Flugunfall 16 FEB 1995 einer McDonnell Douglas DC-8-63F N782AL - Kansas City International Airport, MO (MCI)

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Accident

Last updated: 24 May 2013

Status:	Schlussbericht
Datum:	16 FEB 1995
Zeit:	20:27
Flugzeugtyp:	McDonnell Douglas DC-8-63F
Fluggesellschaft:	Air Transport International - ATI
Kennzeichen:	N782AL
Werknummer:	45929/367
Baujahr:	1968
Betriebsstunden:	77096
Anzahl Zyklen der Zelle:	22404
Triebwerk:	4 Pratt & Whitney JT3D-7 (Q)
Besatzung:	Todesopfer: 3 / Insassen: 3
Fluggäste:	Todesopfer: 0 / Insassen: 0
Gesamt:	Todesopfer: 3 / Insassen: 3
Sachschaden:	Zerstört
Konsequenzen:	Written off (damaged beyond repair)
Unfallort:	Kansas City International Airport, MO (MCI) (USA)
Flugphase:	Start (TOF)
Betriebsart:	Leerflug
Flug von:	Kansas City International Airport, MO (MCI/KMCI), USA
Flug nach:	Springfield-Westover Metro Airport, MA (CEF/KCEF), USA

Unfallbericht:
At 20:21 LT the DC-8 prepared to take-off from RWY 01L for a flight to Westover AFB with the no. 1 engine inoperative. But the aircraft lost directional control and the crew aborted the take-off. Six minutes afterwards they attempted to take-off for the second time.
At 980m into the take-off roll the DC-8 started to veer to the left. At 1160m the aircraft rotated with a tail strike but the tail remained in contact with the runway for another 250m. At 1600m the DC-8 finally became airborne and climbed to 30m before crashing into the ground, left wing-first. The wreckage came to a halt at 2300m.

PROBABLE CAUSE: "(1) The loss of directional control by the pilot in command during the takeoff roll, and his decision to continue the takeoff and initiate a rotation below the computed rotation airspeed, resulting in a premature lift-off, further loss of control and collision with the terrain. (2) The flight crew's lack of understanding of the three-engine takeoff procedures, and their decision to modify those procedures. (3) The failure of the company to ensure that the flight crew had adequate experience, training, and rest to conduct the nonroutine flight. Contributing to the accident was the inadequacy of Federal Aviation Administration oversight of Air Transport International and Federal Aviation Administration flight and duty time regulations that permitted a substantially reduced flight crew rest period when conducting a nonrevenue ferry flight under 14 Code of Federal Regulations Part 91."

Informationsquelle:
» Business & Commercial Aviation April 1996(88,94)
» ICAO Adrep Summary 2/96 (#23)
» NTSB/AAR-95/06

Official accident investigation report

investigating agency:	National Transport Safety Bureau (NTSB) - USA
report status:	Final
report number:	NTSB/AAR-95-06
report released:	30-AUG-1995
duration of investigation:	195 days (6.5 months)
download report:	Uncontrolled Collision with Terrain Air Transport International Douglas DC-8-63, N782AL Kansas City International Airport Kansas City, Missouri February 16, 1995 (NTSB/AAR-95-06)

Sicherheitsempfehlungen

NTSB issued 8 Safety Recommendations

Issued: 30-MAR-1995	To: FAA	A-95-038
CONDUCT AN IMMEDIATE IN-DEPTH INSPECTION OF AIR TRANSPORT INTERNATIONAL (ATI) TO EXAMINE TRAINING, OPERATIONAL PHILOSOPHY, & MANAGEMENT OVERSIGHT. ALSO, AS PART OF THIS INSPECTION, EXAMINE THE EFFECTIVENESS OF THE OVERSIGHT OF ATI BY THE LITTLE ROCK & DENVER FLIGHT STANDARDS DISTRICT OFFICES. (Closed - Acceptable Action)
Issued: 30-MAR-1995	To: FAA	A-95-039
LIMIT OPERATIONS OF ENGINE-OUT FERRY FLIGHTS TO TRAINING, FLIGHT TEST, OR STANDARDIZATION FLIGHTCREWS THAT HAVE BEEN SPECIFICALLY TRAINED IN ENGINE-OUT PROCEDURES. (Closed - Acceptable Action)
Issued: 14-NOV-1995	To: FAA	A-95-110
Review the effectiveness of the geographic unit oversight program, with particular emphasis on the oversight of supplemental air carriers and their international operations, and the improvement of overall communications between principal operations inspectors and geographic inspectors. (Closed - Acceptable Action)
Issued: 14-NOV-1995	To: FAA	A-95-111
Evaluate the surveillance programs to ensure that budget and personnel resources are sufficient and used effectively to maintain adequate oversight of the operation and maintenance of both passenger and cargo air carriers, irrespective of size. (Closed - Acceptable Action)
Issued: 14-NOV-1995	To: FAA	A-95-112
Require airplane manufacturers to revise one-engine inoperative takeoff procedures to provide adequate rudder availability for correcting directional deviations during the takeoff roll and provide performance figures and runway requirements compatible with the achievement of maximum asymmetric thrust at an appropriate speed greater than ground minimum control speed. (Closed - Reconsidered)
Issued: 14-NOV-1995	To: FAA	A-95-113
Finalize the review of current flight and duty time regulations and revise the regulations, as necessary, within 1 year to ensure that flight and duty time limitations take into consideration research findings in fatigue and sleep issues. The new regulations should prohibit air carriers from assigning flightcrews to flights conducted under 14 Code of Federal Regulations (CFR) Part 91 unless the flightcrews meet the flight and duty time limitations of 14 CFR Part 121 or other appropriate regulations. (Open - Unacceptable Response)
Issued: 14-NOV-1995	To: ATI	A-95-114
REVIEW THE ATI DC-8 OPERATING MANUAL DISCUSSION ON THREE-ENGINE TAKEOFFS TO ENSURE THAT IT IS UNDERSTANDABLE TO ALL PILOTS WHO MUST ACCOMPLISH SUCH TAKEOFFS. THIS SECTION OF THE MANUAL SHOULD EMPHASIZE THE SPECIFIECS OF PROPER THROTTLE APPLICATION TECHNIQUE. (Closed - Exceeds Recommended Action)
Issued: 14-NOV-1995	To: AIR TRANSPORT INTERNATIONAL	A-95-115
DISCONTINUE THE COMPANY POLICY OF ROUTINELY ASSIGNING LINE FLIGHTCREWS FOR THREE-ENGINE FERRY OPERATIONS. ALLOW ONLY SPECIFICALLY DESIGNATED, HIGHLY EXPERIENCE CREWMEMBERS TO PERFORM SUCH OPERATIONS. (Closed - Acceptable Action)

Show all AD's and Safety Recommendations

Fotos

photo of McDonnell Douglas DC-8-63F N782AL

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 Kansas City International Airport, MO to Springfield-Westover Metro Airport, MA as the crow flies is 1878 km (1173 miles).

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