Crash of a Boeing 747-131 off East Moriches: 230 killed

Date & Time: Jul 17, 1996 at 2031 LT
Type of aircraft:
Operator:
Registration:
N93119
Flight Phase:
Survivors:
No
Schedule:
New York – Paris
MSN:
20083
YOM:
1971
Flight number:
TW800
Crew on board:
18
Crew fatalities:
Pax on board:
212
Pax fatalities:
Other fatalities:
Total fatalities:
230
Captain / Total flying hours:
18800
Captain / Total hours on type:
5490.00
Copilot / Total flying hours:
17000
Copilot / Total hours on type:
4700
Aircraft flight hours:
93303
Aircraft flight cycles:
16869
Circumstances:
On July 17, 1996, about 2031 eastern daylight time, Trans World Airlines, Inc. (TWA) flight 800, a Boeing 747-131, N93119, crashed in the Atlantic Ocean near East Moriches, New York. TWA flight 800 was operating under the provisions of 14 Code of Federal Regulations Part 121 as a scheduled international passenger flight from John F. Kennedy International Airport (JFK), New York, New York, to Charles De Gaulle International Airport, Paris, France. The flight departed JFK about 2019, with 2 pilots, 2 flight engineers, 14 flight attendants, and 212 passengers on board. All 230 people on board were killed, and the airplane was destroyed. Visual meteorological conditions prevailed for the flight, which operated on an instrument flight rules flight plan. The investigation revealed that the crash occurred as the result of a fuel/air explosion in the airplane's center wing fuel tank (CWT) and the subsequent in-flight breakup of the airplane. The investigation further revealed that the ignition energy for the CWT explosion most likely entered the CWT through the fuel quantity indication system wiring; neither the ignition energy release mechanism nor the location of the ignition inside the CWT could be determined from the available evidence. There was no evidence of a missile or bomb detonation.
Probable cause:
An explosion of the center wing fuel tank (CWT), resulting from ignition of the flammable fuel/air mixture in the tank. The source of ignition energy for the explosion could not be determined with certainty, but, of the sources evaluated by the investigation, the most likely was a short circuit outside of the CWT that allowed excessive voltage to enter it through electrical wiring associated with the fuel quantity indication system. Contributing factors to the accident were the design and certification concept that fuel tank explosions could be prevented solely by precluding all ignition sources and the design and certification of the Boeing 747 with heat sources located beneath the CWT with no means to reduce the heat transferred into the CWT or to render the fuel vapor in the tank non flammable.
Final Report:

Crash of a Lockheed L-1011-385-1 TriStar 1 in New York

Date & Time: Jul 30, 1992 at 1741 LT
Type of aircraft:
Operator:
Registration:
N11002
Flight Phase:
Survivors:
Yes
Schedule:
New York - San Francisco
MSN:
193B-1014
YOM:
1972
Flight number:
TW843
Crew on board:
12
Crew fatalities:
Pax on board:
280
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
20149
Captain / Total hours on type:
2397.00
Copilot / Total flying hours:
15242
Copilot / Total hours on type:
2953
Aircraft flight hours:
49662
Aircraft flight cycles:
19659
Circumstances:
Immediately after liftoff the stick shaker activated, and the first officer, who was making the takeoff, said 'you got it.' The captain took control, closed the thrust levers, and landed. He applied full reverse thrust and maximum braking, and turned the airplane off the runway to avoid a barrier at the end. A system design deficiency permitted a malfunctioning aoa sensor to cause a false stall warning. The sensor had experienced 9 previous malfunctions, and was inspected and returned to service without a determination on the reason for the intermittent malfunction. The first officer had incorrectly perceived that the airplane was stalling and gave control to the captain without proper coordination of the transfer of control. All 292 occupants were rescued, among them 10 were injured, one seriously.
Probable cause:
Design deficiencies in the stall warning system that permitted a defect to go undetected, the failure of twa's maintenance program to correct a repetitive malfunction of the stall warning system, and inadequate crew coordination between the captain and first officer that resulted in their inappropriate response to a false stall warning.
Final Report:

Crash of a Boeing 727-31 in Chicago

Date & Time: Aug 27, 1988 at 1650 LT
Type of aircraft:
Operator:
Registration:
N852TW
Survivors:
Yes
Schedule:
Saint Louis - Chicago
MSN:
18571
YOM:
1964
Crew on board:
6
Crew fatalities:
Pax on board:
62
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
16899
Captain / Total hours on type:
6411.00
Aircraft flight hours:
56099
Circumstances:
Scheduled domestic part 121 flight could not get landing gear to extend on approach to Chicago-Midway Airport. After missed approach, crew tried unsuccessfully to extend gear manually using procedures in cockpit checklist and flight operations manual. Emergency gear-up landing was made at Chicago-O'Hare International Airport. Investigation revealed a disconnected gear selector actuating rod from the normal landing gear retract/extension actuating assembly. Crew damaged manual gear extension mechanism in manual extension attempts. FAA approved procedural checklist had omitted critical step in manual gear extension procedure.
Probable cause:
Improper procedural checklist in which a critical step was not listed.
Findings
Occurrence #1: airframe/component/system failure/malfunction
Phase of operation: approach - faf/outer marker to threshold (ifr)
Findings
1. Landing gear, normal retraction/extension assembly - inoperative
2. (c) missed approach - performed
3. (f) checklist - inaccurate - company/operator management
4. (c) procedures/directives - improper - company/operator management
5. (c) condition(s)/step(s) not listed - faa (principal maintenance inspector)
----------
Occurrence #2: gear not extended
Phase of operation: landing
Findings
6. Wheels up landing - performed - pilot in command
Final Report:

Crash of a Boeing 707-131B in San Francisco

Date & Time: Nov 30, 1980
Type of aircraft:
Operator:
Registration:
N797TW
Survivors:
Yes
Schedule:
Saint Louis - San Francisco
MSN:
18760
YOM:
1964
Crew on board:
7
Crew fatalities:
Pax on board:
126
Pax fatalities:
Other fatalities:
Total fatalities:
0
Aircraft flight hours:
49910
Circumstances:
While descending to San Francisco Airport, the nose gear could not be lowered and remained stuck in its wheel well. Following a normal approach, the airplane landed on its main undercarriage then slid on its nose for few hundred yards before coming to rest. All 133 occupants were evacuated safely and the aircraft was damaged beyond repair.

Crash of a Boeing 707-331B in Milan

Date & Time: Dec 22, 1975 at 1029 LT
Type of aircraft:
Operator:
Registration:
N18701
Survivors:
Yes
Schedule:
San Francisco – New York – Milan
MSN:
18978/465
YOM:
1966
Flight number:
TW842
Country:
Region:
Crew on board:
9
Crew fatalities:
Pax on board:
113
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
25303
Captain / Total hours on type:
7316.00
Circumstances:
The approach to Milan-Malpensa Airport was completed in limited visibility due to foggy conditions. During the last segment, the airplane struck the ground to the left of the main runway. On impact, all landing gears and all four engines were torn off. The aircraft slid for few hundred meters then came to rest in a grassy area with the fuselage bent and the cockpit that separated from the rest of the aircraft. All 122 occupants were evacuated, 26 of them were injured, among them the Italian tenor Luciano Pavarotti.
Probable cause:
Failure of the pilot-in-command to follow the approved procedures.
Final Report:

Crash of a Boeing 727-231 on Mt Weather: 92 killed

Date & Time: Dec 1, 1974 at 1110 LT
Type of aircraft:
Operator:
Registration:
N54328
Survivors:
No
Site:
Schedule:
Indianapolis - Columbus - Washington DC
MSN:
20306/791
YOM:
1970
Flight number:
TW514
Crew on board:
7
Crew fatalities:
Pax on board:
85
Pax fatalities:
Other fatalities:
Total fatalities:
92
Captain / Total flying hours:
3765
Captain / Total hours on type:
2899.00
Copilot / Total flying hours:
6205
Copilot / Total hours on type:
1160
Aircraft flight hours:
11997
Circumstances:
Trans World Airlines Flight TW514 was a regularly scheduled flight from Indianapolis, IN (IND), to Washington-National Airport, DC (DCA), with an intermediate stop at Columbus-Port Columbus International Airport, OH (CMH). Flight 514 departed Indianapolis at 08:53 EST and arrived in Columbus at 09:32. The Boeing 727 departed Columbus at 10:24, eleven minutes late. There were 85 passengers and 7 flight crew members aboard the aircraft when it departed Columbus. At 10:36, the Cleveland Air Route Traffic Control Center (ARTCC) informed the crew of Flight 514 that no landings were being made at Washington National Airport because of high crosswinds, and that flights destined for that airport were either being held or being diverted to Dulles International Airport (IAD). At 10:38, the captain of Flight 514 communicated with the dispatcher in New York and advised him of the information he had received. The dispatcher, with the captain's concurrence, subsequently amended Flight 514's release to allow the flight to proceed to Dulles. At 10:42, Cleveland ARTCC cleared Flight 514 to Dulles Airport via the Front Royal VOR, and to maintain FL290. One minute later, the controller cleared the flight to descend to FL230 and to cross a point 40 miles west of Front Royal at that altitude. Control of the flight was then transferred to the Washington ARTCC and communications were established with that facility at 10:48. In the meantime, the flightcrew discussed the instrument approach to runway 12, the navigational aids, and the runways at Dulles, and the captain turned the flight controls over to the first officer. When radio communications were established with Washington ARTCC, the controller affirmed that he knew the flight was proceeding to Dulles. Following this contact, the crew discussed the various routings they might receive to conduct a VOR/DME approach to runway 12 at Dulles. At 10:51, the Washington ARTCC controller requested the flight's heading. After being told that the flight was on a heading of 100 degrees, the controller cleared the crew to change to a heading of 090°, to intercept the 300° radial of the Armel VOR, to cross a point 25 miles northwest of Armel to maintain 8,000 feet, "...and the 300° radial will be for a VOR approach to runway 12 at Dulles." He gave the crew an altimeter setting of 29.74 for Dulles. The crew acknowledged this clearance. The pilots again discussed the VOR/DME approach At 10:55, the landing preliminary checklist was read by the flight engineer and the other crewmembers responded to the calls. A reference speed of 127 kts was calculated and set on the airspeed indicator reference pointers. The altimeters were set at 29.74. The crew then again discussed items on the instrument approach chart including the Round Hill intersection, the final approach fix, the visual approach slope indicator and runway lights, and the airport diagram. At 10:59, the captain commented that the flight was descending from 11,000 feet to 8,000 feet. He then asked the controller if there were any weather obstructions between the flight and the airport. The controller replied that he did not see any significant weather along the route. The captain replied that the crew also did not see any weather on the aircraft weather radar. At 11:01, the controller cleared the flight to descend to and maintain 7,000 feet and to contact Dulles approach control. Twenty-six seconds later, the captain initiated a conversation with Dulles approach control and reported that the aircraft was descending from 10,000 feet to maintain 7,000 feet. He also reported having received the information "Charlie" transmitted on the ATIS broadcast. The controller replied with a clearance to proceed inbound to Armel and to expect a VOR/DME approach to runway 12. The controller then informed the crew that ATIS information Delta was current and read the data to them. The crew determined that the difference between information Charlie and Delta was the altimeter setting which was given in Delta as 29.70. There was no information on the CVR to indicate that the pilots reset their altimeters from 29.74. At 11:04, the flight reported it was level at 7,000 feet. Five seconds after receiving that report, the controller said, "TWA 514, you're cleared for a VOR/DME approach to runway 12." This clearance was acknowledged by the captain. The CVR recorded the sound of the landing gear warning horn followed by a comment from the captain that "Eighteen hundred is the bottom." The first officer then said, "Start down." The flight engineer said, "We're out here quite a ways. I better turn the heat down." At 11:05:06, the captain reviewed the field elevation, the minimum descent altitude, and the final approach fix and discussed the reason that no time to the missed approach point was published. At 11:06:15, the first officer commented that, "I hate the altitude jumping around. Then he commented that the instrument panel was bouncing around. At 11:06:15, the captain said, "We have a discrepancy in our VOR's, a little but not much." He continued, "Fly yours, not mine." At 11:06:27, the captain discussed the last reported ceiling and minimum descent altitude. concluded, "...should break out." At 11:06:42, the first officer said, "Gives you a headache after a while, watching this jumping around like that." At 11:07:27, he said, "...you can feel that wind down here now." A few seconds later, the captain said, "You know, according to this dumb sheet it says thirtyfour hundred to Round Hill --- is our minimum altitude." The flight engineer then asked where the captain saw that and the captain replied, "Well, here. Round Hill is eleven and a half DME." The first officer said, "Well, but ---" and the captain replied, "When he clears you, that means you can go to your ---" An unidentified voice said, "Initial approach, and another unidentified voice said, "Yeah!" Then the captain said "Initial approach altitude." The flight engineer then said, "We're out a --- twenty-eight for eighteen." An unidentified voice said, "Right, and someone said, "One to go." At 11:08:14, the flight engineer said, "Dark in here," and the first officer stated, "And bumpy too." At 11:08:25, the sound of an altitude alert horn was recorded. The captain said, "I had ground contact a minute ago," and the first officer replied, "Yeah, I did too." At 11:08:29, the first officer said, "...power on this.... " The captain said "Yeah --- you got a high sink rate." "Yeah," the first officer replied. An unidentified voice said, "We're going uphill, " and the flight engineer replied, "We're right there, we're on course." Two voices responded, "Yeah!" The captain then said, "You ought to see ground outside in just a minute -- Hang in there boy." The flight engineer said, "We're getting seasick." At 1108:57, the altitude alert sounded. Then the first officer said, "Boy, it was --- wanted to go right down through there, man," to which an unidentified voice replied, "Yeah!" Then the first officer said, "Must have had a # of a downdraft." At 1109:14, the radio altimeter warning horn sounded and stopped. The first officer said, "Boy!" At 11:09:20, the captain said, "Get some power on." The radio altimeter warning horn sounded again and stopped. At 11:09:22, the sound of impact was recorded. After the aircraft left 7,000 feet, the descent was continuous with little rate variation until the indicated altitude was about 1,750 feet. increased about 150 feet over a 15-second period and then decreased about 200 feet during a 20-second period. The recorded altitude remained about 1,750 feet until the airplane impacted the west slope of Mount Weather, Virginia, about 25 nmi from Dulles, at an elevation of about 1,670 feet (509 m). The aircraft was totally destroyed by impact forces and a post crash fire and all 92 occupants were killed.
Probable cause:
The National Transportation Safety Board determines that the probable cause of the accident was the crew's decision to descend to 1,800 feet before the aircraft had reached the approach segment where that minimum altitude applied result of inadequacies and lack of clarity in the air traffic control procedures which led to a misunderstanding on the part of the pilots and of the controllers regarding each other's responsibilities during operations in terminal areas under instrument meteorological conditions. Nevertheless, the examination of the plan view of the approach chart should have disclosed to the captain that a minimum altitude of 1,800 feet was not a safe altitude.
The following contributing factors were reported:
- The failure of the FAA to take timely action to resolve the confusion and misinterpretation of air traffic terminology although the Agency had been aware of the problem for several years,
- The issuance of the approach clearance when the flight was 44 miles from the airport on an unpublished route without clearly defined minimum altitudes,
- Inadequate depiction of altitude restrictions on the profile view of the approach chart for the VOR/DME approach to runway 12 at Dulles International Airport.
Final Report:

Crash of a Boeing 707-331B into the Ionian Sea: 88 killed

Date & Time: Sep 8, 1974 at 1140 LT
Type of aircraft:
Operator:
Registration:
N8734
Flight Phase:
Survivors:
No
Schedule:
Tel Aviv - Athens - Rome - New York
MSN:
20063/789
YOM:
1969
Flight number:
TW841
Country:
Region:
Crew on board:
9
Crew fatalities:
Pax on board:
79
Pax fatalities:
Other fatalities:
Total fatalities:
88
Captain / Total flying hours:
21960
Captain / Total hours on type:
7280.00
Copilot / Total flying hours:
9139
Copilot / Total hours on type:
5311
Aircraft flight hours:
21733
Circumstances:
The four engine airplane departed Athens-Ellinikon Airport at 1112LT on a flight to Rome, last leg before the transatlantic flight to New York. While cruising at an altitude of 28,000 feet, the airplane went out of control, entered a steep dive and crashed into the Ionian Sea bout 80 km west of Kefalonia Island, Greece. Some debris were found floating on water and no survivor was found among the 88 occupants.
Probable cause:
It was determined that the detonation of an explosive device in the aft cargo compartment buckled and damaged the cabin floor in such a manner that one or more of the elevator and rudder system control cables was stretched and, perhaps, broken. The resultant displacement of control surfaces caused a violent pitch up and yaw and made the aircraft uncontrollable.
Final Report:

Crash of a Boeing 707-131B in Los Angeles

Date & Time: Jan 16, 1974 at 0135 LT
Type of aircraft:
Operator:
Registration:
N757TW
Survivors:
Yes
Schedule:
New York - Los Angeles
MSN:
18395/309
YOM:
1962
Flight number:
TW701
Crew on board:
7
Crew fatalities:
Pax on board:
56
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
15800
Captain / Total hours on type:
6750.00
Copilot / Total flying hours:
4335
Copilot / Total hours on type:
2040
Aircraft flight hours:
38876
Circumstances:
Following an uneventful flight from New York-JFK, the crew started the descent to Los Angeles Airport runway 06R over the sea. Weather was clear but on short final, the crew encountered local patches of fog and visual control with the ground was lost. The airplane continued the approach and landed nose wheel first with a vertical g load of 4.6. This caused the nose wheel to collapse rearward and a fire started in the nose wheel well area. The fire in the nose wheel well was initiated by the burning nose gear tires. The fire was fed by hydraulic fluid that escaped from broken nose wheel steering hydraulic lines. Evacuation of the aircraft resulted in minor or serious injuries to eight passengers. Firefighting personnel were unable to extinguish the fire in the nose wheel well before it spread to the fuselage and destroyed the cockpit and the passenger cabin.
Probable cause:
It was determined that the probable cause of the accident was the continuation of a visual approach after the flight crew lost outside visual reference because of a low cloud and fog encounter. The following factors were reported:
- While executing a night visual approach over water to runway 06R at the Los Angeles International Airport, the flight encountered ground fog when the crew prepared to flare the aircraft for landing,
- The weather in the Los Angeles area was clear; however, the existing visibility at the approach end of runway 6R was considerably less than predicted by the National Weather Service because of fog.
Final Report: