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Viação Aérea São Paulo McDonnell Douglas MD-11 accident

23 Jan 1996 · Miami, FL, United States

McDonnell Douglas MD-11 and Alitalia Boeing 747-243B · Accident: collision between aircraft (not in flight) while taxiing

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Event

NTSB case
MIA96FA068
Event typeAccident: someone killed or seriously injured, or the aircraft substantially damaged (NTSB definition). Incident: an occurrence that affected or could have affected safety, short of that. Glossary
Accident
InvestigationHow far the investigation had got when the record was published: preliminary, ongoing, final or completed. Unknown where the source does not say. Glossary
Completed
API-reported fatalities
0 · all aircraft and ground
Ground fatalities
0
OperationWhat kind of flying it was, grouped by the rules it flew under: airline (US Part 121), air taxi and commuter (Part 135), general aviation (Part 91 and similar), military or government. Glossary
Airline
WeatherVisual meteorological conditions (VMC): good enough to fly by looking outside. Instrument conditions (IMC): cloud or low visibility, flying by instruments. Glossary
Visual Meteorological Cond

Aircraft 1 · McDonnell Douglas MD-11

Category
Airplane
RegistrationThe aircraft's tail number, such as N12345 or G-ABCD. Registrations are reissued, so the same one years apart can be a different aircraft. Glossary
PPSPE
Onboard fatalities
Unknown
Route
From São Paulo/Guarulhos–Governor André Franco Montoro International Airport (SBGR), Sao PauloTo Miami International Airport (MIA)
Aircraft age
Not recorded
Flight rulesThe regulations the flight operated under: in the US, Part 91 (general aviation), Part 121 (airlines), Part 135 (air taxi and commuter) and others; for flights abroad, the NTSB's coarser commercial or non-commercial code. Glossary
Part 129: Foreign
Phase of flightThe stage of the flight when things started to go wrong: standing, taxi, takeoff, initial climb, en route, maneuvering, approach or landing. Glossary
Taxi · from runway
First occurrenceThe single coded event the NTSB judges best describes what happened (records from 2008 on). Older records name the first occurrence in the sequence instead. Glossary
Collision between aircraft (not in flight)
DamageDestroyed: beyond practical repair. Substantial: damage that affects the structure, performance or handling and normally needs major repair. Minor: less than that. Glossary
Substantial

Aircraft 2 · Boeing 747-243B

Aircraft type
Boeing 747
Category
Airplane
RegistrationThe aircraft's tail number, such as N12345 or G-ABCD. Registrations are reissued, so the same one years apart can be a different aircraft. Glossary
IDEML
Operator
Alitalia
Onboard fatalities
Unknown
Route
From Miami International Airport (MIA)To Rome–Fiumicino Leonardo da Vinci International Airport (LIRF), Rome
Aircraft age
Not recorded
Flight rulesThe regulations the flight operated under: in the US, Part 91 (general aviation), Part 121 (airlines), Part 135 (air taxi and commuter) and others; for flights abroad, the NTSB's coarser commercial or non-commercial code. Glossary
Part 129: Foreign
Phase of flightThe stage of the flight when things started to go wrong: standing, taxi, takeoff, initial climb, en route, maneuvering, approach or landing. Glossary
Taxi · to runway
First occurrenceThe single coded event the NTSB judges best describes what happened (records from 2008 on). Older records name the first occurrence in the sequence instead. Glossary
Collision between aircraft (not in flight)
DamageDestroyed: beyond practical repair. Substantial: damage that affects the structure, performance or handling and normally needs major repair. Minor: less than that. Glossary
Substantial

Cause areas

  • Atc personnel(lcl/gnd/clnc) › Control tower service, inadequate
  • Atc personnel(supervisor) › Supervision, inadequate
  • Flightcrew › Clearance, not maintained
  • Flightcrew › Interpretation of instructions, improper
  • Pilot of other aircraft › Clearance, not maintained
  • Pilot of other aircraft › Interpretation of instructions, improper

Approximate · Estimated position: the centre of Miami, FL, the place the record names. Not the accident site.

NTSB narrative

The ground controller (GC) had coordinated with the local controller (LC) and had cleared the B-747 across RWY 12 on taxiway V. The MD-11 had landed on RWY 9R and was in contact with the LC while holding short of RWY 12 at taxiways V and S. The flightcrew of the B-747 reported to the GC that the MD-11 was in the way on the opposite side of the runway. The GC did not acknowledge this and again cleared the B-747 across the rwy. The B-747 crossed the runway and stopped short of the MD-11. The tail of B-747 was still over the edge of RWY 12. The LC asked the MD-11 if they could make a right turn onto taxiway S. The flightcrew of the MD-11 acknowledged this as a clearance and began a right turn. The captain of the B-747 saw the MD-11 begin to move and transmitted on the ground control frequency for the pilot to stop. The MD-11 was on the local control frequency. The captain of the MD-11 pulled the aircraft to the far right side of the taxiway and the right main landing gear collided with 2 taxiway lights. The left wingtip of the MD-11 struck the nose of the B-747. As this occurred the GC asked the B-747 to pull up because the tail was obstructing RWY 12 and there was traffic landing. As the B-747 pulled forward, the left wingtip of the MD-11 collided with the left wing of the B-747. The landing traffic had included a 'heavy' aircraft which had landed while the B-747 was not completely clear of the runway (all parts of the airplane had not crossed the holding line).

Probable cause

The local and ground controllers' failure to adequately coordinate the movement of the two airplanes, the tower cab supervisor's failure to provide adequate supervision to the controllers, the MD-11 flightcrew's misinterpretation of the local controller's question about whether they could make a right turn onto another taxiway as a clearance, and the MD-11 flightcrew's failure to ensure that their aircraft could clear the B-747.

Verbatim NTSB analysis and probable cause from the NTSB dataset

Sources

NTSB record MIA96FA068
Event ID
20001208X05170
Case number
MIA96FA068
Dataset
historical-pre2008
Source SHA-256
89e2df6d848e7ab3b42e7d7c7a03ff403303057a26ca04c95b3ea67201c3ce74
Source notes (5)
  • Unreviewed is an editorial label, not an investigation status. API-sourced is not report-checked or human-reviewed. Explicit event totals are used without summing aircraft injury tables; onboard allocation is withheld. Unknown values remain unknown. The operation category is mapped from the NTSB-reported FAR part and has not been reviewed.
  • Filled from the NTSB case API where the bulk record had no value: investigation status. Values present in the bulk record are kept.
  • The date is the local date, which is the same as the UTC date the NTSB stores.
  • API snapshot SHA-256: b2e9625ae63d09f3f94b65883d365656564f7daa3a6e447b78f4a3a9d5292440; retrieved 2026-09-18T17:54:24.136Z.
  • The NTSB's operator name is blank for IDEML; the operator shown is the name the NTSB records it doing business as.