DEN08IA123

NTSB incident investigation · Airbus Industrie A319-114 · Denver, CO · July 24, 2008

Incident · No injuriesIncident investigationFinal report
Date
July 23, 2008, 22:30 local (Jul 24, 2008, 04:30 UTC)
Place
Denver, CO
Injuries
99 uninjured
Damage
Minor damage
Phase of flight
Takeoff
Aircraft
C-FYJPAirbus Industrie A319-114
Defining event
Takeoff: Sys/Comp malf/fail (non-power)
Weather
Visual (VMC) · Night
Status
Completed · report January 29, 2009
Report
Approved by Office Director
Parties
FAA Flight Standards District Office
Case key
68528

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

On this page

Probable cause

Total failure of the right inboard tire. Contributing to this incident were the low pressure of the tire, and the high tire heat generated by the previous rejected takeoff.

Findings · 3

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.

Landing gear system: tire casingAircraft › Aircraft systems · FailureAll aircraft: 36 casesProbable cause
Landing gear system: tire casingAircraft › Aircraft systems · Not serviced/maintainedAll aircraft: 36 casesProbable cause
Landing gear system: tire casingAircraft › Aircraft systems · Damaged/degradedAll aircraft: 36 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

The first takeoff was rejected because the captain’s side window was not secured. Brake temperatures were allowed to cool below 300 degrees C. before the second takeoff was initiated. After the second takeoff, the gear was left extended to allow the brakes to cool. Retraction was normal. When the flaps were retracted, an F-LOCKED ECAM message illuminated. An emergency was declared and the airplane was configured for landing. Several ECAM messages illuminated, including L/G SYSTEM DISAGREE and L/G NOT DOWN. An uneventful landing was accomplished. Post-incident inspection disclosed the right inboard tire had failed. The tire failure was due to low pressure and the extra heat generated by the first rejected takeoff.

Factual narrative

On July 23, 2008, approximately 2230 mountain daylight time, an Airbus Industrie A319-114, C-FYJP, registered to and operated by Air Canada and piloted by an airline transport certificated pilot, sustained minor damage when the right inboard tire failed during takeoff at Denver International Airport, Denver, Colorado. Visual meteorological conditions prevailed at the time of the incident. The scheduled international passenger flight was being conducted under the provisions of Title 14 Code of Federal Regulations (CFR) Part 129, and an instrument flight rules flight plan had been filed. There were no injuries to the two cockpit crewmembers, three flight attendants, and 94 passengers. The flight was originating at the time of the incident.

According to Air Canada, as the airplane accelerated for takeoff on runway 25, the captain detected a whistling noise and realized his side window was not secured. The takeoff was rejected and the airplane was taxied back. Before the second takeoff was initiated, the crew confirmed that all brake temperatures were below 300 degrees Celsius (C.). Takeoff was initated and gear retraction, which was delayed to allow the brakes to cool as a result of the previous rejected takeoff, was normal. When the flaps were retracted, an F-LOCKED message was received. Slats were retracted and flaps retracted to just short of the number 1 position. An emergency was declared. When the airplane was configured for landing, the following messages were illuminated: RIGHT UNLK ON PANEL; L/G SYS DISAGREE; L/G NOT DOWN. A go-around was executed. The crew then contacted the company's dispatch and maintenance departments. Air Canada's maintenance department informed the crew that if one GREEN triangle on the DOORS page was illuminated, then the right landing gear was effectively down and locked. A flaps 3 landing was made on runway 16R. Although the landing was said to be smooth, there was a noticeable vibration on the right side of the airplane. Minimal braking was used to slow the airplane on the 16,000-foot runway, and there was no difficulty maintaining runway centerline.

Post-incident inspection by FAA inspectors and Air Canada personnel revealed the right inboard tire (number 3) had failed. Cabin crew personnel and several passengers said they noticed a vibration when the airplane was rotated for liftoff. Runway inspection revealed rubber fragments on the right side of the runway approximately the 6,000-foot mark.

The failed tire was sent to Goodyear for examination and analysis. According to Goodyear’s report, tire construction consisted of six casing plies, eleven belts, and one retread ply. There was a sidewall circumferential casing break and a half dozen localized breaks. There was a 360-degree shoulder-to-shoulder tread separation. There was rubber bluing of the tread pieces, exposed casing surface, and beads, "indicating excessive heat." The exposed casing surface was worn "from continued rolling after the tread loss, especially in the shoulders due to pressure loss." Broken ply chords at the sidewall break showed evidence of "severe heat including reverted rubber, charred nylon, and rubber bluing." The liner was abraded from rolling while bottomed after the pressure loss.

Goodyear concluded that "the tire sustained a casing break, likely due to prior pressure loss, which led to complete pressure loss, severe stress on the tire, and the subsequent tread separation." The root cause of the casing break could not be determined. The rejected takeoff "would have generated extra heat in the tires, which would have been detrimental to the tire’s integrity, especially if it was combined with low inflation pressure before the second takeoff. This would have introduced additional heat which would have contributed to the casing break."

Aircraft

Registration
C-FYJP
Reported as
Airbus Industrie A319-114
Category
Airplane
Serial number
MSN 658
Airframe hours
34,200
Engine
CFM International CFM 56-5A5, 23,500 lbs thrust, turbo fan
Damage
Minor damage
Flight
Part 129
Operator
Centre Air Canada
Registered owner
Centre Air Canada
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · January 1, 2008
Departed
DEN · Denver, CO
Destination
CYYZ · Toronto
Flight plan
IFR
Airport
DEN · Denver International, runway 16R, 16,000 × 200 ft, concrete

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
56
Injuries
None
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
February 1, 2008
Seat
Left
Flight hours
9,760 total · 2,711 in this make and model · 53 in the last 90 days · 53 in the last 30 days · 10 in the last 24 hours
Role
Co-pilot
Age
56
Injuries
None
Certificate
Airline transport
Airplane ratings
Single-engine land, Single-engine sea
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
February 1, 2008
Seat
Right
Flight hours
6,919 total · 5,914 in this make and model · 110 in the last 90 days · 82 in the last 30 days · 10 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night
Wind
180° at 15 knots
Visibility
10 statute miles
Lowest ceiling
14,000 ft broken
Temperature
72 °F, dew point 55 °F
Altimeter
30.09 inHg
Observed at
DEN