Boeing 737-300 N388US
2 February 1991 · Los Angeles, California, United States · Fatal
Summary
On 2 February 1991 at about 02:07 local time, a Boeing 737-300 registered N388US, operated by Usair, was involved in an accident near Los Angeles, California, United States. 101 people were on board and 34 died, 13 were seriously injured, 17 had minor injuries. The aircraft was destroyed. The NTSB has published a probable cause for this accident; it is quoted in full below.
The record
- Date
- at 02:07
- Classification
- Accident
- Location
- Los Angeles, California, United States
- Nearest airport
- Los Angeles International (LAX)
- Coordinates
- Not recorded
- Aircraft
- Boeing 737-300
- Registration
- N388US
- Category
- Airplane
- Engines
- 2
- Operator
- Usair
- Operating rule
- Part 121: Air Carrier
- Purpose of flight
- Unknown
- Phase of flight
- Not recorded
- Route
- Columbus → Unknown
- Aircraft damage
- Destroyed
- Weather
- VMC
- Light
- Dusk
- NTSB number
- DCA91MA018
People
34 people died.
| On board | Died | Serious | Minor | Uninjured |
|---|---|---|---|---|
| 101 | 34 | 13 | 17 | 37 |
Probable cause
THE FAILURE OF THE LOS ANGELES AIR TRAFFIC FACILITY MANAGEMENT TO IMPLEMENT PROCEDURES THAT PROVIDED REDUNDANCY COMPARABLE TO THE REQUIREMENTS CONTAINED IN THE NATIONAL OPERATIONAL POSITION STANDARDS AND THE FAILURE OF THE FAA AIR TRAFFIC SERVICE TO PROVIDE ADEQUATE POLICY DIRECTION AND OVERSIGHT TO ITS AIR TRAFFIC CONTROL FACILITY MANAGERS. THESE FAILURES CREATED AN ENVIRONMENT IN THE LOS ANGELES AIR TRAFFIC CONTROL TOWER THAT ULTIMATELY LED TO THE FAILURE OF THE LOCAL CONTROLLER 2 (LC2) TO MAINTAIN AN AWARENESS OF THE TRAFFIC SITUATION, CULMINATING IN THE INAPPROPRIATE CLEARANCES AND THE SUBSEQUENT COLLISION OF THE USAIR AND SKYWEST AIRCRAFT. CONTRIBUTING TO THE CAUSE OF THE ACCIDENT WAS THE FAILURE OF THE FAA TO PROVIDE EFFECTIVE QUALITY ASSURANCE OF THE ATC SYSTEM. (NTSB REPORT AAR-91/08)
Quoted verbatim from the NTSB record. This site does not paraphrase or interpret it.
Read the full NTSB narrative
SKW5569, N683AV, HAD BEEN CLEARED TO RWY 24L, AT INTERSECTION 45, TO POSITION AND HOLD. THE LOCAL CONTROLLER, BECAUSE OF HER PREOCCUPATION WITH ANOTHER AIRPLANE, FORGOT SHE HAD PLACED SKW5569 ON THE RUNWAY AND SUBSEQUENTLY CLEARED USA1493, N388US, FOR LANDING. AFTER THE COLLISION, THE TWO AIRPLANES SLID OFF THE RUNWAY INTO AN UNOCCUPIED FIRE STATION. THE TOWER OPERATING PROCEDURES DID NOT REQUIRE FLIGHT PROGRESS STRIPS TO BE PROCESSED THROUGH THE LOCAL GROUND CONTROL POSITION. BECAUSE THIS STRIP WAS NOT PRESENT, THE LOCAL CONTROLLER MISIDENTIFIED AN AIRPLANE AND ISSUED A LANDING CLEARANCE. THE TECHNICAL APPRAISAL PROGRAM FOR AIR TRAFFIC CONTROLLERS IS NOT BEING FULLY UTILIZED BECAUSE OF A LACK OF UNDERSTANDING BY SUPERVISORS AND THE UNAVAILABILITY OF APPRAISAL HISTORIES.
Quoted verbatim from the NTSB record.
Aircraft involved
| Aircraft | Registration | Operator | Damage |
|---|---|---|---|
| Boeing 737-300 737-300 | N388US | Usair | Destroyed |
| Fairchild SA-227-AC SA-227-AC | N683AV | Skywest Airlines, Inc. | Destroyed |
Other Boeing 737 accidents
| Date | Aircraft | Location | Operator | Outcome | Died |
|---|---|---|---|---|---|
| 6 Jun 1991 | Boeing 737-3G7 | Elko, Nevada, United States | America West Airlines | Serious injuries | - |
| 13 Feb 1991 | Boeing 737-200 | Unalaska, Alaska, United States | Markair, Inc. | No injuries | - |
| 12 Oct 1991 | Boeing 737-300 | Grand Cayman Is, Cayman Islands | Cayman Airways | Unknown | - |
| 18 Nov 1991 | Boeing 737-200 | San Jose, Costa Rica | SVC. Aero. de Honduras SA | Unknown | - |
| 3 Mar 1991 | Boeing 737-291 | Colorado Spgs, Colorado, United States | United Airlines | Fatal | 25 |
| 8 Jan 1991 | Boeing 737-322 | Kansas City, Missouri, United States | United Airlines | No injuries | - |
All 1,317 records for this type
Other accidents in this area
| Date | Aircraft | Location | Operator | Outcome | Died |
|---|---|---|---|---|---|
| 20 Jul 1991 | Cessna C-172P | Hesperia, California, United States | South Bay Aviation | No injuries | - |
| 24 Jul 1991 | Cessna 172N | Napa, California, United States | Bridgeford Flying SVC. | No injuries | - |
| 24 Jul 1991 | Beechcraft 76 | Sacramento, California, United States | Altair Aviation Corp. | No injuries | - |
| 27 Jul 1991 | Ayres S2R | Visalia, California, United States | Gilbert Aviation Industries | Serious injuries | - |
| 1 Aug 1991 | Cessna 421C | Auburn, California, United States | Edward Mueller | No injuries | - |
| 2 Aug 1991 | Champion 7GCBC | Lake Elsinore, California, United States | Halbeisen, John F | Fatal | 2 |