Estado: | Accident investigation report completed and information captured |
Fecha: | lunes 8 mayo 1978 |
Hora: | 21:20 |
Tipo: |  Boeing 727-235 |
Operador: | National Airlines |
Registración: | N4744 |
Numéro de série: | 19464/553 |
Año de Construcción: | 1968-03-20 (10 years 2 months) |
Horas Totales de la Célula: | 26720 |
Motores: | 3 Pratt & Whitney JT8D-7B |
Tripulación: | Fatalidades: 0 / Ocupantes: 6 |
Pasajeros: | Fatalidades: 3 / Ocupantes: 52 |
Total: | Fatalidades: 3 / Ocupantes: 58 |
Daños en la Aeronave: | Anulado |
Consecuencias: | Written off (damaged beyond repair) |
Ubicación: | Escambia Bay, FL ( Estados Unidos de América)
|
Fase: | Aproximación (APR) |
Naturaleza: | Vuelo Doméstico Programado |
Aeropuerto de Salida: | Mobile Municipal Airport, AL (MOB/KMOB), Estados Unidos de América |
Aeropuerto de Llegada: | Pensacola Regional Airport, FL (PNS/KPNS), Estados Unidos de América |
Número de Vuelo: | 193 |
Descripción:Flight 193 operated as a scheduled passenger from Miami to Pensacola, FL, with en route stops at Melbourne and Tampa, New Orleans, Louisiana, and Mobile. About 21:02 CDT the flight departed Mobile on an IFR flight plan to Pensacola and climbed to the cruising altitude of 7,000 feet. At 21:09, the crew were told that they would be vectored for an airport surveillance radar (ASR) approach to runway 25. At 21:13, the radar controller told National 193 that it was 11 nm NW of the airport and cleared it to descend and maintain 1700 feet. At 21:17 flaps were selected at 15deg and two minutes later the flight was cleared to descend to 1500 feet and shortly after that further down to the MDA (480 feet). As the aircraft rolled out on the final approach heading, the captain called for the landing gear and the landing final checklist. At 21:20:15, the ground proximity warning system (GPWS) whooper warning continued for nine seconds until the first officer silenced the warning. Nine seconds later the 727 hit the water with gear down and flaps at 25deg. It came to rest in about 12 feet of water. The weather at the time of the accident was 400 feet overcast, 4 miles visibility in fog and haze, wind 190deg/7 kts.
Probable Cause:
PROBABLE CAUSE: "The flightcrew's unprofessionally conducted nonprecision instrument approach, in that the captain and the crew failed to monitor the descent rate and altitude, and the first officer failed to provide the captain with required altitude and approach performance callouts. The captain and first officer did not check or utilize all instruments available for altitude awareness and, therefore, did not configure the aircraft properly and in a timely manner for the approach. The captain failed to comply with the company's GPWS flightcrew response procedures in a timely manner after the warning began. The flight engineer turned off the GPWS warning 9 seconds after it began without the captain' s knowledge or consent. Contributing to the accident was the radar controller's failure to provide advance notice of the start-descent point which accelerated the pace of the crew's cockpit activities after the passage of the final approach fix."
Accident investigation:
|
Investigating agency: | NTSB  |
Status: | Investigation completed |
Duration: | 185 days (6 months) | Accident number: | NTSB/AAR-78-13 | Download report: | Final report
|
|
Fuentes:
»
Historic photos of 1978 plane crash in Escambia Bay where a Pensacola man rescued 55 (pnj.com, 27 March 2021)» NTSB AAR-78-13
Subsiguiente / acciones de seguridad
NTSB issued 11 Safety Recommendations
Issued: 08-MAR-1979 | To: | A-79-10 |
DEVELOP, WITH INDUSTRY, REQUIREMENTS FOR DEPICTING FINAL APPROACH FIXES AND MINIMUM ALTITUDES FOR EACH MILE ON FINAL APPROACHES ON ASR INSTRUMENT APPROACH PROCEDURES. (Closed - Reconsidered) |
Issued: 08-MAR-1979 | To: | A-79-9 |
REVISE AIR TRAFFIC CONTROL HANDBOOK 7110.65, PARAGRAPH 1190 TO REQUIRE CONTROLLERS TO PROVIDE RECOMMENDED ALTITUDES TO PILOTS ON AIRPORT SURVEILLANCE RADAR (ASR) APPROACHES WITHOUT PILOT REQUEST. REVISE THE AIRMAN\'S INFORMATION MANUAL, PILOT/CONTROLLER GLOSSARY, AND OTHER OPERATING AND TRAINING DOCUMENTS THAT DESCRIBE ASR APPROACHES TO REFLECT THE REVISED CONTROLLER PROCEDURES. (Closed - Reconsidered) |
Issued: 23-APR-1979 | To: | A-79-27 |
AMEND 14 CFR 37.201 TO: (1) REQUIRE THAT GROUND PROXIMITY WARNING SYSTEMS IDENTIFY WITH AURAL MESSAGES THE CAUSE OF THE WARNING BEING GIVEN; AND (2) RESTRICT THE FUNCTION OF THE DEACTIVATION SWITCH (IF UTILIZED ON SUCH SYSTEMS) TO SUPPRESS ONLY THE AURAL ALERT, BUT NOT THE WARNING LIGHTS. (Closed - Unacceptable Action) |
Issued: 23-APR-1979 | To: | A-79-28 |
AMEND 14 CFR 121.360 TO REQUIRE AFTER AN APPROPRIATE DATE THAT ALL NEWLY MANUFACTURED AIRCRAFT BE EQUIPPED WITH GROUND PROXIMITY WARNING SYSTEMS THAT CONFORM TO THE AMENDED TECHNICAL STANDARD ORDER. (Closed - Unacceptable Action) |
Issued: 23-APR-1979 | To: | A-79-29 |
DEFINE SOUND PRESSURE LEVELS AND ACOUSTICAL CHARACTERISTICS FOR GROUND PROXIMITY WARNING SYSTEMS FOR EACH TYPE OF AIRCRAFT REQUIRING THESE SYSTEMS, CONSISTENT WITH AMBIENT COCKPIT NOISE LEVELS AND WITH THE REQUIREMENTS FOR EMERGENCY VERBAL COMMUNICATIONS BETWEEN CREWMEMBERS. (Closed - Reconsidered) |
Issued: 23-APR-1979 | To: FAA | A-79-30 |
ISSUE AN ADVISORY CIRCULAR SPECIFYING GROUND PROXIMITY WARNING SYSTEM SOUND PRESSURE LEVEL AND ACOUSTICAL CHARACTERISTICS FOR EACH TYPE OF AIRCRAFT REQUIRING THESE SYSTEMS. (Closed - Reconsidered) |
Issued: 21-MAY-1979 | To: | A-79-35 |
ISSUE AN AIR CARRIER OPERATIONS BULLETIN REQUESTING PRINCIPAL OPERATIONS INSPECTORS TO INSURE THAT AIR CARRIER TRAINING PROGRAMS INCLUDE INSTRUCTIONS TO CREW MEMBERS WITH RESPECT TO THE AVAILABILITY, CAPABILITIES, AND USE OF FLOTABLE SEAT CUSHIONS ON THEIR AIRCRAFT. (Closed - Acceptable Action) |
Issued: 21-MAY-1979 | To: | A-79-36 |
AMEND 14 CFR 121.340 TO REQUIRE THAT ALL PASSENGER CARRYING AIR CARRIER AIRCRAFT BE EQUIPPED WITH APPROVED FLOTATION-TYPE SEAT CUSHIONS. (Closed - Unacceptable Action) |
Issued: 21-MAY-1979 | To: | A-79-37 |
AMEND 14 CFR 121.571 TO REQUIRE THAT PASSSENGERS BE BRIEFED ON THE LOCATION OF APPROVED FLOTATION DEVICES BEFORE EACH FLIGHT THAT REQUIRES THE AIRCRAFT TO PASS OVER A LARGE BODY OF WATER DURING TAKEOFF, DEPARTURE, APPROACH, OR LANDING. (Closed - Acceptable Action) |
Issued: 21-MAY-1979 | To: | A-79-38 |
ISSUE AN AIR CARRIER MAINTENANCE BULLETIN INSTRUCTING MAINTENANCE INSPECTORS TO EMPHASIZE TO THEIR ASSIGNED AIR CARRIER MAINTENANCE DEPARTMENTS THE NEED TO MAINTAIN IN A WORKABLE CONDITION THE CLOSURES OF LIFEVEST STOWAGE POCKETS. (Closed - Acceptable Action) |
Issued: 21-MAY-1979 | To: | A-79-39 |
EXPEDITE THE ISSUANCE OF THE NOTICE OF PROPOSED RULE MAKING WHICH ADDRESSES REVISIONS TO TSO - C13C (14 CFR 37.123) FOR LIFEVESTS. THE REVISIONS TO THIS TSO SHOULD ELIMINATE THE DIFFICULTIES IDENTIFIED IN THIS ACCIDENT WITH RESPECT TO THE PACKAGING, DONNING, AND OPERATION OF LIFEVESTS BY UNINSTRUCTED SUBJECTS UNDER STRESS. (Closed - Acceptable Action) |
Show all...
Fotos
Map
This map shows the airport of departure and the intended destination of the flight. The line between the airports does
not display the exact flight path.
Distance from Mobile Municipal Airport, AL to Pensacola Regional Airport, FL as the crow flies is 103 km (65 miles).
Accident location: Exact; as reported in the official accident report.
This information is not presented as the Flight Safety Foundation or the Aviation Safety Network’s opinion as to the cause of the accident. It is preliminary and is based on the facts as they are known at this time.