DEN01IA036

NTSB incident investigation · McDonnell Douglas MD-90-30 · Salt Lake City, UT · December 30, 2000

Incident · No injuriesIncident investigationFinal report
Date
December 30, 2000, 08:08 local (15:08 UTC)
Place
Salt Lake City, UT
Injuries
80 uninjured
Damage
Minor damage
Phase of flight
Approach
Aircraft
N909DAMcDonnell Douglas MD-90-30
Weather
Instrument (IMC) · Day
Status
Completed · report September 27, 2001
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20001230026629I
Case key
50862

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

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Probable cause

the captain's failure to maintain the proper glide path. Contributing factors were the weather conditions that included low visibility and fog.

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.

In flight collision with objectApproach - faf/outer marker to threshold (ifr)
Proper glidepath - not maintainedPilot in commandCause
Weather condition - obscurationFactor
Weather condition - fogFactor

Analysis

The captain's first approach briefing was based on an ATIS report, indicating a CAT III ILS approach to runway 16R could be expected. When descent instructions were given, however, the descent profile was for landings to the north and this was confirmed by a revised ATIS information. The captain, who was flying the airplane, briefed the first officer for a second time for a CAT III approach to runway 34R. Improved RVR made a Category I approach feasible, and the decision was made to execute this approach. The captain said he acquired the approach lights 100 feet above minimums, and saw the threshold and runway when the airplane arrived at minimums. He disconnected the autopilot. As he began to flare, the first officer announced that sink rate was increasing. The captain attempted to increase pitch. Touchdown was "firm but not hard and rollout was normal." Upon reaching the gate, the captain notified the control tower that he had "possibly touched down short of the runway." An airport operations vehicle reported observing an MD-90 land "prior to the numbers but had not touched down in the over run." Subsequent inspection revealed debris on runway 34R. The airplane struck the approach lights 400 feet short of the runway. Two threshold lights and one light each from the 100 foot and 200 foot approach light bars were found knocked off. The airplane sustained damage to the left main wheel splash guard, and one tire was cut. A one-inch square piece of metal was lodged in the left engine noise suppression material, and there was some damage to the left engine first stage fan section. At the time of the incident, Automatic Terminal Information Service (ATIS) Sierra was current: WIND, 330 degrees at 5 knots; VISIBILITY, less than 1/4-mile, freezing fog; SKY CONDITION, indefinite ceiling 100 feet; TEMPERATURE, -6 degrees Celsius; DEW POINT, -7 degrees Celsius; ALTIMETER, 30.24 inches of mercury; REMARKS, fog dispersal ongoing.

Factual narrative

On December 30, 2000, at 0808 mountain standard time, a McDonnell Douglas MD-90-30, N909DA, operated by Delta Air Lines, Inc., of Atlanta, Georgia, as flight 1147, sustained minor damage when it struck approach lights while landing at Salt Lake City International Airport, Salt Lake City, Utah. The airline transport rated captain and first officer, 3 flight attendants, and 75 passengers were not injured. Instrument meteorological conditions prevailed, and an IFR flight plan had been filed for the scheduled domestic passenger flight operating under Title 14 CFR Part 121. The flight originated at Kansas City, Missouri, at 0618 central standard time.

According to the captain's incident report, the first approach briefing was made when ATIS (Automatic Terminal Information Service) indicated that a CAT (category) III ILS (instrument landing system) to runway 16R could be expected. When descent instructions were given, however, the descent profile was for landings to the north and this was confirmed by a revised ATIS information. The captain, who was flying the airplane, briefed the first officer for a second time, this time for a CAT III approach to runway 34R. Improved RVR (runway visual range) values indicated a Category I approach was feasible, and the decision was made to execute this approach.

In his written statement that captain said, "At approximately 100 feet above minimums, I acquired the approach lights and by minimums I had acquired both the threshold and the runway. I disconnected the autopilot. As I began to initiate the flare, (the first officer) announced that sink rate was increasing. I crosschecked that my airspeed was correct and attempted to increase my pitch. Touchdown was firm but not hard and rollout was normal." Upon reaching the gate, the captain notified the control tower that he had "possibly touched down short of the runway." An airport operations vehicle reported observing an MD-90 land "prior to the numbers but had not touched down in the over run." Subsequent inspection revealed debris on runway 34R.

According to airport personnel, the airplane struck the approach lights 400 feet short of the runway. Two threshold lights and one light each from the 100 foot and 200 foot approach light bars were found knocked off. Examination of the airplane disclosed damage to the left main wheel splash guard, and one of the tires was cut. A one-inch square piece of metal was found lodged in the left engine noise suppression material, and there was some damage to the left engine first stage fan section.

The flight data recorder was sent to NTSB's Vehicle Recorder Division for readout. The Flight Data Recorder Factual Report is available in the public docket for this incident. Some of the findings of the report were:

1. Between 0758:50 and about 0800:30, the maximum glide slope deviation was -0.14 dots.

2. At 0800:32, the autopilot was disconnected.

3. At 0800:33, the control columns moved forward (-2.04 and -1.99 degrees, respectively) and the left and right elevators moved down (-3.53 and -2.90 degrees, respectively).

4. At 0800:39, nose down pitch was at its maximum (-1.23 degrees).

5. Glide slope warning occurred at 0800:41.

6. At 0800:44, nose up pitch (landing flare) was at its maximum (+5.45 degrees).

7. Weight on wheels (touchdown) on the left, right, and nose landing gears occurred at 0800:46, 0800:46, and 0800:48, respectively.

Since electrical power was not interrupted after the incident and circuit breakers were not opened after the incident, the cockpit voice recorder was not retrieved because, being a closed loop 30 minute system, pertinent conversation would have been erased.

At the time of the incident, Automatic Terminal Information Service (ATIS) Sierra was current: WIND, 330 degrees at 5 knots; VISIBILITY, less than 1/4-mile, freezing fog; SKY CONDITION, indefinite ceiling 100 feet; TEMPERATURE, -6 degrees Celsius; DEW POINT, -7 degrees Celsius; ALTIMETER, 30.24 inches of mercury; REMARKS, fog dispersal ongoing.

Aircraft

Registration
N909DA
Reported as
McDonnell Douglas MD-90-30
Category
Airplane
Serial number
53389
Airframe hours
16,411
Engine
Int'l Aero En V2528D5, 25,000 lbs thrust, turbo fan
Damage
Minor damage
Flight
Part 121
Registered owner
Delta Air Lines, Inc.
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · December 29, 2000 · 3 hours before
Departed
MCI · Kansas City, MO
Destination
SLC · Salt Lake City, UT
Flight plan
IFR
Airport
SLC · Salt Lake City International, runway 34R, 12,004 × 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 · 3

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
52
Injuries
None
Certificate
Airline transport
Medical
Class 1, Valid Medical--no waivers/lim.
Last flight review
April 14, 2000
Seat
Left
Flight hours
18,000 total · 5,410 in this make and model · 85 in the last 90 days · 14 in the last 24 hours
Role
Co-pilot
Age
50
Injuries
None
Certificate
Commercial
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Right
Flight hours
7,500 total · 169 in the last 90 days · 14 in the last 24 hours
Role
Co-pilot
Age
50
Injuries
None
Certificate
Flight engineer
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Last flight review
May 25, 2000
Seat
Right
Flight hours
7,500 total · 1,758 in this make and model · 169 in the last 90 days · 14 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Day
Wind
Calm
Visibility
0.25 statute miles
Lowest ceiling
100 ft overcast
Temperature
19 °F, dew point 18 °F
Altimeter
30.23 inHg
Observed at
SLC

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 N909DA · 1

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