Overview
- The NTSB concluded that FAA helicopter route placement near a runway approach, missed reviews and ignored warnings created persistent proximity risk over Reagan National.
- Investigators cited degraded air traffic control performance, including combined tower positions, lack of a risk assessment process and missed safety alerts to both crews.
- The Army’s training gaps on altimeter error contributed to the Black Hawk exceeding its authorized altitude, compounding hazards in the complex DCA airspace.
- Surveillance shortfalls were pivotal: the helicopter’s ADS‑B Out was off, neither aircraft carried ADS‑B In, and analysts say cockpit alerts could have come roughly 59 seconds before impact.
- The board issued 50 safety recommendations, 33 to the FAA, and noted some immediate FAA steps—reduced arrival rates, helicopter route restrictions, tower staffing increases and required helicopter position broadcasts—while broader legislative action, including the ROTOR Act, remains pending in the House.