Exploring the Chain of Preventable Errors in Major Aviation Incident

White airplane taking off from a runway.

U.S. Army helicopter pilot Rebecca M. Lobach’s failure to follow a critical command from her flight instructor contributed to America’s deadliest aviation disaster since 2001, killing 67 people when her Black Hawk collided with a passenger jet near Reagan National Airport.

Key Takeaways

  • Captain Rebecca M. Lobach failed to heed instructions to change course from her flight instructor, resulting in a fatal collision that killed all 64 passengers on the American Airlines plane and 3 helicopter crew members.
  • The Black Hawk’s ADS-B tracking system was turned off for mission confidentiality, limiting air traffic control’s ability to track the helicopter in the congested airspace.
  • Multiple safety systems failed simultaneously, including visual separation protocols, air traffic control monitoring, and emergency instruction delivery.
  • The FAA has since closed the helicopter route along the Potomac River where the collision occurred and now requires all aircraft in the airport’s airspace to have tracking systems active.
  • The collision has prompted significant reviews of military and civilian aviation protocols, with a final NTSB report expected in early 2026.

Catastrophic Failure in Communication and Command

The January collision between a U.S. Army Black Hawk helicopter and American Airlines Flight 5342 near Washington DC’s Reagan National Airport resulted from what investigators are calling a chain of preventable errors. At the center of the tragedy was Captain Rebecca M. Lobach’s failure to follow a direct order from her co-pilot and flight instructor, Chief Warrant Officer 2 Andrew Loyd Eaves, to alter course. This critical lapse in adherence to command structure resulted in the deaths of all 64 passengers on the commercial flight and the three crew members aboard the military helicopter.

The Black Hawk crew had requested to fly by “visual separation,” a standard but potentially risky procedure that places responsibility on pilots to maintain safe distance from other aircraft by sight. Despite receiving alerts from air traffic control about the passenger jet’s presence and explicit instructions from her superior officer to turn, Lobach did not execute the maneuver that would have prevented the catastrophe. Complicating matters further, the helicopter’s ADS-B Out system—technology that provides real-time position data to other aircraft and controllers—was switched off in compliance with Army protocol for confidential operations.

Multiple Safety Systems Collapsed Simultaneously

The investigation has revealed that numerous safeguards designed to prevent such accidents failed that night. Air traffic controllers granted visual separation approval but subsequently failed to provide sufficient information about the jet’s location and flight path. Radio communications were reportedly “stepped on,” potentially causing critical instructions to go unheard. Additionally, the Black Hawk crew was using night-vision goggles, which can be compromised by the bright urban lights of Washington DC, potentially affecting their ability to accurately identify the passenger jet’s position.

“Multiple layers of safety precautions failed that night,” said FAA deputy administrator Katie Thomson.

The National Transportation Safety Board (NTSB) investigation has uncovered a troubling history of close calls between helicopters and commercial planes at Reagan National Airport, with numerous incidents involving military helicopters flying above permitted altitudes. The route along the Potomac River where the collision occurred was particularly problematic, with only 75 feet of vertical separation between helicopters and aircraft approaching runway 33.

Regulatory Changes and Safety Improvements

In response to the disaster, both the Federal Aviation Administration and the U.S. Army have implemented significant changes to prevent future tragedies. The FAA has permanently closed the helicopter route along the Potomac River that intersected with commercial flight paths and has restricted nonessential helicopter operations at Reagan National Airport. Most notably, the agency now requires all aircraft in the airport’s airspace to have ADS-B Out tracking systems turned on without exception, eliminating the secrecy-related exemption that contributed to the January crash.

“I think what we’ll find in the end is there were multiple things that, had any one of them changed, it could have well changed the outcome of that evening,” said Brig. Gen. Matthew Braman.

For its part, the Army has issued new guidance increasing the risk assessment level for operations with tracking systems disabled.. The NTSB continues its comprehensive investigation, with a final report expected in early 2026 that will likely result in additional safety recommendations for both military and civilian aviation operations.