DCA04MA011

NTSB accident investigation · McDonnell Douglas MD-10-10F · Memphis, TN · December 18, 2003

Accident · Minor injuriesClass 1 · MajorFinal report
Date
December 18, 2003, 12:26 local (18:26 UTC)
Place
Memphis, TN
Injuries
2 minor, 5 uninjured
Damage
Destroyed
Phase of flight
Landing
Aircraft
N364FEMcDonnell Douglas MD-10-10F
Weather
Visual (VMC) · Day
Status
Completed · report June 2, 2005
Report
Board-adopted at Board Meeting
Investigation class
Class 1
NTSB office
Major Investigations Division
Parties
Federal Aviation Administration, Memphis-Shelby Airport Authority, FedEx Express, Air Line Pilots Association, The Boeing Company
Safety recommendations
Yes
FAA report
20031218037819A
Case key
58503

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

1) the first officer's failure to properly apply crosswind landing techniques to align the airplane with the runway centerline and to properly arrest the airplane's descent rate (flare) before the airplane touched down; and 2) the captain's failure to adequately monitor the first officer's performance and command or initiate corrective action during the final approach and landing.

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.

Hard landingLanding - flare/touchdown
Proper alignment - improperCopilot/second pilotCause
Flare - improperCopilot/second pilotCause
Supervision - inadequateCheck pilotCause
Main gear collapsedLanding - flare/touchdown
Landing gear,main gear - overloadCause

Analysis

The Safety Board's full report is available at http://www.ntsb.gov/publictn/publictn.htm. The Aircraft Accident Report number is NTSB/AAR-05/01.

On December 18, 2003, about 1226 central standard time, Federal Express Corporation (FedEx) flight 647, a Boeing MD-10-10F (MD-10), N364FE, crashed while landing at Memphis International Airport (MEM), Memphis, Tennessee. The right main landing gear collapsed after touchdown on runway 36R, and the airplane veered off the right side of the runway. After the gear collapsed, a fire developed on the right side of the airplane. Of the two flight crewmembers and five nonrevenue FedEx pilots on board the airplane, the first officer and one nonrevenue pilot received minor injuries during the evacuation. The postcrash fire destroyed the airplane's right wing and portions of the right side of the fuselage. Flight 647 departed from Metropolitan Oakland International Airport (OAK), Oakland, California, about 0832 (0632 Pacific standard time) and was operating under the provisions of 14 Code of Federal Regulations (CFR) Part 121 on an instrument flight rules flight plan.

Factual narrative

The Safety Board's full report is available at http://www.ntsb.gov/publictn/publictn.htm. The Aircraft Accident Report number is NTSB/AAR-05/01.

On December 18, 2003, about 1226 central standard time, Federal Express Corporation (FedEx) flight 647, a Boeing MD-10-10F (MD-10), N364FE, crashed while landing at Memphis International Airport (MEM), Memphis, Tennessee. The right main landing gear collapsed after touchdown on runway 36R, and the airplane veered off the right side of the runway. After the gear collapsed, a fire developed on the right side of the airplane. Of the two flight crewmembers and five nonrevenue FedEx pilots on board the airplane, the first officer and one nonrevenue pilot received minor injuries during the evacuation. The postcrash fire destroyed the airplane's right wing and portions of the right side of the fuselage. Flight 647 departed from Metropolitan Oakland International Airport (OAK), Oakland, California, about 0832 (0632 Pacific standard time) and was operating under the provisions of 14 Code of Federal Regulations (CFR) Part 121 on an instrument flight rules flight plan.

The accident occurred on the last day of the flight crew's 4-day, 3-leg trip during which the captain of the flight, a company check airman, was conducting a line check for the first officer. The first leg of the trip departed MEM about 2100 on December 15, 2003, and arrived at Indianapolis International Airport (IND), Indianapolis, Indiana, about 2215 (2315 eastern standard time). The captain was the flying pilot for that leg. The second leg of the trip departed IND about 1431 (1531 eastern standard time) on December 16 and arrived at OAK about 1850 (1650 Pacific standard time). The first officer was the flying pilot for that leg.

The captain and first officer remained in Oakland on December 17, with no flight duties assigned, then reported for duty on December 18 before the accident flight's scheduled departure time of 0810 (0610 Pacific standard time). The airplane's departure to MEM was delayed until 0832 because of a package sorting issue that was later resolved. The first officer was the flying pilot, and the captain performed the nonflying pilot and line check airman duties.

According to post accident interviews, cockpit voice recorder (CVR) and flight data recorder (FDR) evidence, and air traffic control (ATC) records, the climb and cruise phases of the flight were routine and uneventful. As the airplane approached MEM, the captain and first officer discussed procedures and runway options and planned for the arrival at MEM. About 1145:40, the first officer briefed the captain on arrival and approach procedures for runways 27 (the primary landing runway option) and 36L (the secondary landing runway option). According to the CVR, about 1156:39, the captain stated, "I need to see a stable approach at a thousand feet. If for some reason we're not stable go around...all right?" The first officer responded, "yep no problem there."

The captain obtained the current MEM automatic terminal information service (ATIS) information and, about 1200:34, stated that the winds were out of "three twenty...sixteen gusts to twenty-two, so...it's more favorable to the three sixes." About 1202:08, the first officer stated, "I just think we should start putting out slats about twenty miles on the other side...because I'm...still fairly unfamiliar with Memphis, so I wanna get configured a bit earlier for that." The captain responded, "do what you want," and provided additional information about normal arrival operations, addressing typical stepdown and traffic pattern procedures, altitudes, airspeeds, and the probability of an early turn into MEM. The first officer acknowledged the information and requested the in-range checklist. About 1203:22, the captain stated, "you're driving and you stay focused on that and make me do whatever you need done." The first officer stated, "okay."

About 1204:46, the captain stated, "two ninety is the default descent speed. Which is just fine. That's what's in there." About 1205:22, the captain continued the in-range checklist, confirming altimeter settings with the first officer. About 1205:37, Memphis Air Route Traffic Control Center advised the pilots to contact MEM approach control. About 1206:00, the captain announced that the in-range checklist was complete, then contacted MEM approach control. The MEM approach controller advised the pilots to expect to land on runway 36L and informed them that ATIS information Zulu was current. The approach controller cleared flight 647 to descend to and maintain 8,000 feet mean sea level (msl). The captain acknowledged the clearance and repeated "three six left" to the first officer.

About 1209:12, the captain advised the first officer that the winds were out of "three twenty at sixteen gusts to twenty two. Ten miles [visibility]. It's still saying wind shear." The first officer responded, "goodness." About 1210:46, the captain stated, "I don't see any other TCAS [traffic alert and collision avoidance system] targets...We may be the lead dog coming in here." About 1211:24, the MEM approach controller instructed the pilots to reduce the airplane's airspeed to 210 knots and then descend to and maintain 6,000 feet. Shortly after the captain acknowledged these instructions, the first officer asked him to confirm the clearance, and the captain repeated the instructions. The first officer repeated the airspeed restriction and asked the captain to extend the slats.

About 1212:11, the captain stated, "there's BOWEN [a navigational intersection]...one seventy five is the heading out of BOWEN." The CVR recorded the first officer as she responded, "oh, thank you." About 1212:42, the captain stated, "FREAZ [a navigational intersection] is out there fourteen miles from touchdown." About 1213:14, the captain stated, "airport's right there," and the first officer responded, "yep."

About 1213:18, the MEM approach controller advised the pilots to contact MEM approach control on a different frequency. About 30 seconds later, the captain contacted MEM approach control on the new frequency and advised the controllers that flight 647 was level at 6,000 feet. About 1214:15, the first officer requested 15° of flaps. About 1214:33, MEM approach control cleared the pilots to descend to and maintain 5,000 feet and turn 10° right. Afterward, the MEM approach controller advised the pilots that they should expect to land on runway 36R instead of 36L, as previously instructed.

About 1215:39, the captain told the first officer, "three six right's in the fix page and it's in the...FMS [flight management system]," and the first officer thanked him. About 1216:11, the MEM approach controller instructed the pilots to reduce the airplane's airspeed to 190 knots, and the captain acknowledged this instruction. The first officer called for the approach checklist about 1218:10, and the captain responded, "approach check. Briefing's complete to three six right. The altimeter is three zero one zero." As the captain finished speaking, the MEM approach controller instructed the pilots to turn left to a heading of 020° and intercept the localizer for runway 36R. The captain acknowledged the instruction, and the pilots continued the approach checklist, completing it about 1218:58.

About 1219:00, the captain stated that the localizer was "alive" and that they were 18 miles from touchdown. About 10 seconds later, the MEM approach controller told the pilots to reduce the airplane's airspeed to 170 knots and cautioned them about possible wake turbulence from an Airbus airplane that was about 6 1/2 miles ahead of the flight 647 airplane. The captain acknowledged the speed reduction and stated that he was looking for the Airbus airplane. About 1219:24, the first officer stated, "flaps twenty two please," and the CVR then recor

Aircraft

Registration
N364FE
Reported as
McDonnell Douglas MD-10-10F
Category
Airplane
Airframe hours
65,375
Engines
General Electric CF6-6D, 50,000 lbs thrust, turbo fanGeneral Electric CF6-6D, 50,000 lbs thrust, turbo fanGeneral Electric CF6-6D, 50,000 lbs thrust, turbo fan
Damage
Destroyed
Fire
On-Ground
Flight
Part 121
Registered owner
Federal Express Corp
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · May 30, 2003 · 584 hours before
Departed
OAK · Oakland, CA
Destination
MEM · Memphis, TN
Flight plan
IFR
Airport
MEM · Memphis Intl, runway 36R, 9,320 × 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
Check pilot
Age
59
Injuries
None
Certificate
Airline transport
Airplane ratings
Single-engine sea, Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Last flight review
December 8, 2003
Seat
Left
Flight hours
4,802 total · 2,674 in this make and model · 2,602 as pilot in command · 123 in the last 90 days · 34 in the last 30 days
Role
Co-pilot
Age
44
Injuries
Minor
Certificates
Flight engineer, Airline transport
Airplane ratings
Single-engine land, Multi-engine land, Single-engine sea
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Last flight review
November 20, 2003
Seat
Right
Flight hours
3,014 total · 1,918 in this make and model · 61 in the last 90 days · 6 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
320° at 21 knots, gusting 26
Visibility
10 statute miles
Lowest ceiling
4,500 ft broken
Temperature
52 °F, dew point 30 °F
Altimeter
30.09 inHg
Observed at
MEM, 1 nm away

FAA reports on this event · 1

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