CHI93IA127

NTSB incident investigation · de Havilland SHD-6 · Chicago, IL · March 21, 1993

Incident · No injuriesIncident investigationFinal report
Date
March 21, 1993, 08:06 local (14:06 UTC)
Place
Chicago, IL
Injuries
3 uninjured
Damage
No damage
Phase of flight
Enroute
Aircraft
N374MQde Havilland SHD-6
Weather
Visual (VMC) · Day
Status
Completed · report December 2, 1994
Report
Approved by Office Director
Case key
9191

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 maintain 3 miles radar separation between two airplanes. A factor related to the incident was the local controller's delay in remedial action.

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/otherClimb - to cruise
Radar separation - not maintainedAtc personnel(lcl/gnd/clnc)Cause
Remedial action - delayedAtc personnel(lcl/gnd/clnc)Factor

Analysis

The controller issued a takeoff clearance for simmons 4085 to fly the runway heading. United 556 was next to takeoff and was issued a clearance to fly a heading of 140 degrees after takeoff. The pilot did not turn immediately to 140 degrees and several attempts by the controller to contact the flight were to no avail. In an attempt to prevent the united flight from overtaking the slower simmons flight, the controller stopped united from climbing. Radar separation of 3 miles had already been lost by time the united flight stopped its climb.

Factual narrative

On March 21, 1993, at 0806 central standard time, minimum air traffic control separation was lost between N374MQ, a DeHavilland SHD-6, operated as Simmons Flight 4085, and N361UA, a Boeing 737, operated as United Airlines Flight 556. Both airplanes had departed on Runway 22L at the O'Hare International Airport, Chicago, Illinois, just prior to the loss of separation. Visual meteorological conditions prevailed and IFR flight plans were filed. There were no injuries or damage reported as a result of this incident.

Both airplanes had departed runway 22L which was being controlled by the South Local Controller (SLC). This controller was responsible for arrivals on runway 27L and depatures from runway 22L and 32L T-1 intersection.

The events which resulted in the loss of separation occurred as follows:

At 0802, Simmons 4085 was cleared for takeoff and instructed to fly the runway heading.

At 0803, Simmons 4085 was instructed to fly a heading of 200 degrees.

At 0804, United 556 was cleared for takeoff and instructed to fly a heading of 140 degrees. United 556 was instructed not to delay it's takeoff roll.

At 0805, Simmons 4085 was instructed to contact departure control.

At 0806, United 556 is instructed once again to fly a heading of 140 degrees. Twelve seconds later, United 556 is instructed to maintain 4,000 feet. Ten seconds later, the flight is instructed to contact departure control. (The controller stated she stopped United's climb at 4,000 feet because without turning to 140 degrees, it would have over taken the slower Simmons flight ahead of it. However, by this time the loss of separation had already occorred.)

Air Traffic Control Handbook 7110.65G, paragraph 5-72 states, "Separate aircraft by the following minima: a.1. when less than 40 miles from the antenna-3 miles." According to radar data, lateral separation between Simmons 4085 and United 556 decreased to 2.25 miles with 400 feet of vertical separation.

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

Aircraft

Registration
N374MQ
Reported as
de Havilland SHD-6
Category
Airplane
Engine
P&W PT6A, 620 horsepower, turbo prop
Damage
No damage
Flight
Part 121
Operator
Simmons
Registered owner
Security Pacific Equipt Leasin
Airworthiness certificate
Standard, Transport
Departed
ORD
Destination
DEC · Decatur, IL
Flight plan
IFR
Airport
ORD · O'Hare Int'L Airport

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
37
Certificates
Airline transport, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
10,000 total

Weather

Conditions
Visual (VMC) · Day
Wind
250° at 6 knots
Visibility
5 statute miles
Lowest ceiling
3,700 ft overcast
Temperature
34 °F, dew point 30 °F
Altimeter
30.00 inHg
Observed at
ORD