CHI93IA125

NTSB incident investigation · ATR ATR 72 · Chicago, IL · March 8, 1993

Incident · No injuriesIncident investigationFinal report
Date
March 8, 1993, 13:37 local (19:37 UTC)
Place
Chicago, IL
Injuries
4 uninjured
Damage
No damage
Phase of flight
Initial climb
Aircraft
N248ATATR ATR 72
Weather
Visual (VMC) · Day
Status
Completed · report December 2, 1994
Report
Approved by Office Director
Case key
9189

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 local controller's failure to issue a proper heading clearance which resulted in a loss of radar separation between two departing airplanes.

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 - initial climb
Atc clearance - improperAtc personnel(lcl/gnd/clnc)Cause
Radar separation - not maintainedAtc personnel(lcl/gnd/clnc)Cause

Analysis

The local controller cleared simmons flight 4298 for takeoff on runway 32L T-1 with instructions to fly the runway heading after takeoff. She then cleared American 1106 for takeoff on runway 32L with instructions to turn to a 010 degree heading. Simmons flight 4298 was then cleared to a heading of 360 degrees. This turn violated the minimum divergence heading separation standards of 15 degrees for airplanes taking off on the same runway as set forth in ATC handbook 7110-65G.

Factual narrative

On March 8, 1993, at 1337 central standard time, the minimum air traffic control separation was lost between N248AT, an ATR 72 being operated as Simmons Flight 4298 and a McDonnell Douglas MD-80, N427, operated as American Airlines Flight 1106. Both airplanes had departed on Runway 32L at the O'Hare International Airport, Chicago, Illinois, just prior to the loss of separation.

There was no damage or injuries reported as a result of this incident. Visual meteorological conditions prevailed and IFR flight plans were filed.

Both airplanes were under the control of the North Local Controller (NLC) when the loss of separation occurred. The controller was responsible for aircraft landing on runway 27R and aircraft departing on 32R and 32L at the T-1 intersection. The Air Traffic Control Handbook 7110 65G, 5-113 requires a minimum heading divergence of 15 degrees or more. The events of the loss of separation which resulted in a 10 degree heading divergence occurred as follows:

1335:01 The NLC cleared Simmons 4298 for takeoff on runway 32L T-1 with instructions to fly the runway heading.

1335:09 The NLC cleared American 1106 for takeoff on runway 32L with instructions to turn right heading 010 degrees.

1337:01 The NLC clears Simmons 4298 to turn right to heading 360 degrees.

Both aircraft were then instructed to contact departure control. The local controller was unaware of the loss of separation until the tower received a call from the TRACON questioning the 10 degree heading divergence.

The local controller stated that she had cleared a previous Simmons flight for takeoff on 32L and a turn to 040 degrees. During the turn she stopped the airplane at 030 degrees due to the wind conditions. American 1106 was next to takeoff and instead of issuing a normal heading of 020 degrees as she normally would have done, she issued 010 degrees to maintain separation with the first Simmons flight. She stated that when she cleared Simmons 4298 to a heading of 360 degrees, she failed to offset the heading to 350 degrees to maintain separation with American 1106.

See Air Traffic Control/Human Performance Group Chairman's Report and Attachments for CHI-93-I-A115.

Aircraft

Registration
N248AT
Reported as
ATR ATR 72
Category
Airplane
Engine
P&W 124, 2,400 horsepower, turbo prop
Damage
No damage
Flight
Part 121
Operator
Simmons
Registered owner
Gpa Atr II, Inc.
Airworthiness certificate
Standard, Transport
Departed
ORD
Destination
MKE · Milwaukee, WI
Flight plan
IFR

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
31
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
9,000 total

Weather

Conditions
Visual (VMC) · Day
Wind
300° at 9 knots
Visibility
15 statute miles
Lowest ceiling
5,500 ft broken
Temperature
37 °F, dew point 27 °F
Altimeter
29.00 inHg
Observed at
ORD