Why did Eastern Airlines Flight 401 Crash?

Why did Eastern Airlines Flight 401 Crash?

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Eastern Airlines Flight 401 crashed on December 29, 1972, while on approach to Miami International Airport, killing 101 people on board. The cause of the crash was determined to be pilot error, specifically the crew’s focus on a malfunctioning landing gear light instead of maintaining proper altitude and airspeed.

Eastern Airlines was a major American airline that operated from 1926 until 1991. The airline was founded by World War I flying ace Eddie Rickenbacker and several partners, and it began operations as a mail carrier in the northeastern United States.

In the 1930s and 1940s, Eastern Airlines expanded its network to include passenger service to cities throughout the eastern United States and the Caribbean. During World War II, Eastern Airlines played an important role in transporting military personnel and supplies, and after the war, it continued to expand its route network and fleet of aircraft.

In the 1960s and 1970s, Eastern Airlines became known for its innovative marketing campaigns and high levels of service.

It was the first airline to introduce a dedicated shuttle service, known as the “Eastern Air Shuttle,” between New York, Boston, and Washington, D.C.

Furthermore Eastern introduced the first in-flight entertainment system, which included movies and music.

However, by the 1980s, Eastern Airlines began to face financial difficulties due to increased competition and rising fuel costs.

The airline also became plagued by labor disputes, including a strike by its pilots in 1989. In 1991, Eastern Airlines filed for bankruptcy and ceased operations.

Despite its eventual demise, Eastern Airlines played a significant role in the development of the aviation industry in the United States, and it remains a memorable part of American aviation history.

Why did Eastern Airlines Flight 401 Crash?

Flight 401, a scheduled flight from New York JFK to Miami on a Lockheed L-1011-1 TriStar took off at 9:20pm. Carrying 163 passengers and 13 crewmembers aboard, the TriStar.

The Lockheed L-1011-1 TriStar was a commercial jetliner designed and manufactured by the Lockheed Corporation. Development of the TriStar began in the late 1960s, with the goal of creating a medium- to long-range wide-body jetliner that would compete with the Boeing 747 and McDonnell Douglas DC-10.

First introduced in 1972, and initially marketed as a highly advanced and efficient aircraft. One of its most notable features was its three-engine design, which was intended to provide greater fuel efficiency and safety compared to the two-engine designs of other commercial aircraft.

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Northrop Grumman‘s Stargazer is the only L-1011 still in service as of August 2020

Despite its promising features, the TriStar faced several challenges in the commercial aviation market. One of the primary challenges was the rising cost of fuel in the 1970s, which made the TriStar’s fuel efficiency less of a competitive advantage. Additionally, the aircraft faced strong competition from Boeing and McDonnell Douglas, both of which had already established themselves in the commercial aviation market.

Despite these challenges, the TriStar was able to achieve some success, particularly in the charter and cargo markets. Lockheed also developed several upgraded versions of the TriStar, including the L-1011-500, which was introduced in the 1980s and featured improved fuel efficiency and performance.

However, due to a combination of factors, including rising fuel costs, increased competition, and the high cost of maintenance for the TriStar’s complex systems, the production of the aircraft was discontinued in 1984, after a total of 250 TriStars had been built.

An uneventful flight until 11:32pm on approach to Miami.

Why did Eastern Airlines Flight 401 Crash?

During flight 401’s approach, the flight’s first officer noticed that the landing gear indicator light for the nose gear did not become illuminated. As a result, indicating that the gear might not have fully locked into place. (Later discovered to be due to a burned-out light bulb.)

At 23.34h the crew called Miami Tower and became advised to climb to 2,000ft and hold.

The captain and the flight crew became fixated on this issue, and the captain instructed the flight engineer, first officer and second officer to go into the cockpit’s avionics bay to check the landing gear manually multiple times. And despite bringing the gear up and down multiple times and cycling through it again and again, the light wouldn’t illuminate and the Captain became ever more focused on this phantom issue while losing focus over the plane’s main operations.

At some point while the flight engineer was in the avionics bay, the captain unintentionally disengaged the autopilot!

As a result, causing the plane to descend without their realizing it. Due to the dark sky and lack of lights in the Florida everglades, the disorientation factor kicked in heavily. And the flight crew did not realize anything was wrong until right before impact.

Survivor Ron Infantino, an Air Force veteran in Vietnam and aviation aficionado gave an interview where he said;

“It went completely dark so I knew we were doing another go-round, not knowing what was going on. I was leaning back, my eyes half closed, and all the sudden I hear the engines go to full power. They were screaming, next thing I knew it, the overhead luggage was flying all over the place and the lights were going on and off like crazy. It was like a tornado. Literally you were inside a tornado. I remember hitting, I woke up and I was in a sitting position water up to my chin, no clothes on, everything was stripped right off me except the rims of my socks,”

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The aircraft flightpath summary, as shown in the NTSB report.

The airplane was traveling at 227 miles per hour (197 kn; 365 km/h) when it hit the ground. With the aircraft in mid-turn, the left wingtip hit the surface first.

Flipping and coming apart as it rolls in the Florida swamp, with passengers ejecting out of the fuselage.

Wreckage of Eastern Air Lines Flight 401.

Infantino and the other survivors would wait in the cold Florida swamp for 5 hours before rescue crew could make it to the crash site.

Eastern Air Lines Flight 401 wreckage

Transcript of the Cockpit Voice Recorder (CVR)

23.32:35RDO-1Miami Tower, Eastern 401 just turned on final
23.32:45TWRWho else called?
23.32:48CAM-1Go ahead and throw ’em out
23.32:52RDO-1Miami Tower, do you read, Eastern 401? Just turned on final
23.32:56TWREastern 401 Heavy, continue approach to 9 left
23.33:00RDO-1Coninue approach, roger
23.33:00CAM-3Continuous ignition. No smoke
 CAM-1Coming on
 CAM-3Brake system
 CAM-1Okay
 CAM-3Radar
 CAM-1Up, off
 CAM-3Hydraulic panels checked
 CAM-2Thirty-five, thirty three
 CAM-1Bert, is that handle in?
 CAM-?* * *
 CAM-3Engine crossbleeds are open
23.33:22CAM-?Gear down
 CAM-?* * *
 CAM-1I gotta
 CAM-?…..
23.33:25CAM-1I gotta raise it back up
23.33:47CAM-1Now I’m gonna try it down one more time
 CAM-2All right
23.33:58CAM[sound of altitude alert horn]
 CAM-2(Right) gear.
 CAM-2Well, want to tell ’em we’ll take it around and circle around and # around?
23.34:05RDO-1Well ah, tower, this is Eastern, ah, 401. It looks like we’re gonna have to circle, we don’t have a light on our nose gear yet
23.34:14TWREastern 401 heavy, roger, pull up, climb straight ahead to two thousand, go back to approach control, one twenty eight six
23.34:19CAM-2Twenty-two degrees.
 CAM-2Twenty-two degrees, gear up
 CAM-1Put power on it first, Bert. Thata boy.
 CAM-1Leave the # # gear down tll we fid out what we got
 CAM-2Allright
 CAM-3You want me to test the lights or not?
 CAM-1Yeah.
 CAM-?* * seat back
 CAM-1Check it
 CAM-2Uh, Bob, it might be the light. Could you jiggle tha, the light?
 CAM-3It’s gotta, gotta come out a little bit and then snap in
 CAM-?* *
 CAM-?I’ll put ’em on
23.34:21RDO-1Okay, going up to two thousand, one twenty-eight six
23.34:58CAM-2We’re up to two thousand
 CAM-2You want me to fly it, Bob?
 CAM-1What frequency did he want us on, Bert?
 CAM-2One twenty-eight six
 CAM-1I’ll talk to ’em
 CAM-3It”s right ………..
 CAM-1Yeah, …………
 CAM-3I can’t make it pull out, either
 CAM-1We got pressure
 CAM-3Yes sir, all systems
 CAM-1# #
23.35:09RDO-1All right ahh, Approach Control, Eastern 401, we’re right over the airport here and climbing to two thousand feet. in fact, we’ve just
23.35:20APPEastern 401, roger. Turn left heading three six zero and maintain two thousand, vectors to 9 Left final
23.35:28RDO-1Left three six zero
23.36:04CAM-1Put the … on autopilot here
 CAM-2Allright
 CAM-1See if you can get that light out
 CAM-2Allright
 CAM-1Now push the switches just a … forward.
 CAM-1Okay.
 CAM-1You got it sideways, then.
 CAM-?Naw, I don’t think it’ll fit.
 CAM-1You gotta turn it one quarter turn to the left.
23.36:27APPEastern 401, turn left heading three zero zero
 RDO-1Okay.
23.36:37RDO-1Three zero zero, Eastern 401
23.37:08CAM-1Hey, hey, get down there and see if that damn nose wheel’s down. You better do that.
 CAM-2You got a handkerchief or something so I can get a little better grip on this? Anything I can do with it?
 CAM-1Get down there and see if that, see if that # thing …
 CAM-2This won’t come out, Bob. If I had a pair of pliers, I could cushion it with that Kleenex
 CAM-3I can give you pliers but if you force it, you’ll break it, just believe me
 CAM-2Yeah, I’ll cushion it with Kleenex
 CAM-3Oh, we can give you pliers
23.37:48APPEastern, uh, 401 turn left heading two seven zero
23.37:53RDO-1Left two seven zero, roger
23.38:34CAM-1To # with it, to # with this. Go down ans see if it’s lined up with the red line. That’s all we care. # around with that # twenty-cent piec
 CAM* * *
23.38:46RDO-1Eastern 401 ‘ll go ah, out west just a little further if we can here and, ah, see if we can get this light to come on here
23.38:54APPAllright, ah, we got you headed westbound there now, Eastern 401
23.38:56RDO-1Allright
 CAM-1How much fuel we got left on this # # # #
 CAM-?Fifty two five
 CAM-2(It won’t come out) no way
23.39:37CAM-1Did you ever take it out of there?
 CAM-2Huh?
 CAM-1Have you evre taken it out of there?
 CAM-2Hadn’t till now
 CAM-1Put it in the wrong way, huh?
 CAM-2In there looks * square to me
 CAM-?Can’t you get the hole lined up?
 CAM-?* * *
 CAM-?Whatever’s wrong?
 CAM-1(What’s that?)
23.40:05CAM-2I think that’s over the training field
 CAM-?West heading you wanna go left or *
 CAM-2Naw that’s right, we’re about to cross Krome Avenue right now
23.40:17CAM[Sound of click]
 CAM-2I don’t know what the # holding that # # # # in
 CAM-2Always something, we coulda make schedule
23.40:38CAM[Sound of altitude alert]
 CAM-1We can tell if that # # # # is down by looking down at our indices
 CAM-1I’m sure it’s down, there’s no way it couldnt help but be
 CAM-2I’m sure it is
 CAM-1It freefalls down
 CAM-2The tests didn’t show that the lights worked anyway
 CAM-1That ‘s right
 CAM-2It’s a faulty light
23.41:05CAM-2Bob, this # # # # just won’t come out
 CAM-1Allright leave it there
 CAM-3I don’t see it down there
 CAM-1Huh?
 CAM-3I don’t see it
 CAM-1You can’t see that indis … for the nosewheel ah, there’s a place in there you can look and see if they’re lined up
 CAM-3I know, a little like a telescope
 CAM-1Yeah
 CAM-3Well…
 CAM-1It’s not lined up?
 CAM-3I can’t see it, it’s pitch dark and I throw the little light I get ah nothing
23.41:31CAM-4Wheel-well lights on?
 CAM-3Pardon?
 CAM-4Wheel-well lights on?
 CAM-3Yeah wheel well lights always on if the gear’s down
 CAM-1Now try it
23.41:40APPEastern, ah 401 how are things comin’ along out there?
23.41:44RDO-1Okay, we’d like to turn around and come, come back in
 CAM-1Clear on left?
 CAM-2Okay
23.41:47APPEastern 401 turn left heading one eight zero
23.41:50CAM-1Huh?
23.41:51RDO-1One eighty
23.42:05CAM-2We did something to the altitude
 CAM-1What?
23.42:07CAM-2We’re still at two thousand right?
23.42:09CAM-1Hey, what’s happening here?
 CAM[Sound of click]
23.42:10CAM[Sound of six beeps similar to radio altimeter increasing in rate]
23.42:12 [Sound of impact]

Following the crash, the aviation industry implemented new policies and procedures to prevent similar accidents in the future. One such policy was the introduction of cockpit resource management (CRM), which aims to improve communication and decision-making among flight crews.

Download the full NTSB report

Why did Eastern Airlines Flight 401 Crash?