Kahului Airport
Aircraft Accident/Incident Report

Kahului, Hawaii 96732
Thursday, November 3, 2011 11:31 HST

NTSB Narrative Summary Released at Completion of Accident

Three aircraft were approaching Kahului Airport to land on runway 2 and were receiving air traffic control sequencing and separation services from the Honolulu Control Facility (HCF). Aircraft 1 was conducting an instrument approach from the northeast and conflicted with aircraft 2, which was conducting a visual approach from the southwest. The controller attempted to correct the situation by vectoring aircraft 1, even though it was below the minimum vectoring altitude for the area. Aircraft 2 continued the approach and landed. The controller re-sequenced aircraft 1 for another instrument approach in front of aircraft 3, which was arriving from the northeast. Aircraft 3 was faster than aircraft 1 and overtook aircraft 1 while both aircraft were on final approach to the runway. The controller did not intervene in time to ensure separation. Review of HCF training materials and procedures showed that the simulator problems given to controllers to familiarize them with the new approach at that airport were not realistic and did not properly prepare controllers to manage the approach procedure.

NTSB Probable Cause Narrative

Failure of the Honolulu Control Facility controller to issue control instructions necessary to establish and maintain required separation between all three aircraft. Contributing to the losses of separation was inadequate training provided to controllers about the use of the approach to runway 2 at Kahului.

Event Information

Type of Event Incident
Event Date 11/3/2011
Event Day of the Week Thursday
Time of Event 1131
Event Time Zone Hawaii Standard Time
Event City Kahului
Event State HAWAII
Event Country --
Zipcode of the event site 96732
Event Date Year 2011
Event Date Month 11
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude --
Event Location Longitude --
Event Location Airport Kahului Airport
Event Location Nearest Airport ID PHOG
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 10
Degrees magnetic from airport --
Airport Elevation 54
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 2054 Coordinated Universal Time? Same as GMT
Direction of event from weather observation facility (degrees) --
Weather Observation Facility ID PHOG
Elevation of weather observation facility 54
Distance of event from weather observation facility (units?) --
Time Zone of the weather observation UTC
Lighting Conditions Day
Lowest Ceiling Height --
Lowest Non-Ceiling Height 3000
Sky/Lowest/Cloud Conditions Few
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 28
Dew Point at event time (in degress fahrenheit) 19
Wind Direction (degrees magnetic) 50
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 12
Wind Velocity Indicator --
Wind Gust Indicator Gusting
Wind Gust (knots) 22
Altimeter Setting at event time (in. Hg) 30.09
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report METAR PHOG 032054Z 05012G22KT 10SM FEW030 SCT055 2
Event Highest Injury --
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 0
On Ground, Serious Injuries 0
Injury Total Fatal --
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 31185
NTSB Notification Source Federal Aviation Administratio
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record May 23 2013 11:22AM
User who most recently changed record coln
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number --
NTSB Number OPS12IA122
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 --
Owner has at least one certificate None
Other Operator of large aircraft? No
Certified for Part 133 or 137 Operation --
Operator Certificate Number --
Indicates whether an air carrier operation was scheduled or not Non-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 crash at destination city
Destination Airport Code PHOG
Destination City Kahului
Destination State HI
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Oct 18 2012 10:44AM
User who most recently changed record duns
Since inspection or accident --
Event Location Runway Number and Location 02
Runway Length 6995
Runway Width 150
Sight Seeing flight No
Air Medical Flight No
Medical Flight --