DCA92MA044

NTSB accident investigation · Lockheed L-1011-385-1 · Jamaica, NY · July 30, 1992

Accident · Serious injuriesClass 1 · MajorFinal report
Date
July 30, 1992, 17:41 local (21:41 UTC)
Place
Jamaica, NY
Injuries
1 serious, 9 minor, 282 uninjured
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N11002Lockheed L-1011-385-1
Weather
Visual (VMC) · Day
Status
Completed · report December 9, 1993
Report
Approved by Office Director
Investigation class
Class 1
NTSB office
Major Investigations Division
Safety recommendations
Yes
FAA report
19920730028219A
Case key
10968

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

Design deficiencies in the stall warning system that permitted a defect to go undetected, the failure of twa's maintenance program to correct a repetitive malfunction of the stall warning system, and inadequate crew coordination between the captain and first officer that resulted in their inappropriate response to a false stall warning. (NTSB report AAR-93/04)

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.

Airframe/component/system failure/malfunctionTakeoff - initial climb
Stall warning system - failure,partialCause
Maintenance,aaip/progressive program - inadequateCompany/operator managementCause
Acft/equip,inadequate designManufacturerCause
On ground/water encounter with terrain/waterTakeoff - aborted
Stall warning system - false indication
Crew/group coordination - inadequatePilot in commandCause
Crew/group coordination - inadequateCopilot/second pilotCause
Ground loop/swerve - intentionalPilot in command
Nose gear collapsedTakeoff - aborted
Landing gear,nose gear - overload

Analysis

Immediately after liftoff the stick shaker activated, and the first officer, who was making the takeoff, said 'you got it.' The captain took control, closed the thrust levers, and landed. He applied full reverse thrust and maximum braking, and turned the airplane off the runway to avoid a barrier at the end. A system design deficiency permitted a malfunctioning AOA sensor to cause a false stall warning. The sensor had experienced 9 previous malfunctions, and was inspected and returned to service without a determination on the reason for the intermittent malfunction. The first officer had incorrectly perceived that the airplane was stalling and gave control to the captain without proper coordination of the transfer of control.

Factual narrative

Please see NTSB blue cover report PB93-910404, AAR-93/04.

Aircraft

Registration
N11002
Reported as
Lockheed L-1011-385-1 (L-1011-385)
Category
Airplane
Serial number
193B1014
Airframe hours
49,662
Engine
Rolls-Royce RB211-22B-02, turbo fan
Damage
Destroyed
Fire
On-Ground
Flight
Part 121
Operator
Trans World Airlines
Registered owner
Interface Group-Nevada Inc.
Airworthiness certificate
Standard, Transport
Departed
JFK
Destination
SFO · San Francisco, CA
Flight plan
IFR
Airport
JFK · Jfk Intl Airport, runway 13R, 14,572 × 150 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
54
Certificates
Commercial, Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
20,149 total · 2,397 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
150° at 10 knots
Visibility
11 statute miles
Lowest ceiling
None
Temperature
75 °F, dew point 63 °F
Altimeter
30.00 inHg
Observed at
JFK

FAA reports on this event · 1

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