LAX89IA112

NTSB incident investigation · British Aerospace BAE 146-200A · Los Alamitos, CA · February 14, 1989

Incident · No injuriesIncident investigationFinal report
Date
February 13, 1989, 19:08 local (Feb 14, 1989, 03:08 UTC)
Place
Los Alamitos, CA
Injuries
70 uninjured
Damage
No damage
Phase of flight
Enroute
Aircraft
N141ACBritish Aerospace BAE 146-200A
Weather
Visual (VMC) · Night/dark
Status
Completed · report June 30, 1992
Report
Approved by Office Director
Case key
26257

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

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Probable cause

Inadequate coordination among the ATC controllers which resulted in their failure to maintain adequate radar separation of the two aircraft.

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 aircraftCruise
Crew/group coordination - inadequateAtc personnel(artcc)Cause
Crew/group coordination - inadequateAtc personnel(dep/apch)Cause
Radar separation - not maintainedCause

Analysis

Due to failure of rwy lights at the destn (john wayne arpt) American airline flt 1262 (BAE-146) diverted to ontario, CA. While en route, it converged with british airways flt 282 (Boeing 747), which was climbing from the los angeles intl arpt on a flt to london, england. Subsequently, an opnl error occurred when the acft passed with a horizontal sepn of about 1.9 mi at the same alt. An investigation revealed that after coast TRACON rcvd control of flt 1262 from los angeles center. Flt 1262 was cleared into the airspace of los angeles TRACON without proper coordination among the 3 ATC control facilities. Specifically, there was incomplete and misunderstood coordination between ctlrs at los angeles center and coast TRACON; the harbor sector radar and handoff ctlrs at coast TRACON failed to comply with provisions of ltr of agreement between coast TRACON and ajacent facilities.

Aircraft

Registration
N141AC
Reported as
British Aerospace BAE 146-200A (BAE 146-20)
Category
Airplane
Serial number
E2051
Engine
Lycoming ALF 502, 6,970 lbs thrust, turbo fan
Damage
No damage
Flight
Part 121
Operator
American Airlines
Registered owner
Meridian Trust Co. Trustee
Airworthiness certificate
Standard, Transport
Departed
SJC · San Jose, CA
Destination
ONT · Ontario, CA
Flight plan
IFR

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
44
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Unknown
Seat
Left
Flight hours
10,500 total · 1,800 in this make and model

Weather

Conditions
Visual (VMC) · Night/dark