Aviation Crash Map

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
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no coordinates
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no coordinates
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3 Mar 1991 Boeing 737-291
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no coordinates
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8 Jan 1991 Boeing 737-322
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no coordinates
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All 1,317 records for this type

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1 Aug 1991 Cessna 421C
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no coordinates
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All 170,864 records in United States