ATL91IA094

NTSB incident investigation · Boeing 727-223 · Nashville, TN · May 15, 1991

Incident · No injuriesIncident investigationFinal report
Date
May 15, 1991, 08:13 local (13:13 UTC)
Place
Nashville, TN
Injuries
138 uninjured
Damage
Minor damage
Phase of flight
Approach
Aircraft
N882AABoeing 727-223
Weather
Instrument (IMC) · Dawn
Status
Completed · report May 5, 1993
Report
Approved by Office Director
Case key
8345

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

The captain's failure to maintain a proper glide path after disconnection of the autopilot during the final approach. Factors in this accident were: the captain's failure to follow company procedures for category ii approaches, the first officer's failure to adequately monitor the approach during the final phase, prior to touchdown, and the low visibility at the time of the accident.

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.

UndershootApproach - faf/outer marker to threshold (ifr)
Weather condition - below approach/landing minimumsFactor
Proper glidepath - not maintainedPilot in commandCause
Procedures/directives - not followedPilot in commandFactor
Monitoring - inadequateCopilot/second pilotFactor
In flight collision with objectLanding - flare/touchdown
Object - approach light/navaid
On ground/water collision with objectLanding - roll
Object - approach light/navaid

Analysis

Flt 1206 was on final for a cat ii ILS rwy 2L apch. The last rprtd RVR prior to landing was 700 ft, & 1200 ft RVR was rprtd as the flt crossed the outer marker. Minimums for the apch were 1200 ft RVR. On short final, the capt saw apch lights & disconnected the autopilot as the acft dscndd below 200 ft AGL. The acft touched down 408 ft short of the rwy threshold, damaging the apch lighting sys & the acft. Dfdr readout revealed the acft rate of dscnt increased from 720 fpm to 1400 fpm after the autopilot was disconnected, while airspeed remained constant. Inspn of the acft nav equip & arpt nav aids revealed no evidence of malfunction. Although the capt stated that he had the apch lights visually, he was unaware the acft had landed short. The flt engineer stated he felt the acft had indeed landed short. The capt disconnected the autopilot at about 200 feet AGL, although company procedures required use of the autopilot down to decision height (100 ft AGL).

Aircraft

Registration
N882AA
Reported as
Boeing 727-223
Category
Airplane
Serial number
21521
Engine
P&W JT8D-9A, 14,500 lbs thrust, turbo fan
Damage
Minor damage
Flight
Part 121
Operator
American Airlines, Inc.
Registered owner
American Airlines, Inc.
Airworthiness certificate
Standard, Transport
Departed
MSY · New Orleans, LA
Flight plan
IFR
Airport
BNA · Nashville International, runway 2L, 7,702 × 150 ft, concrete

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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
57
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Toxicology
Performed
Flight hours
1,542 total · 1,542 in this make and model

Weather

Conditions
Instrument (IMC) · Dawn
Wind
20° at 4 knots
Visibility
1 statute miles
Lowest ceiling
None
Temperature
75 °F, dew point 70 °F
Altimeter
29.00 inHg
Observed at
BNA, 1 nm away