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Safety Recommendation Details

Safety Recommendation A-90-134
Details
Synopsis: ON DECEMBER 26, 1989, UNITED EXPRESS FLIGHT 2415, (AIRBORNE CALL SIGN SUNDANCE 415), A BRITISH AEROSPACE BA-31, JET STREAM, CRASHED ABOUT 2230 LOCAL TIME WHILE EXECUTING AN INSTRUMENT LANDING SYSTEM (ILS) APPROACH TO RUNWAY 21R AT THE TRI-CITIES AIRPORT, PASCO, WASHINGTON. THE FLIGHT WAS OPERATING UNDER AN INSTRUMENT FLIGHT RULES (IFR) FLIGHT PLAN AND IN ACCORDANCE WITH AIR TRAFFIC CONTROL (ATC) CLEARANCES ISSUED BY A RADAR CONTROLLER AT THE SEATTLE AIR ROUTE TRAFFIC CONTROL CENTER (SEATTLE CENTER). THE AIRPLANE CRASHED ABOUT 200 FEET SHORT OF THE RUNWAY, AND WAS DESTROYED BY GROUND IMPACT AND THE ENSUING FIRE. ALL SIX OCCUPANTS RECEIVED FATAL INJURIES. ON APRIL 7, 1990 N3674B, BEECH BE-36 CRASHED ABOUT 1135 LOCAL TIME NEAR KNEELAND, CALIFORNIA. THE ACCIDENT OCCURRED DURING AN ILS APPROACH TO THE ARCATA, CALIFORNIA, AIRPORT UNDER INSTRUMENT METEOROLOGICAL CONDITIONS. THE AIRPLANE WAS OPERATING ON AN IFR FLIGHT PLAN AND IN ACCORDANCE WITH ATC CLEARANCE ISSUED BY A RADAR CONTROLLER AT THE SEATTLE CENTER. THE AIRPLANE WAS DESTROYED BY IMPACT FORCES AND POSTCRASH FIRE. THE PILOT AND TWO OF THE THREE PASSENGERS RECEIVED FATAL INJURIES. THE THIRD PASSENGER RECEIVED SERIOUS INJURIES.
Recommendation: THE NTSB RECOMMENDS THAT THE FEDERAL AVIATION ADMINISTRATION: AT AIR ROUTE TRAFFIC CONTROL CENTERS THAT PROVIDE EN ROUTE SERVICE, IMMEDIATELY TERMINATE THE PRACTICE OF PROVIDING RADAR VECTORS TO THE FINAL APPROACH COURSE WHEN USING A RADAR DISPLAY SET TO AN EXPANDED RANGE AND WHEN USING A VIDEO MAP ON WHICH THE APPROACH GATE IS NOT DEPICTED.
Original recommendation transmittal letter: PDF
Overall Status: Closed - Acceptable Action
Mode: Aviation
Location: PASCO, WA, United States
Is Reiterated: No
Is Hazmat: No
Is NPRM: No
Accident #: DCA90MA011
Accident Reports: Unstabilized Approach and Loss of Controll NPA, Inc. dba United Express Flight 2415 British Aerospace BA-3101, N410UE
Report #: AAR-91-06
Accident Date: 12/26/1989
Issue Date: 9/26/1990
Date Closed: 11/4/1991
Addressee(s) and Addressee Status: FAA (Closed - Acceptable Action)
Keyword(s):

Safety Recommendation History
From: NTSB
To: FAA
Date: 11/4/1991
Response: BASED ON THE FAA'S ACTION TO COMPLY WITH SAFETY RECOMMENDATIONS A-90-133 AND A-90-134, THEY ARE CLASSIFIED AS "CLOSED--ACCEPTABLE ACTION." From the accident report of an unstabilized approach and loss of control of NPA, Inc. doing business as United Express flight 2415, British Aerospace BA-3101, N41OUE at Tricities Airport in Pasco, Washington on December 26, 1989. The Board adopted this report on 11/4/1991. On September 26, 1990, the following Safety Recommendations were issued to the Federal Aviation Administration: A-90-133 and A-90-134. Based on the FAA’s action to comply with Safety Recommendations A-90-133 and A-90-134, they are classified as “Closed—Acceptable Action.”

From: FAA
To: NTSB
Date: 12/5/1990
Response: THE FAA HAS ISSUED NEW PROCEDURES IN 7110.65F ZSE SUP 15, A LOCAL SEATTLE SUPPLEMENT TO ORDER 7110.65F, WHICH DIRECTS CONTROLLERS NOT TO USE MORE THAN 125 NAUTICAL MILES (NMI) RANGE FOR VECTORS TO A FINAL APPROACH COURSE. THE FAA HAS ALSO ISSUED A CHANGE TO FAA HANDBOOK 7110.65F TO REQUIRE THAT CONTROLLERS NOT PROVIDE RADAR VECTORS TO THE FINAL APPROACH COURSE WHEN USING A RADAR DISPLAY SET TO A RANGE GREATER THAN 125 NMI.