DCA92MA022

NTSB accident investigation · Douglas DC-8-63 · Swanton, OH · February 15, 1992

Accident · FatalMajor investigationFinal report
Date
February 15, 1992, 03:26 local (08:26 UTC)
Place
Swanton, OH
Injuries
4 fatal
Damage
Destroyed
Phase of flight
Approach
Aircraft
N794ALDouglas DC-8-63
Weather
Instrument (IMC) · Night/dark
Status
Completed · report December 16, 1993
Report
Approved by Office Director
NTSB office
Major Investigations Division
FAA report
19920215003069A
Case key
15955

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 failure of the flightcrew to properly recognize or recover in a timely manner from the unusual aircraft attitude that resulted from the captain's apparent spatial disorientation, resulting from physiological factors and/or a failed attitude director indicator. (NTSB report AAR-92/05)

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.

Loss of control - in flightMissed approach (ifr)
Light condition - dark night
Weather condition - low ceiling
Weather condition - rain
Weather condition - fog
Flight/nav instruments,attitude director ind(adi) - undeterminedFactor
Aircraft control - not maintainedPilot in commandCause
Spatial disorientationPilot in commandFactor
In flight collision with terrain/waterMissed approach (ifr)

Analysis

The first officer had made two ILS approaches, but, for undetermined reasons, failed to properly capture the ILS localizer and/or glideslope. During the second missed approach, the captain assumed control of the airplane; however, he apparently became spatially disoriented, and inadvertently allowed an unusual attitude to develop with bank angles up to 80 deg and pitch angles up to 25 deg. The first officer assumed control and began leveling the wings and raising the nose of the airplane, but impact occurred before the unusual attitude recovery was completed. The operability of the captain's attitude director indicator at the time control was lost is uncertain.

Aircraft

Registration
N794AL
Reported as
Douglas DC-8-63
Category
Airplane
Serial number
45923
Airframe hours
4,889
Engine
P&W JT3D-7, turbo fan
Damage
Destroyed
Fire
On-Ground
Flight
Part 121
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · February 13, 1992 · 9 hours before
Departed
SEA · Seattle, WA
Destination
TOL · Toledo, OH
Flight plan
IFR
Airport
TOL · Toledo Express, runway 7, 10,600 × 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
59
Certificates
Airline transport, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
16,382 total · 2,382 in this make and model

Weather

Conditions
Instrument (IMC) · Night/dark
Wind
90° at 13 knots
Visibility
2 statute miles
Lowest ceiling
400 ft overcast
Temperature
34 °F
Altimeter
29.00 inHg
Observed at
TOL

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 N794AL · 1

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