Port Columbus Intl Airport
Aircraft Accident/Incident Report

Columbus, Ohio 43219
Friday, January 7, 1994 23:21 EST

NTSB Narrative Summary Released at Completion of Accident

The airplane stalled and crashed 1.2 nautical miles east of runway 28L during an ILS approach. The captain initiated the approach at high speed & crossed the FAF at a high speed without first having the airplane properly configured for a stabilized approach. The airspeed was not monitored nor maintained by the flightcrew. The airline had no specified callouts for airspeed deviations during instrument approaches. The captain failed to apply full power & configure the airplane in a timely manner. Both pilots had low flight time and experience in in the airplane and in any EFIS-equipped airplane. Additionally, the captain had low time and experience as a captain. Inadequate consideration was given to the possible consequences of pairing a newly upgraded captain, on a new airplane, with a first officer who had no airline experience in air carrier operations, nor do current FAA regulations address this issue.

NTSB Probable Cause Narrative

(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)

Event Information

Type of Event Accident
Event Date 1/7/1994
Event Day of the Week Friday
Time of Event 2321
Event Time Zone Eastern Standard Time
Event City COLUMBUS
Event State OHIO
Event Country --
Zipcode of the event site 43219
Event Date Year 1994
Event Date Month 1
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude
Event Location Longitude
Event Location Airport PORT COLUMBUS INTL
Event Location Nearest Airport ID CMH
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 1
Degrees magnetic from airport 100
Airport Elevation 815
Weather Briefing Completeness Full
Investigator's weather source Weather Observation Facility
Time of the weather observation 2328 Eastern Standard Time
Direction of event from weather observation facility (degrees) 280
Weather Observation Facility ID CMH
Elevation of weather observation facility 815
Distance of event from weather observation facility (units?) 1
Time Zone of the weather observation EST
Lighting Conditions Night/Dark
Lowest Ceiling Height 800
Lowest Non-Ceiling Height 0
Sky/Lowest/Cloud Conditions Unknown
Sky Condition for Lowest Ceiling Overcast
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 2.5
Air Temperature at event time (in degrees celsius) -5
Dew Point at event time (in degress fahrenheit) -6
Wind Direction (degrees magnetic) 300
Variable Wind Indicator Unknown
Wind Speed (knots) 6
Wind Velocity Indicator Unknown
Wind Gust Indicator Not Gusting
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 29
Density Altitude (feet) --
Intensity of Precipitation Light
METAR weather report --
Event Highest Injury Fatal
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 0
On Ground, Serious Injuries 0
Injury Total Fatal 5
Injury Total Minor 2
Injury Total None 1
Injury Total Serious --
Injury Total All 7
Investigating Agency NTSB
NTSB Docket Number (internal use) 1512
NTSB Notification Source --
NTSB Notification Date Jan 8 1994 12:00AM
NTSB Notification Time 30
Fiche Number and/or location -used to find docket information 52866
Date of most recent change to record Dec 6 2000 10:24AM
User who most recently changed record dbo
Basic weather conditions Instrument Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N304UE
NTSB Number DCA94MA027
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 135: Air Taxi & Commuter
Type of Flight Plan filed IFR
Flight plan Was Activated? --
Damage Destroyed
Aircraft Fire Ground
Aircraft Explosion None
Aircraft Manufacturer's Full Name JETSTREAM
Aircraft Model 4101
Aircraft Series Identifier 4101
Aircraft Serial Number 41016
Certified Max Gross Weight 23000
Aircraft Category Airplane
Aircraft Registration Class U.S. Registered/U.S. Soil
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 29
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Jan 6 1994 12:00AM
Airframe hours since last inspection 14
Airframe Hours 1069
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name FIRST SECURITY BANK OF UTAH
Aircraft Owner Street Address 79 SOUTH MAIN STREET
Aircraft Owner City SALT LAKE CITY
Aircraft Owner State UT
Aircraft Owner Country
Aircraft Owner Zipcode 84111
Operator is an individual? --
Operator Name ATLANTIC COAST AIRLINES
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 1 EXPORT DRIVE
Operator City STERLING
Operator State VA
Operator Country
Operator Zip code 20164
Operator Code
Owner has at least one certificate Yes - certificate holder
Other Operator of large aircraft? No
Certified for Part 133 or 137 Operation Unknown
Operator Certificate Number --
Indicates whether an air carrier operation was scheduled or not Scheduled
Indicates Domestic or International Flight Domestic
Operator carrying Pax/Cargo/Mail Passenger Only
Type of Flying (Per_Bus / Primary) Unknown
Second Pilot on Board Yes
Departure Point Same as Event No
Departure Airport Code IAD
Departure City CHANTILLY
Departure State VA
Departure Country
Departure Time 2158
Departure Time Zone EST
Destination Same as Local Flt crash at destination city
Destination Airport Code
Destination City
Destination State
Destination Country
Specific Phase of Flight Approach
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jan 2 2001 10:30AM
User who most recently changed record dbo
Since inspection or accident --
Event Location Runway Number and Location 28L
Runway Length 10250
Runway Width 150
Sight Seeing flight No
Air Medical Flight No
Medical Flight --