BFO89IA036

NTSB incident investigation · Northrop T-38A · Washington, DC · May 15, 1989

Incident · No injuriesIncident investigationFinal report
Date
May 15, 1989, 18:41 local (22:41 UTC)
Place
Washington, DC
Injuries
177 uninjured
Phase of flight
Enroute
Aircraft
N920NSNorthrop T-38AN806PAAirbus Industrie A-310
Weather
Instrument (IMC) · Day
Status
Completed · report January 3, 1992
Report
Approved by Office Director
Case key
11475

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

Failure of the T-38 pilot (in the other aircraft) to follow the ATC clearance and to maintain the proper altitude. Factors related to the incident were: failure of air traffic control (ATC) personnel to recognize the T-38'S improper altitude in a timely manner, and ATC personnel's delay in initiating corrective action.

Failure of the pilot-in-command (T-38 pilot) to follow the ATC clearance and to maintain the proper altitude. Factors related to the incident were: failure of air traffic control (ATC) personnel to recognize the T-38'S improper altitude in a timely manner, and ATC personnel's delay in initiating corrctive action.

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 aircraftDescent
Proper altitude - not maintainedPilot in commandCause
Atc clearance - not followedPilot in commandCause
Monitoring - inadequateAtc personnel(dep/apch)Factor
Traffic advisory - delayedAtc personnel(dep/apch)Factor
Near collision between aircraftClimb
Proper altitude - not maintainedPilot of other aircraftCause
Atc clearance - not followedPilot of other aircraftCause
Monitoring - inadequateAtc personnel(dep/apch)Factor
Traffic advisory - delayedAtc personnel(dep/apch)Factor

Analysis

NASA T-38, N920NS, was inbnd (hdg east) on a finks one arrival to andrews afb with clnc to dscnd to 8000'. In the same area, pan an flt 140 (Airbus A310/N806PA) was hdg north at 7000' after depg dulles (iad) iap. The Airbus was handled by iad apch ctl. The T-38 was handled by Washington (dca) apch ctl. The T-38 plt dscndd thru 8000' & rprtd at 7000'. At 1st, the dca ctlr didn't realize the T-38 was at the wrong alt. Shortly thereafter, the conflict alert alarmed & the dca ctlr issued a tfc adzy. The T-38 plt immediately climbed to 8000'. But before he climbed, radar data indcd the Airbus & T-38 passed each otr with 711' lateral clnc & 100' vertical clnc. The Airbus plt stated he saw the T-38 pass ahead fm left to rgt. The iad controller did notice tfc for the Airbus, but he did not issue a tfc adzry. Also, he said his conflict alert sys did not alarm; recorded computer data indcd the alarm had operated.

NASA T-38, N920NS, was inbnd (hdg east) on a finks one arrival to andrews afb with clnc to dscnd to 8000'. In the same area, pan am flt 140 (Airbus A310/N806PA) was hdg north at 7000' after depg dulles (iad) iap. The Airbus was handled by iad apch ctl. The T-38 was handled by Washington (dca) apch ctl. The T-38 plt dscndd thru 8000' & rprtd at 7000'. At 1st the dca ctlr didn't realize the T-38 was at the wrong alt. Shortly thereafter, the conflict alert alarmed & the dca ctlr issued a tfc adzy. The T-38 plt immediately climbed to 8000', but before he climbed, radar data indcd the Airbus & T-38 passed each otr with 711' lateral clnc & 100' vertical clnc. The Airbus plt stated he saw the T-38 pass ahead fm left to rgt. The iad controller did notice tfc for the Airbus, but he did not issue a tfc adzry. Also, he said his conflict alert sys did not alarm; computer data indcd the alarm had operated.

Aircraft · 2

Registration
N920NS
Reported as
Northrop T-38A
Category
Airplane
Serial number
66-8386
Engine
GE J-85, 5,000 lbs thrust, turbo jet
Damage
No damage
Flight
Public aircraft · Part 91
Registered owner
National Aero. & Space Admin.
Departed
HOP · Ft Campbell, KY
Destination
ADW · Andrews Afb, MD
Flight plan
IFR
Registration
N806PA
Reported as
Airbus Industrie A-310 (A310)
Category
Airplane
Serial number
342
Engine
P&W JT9D, 50,000 lbs thrust, turbo fan
Damage
No damage
Flight
Part 121
Registered owner
Pan American World Airway
Airworthiness certificate
Standard, Transport
Departed
IAD · Washington, DC
Destination
ORY · Paris,France, OF
Flight plan
IFR

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot, aircraft N920NS
Age
44
Certificates
Commercial, Military
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Flight hours
5,345 total · 2,388 in this make and model · 64 in the last 90 days · 20 in the last 30 days
Role
Pilot, aircraft N806PA
Age
53
Certificates
Commercial, Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
13,000 total · 1,340 as pilot in command

Weather

Conditions
Instrument (IMC) · Day
Wind
110° at 5 knots
Visibility
2 statute miles
Lowest ceiling
800 ft broken
Temperature
63 °F, dew point 61 °F
Altimeter
29.00 inHg
Observed at
DCA, 20 nm away