LAX87LA243

NTSB accident investigation · Boeing 737-277 · Los Angeles, CA · June 23, 1987

Accident · No injuriesLimited investigationFinal report
Date
June 22, 1987, 20:39 local (Jun 23, 1987, 03:39 UTC)
Place
Los Angeles, CA
Injuries
83 uninjured
Phase of flight
Standing
Aircraft
N184AWBoeing 737-277N141UABoeing 747SP
Weather
Day
Status
Completed · report November 28, 1989
Report
Approved by Office Director
Case key
25616

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

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Probable cause

Failure of the qualified mechanic to insure the operation of the aircraft brakes prior to taxiing and his failure to utilize the emergency brake system to prevent the collision. Contributing to this accident was the decision of airline maintence supervisors to allow a non qualified mechanic to perform right seat/flight engineer panel duties. Also contributing was the qualified mechanics failure to use the aircraft's inertial navigation system for cross reference to taxi speed.

Failure of the qualified mechanic to insure the operation of the aircraft brakes prior to taxiing and his failure to utilize the emergeny brake system to prevent the collision. Contributing to this accident was the decision of airline maintenance supervisors to allow a non-qualified mechanic to perform right seat/flight engineer panel duties. Also contributing was the qualified mechanics failure to use the aircraft's inertial navigation system for cross reference of taxi speed.

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.

On ground/water collision with objectStanding
Preflight planning/preparation - improperPilot of other aircraftCause
Brakes(normal) - improper use ofPilot of other aircraftCause
Brakes(emergency) - not understoodPilot of other aircraftFactor
On ground/water collision with objectTaxi
Aircraft handling - improperUnqualified personCause
Operation with known deficiencies in equipment - performedCompany maintenance personnelFactor
Navigation computer - not usedCompany maintenance personnelFactor
Hydraulic system - not understoodCompany maintenance personnelFactor
Brakes(normal) - inadvertent deactivationCompany maintenance personnelCause
Brakes(emergency) - not usedCompany maintenance personnelCause

Analysis

A Boeing 747SP collided with the tail of a Boeing 737. The 737 was lined up on a parallel taxiway awaiting departure. The 747 was taxiing from a terminal gate to maintenance. The 747 was being operated by two mechanics. One of the mechanics was not qualified to taxi the 747. No. 4 eng hung start and was not running during taxi. The no. 4 eng hyd sys was switched off. The no. 4 hyd sys is the primary power for the acft brake sys. The 747'S inertial nav sys (ins) is required to operate while taxiing for speed reference. The ins was also switched off. The 747 speed became excessive on parallel taxiway. When mech attempted to stop there was no brake power. He did not activate the emer brake sys powered by no. 2 eng hyd sys. The mech swerved the 747 to the left. The 747 r wing collided with tail of 737. The airline maint supervisor of 747'S was aware of mech non-qual and of the no. 4 eng not operating. Decision was made to let the acft taxi contrary to procedures.

A Boeing 747SP collided with the tail of a Boeing 737. The 737 was lined up on a parallel taxiway awaiting departure. The 747 was taxiing from a terminal gate to maintenance. The 747 was being operated by two mechanics. One of the mechanics was not qualified to taxi the 747. No. 4 eng hung start and was not running during taxi. The no. 4 eng hyd sys was switched off. The no. 4 hyd sys is the primary power for the acft brake sys. The 747'S inertial nav sys (ins) is required to operate while taxiing for speed reference. The ins was also switched off. The 747 speed became excessive on parallel taxiway. When mech attempted to stop there was no brake power. 747 r wing collided with tail of 737. The airline maint supervisor of 747'S was aware of the mech non-qual and the no. 4 eng not operating. Decision was made to let the acft taxi contrary to procedures.

Aircraft · 2

Registration
N184AW
Reported as
Boeing 737-277
Category
Airplane
Serial number
22651
Airframe hours
13,290
Engine
P&W JT8D-15, 20,550 lbs thrust, turbo fan
Damage
Substantial damage
Flight
Part 121
Operator
America West Airlines
Registered owner
America West Airlines
Airworthiness certificate
Standard, Transport
Destination
PHX · Phoenix, AZ
Flight plan
IFR
Airport
LAX · Los Angeles Int'L

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.

Registration
N141UA
Reported as
Boeing 747SP
Category
Airplane
Serial number
21023
Airframe hours
52,233
Engine
P&W JT9D-7, 40,000 lbs thrust, turbo fan
Damage
Substantial damage
Flight
Part 121
Operator
United Airlines, doing business as United Airlines
Registered owner
First Security Bank Of Utah
Airworthiness certificate
Standard, Transport
Airport
LAX · Los Angeles Int'L

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 N184AW
Age
31
Certificates
Commercial, Airline transport, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
6,271 total · 1,320 in this make and model · 266 in the last 90 days
Role
Pilot, aircraft N141UA
Age
46
Medical
Unknown
Seat
Left

Weather

Conditions
Day
Wind
250° at 8 knots
Visibility
8 statute miles
Temperature
64 °F, dew point 63 °F
Altimeter
29.00 inHg
Observed at
LAX

FAA reports on this event · 2

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