CHI89IA180

NTSB incident investigation · Mcdonnell Douglas MD-80 · Chicago, IL · August 31, 1989

Incident · No injuriesIncident investigationFinal report
Date
August 31, 1989, 00:53 local (05:53 UTC)
Place
Chicago, IL
Injuries
4 uninjured
Phase of flight
Takeoff
Aircraft
N490AAMcdonnell Douglas MD-80N7135NBeech E33
Weather
Visual (VMC) · Night/bright
Status
Completed · report September 11, 1992
Report
Approved by Office Director
Case key
14290

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 failure of the controller to clarify the confusing communications, to correct the pilot's misinterpretation of the instructions being given, and the failure of the supervisor to properly monitor the situation. Factors related to the incident were the pilot's misinterpretation of the clearance, the controllers expectancy and aural perception of the communications.

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.

Miscellaneous/otherTakeoff - roll/run
Communications - confusingAtc personnel(lcl/gnd/clnc)Cause
Supervision - inadequateAtc personnel(supervisor)Cause
Interpretation of instructions - improperPilot in commandFactor
Interpretation of instructions - not correctedAtc personnel(lcl/gnd/clnc)Cause
Visual/aural perceptionAtc personnel(lcl/gnd/clnc)Factor
Insufficient standards/requirementsFaa(organization)
ExpectancyAtc personnel(lcl/gnd/clnc)Factor
Miscellaneous/otherTakeoff - initial climb
Communications - confusingAtc personnel(lcl/gnd/clnc)Cause
Supervision - inadequateAtc personnel(supervisor)Cause
Interpretation of instructions - improperPilot of other aircraftFactor
Interpretation of instructions - not correctedAtc personnel(lcl/gnd/clnc)Cause
Visual/aural perceptionAtc personnel(lcl/gnd/clnc)Factor
ExpectancyAtc personnel(lcl/gnd/clnc)Factor

Analysis

GLA268 (Beech E33, N7135N) was cleared for takeoff on rwy 27L from the branch intersection by a full performance level (fpl) controller. AA9168 (MD-80, N490AA), which had been cleared to rwy 27L by a developmental controller under the supervision of the fpl controller, twice acknowledged the takeoff clearance for GLA268. GLA268 was again given takeoff clearance by the fpl controller. At about the same time AA9168 initiated its takeoff roll from the end of the rwy. AA9168 saw GLA268 ahead of it and queried the developmental controller. At this point the fpl controller took over and instructed AA9168 to abort its takeoff. The pilot of GLA268 reported he was about 50 ft AGL when he heard AA9168 aborting the takeoff.

Aircraft · 2

Registration
N490AA
Reported as
Mcdonnell Douglas MD-80
Category
Airplane
Engine
Unknown UNKNOWN, turbo jet
Damage
No damage
Flight
Positioning · Part 91
Operator
American Airlines
Airworthiness certificate
Standard, Transport
Destination
CMH · Columbus, OH
Flight plan
IFR
Airport
ORD · O'Hare Intl, runway 27L, 10,141 × 150 ft, asphalt

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.

Registration
N7135N
Reported as
Beech E33
Category
Airplane
Serial number
CD1139
Engine
Continental IO-550-B1, 300 horsepower, reciprocating
Damage
No damage
Flight
Other work use · Part 91
Operator
Great Lakes Aviation
Destination
SPW · Spencer, IA
Flight plan
Company VFR
Airport
ORD · O'Hare Intl, runway 27L, 10,141 × 150 ft, asphalt

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 N490AA
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Unknown, Unknown
Role
Pilot, aircraft N7135N
Age
24
Certificates
Flight instructor, Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Flight hours
2,521 total · 107 in this make and model · 1,558 as pilot in command · 250 in the last 90 days · 92 in the last 30 days · 8 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night/bright
Wind
130° at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
66 °F, dew point 57 °F
Observed at
ORD