Washington National Airport
Aircraft Accident/Incident Report

Arlington, Virginia
Wednesday, March 23, 2011 EDT

NTSB Narrative Summary Released at Completion of Accident

Between approximately 0004 and 0028 local time, an air traffic control service interruption occurred at the Ronald Reagan Washington National Airport when two air carrier aircraft, a helicopter, an airport operations vehicle, and controllers at the Federal Aviation Administration's Potomac Terminal Radar Approach Control were unable to establish contact with the supervisory controller working alone in the control tower. Two air carrier aircraft landed during the period without tower contact. Postincident investigation revealed that the controller on duty had the necessary preconditions for the development of fatigue at the time of the event, specifically acute sleep loss in the 24 hours before the event and circadian disruption as a result of working the midnight shift.

NTSB Probable Cause Narrative

The tower controller's loss of consciousness induced by lack of sleep, fatigue resulting from working successive midnight shifts, and air traffic control scheduling practices.

Event Information

Type of Event Incident
Event Date 3/23/2011
Event Day of the Week Wednesday
Time of Event 4
Event Time Zone Eastern Daylight Time
Event City Arlington
Event State VIRGINIA
Event Country --
Zipcode of the event site --
Event Date Year 2011
Event Date Month 3
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude --
Event Location Longitude --
Event Location Airport Washington National Airport
Event Location Nearest Airport ID DCA
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 --
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 2352 Coordinated Universal Time? Same as GMT
Direction of event from weather observation facility (degrees) --
Weather Observation Facility ID DCA
Elevation of weather observation facility --
Distance of event from weather observation facility (units?) 0
Time Zone of the weather observation UTC
Lighting Conditions Night
Lowest Ceiling Height 7500
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions --
Sky Condition for Lowest Ceiling Overcast
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 13
Dew Point at event time (in degress fahrenheit) 4
Wind Direction (degrees magnetic) 90
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 9
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 29.94
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury --
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 28806
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 Oct 12 2011 9:50AM
User who most recently changed record rows
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number --
NTSB Number OPS11IA401
Missing Aircraft Indicator --
Federal Aviation Reg. Part --
Type of Flight Plan filed Unknown
Flight plan Was Activated? --
Damage None
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name --
Aircraft Model --
Aircraft Series Identifier --
Aircraft Serial Number --
Certified Max Gross Weight --
Aircraft Category --
Aircraft Registration Class --
Aircraft is a homebuilt? --
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft --
Number of Engines --
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection --
Date of Last Inspection --
Airframe hours since last inspection --
Airframe Hours --
ELT Installed Unknown
ELT Activated Unknown
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name --
Aircraft Owner Street Address --
Aircraft Owner City --
Aircraft Owner State --
Aircraft Owner Country USA
Aircraft Owner Zipcode --
Operator is an individual? No
Operator Name --
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address --
Operator City --
Operator State --
Operator Country USA
Operator Zip code --
Operator Code W9FA
Owner has at least one certificate None
Other Operator of large aircraft? No
Certified for Part 133 or 137 Operation --
Operator Certificate Number W9FA693Y
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) --
Second Pilot on Board --
Departure Point Same as Event No
Departure Airport Code --
Departure City --
Departure State --
Departure Country USA
Departure Time --
Departure Time Zone --
Destination Same as Local Flt --
Destination Airport Code --
Destination City --
Destination State --
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Aug 9 2011 5:00PM
User who most recently changed record duns
Since inspection or accident --
Event Location Runway Number and Location N/A
Runway Length --
Runway Width --
Sight Seeing flight --
Air Medical Flight --
Medical Flight --