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

Similar Plane Crashes

May 2, 1918 at 12:00 AM2 Fatalities

United States Signal Corps - USSC

De Havilland DH.4

The single engine airplane departed Dayton-McCook Field for a local test flight. Shortly after takeoff, the aircraft stalled and crashed, killing both occupants. Crew: Maj Oscar Brindley, Lt Col Henry Damm.

June 19, 1918 at 12:00 AM1 Fatalities

United States Signal Corps - USSC

De Havilland DH.4

Lt. Frank Stuart Patterson, son and nephew of the co-founders of National Cash Register, is killed in the crash of his DH.4M, AS-32098, at Wilbur Wright Field during a flight test of a new mechanism for synchronizing machine gun and propeller, when a tie rod breaks during a dive from 15,000 feet (4,600 m), causing the wings to separate from the aircraft. Wishing to recognize the contributions of the Patterson family (owners of NCR) the area of Wright Field east of Huffman Dam (including Wilbur Wright Field, Fairfield Air Depot, and the Huffman Prairie) is renamed Patterson Field on 6 July 1931, in honor of Lt. Patterson.

November 9, 1918 at 12:00 AM

United States Signal Corps - USSC

De Havilland DH.4

The aircraft crashed in unknown circumstances.

November 12, 1918 at 12:00 AM1 Fatalities

United States Signal Corps - USSC

De Havilland DH.4

The crew was completing a training mission. At an altitude of about 4,000 feet, the aircraft entered a spin and crashed in an open field near Everman-Barron Field Airport. A crew was killed and the second occupants was injured. The aircraft was destroyed.

November 14, 1918 at 12:00 AM

U.S. Air Mail Service

De Havilland DH.4

Crashed following an engine failure. Pilot fate unknown.

November 20, 1918 at 12:00 PM

United States Signal Corps - USSC

De Havilland DH.4

The accident occurred in unknown circumstances.