FTW89IA064

NTSB incident investigation · Mcdonnell Douglas DC-9-82 · Houston, TX · March 1, 1989

Incident · No injuriesIncident investigationFinal report
Date
March 1, 1989, 10:37 local (16:37 UTC)
Place
Houston, TX
Injuries
185 uninjured
Phase of flight
Approach
Aircraft
N820NYMcdonnell Douglas DC-9-82N918TWMcdonnell Douglas DC-9-82
Weather
Instrument (IMC) · Day
Status
Completed · report June 30, 1992
Report
Approved by Office Director
Case key
22797

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 TRACON final approach controller to assure radar separation between the aircraft. Factors related to the accident were: inadequate supervision by the ATC supervisor, excessive workload for the controller, unclear instructions by the controller, and a misunderstanding of the ATC clearance by the flight crew of Continental flight 122.

Failure of the TRACON final approach controller to assure radar separation between the aircraft. Factors related to the accident were: inadequate supervision by the ATC supervisor, excessive workload for the controller, unclear instructions by the controller, and a misunderstanding of the ATC clearance by the flight crew of Continental flight 122.

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 aircraftApproach - iaf to faf/outer marker (ifr)
Supervision - inadequateAtc personnel(supervisor)Factor
Excessive workload (task overload)Atc personnel(dep/apch)Factor
Information unclearAtc personnel(dep/apch)Factor
Atc clearance - not understoodPilot in commandFactor
Radar separation - not maintainedAtc personnel(dep/apch)Cause
Near collision between aircraftApproach - iaf to faf/outer marker (ifr)
Supervision - inadequateAtc personnel(supervisor)Factor
Excessive workload (task overload)Atc personnel(dep/apch)Factor
Information unclearAtc personnel(dep/apch)Factor
Atc clearance - not understoodPilot of other aircraftFactor
Radar separation - not maintainedAtc personnel(dep/apch)Cause

Analysis

Twa flt 806 (DC-9) was nw of arpt (for ILS rwy 9 apch) as Continental flt 122 (DC-9) was sw of arpt for same apch. Both were in IMC, being vctrd by final TRACON ctlr (working 2 sectors & ctlg 23 acft). As flt 122 was apchg localizer (LOC) & hdg 060 deg at 3000' MSL, flt 806 was abt 8 mi nw of flt 122 & was clrd to intercept LOC. Ctlr tmtd to flt 122 'four fm the marker, maint 2000 until established on the LOC, clrd ILS rwy 9 apch, and are you going thru the LOC too?' Flt 122 replied 'yes sir, you never told us to intercept.' Ctlr then told flt 122 'maint 3500 & turn left 360,' meaning to turn to a hdg of 360 deg. Flt 122 thought ctlr wanted a 360 deg circling turn & bgn a rgt turn. While circling, flt 122 asked for a hdg to roll out on. Ctlr said to fly hdg 230. Ctlr then realized the 2 acft were converging. He told flt 122 to dcnd to 2000' & tmtd for 'Continental 806' to maint 3500'. Since ctlr used wrong company designator, twa flt 806 did not respond. Radar showed the 2 acft passed at abt 3100' with .079 mi sepn.

Twa flt 806 (DC-9) was nw of arpt (for ILS rwy 9 apch) as Continental flt 122 (DC-9) was sw of arpt for same apch. Both were in IMC, being vctrd by final TRACON ctlr (working 2 sectors & ctlg 23 acft). As flt 122 was apchg localizer (LOC) & hdg 060 deg at 3000' MSL, flt 806 was abt 8 mi nw of flt 122 & was clrd to intercept LOC. Ctlr tmtd to flt 122 'four fm the marker, maint 2000 until established on the LOC, clrd ILS rwy 9 apch, and are you going thru the LOC too?' Flt 122 replied 'yes sir, you never told us to intercept.' Ctlr then told flt 122 'maint 3500 & turn left 360,' meaning to turn to a hdg of 360 deg. Flt 122 thought ctlr wanted a 360 deg circling turn & bgn a rgt turn. While circling, flt 122 asked for a hdg to roll out on. Ctlr said to fly hdg 230. Ctlr then realized the 2 acft were converging. He told flt 122 to dcnd to 2000' & tmtd for 'Continental 806' to maint 3500'. Since ctlr used wrong company designator, twa flt 806 did not respond. Radar showed the 2 acft passed at abt 3100' with .079 mi sepn.

Aircraft · 2

Registration
N820NY
Reported as
Mcdonnell Douglas DC-9-82
Category
Airplane
Serial number
49480
Engine
P&W JT8D-217A, 14,000 lbs thrust, turbo fan
Damage
No damage
Flight
Part 121
Operator
Continental Airlines, doing business as Continental Airlines
Registered owner
Tac 820 Corp
Departed
SAT · San Antonio, TX
Destination
IAH · Houston, TX
Flight plan
IFR
Airport
IAH · Houston Intercontinental, runway 9, 9,999 × 150 ft, asphalt
Registration
N918TW
Reported as
Mcdonnell Douglas DC-9-82
Category
Airplane
Serial number
49367
Engine
P&W JT8D, 14,000 lbs thrust, turbo fan
Damage
No damage
Flight
Part 121
Operator
Trans World Airlines
Registered owner
First Security Bank Of Utah
Departed
AUS · Austin, TX
Destination
IAH · Houston, TX
Flight plan
IFR
Airport
IAH · Houston Intercontinental, runway 9, 9,999 × 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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot, aircraft N820NY
Age
50
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Flight hours
10,000 total
Role
Pilot, aircraft N918TW
Age
46
Certificates
Flight instructor, 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
7,500 total · 2,749 in this make and model

Weather

Conditions
Instrument (IMC) · Day
Wind
30° at 9 knots
Visibility
12 statute miles
Lowest ceiling
1,600 ft overcast
Temperature
54 °F, dew point 46 °F
Altimeter
30.00 inHg
Observed at
IAH, 7 nm away

FAA reports on this event · 2

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