DCA00MA026

NTSB accident investigation · Douglas DC-8-71F · Rancho Cordova, CA · February 17, 2000

Accident · FatalClass 1 · MajorFinal report
Date
February 16, 2000, 19:51 local (Feb 17, 2000, 03:51 UTC)
Place
Rancho Cordova, CA
Injuries
3 fatal
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N8079UDouglas DC-8-71F
Weather
Visual (VMC) · Night
Status
Completed · report September 17, 2003
Report
Board-adopted at Board Meeting
Investigation class
Class 1
NTSB office
Major Investigations Division
Safety recommendations
Yes
FAA report
20000216041589A
Case key
48715

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

On this page

Probable cause

A loss of pitch control resulting from the disconnection of the right elevator control tab. The disconnection was caused by the failure to properly secure and inspect the attachment bolt.

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.

Airframe/component/system failure/malfunctionTakeoff - initial climb
Miscellaneous,bolt/nut/fastener/clamp/spring - not securedCause
Maintenance,installation - inadequateCause
Maintenance,inspection - inadequateCause
Flt control syst,elevator trim/tab control - disconnectedCause
Flt control syst,elevator trim/tab control - movement restrictedCause
Loss of control - in flightTakeoff - initial climb
Aircraft control - restrictedCause
In flight collision with terrain/waterManeuvering - turn to landing area (emergency)
Terrain condition - ground

Analysis

The Board's full report is available at http://www.ntsb.gov/publictn/publictn.htm.

On February 16, 2000, about 1951 Pacific standard time, Emery Worldwide Airlines, Inc., (Emery) flight 17, a McDonnell Douglas DC-8-71F (DC-8), N8079U, crashed in an automobile salvage yard shortly after takeoff, while attempting to return to Sacramento Mather Airport (MHR), Rancho Cordova, California, for an emergency landing. Emery flight 17 was operating under the provisions of 14 Code of Federal Regulations (CFR) Part 121 as a cargo flight from MHR to James M. Cox Dayton International Airport (DAY), Dayton, Ohio. The flight departed MHR about 1949, with two pilots and a flight engineer on board. The three flight crewmembers were killed, and the airplane was destroyed. Night visual meteorological conditions prevailed for the flight, which operated on an instrument flight rules (IFR) flight plan.

Factual narrative

The Board's full report is available at http://www.ntsb.gov/publictn/publictn.htm.

On February 16, 2000, about 1951 Pacific standard time, Emery Worldwide Airlines, Inc., (Emery) flight 17, a McDonnell Douglas DC-8-71F (DC-8), N8079U, crashed in an automobile salvage yard shortly after takeoff, while attempting to return to Sacramento Mather Airport (MHR), Rancho Cordova, California, for an emergency landing. Emery flight 17 was operating under the provisions of 14 Code of Federal Regulations (CFR) Part 121 as a cargo flight from MHR to James M. Cox Dayton International Airport (DAY), Dayton, Ohio. The flight departed MHR about 1949, with two pilots and a flight engineer on board. The three flight crewmembers were killed, and the airplane was destroyed. Night visual meteorological conditions prevailed for the flight, which operated on an instrument flight rules (IFR) flight plan.

Aircraft

Registration
N8079U
Reported as
Douglas DC-8-71F
Category
Airplane
Serial number
45947
Airframe hours
84,447
Engine
CFM International CFM56-2-C1, 22,000 lbs thrust, turbo fan
Damage
Destroyed
Fire
On-Ground
Flight
Part 121
Registered owner
Emery Worldwide Airlines Inc
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · February 16, 2000 · 5 hours before
Destination
DAY · Dayton, OH
Flight plan
IFR
Airport
MHR · Sacramento Mather Airport, runway 22L, 11,301 × 150 ft

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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
43
Injuries
Fatal
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
13,329 total · 2,128 in this make and model · 119 in the last 90 days

Weather

Conditions
Visual (VMC) · Night
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
7,000 ft broken
Temperature
46 °F, dew point 45 °F
Altimeter
30.01 inHg
Observed at
MHR

Docket · 167

The files NTSB released with the investigation on August 27, 2001, on NTSB’s docket system: statements, records, photos and specialists’ reports.

Operations-human performance 2-exhibit no 2B-attachment 1-interview summariesItem 1 · PDF · 75 pages · 275 KBOperations-human performance 2-exhibit no 2C-attachment 2-excerpt-interview of mark m mcconaughyItem 2 · PDF · 61 pages · 452 KBOperations-human performance 2-exhibit no 2D-attachment 2 excerpt-interview of richard patrick nelsonItem 3 · PDF · 87 pages · 653 KBOperations-human performance 2-exhibit no 2E-attachment 2 excerpt-interview of lawrence j vonderschmidtItem 4 · PDF · 45 pages · 357 KBOperations-human performance 2-attachment 2A-transcript of all field interviews on cdItem 5 · PDF · 2 pages · 31 KBOperations-human performance 2-attachment 3-aircraft and loading area observation activitiesItem 6 · PDF · 2 pages · 31 KBOperations-human performance 2-attachment 4 to factual reportItem 7 · PDF · 8 pages · 553 KBOperations-human performance 2-attachment 8 to factual reportItem 8 · PDF · 2 pages · 81 KBOperations-human performance 2-attachment 10 to factual reportItem 9 · PDF · 2 pages · 105 KBOperations-human performance 2-exhibit no 2H-attachment 11-DC-8-70 checklistItem 10 · PDF · 4 pages · 340 KBOperations-human performance 2-exhibit no 2I-attachment 12-DC-8 aircraft operating manual volume I excerptsItem 11 · PDF · 20 pages · 651 KBOperations-human performance 2-exhibit no 2J-attachment 13-DC-8 aircraft operating manual volume ii excerptsItem 12 · PDF · 13 pages · 318 KBOperations-human performance 2-addendum 1-attachment 1 to factual reportItem 13 · PDF · 3 pages · 361 KBOperations-human performance 2-addendum 1-attachment 2 to factual reportItem 14 · PDF · 11 pages · 277 KBOperations-human performance 2-addendum 1-attachment 4 to factual reportItem 15 · PDF · 6 pages · 151 KBOperations-human performance 2-exhibit no 2L-addendum 1 attachment 5-miami aircraft support company structureItem 16 · PDF · 3 pages · 107 KBOperations-human performance 2-addendum 1-attachment 8 to factual reportItem 17 · PDF · 5 pages · 569 KBOperations-human performance 2-exhibit no 2O-addendum 1 attachment 10-flight confirmation messagesItem 18 · PDF · 4 pages · 266 KBOperations-human performance 2-addendum 1-attachment 11 to factual reportItem 19 · PDF · 3 pages · 194 KBExhibit 2R_ terrence m hill interview summaryItem 20 · PDF · 4 pages · 107 KBAirworthiness 7-exhibit no 7A- group chairman factual reportItem 21 · PDF · 29 pages · 447 KBAirworthiness 7-factual report addendum 1Item 22 · PDF · 6 pages · 645 KBAirworthiness 7-factual report addendum 2Item 23 · PDF · 2 pages · 10 KBAirworthiness 7-exhibit no 7B-attachment i-photo 1 map location of accident siteItem 24 · PDF · 2 pages · 125 KBAirworthiness 7-exhibit no 7C 7C-2 thru 7C-6 attachment ii-photographs of wreckage photo's 2 thru 6Item 25 · PDF · 1 page · 5 KBAirworthiness 7-exhibit no 7C-2-photo 2Item 26 · PDF · 1 page · 44 KBAirworthiness 7-exhibit no 7C-3-photo 3-4Item 27 · PDF · 1 page · 53 KBAirworthiness 7-exhibit no 7C-5-photo 5Item 28 · PDF · 1 page · 43 KBAirworthiness 7-exhibit no 7C-6-photo 6Item 29 · PDF · 1 page · 37 KBAirworthiness 7-exhibit no 7D-attachment iii-fdr plots N8079UItem 30 · PDF · 4 pages · 377 KBAirworthiness 7-exhibit no 7D-attachment iii addendum 1_final FDR plotsItem 31 · PDF · 4 pages · 134 KBAirworthiness 7-exhibit no 7E-attachment iv-douglas sb no 27-262Item 32 · PDF · 22 pages · 1.6 MBAirworthiness 7-exhibit no 7F-attachment v-service difficulty reports SDRItem 33 · PDF · 7 pages · 666 KBAirworthiness 7-exhibit no 7G-attachment vi-boeing reports abnormal elevator eventsItem 34 · PDF · 3 pages · 39 KBAirworthiness 7-exhibit no 7H-attachment vii-sketches of h stabilizers elevator and tabsItem 35 · PDF · 5 pages · 438 KBAirworthiness 7-exhibit no 7I-attachment viii-schematic elevator control systemItem 36 · PDF · 4 pages · 278 KBAirworthiness 7-exhibit no 7J-attachment ix-missing bolt control tab crank fittingItem 37 · PDF · 2 pages · 153 KBAirworthiness 7-exhibit no 7K-aattachment x--d-check work cards N8079UItem 38 · PDF · 6 pages · 301 KBAirworthiness 7-exhibit no 7L-attachment XI-DC-8 mm chapter 27-32-06Item 39 · PDF · 8 pages · 812 KBAirworthiness 7-exhibit no 7M-attachment xii-emery fcd no A27-8Item 40 · PDF · 12 pages · 318 KBAirworthiness 7-exhibit no 7N-attachmnent xiii-test plan flight controls elevator-epiItem 41 · PDF · 8 pages · 97 KBPowerplants 8-photo 1 no 1 engine fan and booster showing fan blades bent opposite the direction of rotationItem 42 · PDF · 1 page · 27 KBPowerplants 8-photo 2 no 1 engine hpc case halfItem 43 · PDF · 1 page · 30 KBPowerplants 8-photo 3 no 1 engine hpc case half and hpc stage 1 disk showing blades bent opposite the direction ofItem 44 · PDF · 1 page · 26 KBPowerplants 8-photo 4 no 1 engine hpc stage 2 disk with blades broken off adjacent to blade root platformItem 45 · PDF · 1 page · 24 KBPowerplants 8-photo 5 front view of no 1 engine showing hpc disksItem 46 · PDF · 1 page · 23 KBPowerplants 8-photo 6 side view of no 1 engineItem 47 · PDF · 1 page · 24 KBPowerplants 8-photo 7 close up no 1 engine turbine showking lpt stage 4 blades bent opposite the direction of rotatItem 48 · PDF · 1 page · 20 KBPowerplants 8-photo 8 front view of no 2 engine showing fan diskItem 49 · PDF · 1 page · 23 KBPowerplants 8-photo 9 side view of no 2 engineItem 50 · PDF · 1 page · 24 KBPowerplants 8-photo 10 view of no 2 engine turbine showing lpt blades broken and bent opposite the direction of rotItem 51 · PDF · 1 page · 24 KBPowerplants 8-photo 11 close up of no 2 engine vsv showing rig pin hole alignmentItem 52 · PDF · 1 page · 13 KBPowerplants 8-photo 12 front view of no 3 engine showing fan diskItem 53 · PDF · 1 page · 23 KBPowerplants 8-photo 13 side view no 3 engineItem 54 · PDF · 1 page · 21 KBPowerplants 8-photo 14 view of no 3 engine turbine showing lpt stage 4 blades bent opposite the direction of rotatiItem 55 · PDF · 1 page · 20 KBPowerplants 8-photo 15 no 4 engine fan diskItem 56 · PDF · 1 page · 20 KBPowerplants 8-photo 16 view of no 4 engine booster showing blades bent opposite the direction of rotationItem 57 · PDF · 1 page · 20 KBPowerplants 8-photo 17 side view of no 4 engine from hpc to turbine frameItem 58 · PDF · 1 page · 21 KBPowerplants 8-photo 18 close up of no 4 engine lpt stage 4 blades broken and bent opposite the direction of rotatioItem 59 · PDF · 1 page · 15 KBPowerplants 8-photo 19 close up of no 4 engine vsv showing alignment of rig pin holesItem 60 · PDF · 1 page · 18 KB
All 167 files on NTSB’s docket

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.

Other investigations on N8079U · 1

Matched to the same aircraft by N-number and date.