One of those things we do because we've always done it, is operate out of airports where there is no tower and quite often nobody is keeping an eye on the status of the runways while having an awareness of the airport traffic. I am a bit paranoid about this.

— James Albright

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Updated:

2020-05-09

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Beechjet 400A XA-MEX,
CEN16LA067

You can read this case study and say the pilots should have updated their NOTAMS en route, but the runway closed just a few minutes before their arrival.

You can also fault the controller, who should have checked the NOTAMS prior to issuing the approach clearance. But the controller's workload was heavy at the time.

You can even argue that the airport should have asked approach control if there were any inbounds prior to closing the runway.

All of those points are valid. None of those points will uncrash the airplane. I think operating out of untowered airports is one of the most dangerous things we business jet operators do.

1 — Accident report

2 — Narrative

3 — Analysis

4 — Cause

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1

Accident report

  • Date: 23 December 2015
  • Time: 1415
  • Type: Beechjet 400A
  • Operator: Aerolineas Ejecutivas
  • Registration: XA-MEX
  • Fatalities: 0 of 2 crew, 0 of 5 passengers
  • Aircraft Fate: Damaged beyond repair
  • Phase: Landing
  • Airport: (Departure) El Paso International Airport, TX (KELP), United States of America
  • Airport: (Destination) Telluride Airport, CO (KTEX), United States of America

2

Narrative

  • The pilots were conducting an international chartered flight in the small, twin-engine jet with five passengers onboard. Since the weather at the destination was marginal, the flight crew had discussed an alternate airport in case weather conditions required a missed approach at their destination. As the airplane neared the non-towered destination airport, the flight crew received updated weather information, which indicated that conditions had improved. Upon contacting the center controller, the crew was asked if they had the weather and NOTAMS for the destination airport. The crew reported that they received the current weather information, but did not state if they had NOTAM information. The controller responded by giving the flight a heading for the descent and sequence into the airport. The controller did not provide NOTAM information to the pilots. About 2 minutes later, airport personnel entered a NOTAM via computer closing the runway, effective immediately, for snow removal.
  • Although the NOTAM was electronically routed to the controller, the controller's system was not designed to automatically alert the controller of a new NOTAM; the controller needed to select a display screen on the equipment that contained the information. At the time of the accident, the controller's workload was considered heavy.
  • About 8 minutes after the runway closure NOTAM was issued, the controller cleared the airplane for the approach. The flight crew then canceled their instrument flight plan with the airport in sight, but did not subsequently transmit on or monitor the airport's common traffic advisory frequency, which was reportedly being monitored by airport personnel and the snow removal equipment operator. The airplane landed on the runway and collided with a snow removal vehicle about halfway down the runway. The flight crew reported they did not see the snow removal equipment.

Source: CEN16LA067


3

Analysis

The accident scenario is consistent with the controllers not recognizing new NOTAM information in a timely manner due to equipment limitations, and the pilots not transmitting or monitoring the common traffic advisory frequency. Additionally, the accident identifies a potential problem for flight crews when information critical to inflight decision-making changes while en route, and problems when controller workload interferes with information monitoring and dissemination.

Source: CEN16LA067


4

Cause

The limitations of the air traffic control equipment that prevented the controller's timely recognition of NOTAM information that was effective immediately and resulted in the issuance of an approach clearance to a closed runway. Also causal was the pilots' omission to monitor and transmit their intentions on the airport common frequency. Contributing to the accident was the controller's heavy workload and the limitations of the NOTAM system to distribute information in a timely manner.

Source: CEN16LA067

References

(Source material)

Accident Final Report, and Accident Docket, CEN16LA067, National Transportation Safety Board, Adopted 04/17/2018