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03 February 2010

NTSB Blames Crew in February 2009 Buffalo Crash

During a public meeting on February 2, 2010, the NTSB adopted a report on the February 12, 2009 crash of Continental Connection flight 3407 that determined that the captain inappropriately responded to the activation of the stick shaker, which led to a stall from which the airplane did not recover.

The aircraft was a Bombardier Dash 8 (N200WQ), and was flying as a Continental Connection aircraft, though it was operated by Colgan Air. On the night of February 12, 2009, it was on a scheduled flight from Newark, NJ to Buffalo, NY and crashed in a residential area about five miles (8km) from the airport. One house on the ground was destroyed. All 45 passengers and four crew members were killed, along with one person on the ground.

Their report stated that during approach, when the stick shaker activated to warn the flight crew of an impending aerodynamic stall, the captain should have responded to the warning by pushing forward on the control column. However, the captain inappropriately pulled aft on the control column and placed the airplane into an accelerated aerodynamic stall from which the crew could not recover. The NTSB also identified as probable causes the flight crew's communications procedures, the captain's ineffective management, and the airline's procedures for airspeed selection during approaches in icing conditions.

This investigation has generated substantial public interest over the past year in part because of issues, that may have contributed indirectly to this accident, including crew fatigue and the related issue of pilot pay. The captain commuted hundreds of miles and the first officer commuted from the other side of the country prior to reporting for duty, and the NTSB concluded that both pilots used an inappropriate facility during their last rest period before the accident flight. The NTSB also concluded that the pilots’ performance was likely impaired because of fatigue.

The synopsis of the accident investigation report is currently available, and the full report will be available in a few months. In the meantime, the public can review a wide variety of information, including the public docket, which contains testimony, exhibits, and other information used by the NTSB during the investigation.

AirSafe.com's Initial Report on this Accident
Audio: MP3 | VideoiPod/MP4 | WMV | Google Video | YouTube





NTSB Accident Animation
The following NTSB animation of the last few minutes of the flight shows excerpts from the flight data recorder (FDR), the cockpit voice recorder (CVR) transcript, recorded radar data, and aircraft performance data. The audio portion of the video is from air traffic control communications, and does not include audio from the cockpit.


Resources
Additional information about this event
Synopsis of NTSB accident investigation
NTSB press release on the accident report
NTSB public docket on the investigation
Colgan Air input to the NTSB investigation
Previous Continental crashes
Other Dash 8 events
Continental Airlines Wikipedia page
Continental Express Wikipedia page
Continental Connection Wikipedia page
Continental fleet
Continental Express fleet
Colgan Air fleet


AirSafe.com YouTube channel

1 comment:

  1. Looks like a management problem to me.
    Tuskerone

    ReplyDelete