DCA92MA025

NTSB accident investigation · Fokker 28-4000 · Flushing, NY · March 23, 1992

Accident · FatalClass 1 · MajorFinal report
Date
March 22, 1992, 21:35 local (Mar 23, 1992, 02:35 UTC)
Place
Flushing, NY
Injuries
27 fatal, 9 serious, 12 minor, 3 uninjured
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N485USFokker 28-4000
Weather
Instrument (IMC) · Night/dark
Status
Completed · report January 31, 1994
Report
Approved by Office Director
Investigation class
Class 1
NTSB office
Major Investigations Division
Safety recommendations
Yes
FAA report
19920322006959A
Case key
10967

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

The failure of the airline industry and the federal aviation administration to provide flightcrews with procedures, requirements, and criteria compatible with departure delays in conditions conducive to airframe icing and the decision by the flightcrew to take off without positive assurance that the airplane's wings were free of ice accumulation after 35 minutes of exposure to precipitation following deicing. The ice contamination on the wings resulted in an aerodynamic stall and loss of control after liftoff. Contributing to the cause of the accident were the inappropriate procedures used by, and inadequate coordination between, the flightcrew that led to a takeoff rotation at a lower than prescribed airspeed. (NTSB report AAR-93/020)

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
Weather condition - icing conditionsFactor
Wing - iceFactor
Ice/frost removal from aircraft - not identifiedPilot in commandCause
Information insufficientCompany/operator managementCause
Information insufficientFaa(other/organization)Cause
Procedures/directives - not followedPilot in commandFactor
Procedures/directives - not followedCopilot/second pilotFactor
Crew/group coordination - inadequatePilot in commandFactor
Crew/group coordination - inadequateCopilot/second pilotFactor
In flight collision with terrain/waterTakeoff - initial climb

Analysis

The airplane had been deiced 2 times before leaving the gate. However, 35 minutes had elapsed between the 2nd deicing & takeoff during which time ice accumulated on the wing. This time period exceeded the type I deicing fluid safe holdover time (11 min). The 1st officer called vr 11 KTS early, and the capt rotated about 5 KTS early. After liftoff the airplane stalled and came to rest partially inverted and submerged in the bay. At the time of the accident, the operator did not require a specific exterior inspection for ice contamination of F-28 airplanes during periods of freezing precipitation. Accident history shows that nonslatted, turbojet, transport-category airplanes have been involved in a disproportionate number of takeoff accidents where undetected upper wing ice contamination has been cited as the probable cause or sole contributing factor.

Factual narrative

Please see national transportation safety board blue cover report AAR-93/02 for details.

Aircraft

Registration
N485US
Reported as
Fokker 28-4000
Category
Airplane
Serial number
11235
Airframe hours
12,462
Engine
Rolls-Royce SPEY M555-15P, 9,900 lbs thrust, turbo fan
Damage
Destroyed
Fire
On-Ground
Flight
Part 121
Operator
Usair, Inc.
Airworthiness certificate
Standard, Transport
Destination
CLE · Cleveland, OH
Flight plan
IFR
Airport
LGA · Laguardia, runway 13, 7,000 × 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
44
Certificates
Airline transport, Flight engineer, Commercial, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Toxicology
Performed
Flight hours
9,820 total · 2,200 in this make and model

Weather

Conditions
Instrument (IMC) · Night/dark
Wind
60° at 13 knots
Visibility
0.75 statute miles
Lowest ceiling
700 ft
Temperature
32 °F, dew point 30 °F
Altimeter
29.00 inHg
Observed at
LGA

FAA reports on this event · 1

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