Los Angeles - Palmdale

SKW5569, N683AV, had been cleared to runway 24L, at intersection 45, to position and hold. The local controller, because of her preoccupation with another airplane, forgot she had placed SKW5569 on the runway and subsequently cleared US1493, N388US, for landing. After the collision, the two airplanes slid off the runway into an unoccupied fire station. The tower operating procedures did not require flight progress strips to be processed through the local ground control position. Because this strip was not present, the local controller misidentified an airplane and issued a landing clearance. The technical appraisal program for air traffic controllers is not being fully utilized because of a lack of understanding by supervisors and the unavailability of appraisal histories.

Flight / Schedule

Los Angeles - Palmdale

Registration

N683AV

MSN

AC-683

Year of Manufacture

1987

Date

February 1, 1991 at 06:07 PM

Type

CRASH

Flight Type

Scheduled Revenue Flight

Flight Phase

Takeoff (climb)

Crash Site

Airport (less than 10 km from airport)

Crash Location

Los Angeles California

Region

North America • United States of America

Coordinates

34.0587°, -118.4165°

Crash Cause

Human factor

Narrative Report

On February 1, 1991 at 06:07 PM, Los Angeles - Palmdale experienced a crash involving Swearingen SA227 Metro III, operated by SkyWest Airlines - USA, with the event recorded near Los Angeles California.

The flight was categorized as scheduled revenue flight and the reported phase was takeoff (climb) at a airport (less than 10 km from airport) crash site.

12 people were known to be on board, 12 fatalities were recorded, 0 survivors were identified or estimated. This corresponds to an estimated fatality rate of 100.0%.

Crew on board: 2, crew fatalities: 2, passengers on board: 10, passenger fatalities: 10, other fatalities: 0.

The listed crash cause is human factor. SKW5569, N683AV, had been cleared to runway 24L, at intersection 45, to position and hold. The local controller, because of her preoccupation with another airplane, forgot she had placed SKW5569 on the runway and subsequently cleared US1493, N388US, for landing. After the collision, the two airplanes slid off the runway into an unoccupied fire station. The tower operating procedures did not require flight progress strips to be processed through the local ground control position. Because this strip was not present, the local controller misidentified an airplane and issued a landing clearance. The technical appraisal program for air traffic controllers is not being fully utilized because of a lack of understanding by supervisors and the unavailability of appraisal histories.

Aircraft reference details include registration N683AV, MSN AC-683, year of manufacture 1987.

Geospatial coordinates for this crash are approximately 34.0587°, -118.4165°.

Fatalities

Total

12

Crew

2

Passengers

10

Other

0

Crash Summary

SKW5569, N683AV, had been cleared to runway 24L, at intersection 45, to position and hold. The local controller, because of her preoccupation with another airplane, forgot she had placed SKW5569 on the runway and subsequently cleared US1493, N388US, for landing. After the collision, the two airplanes slid off the runway into an unoccupied fire station. The tower operating procedures did not require flight progress strips to be processed through the local ground control position. Because this strip was not present, the local controller misidentified an airplane and issued a landing clearance. The technical appraisal program for air traffic controllers is not being fully utilized because of a lack of understanding by supervisors and the unavailability of appraisal histories.

Cause: Human factor

Occupants & Outcome

Crew On Board

2

Passengers On Board

10

Estimated Survivors

0

Fatality Rate

100.0%

Known people on board: 12

Operational Details

Schedule / Flight

Los Angeles - Palmdale

Flight Type

Scheduled Revenue Flight

Flight Phase

Takeoff (climb)

Crash Site

Airport (less than 10 km from airport)

Region / Country

North America • United States of America

Aircraft Details

Registration

N683AV

MSN

AC-683

Year of Manufacture

1987