DCA86AA041

NTSB accident investigation · McDonnell Douglas DC-9-32 · Cerritos, CA · August 31, 1986

Accident · FatalClass 1Final report
Date
August 31, 1986, 11:52 local (18:52 UTC)
Place
Cerritos, CA
Injuries
82 fatal, 8 minor; on the ground: 15 fatal, 8 minor
Phase of flight
Enroute
Aircraft
XAJEDMcDonnell Douglas DC-9-32N4891FPiper PA-28-181
Weather
Visual (VMC) · Day
Status
Completed · report March 7, 1988
Report
Board-adopted at Board Meeting
Investigation class
Class 1
NTSB office
Major Investigations Division
Safety recommendations
Yes
FAA report
19860831086981A
Case key
15857

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

On this page

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.

Midair collisionDescent - normal
Radar,approach/departure - inadequateCause
Identification of aircraft on radar - not attainedFactor
Procedure inadequateFaa(other/organization)Cause
Procedures/directives - not followedPilot of other aircraftFactor
Unsafe/hazardous condition - inadvertentPilot of other aircraftFactor
Visual lookout - inadequatePilot of other aircraftFactor
Visual lookout - inadequatePilot in commandFactor
In flight collision with terrain/waterDescent - uncontrolled
Midair collisionClimb - to cruise
Radar,approach/departure - inadequateCause
Identification of aircraft on radar - not attainedFactor
Procedure inadequateFaa(other/organization)Cause
Procedures/directives - not followedPilot in commandFactor
Unsafe/hazardous condition - inadvertentPilot in commandFactor
Visual lookout - inadequatePilot in commandFactor
Visual lookout - inadequatePilot of other aircraftFactor
In flight collision with terrain/waterDescent - uncontrolled

Analysis

The Safety Board's full report on this investigation is provided as Aviation Accident Report number AAR-87/07. To obtain a copy of this report, or to view the executive summary online, please see the Web site at http://www.ntsb.gov/publictn/publictn.htm

At aprx 1140 PDT, a Piper PA-28, N4891F, departed torrance, CA on a VFR flt to big bear, CA. After takeoff, the plt turned eastbound twd the paradise VORTAC with his x-ponder squawking 1200. At that time, aeromexico flt 498 (DC-8, mex registry xa-jed) was on arriival, rcvg northbound vectors fm lax apch ctl (AR-1 ctlr) for an ILS apch to the lax intl arpt. At 1151:04, the ctlr asked flt 498 to rdc spd to 190 KTS & dscnd fm 7000' to 6000'. Drg this time, the ctlr was ctlg otr traffic & providing radar advisories, but didn't see a display for N4891F on his scope. At 1152:09, N4891F & flt 498 converged & collided at aprx 6560', then fell to the gnd. An inv revealed N4891F had inadvertently entered the lax terminal control area (tca) & wasn't in radio contact with ATC. Lax TRACON wasn't equipped with an auto conflict alert sys & the analog beacon response fm N4891F'S x-ponder wasn't displayed due to equip configuration. N4891F'S psn was displayed by an alphanumeric triangle, but the primary target wasn't displayed due to an atmospheric inversion.

The Safety Board's full report on this investigation is provided as Aviation Accident Report number AAR-87/07. To obtain a copy of this report, or to view the executive summary online, please see the Web site at http://www.ntsb.gov/publictn/publictn.htm

At aprx 1140 PDT, a Piper PA-28, N4891F, departed torrance, CA on a VFR flt to big bear, CA. After takeoff, the plt turned eastbound twd the paradise VORTAC with his x-ponder squawking 1200. At that time, aeromexico flt 498 (DC-8, mex registry xa-jed) was on arrival, rcvg northbound vectors fm lax apch ctl (AR-1 ctlr) for an ILS apch to the lax intl arpt. At 1151:04, the ctlr asked flt 498 to rdc spd to 190 KTS & dscnd fm 7000' to 6000'. Drg this time, the ctlr was ctlg otr traffic & providing radar advisories, but didn't see a display for N4891F on his scope. At 1152:09, N4891F & flt 498 converged & collided at aprx 6560', then fell to the gnd. An inv revealed N4891F had inadvertently entered the lax terminal control area (tca) & wasn't in radio contact with ATC. Lax TRACON wasn't equipped with an auto conflict alert sys & the analog beacon response fm N4891F'S x-ponder wasn't displayed due to equip configuration. N4891F'S psn was displayed by an alphanumeric triangle, but the primary target wasn't displayed due to an atmospheric inversion.

Aircraft · 2

Registration
XAJED
Reported as
McDonnell Douglas DC-9-32
Category
Airplane
Serial number
S/N 47356
Engine
P&W JT8D, 14,000 lbs thrust, turbo fan
Damage
Destroyed
Fire
On-Ground
Flight
Part 129
Registered owner
Aeronaves De Mexico, S.A.
Airworthiness certificate
Standard, Transport
Departed
TIJ · Tijuana,Mexico, OF
Destination
LAX · Los Angeles, CA
Flight plan
IFR
Registration
N4891F
Reported as
Piper PA-28-181
Category
Airplane
Serial number
28-779007
Engine
Lycoming O-360, 180 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Registered owner
William Kramer
Airworthiness certificate
Standard, Normal
Departed
TOA · Torrance, CA
Destination
L35 · Big Bear City, CA
Flight plan
VFR

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 1
Age
46
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
10,641 total · 4,632 in this make and model · 147 in the last 90 days · 47 in the last 30 days · 4 in the last 24 hours
Role
Pilot, aircraft N4891F
Age
53
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
231 total · 214 in this make and model · 187 as pilot in command · 2 in the last 90 days · 1 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
250° at 10 knots
Visibility
14 statute miles
Lowest ceiling
None
Temperature
73 °F, dew point 61 °F
Altimeter
29.00 inHg
Observed at
LAX, 15 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.