Vliegtuigongeval op 08 JUN 1992 met Beechcraft C99 N118GP

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Accident

Last updated: 22 May 2013

Status:	Definitief
Datum:	08 JUN 1992
Tijd:	08:53
Type:	Beechcraft C99
Luchtvaartmaatschappij:	GP Express Airlines
Registratie:	N118GP
Constructienummer:	U-185
Bouwjaar:	1982
Aantal vlieguren:	9725
Aantal vluchten:	11109
Motoren:	2 Pratt & Whitney Canada PT6A-36
Bemanning:	slachtoffers: 1 / inzittenden: 2
Passagiers:	slachtoffers: 2 / inzittenden: 4
Totaal:	slachtoffers: 3 / inzittenden: 6
Schade:	Vernield
Gevolgen:	Written off (damaged beyond repair)
Plaats:	12 km (7.5 mijl) NE of Anniston-County Airport, AL (ANB) (Verenigde Staten)
Fase:	Nadering (APR)
Soort vlucht:	Binnenlandse lijnvlucht
Vliegveld van vertrek:	Atlanta-William B. Hartsfield International Airport, GA (ATL/KATL), Verenigde Staten
Vliegveld van aankomst:	Anniston-County Airport, AL (ANB/KANB), Verenigde Staten
Vluchtnummer:	861

Beschrijving:
After being cleared by air traffic control for the instrument landing system (ILS) approach to runway 05 at Anniston, the flight crew turned the airplane toward the north away from the airport in the erroneous belief that the airplane was south of the airport. The flight crew did not perform the manoeuvres specified on the approach chart, which required flying outbound from the airport, then performing the "procedure turn" back toward the airport. The investigation determined that in actuality, the airplane had intercepted the back course localizer signal for the ILS approach, and the flight crew had commenced the approach at a high airspeed about 2,000 feet above the specified altitude for crossing the final approach fix. The airplane continued a controlled descent until it impacted terrain.

PROBABLE CAUSE: "The failure of senior management of GP Express to provide adequate training and operational support for the start-up of the southern operation, which resulted in the assignment of an inadequately prepared captain with a relatively inexperienced first officer in revenue passenger service and the failure of the flight crew to use approved instrument flight procedures, which resulted in a loss of situational awareness and terrain clearance. Contributing to the causes of the accident was GP Express' failure to provide approach charts to each pilot and to establish stabilized approach criteria. Also contributing were the inadequate crew coordination and a role reversal on the part of the captain and first officer."

Bronnen:
» NTSB Safety Recommendations A-92-133
» Scramble 157

Official accident investigation report

investigating agency:	National Transport Safety Bureau (NTSB) - USA
report status:	Final
report number:	NTSB/AAR-93-03
report released:	02-MAR-1993
duration of investigation:	267 days (8.9 months)
download report:	Controlled Collision with Terrain GP Express Airlines, Inc., Flight 861 A Beechcraft C99, N118GP Anniston, Alabama June 8, 1992. (NTSB/AAR-93-03)

Veiligheidsmaatregelen

NTSB issued 6 Safety Recommendations

Issued: 06-JAN-1993	To: FAA	A-92-133
REQUIRE, FOR AIRCRAFT THAT MUST BE OPERATED BY TWO CREWMEMBERS AND BE EQUIPPED WITH A FOUR-CHANNEL COCKPIT VOICE RECORDER (CVR), THE EXCLUSIVE USE OF THE THIRD CVR RADIO CHANNEL TO RECORD ONLY AUDIO SIGNALS FROM THE COCKPIT CREW INTERCOM SYSTEM AND THE TWO "HOT" BOOM MICROPHONES. (Closed - Unacceptable Action)
Issued: 02-APR-1993	To: FAA	A-93-035
REQUIRE THAT ALL PILOTS OPERATING AIRCRAFT UNDER 14 CFR PART 135 HAVE ACCESS TO THEIR OWN SET OF INSTRUMENT APPROACH CHARTS. (Closed - Unacceptable Action)
Issued: 02-APR-1993	To: FAA	A-93-036
REQUIRE THAT SCHEDULED AIR CARRIERS OPERATING UNDER 14 CFR PART 135 DEVELOP AND INCLUDE IN THEIR FLIGHT OPERATION MANUALS AND TRAINING PROGRAMS STABILIZED APPROACH CRITERIA. THE CRITERIA SHOULD INCLUDE SPECIFIC LIMITS OF LOCALIZER, GLIDESLOPE, AND VOR NEEDLE DEFLECTIONS AND RATES OF DESCENT, ETC., NEAR THE AIRPORT, BEYOND WHICH INITIATION OF AN IMMEDIATE MISSED APPROACH WOULD BE REQUIRED. (Closed - Acceptable Alternate Action)
Issued: 02-APR-1993	To: FAA	A-93-037
DEVELOP GUIDANCE AND EVALUATION CRITERIA FOR PRINCIPAL OPERATIONS INSPECTORS TO USE TO ENSURE THAT AIRLINE COCKPIT RESOURCE MANAGEMENT TRAINING PROGRAMS ADEQUATELY ADDRESS CREW INTERACTION, DECISION-MAKING PROCESS, INFORMATION GATHERING, FLIGHTCREW COMMUNICATION, AND LEADERSHIP SKILLS. (Closed - Acceptable Action)
Issued: 02-APR-1993	To: FAA	A-93-038
FOR AIRLINES THAT UTILIZE CONTRACTED FLIGHT AND GROUND TRAINING PROGRAMS, REQUIRE THAT PILOTS HIRED DIRECTLY TO BE CAPTAINS RECEIVE ADDITIONAL FLIGHT INSTRUCTION PERTAINING TO THE OPERATING ENVIRONMENT AND PROCEDURES UNIQUE TO THE AIRLINE FROM AN FAA-APPROVED COMPANY CHECK AIRMAN OR INSTRUCTOR, RATHER THAN ONLY FROM THE CONTRACTOR INSTRUCTOR. (Closed - Reconsidered)
Issued: 02-APR-1993	To: FAA	A-93-039
AMEND 14 CFR 135.243(C)(2) TO REQUIRE THAT THE PILOT-IN-COMMAND OF A COMMUTER AIR CARRIER FLIGHT THAT REQUIRES TWO CREWMEMBERS HAVE AT LEAST 100 HOURS OF FLIGHT TIME OR AN EQUIVALENT LEVEL OF TRAINING IN COMMUTER AIR CARRIER OPERATIONS REQUIRING TWO PILOTS. (Closed - Acceptable Action)

Show all AD's and Safety Recommendations

Foto's

Kaart

Deze kaart geeft het vliegveld van vetrek weer en de geplande bestemming van de vlucht. De lijn tussen de vliegvelden geeft niet de exacte vliegroute weer.
De afstand tussen Atlanta-William B. Hartsfield International Airport, GA en Anniston-County Airport, AL bedraagt 132 km (82 miles).

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