- Date
- February 14, 2003, 20:53 local (Feb 15, 2003, 02:53 UTC)
- Place
- Bloomington, IL
- Injuries
- 29 uninjured
- Damage
- Minor damage
- Phase of flight
- Landing
- Aircraft
- N653BRCanadair CRJ-600
- Weather
- Instrument (IMC) · Night/dark
- Status
- Completed · report March 30, 2005
- Report
- Approved by Office Director
- Parties
- Atlantic Coast Airlines, FAA-Springfield FSDO, Messier-Dowty, ALPA, DeHavilland
- FAA report
- 20030214006269I
- Case key
- 56512
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
The pilot's improper in-flight decision to land on a runway with a tailwind component that exceeded the airplane's tailwind limitation and his failure to perform a go-around which resulted in the proper touchdown point not being attained and the airplane landing long. Also causal was the inadequate snow removal procedures used by the airport personnel and the airport personnel failed to issue NOTAMS in accordance with existing regulations, resulting in the landing gear to fail in overload as a result of hitting a ridge of snow and/or ice on the runway during landing roll. Additional factors included the contaminated runway; the tailwind; the snow; and the dark night.
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.
Analysis
The regional jet, operating as a 14 CFR Part 121 domestic passenger flight, sustained minor damage when the nose landing gear collapsed during landing rollout on runway 20. While en route to their destination, the flight crew obtained the airport Automated Terminal Information Service (ATIS) information. The ATIS information indicated the current winds were 060 degrees at 14 knots. Neither the captain nor the first officer checked the reported winds against the Wind Component Conversion Chart to determine whether the headwind/tailwind and crosswind components were within limits. The Wind Component Conversion Chart indicated that the tailwind component was 10.5 knots and the crosswind component was 9 knots. The airplane's tailwind limitation is 10 knots. The Flight Data Recorder (FDR) data indicated that the airplane landed with a 13 knot tailwind. Prior to the ILS instrument approach, the captain conducted an Approach Brief, but did not brief the missed approach procedures. The tower air traffic controller informed the pilot that snowplows had removed snow from the centerline of the runway and that the braking action was "fair to poor." The captain did not brief the first officer concerning procedures for landing on a contaminated runway. The FDR data indicated that the airplane touched down near the runway intersection, approximately 2,900 +/- 250 feet (2,650 feet to 3,150 feet) from the approach end of Runway 20. Runway 20 is 7,000 feet long. The desired touchdown point is 1,000 feet from the approach end of the runway, or the first 1/3 of the runway. Runway 20's touchdown zone limit is 2,333 feet from the approach end of the runway. The FDR data indicated that the aircraft touched down on a heading of 190 degrees at 124 knots computed airspeed with 0.4 degrees of nose up pitch. The data indicated the nose was pitching nose down at the time of touchdown. All three landing gear Weight-on-Wheels (WOW) switches changed from Air to Ground within 0.25 seconds of each other. Approximately 1.75 seconds later the nose landing gear WOW switched to Air again, indicating that the nose landing gear had collapsed. The vertical acceleration parameter did not show a significant load at touchdown. The airplane skidded to a stop on the runway. The captain reported that he inspected the runway and observed ridges of snow and ice near the runway intersection. The on-site inspection of the airplane revealed that the nose landing gear drag brace had broken and the nose landing gear collapsed rearward. The nose wheel and tire remained intact and were jammed under the airplane as it skidded to a stop. Metallurgical examination revealed that the drag brace failed due to the application of an overload and that there were no material defects. The Messier-Dowty analysis of the nose landing gear fracture indicated that the load required to fracture the drag brace was generated by hitting an obstacle. An investigation of airport operations revealed that the personnel inside the snow removal vehicles were making runway condition assessments by looking out their side view mirrors. The airport did not conduct or provide friction measurement reports and NOTAMS between the hours of 1900 and 2200 when airport conditions were rapidly changing with significant snowfall accumulations and snow removal equipment was actively operating on runway 20.
Factual narrative
History of flight
On February 14, 2003, at 2053 central standard time, a Canadair CL-65, N653BR, operated by Atlantic Coast Airline (ACA), flight 7675, sustained minor damage when the nose gear collapsed during landing rollout. The Title 14 CFR Part 121 domestic passenger flight departed the Chicago O'Hare Airport (ORD) at 2026 and landed on runway 20 (7,000 feet by 100 feet, concrete) at the Central Illinois Regional Airport (BMI), Bloomington, Illinois. The captain, first officer (FO), flight attendant, and 26 passengers were not injured. An emergency evacuation was not required. Instrument meteorological conditions prevailed and the flight was on an IFR flight plan.
The flight to BMI was the second, and final, flight of the day for the flight crew. On the first flight of the day they had departed from Lexington, Kentucky, at 1808, and arrived at ORD at 1911. During the flight to BMI, the captain was the pilot flying the airplane and the FO was the pilot not flying.
The cockpit voice recorder (CVR) transcript indicated that ACA flight 7675 (Blue Ridge 675) departed from ORD Runway 9L at approximately 2026, and was cleared to climb to flight level 200 (20,000 feet).
At 2033, the FO listened to Automated Terminal Information Services (ATIS) information Delta (D). ATIS information D contained the following:
"Bloomington tower information Delta, time zero one four five Zulu. Wind zero six zero at one four; visibility one, one half miles; light snow; ceiling two hundred overcast; temperature zero; dewpoint zero; altimeter two niner niner zero. Airfield advisories all runways and taxiways and ramp areas, loose wet snow less than one quarter of an inch with MU ratings above four zero. Advise on initial contact, you have information Delta."
At 2036, the captain stated, "Ehh, there you go ... ninety-two, left and center."
At 2036:26, Chicago Center cleared Blue Ridge 675 direct to BMI and to descend at pilot's discretion to 10,000 feet.
Between 2038:00-2038:39, the FO provided the captain the ATIS brief and set approach speeds. He stated, "ILS is two zero. Here's your ATIS. It's um, zero six zero at fourteen, one and a half, light snow, two hundred over, zero and zero." ... "We got the visibility for it ... ninety on the meters. ILS twenty is in use." ... "There's loose wet snow on taxiways ... but its MU is greater than four." ... "Approach is forty, REF is thirty-five, go-around N1 is off the box, V2's one forty one, VT's sixty-eight. They are set ... my flow's complete."
Between 2038:41-2039:16, the captain gave the Approach Brief. He stated, "All right. ILS two zero. It's in the box. One ninety-eight inbound, top's at twenty four forty eight, bottom's at we're gonna call it ten eighty here." ... "Bottom at uh, ten eighty, airport at eight seventy one, MSA twenty eight hundred. Looks like there's some big MALSR lights on the runway." ... "We will put in on runway twenty, take it probably down to Golf and come back. Let's make sure we don't turn on that little stub down there." ... "And Golf will take us right across the other runway to the ramp."
At 2039, the flight was cleared to descend to 6,000 feet.
At 2041, the FO contacted the company's operations personnel at BMI to inform them that the airplane was 13 minutes from BMI and was inbound for landing. The operation's personnel responded, "All right, good luck in landing. We'll hopefully see you in 15." ... "Uhh. Northwest just did a missed approach because of the snow, so good luck."
At 2042, the FO reported the information received from BMI operations to the captain by stating, "Yeah, he goes, 'I hope you make it in. Northwest just went missed.'"
At 2042:44, the captain asked, "What are they calling the weather?"
The FO responded, "Two hundred over ... but you got plenty of vis."
The captain asked, "Oh, they're calling it two hundred over?"
The FO responded, "Yeah, it's two hundred over, but a mile and a half, so we should be fine."
At 2048, Peoria Approach Control cleared Blue Ridge 675 for the BMI ILS Runway 20 approach.
At 2049, flight 7675 contacted the BMI tower.
At 2050, BMI tower reported, "Blue Ridge 675, reference runway 20, I have had my snow removal been able to plow down the centerline of the, of the field, and I did have a Saab aircraft report braking action uh ... fair to poor." The tower subsequently cleared Blue Ridge 675 to land on runway 20.
At 2051, while on the approach to runway 20 with the landing ckecklist complete, the captain said, "Forty-five knots of wind." The FO responded, "I see that. Quartering, uh."
Approximately 500 feet above ground level (agl), the FO reported seeing "lights."
At 2052:12, the airplane's Ground Proximity Warning System (GPWS) stated, "Minimums."
At 2052:13, BMI tower reported, "Windcheck. Zero eight zero at one five."
At 2052:25, the CVR transcript indicated, "Sound similar to touchdown."
At 2052:26, the CVR transcript indicated, "End of recording."
In a written statement, the captain reported, "We broke out of the overcast at approximately 300' AGL, lights and runway in sight. Touched down in the touchdown zone and approximately a few seconds later as we were rolling across the stub end of RWY 11-29 and E taxiway, I heard and felt a bang and the nosegear collapsed. We received a "nosegear disagree" aural warning as we continued the rollout. As the flying pilot I maintained directional control of the aircraft using rudder, differential braking and thrust reversers and brought the aircraft to a stop a few feet to the right of the centerline with about 1500' of runway remaining. Per company procedures we ran the QRC (Quick Reference Checklist) for a shutdown/evacuation."
The captain reported that because the weather was so extremely cold, snowy, and windy on the runway, he stopped the emergency evacuation and kept the passengers on board the airplane until buses arrived to take the passengers to the terminal. The captain reported, "After the passengers were deplaned I obtained a ride with airport personnel in a pickup truck to the touchdown zone and observed snowbanks and FOD (large ice and snow chunks) in the touchdown zone. I inquired of the driver about this and he said they were just presently plowing RWY 11-29. I returned to the aircraft, completed the QRC shutdown and the crew was transported to the terminal."
During an interview, the captain reported the ridges of snow and ice on the runway were located between Echo taxiway and the intersection of runway 02/20 and runway 11/29.
Personnel information
The captain was an airline transport rated pilot with single-engine land, multi-engine land, glider, and instrument airplane ratings. He was a certified flight instructor in single engine land airplanes, multi-engine land airplanes, gliders, and an instrument airplane instructor. He held a First Class medical certificate. He had a total of 4,550 flight hours with 2,140 hours in make and model. He flew 255 hours in the last 90 days. He had been employed by ACA for approximately five years.
The FO was an airline transport rated pilot with single-engine and multi-engine land ratings. He was a certified flight instructor in single-engine land airplanes, multi-engine land airplanes, and as an airplane instrument instructor. He held a First Class medical certificate. He had a total of 3,337 flight hours with 1,269 hours in make and model. He flew 174 hours in the last 90 days. He had been employed by ACA for approximately two years.
Aircraft information
The airplane was a twin-engine Canadair CL-65, serial number 7438, with a maximum takeoff weight of 53,000 pounds. The engines were General Electric CF-34-3B1 engines that delivered 8,729 pounds of thrust. The airplane was on a Continuous Airworthiness maintenance program. The last service check was conducted on February 11, 200
Aircraft
- Registration
- N653BR
- Reported as
- Canadair CRJ-600
- Category
- Airplane
- Serial number
- 7438
- Airframe hours
- 5,962
- Engine
- General Electric CF34-3B1, 8,729 lbs thrust, turbo fan
- Damage
- Minor damage
- Flight
- Part 121
- Operator
- Atlantic Coast Airlines
- Registered owner
- First Union Bank
- Airworthiness certificate
- Standard, Transport
- Last inspection
- Continuous airworthiness · February 11, 2003
- Departed
- ORD · Chicago, IL
- Destination
- BMI · Bloomington, IL
- Flight plan
- IFR
- Airport
- BMI · Central Illinois Regional, runway 20, 7,000 × 100 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
- 48
- Injuries
- None
- Certificates
- Flight instructor, Airline transport
- Airplane ratings
- Single-engine land, Multi-engine land
- Instrument ratings
- Airplane
- Medical
- Class 1
- Last flight review
- January 29, 2003
- Seat
- Left
- Flight hours
- 4,550 total · 2,140 in this make and model · 255 in the last 90 days · 88 in the last 30 days · 9 in the last 24 hours
- Role
- Co-pilot
- Injuries
- None
Weather
- Conditions
- Instrument (IMC) · Night/dark
- Wind
- 60° at 14 knots
- Visibility
- 1.5 statute miles
- Lowest ceiling
- 200 ft overcast
- Temperature
- 32 °F, dew point 32 °F
- Altimeter
- 29.89 inHg
- Observed at
- BMI
Docket · 64
The files NTSB released with the investigation on May 12, 2004, on NTSB’s docket system: statements, records, photos and specialists’ reports. 31.5 MB in all.
FAA reports on this event · 1
The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.