Aviation Accident Summaries

Aviation Accident Summary FTW89IA064

HOUSTON, TX, USA

Aircraft #1

N820NY

MCDONNELL DOUGLAS DC-9-82

Aircraft #2

N918TW

MCDONNELL DOUGLAS DC-9-82

Analysis

TWA FLT 806 (DC-9) WAS NW OF ARPT (FOR ILS RWY 9 APCH) AS CONTINENTAL FLT 122 (DC-9) WAS SW OF ARPT FOR SAME APCH. BOTH WERE IN IMC, BEING VCTRD BY FINAL TRACON CTLR (WORKING 2 SECTORS & CTLG 23 ACFT). AS FLT 122 WAS APCHG LOCALIZER (LOC) & HDG 060 DEG AT 3000' MSL, FLT 806 WAS ABT 8 MI NW OF FLT 122 & WAS CLRD TO INTERCEPT LOC. CTLR TMTD TO FLT 122 'FOUR FM THE MARKER, MAINT 2000 UNTIL ESTABLISHED ON THE LOC, CLRD ILS RWY 9 APCH, AND ARE YOU GOING THRU THE LOC TOO?' FLT 122 REPLIED 'YES SIR, YOU NEVER TOLD US TO INTERCEPT.' CTLR THEN TOLD FLT 122 'MAINT 3500 & TURN LEFT 360,' MEANING TO TURN TO A HDG OF 360 DEG. FLT 122 THOUGHT CTLR WANTED A 360 DEG CIRCLING TURN & BGN A RGT TURN. WHILE CIRCLING, FLT 122 ASKED FOR A HDG TO ROLL OUT ON. CTLR SAID TO FLY HDG 230. CTLR THEN REALIZED THE 2 ACFT WERE CONVERGING. HE TOLD FLT 122 TO DCND TO 2000' & TMTD FOR 'CONTINENTAL 806' TO MAINT 3500'. SINCE CTLR USED WRONG COMPANY DESIGNATOR, TWA FLT 806 DID NOT RESPOND. RADAR SHOWED THE 2 ACFT PASSED AT ABT 3100' WITH .079 MI SEPN.

Probable Cause and Findings

FAILURE OF THE TRACON FINAL APPROACH CONTROLLER TO ASSURE RADAR SEPARATION BETWEEN THE AIRCRAFT. FACTORS RELATED TO THE ACCIDENT WERE: INADEQUATE SUPERVISION BY THE ATC SUPERVISOR, EXCESSIVE WORKLOAD FOR THE CONTROLLER, UNCLEAR INSTRUCTIONS BY THE CONTROLLER, AND A MISUNDERSTANDING OF THE ATC CLEARANCE BY THE FLIGHT CREW OF CONTINENTAL FLIGHT 122.

 

Source: NTSB Aviation Accident Database

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