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Accidents · NTSB DCA23LA185 · Final report

Bombardier INC CL-600-2D24 and Embraer S A ERJ 170-200 LL incident near Burbank, California, February 23, 2023

On February 23, 2023 at about 2:55 am local time, 2 aircraft, Bombardier INC CL-600-2D24 (N954LR) and Embraer S A ERJ 170-200 LL (N619UX), were involved in the same incident near Burbank, California (Bob Hope Airport). No one was hurt; 114 people were on board or involved. The weather was visual conditions (good weather).

The NTSB's probable cause their words, unchanged

The interruption of the local controller’s workflow due to the necessitated management of a go-around of a third airplane that was approaching a different runway. Contributing to the incident was: 1) the controller’s decision to continue the landing of ASH5826, likely without a re-assessment of its distance from the departing SKW5326, after the interruption, and 2) the lack of surface detection equipment at the Bob Hope Airport to aid the controller with traffic management.
The interruption of the local controller’s workflow due to the necessitated management of a go-around of a third airplane that was approaching a different runway. Contributing to the incident was: 1) the controller’s decision to continue the landing of ASH5826, likely without a re-assessment of its distance from the departing SKW5326, after the interruption, and 2) the lack of surface detection equipment at the Bob Hope Airport to aid the controller with traffic management.

Source: NTSB aviation accident database, copy made October 5, 2026. Docket and reports at the NTSB.

What the record shows

Date
February 23, 2023 · about 2:55 am local time
Place
Burbank, California · Bob Hope Airport · map
Type
Incident
Injuries
No one was hurt; 114 people were on board or involved.
Weather
visual conditions (good weather)
Aircraft 1
Bombardier INC CL-600-2D24, built 2015
Registration
N954LR · no longer on the register · serial 15375
Damage
Not recorded
Flight
Flight · scheduled airline rules (Part 121)
Aircraft 2
Embraer S A ERJ 170-200 LL, built 2019 · all ERJ 170-200 LLs on the register
Registration
N619UX · registry record · serial 17000821
Damage
Not recorded
Flight
Flight · scheduled airline rules (Part 121)

The NTSB's narrative for the Bombardier INC CL-600-2D24 final · quoted from the NTSB record

This incident occurred after the local controller (LC) cleared SkyWest Airlines (dba United Express) flight 5326 (SKW5326) for takeoff from runway 33 at Bob Hope Airport (BUR) and instructed Mesa Airlines (dba American Eagle) flight 5826 (ASH5826) to continue its approach to land on the same runway. At the time of takeoff clearance, ASH5826 was 1.6 miles from the threshold of the same runway. Shortly after SKW5326 began its takeoff roll, the flight crew of ASH5826 determined the separation was insufficient and initiated a go-around. At this time, SKW5326 was at a groundspeed of 27 kts and accelerating across the runway threshold, and ASH5826 was 4,200 ft from the threshold at an altitude of 300 ft above ground level (agl). The LC instructed ASH5826 to climb and maintain 4,000 ft, and fly the runway heading, which put their airplane on a converging course with SKW5326, who was on the assigned standard instrument departure (SID) heading of 270. Twenty-seven seconds later, the LC instructed ASH5826 to turn right, heading 270 then changed it to turn left, heading 270 which put the two airplanes on parallel headings. Forty-seven seconds later, the crew of ASH5826 reported they were responding to a TCAS RA [traffic alert and collision avoidance system resolution advisory], and the LC instructed them to turn right 30 degrees, then changed the instruction to a left 30-degree turn. The airplanes’ closest point of separation was 1,680 ft during the left turn. After that, the separation began to increase and both airplanes were handed off to Southern California Terminal Radar Approach Control. Federal Aviation Administration (FAA) Order 7110.65Z, Air Traffic Control, Chapter 2, section 1, paragraph 2-1-6, Safety Alert, requires controllers to “issue a safety alert to an aircraft if they are aware the aircraft is in a position/altitude that, in your judgment, places it in unsafe proximity to terrain, obstructions, or other aircraft.” However, for this event, the local controller did not issue a traffic advisory or safety alert, as required, to either of the flight crews immediately after ASH5826 reported going around, or during the following minutes when both airplanes were in an unsafe proximity to each other. Prior to the incursion, at 18:53:06, the LC instructed SKW5326, which was on the ground departing Burbank, to turn right onto runway 33 and to Line Up and Wait (LUAW). The aircraft performance study found that at this time, ASH5826, was 7.9 NM (9 statute miles) from the threshold, at 2,800 ft above ground level (agl), and approaching runway 33 at BUR. According to FAA Order 7110.65Z, Air Traffic Control, Chapter 3, section 9, paragraph 3-9-4, the intent of LUAW” is to position aircraft for an imminent departure.” About 19 seconds later, ASH5826 checked in with BUR tower, and the local controller advised the crew that traffic (SKW5326) was holding in position on runway 33, and they were instructed to continue their approach. SKW5326 entered runway 33 and by 1854:30 the airplane was aligned with the runway heading and stopped behind the runway threshold waiting for a takeoff clearance. Around this time, the LC instructed an uninvolved visual flight rules (VFR) Cirrus airplane to perform a go-around on runway 26. During a postincident interview, the LC stated the go-around was issued because the airplane was too high for the approach. However, the LC did not inform the Cirrus pilot of the reason for the go-around, but the pilot complied immediately with ATC instructions. The LC then instructed the Cirrus pilot to turn base for runway 33 and follow a regional jet (ASH5826) on a 2-mile final. Several transmissions were conducted between the Cirrus pilot and the LC because there was confusion on which cross wind traffic pattern leg the pilot should fly. The LC’s communications with the Cirrus may have been a distraction that delayed the takeoff clearance for SKW5326, which would have reduced separation between the two airplanes. Further, the focus on the Cirrus may have prevented the LC from performing an adequate scan of the runway and airport environment to determine the positions of SKW5326 and ASH5826 before issuing a takeoff and landing clearance, respectively. FAA Order 7110.65Z, paragraph 3-10-3, Same Runway Separation, instructed a controller to “separate an arriving aircraft from another aircraft using the same runway by ensuring that the arriving aircraft does not cross the landing threshold until…the other aircraft has departed and crossed the runway end.” At the time of the incident, the BUR airport traffic control tower did not have surface detection equipment which would have allowed air traffic controllers to track the movement of aircraft and vehicles on airport surfaces and on final approach. This type of system would provide controllers with visual and aural warnings when a potential conflict existed. Had BUR tower been equipped with this technology, it would have alerted the controller to the reduced separation between the two airplanes prior to the SKW5326 takeoff clearance. It likely would have also detected the potential conflict during the initial portion of the ASH5826 go-around. These warnings would have likely allowed the controller to prevent these conflicts altogether or reduced their severity.

The complete narrative as the NTSB published it. The NTSB's docket holds the report as a PDF and any photographs, statements and other documents from the investigation.

The NTSB's narrative for the Embraer S A ERJ 170-200 LL final · quoted from the NTSB record

This incident occurred after the local controller (LC) cleared SkyWest Airlines (dba United Express) flight 5326 (SKW5326) for takeoff from runway 33 at Bob Hope Airport (BUR) and instructed Mesa Airlines (dba American Eagle) flight 5826 (ASH5826) to continue its approach to land on the same runway. At the time of takeoff clearance, ASH5826 was 1.6 miles from the threshold of the same runway. Shortly after SKW5326 began its takeoff roll, the flight crew of ASH5826 determined the separation was insufficient and initiated a go-around. At this time, SKW5326 was at a groundspeed of 27 kts and accelerating across the runway threshold, and ASH5826 was 4,200 ft from the threshold at an altitude of 300 ft above ground level (agl). The LC instructed ASH5826 to climb and maintain 4,000 ft, and fly the runway heading, which put their airplane on a converging course with SKW5326, who was on the assigned standard instrument departure (SID) heading of 270. Twenty-seven seconds later, the LC instructed ASH5826 to turn right, heading 270 then changed it to turn left, heading 270 which put the two airplanes on parallel headings. Forty-seven seconds later, the crew of ASH5826 reported they were responding to a TCAS RA [traffic alert and collision avoidance system resolution advisory], and the LC instructed them to turn right 30 degrees, then changed the instruction to a left 30-degree turn. The airplanes’ closest point of separation was 1,680 ft during the left turn. After that, the separation began to increase and both airplanes were handed off to Southern California Terminal Radar Approach Control. Federal Aviation Administration (FAA) Order 7110.65Z, Air Traffic Control, Chapter 2, section 1, paragraph 2-1-6, Safety Alert, requires controllers to “issue a safety alert to an aircraft if they are aware the aircraft is in a position/altitude that, in your judgment, places it in unsafe proximity to terrain, obstructions, or other aircraft.” However, for this event, the local controller did not issue a traffic advisory or safety alert, as required, to either of the flight crews immediately after ASH5826 reported going around, or during the following minutes when both airplanes were in an unsafe proximity to each other. Prior to the incursion, at 18:53:06, the LC instructed SKW5326, which was on the ground departing Burbank, to turn right onto runway 33 and to Line Up and Wait (LUAW). The aircraft performance study found that at this time, ASH5826, was 7.9 NM (9 statute miles) from the threshold, at 2,800 ft above ground level (agl), and approaching runway 33 at BUR. According to FAA Order 7110.65Z, Air Traffic Control, Chapter 3, section 9, paragraph 3-9-4, the intent of LUAW” is to position aircraft for an imminent departure.” About 19 seconds later, ASH5826 checked in with BUR tower, and the local controller advised the crew that traffic (SKW5326) was holding in position on runway 33, and they were instructed to continue their approach. SKW5326 entered runway 33 and by 1854:30 the airplane was aligned with the runway heading and stopped behind the runway threshold waiting for a takeoff clearance. Around this time, the LC instructed an uninvolved visual flight rules (VFR) Cirrus airplane to perform a go-around on runway 26. During a postincident interview, the LC stated the go-around was issued because the airplane was too high for the approach. However, the LC did not inform the Cirrus pilot of the reason for the go-around, but the pilot complied immediately with ATC instructions. The LC then instructed the Cirrus pilot to turn base for runway 33 and follow a regional jet (ASH5826) on a 2-mile final. Several transmissions were conducted between the Cirrus pilot and the LC because there was confusion on which cross wind traffic pattern leg the pilot should fly. The LC’s communications with the Cirrus may have been a distraction that delayed the takeoff clearance for SKW5326, which would have reduced separation between the two airplanes. Further, the focus on the Cirrus may have prevented the LC from performing an adequate scan of the runway and airport environment to determine the positions of SKW5326 and ASH5826 before issuing a takeoff and landing clearance, respectively. FAA Order 7110.65Z, paragraph 3-10-3, Same Runway Separation, instructed a controller to “separate an arriving aircraft from another aircraft using the same runway by ensuring that the arriving aircraft does not cross the landing threshold until…the other aircraft has departed and crossed the runway end.” At the time of the incident, the BUR airport traffic control tower did not have surface detection equipment which would have allowed air traffic controllers to track the movement of aircraft and vehicles on airport surfaces and on final approach. This type of system would provide controllers with visual and aural warnings when a potential conflict existed. Had BUR tower been equipped with this technology, it would have alerted the controller to the reduced separation between the two airplanes prior to the SKW5326 takeoff clearance. It likely would have also detected the potential conflict during the initial portion of the ASH5826 go-around. These warnings would have likely allowed the controller to prevent these conflicts altogether or reduced their severity.

The complete narrative as the NTSB published it. The NTSB's docket holds the report as a PDF and any photographs, statements and other documents from the investigation.

The factual record for the Bombardier INC CL-600-2D24 from the NTSB's investigation tables, in plain English

What happened, in order

  1. Runway incursion veh/AC/person during takeoff defining event

The NTSB's findings

  • Personnel issues › Action/decision › Action › Delayed action › ATC personnel

Pilot

  • Certificate: airline transport pilot, flight instructor, commercial pilot
  • Ratings: multi-engine land; single-engine land; instructor: airplane multi-engine; instructor: airplane single-engine; instructor: instrument airplane; instrument: airplane
  • Flight time: 21,248 hours in all; 17,287 in this make and model; 157 in the last 90 days; 73 in the last 30 days; 6,848 as pilot in command; 1,198 on instruments
  • Last flight review: April 14, 2022
  • Medical certificate: Class 1 (with waivers/limitations)
  • Seat: left
  • Injury: no injuries

Co-pilot

  • Certificate: airline transport pilot, flight instructor, commercial pilot
  • Ratings: multi-engine land; single-engine land; instructor: airplane single-engine; instructor: instrument airplane; instrument: airplane
  • Flight time: 2,580 hours in all; 980 in this make and model; 108 in the last 90 days; 48 in the last 30 days; 1,315 as pilot in command; 1,085 on instruments
  • Last flight review: July 23, 2022
  • Medical certificate: Class 1 (with waivers/limitations)
  • Seat: rgt
  • Injury: no injuries

The aircraft

  • Airframe total time: 15,900 hours
  • Last inspection: continuous airworthiness programme, February 19, 2023
  • Maximum gross weight: 85,000 lb
  • Seats: 80
  • Landing gear: retractable
  • Engine 1: Ge CF34-8C5 (turbofan); 15,957 hours total
  • Engine 2: Ge CF34-8C5 (turbofan); 37,981 hours total
  • Operator: Mesa Airlines INC

The flight

  • Departed from: KPHX Phoenix AZ at 1:32 am
  • Destination: KBUR Burbank CA
  • Flight plan: IFR
  • Runway 33, 6,886 ft by 150 ft
  • A second pilot was aboard

Weather at the time

  • Light: dusk
  • Wind: from 220° at 6 knots, gusting 18
  • Visibility: 11.5 statute miles
  • Sky: broken clouds at 11,000 ft; clear
  • Temperature: 32°F (0°C), dew point 32°F (0°C)
  • Altimeter: 29.85 inHg
  • Observation at 5:53 pm from KBUR

Injuries

FatalSeriousMinorNone
Flight crew4
Passengers37

The factual record for the Embraer S A ERJ 170-200 LL from the NTSB's investigation tables, in plain English

The NTSB's findings

  • Personnel issues › Action/decision › Action › Delayed action › ATC personnel

Pilot

  • Certificate: airline transport pilot, commercial pilot
  • Ratings: multi-engine land; instrument: airplane
  • Flight time: 12,769 hours in all; 4,856 in this make and model; 253 in the last 90 days; 79 in the last 30 days; 6,105 as pilot in command
  • Medical certificate: Class 1 (with waivers/limitations)
  • Seat: left
  • Injury: no injuries

Co-pilot

  • Certificate: airline transport pilot
  • Ratings: multi-engine sea; instrument: airplane
  • Flight time: 1,042 hours in all; 36 in this make and model; 36 in the last 90 days; 36 in the last 30 days; 932 as pilot in command
  • Last flight review: February 8, 2023
  • Medical certificate: Class 1 (without waivers/limitations)
  • Seat: rgt
  • Injury: no injuries

The aircraft

  • Airframe total time: 11,001 hours
  • Last inspection: continuous airworthiness programme, September 6, 2022
  • Maximum gross weight: 73,576 lb
  • Seats: 88
  • Landing gear: retractable
  • Engine 1: Ge CF34-8E5 (turbofan); 11,001 hours total
  • Engine 2: Ge CF34-8E5 (turbofan); 10,998 hours total
  • Operator: Skywest Airlines

The flight

  • Departed from: KBUR Burbank CA at 2:37 am
  • Destination: KSFO San Francisco CA
  • Flight plan: IFR
  • A second pilot was aboard

Injuries

FatalSeriousMinorNone
Flight crew4
Passengers69

Documents from the investigation the NTSB's docket: the evidence folder behind the report

19 documents, released by the NTSB on February 27, 2025. View them here, or download them; the NTSB redacts some personal details before release, and this site shows the NTSB's own titles rather than its file names.

#DocumentWhat it is
1 Flight Data Recorders - Specialist's Factual Report PDF, 22 pages View Download
2 Flight Data Recorders - Specialist's Factual Report - ATTACHMENT1 - Mesa Tabular Data data file Download
3 Flight Data Recorders - Specialist's Factual Report - ATTACHMENT2 - Skywest Tabular Data data file Download
4 ADS-B Data N954LR data file Download
5 ADS-B Data N619UX data file Download
6 Aircraft Performance Study PDF, 10 pages View Download
7 Pilot Statements - Skywest Airlines PDF, 3 pages View Download
8 Pilot/operator Aircraft Accident Report, NTSB Form 6120.1 - Mesa PDF, 28 pages View Download
9 Air Traffic Control Factual Report PDF, 23 pages View Download
10 Air Traffic Control - Attachment 1 - Interview Transcriptions PDF, 305 pages View Download
11 Air Traffic Control -attachment 2 - Bur ATC Local Control (Lc) Audio audio View Download
12 Air Traffic Control - Attachment 3 - Bur ATC Ground Control (Gc) Audio audio View Download
13 Air Traffic Control - Attachment 4 - Bur ATC Controller in Charge (Cic) Audio audio View Download
14 Air Traffic Control - Attachment 5 - Bur Atis Recording audio View Download
15 Air Traffic Control - Attachment 6 - Sct ATC Wdlr (Woodland) Sector Audio audio View Download
16 Air Traffic Control - Attachment 7 - ADS-B Data zip file Download
17 Air Traffic Control - Attachment 8 - Bur ATC Administrative Documents PDF, 49 pages View Download
18 Air Traffic Control - Attachment 9 - FAA ATC radar Data zip file Download
19 Pilot/operator Aircraft Accident Report, NTSB Form 6120.1 - Skywest PDF, 11 pages View Download

The same docket at the NTSB · documents without a copy here are fetched from the NTSB when you open them.

Everything on this page comes from the NTSB's public records. The narrative, probable cause and findings are the NTSB's own words; the coded tables behind the report are written out in plain English, with pilots' ages, home towns and medical details left out. The documents and photographs are the NTSB's docket, shown as the NTSB released them. This site's own text never names anyone involved. A preliminary report can change; the final report usually follows one to two years later, and the page is refreshed when it does.