Shortly
after 6:30pm on December 20th, 1995,
American Airlines flight 965 departed
Miami International Airport bound for Cali,
Columbia. On the 757's flight deck that
night was Captain Nicholas Tafuri and
First Officer Don Williams. In addition to
six other crew members, there were 156
passengers on board for the three hour
flight. After an uneventful flight over
Cuba and into Columbian airspace, 965
began it's descent into Cali shortly
before 9:30pm with First Officer Williams
at the controls.
Cali
approach cleared 965 to 15,000ft direct to
Cali VOR. Shortly after this, Cali
approach asked 965 if they were able to
accept the runway 19 approach, which would
allow them to go direct into the airport
instead of having to go past the airport
to Cali VOR and then flying the ILS into
runway 1. Flight
965 accepted the approach and was cleared
down to 5,000ft and was told to report
crossing Tulua VOR, which marks the
beginning of the approach. A few minutes
later, the captain asked if 965 could
proceed direct to Rozo NDB and continue
the approach.
Cali
approach cleared 965 to Rozo and a few
minutes later, the aircraft impacted the
mountainside at 8,900ft over ten miles off
course, killing all except four on board.
As with most accidents, flight 965 left
investigators with nothing but confusion
initially. ATC readouts left no clue as to
any malfunction or difficulty on the
flight deck. Though it was night, 965 was
in the clear during the descent. Recovery
of the CVR and FDR gave a clearer picture
of what really happened during 965's
approach.
When the
flight was cleared for the 19 approach, it
was just north of Tulua VOR. As the crew
was entering the approach into the FMS,
the aircraft passed over Tulua continuing
southbound. Because Tulua marks the
beginning of the approach, once the FMS
was programmed, the
autopilot attempted to turn the aircraft
back to Tulua which resulted in the
aircraft flying on an easterly heading for
approximately one minute. The crew then
reoriented the aircraft to proceed direct
to Rozo NDB. By this time, they were far
enough off course to the east that
proceeding direct to Rozo would cause them
to encounter the surrounding terrain.
Examination of the CVR shows that there
was confusion between both the flight crew
members as well as between the flight crew
and ATC. The VOR DME Approach to runway 19
as well as the Rozo 1 Arrival both follow
the same course down a narrow canyon to
the airport. The approach just meets
minimum criteria for safe margins on
either side of course. The crew apparently
was not aware of their position after
turning east after passing Tulua or they
would have known that they were entering
an unsafe area. Safety would have dictated
maintaining a safe altitude and proceeding
back to Tulua to initiate the approach
again. The crew made no mention to Cali
approach that they had deviated from
course and 965 was not under radar
coverage.
The crew
asked for direct Rozo and approach replied
"take Rozo one and runway one niner". The
approach controller may not have
understood 965's request to go to Rozo NDB,
instead thinking they were asking to do
the Rozo one arrival. After this
conversation, the crew seemed to be unable
to orient themselves or properly program
the FMS. It was only four minutes from the
beginning of the easterly turn to the
impact on the mountainside. The CVR
transcripts leave many questions about
what the crew was attempting to do and
exactly where they believed themselves to
be.