DEN89IA089

NTSB incident investigation · Boeing 727-200A · San Antonio, TX · March 22, 1989

Incident · No injuriesIncident investigationFinal report
Date
March 21, 1989, 18:29 local (Mar 22, 1989, 00:29 UTC)
Place
San Antonio, TX
Injuries
261 uninjured
Phase of flight
Enroute
Aircraft
N728Boeing 727-200AXAMXEBoeing 727-200
Weather
Night/dark
Status
Completed · report September 30, 1992
Report
Approved by Office Director
Case key
17617

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the incident.

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Probable cause

Failure of the ARTCC controller to assure that the aircraft maintained IFR separation standards. The controller's heavy workload was a related factor.

Failure of the ARTCC controller to assure that the aircraft maintained IFR separation standards. The controller's heavy workload was a related factor.

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.

Near collision between aircraftCruise
Ifr separation standards - not maintainedAtc personnel(artcc)Cause
Excessive workload (task overload)Atc personnel(artcc)Factor
Near collision between aircraftCruise
Ifr separation standards - not maintainedAtc personnel(artcc)Cause
Excessive workload (task overload)Atc personnel(artcc)Factor

Analysis

American airline flt 1269 & mexicana airline flt 731 were cruising at FL 290 on southerly headings. After deviating around weather, flt 1269 was on a south-southeasterly heading. Subsequently, the two Boeing 727 aircraft converged to about 1.06 mi from each other, violating the minimum horizontal separation requirement. The operational error occurred when the ARTCC controller was busy with heavy traffic.

American airline flt 1269 & mexicana airline flt 731 were cruising at FL 290 on southerly headings. After deviating around weather, flt 1269 was on a south-southeasterly heading. Subsequently, the two Boeing 727 aircraft converged to about 1.06 mi from each other, violating the minimum horizontal separation requirement. The operational error occurred when the ARTCC controller was busy with heavy traffic.

Aircraft · 2

Registration
N728
Reported as
Boeing 727-200A
Category
Airplane
Engine
P&W JT8D-9, 14,000 lbs thrust, turbo fan
Damage
No damage
Flight
Part 121
Operator
American Airlines
Registered owner
American Airlines
Airworthiness certificate
Standard, Transport
Departed
DFW · Dallas, TX
Destination
CUN · Can Cun
Flight plan
IFR
Registration
XAMXE
Reported as
Boeing 727-200
Category
Airplane
Engine
P&W JT8D-17R, 17,000 lbs thrust, turbo fan
Damage
No damage
Flight
Part 129
Operator
Mexicana Airlines
Registered owner
Mexicana Airlines
Airworthiness certificate
Standard, Transport
Departed
DFW · Dallas, TX
Destination
MTY · Mariano Escobed
Flight plan
IFR

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot, aircraft N728
Age
51
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
16,000 total · 6,000 in this make and model · 180 in the last 90 days · 5 in the last 24 hours
Role
Pilot, aircraft 2
Age
32
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
6,300 total · 5,300 in this make and model · 730 as pilot in command · 150 in the last 90 days · 50 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Night/dark
Observed at
HOU