimeter
30.00 inHg

FAA reports on this event · 2

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