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Aviation safety reports, made easier to study

NTSB Reports is an independent research and search tool for public aviation accident and incident records. It brings NTSB aviation reports, structured fields, docket files, extracted figures, photos, videos, and update history into one searchable interface.

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December 9, 2010 · Boeing 737-832 · N3731T

Covington, KY

Overview

Report Status
Final with probable cause
Event Type
Incident
Date
December 9, 2010
Injury Outcomes
No injuries (92 uninjured)
Location
Covington, KY
Aircraft
Boeing 737-832
Tail Number
N3731T
Operator
Delta Airlines
Injuries
None
NTSB Number
OPS11IA173

A Boeing B737 was instructed to line up and wait on the runway while a helicopter crossed the proposed departure path at a low level four miles south of the airport. After the helicopter conflict was resolved, the B737 was issued takeoff clearance, but contrary to Federal Aviation Administration requirements, the B737 was not advised of the E-145 on approach to the same runway. Less than ½ nautical mile on short final, the E-145 queried the tower local controller if they should go around. About the same time, the Airport Movement Area Safety System alerted. Prior to the E-145 crossing the landing threshold, and as the B737 began its takeoff roll, the tower local controller instructed the E-145 to go around. The E-145 did not overfly the B737 and there was no loss of separation.

NTSB Probable Cause

Personnel issues-Action/decision-Action-Incorrect action performance-ATC personnel - C

Full Narrative

The local control center (LCC) controller in the Cincinnati/Northern Kentucky International Airport (CVG) air traffic control tower (ATCT) cleared Trans State Airlines (LOF) Flight 8069, call-sign Water-Ski, an E-145 to land on runway 18C. Delta Air Lines (DAL) Flight 2809, a B738, had been instructed to line up and wait (LUAW) on runway 18C. The LCC withheld the takeoff clearance for the B738 until a helicopter had crossed the departure path at low level, four miles south of the airport. The LCC momentarily lost sight of the helicopter and could not locate the helicopter on the tower radar presentation. After re-acquiring the helicopter and determining that no conflict existed for the departing B738, the LCC issued the B738 a takeoff clearance. Contrary to FAA orders, the takeoff clearance did not include traffic information that another aircraft, the E-145, was on approach to the same runway. On short final for runway 18C, the E-145 queried the local controller if they should go around, as they were inside of 1/2 nautical mile final to runway 18C and the B738 was in position on the approach end of runway 18C. At approximately the same time, the tower Airport Movement Area Safety System (AMASS) alerted to the developing conflict between the B738 and the E-145. Prior to the E-145 crossing the landing threshold, the LCC instructed the E-145 to go around; fly runway heading and climb and maintain 4,000 feet. The E-145 passed to the right side of the runway 18C landing threshold and did not overfly the B737. The FAA identified this event as a significant operational error; "SIGNIFICANT OPERATIONAL ERROR/1125E/OPERATIONAL ERROR REPORTED WHEN TRANS WORLD EXPRESS 8069, EMBRAER E145, WAS CLEARED TO LAND RWY 18C WITH DELTA 2809, B738, CLEARED TO DEPART SAME RUNWAY. TRANS WORLD EXPRESS 8069 WAS THEN ISSUED GO AROUND AND OVERFLEW DELTA 2809 DURING TAKEOFF ROLL. CLOSEST PROXIMITY 300 FEET VERTICAL." An on-site investigation and analysis of ATC data by NTSB and FAA investigators revealed that an operational error did not occur. The E-145 offset its flight path during the go-around and passed to the right side of the landing threshold and the departing B738. While it was determined that the local controllers performance was not in compliance with local operating procedures or FAA Order 7110.65 and the missed approach instructions could have been more definitive, a loss of separation did not occur and assured separation was established prior to the E-145 crossing the landing threshold.

Flight

Event TypeIncident
Event Time11:25 EST
Nearest AirportCincinnati/Northern Kentucky I (0nm)
Runway18C
Runway Length11000 ft
Runway Width150 ft
Flight Plan FiledIFR
Flight Plan ActivatedYes
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftBoeing 737-832
Tail NumberN3731T
Aircraft CategoryAir
OperatorDelta Airlines
Operating RulePart 121
Engines2
Engine TypeTurbojet
Engine DetailsCfm Intl. · CFM56 SERIES · Turbojet · 2200 | Cfm Intl. · CFM56 SERIES · Turbojet · 2200 | Rolls-Royc · AE3007 SER · Turbofan · 7200
Seats189

People & Injuries

Injury SummaryNo injuries (92 uninjured)
Fatal0
Serious0
Minor0
Uninjured92
Total92

Conditions

ConditionsVMC
LightDaylight
Wind140° @ 5 kt
Visibility10 sm
CeilingNone
Temperature / Dew Point23 C / 9 C
Altimeter30.30 inHg
Observation Time15:52
Weather SourceWFAC

Appendix: Source Data