NYC89IA028

NTSB incident investigation · Boeing 727-227 · Boston, MA · November 14, 1988

Incident · No injuriesIncident investigationFinal report
Date
November 13, 1988, 20:12 local (Nov 14, 1988, 01:12 UTC)
Place
Boston, MA
Injuries
144 uninjured
Phase of flight
Takeoff
Aircraft
N555PEBoeing 727-227N238RPDornier DO-228-202
Weather
Visual (VMC) · Night/dark
Status
Completed · report October 20, 1992
Report
Approved by Office Director
FAA report
19881113067679I
Case key
36303

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 local controller to detect the red t on the departure strip on PRE659 when he cleared him into position and hold. Factors related to the accident were: darkness and the lack of positive coordination between the ground controller and local controller.

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 aircraftTakeoff - roll/run
Crew/group coordination - inadequateAtc personnel(lcl/gnd/clnc)Factor
Light condition - nightFactor
Control tower service - inadequateAtc personnel(lcl/gnd/clnc)Cause
Visual/aural perceptionFactor
Near collision between aircraftTakeoff - roll/run
Crew/group coordination - inadequateAtc personnel(lcl/gnd/clnc)Factor
Light condition - nightFactor
Control tower service - inadequateAtc personnel(lcl/gnd/clnc)Cause
Visual/aural perceptionFactor

Analysis

The tower controller cleared pan am flt 543 (Boeing 727, N555PE) into position & hold on rwy 22R, then he cleared the 727 for takeoff. The controller then cleared precision flt 649 (dornier DO-228, N238RP) into position & hold on runway 22R. The controller did not realize the dornier was at an intersection, 4200 ft down the runway, rather than at the approach end. He had failed to notice that the takeoff strip was marked with a red 't' indicating an intersection takeoff. Also, the ground controller did not adequately coordinate with the local controller, when he cleared the dornier to taxi to the intersection for an intersection departure. The 727 flight crew saw the dornier on the runway & made an early rotation, missing the dornier. There was no contact between aircraft or injuries. The 727 flt crew returned for a landing to check the engines, which had been overboosted after maximum power was applied to clear the dornier. The dornier was taxied clear of the runway & back to the ramp to assure there was no damage.

Aircraft · 2

Registration
N555PE
Reported as
Boeing 727-227
Category
Airplane
Airframe hours
36,075
Engine
P&W JT8D-7A, 14,500 lbs thrust, turbo fan
Damage
Minor damage
Flight
Part 121
Registered owner
Pan American World Airways
Airworthiness certificate
Standard, Normal
Departed
BOS
Destination
LGA · Flushing, NY
Flight plan
IFR
Airport
BOS · Boston, runway 222, 7,860 × 150 ft, asphalt
Registration
N238RP
Reported as
Dornier DO-228-202
Category
Airplane
Serial number
8138
Airframe hours
1,800
Engine
Garrett TPE-331, 715 horsepower, turbo prop
Damage
No damage
Flight
Part 135
Operator
Precision Valley Aviation, Inc, doing business as Precision Airlines
Registered owner
State Street Bank & Trust
Airworthiness certificate
Standard, Normal
Last inspection
Continuous airworthiness · November 12, 1988 · 5 hours before
Departed
BOS · Boston, MA
Destination
ISP · Islip, NY
Flight plan
IFR
Airport
BOS · Boston, runway 22, 7,860 × 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 N555PE
Age
47
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Unknown
Seat
Left
Flight hours
3,425 total · 1,605 as pilot in command · 167 in the last 90 days · 47 in the last 30 days · 2 in the last 24 hours
Role
Pilot, aircraft N238RP
Age
28
Certificates
Flight instructor, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
5,562 total · 1,500 in this make and model · 4,112 as pilot in command · 241 in the last 90 days · 80 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night/dark
Wind
240° at 8 knots
Visibility
15 statute miles
Lowest ceiling
None
Temperature
48 °F, dew point 48 °F
Altimeter
29.00 inHg
Observed at
BOS

FAA reports on this event · 1

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