DCA88MA072

NTSB accident investigation · Boeing 727-232 · Dallas/Ft Worth, TX · August 31, 1988

Accident · FatalClass 1 · MajorFinal report
Date
August 31, 1988, 09:01 local (14:01 UTC)
Place
Dallas/Ft Worth, TX
Injuries
14 fatal, 26 serious, 50 minor, 18 uninjured
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N473DABoeing 727-232
Weather
Visual (VMC) · Day
Status
Completed · report April 24, 1990
Report
Approved by Office Director
Investigation class
Class 1
NTSB office
Major Investigations Division
Safety recommendations
Yes
FAA report
19880831036229A
Case key
15900

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

On this page

Probable cause

The NTSB’s determination of the probable cause, and any contributing factors.

(1) The captain and first officer's inadequate cockpit discipline which resulted in the flightcrew's attempt to takeoff without the wing flaps and slats properly configured; and (2) the failure of the takeoff configuration warning system to alert the crew that the airplane was not properly configured for the takeoff. Contributing to the accident was delta's slow implementation of necessary modifications to its operating procedures, manual's, checklists, training, and crew checking programs which were necessitated by significant changes in the airline following rapid growth and merger. Also contributing to the accident was the lack of sufficiently aggressive action by the FAA to have known deficiencies corrected by delta and the lack of sufficient accountability within the faa's air carrier inspection process.

Analysis

The flightcrew reported that the takeoff roll appeared to be normal in all respects, with no warning lights, audible warnings, or unusual engine instrument conditions. The captain stated that the rotation was initially normal, but as the main gear wheels left the ground he heard 'two explosions.' He said it felt as though the airplane was experiencing 'reverse thrust.' The captain stated that the airplane began to 'roll violently.' The airplane struck the instrument landing system (ILS) localizer antenna array approximately 1,000 feet beyond the end of runway 18L, and came to rest about 3,200 feet beyond the departure end of the runway. Investigation determined that the wing flaps and slats were not properly configured prior to the attempted takeoff. (For further information - see NTSB/AAR-89/04.)

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.

Loss of control - in flightTakeoff - initial climb
Preflight planning/preparation - improperPilot in commandCause
Overconfidence in personal abilityPilot in commandCause
Procedures/directives - not followedCopilot/second pilotCause
Procedures/directives - not followedPilot in commandCause
Procedure inadequateCompany/operator managementFactor
Insuff standards/requirements,operation/operatorFaa(organization)Factor
Inadeq method of compliance determination rcrdkpngFaa(organization)Factor
Lowering of flaps - not performedCause
Lowering of slats - not performedCause
Safety system(other) - inoperativeCause
In flight collision with terrain/waterDescent - uncontrolled

Aircraft

Registration
N473DA
Reported as
Boeing 727-232
Category
Airplane
Serial number
20705
Airframe hours
43,023
Engine
P&W JT8D-15, 15,500 lbs thrust, turbo fan
Damage
Destroyed
Fire
On-Ground
Flight
Part 121
Registered owner
Delta Airlines, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
Continuous airworthiness · August 11, 1988 · 166 hours before
Destination
SLC · Salt Lake City, UT
Flight plan
IFR
Airport
DFW · Dallas/Ft. Worth Intl, runway 18L, 11,387 × 200 ft, concrete

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
48
Certificates
Commercial, Airline transport
Airplane ratings
Single-engine land, Multi-engine land, Single-engine sea
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
17,000 total · 7,000 in this make and model · 119 in the last 90 days · 62 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
90° at 9 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
73 °F, dew point 57 °F
Altimeter
29.00 inHg

FAA reports on this event · 1

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

Other investigations on N473DA · 2

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