CEN12IA502

NTSB incident investigation · Boeing 737-924ER · Denver, CO · July 31, 2012

Incident · No injuriesIncident investigationFinal report
Date
July 31, 2012, 09:09 local (15:09 UTC)
Place
Denver, CO
Injuries
157 uninjured
Damage
Minor damage
Phase of flight
Enroute
Aircraft
N37420Boeing 737-924ER
Defining event
Enroute-descent: Birdstrike
Weather
Visual (VMC) · Day
Status
Completed · report March 24, 2014
Report
Approved by Office Director
NTSB office
Central Region
Parties
United Airlines, FAA - United Airlines CMO
Case key
84541

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the incident.

On this page

Probable cause

An in-flight collision with a bird during descent to land, which resulted in damage to the left pitot tube and loss of airspeed information to the left and right primary flight displays (PFD). The reason for the total loss of indications on the left PFD could not be determined based on available evidence.

Findings · 1

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Object/animal/substance: animal(s)/bird(s)Environmental issues › Physical environment · Effect on operationBoeing 737-924ER: 1 caseAll aircraft: 358 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The flight crew reported that the airplane struck a bird while descending to land. Examination of the airplane after the event revealed a large hole in the radome and a portion of the broken radome lodged on the left pitot tube, which was also bent. The flight crew reported that following the bird strike, the captain's airspeed and altimeter were inoperative and the first officer's airspeed and altimeter indications were erratic. The captain eventually lost all instrument indications on his primary flight display (PFD). The crew referenced the standby instruments, but the readings did not make sense given the airplane altitude and power settings. As a result, the flight crew used power settings and aircraft configurations along with air traffic control (ATC) callouts of their ground speed to continue the flight to the intended destination, where they executed an uneventful landing. The operator later reported that the standby airspeed indicator readings during the descent appeared to match the ground speed callouts provided by ATC. Data retrieved from the flight data recorder (FDR) for the left air data inertial reference unit (ADIRU), which references sensed data from the left pitot probe and static ports, confirmed a loss of airspeed information that would have resulted in an amber flag indicating "IAS DISAGREE" on the left and right primary PFD, as well as an amber flag indicating "SPD" on the left PFD. Data from the right ADIRU and the standby system were not recorded. Other air data parameters exhibited erroneous behavior that was consistent with the loss of airspeed information. The FDR continued to record altitude and attitude information throughout the remainder of the flight. Testing of the air data systems following replacement of the damaged pitot tube and cleaning of the system did not reveal any malfunctions or failures that would explain the total loss of indications on the left PFD.

Factual narrative

On July 31, 2012, about 0909 mountain daylight time, a Boeing 737-924ER, N37420, struck a large bird while approaching to land at the Denver International Airport (DEN), Denver, Colorado. There were no injuries reported. The airplane sustained damage to the radome, pilot side pitot tube, and the vertical stabilizer. The flight crew declared an emergency and continued to DEN making an uneventful landing. The aircraft was registered to Continental Airlines, Inc., and operated by United Airlines as flight 1475 under the provisions of 14 Code of Federal Regulations Part 121 as a domestic passenger flight. Visual meteorological conditions prevailed for the flight, which operated on an instrument flight rules flight plan. The flight originated from the Dallas/Fort Worth International Airport (DFW), at 0818, and was bound for DEN. The flight crew reported that during descent for landing, they heard a loud bang from the front of the airplane that was believed at the time to be the result of a bird strike. They reported that following the bird strike, the Captain's airspeed and altimeter were inoperative and the First Officer's airspeed and altitude were erratic. The crew referenced the standby instruments but the readings did not make sense to the crew given the aircraft altitude and power settings. The captain stated that he initially lost airspeed and altitude indication and eventually lost all instrument indications. As a result the flight crew used power settings and aircraft configurations along with air traffic control (ATC) call outs of their ground speed to continue the flight to DEN where an uneventful landing was made. It was later reported by the operator that the Captain reported that the standby airspeed indicator readings during the descent seemed to match the ground speed call outs provided by ATC. Examination of the airplane after the incident revealed a large hole in the radome located on the nose of the airplane. The hole measured about 12 inches by 24 inches. A portion of the broken radome became lodged on the left pitot tube and the left pitot tube was bent. Bird remains were found within the left engine, and on the tail of the airplane. Subsequent examination of bird remains confirmed the species of bird as a White Faced Ibis. The airplane was equipped with three separate and independent air data systems: Left, right, and a standby system. Each air data system used independent sensors and displays except that various comparative display messages relied on data from both the left and right systems. The airspeed and altitude recorded by the Flight Data Recorder (FDR) was computed by the left ADIRU based on sensed data from the left pitot probe and static ports. The airspeed and altitude computed by the right ADIRU was based on sensed data from the right pitot probe and static ports. The airspeed and altitude from the right ADIRU and the standby system were not recorded by the FDR. The FDR data showed a rapid loss of airspeed whiledescending through approximately 11,500 feet pressure altitude travelling at a computed airspeed of approximately 290 knots. Many of the air data parameters exhibited erroneous behavior consistent with a loss of airspeed, including a decrease of airspeed to 45 knots, a decrease of wind data to a value of zero, and an increase of pressure altitude. Additionally, the left angle of attack measurement split from that of the right by about 0.5 degrees. The FDR continued to record altitude and attitude information throughout the remainder of the flight and the loss of attitude reference described by the captain could not be verified through system testing following the incident. The rapid drop in computed airspeed to the "no computed data" (NCD) value of 45 knots was consistent with a complete loss of airspeed reference (pitot pressure) on the left air data system. According to the airplane manufacturer, the rapid drop in computed airspeed would have been consistent with the display of an amber "SPD" flag on the left primary flight display. Testing of the airplane's air data systems after replacement of the left pitot tube and system cleaning did not reveal any anomalies that would explain the loss of all instrument indications described by the captain or the reported unreliability of the First Officer's airspeed and altitude indications.

Aircraft

Registration
N37420
Reported as
Boeing 737-924ER
Category
Airplane
Serial number
33457
Engines
CFM Intl CFM56-7B26, 26,300 lbs thrust, turbo fanCFM Intl CFM56-7B26, 26,300 lbs thrust, turbo fan
Damage
Minor damage
Flight
Part 121
Operator
United Air Lines Inc
Registered owner
Continental Airlines Inc
Airworthiness certificate
Standard, Transport
Departed
DFW · Dallas, TX
Destination
Denver, CO
Flight plan
IFR
Airport
DEN · Denver International Airport, runway 26, 12,000 × 150 ft, concrete

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
51
Injuries
None
Certificates
Airline transport, Flight engineer
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Seat
Left
Flight hours
20,000 total · 10,000 as pilot in command · 220 in the last 90 days · 80 in the last 30 days · 8 in the last 24 hours
Role
Co-pilot
Age
47
Injuries
None
Certificates
Flight engineer, Military, Commercial, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 1, Without waivers/limitations
Last flight review
June 1, 2012
Seat
Right
Flight hours
9,000 total · 3,000 as pilot in command · 70 in the last 90 days · 70 in the last 30 days · 8 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
220° at 19 knots, gusting 26
Visibility
10 statute miles
Lowest ceiling
20,000 ft broken
Temperature
73 °F, dew point 52 °F
Altimeter
30.17 inHg
Observed at
DEN, 45 nm away

Docket · 9

The files NTSB released with the investigation on January 31, 2014, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.2 MB in all.