Incident Overview

Date: Friday 22 November 1968
Aircraft Type: McDonnell Douglas DC-8-62
Owner/operator: Japan Air Lines – JAL
Registration Number: JA8032
Location: San Fransisco Bay, CA – ÿ United States of America
Phase of Flight: Approach
Status: Substantial, repaired
Casualties: Fatalities: 0 / Occupants: 107
Component Affected: Flight Director and Autopilot SystemFlight Director and Autopilot System
Investigating Agency: NTSBNTSB
Category: Accident
A DC-8 JA8032, operating under the name ‘Shigra’, arrived in the San Francisco area after a non-eventful flight from Tokyo. The flight was vectored to the Woodside VOR and subsequently executed an ILS approach to runway 28L. The aircraft descended to 2,000 feet, and experienced a rapid descent until impact with the water, approximately 6 seconds before impact. No injuries occurred, and the aircraft was recovered and repaired by United Air Lines.A DC-8 JA8032, operating under the name ‘Shigra’, arrived in the San Francisco area after a non-eventful flight from Tokyo. The flight was vectored to the Woodside VOR and subsequently executed an ILS approach to runway 28L. The aircraft descended to 2,000 feet, and experienced a rapid descent until impact with the water, approximately 6 seconds before impact. No injuries occurred, and the aircraft was recovered and repaired by United Air Lines.

Description

DC-8 JA8032 named “Shiga” arrived in the San Francisco area after an uneventful flight from Tokyo. Normal communications were established, and the crew was radar vectored to the Woodside VOR and thence to intercept the ILS for runway 28L at San Francisco. The flight crossed the Woodside VOR at 17:16 at approximately 4,000 feet and, at 17:18:30, was cleared to descend to 2,000 feet . The flight descended in a constant, uninterrupted rate of descent from this time until about 6 seconds before water impact at 17:24:25. The aircraft was on the localizer and contacted the water about 2,5 miles from the end of runway 28L. There were no injuries to any of the passengers or crew during the accident and ensuing evacuation. The aircraft was recovered from the waters of San Francisco Bay about 55 hours after the accident. Repairs were carried out by United Air Lines and the plane was delivered back to JAL on March 31, 1969. PROBABLE CAUSE: “The improper application of the prescribed procedures to execute an automatic-coupled ILS approach. This deviation from the prescribed procedures was, in part, due to a lack of familiarization and infrequent operation of the installed flight director and autopilot system.”

Primary Cause

Improper application of ILS procedures, resulting from a lack of familiarity and infrequent operation of the flight director and autopilot system.Improper application of ILS procedures, resulting from a lack of familiarity and infrequent operation of the flight director and autopilot system.

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