Individually Owned: 150,657
Corporate Owned: 137,281
Cleveland/Hopkins Int'l Airpor Airport
Aircraft Accident/Incident Report
Cleveland, Ohio
Friday, June 26, 2009 8:56 EDT
NTSB Narrative Summary Released at Completion of Accident
On Friday, June 26, 2009, a runway incursion occurred at Cleveland /Hopkins International Airport (CLE), Cleveland, Ohio involving Continental Express (BTA) flight 2426, call sign BTA2426, an Embraer 145 and Commutair (UCA) flight 8717, a De Havilland Canada Dash 8-200 (DH8). The incident occurred during daylight visual conditions. At the time of the incident there was a developmental controller being monitored by a certified controller at the local control position.
Continental Express (BTA) flight 2426, call sign BTA2426, an Embraer 145, aircraft number N24103 was on a scheduled part 121 flight from CLE to Kansas City International Airport (MCI), Kansas City, Missouri. BTA2426 had a crew of 3, which included the pilot, first officer, a flight attendant, and 40 passengers plus 1 lap child on board.
Commutair (UCA) flight 8717, a De Havilland Canada Dash 8-200 (DH8), aircraft number N375PH was on a scheduled part 121 flight from CLE to Port Columbus International Airport (CMH) Columbus, Ohio. UCA8717 had a crew of 3 which included the pilot, first officer, a flight attendant and 19 passengers on board.
At 0856, the developmental controller directed UCA8717 to taxi into position and hold on the approach end of runway 24L at CLE. BTA2426, taxied from spot 5 to runway 24R via taxiways J and S and was directed to hold short of runway 24L by the ground controller before being directed to monitor the tower local controller on frequency 120.9. Nineteen seconds after directing UCA8717 to taxi into position and hold, the developmental trainee directed BTA2426 to cross runway 24L and advised BTA2426 that UCA8717 was in position for departure. Twenty seconds after directing BTA2426 to cross runway 24L, the local control developmental trainee directed UCA8717 to fly runway heading and issued a takeoff clearance. BTA2426 had not yet crossed runway 24L. UCA8717 acknowledged the takeoff clearance followed by the controller directing another aircraft to taxi into position and hold runway 24L. BTA2426 immediately called the tower with “BTA2426 we’re holding short of 24L you gave a clearance to cross though”. The local control developmental trainee did not respond. There were no other transmissions on the local control frequency until BTA2426 transmitted 10 seconds later “you copy for BTA2426”. The local control developmental trainee responded with “BTA2426 just hold there please”.
According to the pilots of UCA8717, the tower controller instructed them to taxi into position and hold on runway 24L. As the pilot was positioning his aircraft, he noticed that a Jetlink (BTA2426) aircraft was approaching the intersection of taxiway S and runway 24L when the pilot heard the tower direct BTA2426 to cross runway 24L. Shortly thereafter, the tower issued UCA8717 a takeoff clearance. Noticing that BTA2426 had not crossed the runway but was still able to do so, the pilot of UCA8717 planned to ask the local controller about BTA2426 when BTA2426 asked the tower, “I thought I was cleared to cross”. After a few seconds of silence, the pilot of UCA8717 heard BTA2426 state that he would hold short of the runway. After observing BTA2426 hold his position, the pilot of UCA8717 commenced his takeoff roll, after which BTA2426 crossed runway 24L at taxiway S.
Eighteen seconds later, BTA2426 was directed to taxi across runway 24L and advised that traffic was holding in position. BTA2426 crossed runway 24L without incident.
CLE was on a south flow configuration landing 24L departing runway 24L/R.
Reported weather at CLE at 0851 EDT/1251 UTC was wind 270 degrees at 8 knots, visibility 10 statute miles, scattered clouds at 1,200 feet. The temperature was 24 degrees Celsius, dew point 21 degrees Celsius. The altimeter was 2980.
ATCT staffing included 4 air traffic control specialist (ATCS); a controller-in-charge (CIC) combined at the flight data/clearance delivery position (FD/CD), 1 ground controller (GC), and a local controller (LC) combined on local control 1 and 2 positions as an on the job training instructor (OJTI) monitoring a LC developmental trainee.
NTSB Probable Cause Narrative
The local controller did not visually scan the runways and ensure that the E145 had crossed runway 24L prior to issuing a takeoff clearance to the DH8, did not ensure separation between the two airplanes, and did not cancel takeoff clearance for the DH8 in a timely manner.
Event Information
| Type of Event | Incident |
| Event Date | 6/26/2009 |
| Event Day of the Week | Friday |
| Time of Event | 856 |
| 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 Int'l Airpor |
| 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 | 851 Eastern Daylight Time |
| Direction of event from weather observation facility (degrees) | -- |
| Weather Observation Facility ID | CLE |
| Elevation of weather observation facility | -- |
| Distance of event from weather observation facility (units?) | 0 |
| Time Zone of the weather observation | EDT |
| Lighting Conditions | Day |
| Lowest Ceiling Height | -- |
| Lowest Non-Ceiling Height | 1200 |
| Sky/Lowest/Cloud Conditions | Scattered |
| Sky Condition for Lowest Ceiling | -- |
| Visibility Runway Visual Range (Feet) | -- |
| Visibility Runway Visual Value (Statute Miles) | -- |
| Visibility (Statute Miles) | 10 |
| Air Temperature at event time (in degrees celsius) | 24 |
| Dew Point at event time (in degress fahrenheit) | 21 |
| Wind Direction (degrees magnetic) | 270 |
| Variable Wind Indicator | Wind direction could be determined |
| Wind Speed (knots) | 8 |
| Wind Velocity Indicator | -- |
| Wind Gust Indicator | Not Gusting |
| Wind Gust (knots) | -- |
| Altimeter Setting at event time (in. Hg) | -- |
| 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 | 66 |
| Injury Total Serious | -- |
| Injury Total All | -- |
| Investigating Agency | NTSB |
| NTSB Docket Number (internal use) | 26694 |
| 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 4 2010 7:44AM |
| 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 | OPS09IA009A | OPS09IA009B |
| Missing Aircraft Indicator | -- | -- |
| Federal Aviation Reg. Part | -- | -- |
| Type of Flight Plan filed | IFR | IFR |
| Flight plan Was Activated? | No | -- |
| Damage | None | None |
| Aircraft Fire | None | None |
| Aircraft Explosion | None | None |
| Aircraft Manufacturer's Full Name | BOMBARDIER INC | EMBRAER |
| Aircraft Model | DHC-8-202 | EMB-145XR |
| Aircraft Series Identifier | -- | -- |
| Aircraft Serial Number | 529 | 145645 |
| 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 | 40 | 55 |
| Number of Engines | 2 | 2 |
| Fixed gear or retractable gear | Fixed | Fixed |
| Aircraft, Type of Last Inspection | -- | -- |
| Date of Last Inspection | -- | -- |
| Airframe hours since last inspection | -- | -- |
| Airframe Hours | -- | -- |
| ELT Installed | Unknown | Unknown |
| ELT Activated | Unknown | Unknown |
| ELT Aided Location of Event Site | Unknown | Unknown |
| ELT Type | -- | -- |
| Aircraft Owner Name | -- | -- |
| Aircraft Owner Street Address | 299 S MAIN ST # U1228-120 | 299 S MAIN ST FL 12 |
| Aircraft Owner City | SALT LAKE CITY | SALT LAKE CITY |
| Aircraft Owner State | UT | UT |
| Aircraft Owner Country | USA | USA |
| Aircraft Owner Zipcode | 84111-2263 | 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 | CALA | CALA |
| 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 | CALA014A | CALA014A |
| 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 | Yes | Yes |
| Departure Point Same as Event | Yes | No |
| Departure Airport Code | CLE | CLE |
| Departure City | Cleveland | Cleveland |
| Departure State | OH | OH |
| Departure Country | USA | USA |
| Departure Time | -- | 856 |
| Departure Time Zone | EDT | EDT |
| Destination Same as Local Flt | -- | -- |
| Destination Airport Code | CMH | MCI |
| Destination City | Columbus | Kansas City |
| Destination State | OH | MO |
| Destination Country | USA | USA |
| Specific Phase of Flight | -- | -- |
| Report sent to ICAO? | -- | -- |
| Evacuation occurred | -- | -- |
| Date of most recent change to record | Mar 8 2010 10:59AM | Mar 8 2010 10:59AM |
| User who most recently changed record | rows | rows |
| Since inspection or accident | -- | -- |
| Event Location Runway Number and Location | 24L | 24L |
| Runway Length | 9995 | 9955 |
| Runway Width | 150 | 150 |
| Sight Seeing flight | No | No |
| Air Medical Flight | No | No |
| Medical Flight | -- | -- |