Individually Owned: 150,657
Corporate Owned: 137,281
Cleveland Hopkins Intl Airport
Aircraft Accident/Incident Report
Cleveland, Ohio
Wednesday, June 3, 2009 15:15 EDT
NTSB Narrative Summary Released at Completion of Accident
On Wednesday, June 3, 2009 at 3:15 p.m., a runway incursion occurred at CLE when SWA1080 was directed to taxi into position and hold on runway 6L prior to the departure of BTA2491 that had been previously cleared for takeoff from the same runway. BTA2491 queried the ATCT with “Hey tower, I thought we were cleared to go”. The ATCS immediately directed SWA1080 to hold short of runway 6R and corrected the location to runway 6L followed by directions to BTA2491 to hold present position. According to the airport movement and surveillance system (AMASS) playback, both aircraft had entered runway 6L, BTA2491 at the approach end and SWA1080 at the intersection of taxiway T and runway 6L. Taxiway T intersected runway 6L 1,475 feet from the approach end of runway 6L.
CLE was in a north flow configuration, departing runway 6L, arriving runway 6R.
Reported weather at CLE at 2:51 p.m. EDT/1851 UTC was: wind 350 degrees at 6 knots, visibility 6 statute miles in light rain showers. Few clouds at 1,200 feet, scattered clouds at 1,800 feet, overcast at 8500 feet. The temperature was 14 degrees Celsius, dew point 12 degrees Celsius. The altimeter was 30.11 inches of mercury.
Air traffic control tower (ATCT) staffing included 1 front line manager (FLM) on position with a developmental, local control (LC) 1 and 2 combined with a developmental, Ground Control (GC) 1 and 2 combined, and flight data (FD)/clearance delivery (CD) combined on position.
NTSB Probable Cause Narrative
The ground controller did not issue taxi instructions in accordance with FAA Order 7110.65, paragraph 3-7-2. The local controller did not scan the runways prior to issuing a taxi into position and hold instruction to SWA1080 as required by FAA Order 7110.65 paragraph 3-1-12. The local controller did not cancel takeoff clearance for BTA2941 as required by FAA Order 7110.65, paragraph 3-9-10.
Event Information
| Type of Event | Incident |
| Event Date | 6/3/2009 |
| Event Day of the Week | Wednesday |
| Time of Event | 1515 |
| Event Time Zone | Eastern Daylight Time |
| Event City | Cleveland |
| Event State | OHIO |
| Event Country | -- |
| Zipcode of the event site | -- |
| Event Date Year | 2009 |
| Event Date Month | 6 |
| MidAir Collision Indicator | No |
| On Ground Collision occurred ? | No |
| Event Location Latitude | -- |
| Event Location Longitude | -- |
| Event Location Airport | Cleveland Hopkins Intl Airport |
| Event Location Nearest Airport ID | CLE |
| Indicates whether the acc/inc occurred off or on an airport | On Airport |
| Distance from airport in statute miles | -- |
| Degrees magnetic from airport | -- |
| Airport Elevation | 791 |
| Weather Briefing Completeness | -- |
| Investigator's weather source | Weather Observation Facility |
| Time of the weather observation | 1451 Eastern Daylight Time |
| Direction of event from weather observation facility (degrees) | -- |
| Weather Observation Facility ID | KCLE |
| Elevation of weather observation facility | -- |
| Distance of event from weather observation facility (units?) | -- |
| Time Zone of the weather observation | EDT |
| Lighting Conditions | Day |
| Lowest Ceiling Height | 8500 |
| Lowest Non-Ceiling Height | 1200 |
| Sky/Lowest/Cloud Conditions | Few |
| Sky Condition for Lowest Ceiling | Overcast |
| Visibility Runway Visual Range (Feet) | -- |
| Visibility Runway Visual Value (Statute Miles) | -- |
| Visibility (Statute Miles) | 6 |
| Air Temperature at event time (in degrees celsius) | 14 |
| Dew Point at event time (in degress fahrenheit) | 12 |
| Wind Direction (degrees magnetic) | 350 |
| Variable Wind Indicator | Wind direction could be determined |
| Wind Speed (knots) | 6 |
| Wind Velocity Indicator | -- |
| Wind Gust Indicator | Not Gusting |
| Wind Gust (knots) | -- |
| Altimeter Setting at event time (in. Hg) | 30.11 |
| Density Altitude (feet) | -- |
| Intensity of Precipitation | -- |
| METAR weather report | -- |
| Event Highest Injury | None |
| On Ground, Fatal Injuries | -- |
| On Ground, Minor Injuries | -- |
| On Ground, Serious Injuries | -- |
| Injury Total Fatal | -- |
| Injury Total Minor | -- |
| Injury Total None | 163 |
| Injury Total Serious | -- |
| Injury Total All | -- |
| Investigating Agency | NTSB |
| NTSB Docket Number (internal use) | 26692 |
| NTSB Notification Source | FAA |
| NTSB Notification Date | -- |
| NTSB Notification Time | -- |
| Fiche Number and/or location -used to find docket information | -- |
| Date of most recent change to record | May 6 2010 9:00AM |
| User who most recently changed record | rows |
| Basic weather conditions | Visual Meteorological Cond |
| FAA District Office | -- |
Aircraft Involved |
||
|---|---|---|
Aircraft #1 |
Aircraft #2 |
|
| Aircraft Registration Number | -- | -- |
| NTSB Number | OPS09IA007A | OPS09IA007B |
| Missing Aircraft Indicator | -- | -- |
| Federal Aviation Reg. Part | -- | -- |
| Type of Flight Plan filed | IFR | IFR |
| Flight plan Was Activated? | -- | -- |
| Damage | None | None |
| Aircraft Fire | None | None |
| Aircraft Explosion | -- | None |
| Aircraft Manufacturer's Full Name | BOEING | EMBRAER |
| Aircraft Model | 737-7H4 | EMB-145LR |
| Aircraft Series Identifier | -- | -- |
| Aircraft Serial Number | 36614 | 145116 |
| Certified Max Gross Weight | -- | -- |
| Aircraft Category | Airplane | Airplane |
| Aircraft Registration Class | -- | -- |
| Aircraft is a homebuilt? | No | No |
| Flight Crew Seats | -- | -- |
| Cabin Crew Seats | -- | -- |
| Passenger Seats | -- | -- |
| Total number of seats on the aircraft | 140 | 55 |
| Number of Engines | 2 | 2 |
| Fixed gear or retractable gear | Retractable | Retractable |
| Aircraft, Type of Last Inspection | -- | -- |
| Date of Last Inspection | -- | -- |
| Airframe hours since last inspection | -- | -- |
| Airframe Hours | -- | -- |
| ELT Installed | Yes | Unknown |
| ELT Activated | No | Unknown |
| ELT Aided Location of Event Site | No | Unknown |
| ELT Type | Unknown | -- |
| Aircraft Owner Name | -- | -- |
| Aircraft Owner Street Address | PO BOX 36611 | 299 S MAIN ST # U1228-120 |
| Aircraft Owner City | DALLAS | SALT LAKE CITY |
| Aircraft Owner State | TX | UT |
| Aircraft Owner Country | USA | USA |
| Aircraft Owner Zipcode | 75235-1611 | 84111-2263 |
| Operator is an individual? | No | No |
| Operator Name | -- | -- |
| Operator Same as Owner? | No | No |
| Operator Is Doing Business As | -- | -- |
| Operator Address Same as Owner? | No | No |
| Operator Street Address | -- | -- |
| Operator City | -- | -- |
| Operator State | -- | -- |
| Operator Country | USA | USA |
| Operator Zip code | -- | -- |
| Operator Code | SWAA | C2XA |
| Owner has at least one certificate | Yes - certificate holder | Yes - certificate holder |
| Other Operator of large aircraft? | No | No |
| Certified for Part 133 or 137 Operation | -- | -- |
| Operator Certificate Number | SWAA304A | C2XA965W |
| Indicates whether an air carrier operation was scheduled or not | Scheduled | Scheduled |
| Indicates Domestic or International Flight | Domestic | Domestic |
| Operator carrying Pax/Cargo/Mail | Passenger Only | Passenger Only |
| Type of Flying (Per_Bus / Primary) | -- | -- |
| Second Pilot on Board | -- | -- |
| Departure Point Same as Event | Yes | Yes |
| Departure Airport Code | CLE | CLE |
| Departure City | Cleveland | Cleveland |
| Departure State | OH | OH |
| Departure Country | USA | USA |
| Departure Time | -- | -- |
| Departure Time Zone | EDT | EDT |
| Destination Same as Local Flt | -- | -- |
| Destination Airport Code | MDW | ORD |
| Destination City | Chicago | Chicago |
| Destination State | IL | IL |
| Destination Country | USA | USA |
| Specific Phase of Flight | -- | -- |
| Report sent to ICAO? | -- | -- |
| Evacuation occurred | -- | -- |
| Date of most recent change to record | Mar 8 2010 10:42AM | Mar 8 2010 10:42AM |
| User who most recently changed record | rows | rows |
| Since inspection or accident | -- | -- |
| Event Location Runway Number and Location | 06L | 06L |
| Runway Length | 9000 | 9000 |
| Runway Width | 150 | 150 |
| Sight Seeing flight | No | -- |
| Air Medical Flight | No | -- |
| Medical Flight | -- | -- |