NTSB CAROL · Event
Event OPS24LA004
Aircraft involved
Probable cause & findings
The local controller’s poor judgment in prioritization of their ground traffic ahead of their airborne traffic, that became a distraction and led to a loss of situational awareness resulting in a near midair collision. Contributing to the incident was the controller in charge’s ineffective oversight.
Factual narrative
Hawaiian Airlines flight 70 (HAL70), N2165HA, an Airbus A321, and a Textron Aviation, Inc. C172N, N24CV, were involved in a near mid air collision (NMAC) over the point where runway 30 and the final approach path for runway 26L intersect at Long Beach (Daugherty Field) Airport (LGB). At the time of the incident, the local control 1 (LC1), local assist, and ground control positions were combined to the LC1 position in the LGB air traffic control tower and staffed by a single certified professional controller. According to ATC transcripts and a post-- event interview, the LC1 controller turned N24CV on a base leg to runway 26L and cleared N24CV to land on 26L when the aircraft was approximately one mile from the runway. About this same time, the LC1 controller also cleared HAL70 to land on runway 30, when the flight was on a four-mile final. The LC1 controller did not realize that N24CV continued another half mile before starting their base turn, an event which led to both aircraft arriving at the airport at nearly the same time. In the three minutes leading to the incident, the LC1 controller received multiple calls on the ground control frequency from aircraft requesting push-back. He also initiated a call to the Traffic Management Unit (TMU) to request a release for another aircraft. These events distracted the LC1 controller from the local control operation at the time of the incident. This duty prioritization was not consistent with guidance contained in FAA Order JO 7110.65AA, Air Traffic Control, 2-1-1, ATC Service and 2-10-3, Tower Team Position Responsibilities. The controller in charge (CIC) stated in the post event interview that he heard the LC1 controller calling TMU for the release and said he should have made the call instead, and this was a failure on his part. This would have allowed the LC1 controller to concentrate on traffic. The CIC also stated he was not actively monitoring the LC1 controller frequencies and stated he should have been a second set of eyes for the LC1 controller. This was not consistent with guidance contained in the LGB7110.3G SOP, Chapter 3-1-1, Clearance Delivery, Chapter 7-1-1, Front Line Manger/Controller in Charge and 7-2-1, subsection f. 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-Task performance-Workload management-Task overload-ATC personnel
- — Personnel issues-Action/decision-Action-Lack of action-ATC personnel
- — Personnel issues-Task performance-Planning/preparation-Flight planning/navigation-ATC personnel
- — Personnel issues-Action/decision-Action-Forgotten action/omission-ATC personnel
Verbatim from NTSB's published report. Source file
NTSB_2023_OPS24LA004.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 (midair collision). Sourced from NASA NTRS, NTSB Safety Studies, FAA CAMI, AOPA Air Safety Institute, Embry-Riddle Scholarly Commons, arXiv, and the Semantic Scholar academic graph.
- Embry-Riddle Scholarly Commons 2024 · Journal article (IJAAA)
Airspace Saturation and Midair Collision Risk: A Case Study at a Class D Airport
Near midair collisions are precursor events to actual collisions and may be an indicator of risk. While previous studies have used reports of near midair collisions to relate factors such as airspace …
- NASA NTRS 2023 · Presentation
The Viability of See-and-Avoid for Midair Collision Avoidance for Urban Air Mobility (UAM)
Urban Air Mobility (UAM) is an emerging aviation concept that could supplement today’s ground and air transportation systems.
- NASA NTRS 2023 · Presentation
The Viability of See-and-Avoid for Midair Collision Avoidance for UAM
Urban Air Mobility (UAM) is an emerging aviation concept that could supplement today’s ground and air transportation systems.
- NASA NTRS 2019 · Other - Patent
Apparatus for aiding a pilot in avoiding a midair collision between aircraft
An apparatus for aiding a pilot in avoiding a midair collision between aircraft is described. A protected aircraft carries a transmitter, a transponder, a receiver, and a data processor; and an intrud…
- Embry-Riddle Scholarly Commons 2018 · Journal article (IJAAA)
Evaluating Small UAS Near Midair Collision Risk Using AeroScope and ADS-B
As small unmanned aircraft systems (sUAS) continue to proliferate in the National Airspace System (NAS), near midair collisions are becoming more common.
- NASA NTRS 2011 · Reprint (Version printed in journal)
Midair collisions - The accidents, the systems, and the Realpolitik
Two midair collisions occurring in 1978 are described, and the air traffic control system and procedures in use at the time, human factors implications and political consequences of the accidents are …
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