John Wayne Airport
Aircraft Accident/Incident Report

Santa Ana, California 92705
Wednesday, December 15, 1993 17:33 PST

NTSB Narrative Summary Released at Completion of Accident

A BEECH LINER, BOEING 757 & ISRAEL WESTWIND (WW) WERE VECTORED FOR LANDINGS ON RWY 19R. THE 757 & WW WERE SEQUENCED FOR VISUAL APCHS BEHIND THE BEECH. BEFORE BEING CLEARED FOR VISUAL APCH, THE WW WAS CLOSING 3.5 MI FROM THE 757 ON A CONVERGING COURSE. THE 757 & WW CREWS WERE TOLD TO SLOW TO 150 KTS. THE 757 SLOWED BELOW 150 KTS & WAS HIGH ON FINAL APPROACH WITH A 5.6 DEG DESCENT. THE WW CONTINUED TO CONVERGE TO ABOUT 2.1 MI BEHIND THE 757 ON A 3 DEG APCH. ATC DID NOT SPECIFICALLY ADVISE, AND WAS NOT REQUIRED BY ATC HANDBOOK TO ADVISE, THE WW PILOTS THAT THEY WERE BEHIND A BOEING 757. CAPT DISCUSSED POSSIBLE WAKE TURBULENCE, FLEW ILS 1 DOT HIGH, NOTED CLOSENESS TO THE 757 & INDICATED THERE SHOULD BE NO PROBLEM. WHILE DESCENDING THRU APRX 1100 FT MSL, THE WW ENCOUNTERED WAKE TURBULENCE FROM THE 757, ROLLED INTO A STEEP DESCENT & CRASHED. THE CREW LACKED SPECIFIC WAKE TURBULENCE TRAINING. CHLORPHENIRAMINE (COMMON OVER-THE-COUNTER ANTI-HISTAMINE; NOT APPROVED FOR FLYING) DETECTED IN PILOT'S LUNG TISSUE (0.094 UG/ML). (SEE SPCL STUDY NTSB/SIR-94/01)

NTSB Probable Cause Narrative

THE PILOT-IN-COMMAND'S FAILURE TO MAINTAIN ADEQUATE SEPARATION BEHIND THE BOEING 757 AND/OR REMAIN ABOVE ITS FLIGHT PATH DURING THE APPROACH, WHICH RESULTED IN AN ENCOUNTER WITH WAKE VORTICES FROM THE 757. FACTORS RELATED TO THE ACCIDENT WERE: AN INADEQUACY IN THE ATC PROCEDURE RELATED TO VISUAL APPROACHES AND VFR OPERATIONS BEHIND HEAVIER AIRPLANES, AND THE RESULTANT LACK OF INFORMATION TO THE WESTWIND PILOTS FOR THEM TO DETERMINE THE RELATIVE FLIGHT PATH OF THEIR AIRPLANE WITH RESPECT TO THE BOEING 757'S FLIGHT PATH.

Event Information

Type of Event Accident
Event Date 12/15/1993
Event Day of the Week Wednesday
Time of Event 1733
Event Time Zone Pacific Standard Time
Event City SANTA ANA
Event State CALIFORNIA
Event Country --
Zipcode of the event site 92705
Event Date Year 1993
Event Date Month 12
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude
Event Location Longitude
Event Location Airport JOHN WAYNE
Event Location Nearest Airport ID SNA
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 4
Degrees magnetic from airport 10
Airport Elevation 54
Weather Briefing Completeness Unknown
Investigator's weather source Weather Observation Facility
Time of the weather observation 1646 Pacific Standard Time
Direction of event from weather observation facility (degrees) 190
Weather Observation Facility ID SNA
Elevation of weather observation facility 54
Distance of event from weather observation facility (units?) 4
Time Zone of the weather observation PST
Lighting Conditions Night/Bright
Lowest Ceiling Height 0
Lowest Non-Ceiling Height 0
Sky/Lowest/Cloud Conditions Clear
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 15
Air Temperature at event time (in degrees celsius) 14
Dew Point at event time (in degress fahrenheit) 5
Wind Direction (degrees magnetic) 200
Variable Wind Indicator Unknown
Wind Speed (knots) 4
Wind Velocity Indicator Unknown
Wind Gust Indicator Not Gusting
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 29
Density Altitude (feet) --
Intensity of Precipitation Unknown
METAR weather report --
Event Highest Injury Fatal
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 0
On Ground, Serious Injuries 0
Injury Total Fatal 5
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 5
Investigating Agency NTSB
NTSB Docket Number (internal use) 71
NTSB Notification Source --
NTSB Notification Date Dec 15 1993 12:00AM
NTSB Notification Time 1800
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Dec 11 2000 1:48PM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N309CK
NTSB Number LAX94FA073
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 135: Air Taxi & Commuter
Type of Flight Plan filed IFR
Flight plan Was Activated? --
Damage Destroyed
Aircraft Fire Ground
Aircraft Explosion Ground
Aircraft Manufacturer's Full Name Israel Aircraft Industries
Aircraft Model 1124A
Aircraft Series Identifier 1124A
Aircraft Serial Number 350
Certified Max Gross Weight 23000
Aircraft Category Airplane
Aircraft Registration Class U.S. Registered/U.S. Soil
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 12
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Jun 10 1993 12:00AM
Airframe hours since last inspection 95
Airframe Hours 3027
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name MANAGEMENT ACTIVITIES, INC.
Aircraft Owner Street Address 638 ALAMITOS AVENUE
Aircraft Owner City LONG BEACH
Aircraft Owner State CA
Aircraft Owner Country
Aircraft Owner Zipcode 90802
Operator is an individual? --
Operator Name MARTIN AVIATION
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 19301 CAMPUS DRIVE
Operator City SANTA ANA
Operator State CA
Operator Country
Operator Zip code 92707
Operator Code MLQA
Owner has at least one certificate Yes - certificate holder
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 Non-scheduled
Indicates Domestic or International Flight Domestic
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 POC
Departure City LA VERNE
Departure State CA
Departure Country
Departure Time 1725
Departure Time Zone PST
Destination Same as Local Flt crash at destination city
Destination Airport Code SNA
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 19R
Runway Length 5700
Runway Width 150
Sight Seeing flight No
Air Medical Flight No
Medical Flight --