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Aviation accident DCA94MA027

5 fatal · JETSTREAM 4101 · 1994-01-08 · COLUMBUS, OH, USA

Event

NTSB number
DCA94MA027
Event ID
20001206X00616
Type
Accident
Date
1994-01-08
Location
COLUMBUS, OH, USA
Coordinates
40.010005, -82.920913

Injuries

Highest injury
FATL
Fatal
5
Serious
0
Minor
2
Uninjured
1
Total aboard
8

Aircraft

Make
JETSTREAM
Model
4101
Registration
N304UE
FAR Part
135
Engines
2
Damage
DEST

Conditions

Light
NDRK
Weather
IMC

Probable cause

(1) An aerodynamic stall that occurred when the flightcrew allowed the airspeed to decay to stall speed following a very poorly planned and executed approach characterized by an absence of procedural discipline; (2) Improper pilot response to the stall warning, including failure to advance the power levers to maximum, and inappropriately raising the flaps; (3) Flightcrew inexperience in 'glass cockpit' automatic aircraft, aircraft type, and in seat position, a situation exacerbated by a side letter of agreement between the company and its pilots; (4) The company's failure to provide adequate crew resource management training, and the FAA's failure to require such training; (5) The company's failure to provide adequate stabilized approach criteria, and the FAA's failure to require such criteria; and (6) The unavailability of suitable training simulators that precluded fully effective flightcrew training. Note: Items 1, 2, and 3 were approved by a Board vote of 4-0. Item 5 was adopted 3-1, with the dissenting Member believing the item was a contributory cause. The Board was divided 2-2 on items 4 and 6, two Members believing them causal and two Members, contributory. (NTSB Report AAR-94/07)

Source

Authoritative
NTSB CAROL
Machine
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