CHI92IA061

NTSB incident investigation · Mcdonnell Douglas DC-10-30 · Chicago, IL · December 23, 1991

Incident · No injuriesIncident investigationFinal report
Date
December 23, 1991, 09:05 local (15:05 UTC)
Place
Chicago, IL
Injuries
315 uninjured
Phase of flight
Takeoff
Aircraft
N142AAMcdonnell Douglas DC-10-30N497AAMcdonnell Douglas DC-9-82
Weather
Visual (VMC) · Day
Status
Completed · report May 5, 1993
Report
Approved by Office Director
Case key
15320

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 local controller's not understanding read back of radio communications. Factors include the pilot-in-command of flight 73 not understanding verbal instructions; local controller not visually identifying the aircraft; and inadequate surveillance (FAA) in the tower.

The local controller's not understanding read back of radio communications. Factors include the pilot-in-command of flight 73 not understanding verbal instructions; local controller not visually identifying the aircraft; and inadequate surveillance (FAA) in the tower.

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 - roll/run
Instructions,written/verbal - not understoodPilot in commandFactor
Communications - not understoodAtc personnel(lcl/gnd/clnc)Cause
Inadequate surveillance of operationFaa(organization)Factor
Identification of aircraft visually - not usedAtc personnel(lcl/gnd/clnc)Factor
Near collision between aircraftTakeoff - initial climb
Instructions,written/verbal - not understoodPilot in commandFactor
Communications - not understoodAtc personnel(lcl/gnd/clnc)Cause
Inadequate surveillance of operationFaa(organization)Factor
Identification of aircraft visually - not usedAtc personnel(lcl/gnd/clnc)Factor

Analysis

American airlines flight 73 (N142AA) was holding in position on runway 32R. American airlines flight 489 (N497AA) was cleared for takeoff on runway 9L. Shortly after this, American airlines flight 873 was cleared for takeoff on runway 32L, from T1 intersection. Both flight 73 and flight 873 acknowledged the clearance and initiated takeoff rolls. The local controller did not detect the confusion. A near collision of two of the aircraft occurred when flight 489, in initial climb phase of flight, passed over flight 73, on takeoff roll, in the intersection of runways 32R and 9L.

American airlines flight 73 (N142AA) was holding in position on runway 32R. American airlines flight 489 (N497AA) was cleared for takeoff on runway 9L. Shortly after this, American airlines flight 873 was cleared for takeoff on runway 32L, from T1 intersection. Both flight 73 and flight 873 acknowledged the clearance and initiated takeoff rolls. The local controller did not detect the confusion. A near collision of two of the aircraft occurred when flight 489, in the initial climb phase of flight, passed over flight 73, on takeoff roll, in the intersection of runways 32R and 9L.

Aircraft · 2

Registration
N142AA
Reported as
Mcdonnell Douglas DC-10-30
Category
Airplane
Serial number
46714
Airframe hours
65,122
Engine
GE CF6-50C2, turbo fan
Damage
No damage
Flight
Part 121
Operator
American Airlines, doing business as American Airlines
Registered owner
American Airlines
Airworthiness certificate
Standard, Transport
Last inspection
AAIP · January 2, 2000
Destination
HNL · Honolulu, HI
Flight plan
IFR
Airport
ORD · Chicago O'Hare, runway 32, 10,003 × 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
N497AA
Reported as
Mcdonnell Douglas DC-9-82
Category
Airplane
Serial number
49735
Airframe hours
6,624
Engine
P&W JT8D-217, 20,000 lbs thrust, turbo fan
Damage
No damage
Flight
Part 121
Operator
American Airlines, doing business as American Airlines
Registered owner
Wilmington Trust Company
Airworthiness certificate
Standard, Transport
Last inspection
AAIP · January 2, 2000
Destination
IAH · Houston, TX
Flight plan
IFR
Airport
ORD · Chicago O'Hare, runway 9, 7,966 × 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 N142AA
Age
54
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
21,565 total · 720 in this make and model · 216 in the last 90 days · 72 in the last 30 days
Role
Pilot, aircraft N497AA
Age
59
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
10,000 total · 3,623 in this make and model · 200 in the last 90 days · 75 in the last 30 days · 5 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
40° at 9 knots
Visibility
7 statute miles
Lowest ceiling
2,000 ft broken
Temperature
34 °F, dew point 30 °F
Altimeter
29.00 inHg
Observed at
ORD, 1 nm away

Other investigations on N142AA · 1

Matched to the same aircraft by N-number and date.