DCA89IA071

NTSB incident investigation · Boeing 737-200A · Kansas City, MO · September 9, 1989

Incident · No injuriesClass 1 · IncidentFinal report
Date
September 8, 1989, 21:33 local (Sep 9, 1989, 02:33 UTC)
Place
Kansas City, MO
Injuries
65 uninjured
Damage
Minor damage
Phase of flight
Approach
Aircraft
N283AUBoeing 737-200A
Weather
Instrument (IMC) · Night/dark
Status
Completed · report October 7, 1992
Report
Board-adopted at Board Meeting
Investigation class
Class 1
NTSB office
Major Investigations Division
Safety recommendations
Yes
FAA report
19890908066609I
Case key
15913

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

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Probable cause

The flightcrew's failure to adequately prepare for and execute a nonprecision approach and their subsequent premature descent below minimum descent altitude. Contributing to the cause of the incident was the inadequate and deficient services provided to the flightcrew by air traffic control personnel.

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.

In flight collision with objectApproach - faf/outer marker to threshold (ifr)
Light condition - dark night
Weather condition - low ceiling
Weather condition - rain
Ifr procedure - improperPilot in commandCause
Minimum descent altitude - not maintainedPilot in commandCause
Communications/information/atc - inadequateAtc personnel(dep/apch)Factor
Object - wire,transmission

Analysis

During a localizer back course approach to rwy 27 the airplane collided with four electronic transmission cables, located 75 ft AGL, aprx 7,000 ft short of the runway. The crew executed a missed apch & landed uneventfully in salina, KS. The safety board found that the crew did not adequately review apch charts. First officer misidentified lights on ground which influenced capt's subsequent misidentification. ATC failed to provide accurate wx to the crew, failed to vector the airplane to join the localizer outside the final apch fix and committed other errors in handling the flight. An FAA inspector, conducting an en route inspection of the flight, did not inform the crew of the errors they were committing in the planning and execution of the apch. Crew did not execute missed approach when they encountered full-scale localizer deflection inside the final apch fix. (NTSB/AAR-90/04)

Aircraft

Registration
N283AU
Reported as
Boeing 737-200A
Category
Airplane
Serial number
283AU
Airframe hours
17,045
Engine
P&W JT8D-15, 15,500 lbs thrust, turbo fan
Damage
Minor damage
Flight
Part 121
Operator
Usair, doing business as Usair
Registered owner
Usair
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · June 8, 1989 · 10 hours before
Departed
PIT · Pittsburgh, PA
Flight plan
IFR
Airport
MCI · Kansas City Int'L, runway 27, 9,500 × 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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
40
Certificates
Flight instructor, Airline transport, Commercial, Flight engineer
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Unknown
Seat
Left
Flight hours
14,300 total · 2,000 in this make and model · 110 in the last 90 days · 62 in the last 30 days

Weather

Conditions
Instrument (IMC) · Night/dark
Wind
250° at 22 knots, gusting 39
Lowest ceiling
500 ft
Temperature
72 °F, dew point 70 °F
Altimeter
29.00 inHg
Observed at
MCI, 1 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.