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Encyclopedia > American Airlines Flight 965
American Airlines Flight 965
Summary
Date  December 20, 1995
Cause  Controlled flight into terrain
Site  Buga, Colombia
Origin  Miami International Airport
Destination  Alfonso Bonilla Aragón International Airport
Fatalities  159
Injuries  4
Aircraft
 Aircraft type  Boeing 757-223
Operator  American Airlines
Tail number  N651AA
Passengers  155
Crew  8
Survivors  4

American Airlines Flight 965 was a scheduled flight from Miami International Airport in Miami, Florida to Alfonso Bonilla Aragón International Airport in Cali, Colombia. Flight 965 crashed into a mountain in Buga, Colombia on December 20, 1995. is the 354th day of the year (355th in leap years) in the Gregorian calendar. ... Year 1995 (MCMXCV) was a common year starting on Sunday (link will display full 1995 Gregorian calendar). ... Controlled flight into terrain (CFIT) describes an accident whereby an airworthy aircraft, under pilot control, inadvertently flies into terrain, an obstacle, or water. ... Destinations with direct service from Miami Miami International Airport (IATA: MIA, ICAO: KMIA, FAA LID: MIA) is a public airport located eight miles (13 km) northwest of the central business district of Miami, in unincorporated Miami-Dade County, Florida, United States. ... The Airport Terminal Alfonso Bonilla Aragón International Airport (IATA: CLO, ICAO: SKCL) also known as Palmaseca International Airport is an airport serving Cali, Colombia, and its suburbs. ... The Boeing 757 is an American short to medium range commercial passenger aircraft manufactured by Boeing Commercial Airplanes. ... American Airlines, Inc. ... American Airlines, Inc. ... Destinations with direct service from Miami Miami International Airport (IATA: MIA, ICAO: KMIA, FAA LID: MIA) is a public airport located eight miles (13 km) northwest of the central business district of Miami, in unincorporated Miami-Dade County, Florida, United States. ... Nickname: Location in Miami-Dade County and the state of Florida Coordinates: , Country State County Miami-Dade Incorporated July 28, 1896 Government  - Type Mayor-Commissioner Plan  - Mayor Manny Diaz (I)  - City Manager Pedro G. Hernandez  - City Attorney Jorge L. Fernandez  - City Clerk Priscilla Thompson Area  - City  55. ... Official language(s) English Capital Tallahassee Largest city Jacksonville Largest metro area Miami metropolitan area Area  Ranked 22nd  - Total 65,795[1] sq mi (170,304[1] km²)  - Width 361 miles (582 km)  - Length 447 miles (721 km)  - % water 17. ... The Airport Terminal Alfonso Bonilla Aragón International Airport (IATA: CLO, ICAO: SKCL) also known as Palmaseca International Airport is an airport serving Cali, Colombia, and its suburbs. ... This article needs to be cleaned up to conform to a higher standard of quality. ... Guadalajara de Buga is an average-sized city in the Valle del Cauca department of Colombia. ... is the 354th day of the year (355th in leap years) in the Gregorian calendar. ... Year 1995 (MCMXCV) was a common year starting on Sunday (link will display full 1995 Gregorian calendar). ...


On that day, the flight used N651AA, a Boeing 757 delivered in 1991, which was carrying 155 passengers and 8 crew members. At 9:40 p.m., just five minutes before its scheduled arrival, the plane went down in the Andes, in the first fatal 757 incident in U.S. history, and at the time, the worst U.S. air disaster since the downing of Pan Am Flight 103 seven years before. Only four passengers and a dog survived the crash.[1] The Boeing 757 is an American short to medium range commercial passenger aircraft manufactured by Boeing Commercial Airplanes. ... Year 1991 (MCMXCI) was a common year starting on Tuesday (link will display the 1991 Gregorian calendar). ... This article is about the mountain system in South America. ... PA 103 redirects here. ...


Due to an attack by anti-government guerrillas in 1992, Cali's air traffic controllers had no radar to monitor the 757 as the pilots flew the approach using the area's radio instruments and airport's instrument approach system. Cali's approach uses several radio beacons to guide pilots around the mountains and canyons that surround the city. The airplane's flight management system already had these beacons programmed in, and should have, in theory, told the pilots exactly where to turn, climb, and descend, all the way from Miami to the terminal in Cali. “Guerrilla” redirects here. ... For other uses, see Radar (disambiguation). ... A Flight Managment System is a little computer onboard almost every aircraft that will guide the aircraft to it designated destination. ...


Since the wind was calm, Cali's controllers asked the pilots if they wanted to fly a straight-in approach to runway 19, rather than coming around to runway 01. The pilots agreed, hoping to make up some time – their departure from Miami had been delayed by two hours. Misinterpreting the word "direct", they cleared the approach waypoints from their navigation computer. When the controller asked the pilots to check back in over Tuluá, north of Cali it was no longer programmed into the computer, and so they had to pull out their maps to find it. In the meantime, they extended the aircraft's spoilers to slow it down and expedite its descent. // [edit] Demographics Tuluá is the third biggest city located in the core and heart of the department of Valle del Cauca, Colombia. ... This KLM cityhopper Fokker 70 still has its spoilers deployed (the cream-coloured panels projecting above the top surface of the wing) after landing at Bristol International Airport, England. ...


By the time they found Tuluá's coordinates, they had already passed over it. In response to this, they attempted to program the navigation computer for the next approach waypoint, Rozo. However, the Rozo NDB was identified as R on their charts. Colombia had duplicated the identifier for the Romeo NDB near Bogotá, and the computer's list of stored waypoints did not include the Rozo NDB as "R", but only under its full name "ROZO". In cases where a country allowed duplicate identifiers it often listed them with the largest city first. By picking the first "R" from the list, the captain caused the autopilot to start flying a course to Bogotá, resulting in the airplane turning east in a wide semicircle. By the time the error was detected, the aircraft was in a valley running roughly north-south parallel to the one they should have been in. The pilots had put the aircraft on a collision course with a 3,000-meter mountain.[1] Radio Tower of NKR Leimen-Ochsenbach, Germany A Non-Directional Beacon (NDB) is a radio broadcast station in a known location, used as an aviation or marine navigational aid. ... Motto: Bogotá, 2600 metros más cerca de las estrellas Bogotá, 2600 meters closer to the stars Localities (localidades) of Bogotá Country Department Foundation August 6, 1538 Government  - Mayor Luis Eduardo Garzón, PDA Area  - City 1,587 km²  (612. ...


Nine seconds before the plane hit the mountain, the Ground Proximity Warning System activated, announcing an imminent terrain collision and sounding an alarm. The captain and first officer attempted to climb clear of the mountain, but the spoilers reduced the climb rate and the aircraft hit the mountain near its peak. Research has shown that the aircraft would probably have cleared the terrain if the crew had immediately retracted the spoilers when they were notified by the GPWS. Ground Proximity Warning System (GPWS) is a system designed to alert pilots if their aircraft is in immediate danger of flying into the ground. ...


American Airlines settled numerous lawsuits brought against it by the families of the victims of the accident. American Airlines filed a "third party complaint" lawsuit for contribution against Jeppesen and Honeywell, who made the navigation computer database and failed to include the coordinates of Rozo under the identifier "R"; the case went to trial in United States District Court for the Southern District of Florida in Miami. At the trial American admitted that it bore some legal responsibility for the accident. Honeywell and Jeppesen each contended that they had no legal responsibility for the accident. In June 2000, the jury found that Jeppesen was 17% at fault for the crash, Honeywell was 8% at fault, and American Airlines was 75% at fault. American Airlines, Inc. ... Jeppesen (also known as Jeppesen Sanderson) is an American company that specialises in aeronautical charting and navigation services, flight planning, pilot supplies and aviation training. ... Honeywell Heating Specialties Company Stock Certificate dated 1924 signed by Mark C. Honeywell - courtesy of Scripophily. ... Map of the boundaries of the United States Courts of Appeals and United States District Courts The United States district courts are the general trial courts of the United States federal court system. ...


Cali's old approach system and lack of radar have both been blamed. Many pilots have also blamed the lack of a flight engineer in modern cockpits, which places a greater workload on the two pilots in front. Many blamed the pilots for not studying the Cali approach before attempting to land there. Boeing has been blamed for not equipping its spoilers to automatically retract when the aircraft accelerates. In aviation, a flight engineer (also referred to as systems operator ) is a member of the aircrew of an aircraft who is responsible for checking the aircraft before and after each flight, and for monitoring aircraft systems during flight. ...


The flight route designation of the Miami to Cali route is now Flight 921 as a Boeing 737-800. Rozo NDB "R" has been replaced by Palma NDB "PL". Public transport service numbering is a means of identifying a particular transport service or route. ... The Boeing 737 is the worlds most popular short to medium range, single aisle, narrow body airliner. ...

Contents

Crash investigation and final report

The crash was investigated by Aeronautica Civil (civil aviation authority) of the Republic of Colombia,[2] with assistance from the U.S. National Transportation Safety Board (U.S. NTSB) as well as other parties, including the U.S. Federal Aviation Administration, Allied Pilots Association, American Airlines, Boeing Commercial Airplane Group and Rolls Royce Engines. Seal of the National Transportation Safety Board The National Transportation Safety Board (NTSB) is a U.S. government independent organization responsible for investigation of accidents involving aviation, highway, marine, pipelines and railroads in the United States. ... “FAA” redirects here. ... Headquartered in Fort Worth, Texas, near Dallas/Fort Worth International Airport, the Allied Pilots Association (APA) serves as the certified collective bargaining agent for all American Airlines pilots. ... American Airlines, Inc. ... Boeing Commercial Airplanes, based in Renton, Washington, is a unit of The Boeing Company, consisting of the Seattle-based former Boeing Airplane Company (the civil airliner division), as well as the Long Beach-based Douglas Aircraft division of the former McDonnell Douglas Corporation. ... This article is about the aircraft engine company. ...


The Aeronautica Civil prepared a final report of its investigation in September 1996, which was released through the U.S. NTSB.[3]


In its report, the Aeronautica Civil determined the following probable causes of the accident:

  1. The flightcrew's failure to adequately plan and execute the approach to runway 19 at SKCL and their inadequate use of automation.
  2. Failure of the flightcrew to discontinue the approach into Cali, despite numerous cues alerting them of the inadvisability of continuing the approach.
  3. The lack of situational awareness of the flightcrew regarding vertical navigation, proximity to terrain, and the relative location of critical radio aids.
  4. Failure of the flightcrew to revert to basic radio navigation at the time when the FMS-assisted navigation became confusing and demanded an excessive workload in a critical phase of the flight.

In addition, the Aeronautica Civil determined there were the following contributing factors to the accident:

  1. The flightcrew's ongoing efforts to expedite their approach and landing in order to avoid potential delays.
  2. The flightcrew's execution of the GPWS escape maneuver while the speedbrakes remained deployed.
  3. FMS logic that dropped all intermediate fixes from the display(s) in the event of execution of a direct routing.
  4. FMS-generated navigational information that used a different naming convention from that published in navigational charts.

The Aeronautica Civil's report also included a variety of safety-related recommendations to the following parties (number of individual recommendations in parentheses)[2]:

FAA may refer to: Federal Aviation Administration in the United States Fleet Air Arm in the UK Royal Navy Fuerza Aérea Argentina in Argentina This is a disambiguation page — a navigational aid which lists other pages that might otherwise share the same title. ... The International Civil Aviation Organization (ICAO), an agency of the United Nations, codifies the principles and techniques of international air navigation and fosters the planning and development of international air transport to ensure safe and orderly growth. ... American Airlines, Inc. ...

Dramatization

This accident was featured in the episode Lost from the Discovery Channel program Mayday/Crash Scene Investigation. Discovery Channel is a cable and satellite TV channel founded by John Hendricks which is distributed by Discovery Communications. ... This article is about a TV series. ...


See also

Ground Proximity Warning System (GPWS) is a system designed to alert pilots if their aircraft is in immediate danger of flying into the ground. ... Ground proximity warning system (GPWS) is a system designed to alert pilots if their aircraft is in immediate danger of flying into the ground. ... Crew (or Cockpit) Resource Management (CRM) training originated from a NASA workshop in 1979 that focused on improving air safety. ... Citing the U.S. National Transportation Safety Board, an aviation accident is defined as an occurrence associated with the operation of an aircraft which takes place between the time any person boards the aircraft with the intention of flight and all such persons have disembarked, and in which any person... Air safety is a broad term encompassing the theory, investigation and categorization of flight failures, and the prevention of such failures through appropriate regulation, as well as through education and training. ...

References

  1. ^ AOPA "Lessons from Cali" Article
  2. ^ a b Aeronautica Civil's Final Report
  3. ^ NTSB Report Summary (Note: passenger number on NTSB summary is 156, vs. 155 on final report)

Coordinates: 3°50′45.2″N, 76°06′17.1″W Map of Earth showing lines of latitude (horizontally) and longitude (vertically), Eckert VI projection; large version (pdf, 1. ...



 

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