DCA91MA010

NTSB accident investigation · Mcdonnell Douglas DC-9-14 · Romulus, MI · December 3, 1990

Accident · FatalClass 1 · MajorFinal report
Date
December 3, 1990, 13:45 local (18:45 UTC)
Place
Romulus, MI
Injuries
8 fatal, 10 serious, 26 minor, 154 uninjured
Phase of flight
Taxi
Aircraft
N3313LMcdonnell Douglas DC-9-14N278USBoeing 727-251
Weather
Instrument (IMC) · Day
Status
Completed · report May 3, 1993
Report
Board-adopted at Board Meeting
Investigation class
Class 1
NTSB office
Major Investigations Division
Safety recommendations
Yes
Case key
15942

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

Lack of proper crew coordn, including virtual reversal of roles by the DC-9 plts, which led to their failure to stop taxiing & alert gnd ctlr of their positional uncertainty in a timely manner bfr & after intruding onto the active rwy. Contribuing to cause of acdnt were (1) deficiencies in ATC svcs provided by detroit twr, including failure of gnd ctlr to take timely actn to alert LCL ctlr to psbl rwy incursion, inadqt vis OBS, failure to use progressive taxi instrns in low-vis conds, & issuance of inappropriate & confusing taxi instrns compounded by inadq backup supervision for level of experience of staff on duty; (2) deficiencies in surface markings, signage & lgtg at arpt & failure of FAA surveillance to detect or correct any of these deficiencies; (3) failure of northwest airlines to provide adqt cockpit resource man- agement trng to line aircrews. Contributing to fatalities was inoperability of DC-9 internal tailcone rls mechanism. Contributing to number & severity of injuries was failure of crew of DC-9 to properly execute the psgr evacuation.

Lack of proper crew coordn, including virtual reversal of roles by the DC-9 plts, which led to their failure to stop taxiing & alert gnd ctlr of their positional uncertainty in a timely manner bfr & after intruding onto the active rwy. Contribuing to cause of acdnt were (1) deficiencies in ATC svcs provided by detroit twr, including failure of gnd ctlr to take timely actn to alert LCL ctlr to psbl rwy incursion, inadqt vis OBS, failure to use progressive taxi instrns in low-vis conds, & issuance of inappropriate & confusing taxi instrns compounded by inadq backup supervision for level of experience of staff on duty; (2) deficiencies in surface markings, signage & lgtg at arpt & failure of FAA surveillance to detect or correct any of these deficiencies; (3) failure of northwest airlines to provide adqt cockpit resource man- agement trng to line aircrews. Contributing to fatalities was inoperability of DC-9 internal tailcone rls mechanism. Contributing to number & severity of injuries was failure of crew of DC-9 to properly execute the psgr evacuation.

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.

On ground/water collision with objectTaxi - to takeoff
Weather condition - fogFactor
Weather observation - inadequateFactor
Control tower service - inadequateAtc personnel(lcl/gnd/clnc)Factor
Airport facilities,taxiway marking - inadequateFactor
Inadequate surveillance of operationFaa(organization)Factor
Airport facilities,runway marking - inadequateFactor
Airport facilities,in-runway lights - not operating
Crew/group coordination - inadequatePilot in commandCause
Crew/group coordination - inadequateCopilot/second pilotCause
Inadequate trainingCompany/operator managementFactor
Object - aircraft moving on ground
On ground/water collision with objectTakeoff - roll/run
Weather condition - fogFactor
Weather observation - inadequateFactor
Control tower service - inadequateAtc personnel(lcl/gnd/clnc)Factor
Airport facilities,taxiway marking - inadequateFactor
Inadequate surveillance of operationFaa(organization)Factor
Airport facilities,runway marking - inadequateFactor
Airport facilities,in-runway lights - not operating
Crew/group coordination - inadequatePilot of other aircraftCause
Object - aircraft moving on ground

Analysis

"This case was modified 1/17/2008."

On December 3, 1990, at 1345 EST, northwest flight 1482, a DC-9 (N3313L), and northwest flight 299, a Boeing 727 (N278US), collided near the intersection of runway 09/27 and 03C/21C in dense fog at detriot metropolitan/wayne county airport, Romulus, MI. At the time of the collision, the B-727 was on its takeoff roll, and the DC-9 had just taxied onto the active runway. The B-727 was substantially damaged, and the DC-9 was destroyed. Seven of the 40 passengers and 1CREWMEMBER aboard the DC-9 received fatal injuries. None of the 146 passengers and 8 crewmembers aboard the B-727 were injured. (See NTSB/AAR-91/05 for further information).

"This case was modified 1/17/2008."

On December 3, 1990, at 1345 EST, northwest flight 1482, a DC-9 (N3313L), and northwest flight 299, a Boeing 727 (N278US), collided near the intersection of runway 09/27 and 03C/21C in dense fog at detriot metropolitan/wayne county airport, Romulus, MI. At the time of the collision, the B-727 was on its takeoff roll, and the DC-9 had just taxied onto the active runway. The B-727 was substantially damaged, and the DC-9 was destroyed. Seven of the 40 passengers and 1CREWMEMBER aboard the DC-9 received fatal injuries. None of the 146 passengers and 8 crewmembers aboard the B-727 were injured. (See NTSB/AAR-91/05 for further information)

Aircraft · 2

Registration
N3313L
Reported as
Mcdonnell Douglas DC-9-14
Category
Airplane
Serial number
45708
Airframe hours
62,253
Engine
P&W JT8D-7, 14,500 lbs thrust, turbo fan
Damage
Destroyed
Fire
On-Ground
Flight
Part 121
Registered owner
Northwest Airlines
Airworthiness certificate
Standard, Transport
Destination
PIT · Pittsburg, PA
Flight plan
IFR
Airport
DTW · Detroit Metro/Wayne Cnty, runway 21C, 8,500 × 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.

Registration
N278US
Reported as
Boeing 727-251
Category
Airplane
Serial number
21157
Airframe hours
37,710
Engine
P&W JT8D-15A, 15,500 lbs thrust, turbo fan
Damage
Substantial damage
Flight
Part 121
Registered owner
Northwest Airlines
Airworthiness certificate
Standard, Transport
Destination
MEM · Memphis, TN
Flight plan
IFR
Airport
DTW · Detroit Metro/Wayne Cnty, runway 3C, 8,500 × 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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot, aircraft N3313L
Age
52
Certificates
Airline transport, Commercial
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
23,000 total · 4,000 in this make and model
Role
Pilot, aircraft N278US
Age
42
Certificates
Commercial, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
10,400 total · 5,400 in this make and model

Weather

Conditions
Instrument (IMC) · Day
Wind
110° at 11 knots
Lowest ceiling
100 ft
Temperature
46 °F, dew point 46 °F
Altimeter
29.00 inHg
Observed at
DTW

FAA reports on this event · 2

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