Kansas City Int'l Airport
Aircraft Accident/Incident Report

Kansas City, Missouri
Friday, September 8, 1989 21:33 CDT

NTSB Narrative Summary Released at Completion of Accident

DURING A LOCALIZER BACK COURSE APPROACH TO RWY 27 THE AIRPLANE COLLIDED WITH FOUR ELECTRONIC TRANSMISSION CABLES, LOCATED 75 FT AGL, APRX 7,000 FT SHORT OF THE RUNWAY. THE CREW EXECUTED A MISSED APCH & LANDED UNEVENTFULLY IN SALINA, KS. THE SAFETY BOARD FOUND THAT THE CREW DID NOT ADEQUATELY REVIEW APCH CHARTS. FIRST OFFICER MISIDENTIFIED LIGHTS ON GROUND WHICH INFLUENCED CAPT'S SUBSEQUENT MISIDENTIFICATION. ATC FAILED TO PROVIDE ACCURATE WX TO THE CREW, FAILED TO VECTOR THE AIRPLANE TO JOIN THE LOCALIZER OUTSIDE THE FINAL APCH FIX AND COMMITTED OTHER ERRORS IN HANDLING THE FLIGHT. AN FAA INSPECTOR, CONDUCTING AN EN ROUTE INSPECTION OF THE FLIGHT, DID NOT INFORM THE CREW OF THE ERRORS THEY WERE COMMITTING IN THE PLANNING AND EXECUTION OF THE APCH. CREW DID NOT EXECUTE MISSED APPROACH WHEN THEY ENCOUNTERED FULL-SCALE LOCALIZER DEFLECTION INSIDE THE FINAL APCH FIX. (NTSB/AAR-90/04)

NTSB Probable Cause Narrative

THE FLIGHTCREW'S FAILURE TO ADEQUATELY PREPARE FOR AND EXECUTE A NONPRECISION APPROACH AND THEIR SUBSEQUENT PREMATURE DESCENT BELOW MINIMUM DESCENT ALTITUDE. CONTRIBUTING TO THE CAUSE OF THE INCIDENT WAS THE INADEQUATE AND DEFICIENT SERVICES PROVIDED TO THE FLIGHTCREW BY AIR TRAFFIC CONTROL PERSONNEL.

Event Information

Type of Event Incident
Event Date 9/8/1989
Event Day of the Week Friday
Time of Event 2133
Event Time Zone Central Daylight Time
Event City KANSAS CITY
Event State MISSOURI
Event Country --
Zipcode of the event site
Event Date Year 1989
Event Date Month 9
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude
Event Location Longitude
Event Location Airport KANSAS CITY INT'L
Event Location Nearest Airport ID MCI
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 0
Degrees magnetic from airport 0
Airport Elevation 1026
Weather Briefing Completeness Partial - limited by briefer
Investigator's weather source Weather Observation Facility
Time of the weather observation 2127 Central Daylight Time
Direction of event from weather observation facility (degrees) 90
Weather Observation Facility ID MCI
Elevation of weather observation facility 1026
Distance of event from weather observation facility (units?) 1
Time Zone of the weather observation CDT
Lighting Conditions Night/Dark
Lowest Ceiling Height 500
Lowest Non-Ceiling Height 500
Sky/Lowest/Cloud Conditions Partial Obscuration
Sky Condition for Lowest Ceiling Obscured
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 0
Air Temperature at event time (in degrees celsius) 22
Dew Point at event time (in degress fahrenheit) 21
Wind Direction (degrees magnetic) 250
Variable Wind Indicator Unknown
Wind Speed (knots) 22
Wind Velocity Indicator Unknown
Wind Gust Indicator Unknown
Wind Gust (knots) 39
Altimeter Setting at event time (in. Hg) 29
Density Altitude (feet) --
Intensity of Precipitation Heavy
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 65
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 5058
NTSB Notification Source --
NTSB Notification Date Sep 9 1989 12:00AM
NTSB Notification Time 15
Fiche Number and/or location -used to find docket information 40888
Date of most recent change to record Dec 13 2000 1:03PM
User who most recently changed record dbo
Basic weather conditions Instrument Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N283AU
NTSB Number DCA89IA071
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 121: Air Carrier
Type of Flight Plan filed IFR
Flight plan Was Activated? --
Damage Minor
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name BOEING
Aircraft Model 737-200A
Aircraft Series Identifier 737-200A
Aircraft Serial Number 283AU
Certified Max Gross Weight 117000
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 120
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Jun 8 1989 12:00AM
Airframe hours since last inspection 10
Airframe Hours 17045
ELT Installed No
ELT Activated Unknown
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name USAIR
Aircraft Owner Street Address WASHINGTON NATIONAL AIRPORT
Aircraft Owner City WASHINGTON
Aircraft Owner State DC
Aircraft Owner Country
Aircraft Owner Zipcode
Operator is an individual? --
Operator Name USAIR
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address
Operator City
Operator State
Operator Country
Operator Zip code
Operator Code USAA
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 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 PIT
Departure City PITTSBURGH
Departure State PA
Departure Country
Departure Time 1935
Departure Time Zone EDT
Destination Same as Local Flt crash at destination city
Destination Airport Code
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 27
Runway Length 9500
Runway Width 150
Sight Seeing flight No
Air Medical Flight No
Medical Flight --