DCA97MA016

NTSB accident investigation · Douglas DC-8-63F · Narrows, VA · December 22, 1996

Accident · FatalClass 1 · MajorFinal report
Date
December 22, 1996, 18:10 local (23:10 UTC)
Place
Narrows, VA
Injuries
6 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N827AXDouglas DC-8-63F
Weather
Instrument (IMC) · Night/dark
Status
Completed · report March 31, 1998
Report
Board-adopted at Board Meeting
Investigation class
Class 1
NTSB office
Major Investigations Division
Safety recommendations
Yes
FAA report
19961222039609A
Case key
11022

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Probable cause

the inappropriate control inputs applied by the flying pilot during a stall recovery attempt, the failure of the nonflying pilot-in-command to recognize, address, and correct these inappropriate control inputs, and the failure of ABX to establish a formal functional evaluation flight program that included adequate program guidelines, requirements and pilot training for performance of these flights. Contributing to the causes of the accident were the inoperative stick shaker stall warning system and the ABX DC-8 flight training simulator's inadequate fidelity in reproducing the airplane's stall characteristics. (NTSB Report AAR-97/05)

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 flightCruise
Stall - intentionalPilot in command
Stall warning system - inoperativeFactor
Flight controls - improper use ofCopilot/second pilotCause
Facility inadequateManufacturerFactor
Insufficient standards/requirementsCompany/operator mgmtCause
Supervision - inadequatePilot in commandCause
In flight collision with terrain/waterDescent - uncontrolled

Analysis

The airplane impacted mountainous terrain while on a post-modification functional evaluation flight (FEF). The pilot flying (PF) had applied inappropriate control column back pressure during the clean stall maneuver recovery attempt in an inadequate performance of the stall recovery procedure established in ABX's (Airborne Express) operations manual. The pilot not flying (PNF), in the right seat, was serving as the pilot-in-command and was conducting instruction in FEF procedures. The PNF failed to recognize, address and correct the PF's inappropriate control inputs. An inoperative stall warning system failed to reinforce to the flightcrew the indications that the airplane was in a full stall during the recovery attempt. The flightcrew's exposure to a low fidelity reproduction of the DC-8's stall characteristics in the ABX DC-8 flight training simulator was a factor in the PF holding aft (stall-inducing) control column inputs when the airplane began to pitch down and roll. The accident could have been prevented if ABX had institutionalized and the flightcrew had used the revised FEF flight stall recovery procedure agreed upon by ABX in 1991. The informality of the ABX FEF training program permitted the inappropriate pairing of two pilots for an FEF, neither of whom had handled the flight controls during an actual stall in the DC-8.

Factual narrative

On December 22, 1996, at about 1810 eastern standard time (est), a Douglas DC-8-63F, N827AX, operated by Airborne Express personnel on a test flight, impacted mountainous terrain in the vicinity of Narrows, Virginia. The three flightcrew members and three maintenance/avionics technicians on board the airplane received fatal injuries. The airplane was destroyed by impact forces and post crash fire. Instrument meteorological conditions (IMC) prevailed for the night flight, which operated on an instrument flight rules (IFR) flight plan. The local test flight operated under Title 14 Code of Federal Regulations (CFR) Part 91, and originated from Greensboro, North Carolina at approximately 1740 est.

The airplane required a functional check flight (FCF) following major modifications and "C" check inspections at a Greensboro (GSO) Part 145 repair station. A portion of the FCF was accomplished on December 21, 1996; however, the flight was terminated at GSO due to low hydraulic quantity. Following some delay for ground maintenance activity, the FCF was resumed the following day. The airplane departed GSO about 1740 local time on a 14 CFR 91 IFR flight plan filed back to GSO. Following climbout, the flightcrew was assigned a block altitude of 13,000 to 15,000 feet mean sea level (msl). The airplane was observed on air traffic control (ATC) radar to depart the floor of the assigned altitude block at low speed. ATC inquired if the flight had an emergency, and the flightcrew responded in the affirmative and that they were descending through 8,000 feet. There was no further radio contact. Evidence from the CVR and FDR indicated that the descent was related to operations associated with the flight test profile rather than a structures or systems anomaly. The airplane descended at a higher than normal rate and struck local mountainous terrain at about 3400 feet msl.

Aircraft

Registration
N827AX
Reported as
Douglas DC-8-63F
Category
Airplane
Serial number
45901
Airframe hours
62,800
Engine
P&W JT3D-7, 19,000 lbs thrust, turbo fan
Damage
Destroyed
Fire
On-Ground
Flight
Part 91
Registered owner
Abx Air Inc
Airworthiness certificate
Standard, Transport
Departed
GSO · Greensboro, NC
Flight plan
IFR

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.

Weather

Conditions
Instrument (IMC) · Night/dark
Wind
270° at 4 knots
Visibility
7 statute miles
Lowest ceiling
4,000 ft overcast
Temperature
39 °F, dew point 37 °F
Altimeter
30.00 inHg
Observed at
BLF, 20 nm away

FAA reports on this event · 1

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