CHI91IA062

NTSB incident investigation · Boeing 737-322 · Kansas City, MO · January 8, 1991

Incident · No injuriesIncident investigationFinal report
Date
January 7, 1991, 19:15 local (Jan 8, 1991, 01:15 UTC)
Place
Kansas City, MO
Injuries
36 uninjured
Damage
No damage
Phase of flight
Takeoff
Aircraft
N396UABoeing 737-322
Weather
Instrument (IMC) · Night/dark
Status
Completed · report December 4, 1992
Report
Approved by Office Director
FAA report
19910107002969I
Case key
14925

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 use of the throttles, and failure to maintain directional control by the first officer. Factors related to the incident are: ice on the runway, lack of total experience in the type aircraft and operation by the first officer, and inadequate supervision by the captain.

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.

Loss of control - on ground/waterTakeoff - roll/run
Terrain condition - icyFactor
Throttle/power control - improper use ofCopilot/second pilotCause
Lack of total experience in type of aircraftCopilot/second pilotFactor
Directional control - not maintainedCopilot/second pilotCause
Lack of total experience in type operationCopilot/second pilotFactor
Supervision - inadequatePilot in commandFactor
OverrunTakeoff - aborted

Analysis

The first officer had control of the aircraft for takeoff on ice covered runway. After the throttles were advanced for takeoff, the aircraft rolled straight ahead for approximately 2 seconds, then began to slide to the left. The captain took control of the aircraft but could not maintain directional control, or stop the aircraft. The aircraft departed the left side of the runway and came to a stop in the mud and snow. An emergency evacuation was conducted. Investigation revealed that on application of power for takeoff, the right engine had a 10% greater N1 than the left engine. The first officer was on his initial operating experience in the aircraft.

Aircraft

Registration
N396UA
Reported as
Boeing 737-322
Category
Airplane
Serial number
24671
Engine
GE CFM-56-3B1, turbo fan
Damage
No damage
Flight
Part 121
Operator
United Airlines
Airworthiness certificate
Standard, Transport
Last inspection
Unknown · January 2, 2000
Destination
DEN · Denver, CO
Flight plan
IFR
Airport
MCI · Kansas City Int'L, runway 27, 9,500 × 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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
52
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
9,500 total · 4,000 in this make and model · 5,000 as pilot in command · 200 in the last 90 days

Weather

Conditions
Instrument (IMC) · Night/dark
Wind
110° at 3 knots
Visibility
1 statute miles
Lowest ceiling
300 ft overcast
Temperature
23 °F, dew point 21 °F
Altimeter
30.00 inHg
Observed at
MCI, 1 nm away

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.