- Date
- May 16, 2011, 09:34 local (14:34 UTC)
- Place
- Chicago, IL
- Injuries
- 63 uninjured
- Phase of flight
- Takeoff
- Aircraft
- N15574Embraer EMB-145LRN905SWBombardier CL-600-2B19
- Defining events
- Takeoff: Air traffic eventApproach: Air traffic event
- Weather
- Visual (VMC) · Day
- Status
- Completed · report November 7, 2012
- Report
- Approved by Office Director
- NTSB office
- Operational Factors Division
- Parties
- National Air Traffic Controllers Association, National Transportation Safety Board, Federal Aviation Administration
- Case key
- 79125
From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the incident.
On this page
Probable cause
The NTSB’s determination of the probable cause, and any contributing factors.
The air traffic controller’s failure to adhere to runway separation requirements and his issuance of an improper takeoff clearance. Contributing to the incident was the controller's failure to recall that there was an arrival inbound to a crossing runway.
Findings · 4
NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings.
N15574 · Embraer EMB-145LR
Action: incorrect action selectionProbable causeAction: forgotten action/omissionProbable causeN905SW · Bombardier CL-600-2B19
Action: incorrect action selectionProbable causeAction: forgotten action/omissionProbable causeAnalysis
A near-midair collision occurred between a Bombardier CRJ2 landing on runway 9R and an Embraer ERJ-145 regional jet departing from runway 32L. The CRJ2 passed 480 feet behind and 275 feet above the ERJ-145. According to the tower air traffic controller responsible for operations on runway 32L, he scanned the final approach course for runway 9R to look for conflicting traffic and saw the approaching CRJ2. However, he then forgot about the arrival and cleared the ERJ-145 for takeoff. The controller was unable to provide any explanation for the lapse. The airport was not equipped with automated assistance for detecting conflicts between departures and arrivals on crossing runways such as these.
Factual narrative
The factual narrative442 words
SUMMARY On May 16, 2011, at 0934 central daylight time, a near mid air collision (NMAC) occurred at Chicago O’Hare International Airport (ORD) when SkyWest Airlines flight 6958 (SKW6958), a Bombardier CRJ2 en route from Muskegon County, Michigan to ORD passed in close proximity to ExpressJet Airlines flight 6075 (BTA6075), an Embraer 145 departing from ORD to Buffalo, New York. According to recorded FAA radar data, SKW6958 crossed runway 32L about 275 feet above and 480 feet behind BTA6075. Both aircraft were under control of ORD air traffic control tower (ATCT) at the time of the incident. There was no damage reported to either aircraft, or any injuries to passengers or crew. HISTORY OF FLIGHT SKW6958 was a scheduled 14 Code of Federal Regulations Part 121 (14 CFR part 121) passenger flight operating from Muskegon County, Michigan, to Chicago, Illinois. The flight was on a visual approach to runway 9R at Chicago O’Hare International Airport. The pilot contacted the ORD North Local Controller (NLC) at 0934:36, reporting in at LANCE. The controller transmitted to the pilot, “SKW6958 O’Hare Tower, runway 9 right clear to land, wind 020 at 14 traffic departing prior to your arrival,” and the pilot acknowledged. BTA6075 was a scheduled 14 CFR part 121 passenger flight operating from Chicago O’Hare International Airport to Buffalo, New York. The pilot was instructed to taxi to runway 32L for departure. At 09:34:53, the Third Local Controller (3LC) cleared BTA6075 to line up and wait on runway 32L. At 0935:37, BTA6075 was cleared for takeoff, “...don’t delay roll.” At 09:36:33, the 3LC controller transmitted, “aw [expletive].” At 0936:34 the NLC issued a go around to SKW6958. The NLC controller then continued, “SKW6958 climb and maintain four thousand, helicopter traffic just off the departure end low level.” At 09:36:45 the pilot of BTA6075 transmitted “What the [expletive] was that?” followed by “where do you want 6075 to go now?” The 3LC instructed BTA6075 to turn right heading 020 and to remain this frequency. BTA6075 responded with “what was that?” and the controller responded “sorry about that.” The remainder of the ATC handling was routine. The tower supervisor relieved the 3LC controller from position at 0937:00 and logged the incident in the Daily Record of Facility Operations. RADAR DATA Radar data for this report was obtained from the ORD Airport Surface Detection Equipment-X system. Graphics of the two flights as they approached the intersection and after passing the intersection of runway 32L/9R are contained in the ATC Group factual report and have been added to the docket. For further information, see the Air Traffic Control Group Chairman's Factual Report in the docket for this case.
Sequence of events
The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident.
N15574 · Embraer EMB-145LR
Air traffic eventDefining eventN905SW · Bombardier CL-600-2B19
Air traffic eventDefining eventAircraft · 2
- Registration
- N15574
- Reported as
- Embraer EMB-145LR
- Category
- Airplane
- Serial number
- 145639
- Engines
- turbo fanturbo fan
- Damage
- No damage
- Flight
- Part 121
- Registered owner
- Wells Fargo Bank Northwest Na Trustee
- Airworthiness certificate
- Standard, Transport
- Departed
- KORD · Chicago, IL
- Destination
- KBUF · Buffalo, NY
- Flight plan
- IFR
- Airport
- KORD · Chicago O’Hare International, runway 32L, 9,685 × 200 ft, asphalt
- Registration
- N905SW
- Reported as
- Bombardier CL-600-2B19
- Category
- Airplane
- Serial number
- 7437
- Engines
- GE CF34 SERIES, 9,140 lbs thrust, turbo fanGE CF34 SERIES, 9,140 lbs thrust, turbo fan
- Damage
- No damage
- Flight
- Part 121
- Registered owner
- Wells Fargo Bank Northwest Na Trustee
- Airworthiness certificate
- Standard, Transport
- Departed
- KMKG · Muskegon County, MI
- Destination
- KORD · Chicago, IL
- Flight plan
- IFR
- Airport
- KORD · Chicago O’Hare International, runway 09R, 7,967 × 150 ft, concrete
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.
Weather
- Conditions
- Visual (VMC) · Day
- Wind
- 30° at 12 knots, gusting 21
- Visibility
- 10 statute miles
- Lowest ceiling
- None
- Temperature
- 48 °F, dew point 34 °F
- Altimeter
- 30.02 inHg
- Observed at
- KORD
Docket · 7
The files NTSB released with the investigation on September 24, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.5 MB in all.