Approach Chart Misinterpretation Leading to Terrain Impact Near Las Vegas

29 fatalities • Las Vegas, United States of America • Landing (descent or approach)

An aircraft crashed into rising terrain near Las Vegas during a VOR/DME-3 approach due to the crew's misinterpretation of recent approach procedures.

What happened

During an approach near Las Vegas, an aircraft operating Flight 114 encountered challenging meteorological conditions, including light snow, obscured skies, and visibility limited to 900 meters. The ceiling was reported at approximately 500 feet. While executing a VOR/DME-3 approach, the aircraft descended below the required altitude minima.

At a distance of 9.7 DME, at an elevation of 3575 feet MSL, the aircraft type (unspecified in source) struck rising terrain and crashed. At this specific location, the flight should have maintained an altitude of 4300 feet MSL.

Findings

Investigation into the accident revealed that the VOR/DME-3 approach procedure was a recent addition to the local charts, having been implemented on October 3, 1964. Prior to November 15, no other flights had utilized this specific procedure.

Analysis of the approach chart indicated that the segment between the 15-mile fix and the 6-mile fix lacked explicit descent instructions in the profile section. However, a solid horizontal line was present between the 6-mile and 3-mile fixes at an altitude of 3,100 feet. The chart legend identified this solid line as the "Flight Path," which led to the misinterpretation of the approach chart by the pilot, suggesting that a descent to 3,100 feet was appropriate upon reaching the cleared fix.

Probable cause

The captain misread the newly implemented approach chart, leading to an unauthorized descent into terrain.

Frequently asked questions

What happened in the 1964-11-15 Fairchild F27 accident near Las Vegas, United States of America?

An aircraft crashed into rising terrain near Las Vegas during a VOR/DME-3 approach due to the crew's misinterpretation of recent approach procedures.

Were there any fatalities in the 1964-11-15 Fairchild F27 accident?

The accident was fatal, resulting in 29 fatalities.

What aircraft was involved and where did it happen?

The accident on 1964-11-15 involved a Fairchild F27, registration N745L, operated by Bonanza Airlines, at Las Vegas, United States of America.

What was the probable cause of the accident?

The captain misread the newly implemented approach chart, leading to an unauthorized descent into terrain.

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