Event Details


Title:Runway collision of USAir Flight 1493, Boeing 737 and Skywest Flight 5569 FairChild Metroliner, Los Angeles International Airport, Los Angeles, California, February 1, 1991
Micro summary:This Boeing 737-300 collided with a Fairchild Metroliner on landing.
Event Time:1991-02-01 at 1807 PST
File Name:1991-02-01-US.pdf
Publishing Agency:National Transportation Safety Board (NTSB)
Publishing Country:USA
Report number:NTSB-AAR-91-08
Pages:169
Site of event:Los Angeles International Airport, runway 24 left
Latitude/Longitude:N3357' W11824'
First AirplaneSecond Airplane
Departure:Port Columbus International Airport, Columbus, Ohio, USALos Angeles International Airport, Los Angeles, California, USA
Destination:Los Angeles International Airport, Los Angeles, California, USAPalmdale Regional Airport/USAF Plant 42, Palmdale, California, USA
Airplane Type(s):Boeing 737-300Fairchild Metroliner SA-227-AC
Flight Phase:LandingTaxi
Registration(s):N388USN683AV
Operator(s):USAirSkywest
Type of flight:RevenueRevenue
Occupants:9512
Fatalities:2212
Serious Injuries:300
Minor/Non-Injured:370
Other Injuries:00
Executive Summary:On February 1, 1991, at 1807 Pacific standard time, USAir flight 1493, N388US, a Boeing 737-300, collided with Skywest flight 5569, N683AV, a Fairchild Metroliner (SA-227-AC) , while the USAir airplane was landing on runway 24 left at Los Angeles International Airport, Los Angeles, California. The Skywest Metroliner was positioned on the same runway, at intersection 45, awaiting clearance for takeoff. As a result of the collision, both airplanes were destroyed. Al l 10 passengers and 2 crewmembers aboard the Metroliner and 20 passengers and 2 crewmembers aboard the USAir airplane were fatally injured.

The National Transportation Safety Board determines that the probable cause of the accident was the failure of the Los Angeles Air Traffic Facility Management to implement procedures that provided redundancy comparable to the requirements contained in the National Operational Position Standards and the failure of the FAA Air Traffic Service to provide adequate policy direction and oversight to its air traffic control facility managers. These failures created an environment i n the Los Angeles Air Traffic Control tower that ultimately led to the failure of the local controller 2 (LC2) to maintain an awareness of the traffic situation, culminating in the inappropriate clearances and subsequent collision of the USAir and Skywest aircraft. Contributing to the cause of the accident was the failure of the FAA t o provide effective quality assurance of the ATC system.

The safety issues raised in this report include:

o Air traffic management and equipment at Los Angeles International Airport.
o Aircraft exterior lighting and conspicuity.
o Pi lot situational awareness during takeoff and landing and operations on airport surfaces.
o Air traffic controller workload, performance, and supervision.
o Air transport accident survivability, evacuation standards and procedures, interior furnishing flammability standards, and survival devices.

Recommendations concerning these issues were addressed to the Federal Aviation Administration.
Learning Keywords:Operations - Airspace - Air Traffic Control
Operations - Evacuation
Operations - Runway Collision
Operations - Ground Collision
Other - Post-Crash Survivability
Other - Regulatory Oversight
Other - Workplace Culture or Management
Consequence - Damage - Airframe or fuselage
Consequence - Hull Loss
Close match:Ground collision, Final Report by the Aircraft Accident Investigation Bureau on the collision on the ground between Crossair AG AVRO RJ100, HB-IYX and TAM, Brazilian Airlines Airbus A330-200, PT-MVB on 27 December 2001, 19:39 UTC Zurich Airport
Runway Collision, United Express Flight 5925 and Beechcraft King Air A90, Quincy Municipal Airport, Quincy, Illinois, November 19, 1996
Runway Collision involving Trans World Airlines Flight 427 and Superior Aviation Cessna 441, Bridgeton, Missouri, November 22, 1994
Ground collision, Collision between KLM Boeing 747 PH-BUF and Pan Am boeing 747, N737PA at Los Rodeos (Tenerife Norte) on March 27, 1977
Runway Collision, Korean Air Lines, McDonnell Douglas DC-10-30, HL7339, Southcentral Air Piper PA-31-350, N35206, Anchorage, Alaska, December 23, 1983
Runway collision of Eastern Airlines Boeing 727, Flight 111 and Epps Air Service Beechcraft King Air A100, Atlanta Hartsfield International Airport, Atlanta, Georgia, January 18, 1990

 




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