NTSB CAROL · Event
Event DCA23LA192
Aircraft involved
Probable cause & findings
The Hop-a-Jet flight crew taking off without a takeoff clearance which resulted in a conflict with a JetBlue flight that had been cleared to land on an intersecting runway.
Factual narrative
JetBlue’s flight 206 (JBU206) flight crew initiated a go-around while over runway 04R due to Hop-a-Jet flight 280 (HPJ280) taking off without a takeoff clearance from runway 09 at Boston Logan International Airport (BOS). Runways 04R and 09 at BOS are intersecting runways. The BOS tower controller had instructed the pilot of HPJ280 to line up and wait (LUAW) on runway 09 while JBU206 had been cleared to land on runway 04R. HPJ280’s flight crew read back the controller’s instructions to LUAW, however they began the takeoff-roll instead. The airport surface detection equipment, model X (ASDE-X) alerted, and the controller issued go-around instructions to JBU206. JBU206’s flight crew initiated a go-around while over runway 04R, prior to reaching the intersection with runway 09. The closest proximity between both airplanes occurred when JBU206 was about 30ft AGL during the landing flare, close to the point where both runways intersected, see figure 1. A video file taken by the occupant of the flight deck observer seat was provided to the NTSB and a screen capture from the video is shown in figure 2. Figure 1. Flight tracks of both JetBlue (JBU206) and Hop-a-Jet (HPJ280) with yellow circle indicating incursion area. Figure 2: Screen capture from jump-seat occupant’s video recording showing Lear 60 crossing runway centerline. The captain of HPJ280 said that they had received clearance to cross runway 4L on taxiway E, and then take taxiway Mike, to Runway 9. On taxiway M he said, “they had heard a clearance that seems to be Line Up and Wait." He further stated that “he probably responded to the clearance, but in his mind, they were cleared for takeoff.” He said they performed the takeoff at 18:55 local time, and during cruise they received a message from ATC providing them with a phone number to call upon landing. After landing at FXE, BOS tower told them that they had taken off without authorization and caused an airplane that had been cleared to land on runway 04 to execute a go-around, passing about 400' above them. The first officer of JBU206 was the pilot flying, and they were on the ILS runway 04R approach. The captain of JBU206 said they had been cleared to land and had completed the landing checklist. On the tower frequency, they heard that an aircraft had been given LUAW instructions. As they entered the flare after crossing the threshold of runway 04R, about 30 feet above the ground, he saw an airplane cross 04R on runway 09 from his left and going to the right but could not estimate how far away the airplane was. Source: NTSB Aviation Accident Database Retrieved: 2026-02-12
NTSB Findings
Hierarchical cause / factor breakdown from the FAA bulk avdata database. Each finding tagged C (Cause) or F (Factor).
- — Personnel issues-Action/decision-Info processing/decision-Understanding/comprehension-Flight crew
- — Environmental issues-Physical environment-Object/animal/substance-Aircraft-Effect on operation
Verbatim from NTSB's published report. Source file
NTSB_2023_DCA23LA192.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
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Related research
What the literature says.
Academic papers and agency reports matching this event's aircraft type or causal vocabulary (go-around). Sourced from NASA NTRS, NTSB Safety Studies, FAA CAMI, AOPA Air Safety Institute, Embry-Riddle Scholarly Commons, arXiv, and the Semantic Scholar academic graph.
- NASA NTRS 2025 · Conference Paper
A Training Study to Improve Monitoring During A Go-Around
As part of an FAA program to improve go-around (GA) safety, we were asked to determine if we could improve the performance of the Pilot Monitoring (PM) during a GA maneuver.
- Flight Safety Foundation 2024 · FSF / AeroSafety World
Go-Around Safety Forum Findings
Foundation Go-Around Safety Forum technical findings — examines why pilots fail to execute go-arounds when criteria are met (stabilized approach gate not met, energy state out of envelope, traffic con…
- Semantic Scholar 2022 · Article (Journal of Safety Research)
Go-around accidents and general aviation safety.
INTRODUCTION Changes in General Aviation (GA) accident rates, specifically in the go-around phase, are examined by comparing the number of accidents, the proportion of fatal accidents, and the proport…
- Semantic Scholar 2021 · Article (Aerospace)
Classification and Analysis of Go-Arounds in Commercial Aviation Using ADS-B Data
Go-arounds are a necessary aspect of commercial aviation and are conducted after a landing attempt has been aborted. It is necessary to conduct go-arounds in the safest possible manner, as go-arounds …
- NASA NTRS 2021 · Accepted Manuscript (Version with final changes)
Go-Around Criteria Refinement for Transport Category Aircraft
Presently, airline pilots are trained to go around if, when lower than 500 ft above the ground, they are outside of a handful of parameters such as airspeed, position, and rate of descent.
- NASA NTRS 2019 · Conference Paper
Validation of Proposed Go-Around Criteria Under Various Environmental Conditions
This paper evaluates the effects of environmental conditions on touchdown performance under varying approach states and validates proposed go-around criteria developed using data from a previously con…
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