CHI89IA054

NTSB incident investigation · Short Brothers SD360 · Chicago, IL · March 8, 1989

Incident · No injuriesIncident investigationFinal report
Date
March 7, 1989, 18:59 local (Mar 8, 1989, 00:59 UTC)
Place
Chicago, IL
Injuries
37 uninjured
Damage
No damage
Phase of flight
Takeoff
Aircraft
N366MQShort Brothers SD360
Weather
Visual (VMC) · Day
Status
Completed · report October 8, 1992
Report
Approved by Office Director
Case key
14281

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

On this page

Probable cause

The PIC followed a clearance intended for another airplane.

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 aircraftTakeoff - aborted
Atc clearance - misreadPilot in commandCause

Analysis

The local controller positioned simmons 4058 on rwy 9L first, and then positioned simmons 4158 (this airplane) on rwy 4L. He then returned to simmons 4058, stated the rwy number, & cleared it for takeoff. Before simmons 4058 had a chance to reply, simmons 4158 (this airplane) acknowledged the clearance. Simmons 4058 queried the clearance. Realizing the confusion, and seeing simmons 4158 (this airplane) moving, the controller canceled simmons 4058 takeoff clearance. Simmons 4058 replied 'we thought that was gonna happen'. A pilot 'slowdown' was taking place at the time, and the controllers stated that pilots were taxiing more slowly than usual and appeared to get lost or confused on the ground more often. The crew of simmons 4158 vehemently denied participation in the union-related work slowdown. The safety board has issued recommendations addressing similar flight call sign confusion.

Aircraft

Registration
N366MQ
Reported as
Short Brothers SD360
Category
Airplane
Serial number
SH 3639
Engine
P&W PT6A, turbo prop
Damage
No damage
Flight
Part 121
Operator
Simmons Airlines, doing business as American Eagle
Departed
ORD
Destination
SBN · South Bend, IN
Flight plan
IFR
Airport
ORD · O'Hare Intl, runway 4L, 7,500 × 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
33
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Unknown
Flight hours
3,264 total · 1,264 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
40° at 10 knots
Visibility
15 statute miles
Lowest ceiling
None
Temperature
21 °F, dew point 10 °F
Altimeter
30.00 inHg
Observed at
ORD