Individually Owned: 150,657
Corporate Owned: 137,281
O'hare Intl Airport
Aircraft Accident/Incident Report
Chicago, Illinois 60666
Tuesady, November 19, 1996 19:24 CST
NTSB Narrative Summary Released at Completion of Accident
The captain was flying the localizer approach for runway 9R into O'Hare airport, and the first officer was handling radio communications with Chicago Approach Control. The captain said that the frequency was extremely busy, and at no time during the approach did they receive another frequency change. The controller at O'Hare Tower controlling arrivals on runway 9R saw the airplane and inquired on his frequency, 'Alitalia 638 heavy are you with me, sir?' There was no response. The controller repeated the transmission and then broadcasted, 'Alitalia 638 heavy, are you with me, sir, execute a missed approach.' The first officer made a call to what he thought was O'Hare tower that they were on short final. The controller at Chicago Approach Control transmitted, 'short final, go over to tower one two one seven five.' The controller transmitted the instruction two more times. The captain checked the runways, saw no conflicting traffic, and landed the airplane without clearance. Investigation of the Terminal Radar Air Traffic Control facility, Elgin, Illinois, revealed that the controller did not issue the instruction to the airplane to switch over to O'Hare tower's radio frequency.
NTSB Probable Cause Narrative
the approach controller's failure to issue the frequency change to the flightcrew, and the pilot landing without clearance. A factor relating to this incident is the pilot's decision to land without clearance.
Event Information
| Type of Event | Incident |
| Event Date | 11/19/1996 |
| Event Day of the Week | Tuesday |
| Time of Event | 1924 |
| Event Time Zone | Central Standard Time |
| Event City | CHICAGO |
| Event State | ILLINOIS |
| Event Country | -- |
| Zipcode of the event site | 60666 |
| Event Date Year | 1996 |
| Event Date Month | 11 |
| MidAir Collision Indicator | No |
| On Ground Collision occurred ? | No |
| Event Location Latitude | |
| Event Location Longitude | |
| Event Location Airport | O'HARE INTL |
| Event Location Nearest Airport ID | ORD |
| Indicates whether the acc/inc occurred off or on an airport | On Airport |
| Distance from airport in statute miles | 1 |
| Degrees magnetic from airport | 270 |
| Airport Elevation | 667 |
| Weather Briefing Completeness | Not pertinent |
| Investigator's weather source | Weather Observation Facility |
| Time of the weather observation | 1856 Central Standard Time |
| Direction of event from weather observation facility (degrees) | 270 |
| Weather Observation Facility ID | ORD |
| Elevation of weather observation facility | 667 |
| Distance of event from weather observation facility (units?) | 1 |
| Time Zone of the weather observation | CST |
| Lighting Conditions | Night/Bright |
| Lowest Ceiling Height | 9000 |
| Lowest Non-Ceiling Height | 0 |
| Sky/Lowest/Cloud Conditions | Unknown |
| Sky Condition for Lowest Ceiling | Overcast |
| Visibility Runway Visual Range (Feet) | 0 |
| Visibility Runway Visual Value (Statute Miles) | 0 |
| Visibility (Statute Miles) | 10 |
| Air Temperature at event time (in degrees celsius) | -18 |
| Dew Point at event time (in degress fahrenheit) | -18 |
| Wind Direction (degrees magnetic) | 0 |
| Variable Wind Indicator | Unknown |
| Wind Speed (knots) | 7 |
| Wind Velocity Indicator | Unknown |
| Wind Gust Indicator | Unknown |
| Wind Gust (knots) | 0 |
| Altimeter Setting at event time (in. Hg) | 30 |
| Density Altitude (feet) | 750 |
| Intensity of Precipitation | Unknown |
| METAR weather report | -- |
| Event Highest Injury | None |
| On Ground, Fatal Injuries | 0 |
| On Ground, Minor Injuries | 0 |
| On Ground, Serious Injuries | 0 |
| Injury Total Fatal | -- |
| Injury Total Minor | -- |
| Injury Total None | 140 |
| Injury Total Serious | -- |
| Injury Total All | -- |
| Investigating Agency | NTSB |
| NTSB Docket Number (internal use) | 6006 |
| NTSB Notification Source | -- |
| NTSB Notification Date | Nov 26 1996 12:00AM |
| NTSB Notification Time | 1020 |
| Fiche Number and/or location -used to find docket information | IMAGE |
| Date of most recent change to record | Dec 8 2000 10:27AM |
| User who most recently changed record | dbo |
| Basic weather conditions | Visual Meteorological Cond |
| FAA District Office | -- |
Aircraft Involved |
|
|---|---|
Aircraft #1 |
|
| Aircraft Registration Number | GOITG |
| NTSB Number | CHI97IA033 |
| Missing Aircraft Indicator | N |
| Federal Aviation Reg. Part | Part 129: Foreign |
| Type of Flight Plan filed | IFR |
| Flight plan Was Activated? | -- |
| Damage | None |
| Aircraft Fire | None |
| Aircraft Explosion | None |
| Aircraft Manufacturer's Full Name | Boeing |
| Aircraft Model | 767-300ER-33A |
| Aircraft Series Identifier | 767-300ER- |
| Aircraft Serial Number | 27918 |
| Certified Max Gross Weight | 300000 |
| Aircraft Category | Airplane |
| Aircraft Registration Class | Foreign Registered/U.S. Soil |
| Aircraft is a homebuilt? | No |
| Flight Crew Seats | -- |
| Cabin Crew Seats | -- |
| Passenger Seats | -- |
| Total number of seats on the aircraft | 211 |
| Number of Engines | 2 |
| Fixed gear or retractable gear | Retractable |
| Aircraft, Type of Last Inspection | Continuous Airworthiness |
| Date of Last Inspection | Nov 19 1996 12:00AM |
| Airframe hours since last inspection | 9 |
| Airframe Hours | 3526 |
| ELT Installed | Yes |
| ELT Activated | No |
| ELT Aided Location of Event Site | Unknown |
| ELT Type | -- |
| Aircraft Owner Name | ANSETT WORLDWIDE AIRLINES |
| Aircraft Owner Street Address | TULLAMARINE AIRPORT |
| Aircraft Owner City | MELBOURNE |
| Aircraft Owner State | AU |
| Aircraft Owner Country | |
| Aircraft Owner Zipcode | |
| Operator is an individual? | -- |
| Operator Name | MONARCH AIRLINES LIMITED |
| Operator Same as Owner? | No |
| Operator Is Doing Business As | -- |
| Operator Address Same as Owner? | No |
| Operator Street Address | LONDON LUTON AIRPORT |
| Operator City | LUTON |
| Operator State | UK |
| Operator Country | |
| Operator Zip code | |
| Operator Code | |
| Owner has at least one certificate | None |
| Other Operator of large aircraft? | No |
| Certified for Part 133 or 137 Operation | Unknown |
| Operator Certificate Number | -- |
| Indicates whether an air carrier operation was scheduled or not | Scheduled |
| Indicates Domestic or International Flight | International |
| Operator carrying Pax/Cargo/Mail | Passenger Only |
| Type of Flying (Per_Bus / Primary) | Unknown |
| Second Pilot on Board | Yes |
| Departure Point Same as Event | No |
| Departure Airport Code | IRF |
| Departure City | ROME |
| Departure State | IT |
| Departure Country | |
| Departure Time | 900 |
| Departure Time Zone | CST |
| Destination Same as Local Flt | crash at destination city |
| Destination Airport Code | ORD |
| Destination City | |
| Destination State | |
| Destination Country | |
| Specific Phase of Flight | Approach |
| Report sent to ICAO? | -- |
| Evacuation occurred | -- |
| Date of most recent change to record | Jan 2 2001 10:30AM |
| User who most recently changed record | dbo |
| Since inspection or accident | -- |
| Event Location Runway Number and Location | 9R |
| Runway Length | 10141 |
| Runway Width | 150 |
| Sight Seeing flight | No |
| Air Medical Flight | No |
| Medical Flight | -- |