DCA02MA001

NTSB accident investigation · Airbus Industrie A300B4-605R · Belle Harbor, NY · November 12, 2001

Accident · FatalClass 1 · MajorFinal report
Date
November 12, 2001, 09:16 local (14:16 UTC)
Place
Belle Harbor, NY
Injuries
265 fatal; on the ground: 5 fatal
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N14053Airbus Industrie A300B4-605R
Weather
Visual (VMC) · Day
Status
Completed · report April 14, 2005
Report
Board-adopted at Board Meeting
Investigation class
Class 1
NTSB office
Major Investigations Division
Parties
Federal Aviation Administration
Safety recommendations
Yes
FAA report
20011112040109A
Case key
53768

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 in-flight separation of the vertical stabilizer as a result of the loads beyond ultimate design that were created by the first officer's unnecessary and excessive rudder pedal inputs. Contributing to these rudder pedal inputs were characteristics of the Airbus A300-600 rudder system design and elements of the American Airlines Advanced Aircraft Maneuvering Program.

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.

Abrupt maneuverTakeoff - initial climb
Compensation for wind conditions - performed
Weather condition - gustsFactor
Airframe/component/system failure/malfunctionTakeoff - initial climb
Inadequate trainingCompany/operator managementFactor
Rudder - excessiveCause
Vertical stabilizer - overload
Vertical stabilizer - failure
Vertical stabilizer - separationCause
Loss of control - in flightTakeoff - initial climb
Aircraft control - not possible
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - ground

Analysis

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

On November 12, 2001, about 0916:15 eastern standard time, American Airlines flight 587, an Airbus Industrie A300-605R, N14053, crashed into a residential area of Belle Harbor, New York, shortly after takeoff from John F. Kennedy International Airport, Jamaica, New York. Flight 587 was a regularly scheduled passenger flight to Las Americas International Airport, Santo Domingo, Dominican Republic, with 2 flight crewmembers, 7 flight attendants, and 251 passengers aboard the airplane. The airplane's vertical stabilizer and rudder separated in flight and were found in Jamaica Bay, about 1 mile north of the main wreckage site. The airplane's engines subsequently separated in flight and were found several blocks north and east of the main wreckage site. All 260 people aboard the airplane and 5 people on the ground were killed, and the airplane was destroyed by impact forces and a postcrash fire. Flight 587 was operating under the provisions of 14 Code of Federal Regulations Part 121 on an instrument flight rules flight plan. Visual meteorological conditions prevailed at the time of the accident.

Factual narrative

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

On November 12, 2001, about 0916:15 eastern standard time, American Airlines flight 587, an Airbus Industrie A300-605R, N14053, crashed into a residential area of Belle Harbor, New York, shortly after takeoff from John F. Kennedy International Airport (JFK), Jamaica, New York. Flight 587 was a regularly scheduled passenger flight to Las Americas International Airport, Santo Domingo, Dominican Republic, with 2 flight crewmembers, 7 flight attendants, and 251 passengers aboard the airplane. The airplane's vertical stabilizer and rudder separated in flight and were found in Jamaica Bay, about 1 mile north of the main wreckage site. The airplane's engines subsequently separated in flight and were found several blocks north and east of the main wreckage site. All 260 people aboard the airplane and 5 people on the ground were killed, and the airplane was destroyed by impact forces and a postcrash fire. Flight 587 was operating under the provisions of 14 Code of Federal Regulations (CFR) Part 121 on an instrument flight rules flight plan. Visual meteorological conditions prevailed at the time of the accident.

The accident airplane arrived at JFK about 2231 on the night before the accident. The airplane had been flown from San Jose, Costa Rica, to JFK with an intermediate stop in Miami International Airport, Miami, Florida. During postaccident interviews, the pilots of the flight leg from MIA to JFK indicated that the flight was smooth and uneventful.

Flight 587 was the first leg of a 1-day roundtrip sequence for the flight crew. American Airlines records indicated that the captain checked in for the flight about 0614 and that the first officer checked in about 0630. The gate agent working the flight arrived at the departure gate about 0645. She stated that the flight attendants were already aboard the airplane at that time and that the captain and the first officer arrived at the gate about 0700.

About 0710, the airplane fueling process began. The airplane fueler indicated that, during the fueling process, he saw one of the pilots perform an exterior inspection of the airplane. He finished the fueling process about 0745 and stated that he saw nothing unusual regarding the airplane.

Statements provided to the Port Authority of New York and New Jersey Police Department by American Airlines maintenance and avionics personnel indicated that, sometime between 0730 and 0800, the captain reported that the number 2 pitch trim and yaw damper system would not engage. Two avionics technicians were sent to the airplane to investigate the problem. They performed an auto flight system (AFS) check, which indicated a fault with the number 2 flight augmentation computer. The circuit breaker was then reset, another AFS check was performed, and no fault was detected. In addition, an autoland system check was performed, and that test also did not detect a fault. The avionics technicians estimated that they were in the cockpit for 5 to 7 minutes.

The cockpit voice recorder (CVR) recording began about 0845:35. The CVR indicated that, about 0859:58, the airplane was cleared to push back from the gate. About 0901:33, the ground controller provided the flight crew with taxi instructions to runway 31L, and the first officer acknowledged these instructions. About 0902:05, the captain told the first officer, "your leg, you check the rudders." (The first officer was the flying pilot, and the captain was the nonflying pilot.) Data from the flight data recorder (FDR) showed that, about 0902:07, the rudder pedal check began. The FDR data also showed that a maximum right rudder pedal deflection of about 3.7 inches was recorded about 0902:11 and that a maximum left rudder pedal deflection of 3.6 inches was recorded about 0902:19. About 0902:23, the first officer responded, "rudders check." The FDR data showed that the rudder pedals returned to their neutral position about 0902:25.

About 0906:53, the ground controller provided the pilots of Japan Air Lines flight 47, a Boeing 747-400, with taxi instructions to runway 31L. About 0908:01, the ground controller instructed the Japan Air Lines pilots to contact the local (tower) controller. About 0908:58, the ground controller instructed the flight 587 pilots to follow the Japan Air Lines airplane and to contact the local controller. The first officer acknowledged this instruction.

About 0911:08, the local controller cleared the Japan Air Lines airplane for takeoff. About 0911:36, the local controller cautioned the flight 587 pilots about wake turbulence and instructed the pilots to taxi into position and hold for runway 31L. The first officer acknowledged the instruction. About 0913:05, the local controller instructed the Japan Air Lines pilots to fly the bridge climb and to contact the departure controller at the New York Terminal Radar Approach Control (TRACON). About 0913:21, the flight 587 captain said to the first officer, "you have the airplane."

About 0913:28, the local controller cleared flight 587 for takeoff, and the captain acknowledged the clearance. About 0913:35, the first officer asked the captain, "you happy with that [separation] distance?" About 3 seconds later, the captain replied, "we'll be all right once we get rollin'. He's supposed to be five miles by the time we're airborne, that's the idea." About 0913:46, the first officer said, "so you're happy."

The National Transportation Safety Board's airplane performance study for this accident0 determined that flight 587 started its takeoff roll about 0913:51 and lifted off about 0914:29, which was about 1 minute 40 seconds after the Japan Air Lines airplane. About 0914:43, the local controller instructed the flight 587 pilots to turn left, fly the bridge climb, and contact the New York TRACON departure controller. About 5 seconds later, the captain acknowledged this instruction. Radar data indicated that the airplane climbed to 500 feet above mean sea level (msl) and then entered a climbing left turn to a heading of 220º. About 0915:00, the captain made initial contact with the departure controller, informing him that the airplane was at 1,300 feet msl and climbing to 5,000 feet msl. About 0915:05, the departure controller instructed flight 587 to climb to and maintain 13,000 feet msl, and the captain acknowledged this instruction about 5 seconds later. About 0915:29, the CVR recorded the captain's statement "clean machine," indicating that the gear, flaps, and slats had all been retracted.

About 0915:35, flight 587 was climbing through 1,700 feet msl with its wings approximately level. About 1 second later, the departure controller instructed flight 587 to turn left and proceed direct to the WAVEY navigation intersection (located about 30 miles southeast of JFK). About 0915:41, the captain acknowledged the instruction. The controller did not receive any further transmissions from flight 587.

FDR data indicated that, about 0915:36, the airplane experienced a 0.04 G drop in longitudinal load factor, a 0.07 G shift to the left in lateral load factor, and about a 0.3 G drop in normal (vertical) load factor. The airplane performance study found that these excursions were consistent with a wake turbulence encounter. Between 0915:36 and 0915:41, the FDR recorded movement of the control column, control wheel, and rudder pedals. Specifically, the control column moved from approximately 0º (neutral) to 2º nose up, 2º nose down, and back to 0º; the control wheel moved a total of seven times, with peaks at 18º right, 30º left, 37º right, 34º left, 5º left, 21º left, and 23º right, before moving to between 5º and 6º left; and the rudder pedals moved from about 0.1 inch left (the starting point for the pedals) to about 0.1 inch right and 0.2 inch left before moving to 0.1 inch left. The airplane performance study indicated that, during this time, the

Aircraft

Registration
N14053
Reported as
Airbus Industrie A300B4-605R
Category
Airplane
Serial number
420
Airframe hours
37,550
Engines
General Electric CF6, 59,000 lbs thrust, turbo fanGeneral Electric CF6, 59,000 lbs thrust, turbo fan
Damage
Destroyed
Fire
On-Ground
Flight
Part 121
Registered owner
American Airlines Inc
Airworthiness certificate
Standard, Transport
Departed
KJFK · New York City, NY
Destination
KSDQ · Santo Domingo
Flight plan
IFR
Airport
JFK · John F. Kennedy International

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
42
Injuries
Fatal
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Last flight review
July 31, 2001
Seat
Left
Toxicology
Performed
Flight hours
8,050 total · 3,448 as pilot in command · 146 in the last 90 days · 52 in the last 30 days
Role
Co-pilot
Age
34
Injuries
Fatal
Certificate
Airline transport
Last flight review
December 23, 2000
Seat
Right
Flight hours
4,403 total · 1,835 in this make and model · 135 in the last 90 days · 52 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
270° at 8 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
43 °F, dew point 21 °F
Altimeter
30.44 inHg
Observed at
JFK

Docket · 275

The files NTSB released with the investigation on October 29, 2002, on NTSB’s docket system: statements, records, photos and specialists’ reports.

Order of hearing_1AItem 1 · PDF · 1 page · 36 KBNotice of designation of chairman of board of inquiry_1BItem 2 · PDF · 1 page · 42 KBDesignation of hearing officer_1CItem 3 · PDF · 1 page · 43 KBDesignation of parties to the hearing_1DItem 4 · PDF · 1 page · 36 KBNotice of hearing_1EItem 5 · PDF · 1 page · 35 KBHearing exhibit list_1FItem 6 · PDF · 4 pages · 18 KBOperations 2-factual report of group chairmanItem 7 · PDF · 28 pages · 477 KBOperations 2-attachments a and b-interview summariesItem 8 · PDF · 812 pages · 1.8 MBOperations 2-attachment c-port authority police reportsItem 9 · PDF · 15 pages · 1.6 MBOperations 2-attachment d-submitted statementsItem 10 · PDF · 9 pages · 1.0 MBOperations 2-attachment e-airport diagramsItem 11 · PDF · 3 pages · 486 KBOperations 2-attachment f-kennedy international airport departure informationItem 12 · PDF · 3 pages · 288 KBOperations 2-attachment g-airplane weight and balance informationItem 13 · PDF · 15 pages · 1.8 MBOperations 2-attachment h-correspondence from airplane manufacturers to American airlines and responseItem 14 · PDF · 11 pages · 1.1 MBOperations 2-attachment i-excerpts from the aamp flight training course materialItem 15 · PDF · 16 pages · 1.2 MBOperations 2-attachment j-faa correspondenceItem 16 · PDF · 23 pages · 2.2 MBOperations 2-attachment k-excerpt from Airbus industrie presentation at 10th performance and operations conferenceItem 17 · PDF · 7 pages · 820 KBOperations 2-attachment l-excerpts from A300-600 American airlines operating manual-volume 1Item 18 · PDF · 21 pages · 2.2 MBOperations 2-attachment m-flight operations technical informational bulletinItem 19 · PDF · 3 pages · 392 KBOperations 2-attachment n-fcom bulletin use of rudder on transport category airplanesItem 20 · PDF · 5 pages · 485 KBOperations 2-attachment o-boeing commercial airplane group-flight operations technical bulletinItem 21 · PDF · 16 pages · 1.5 MBOperations 2-attachment p-excerpt from to 1C-135K-1 flight-usaf series KC-135-R-T aircraftItem 22 · PDF · 3 pages · 367 KBOperations 2-attachment q-excerpts from the A300-600 American airlines operating manual-volume 2Item 23 · PDF · 4 pages · 224 KBOperations 2-attachment r-excerpts from the Airbus A300-600 fcom-volume 1Item 24 · PDF · 16 pages · 908 KBOperations 2-attachment s-excerpts from the Airbus A300-600 fcom-volume 2Item 25 · PDF · 7 pages · 941 KBOperations 2-attachment t-excerpts from the Airbus A300-600 flight manualItem 26 · PDF · 2 pages · 97 KBOperations 2-attachment u-excerpts of Airbus aerodynamic principles of large-airplane upsetsItem 27 · PDF · 12 pages · 2.9 MBOperations 2-attachment v-excerpts from the boeing-airbus training aidItem 28 · PDF · 11 pages · 1.6 MBOperations 2-attachment w-excerpts from the American airlines flight manual-part 1Item 29 · PDF · 3 pages · 163 KBOperations 2-attachment z-excerpts from pilot interviews on aa 903Item 30 · PDF · 28 pages · 3.1 MBOperations exhibit no 2-BItem 31 · PDF · 66 pages · 3.9 MBOperations exhibit no 2-QItem 32 · PDF · 31 pages · 3.3 MBOperations exhibit no 2-SItem 33 · PDF · 6 pages · 252 KBOperations exhibit no 2-TItem 34 · PDF · 8 pages · 584 KBOperations exhibit no 2-UItem 35 · PDF · 13 pages · 597 KBOperations exhibit no 2-VItem 36 · PDF · 11 pages · 498 KBOperations exhibit no 2-WItem 37 · PDF · 4 pages · 200 KBOperations exhibit no 2-XItem 38 · PDF · 12 pages · 879 KBOperations exhibit no 2-YItem 39 · PDF · 5 pages · 298 KBOperations exhibit no 2-ZItem 40 · PDF · 14 pages · 648 KBATC 3-factual report of group chairmanItem 41 · PDF · 8 pages · 144 KBATC 3-attachment 1_jfk daily record of facility operationsItem 42 · PDF · 2 pages · 284 KBATC 3-attachment 2_jfk position logsItem 43 · PDF · 5 pages · 566 KBATC 3-attachment 3_jfk controller statementsItem 44 · PDF · 3 pages · 449 KBATC 3-attachment 4_jfk tower cab layoutItem 45 · PDF · 1 page · 112 KBATC 3-attachment 5_jfk communications transcriptsItem 46 · PDF · 27 pages · 1.5 MBATC 3-attachment 6_jfk airport diagramItem 47 · PDF · 1 page · 858 KBATC 3-attachment 7_AAL587 flight stripItem 48 · PDF · 1 page · 133 KBATC 3-attachment 8_AAL587 pre-departure clearance dataItem 49 · PDF · 1 page · 50 KBATC 3-attachment 9_new york TRACON aircraft accident packageItem 50 · PDF · 45 pages · 2.9 MBWitness 4-factual report of group chairmanItem 51 · PDF · 14 pages · 254 KBWitness 4-appendix a_witness spreadsheetItem 52 · PDF · 19 pages · 1.4 MBWitness 4-appendix b_documents pertaining to witnesses 1-50Item 53 · PDF · 98 pages · 15.5 MBWitness 4-appendix c_documents pertaining to witnesses 51-100Item 54 · PDF · 109 pages · 17.0 MBWitness 4-appendix d_documents pertaining to witnesses 101-150Item 55 · PDF · 97 pages · 14.0 MBWitness 4 I�� addendum 1 to appendix d_documents pertaining to witnesses 143 and 144Item 56 · PDF · 3 pagesWitness 4-appendix e_documents pertaining to witnesses 151-200Item 57 · PDF · 111 pages · 14.5 MBWitness 4-appendix f_documents pertaining to witnesses 201-250Item 58 · PDF · 85 pages · 12.5 MBWitness 4-appendix g_documents pertaining to witnesses 251-300Item 59 · PDF · 104 pages · 15.2 MBWitness 4-appendix h_documents pertaining to witnesses 301-354Item 60 · PDF · 91 pages · 13.1 MB
All 275 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.