One-Two-GO Airlines Flight 269 - Conclusions

Conclusions

After completing the inspection of the aircraft, the NTSB found it to have functioned properly and to have remained fully controllable until impact. The cause of the crash was found to be due to a combination of human performance and operational issues, including:

Human Performance:

  • CRM issues, including attempted transfer of control of the aircraft at a critical moment
  • Failure of either pilot to apply power while attempting to regain altitude
  • Fatigue issues as both pilots had worked illegally excessive hours for the week and the month

Operational:

  • Lack of governance in the corporate culture at One-Two-GO airlines
  • Failure of One-Two-Go to complete pilot proficiency checks as required by law
  • Training on a simulator that did not include wind shear alerting and did not match the configuration of One-Two-GO’s MD-82s.

The NTSB noted that

"although the weather deteriorated in the later stages of this flight, wind shear was not a factor in this accident” and “It is understood that during the accident sequence, the pilots were potentially distracted by the weather conditions; however, that distraction should not cause a loss of control of the airplane."

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