Narrative:Eastern Airlines flight EA-111, a Boeing 727-225 collided with an Epps Air Service Beechcraft A100 King Air on the runway at Atlanta-William B. Hartsfield International Airport, GA (ATL).
The King Air had been cleared to land on runway 26R in night visual conditions, ahead of the Eastern flight. The King Air was preparing to turn off the runway as it was struck from behind by the B-727, which had also been cleared to land on runway 26R. The B-727 sustained substantial damage but the King Air was destroyed as a result of the collision. The pilot of the King Air sustained fatal injuries, and the co-pilot, the only other occupant, sustained severe injuries.
Probable Cause:
PROBABLE CAUSE: "(1) The 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."
Accident investigation:
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Investigating agency: | NTSB  |
Status: | Investigation completed |
Duration: | 1 year and 4 months | Accident number: | NTSB/AAR-91/03 | Download report: | Final report
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Classification:
Runway incursion
Runway mishap
Sources:
» Air Safety Week 3 April 1995 (p. 4)
» Aviation Week & Space Technology 29.1.90(20)
» NTSB/AAR-91/03
Follow-up / safety actions
NTSB issued 5 Safety Recommendations
Issued: 12-JUN-1991 | To: FAA | A-91-27 |
DEVELOP AN AIR TRAFFIC BULLETIN AND PROVIDE A MANDATORY FORMAL BRIEFING TO ALL AIR TRAFFIC CONTROLLERS ON THE IMPORTANCE OF, AND THE NEED FOR GIVING TRAFFIC INFORMATION WHEN ISSUING AN ANTICIPATED SEPARATION LANDING CLEARANCE. (Closed - Acceptable Action) |
Issued: 12-JUN-1991 | To: FAA | A-91-28 |
AMEND THE AIR TRAFFIC CONTROL HANDBOOK, 711.65F, PARAGRAPH 3-127, TO PRECLUDE THE ISSUANCE OF MULTIPLE LANDING CLEARANCES TO AIRCRAFT OUTSIDE OF THE FINAL APPROACH FIX. ALSO, ESTABLISH A NUMERICAL LIMIT SO THAT NO MORE THAN TWO LANDING CLEARANCE MAY BE ISSUED TO SUCCESSIVE ARRIVALS. (Closed - Unacceptable Action) |
Issued: 12-JUN-1991 | To: FAA | A-91-29 |
Expedite efforts to fund the development and implementation of an operational system analogous to the airborne conflict alert system to alert controllers to pending runway incursions at all terminal facilities that are scheduled to receive airport surface detection equipment (ASDE III). (superseded by A-00-66) (Closed - Unacceptable Action/Superseded) |
Issued: 12-JUN-1991 | To: FAA | A-91-30 |
Conduct research and development efforts to provide airports that are not scheduled to receive airport surface detection equipment with an alternate, cost effective, system to bring controller and pilot attention to pending runway incursions in time to prevent ground collisions. (superseded by A-95-94) (Closed - Acceptable Action/Superseded) |
Issued: 12-JUN-1991 | To: FAA | A-91-31 |
INCORPORATE INTO THE TRAINING SYLLABUS AT THE FEDERAL AVIATION ADMINISTRATION\'S ACADEMY AT OKLAHOMA CITY, OKLAHOMA, MATERIALS WHICH STRESS THE IMPORTANCE OF AND THE NEED FOR GIVING TRAFFIC INFORMATION WHEN ISSUING AN ANTICIPATED SEPARATION LANDING CLEARANCE. STRESS THAT THIS INFORMATION WILL ENHANCE PILOT AWARENESS AND VISUAL ACQUISITION OF PRECEDING TRAFFIC, THEREBY PROVIDING A REDUNDANCY IN SEPARATION ASSURANCE FOR CONTROLLERS AND PILOTS. (Closed - Acceptable Action) |
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Photos
Map
This map shows the airport of departure and the intended destination of the flight. The line between the airports does
not display the exact flight path.
Distance from New York-La Guardia Airport, NY to Atlanta-William B. Hartsfield International Airport, GA as the crow flies is 1216 km (760 miles).
This information is not presented as the Flight Safety Foundation or the Aviation Safety Network’s opinion as to the cause of the accident. It is preliminary and is based on the facts as they are known at this time.