Event Details


Title:Uncontrolled Collision with Terrain, Air Transport International, Douglas DC-8-63, N782AL, Kansas City International Airport, Kansas City, Missouri, February 16, 1995
Micro summary:This DC-8 three-engine ferry flight crashed on takeoff.
Event Time:1995-02-16 at 2027 CST
File Name:1995-02-16-US.pdf
Publishing Agency:National Transportation Safety Board (NTSB)
Publishing Country:USA
Report number:NTSB-AAR-95-06
Pages:152
Site of event:01L
Latitude/Longitude:N3918'50.4" W09443'51.8"
Departure:Kansas City International Airport, Kansas City, Missouri, USA
Destination:Westover Municipal Airport, Chicopee, Massachusetts, USA
Airplane Type(s):Douglas DC-8-63
Flight Phase:Takeoff
Registration(s):N782AL
Operator(s):Air Transport International
Type of flight:Ferry
Occupants:3
Fatalities:3
Serious Injuries:0
Minor/Non-Injured:0
Other Injuries:0
Executive Summary:On Thursday, February 16, 1995, at 2027 central standard time, a Douglas DC-8-63, N782AL, operated by Air Transport International, was destroyed by ground impact and fire during an attempted takeoff at the Kansas City International Airport, Kansas City, Missouri. The three flight crewmembers were fatally injured. Visual meteorological conditions prevailed, and an instrument flight rules flight plan was filed. The flight was being conducted as a ferry flight under Title 14 Code of Federal Regulations Part 91.

The National Transportation Safety Board determines that the probable causes of this accident were:

(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 liftoff, further loss of control and collision with the terrain.

(2) the flightcrew'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 flightcrew 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 flightcrew rest period when conducting a nonrevenue ferry flight under 14 Code of Federal Regulations Part 91.

Safety issues discussed in the report focused on three-engine takeoff training and procedures, flightcrew fatigue, company crew assignment decisionmaking, and Federal Aviation Administration oversight of the company. Safety recommendations concerning these issues were made to the Federal Aviation Administration and Air Transport International. Also, as a result of the investigation of this accident, on March 30, 1995, the Safety Board issued Urgent Action Safety Recommendations A-95-38 and -39 to the Federal Aviation Administration concerning practices at Air Transport International.
Learning Keywords:Operations - Checklists/Procedures
Operations - Training Flight
Operations - Uncontrolled Flight into Terrain
Operations - Upset - Uncommanded or excessive Yaw
Other - Crew Fatigue
Consequence - Hull Loss

 




Accident Reports on DVD, Copyright © 2006 by Flight Simulation Systems, LLC.  All Rights Reserved.
 All referenced trademarks are the property of their respective owners.
www.fss.aero