| Status: | Final |
| Date: | 01 FEB 1994 |
| Time: | 21:40 CST |
| Type: | Saab 340B |
| Operating for: | American Eagle |
| Leased from: | Simmons Airlines |
| Registration: | N349SB |
| C/n / msn: | 349 |
| First flight: | |
| Total airframe hrs: | 528 |
| Engines: | 2 General Electric CT7-9B |
| Crew: | Fatalities: 0 / Occupants: 3 |
| Passengers: | Fatalities: 0 / Occupants: 23 |
| Total: | Fatalities: 0 / Occupants: 26 |
| Airplane damage: | Substantial |
| Airplane fate: | Repaired |
| Location: | New Roads-False River Regional Airport, LA (HZR) (United States of America)
 |
| Phase: | En route (ENR) |
| Nature: | Domestic Scheduled Passenger |
| Departure airport: | Dallas/Fort Worth International Airport, TX (DFW/KDFW), United States of America |
| Destination airport: | Baton Rouge-Ryan Airport, LA (BTR/KBTR), United States of America |
| Flightnumber: | 3641 |
Narrative:While descending for landing at Baton Rouge, the captain actively moved the power levers from the flight idle gate into the beta range for undetermined reasons. The propellers and engines experienced extreme overspeed, necessitating a power-off emergency landing at night and the airplane ran off the end of a 5,000-ft runway. Although the design and certification of the power levers met existing requirements, those requirements were inadequate because they permitted a design that did not prevent movement into the beta range in flight.
PROBABLE CAUSE: "The captain’s movement of the power levers below flight idle in flight, the inadequate certification requirements and consequent design of the airplane’s power levers that permitted them to be moved below the flight idle position into the beta range, either intentionaily or inadverteatly, while in flight, and the inadequate action taken to require a positive means to prevent beta operation on airplanes for which such operation is prohibited."
Sources:
» Air Safety Week 03.10.1994 (p. 1-2)
» Aviation Week & Space Technology 7.3.94 (29/30)
» Flight International
» NTSB Safety Recommendations A-94-61 through -63
» NTSB/AAR-94/06
» Scramble 181
Follow-up / safety actions
NTSB issued 3 Safety Recommendations
| Issued: 02-MAR-1994 | To: FAA | A-94-061 |
| ISSUE AN AIRWORTHINESS DIRECTIVE APPLICABLE TO SAAB 340 AIRPLANES THAT WOULD REQUIRE INSTALLATION OF A SYSTEM THAT PREVENTS THE POWER LEVERS FROM MOVING AFT OF THE FLIGHT IDLE STOPS INTO THE BETA RANGE IN FLIGHT REGARDLESS OF PILOT ACTION. UNTIL THE SYSTEM IS INSTALLED, COCKPIT PLACARDS SHOULD BE INSTALLED IN SAAB 340 AIRPLANES TO WARN PILOTS NOT TO MOVE THE POWER LEVERS INTO THE BETA RANGE WHILE IN FLIGHT. (Closed - Acceptable Action) |
| Issued: 02-MAR-1994 | To: FAA | A-94-062 |
| REVISE TITLE 14 CODE OF FEDERAL REGULATIONS, PARTS 25.1155 AND 23.1155 TO REQUIRE A POSITIVE MEANS TO PREVENT OPERATION OF THE PROPELLER IN THE BETA MODE WHILE IN FLIGHT, UNLESS THE AIRPLANE IS CERTIFICATED FOR SUCH USE. (Closed - Unacceptable Action) |
| Issued: 02-MAR-1994 | To: FAA | A-94-063 |
| REVIEW ALL OTHER TURBOPROPELLER AIRPLANE DESIGNS TO DETERMINE WHETHER IN-FLIGHT ENGINE OPERATION IN THE BETA RANGE SHOULD BE PROHIBITED. ISSUE APPROPRIATE AIRWORTHINESS DIRECTIVES APPLICABLE TO THOSE AIRPLANES TO INSTALL A SYSTEM TO PREVENT MOVEMENT OF POWER LEVERS INTO THE BETA RANGE, AND REQUIRE APPROPRIATE WARNINGS IN AIRPLANE OPERATING MANUALS AND ON COCKPIT PLACARDS TO WARN PILOTS NOT TO MOVE POWER LEVERS INTO THE BETA RANGE IN FLIGHT, UNLESS THE AIRPLANE IS CERTIFICATED FOR SUCH USE. (Closed - Acceptable Action) |
Show all AD's and Safety Recommendations
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 Dallas/Fort Worth International Airport, TX to Baton Rouge-Ryan Airport, LA as the crow flies is 612 km (382 miles).