DCA95MA006

NTSB accident investigation · British Aerospace Jetstream 3201 · Morrisville, NC · December 13, 1994

Accident · FatalMajor investigationFinal report
Date
December 13, 1994, 18:34 local (23:34 UTC)
Place
Morrisville, NC
Injuries
15 fatal, 5 serious
Damage
Destroyed
Phase of flight
Approach
Aircraft
N918AEBritish Aerospace Jetstream 3201
Weather
Instrument (IMC) · Night/dark
Status
Completed · report June 22, 1996
Report
Approved by Office Director
NTSB office
Major Investigations Division
Safety recommendations
Yes
FAA report
19941213041549A
Case key
10993

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

On this page

Probable cause

1) the captain's improper assumption that an engine had failed, and 2) the captain's subsequent failure to follow approved procedures for engine failure, single-engine approach and go-around, and stall recovery. Contributing to the cause of the accident was the failure of AMR Eagle/Flagship management to identify, document, monitor, and remedy deficiencies in pilot performance and training. (NTSB Report AAR-95/07)

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.

Loss of control - in flightApproach - faf/outer marker to threshold (ifr)
Procedures/directives - not followedPilot in commandCause
Inadequate trainingCompany/operator managementFactor
Inadequate substantiation processCompany/operator mgmtFactor
In flight collision with terrain/waterApproach - faf/outer marker to threshold (ifr)

Analysis

The airplane crashed about 4 miles southwest of the runway 5L threshold during an ILS approach. The captain had associated the illumination of the left engine IGN light, illuminated as a result of a momentary negative torque condition when the propeller speed levers were advanced tp 100% and the power levers were at flight idle, with an engine failure. There was no evidence of an engine failure. The captain failed to follow established procedures for engine failure identification, single engine appoach, single engine go-around, and stall recovery. AMR Eagle training did not adequately address the recognition of engine failure at low power, the aerodynamic effects of asymmetric thrust from a 'windmilling' propeller, and high thrust on the other engine. AMR Eagle and Flagship Airlines crew training records do not provide sufficient detail for management to track performance. Flagship Airlines management was deficient in its knowledge of the types of crew records available, and in the content and use of such records.

Factual narrative

The crew of American Eagle Flight 3379 was completing the return leg of a scheduled out-and-back trip sequence between Raleigh Durham, North Carolina and Greensboro, North Carolina. The flight was cleared for runway 5 left ILS approach. The crew switched radio frequencies to Raleigh Durham tower, and the local air traffic controller cleared the flight to land at 1832:20 eastern standard time. The aircraft crashed approximately four miles southwest of the runway threshold in a wooded area. The pilot, co-pilot and thirteen passengers were fatally injured, while the other five passengers were seriously injured. A post crash fire was extinguished by the Morrisville Fire Department and other agencies in Wake County. The weather report from Raleigh Durham weather facility at the time of the accident reported the ceiling at 500 feet overcast, 2 miles visibility in light rain and fog, wind 010 degrees at 8 knots, temperature 38 degrees (F), dew point 36 degrees (F), and altimeter 30.31 inches.

ADDITIONAL PARTIES INCLUDE: capt Joe Oyler, Allied Pilots Assoc, 2214 Paddock Way, Grand Prairie, TX, 75050; Gary Parham, NATCA, 108 Quail Run Circle, Stockbridge, GA 30281; Tom Knopp, McCauley Propeller, 3535 McCauley Drive, Vandalia, OH 45377

Aircraft

Registration
N918AE
Reported as
British Aerospace Jetstream 3201 (JETSTREAM)
Category
Airplane
Serial number
918
Airframe hours
6,577
Engines
Garrett TPE-331-12UHR, 1,020 horsepower, turbo propGarrett TPE-331-12UHR, 1,020 horsepower, turbo prop
Damage
Destroyed
Fire
On-Ground
Flight
Part 135
Operator
Flagship Airlines Inc., doing business as American Eagle
Registered owner
First Security Bank Utah
Airworthiness certificate
Standard, Normal
Last inspection
Continuous airworthiness · December 1, 1994 · 46 hours before
Departed
GSO · Greensboro, NC
Destination
RDU · Raleigh, NC
Flight plan
IFR
Airport
RDU · Raleigh-Durham Intl, runway 5L, 10,000 × 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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
29
Certificates
Airline transport, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
3,499 total

Weather

Conditions
Instrument (IMC) · Night/dark
Wind
10° at 8 knots
Visibility
2 statute miles
Lowest ceiling
500 ft overcast
Temperature
37 °F, dew point 36 °F
Altimeter
30.00 inHg
Observed at
RDU, 4 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.