CHI95MA044

NTSB accident investigation · Mcdonnell Douglas DC-9-82 · Bridgeton, MO · November 23, 1994

Accident · FatalClass 1 · MajorFinal report
Date
November 22, 1994, 22:03 local (Nov 23, 1994, 04:03 UTC)
Place
Bridgeton, MO
Injuries
2 fatal, 140 uninjured
Phase of flight
Takeoff
Aircraft
N954UMcdonnell Douglas DC-9-82N441KMCessna 441
Weather
Visual (VMC) · Night/dark
Status
Completed · report February 14, 1996
Report
Board-adopted at Board Meeting
Investigation class
Class 1
Safety recommendations
Yes
Case key
10050

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

The Cessna 441 pilot's mistaken belief that his assigned departure runway was runway 30R, which resulted in his undetected entrance onto runway 30R, which was being used by the MD-82 for its departure. Contributing to the accident was the lack of Automatic Terminal Information Service and other air traffic control (ATC) information regarding the occasional use of runway 31 for departure. The installation and utilization of Airport Surface Detection Equipment (ASDE-3), and particularly ASDE-3 enhanced with the Airport Movement Area Safety System (AMASS), could have prevented this accident. (NTSB Report AAR-95/05)

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.

Collision between aircraft (other than midair)Takeoff - roll/run
Wrong runway - selectedPilot of other aircraftCause
ExpectancyPilot of other aircraft
Communications/information/atc - inadequateFactor
Radar,asde - unavailableFactor
Collision between aircraft (other than midair)Standing - engine(s) operating
Wrong runway - selectedPilot in commandCause
ExpectancyPilot in command
Communications/information/atc - inadequateFactor
Radar,asde - unavailableFactor

Analysis

During the takeoff roll on runway 30R, the MD-82, N954U, collided with the Cessna 441, N441KM, which was positioned on the runway waiting for takeoff clearance. The pilot of the Cessna acted on an apparently preconceived idea that he would use his arrival runway, runway 30R, for departure. After receiving taxi clearance to back-taxi into position and hold on runway 31, the pilot taxied into a position at an intersection on runway 30R, which was the assigned departure runway for the MD-82. The ATIS current at the time the Cessna pilot was operating in the Lambert-St. Louis area listed runways 30R and 30L as the active runways for arrivals and departures; there was no mention of the occasional use of runway 31. Air traffic control personnel were not able to maintain visual contact with the Cessna after it taxied from the well-lighted ramp area into the runway/taxiway environment of the northeast portion of the airport. An operational ASDE-3, particularly ASDE-3 enhanced with AMASS, could be used to supplement visual scan of the northeast portion of the airport.

Factual narrative

See published report NTSB/AAR-95/05.

Aircraft · 2

Registration
N954U
Reported as
Mcdonnell Douglas DC-9-82
Category
Airplane
Serial number
49426
Airframe hours
21,438
Engine
P&W JT8D-200, 20,000 lbs thrust, turbo fan
Damage
Substantial damage
Flight
Part 121
Operator
Trans World Airlines, Inc.
Registered owner
Polaris Aircraft Leasing
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · November 11, 1994 · 77 hours before
Destination
DEN · Denver, CO
Flight plan
IFR
Airport
STL · Lambert-St. Louis Intl, runway 30R, 9,003 × 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
N441KM
Reported as
Cessna 441
Category
Airplane
Serial number
441-0196
Airframe hours
3,779
Engine
Airesearch TPE331, 904 horsepower, turbo prop
Damage
Destroyed
Flight
Positioning · Part 91
Operator
Superior Aviation, Inc.
Registered owner
Garrett Aviation, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · July 1, 1994
Departed
STL
Destination
IMT · Iron Mountain, MI
Flight plan
IFR
Airport
STL · Lambert-St. Louis Intl, runway 30R, 9,003 × 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.

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot, aircraft N954U
Age
57
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
18,651 total · 3,178 in this make and model · 6,461 as pilot in command · 168 in the last 90 days · 34 in the last 30 days
Role
Pilot, aircraft N441KM
Age
56
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
7,940 total · 2,060 in this make and model · 155 in the last 90 days · 64 in the last 30 days

Weather

Conditions
Visual (VMC) · Night/dark
Wind
270° at 8 knots
Visibility
25 statute miles
Lowest ceiling
None
Temperature
34 °F, dew point 21 °F
Altimeter
30.00 inHg
Observed at
STL

FAA reports on this event · 2

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