N269ME

Unknown
Unknown

CESSNA 172SS/N: 172S8531

Accident Details

Date
Friday, February 26, 2016
NTSB Number
OPS16IA009
Location
Honolulu, HI
Event ID
20160413X30204
Coordinates
21.317777, -157.920272
Aircraft Damage
Unknown
Highest Injury
Unknown
Fatalities
0
Serious Injuries
0
Minor Injuries
0
Uninjured
0

Probable Cause and Findings

The air traffic controller's decision to clear an aircraft to land on a runway occupied by another aircraft that had previously been instructed to line up and wait. Contributing to the runway incursion was the failure of the air traffic controller to visually scan the landing surface prior to issuing a clearance to land and failure of the assisting controllers to monitor and assist the local controller with the developing situation.

Aircraft Information

Registration
Make
CESSNA
Serial Number
172S8531
Engine Type
Reciprocating
Year Built
2000
Model / ICAO
172SC172
Aircraft Type
Fixed Wing Single Engine
No. of Engines
1
Seats
4
FAA Model
172S

Registered Owner (Current)

Name
GEORGE'S AVIATION SERVICES
Address
18 LAGOON DR
City
HONOLULU
State / Zip Code
HI 96819-1813
Country
United States

Analysis

On Friday, February 26, 2016 at 1548 Hawaii standard time (HST), a runway incursion occurred on runway 22L at Honolulu International Airport (HNL), Honolulu, Hawaii, when N865MA, a Cessna 208B, overflew N269ME, a Cessna 172, in line up and wait (LUAW) on runway 22L at the taxiway P intersection. The Cessna 208B, registered to Schuman Aviation Company, Limited, Honolulu, Hawaii, was operating as KDS (Kaleo) 1535. The C208B was operating as a single piloted 14 Code of Federal Regulations (CFR), Part 135 scheduled air charter operating from Molokai to HNL with 9 passengers. The C172S was operating under 14 CFR Part 91 as a Georges Aviation Services flight school aircraft based at HNL. Visual meteorological conditions prevailed and there were no injuries to passengers or crew of either aircraft.

The HNL local controller (LC) instructed the C172S to LUAW on runway 22L approximately 4 minutes before the C208B was issued a clearance to land on runway 22L. When the C208B was on short final, the airport surface detection equipment, model X (ASDE-X) alarmed indicating a conflict, and the controller instructed the C208B to go around after the C208B had crossed the landing threshold of runway 22L. This resulted in the C208B overflying the C172S in position on the runway. The vertical proximity between the two aircraft was less than 100 feet.

The airport was operating with runways 22 left and right and runways 26 left and right in use. This runway configuration occurred approximately 10% of the time at HNL and was considered a non-standard runway configuration. Normal runway configuration was runways 4 left and right and runways 8 left and right.

At 1544:30, the HNL LC instructed the pilot of Cessna N269ME to LUAW on runway 22L at the intersection of taxiway P. No traffic advisories were issued to the pilot. The local controller providing services stated during an interview that the Cessna 172 was put into LUAW due to conflicting arriving traffic to runway 26L and other traffic in the tower pattern.

At 1544:40 the LC instructed the pilot of an AT72, to LUAW on runway 26 right at the intersection of taxiway E, after which he instructed the pilot of a heavy B767, to cross runway 26 right at the intersection of taxiway S advising the B767 pilot that traffic was holding (on runway 26 right) upfield.

At 1545:03 the LC instructed the pilot of a B757, to LUAW on runway 26 right (at the approach end). There were three aircraft in LUAW, two on runway 26R and one on runway 22L.

After clearing a helicopter to proceed inbound between runways 26 right and 26 left, directing the pilot of a departing aircraft to change to departure control frequency, and providing taxi and holding instructions to the pilot of an arriving Air Force KC-135, the LC cleared the AT72 for takeoff from runway 26 right at the intersection of taxiway E.

At 1545:48 the LC instructed the pilot of Kaleo 1535 to continue for runway 22 right and advised of traffic departing runway 26 right. The pilot of Kaleo 1535 acknowledged the LC with "Kaleo fifteen thirty-five, two two right". The LC repeated to the pilot of Kaleo 1535 to continue for runway 22 right, traffic departing runway 26 right. The pilot of Kaleo 1535 acknowledged runway 22 right.

At 1546:14 the LC instructed the pilot of Delta flight 837, a heavy Airbus A-330-300 that had just landed on runway 26 left, to "turn right at romeo mike, romeo alpha, romeo bravo, bravo, hold short two six right at sierra". The pilot of Delta 837 responded with "okay, uh Delta eight thirty-seven uh heavy understand right at romeo mike, romeo alpha, and then a left at romeo alpha romeo bravo short of eight left?" The LC responded with "Delta eight thirty-seven heavy hold short of runway two six right at sierra". The pilot responded with "okay hold short of two six right at sierra for Delta eight thirty-seven heavy we're going Romeo mike, romeo alpha romeo um bravo was it?"

At 1546:53 the LC instructed the pilot of Moku 36, the AT72 that had previously departed runway 26 right, to turn left heading 180 [degrees]. The pilot of Moku 36 acknowledged. The LC then cleared Delta 1434, in LUAW at the approach end of runway 26 right, for takeoff. The pilot of Delta 1434 acknowledged runway 26 right.

At 1547:10 the LC transmitted to Delta 837 "Delta eight thirty-seven heavy, it's gonna be romeo alpha to romeo bravo with a right turn on bravo holding short of runway two six right at sierra". The pilot of Delta 837 responded with "okay we copy that romeo mike, romeo alpha, romeo bravo, right on bravo hold short two six right at sierra, Delta eight three seven".

At 1547:25 the LC instructed the pilot of Kaleo 1535 to "turn inbound, land beyond the intersection runway two two left, cleared to land". The pilot of Kaleo 1535 responded with "two two left cleared to land and beyond the intersection Kaleo fifteen thirty-five". The LC then transmitted "Delta thirty-six heading 180, contact departure", followed by "Hawaiian two eight seven, Honolulu tower runway two six left cleared to land." The pilot of Hawaiian 287 responded with "cleared to land two six left Hawaiian two eight seven." The controller then asked the pilot of Hawaiian 287 if he wanted [to land] runway 26 right. The pilot responded with "oh yea I'll take it". The LC responded with "keep your speed up, change to two six right, cleared to land Hawaiian two eighty-seven" The pilot responded, "two six right, Hawaiian two eighty-seven".

At 1548:02 the LC instructed the pilot of recently arrived Air Force KC-135, that was holding short of runway 26R at the intersection of taxiway T, to cross runway 26 right at taxiway T and contact Hickam on frequency 133.6 and to cross with no delay. The pilot of the KC-135 acknowledged.

At 1548:23 the LC instructed the pilot of Delta 1434 to contact departure heading 200 [degrees]. The pilot acknowledged.

At 1548:26, the LC instructed Kaleo 1535 to go around. The pilot of Kaleo 1535 acknowledged. The LC then instructed the pilot of Kaleo 1535 to make right traffic for runway 22 right. The pilot acknowledged.

At 1549:35 the LC cleared the pilot of N269ME for takeoff from runway 22 left at the intersection of taxiway P.

?

Data Source

Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# OPS16IA009