CHI01FA270

NTSB accident investigation · Boeing 717-200 · Mascoutah, IL · August 10, 2001

Accident · No injuriesField investigationFinal report
Date
August 9, 2001, 20:25 local (Aug 10, 2001, 01:25 UTC)
Place
Mascoutah, IL
Injuries
76 uninjured
Damage
Substantial damage
Phase of flight
Taxi
Aircraft
N2417FBoeing 717-200
Weather
Visual (VMC) · Night/dark
Status
Completed · report September 30, 2003
Report
Approved by Office Director
Parties
Trans World Airlines, Inc., Federal Aviation Administration, Boeing
Case key
52992

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

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Probable cause

The malfunction of the nose gear extension system, which resulted from a previous ground collision with a wheel chock. A factor was the wheel chock.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

On ground/water collision with objectTaxi - to takeoff
Object - otherFactor
Wheel chocks - not removedGround personnel
Wheel chocks - encounteredFlightcrewCause
Wheel chocks - not verifiedFlightcrew
Airframe/component/system failure/malfunctionTaxi - to takeoff
Landing gear,nose gear assembly - foreign object damageCause
Wheels up landingEmergency landing
Landing gear,normal retraction/extension assembly - malfunction

Analysis

The airplane sustained substantial damage on contact with the runway during an emergency nose gear up landing. Evacuation of the airplane was conducted via the emergency slides. The captain stated, "Repeated radio requests to obtain stairs to deplane were denied due to unavailability. ... Received confirmation that the aircraft was all clear below for engine start and taxi. ... After beginning taxi roll a slight bump was felt that was compatible with a rough ramp area." A passenger stated, "At this point with engines running it seemed that it took a great deal of thrust to get the aircraft moving. I heard the hydraulics when breaks were released, but thought it unusual to use such thrust to get moving on a level ramp without a jet-way. The aircraft was simply pulling straight ahead. There were then two sharp jolts." One of the ground personnel stated, "There was no ground crew free at the time to flag out FLT 519 as I was busy and the other two agents were getting FLT 7637 boarded and it departed at 635P. After flagging out FLT 533 I went over to where FLT 519 had been sitting and discovered the chocks lying on the ramp." NTSB Materials Laboratory report 01-102 on the debris found at Springfield, the spray deflector assembly, and the left hand support assembly stated, "No other piece fractured from the center portion of the deflector assembly. ... Bench binocular microscope examination of the four fractured pieces revealed features typical of overstress separation in a casting. No evidence of a preexisting crack was found on the fractures." Subsequent to the accident, a Boeing Flight Operations Bulletin, dated September 20, 2001, stated, "The purpose of this revision is to clarify and broaden the scope of this operations bulletin, to include possible damage to the NLG SPRAY DEFLECTOR caused by taxiing over a chock, striking a taxiway light or other obstruction, dropping the nosewheel into a pothole, etc. The consequences of such operation may result in damage to the NLG SPRAY DEFLECTOR that may prevent subsequent retraction or extension of the nose gear."

Factual narrative

History of flight

On August 9, 2001, about 2025 central daylight time, a Boeing 717-200, N2417F, operated as Trans World Airlines flight number 519 from Nashville, Tennessee, to Saint Louis, Missouri, sustained substantial damage on contact with runway 14L (10,000 feet by 150 feet, grooved concrete) during an emergency landing on runway 14L at Scott Air Force Base/Midamerica Airport (BLV), near Mascoutah, Illinois. The nose gear could not be extended and the flightcrew declared an emergency. After the airplane made an emergency landing, the airplane came to rest on its nose and main landing gear. An emergency evacuation of the airplane was conducted. The scheduled domestic passenger flight was operating under 14 CFR Part 121. Visual meteorological conditions prevailed at the time of the accident. The flight was on an instrument flight rules flight plan. The 2 flightcrew members, 3 cabin crew members, and 71 passengers were not injured. One passenger was taken to the hospital for observation. The flight originated in Nashville, Tennessee, and diverted to Springfield, Illinois for weather. The diverted flight departed from Capital Airport (SPI), near Springfield, Illinois at 1820. The flight was enroute to its destination, Lambert-Saint Louis International Airport (STL), near Saint Louis, Missouri, when the emergency was declared and the flight diverted to BLV for the emergency landing.

The captain stated:

... Ramp [at SPI] was congested with military and civilian aircraft. There was

construction nearby. The aircraft was marshaled to a stop on the apron clear of

the terminal.

Repeated radio requests to obtain stairs to deplane were denied due to

unavailability. Flight documentation was received over ACARS [Aircraft

Communication Addressing and Reporting System]. Refueling was completed.

Ground personnel delivered fuel documentation through the Captain's window.

Received confirmation that the aircraft was all clear below for engine start and taxi.

Engine start was normal. After beginning taxi roll a slight bump was felt that

was compatible with a rough ramp area. During taxi a pack malfunction

occurred and was eliminated prior to takeoff.

During the takeoff roll, while passing a runway intersection, a noise was heard

from the forward part of the aircraft compatible with runway crossing roughness.

Gear retraction and subsequent departure from SPI was normal.

Flew the Rivers 2 arrival to STL. Flight was all normal until gear down on final

[runway] 12R. Nose gear indicator showed red light. Cycled landing gear with red

nose gear light still illuminated. Did a Fly by of tower. Tower confirmed main

gear down, nose gear up. Flight went around. Got radar vector to holding area.

Completed Gear Red/Unsafe Light(s) Illuminated, and Manual Gear Extension

checklists with no success. Coordinated with maintenance and Boeing and still no

success. Flight attendants and passengers briefed on possible emergency landing.

Second and third gear confirmation made by TSA [Trans States Airline] aircraft,

tower, and TWA maintenance on 2nd second fly by. Declared emergency. Went

back to departure control and coordinated with TWA dispatch/maintenance/flight

ops/ATC [Air Traffic Control] for emergency landing at BLV. Flight attendants

were briefed to prepare the cabin for emergency landing. Passengers were briefed

on what to expect.

A passenger, who was an Airframe and Powerplant mechanic, stated:

Passengers were told [at SPI] we would not disembark, but await fuel and weather.

About 1 1/2 hours later the aircraft was fueled and the captain said he had updated

weather and we were going to be seated [and] get ready to depart.

Engine starts were normal [and] APU [auxiliary power unit] was retired.

At this point with engines running it seemed that it took a great deal of thrust to get

the aircraft moving. I heard the hydraulics when breaks were released, but thought

it unusual to use such thrust to get moving on a level ramp without a jet-way. The

aircraft was simply pulling straight ahead. There were then two sharp jolts. I thought

the P.I.C. [pilot in command] was checking his brakes, which I thought unusual.

Ground personnel at SPI received the diverted flight 519. One of the ground personnel stated:

There was no ground crew free at the time to flag out FLT 519 as I was busy

and the other two agents were getting FLT 7637 boarded and it departed at

635P. After flagging out FLT 533 I went over to where FLT 519 had been

sitting and discovered the chocks lying on the ramp.

The ramp where flight 519 was parked during its diversion was examined. A piece of cast metal debris was found on the ramp.

A cabin crewmember was asked for a statement to include the evacuation of the airplane at BLV and stated:

About 15 seconds after the aircraft stopped, the cockpit door was opened and I

heard the captain say, 'Could I get some towels?' I opened the forward lavatory

door got a handful of paper towels and handed them to the first officer.

Just then, I heard a loud noise as the R1 door was opened from the outside. The

slide inflated. I saw about 3 or 4 firemen on the ground at the bottom of the slide.

Then I heard the captain say again, 'Could I get some towels?' As I was handing

him more towels, the L1 door was opened from the outside and the slide inflated.

Again, I saw 3 or 4 fireman [at] the bottom of the slide.

By that time, the captain was out of his seat and said, 'Who opened that door?' I

said, 'It was opened from the outside by fireman.' The captain then said, 'Alright,

let's go.' The passengers were already in the aisle, ready to evacuate."

Damage to aircraft

The operator reported that damage was "limited to lower skin of aircraft, [electrical and environmental] door, door frame, one area of lower rib around door."

Personnel information

The operator reported that the captain held an airline transport pilot certificate with an airplane multiengine land rating. He held a first-class medical certificate with no limitations issued on May 29, 2001. The operator reported he had 12,845 hours total time and 318 hours in this make and model. The date of his last flight review was reported as June 29, 2001.

The operator reported that the first officer held a commercial certificate with an airplane multiengine land rating. He held a first-class medical certificate with limitations for corrective lenses issued on July 11, 2001. The operator reported he had 8,468 hours total time and 653 hours in this make and model. The date of his last flight review was reported as January 8, 2001.

Aircraft information

The accident airplane, N2417F, was a Boeing 717-200, serial number 55084, twin engine, low-wing airplane with retractable tricycle landing gear. The airplane was powered by two fuselage mounted Rolls Royce BR700-715A1-30, 11,500 pounds of thrust, turbo fan engines. The operator reported that the airplane was inspected under a continuous inspection program and the airplane was last inspected on June 6, 2001. The airplane accumulated 45 hours of flight since that inspection and accumulated 845 hours total time. The operator reported that the airplane was configured to seat 7 crewmembers and 100 passengers. This airplane was not equipped with stairs.

Meteorological information

At 1955, the BLV weather was: Wind 180 degrees at 6 knots; visibility 6 statute miles; present weather mist; sky condition broken 15,000 overcast 25,000; temperature 24 degrees C; dew point 23 degrees C; altimeter 29.91 inches of mercury.

Wreckage and impact information

An on-scene investigation was conducted. The nose of the airplane was raised. The nose landing gear (NLG) wheel well was examined. The left hand side of the NLG spray deflector assemb

Aircraft

Registration
N2417F
Reported as
Boeing 717-200
Category
Airplane
Serial number
55084
Airframe hours
845
Engines
Rolls-Royce BR715-A1-30, 18,500 lbs thrust, turbo fanRolls-Royce BR715-A1-30, 18,500 lbs thrust, turbo fan
Damage
Substantial damage
Flight
Part 121
Operator
Trans World Airlines, doing business as Trans World Airlines
Registered owner
MDFC Equipment Leasing Corporation
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · June 6, 2001 · 45 hours before
Departed
SPI · Springfield, IL
Destination
STL · St Louis, MO
Flight plan
IFR
Airport
BLV · Scott Afb, runway 14L, 10,000 × 150 ft, concrete

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
46
Injuries
None
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Last flight review
June 29, 2001
Seat
Left
Flight hours
12,845 total · 318 in this make and model · 6,941 as pilot in command
Role
Co-pilot
Age
41
Injuries
None
Certificate
Commercial
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Last flight review
January 8, 2001
Seat
Right
Flight hours
8,468 total · 653 in this make and model · 1,490 as pilot in command

Weather

Conditions
Visual (VMC) · Night/dark
Wind
180° at 6 knots
Visibility
6 statute miles
Lowest ceiling
15,000 ft broken
Temperature
75 °F, dew point 73 °F
Altimeter
29.90 inHg
Observed at
BLV