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Atlas / NTSB / BFO89FA027

NTSB CAROL · Event

Event BFO89FA027

1989-04-15 WEST CHICAGO, Illinois, United States Airport · DPA Fatal 1 aircraft Status: Completed

Aircraft involved

Probable cause & findings

IMPROPER INSTRUCTION BY THE STUDENT'S FLIGHT INSTRUCTOR REGARDING THE EXECUTION OF S-TURNS ON FINAL APPROACH TO INCREASE SPACING AND THE RETRACTION OF FLAPS FULLY WHEN EXECUTING A GO-AROUND AND THE FAILURE OF THE STUDENT PILOT TO MAINTAIN ADEQUATE FLYING SPEED WHILE MAKING STEEP S-TURNS ON FINAL APPROACH. CONTRIBUTING FACTORS WERE: INADEQUATE ATC CONTROL TOWER SERVICE AND TRAFFIC SEPARATION, IMPROPER SUPERVISION IN THE TOWER, AND INEXPERIENCE OF THE STUDENT PILOT.

Factual narrative

STUDENT IN CESSNA 152 (N93748) WAS SEQUENCED TO LND BHND N97M AS BEECH 90 (N20) WAS AWAITING TKOF. AS N97M WAS LNDG, N20 WAS CLRD ON RWY TO HOLD & THE STUDENT WAS CLRD TO LND. 39 SEC LTR, N20 WAS CLRD FOR TKOF. SHORTLY THEREAFTER, N93748STALLED AND CRASHED APRX 580' SHORT OF THE RWY. WITNESSES SAID THE STUDENT FLEW FM A CLOSE BASE TO A SHORT FINAL APCH, THEN MADE 2 OR 3 STEEP S-TURNS AT LOW SPEED, AS IF TO GET MORE SEPN BHND N20. TOWER SUPVSR (CIC) OBSERVED INADQT SEPN BUT TOOK NO ACTION TO CORRECT IT. WITNESSES SAID N20 WAS HOLDING ON THE RWY WHEN THE STUDENT BEGAN S-TURNING. BFR TKOF, THE PLT OF N93748 TOLD GND CTL SHE WAS A STUDENT. THIS INFO WAS NOT PASSED TO LCL CTLRS. LCL CTLR WAS IN TRNG. NEITHER HE NOR HIS INSTRUCTOR KNEW THE PLT OF N93748 WAS A STUDENT. AIM RCMDD STUDENT ID ON INITIAL CALL TO RDO FAC. BUT, ATC HNDBK DIDN'T REQUIRE INFO TO BE FWDD. FLAPS WERE FND AT 10 DEG; STUDENT WAS TRND TO USE FULL FLAPS AND USE S-TURNS ON FINAL FOR SPACING, AND TO RAISE FLAPS FULL UP FOR GO-ARND; POH RCMDD 20 DEG OF FLAPS UNTIL SAFE SPEED WAS OBTAINED. Source: NTSB Aviation Accident Database (Pre-2008 Archive) Retrieved: 2026-02-12

Verbatim from NTSB's published report. Source file NTSB_1989_BFO89FA027.txt. Findings + structured fields enriched from FAA avall.mdb. Full investigation docket on data.ntsb.gov ↗.

Related research

What the literature says.

Academic papers and agency reports matching this event's aircraft type or causal vocabulary (stall, go-around). Sourced from NASA NTRS, NTSB Safety Studies, FAA CAMI, AOPA Air Safety Institute, Embry-Riddle Scholarly Commons, arXiv, and the Semantic Scholar academic graph.

Browse the full corpus — academia portal ↗