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| Title: | Controlled Flight Into Terrain, Federal Aviation Administration, Beech Super King Air 300/F, N82, Front Royal, Virginia, October 26, 1993 |
| Micro summary: | This Beech Super King Air 300/F crashed when it flew into mountainous terrain. |
| Event Time: | 1993-10-26 at 1552 EDT |
| File Name: | 1993-10-26-US.pdf |
| Publishing Agency: | National Transportation Safety Board (NTSB) |
| Publishing Country: | USA |
| Report number: | NTSB-AAR-94-03 |
| Pages: | 111 |
| Site of event: | Near Front Royal, Virginia |
| Latitude/Longitude: | N38°54' W78°7' |
| Departure: | Winchester Regional Airport (W16), Winchester, Virginia, USA |
| Destination: | Newport News/Williamsburg International Airport, Newport News, Virginia, USA |
| Airplane Type(s): | Beech Super King Air 300/F |
| Flight Phase: | Cruise |
| Registration(s): | N82 |
| Operator(s): | Federal Aviation Administration |
| Type of flight: | Revenue |
| Occupants: | 3 |
| Fatalities: | 3 |
| Serious Injuries: | 0 |
| Minor/Non-Injured: | 0 |
| Other Injuries: | 0 |
| Executive Summary: | On October 26, 1993, about 1552, N82, a Beech Super King Air 300F, owned by the Federal Aviation Administration and operated by the Atlantic City, New Jersey, Flight Inspection Area Office, was destroyed when it crashed into mountainous terrain near Front Royal, Virginia. The three flight crewmembers aboard received fatal injuries. The National Transportation Safety Board determines that the probable causes of this accident were the failure of the pilot-in-command to ensure that the airplane remained in visual meteorological conditions over mountainous terrain, and the failure of Federal Aviation Administration executives and managers responsible for the FAA flying program to: (1) establish effective and accountable leadership and oversight of flying operations; (2) establish minimum mission and operational performance standards; (3) recognize and address performance-related problems among the organization's pilots; and (4) remove from flight operations duty pilots who were not performing to standards. The safety issues in this report focused on the Federal Aviation Administration's flying program operations and the flight safety management system. Eight Priority Action safety recommendations concerning these issues were addressed in this report to the Federal Aviation Administration. Also, as a result of the investigation of this accident, on November 24, 1993, the Safety Board issued one Urgent Action recommendation and seven Priority Action recommendations to the Federal Aviation Administration that are contained in Appendix D of this report. |
| Learning Keywords: | Operations - Crew Resource Management |
| Operations - Controlled Flight Into Terrain | |
| Other - Regulatory Oversight | |
| Other - Workplace Culture or Management | |
| Consequence - Hull Loss |
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