NYC93IA065

NTSB incident investigation · Boeing 727-100 · Newark, NJ · March 23, 1993

Incident · No injuriesIncident investigationFinal report
Date
March 22, 1993, 23:26 local (Mar 23, 1993, 04:26 UTC)
Place
Newark, NJ
Injuries
3 uninjured
Damage
No damage
Phase of flight
Landing
Aircraft
N107FEBoeing 727-100
Weather
Visual (VMC) · Night/dark
Status
Completed · report August 26, 1994
Report
Approved by Office Director
Case key
37244

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

The pilot's misunderstanding of landing runway, and the failure of the local controller to adequately monitor the progress of the flight. Factors which contributed to the incident were: the failure of tower personnel to notify TRACON of the ATIS change, the local controller performing ground controller duties, and the pilot's expectation to land on runway 4L as a result of the ATIS.

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 aircraftLanding - flare/touchdown
Control tower service - inadequateAtc personnel(lcl/gnd/clnc)Factor
Monitoring - inadequateAtc personnel(lcl/gnd/clnc)Cause
Diverted attentionAtc personnel(lcl/gnd/clnc)Factor
Instructions,written/verbal - misreadPilot in commandCause
ExpectancyPilot in commandFactor

Analysis

The airplane, flight 943, had been vectored for landing, and to expect a rwy 4R ILS, with a sidestep maneuver to land rwy 4L. ATIS had reported rwy 4R closed. While being vectored, ATIS was amended to include the opening of rwy 4R for landings. TRACON was not informed of the change; therefore the flight was not made aware of the change. Meanwhile, another B-727, federal express flt 314, was cleared into position on rwy 4L and to hold for takeoff clearance. Rwy 4L has a displaced threshold of approx 740 ft. flight 943 was switched to the tower and given landing clearance for rwy 4R. The crew did not hear the instructions for the 'right,' and they lined up and landed on rwy 4L. The tower did not request acknowledgement of the landing clearance from flight 943. The crew of flight 943 did not see flight 314 on the displaced threshold until they were just about over the airplane. The only lights on flight 314 while holding were the navigation lights, rotating beacon and taxi light. Local contoller also performing ground controller duties.

Aircraft

Registration
N107FE
Reported as
Boeing 727-100
Category
Airplane
Serial number
19202
Engine
P&W JT8D-7B, 14,000 horsepower, turbo fan
Damage
No damage
Flight
Part 121
Operator
Federal Express, Inc.
Registered owner
Federal Express, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · January 2, 2000
Departed
BOS · Boston, MA
Flight plan
IFR
Airport
EWR · Newark International, runway 4L, 8,200 × 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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
58
Certificates
Flight engineer, Flight instructor, Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
15,000 total · 500 in this make and model · 11,000 as pilot in command · 90 in the last 90 days · 25 in the last 30 days

Weather

Conditions
Visual (VMC) · Night/dark
Wind
50° at 4 knots
Visibility
20 statute miles
Lowest ceiling
None
Temperature
43 °F