- Date
- July 2, 1994, 18:43 local (22:43 UTC)
- Place
- Charlotte, NC
- Injuries
- 37 fatal, 16 serious, 4 minor
- Damage
- Destroyed
- Phase of flight
- Approach
- Aircraft
- N954VJDouglas DC-9-31
- Weather
- Instrument (IMC) · Day
- Status
- Completed · report January 19, 1996
- Report
- Board-adopted at Board Meeting
- Investigation class
- Class 1
- NTSB office
- Major Investigations Division
- Safety recommendations
- Yes
- FAA report
- 19940702017269A
- Case key
- 10986
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
1) The flightcrew's decision to continue an approach into severe convective activity that was conducive to a microburst; 2) the flightcrew's failure to recognize a windshear situation in a timely manner; 3)the flightcrew's failure to establish and maintain the proper airplane attitude and thrust setting necessary to escape the windshear; and 4) the lack of real-time adverse weather and windshear hazard information dissemination from air traffic control, all of which led to an encounter with and the failure to escape from a microburst-induced windshear that was produced by a rapidly developing thunderstorm located at the approach end of runway 18R. Contributing to the accident were: 1) the lack of air traffic control procedures that would have required the controller to display and issue airport surveillance radar (ASR-9) weather information to the pilots of flight 1016; 2) the Charlotte tower supervisor's failure to properly advise and ensure that all controllers were aware of and reporting the reduction in visibility and runway visual range value information, and the low level windshear alerts that had occurred in multiple quadrants; 3) the inadequate remedial actions by usair to ensure adherence to standard operating procedures; and 4) the inadequate software logic in the airplane's windshear warning system that did not provide an alert upon entry into the windshear. (NTSB report AAR-95/03)
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.
Analysis
The airplane collided with trees and a private residence shortly after the flightcrew executed a missed approach from the rwy 18R ILS. Flightcrew was not provided updated wx info in ATIS;wx reflected thunderstorm & rainshower. Terminal doppler wx radar not installed at arpt as scheduled; would have provided controllers with info about severity of wx, and info would have been beneficial to flightcrew. Inadeq ATC procedures, breakdown in comm in tower, prevented flightcrew from receiving additional critical info about adverse wx over arpt & along approach path. Flight encountered windshear of 61 KTS over a 15 sec period. Inadeq computer software design in the airplane's on-board windshear detection system prevented flightcrew from receiving more timely windshear alert. 1st officer initially rotated to proper 15 deg nose-up attitude during missed approach. However, thrust was set below standard go-around epr limit of 1.93, pitch attitude reduced to 5 deg nose down before flightcrew recognized dangerous situation. Faa's poi, usair's management, were aware of inconsistencies in flightcrew adherence to operating procedures within the airline; however, corrective actions had not resolved this problem.
Factual narrative
Refer to NTSB Aircraft Accident Report NTSB AAR-95-03 for detailed information.
Aircraft
- Registration
- N954VJ
- Reported as
- Douglas DC-9-31
- Category
- Airplane
- Serial number
- 47590
- Airframe hours
- 53,917
- Engine
- P&W JT8D-7, 12,600 lbs thrust, turbo jet
- Damage
- Destroyed
- Fire
- On-Ground
- Flight
- Part 121
- Registered owner
- Usair
- Airworthiness certificate
- Standard, Transport
- Last inspection
- Continuous airworthiness · July 1, 1994
- Departed
- CAE · Columbia, SC
- Destination
- CLT
- Flight plan
- IFR
- Airport
- CLT · Charlotte/Douglas Intl, runway 18R, 10,000 × 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
- 38
- Certificates
- Flight instructor, Airline transport
- Airplane ratings
- Multi-engine land
- Instrument ratings
- Airplane
- Medical
- Class 1, Valid Medical--no waivers/lim.
- Seat
- Left
- Toxicology
- Performed
- Flight hours
- 8,065 total · 1,970 in this make and model
Weather
- Conditions
- Instrument (IMC) · Day
- Wind
- 190° at 16 knots
- Visibility
- 6 statute miles
- Lowest ceiling
- 4,500 ft broken
- Temperature
- 77 °F, dew point 66 °F
- Altimeter
- 30.00 inHg
- Observed at
- CLT
Docket · 110
The files NTSB released with the investigation on October 10, 1995, on NTSB’s docket system: statements, records, photos and specialists’ reports. 137 MB in all.
FAA reports on this event · 1
The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.