DCA13CA035

NTSB accident investigation · Mcdonnell Douglas MD-11F · Memphis, TN · December 26, 2012

Accident · Minor injuriesData collectionFinal report
Date
December 26, 2012, 02:15 local (08:15 UTC)
Place
Memphis, TN
Injuries
1 minor, 3 uninjured; on the ground: 1 minor
Damage
Substantial damage
Phase of flight
Prior to flight
Aircraft
N612FEMcdonnell Douglas MD-11F
Defining event
Prior to flight: Ground collision
Weather
Instrument (IMC) · Night
Status
Completed · report April 3, 2013
Report
Approved by Office Director
NTSB office
Major Investigations Division
FAA report
20121226028609A
Case key
85952

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

the operator's failure to provide appropriate training and documentation for ground personnel, leading the marshaller to inadvertently guide the airplane into the collision.

Findings · 2

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Design: design of document/infoOrganizational issues › Development · OperatorMcdonnell Douglas MD-11F: 1 caseAll aircraft: 11 casesProbable cause
Use of equip/info: use of chartsPersonnel issues › Task performance · Ground crewMcdonnell Douglas MD-11F: 1 caseAll aircraft: 10 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

On December 26, 2012, at 0215 Central Standard Time, a Boeing MD-11F, registration N612FE, operated by Federal Express Airlines as flight 1480 from Memphis International Airport (KMEM) to Portland, Oregon International Airport (KPDX), struck a deicing vehicle while being marshaled onto the "E" deicing pad at KMEM. The aircraft was substantially damaged, the deicing vehicle was damaged, and there were no injuries to the 2 flight crew and one jumpseat passenger. The ground employee in the deice bucket experienced a minor injury. Weather at the time of the event was reported as dark lighting conditions with 2 miles visibility in blowing snow and clouds at 900 feet. The flight crew reported that they taxied to the deice area and called the deice pad coordinator. The crew taxied the airplane onto the pad in response to marshaller lighted wand signals. The First Officer observed that the two vehicles on the right side of the airplane were outside the painted taxiway edge lines. The operation was not using wing walkers. The First Officer noted that the wingtip area is outside the field of view from the flight deck windows. The marshaller began to signal the crew to stop, at the same time the deice coordinator radioed them to stop the airplane, and the pilot reported he felt a shudder. The right wing of the airplane contacted the deice vehicle approximately 4 feet from the right winglet at the number 8 slat. The deice bucket passed under the wing surface, puncturing a fuel tank leading to a fuel spill of approximately 75 gallons. The coordinator advised the crew to shut down the engines and that they had a fuel leak. The crew was unaware the airplane had struck the vehicle, until informed by maintenance personnel. The airplane was towed back to parking, and the crew exited via the main entry door. The right forward wing spar lower cap, forward flange had a horizontal crack about 10 inches long. Additional damage included the right outboard aileron, right wing slats and associated hardware, right wing leading edge behind the slat, right wing fuel tip tank vent manifold, lower skin plank, and three fuel tank panels. The lower wing skin aft of the damaged spar cap was punctured and one of the lower wing stringers was deformed. The damage to the spar cap, lower wing skin and lower wing affected the structural strength of the wing in this area, resulting in substantial damage to the airplane per 49 CFR 830. The deice vehicle boom arm was also damaged. Deice pad (also known as "carwash") E is located on Taxiway C, north of taxiway V and adjacent to a parking apron. Fedex document "Carwash E Parking Plan" diagram indicates that on deice pad E, MD-11 airplanes must be positioned east of the Taxiway C centerline in order to provide proper clearance. The flight crew followed ground personnel marshaling instructions onto the deice pad. The marshaller and maintenance technician working on pad E had never worked at the location before, and were unaware of therequirement to taxi MD-11 airplanes off centerline. The diagrams provided to the marshaller and coordinator were unclear and not sufficient to be standalone documents.

Factual narrative

On December 26, 2012, at 0215 Central Standard Time, a Boeing MD-11F, registration N612FE, operated by Federal Express Airlines as flight 1480 from Memphis International Airport (KMEM) to Portland, Oregon International Airport (KPDX), struck a deicing vehicle while being marshaled onto the "E" deicing pad at KMEM. The aircraft was substantially damaged, the deicing vehicle was damaged, and there were no injuries to the 2 flight crew and one jumpseat passenger. The ground employee in the deice bucket experienced a minor injury. Weather at the time of the event was reported as dark lighting conditions with 2 miles visibility in blowing snow and clouds at 900 feet.The flight crew reported that they taxied to the deice area and called the deice pad coordinator. The crew taxied the airplane onto the pad in response to marshaller lighted wand signals. The First Officer observed that the two vehicles on the right side of the airplane were outside the painted taxiway edge lines. The operation was not using wing walkers. The First Officer noted that the wingtip area is outside the field of view from the flight deck windows. The marshaller began to signal the crew to stop, at the same time the deice coordinator radioed them to stop the airplane, and the pilot reported he felt a shudder. The right wing of the airplane contacted the deice vehicle approximately 4 feet from the right winglet at the number 8 slat. The deice bucket passed under the wing surface, puncturing a fuel tank leading to a fuel spill of approximately 75 gallons. The coordinator advised the crew to shut down the engines and that they had a fuel leak. The crew was unaware the airplane had struck the vehicle, until informed by maintenance personnel. The airplane was towed back to parking, and the crew exited via the main entry door. The right forward wing spar lower cap, forward flange had a horizontal crack about 10 inches long. Additional damage included the right outboard aileron, right wing slats and associated hardware, right wing leading edge behind the slat, right wing fuel tip tank vent manifold, lower skin plank, and three fuel tank panels. The lower wing skin aft of the damaged spar cap was punctured and one of the lower wing stringers was deformed. The damage to the spar cap, lower wing skin and lower wing affected the structural strength of the wing in this area, resulting in substantial damage to the airplane per 49 CFR 830. The deice vehicle boom arm was also damaged. Deice pad (also known as "carwash") E is located on Taxiway C, north of taxiway V and adjacent to a parking apron. Fedex document "Carwash E Parking Plan" diagram indicates that on deice pad E, MD-11 airplanes must be positioned east of the Taxiway C centerline in order to provide proper clearance. The flight crew followed ground personnel marshaling instructions onto the deice pad. The marshaller and maintenance technician working on pad E had never worked at the location before, and were unaware of therequirement to taxi MD-11 airplanes off centerline. The diagrams provided to the marshaller and coordinator were unclear and not sufficient to be standalone documents.

Aircraft

Registration
N612FE
Reported as
Mcdonnell Douglas MD-11F
Category
Airplane
Serial number
48605
Airframe hours
65,270
Engines
GE CF6-80 SERIES, 47,600 lbs thrust, turbo fanGE CF6-80 SERIES, 47,600 lbs thrust, turbo fanGE CF6-80 SERIES, 47,600 lbs thrust, turbo fan
Damage
Substantial damage
Flight
Part 121
Operator
Federal Express Corp
Registered owner
Wilmington Trust Company Trustee
Airworthiness certificate
Standard, Transport
Departed
KMEM · Memphis, TN
Destination
KPDX · Portland, OR
Flight plan
IFR
Airport
KMEM · Memphis

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
57
Injuries
None
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1
Seat
Left
Flight hours
6,318 total · 6,318 in this make and model
Role
Co-pilot
Age
36
Injuries
None
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1
Seat
Right
Flight hours
151 total · 151 in this make and model

Weather

Conditions
Instrument (IMC) · Night
Wind
350° at 15 knots, gusting 22
Visibility
2 statute miles
Lowest ceiling
900 ft broken
Temperature
34 °F, dew point 34 °F
Altimeter
29.61 inHg
Observed at
KMEM

Docket · 9

The files NTSB released with the investigation on April 3, 2013, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.5 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.

Other investigations on N612FE · 1

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