Status: | Accident investigation report completed and information captured |
Date: | Friday 1 February 1991 |
Time: | 18:07 |
Type: |  Fairchild SA227-AC Metro III |
Operator: | SkyWest Airlines |
Registration: | N683AV |
MSN: | AC-683 |
First flight: | 1987 |
Engines: | 2 Garrett TPE331 |
Crew: | Fatalities: 2 / Occupants: 2 |
Passengers: | Fatalities: 10 / Occupants: 10 |
Total: | Fatalities: 12 / Occupants: 12 |
Collision casualties: | Fatalities: 22 |
Aircraft damage: | Destroyed |
Aircraft fate: | Written off (damaged beyond repair) |
Location: | Los Angeles International Airport, CA (LAX) ( United States of America)
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Crash site elevation: | 38 m (125 feet) amsl |
Phase: | Takeoff (TOF) |
Nature: | Domestic Scheduled Passenger |
Departure airport: | Los Angeles International Airport, CA (LAX/KLAX), United States of America |
Destination airport: | Palmdale Airport, CA (PMD/KPMD), United States of America |
Flightnumber: | 5569 |
Narrative:USAir Flight 1493 left Columbus at 13:17 for a flight to Los Angeles. The Boeing 737-300, N388US, aircraft entered LAX airspace around 17:57 and was cleared for a CIVET Two Profile Descent and ILS runway 24R approach. At 17:59 this was changed to a runway 24L approach clearance.
At about the same time a SkyWest Metro III aircraft (Flight 5569 to Palmdale) taxied out from Terminal 6, Gate 32 to runway 24L. At 18:03 the crew were advised to "taxi up to and hold short of 24L" because of other traffic. At 18:04:49 the flight was cleared to taxi into position and hold. Immediately thereafter the controller became preoccupied with instructing WingsWest Flight 5006 who had unintentionally departed the tower frequency. The WingsWest 5072 reporting ready for takeoff caused some confusion because the controller didn't have a flight progress strip in front of her. The strip appeared to have been misfiled at the clearance delivery position. Meanwhile, Flight 5569 was still on the runway at the intersection with taxiway 45, awaiting takeoff clearance.
At 18:07 Flight 1493 touched down. Simultaneous to the nosegear touchdown, the Boeing 737 collided with the SkyWest Metro. Both aircraft caught fire and slid to the left into an unoccupied fire station.
Probable Cause:
PROBABLE CAUSE: "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 ATS to provide adequate policy direction and oversight to its ATC facility managers. These failures created an environment in the Los Angeles ATC tower that ultimately led to the failure of the Local Controller 2 (LC2) to maintain awareness of the traffic situation, culminating in the inappropriate clearances and the subsequent collision of the USAir and SkyWest aircraft. Contributing to the cause pf the accident was the failure of the FAA to provide effective quality assurance pf the ATC system."
Accident investigation:
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Investigating agency: | NTSB  |
Status: | Investigation completed |
Duration: | 263 days (9 months) | Accident number: | NTSB/AAR-91-08 | Download report: | Final report
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Classification:
Language/communication problems
Runway incursion
Runway mishap
Sources:
» Aviation Week & Space Technology 11.02.91 (27)
» ICAO Adrep Summary 4/94 (#72)
Photos

Wreckage diagram

Airport map
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 Los Angeles International Airport, CA to Palmdale Airport, CA as the crow flies is 81 km (51 miles).
Accident location: Exact; deduced from official accident report.
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.