ANC93IA007

NTSB incident investigation · Boeing 737-200 · Anchorage, AK · October 8, 1992

Incident · No injuriesIncident investigationFinal report
Date
October 8, 1992, 09:39 local (17:39 UTC)
Place
Anchorage, AK
Injuries
26 uninjured
Phase of flight
Approach
Aircraft
N673MABoeing 737-200N680MADe Havilland DHC-8
Weather
Visual (VMC) · Day
Status
Completed · report October 8, 1993
Report
Approved by Office Director
NTSB office
Alaska Regional Office
Case key
5838

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the incident.

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Probable cause

Improper ATC clearance instructions by the approach controller, resulting in a failure to insure safe separation between an airplane in visual conditions with an airplane in instrument meteorological conditions on converging courses. A factor which contributed was insufficient information provided to both pilots by the controller.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Near collision between aircraftApproach - iaf to faf/outer marker (ifr)
Atc clearance - improperAtc personnel(dep/apch)Cause
Information insufficientAtc personnel(dep/apch)Factor
Near collision between aircraftApproach - vfr pattern - downwind
Atc clearance - improperAtc personnel(dep/apch)Cause
Information insufficientAtc personnel(dep/apch)Factor

Analysis

The DHC-8, N680MA, was north bound in radar control aprx 8 NM from anc intl arpt, and was provided visual separation from the B-737, N673MA, NE bound on apch to elmendorf afb. The B-737 was in clouds at the time of the advisory, and the DHC-8 mistook another B-737 for visual separation. The TCAS alerted the first B-737 pilot of close proximity of traffic approaching at at his 2 o'clock position, and he initiated a climb in IMC. A rapid descent was initiated by the DHC-8 pilot after seeing the B-737 emerging from the clouds. These evasive actions occurred approximately 20 secs prior to the crossing of the tracks of the two airplanes. ATC control of the conflicting airplanes was by the same position controller on separate frequencies. The B-737 pilot was not advised nor aware of the DHC-8 being providing visual separation from his airplane per FAA order 7110.65G until the TCAS pull-up and visual sighting of the traffic passing under and in front.

Aircraft · 2

Registration
N673MA
Reported as
Boeing 737-200
Category
Airplane
Engine
P&W JT8D-9A, turbo jet
Damage
No damage
Flight
Part 121
Operator
Mark Air, Inc, doing business as Mark Air
Registered owner
Mark Air, Inc
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · January 2, 1900
Departed
AKN · King Salmon, AK
Destination
EDF · Elmendorf Afb, AK
Flight plan
IFR
Registration
N680MA
Reported as
De Havilland DHC-8
Category
Airplane
Engine
turbo prop
Damage
No damage
Flight
Part 121
Operator
Mark Air Inc.
Registered owner
Mark Air Inc.
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · January 2, 1900
Departed
ADQ · Kodiak, AK
Flight plan
IFR

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot, aircraft N673MA
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Unknown
Seat
Left
Role
Pilot, aircraft N680MA
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Valid Medical--no waivers/lim.
Seat
Left

Weather

Conditions
Visual (VMC) · Day
Wind
170° at 11 knots
Lowest ceiling
2,800 ft broken
Temperature
39 °F
Altimeter
29.00 inHg
Observed at
ANC, 4 nm away