DCA24LA318
2024-09-25 · Chicago, Illinois, United States · None · 1 aircraft · Status: Completed
Airport ORD
Current FAA registration · N772MR
- Make / Model
- EMBRAER ERJ 170-100 LR
- Year of manufacture
- 2004 · 20 years old at event
- Engine
- GE CF34-8E5
- Seats / Engines
- 70 seats · 2 engines
- Last airworthiness date
- 20230727
- ADS-B equipped
- Yes — Mode-S AA7198
Source: FAA Aircraft Registry (releasable master file).
Aircraft involved
Factual narrative
On September 25, 2024, about 1526 central daylight time (CDT), Envoy Airlines flight 3936 (ENY3936), an Embraer 170-100 LR, N772MR, was cleared for the instrument landing system (ILS) approach to land on runway 10C at Chicago O’Hare International Airport (ORD), Chicago, Illinois, but the flight crew landed on runway 10L instead. None of the 68 occupants aboard the airplane were injured, and the airplane was not damaged. The regularly scheduled passenger flight was operating under the provisions of Title 14 Code of Federal Regulation Part 121 from Norfolk International Airport (ORF), Norfolk, Virginia, to ORD. As part of the investigative process, the NTSB invited qualified parties to participate in the investigation. These included the Federal Aviation Administration (FAA), Envoy Airlines, and the Air Line Pilots Association (ALPA). The parties were formed into specialized investigative groups led by NTSB group chairs in the areas of Operational Factors, Air Traffic Control (ATC), Human Performance and Digital Flight Data Recorder (DFDR). The cockpit voice recorder was overwritten. HISTORY OF FLIGHT: The flight crew reported that before departure, based on the current weather conditions at ORD, they had planned for the ILS runway 27R via the WATSON4 RNAV arrival. Before the airplane began its descent into the terminal area, they obtained automatic terminal information service (ATIS) information which indicated they should expect runway 9L. Subsequently, ATC changed their arrival to the ESSPO5 arrival which was programmed into the flight management computers (FMC) and briefed. They discussed which runway they should expect and concluded that they would likely be assigned runway 10R. After checking in with the ORD approach controller they were assigned runway 10C. The captain, who was the pilot monitoring, briefed the approach and programmed and loaded the FMC with the instrument landing system (ILS) approach to runway 10C to back up the planned visual approach. However, they were not receiving the ILS identifier. The captain attempted to troubleshoot why the localizer frequency would not autotune by reloading the approach in the FMC and manually tuning the frequency. Unable to resolve the issue, they elected to proceed visually. The captain contacted the air traffic control tower (ATCT) controller stating they were on the visual approach to runway 10C, and the airplane was cleared to land on runway 10C. However, the airplane was aligned with and landed on runway 10L. The airplane touched down at about1526:25 CDT and turned left to exit the runway. The figure below is a Google Earth screenshot that is overlaid with automatic dependent surveillance-broadcast (ADS-B) ground track showing the incident flight aligned with and landing on runway 10L at ORD. Figure 1. Google Earth screenshot that is overlaid with automatic dependent surveillance-broadcast (ADS-B) ground track showing the incident flight. A review of ATC communications revealed that after checking in with ORD approach control ENY3936 was told to expect runway 10C. About 6 minutes later ENY3936 was instructed to turn to a 060° heading and intercept the 10C localizer. ENY3936 read back turn right heading 090° to intercept. To which the controller corrected ENY3936 and reissued the 060° heading which was read back by ENY3936 correctly. About 30 seconds later ENY3936 was instructed to maintain 170 knots to RAYYY and contact the tower and the instructions were read back correctly. Subsequently, ENY3936 checked in with ORD air traffic control tower on the visual approach to 10C and was cleared to land. The FAA mandatory occurrence report (MOR) revealed that the ATCT controller noticed the runway alignment error and coordinated with the runway 10L controller to allow ENY3936 to land on the incorrect runway as no traffic conflicts were noted. At no time on the approach was ENY3936 notified by ATC of their alignment error, nor did the crew communicate to ATC that they were unable to tune the localizer. FAA Order JO 7110.65AA Air Traffic Organization Policy section 3-10-5 stated in part: b. When you become aware that an aircraft is aligned with the wrong surface, inform the pilot and: 1. Issue control instructions/clearances, or
EXAMPLE-
“United four twenty three, go-around, you appear to be aligned with the wrong runway.” “American sixty three, go-around, you appear to be aligned with a taxiway.” “Southwest two thirty nine, you appear to be aligned with Runway 27 Left (pertinent information), Runway 27 Left, cleared to land.” 2. If time permits, verify the pilot is aligned with the correct runway. Issue control instructions/clearances as necessary.
EXAMPLE-
“Twin Cessna four one four lima bravo, verify you are aligned with Runway 27 Left.” The investigation continues. Source: NTSB Aviation Accident Database Retrieved: 2026-02-12
NTSB Findings
FAA avdata. C = Cause, F = Factor.
- — Personnel issues-Action/decision-Info processing/decision-Expectation/assumption-Flight crew
- — Personnel issues-Action/decision-Info processing/decision-Identification/recognition-Flight crew
- — Personnel issues-Task performance-Communication (personnel)-Issuing instructions-ATC personnel
- — Personnel issues-Psychological-Attention/monitoring-Monitoring equip/instruments-Flight crew
- — Personnel issues-Psychological-Cognitive limitation-Cognitive overload-Flight crew
Verbatim from NTSB's published report. Source file
NTSB_2024_DCA24LA318.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
Search this event elsewhere
External sources are reported, not agency: signal that something happened, not fact about what happened.
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Related research
Matched on aircraft type or causal vocabulary (go-around). All research papers
- NASA NTRS 2025 · Conference Paper A Training Study to Improve Monitoring During A Go-Around
As part of an FAA program to improve go-around (GA) safety, we were asked to determine if we could improve the performance of the Pilot Monitoring (PM) during a GA maneuver.
- Flight Safety Foundation 2024 · FSF / AeroSafety World Go-Around Safety Forum Findings
Foundation Go-Around Safety Forum technical findings — examines why pilots fail to execute go-arounds when criteria are met (stabilized approach gate not met, energy state out of envelope, traffic con…
- Semantic Scholar 2022 · Article (Journal of Safety Research) Go-around accidents and general aviation safety.
INTRODUCTION Changes in General Aviation (GA) accident rates, specifically in the go-around phase, are examined by comparing the number of accidents, the proportion of fatal accidents, and the proport…
- Semantic Scholar 2021 · Article (Aerospace) Classification and Analysis of Go-Arounds in Commercial Aviation Using ADS-B Data
Go-arounds are a necessary aspect of commercial aviation and are conducted after a landing attempt has been aborted. It is necessary to conduct go-arounds in the safest possible manner, as go-arounds …
- NASA NTRS 2021 · Accepted Manuscript (Version with final changes) Go-Around Criteria Refinement for Transport Category Aircraft
Presently, airline pilots are trained to go around if, when lower than 500 ft above the ground, they are outside of a handful of parameters such as airspeed, position, and rate of descent.
- NASA NTRS 2019 · Conference Paper Validation of Proposed Go-Around Criteria Under Various Environmental Conditions
This paper evaluates the effects of environmental conditions on touchdown performance under varying approach states and validates proposed go-around criteria developed using data from a previously con…