[2] The National Transportation Safety Board conducted the accident investigation and published a final report on February 2, 2010 that identified the probable cause as the pilots' inappropriate response to stall warnings.
Families of the accident victims lobbied the U.S. Congress to enact more stringent regulations for regional carriers and to improve the scrutiny of safe operating procedures and the working conditions of pilots.
[7][8]: 29 [9] Captain Marvin Renslow, 47, of Lutz, Florida, was the pilot in command, and Rebecca Lynne Shaw, 24, of Maple Valley, Washington, served as the first officer.
[15] Shortly after the flight was cleared for an instrument landing system approach to Runway 23 at Buffalo Niagara International Airport, it disappeared from radar.
Six seconds later, the aircraft's stick shaker activated, warning of an impending stall, as the speed continued to slow to 131 knots (243 km/h; 151 mph).
Occupants aboard experienced g-forces estimated at nearly 2 g. The crew issued no emergency declaration as they rapidly lost altitude and crashed into a private home at 6038 Long Street,[26] about 5 mi (8.0 km) from the end of the runway, with the nose pointed away from the airport.
The aircraft burst into flames as the fuel tanks ruptured on impact, destroying the house of Douglas and Karen Wielinski, and most of the plane.
[24][50] Data extracted from the FDR revealed that the aircraft experienced severe pitch-and-roll oscillations shortly after the extension of flaps and landing gear, which was followed by the activation of the stick shaker stall-warning system.
Human remains were carefully removed and then finally identified over a period of several weeks with the assistance of forensic anthropology students.
Flying the plane manually was essential to ensure that pilots would be able to detect changes in the handling characteristics of the airplane, which are warning signs of ice accumulation.
[58] Bill Voss, president of the Flight Safety Foundation, told USA Today that it sounded as though the plane was in "a deep stall situation.
[60] Investigators examined possible crew fatigue, as the captain appeared to have been at the Newark airport overnight prior to the day of the 21:18 departure of the accident flight.
[62] In response to questioning from the NTSB, Colgan Air officials acknowledged that both pilots had not been paying close attention to the aircraft's instruments and did not properly follow the airline's procedures for handling an impending stall.
Renslow did have intentions of landing safely at Buffalo, as well as first officer Shaw, but obviously in those last few moments ... the flight instruments were not being monitored, and that's an indication of a lack of situational awareness.
"[63] The official transcript of the crew's communication obtained from the CVR, as well as an animated depiction of the crash, constructed using data from the FDR, were made available to the public on May 12, 2009.
[64] On June 3, 2009, The New York Times published an article detailing complaints about Colgan's operations from an FAA inspector who observed test flights in January 2008.
[3]: 153 Those findings were immediately followed by the board's probable-cause statement: The captain's inappropriate response to the activation of the stick shaker, which led to an aerodynamic stall from which the airplane did not recover.
[3]: 161–170 However, NTSB vice chairman Christopher A. Hart and board member Robert L. Sumwalt III did not agree with Hersman regarding the inclusion of fatigue as a contributing factor, believing that evidence was insufficient to support such a conclusion.
Items required to be entered into the PRD, and considered by hiring airlines, included "training, qualifications, proficiency, or professional competence of the individual, including comments and evaluations made by a check airman ... any disciplinary action taken with respect to the individual that was not subsequently overturned; and any release from employment or resignation, termination, or disqualification with respect to employment."
But 11 years later, despite lobbying by a group of relatives of crash victims, as well as Atlas Air Flight 3591 – another aviation accident in which a pilot concealed his training records[71][72] – the FAA had still not completed the PRD as directed by the NTSB.