DCA24LA110

NTSB accident investigation · Boeing 757-224 · San Francisco, CA · February 26, 2024

Accident · No injuriesClass 4 · LimitedFinal report
Date
February 25, 2024, 21:02 local (Feb 26, 2024, 05:02 UTC)
Place
San Francisco, CA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N13138Boeing 757-224
Defining event
Takeoff: Abnormal runway contact
Weather
Visual (VMC) · Night
Status
Completed
Report
Approved by Office Director
Investigation class
Class 4 - Basic report with no Prelim publish
NTSB office
Major Investigations Division
Parties
United Airlines, FAA
Case key
193849

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 crew’s over-rotation of the aircraft pitch during takeoff which resulted in a tailstrike.

Findings · 1

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.

Action: incorrect action performancePersonnel issues › Action/decision · PilotBoeing 757-224: 1 caseAll aircraft: 1,386 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

United Airlines (UA) flight 3872 experienced a tailstrike while taking off from San Francisco International Airport (SFO), San Francisco, California. The flight was a local maintenance test flight. The purpose of the test flight was to validate maintenance conducted after a write-up for abnormal flight deck noises that occurred on a previous flight. According to the flight crew, they conducted a flaps 5, reduced power takeoff from runway 28R. The captain recalled the aircraft accelerated faster than normal and had the propensity to lift off prior to the rotation speed of 127 knots. At rotation speed, the captain began a normal aft pull on the control yoke and the pitch attitude increased faster than expected. The captain just called “positive rate” when the crew heard and felt a “boom.” As this flight was a test flight, it was not loaded with passengers and cargo to a takeoff weight typical of flights the pilot flying normally flew. The pilot flying rotated at a rate “normal” to his experience, however because the accident aircraft was loaded lighter than normal, the normal rotation inputs resulted in an over-rotation. The crew assessed the instruments and controllability and decided to continue their climb to flight level (FL) 190 [19,000 feet] where they conducted the tailstrike checklist. They returned to SFO and conducted a flaps 30 landing with no further incident. Prior to leaving the flight deck after the flight, the first officer received the pitch report for takeoff which showed that tail contact occurred about 12.2 degrees during departure and the actual pitch for this departure reached 15.3 degrees. Inspection of the aircraft showed that the tail strike damaged the chord, web, and stiffeners of the auxiliary power unit firewall bulkhead. Because the damage would adversely affect the structural strength of the bulkhead and require major repair or replacement, the damage was considered substantial. The investigation determined that the maintenance conducted prior to this test flight was not related to the accident.

Aircraft

Registration
N13138
Reported as
Boeing 757-224
Category
Airplane
Serial number
0138
Built
1999
Airframe hours
85,724
Engines
Rolls-Royc RB-211-535E4B-37, 42,700 lbs thrust, turbo fanRolls-Royc RB-211-535E4B-37, 42,700 lbs thrust, turbo fan
Damage
Substantial damage
Flight
Flight test · Part 91
Operator
United Airlines Inc
Registered owner
United Airlines Inc
Airworthiness certificate
Standard, Commuter; Standard, Transport; Standard, Normal
Last inspection
Continuous airworthiness · June 9, 2023
Destination
Same as departure
Flight plan
IFR
Airport
SFO · San Francisco Intl, runway 10L/28R, 11,870 × 200 ft, concrete
Equipment
Electronic multifunction display, Electronic flight bag or handheld device, Data recorder, Auto-pilot, Angle of attack indicator, Electronic primary flight display, ADS-B, Stall warning system, Satellite tracking device, Onboard weather

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
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
October 10, 2023
Seat
Left
Restraint
5-point
Flight hours
15,575 total · 1,250 in this make and model · 3,100 as pilot in command · 230 in the last 90 days · 58 in the last 30 days
Role
Co-pilot
Age
31
Injuries
None
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Helicopter, Airplane
Medical
Class 1
Last flight review
February 17, 2024
Seat
Right
Restraint
5-point
Flight hours
2,471 total · 260 in this make and model · 434 as pilot in command · 135 in the last 90 days · 45 in the last 30 days

Weather

Conditions
Visual (VMC) · Night
Visibility
10 statute miles
Lowest ceiling
800 ft broken

Docket · 4

The files NTSB released with the investigation on July 17, 2024, on NTSB’s docket system: statements, records, photos and specialists’ reports. 8.6 MB in all.

Other investigations on N13138 · 1

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