Runway Clearance Confusion Involving Simmons 4058 and Simmons 4158

Casualties unknown • Chicago, IL, US

A local controller issued a takeoff clearance to the wrong aircraft during a period of ground movement delays, leading to a potential runway conflict.

What happened

During ground operations, a local controller assigned Simmons 4058 to runway 9L and subsequently positioned Simmons 4158 (the subject aircraft) on runway 4L. After positioning the second aircraft, the controller returned to Simmons 4058, stated a runway number, and issued a takeoff clearance.

Before the crew of Simmons 4058 could respond to the instruction, the crew of Simmons 4158 acknowledged the clearance. The pilot of Simmons 4058 then queried the clearance, noting the discrepancy. Upon realizing the confusion and observing the movement of Simmons 4158, the controller canceled the takeoff clearance for Simmons 4058. The crew of Simmons 4058 responded to the cancellation by stating, "We thought that was gonna happen."

At the time of the event, a pilot-related work slowdown was occurring. Controllers reported that pilots were taxiing more slowly than usual and frequently appeared lost or confused while navigating the ground.

Findings

The investigation identified flight call sign confusion as a primary factor in the incident. The safety board issued recommendations to address similar instances of call sign confusion in air traffic control communications.

Probable cause

The controller issued a takeoff clearance to the incorrect aircraft due to flight call sign confusion during a period of unusual ground movement delays caused by a pilot work slowdown.

Frequently asked questions

What happened in the 1989-03-08 Short Brothers SD360 accident near Chicago, IL?

A local controller issued a takeoff clearance to the wrong aircraft during a period of ground movement delays, leading to a potential runway conflict.

What aircraft was involved and where did it happen?

The accident on 1989-03-08 involved a Short Brothers SD360, registration N366MQ, operated by Simmons Airlines, at Chicago, IL.

What was the probable cause of the accident?

The controller issued a takeoff clearance to the incorrect aircraft due to flight call sign confusion during a period of unusual ground movement delays caused by a pilot work slowdown.

Investigation report by the U.S. National Transportation Safety Board (NTSB) historical archive. Original record: https://carol.ntsb.gov/event/20001213X27859. This page is a structured re-presentation; facts and quotes are in the National Transportation Safety Board (NTSB), United States.

Loading the flight search…