The Tragic Crash of American Airlines Flight 191 and the Lessons Learned

   

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On May 25, 1979, American Airlines Flight 191 was set to depart from Chicago O'Hare International Airport on a routine flight to Los Angeles. What should have been just another day in the air turned into the worst single aircraft accident on American soil. 

In a matter of 50 seconds, all 271 people on board, including passengers and crew, lost their lives. The tragedy that unfolded in those few seconds was the result of a series of maintenance failures, overlooked procedures, and unforeseen events that came together in the worst way possible.

The Flight That Never Had a Chance

Flight 191 was being operated by a McDonnell Douglas DC-10, a plane favored for its size and fuel efficiency, especially on domestic routes. This particular aircraft had been in service for several years and had already undergone a series of maintenance procedures. The crew for this flight consisted of Captain Walter Lux, First Officer James Dillard, and Flight Engineer Alfred Udwich.

Captain Lux was a seasoned pilot with over 22,000 flight hours, while First Officer Dillard had over 9,000 flight hours. They were experienced, well-trained, and fully prepared for the journey. However, neither they nor the passengers aboard could have anticipated what would unfold.

As the aircraft began its takeoff roll on runway 32R, everything appeared normal. The weather in Chicago was clear, and visibility was excellent. The aircraft began its ascent into the sky, but a major malfunction occurred shortly after liftoff.

Just seconds into the flight, a hydraulic failure in the number one engine caused it to detach from the wing. The initial shock came when a mist of hydraulic fluid was seen coming from the wing, followed by the engine completely separating from the pylon and flying over the left wing. This catastrophic failure not only caused the loss of the engine but also resulted in severe damage to critical systems.

AP WAS THERE: 1979 Chicago American Airlines crash kills 273

 

The Asymmetric Thrust and the First Officer’s Dilemma

Although the engine had detached from the aircraft, the plane was still airborne, and the pilots, despite the shock of the incident, continued to manage the situation. The DC-10, designed to handle the loss of one engine, could have flown safely even with this dramatic failure.

However, the loss of the engine created an asymmetric thrust problem, meaning the aircraft was being pushed in an unintended direction due to the remaining engine on the right wing providing thrust, while the left wing was effectively grounded due to the detached engine.

First Officer Dillard was in control of the aircraft, but the sudden asymmetry created an enormous challenge. As the aircraft began to bank to the left, the first officer reacted quickly to correct the aircraft's flight path by using the rudder to counter the yawing.

At this point, the aircraft was climbing at a speed that was greater than what was needed, which only compounded the situation. The aircraft’s systems, including the autopilot and various alarms, were disabled or malfunctioning due to the damage sustained from the engine separation, and the pilots were flying blind in an already precarious situation.

The Misleading Instrumentation

A key issue that contributed to the crash was the failure of critical instruments and warning systems. The engine separation caused a significant loss of electrical power, disabling several important systems in the cockpit, including the stick shaker that warns pilots of an impending stall.

Without this essential warning system, the pilots had no way of knowing that the left wing was rapidly losing lift due to the retraction of the slats—movable panels on the wing that help generate lift at lower speeds. As the slats retracted on the left wing, the aircraft's stall speed increased, meaning the aircraft was now dangerously close to losing lift.

The first officer, trying to maintain control, continued to push the aircraft to climb while also attempting to correct the increasing bank angle. However, the aircraft's stall speed was now above their current speed, and despite the first officer's attempts to correct the situation, the aircraft continued to descend. The lack of stall warnings and the failure of the flight instruments left the pilots unaware of the severity of the stall, which eventually led to a complete loss of control.

Rain of Fire Falling: The crash of American Airlines flight 191 | by  Admiral Cloudberg | Medium

The Catastrophic End

The aircraft's descent was rapid, and within 50 seconds of takeoff, the aircraft had rolled to a 112-degree left bank and was descending at a speed of more than 300 knots. In those final moments, the first officer was attempting to regain control, but with no stall warning and no indication of what was happening with the aircraft's systems, it was too late. The aircraft crashed into a field just 1.4 kilometers from the runway, with a devastating impact. All 271 people on board, including 10 crew members and 258 passengers, perished in the crash.

The Investigation and Findings

The National Transportation Safety Board (NTSB) immediately began its investigation into the crash. The initial focus was on understanding why the engine had detached from the wing and why the pilots had been unable to regain control.

The investigation uncovered several factors that contributed to the crash, including the failure of the pylon attachment point, which had been damaged during the maintenance procedure, and the lack of proper reporting of these issues. Additionally, the failure of the flight crew to recognize the stall due to the malfunctioning instruments and warning systems was also a significant factor.

The NTSB's final report criticized both the airline's maintenance procedures and the design of the aircraft's systems. It was determined that the failure to properly repair the pylon attachment point, coupled with the lack of adequate stall warning systems, was the primary cause of the crash. The NTSB recommended improvements to both pilot training and aircraft maintenance procedures, specifically addressing the failure to detect issues in the pylon attachment and the need for more reliable stall warning systems.

Rain of Fire Falling: The crash of American Airlines flight 191 | by  Admiral Cloudberg | Medium

The Aftermath and Legacy

In the aftermath of the crash, the DC-10's reputation suffered greatly. The aircraft had already been involved in several incidents, and this tragedy added to the public’s perception of it as an unsafe aircraft. American Airlines, along with other carriers, eventually grounded their fleets of DC-10s until the necessary modifications were made.

The incident led to significant changes in aviation safety protocols, including improvements to the maintenance of aircraft systems and the introduction of more stringent checks for aircraft design flaws.

For the families of those who perished in the crash, the pain and heartbreak remain. The tragedy of American Airlines Flight 191 serves as a reminder of the complex nature of aviation safety and the need for constant vigilance in the industry. Though the aviation world has learned valuable lessons from this disaster, it will never erase the sorrow felt by those who lost loved ones that fateful day.

A Call for Safety and Responsibility

The crash of American Airlines Flight 191 stands as one of the most tragic and preventable accidents in aviation history. The combination of human error, faulty maintenance procedures, and critical system failures led to a loss of lives that could have been avoided with proper oversight and training. The lessons learned from this tragedy continue to shape the way the aviation industry approaches safety, but the memory of those who perished on that day will forever serve as a reminder of the importance of thorough checks, transparent communication, and unwavering responsibility in every facet of air travel.