DFW08IA074

NTSB incident investigation · Boeing 737-7H4 · Dallas, TX · March 1, 2008

Incident · No injuriesIncident investigationFinal report
Date
March 1, 2008, 10:12 local (16:12 UTC)
Place
Dallas, TX
Injuries
244 uninjured
Phase of flight
Taxi
Aircraft
N741SABoeing 737-7H4N652SWBoeing 737-3H4
Defining events
Taxi-from runway: Ground collisionStanding-engine(s) operating: Ground collision
Weather
Instrument (IMC) · Day
Status
Completed · report May 12, 2009
Report
Approved by Office Director
Parties
Southwest Airlines Co, SWAPA, DFW FSDO
Case key
67597

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

The failure of the taxiing flight crew to maintain an adequate clearance from the stationary airplane.

Findings · 4

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.

N741SA · Boeing 737-7H4

N652SW · Boeing 737-3H4

Perception/orientation/illusion: perceptionPersonnel issues › Psychological · Pilot of other aircraftBoeing 737-3H4: 1 caseAll aircraft: 61 casesProbable cause
Attention/monitoring: monitoring other aircraftPersonnel issues › Psychological · Pilot of other aircraftBoeing 737-3H4: 1 caseAll aircraft: 231 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.

N741SA · Boeing 737-7H4

N652SW · Boeing 737-3H4

Ground collisionStanding-engine(s) operatingBoeing 737-3H4: 1 caseAll aircraft: 618 casesDefining event

Analysis

The airplane was taxiing to a terminal gate utilizing the taxiway centerline as it passed a stationary airplane that had completed a "pushback" from a terminal gate. The taxiing airline transport pilot perceived the distance between the two airplanes adequate to continue to the terminal gate, however, the left winglet from the taxiing airplane struck the right horizontal stabilizer of the stationary airplane. The top portion of the winglet sheared off, and imbedded itself in the horizontal stabilizer of the stationary airplane resulting in minor damage to both airplanes.

Factual narrative

History of flight

On March 1, 2008, at 1012 central standard time, a Boeing B-737-7H4, N741SA, operated by Southwest Airlines Company under provisions of 14 Code of Federal Regulations (CFR) Part 121 scheduled passenger service as Southwest Airlines (SWA) Flight 411, collided during taxi with a stationary Boeing 737-3H4, N652SW, operated by Southwest Airlines Company under provisions of 14 Code of Federal Regulations (CFR) Part 121 scheduled passenger service as Southwest Airlines (SWA) Flight 15 during ground operations at Dallas Love Field (DAL), Dallas, Texas. There were no injuries to the two airline transport pilots, three flight attendants, and the 102 passengers onboard SWA411, or to the two airline transport pilots, three flight attendants, and the 132 passengers onboard SWA15. Both airplanes sustained minor damage. Day instrument meteorological conditions prevailed and an instrument flight rules (IFR) Flight plan had been filed for SWA411 on the flight from the Birmingham International Airport, Birmingham, Alabama. An IFR flight plan had been filed for SWA15 with the intended destination of William P. Hobby Airport (HOU), Houston, Texas.

SWA411 had landed on runway 13 left and had a clearance to taxi to gate 2. While taxiing southbound on taxiway D past SWA15 at gate 11, the left winglet of SWA411 collided with the left horizontal stabilizer of SWA15. SWA411 immediately stopped in position on taxiway D and shut down both engines.

At the time of the collision SWA15 had completed a pushback from gate 11 and the ground crew had disconnected and left the area. SWA15 was stationary with the parking brake set waiting for SWA411 to pass before beginning to taxi for takeoff. SWA15 was on an approximate heading of 060 degrees with the closest part of that airplane, the left horizontal stabilizer, positioned approximately 20 feet away from the east edge marking for taxiway D.

The captain of SWA411 later stated that it appeared to him that they could safely pass SWA15 on their left. The first officer of SWA411 said he asked the captain about wing clearance as they approached SWA15 and the captain looked over his left shoulder and said they had enough room.

After initial photographs were taken SWA411 was towed to gate 2 and the passengers and crew deplaned normally through the jetbridge. SWA15 was towed to gate 11 and the passengers and crew deplaned normally through the jetbridge.

Personnel information

SWA411

The captain of SWA411 was a 57-year-old airline transport pilot with 23,000 total flight hours, including 18,000 hours as PIC, and 9,000 hours on the B737. He was type rated in the B737 and four other airplane types. He had flown 3 hours in the last 24 hours and 28 hours in the last 30 days. He held a first class airman medical certificate dated October 23, 2007. The medical certificate contained the limitation "must have available glasses for near vision".

The first officer of SWA411 was a 50-year-old airline transport pilot with 8,090 total flight hours, including 2,610 hours as PIC, and 4,920 hours on the B737. He was type rated in the B737. He had flown 3 hours in the last 24 hours and 78 hours in the last 30 days. He held a first class airman medical certificate dated April 12, 2007. The medical certificate contained the limitation "must wear corrective lenses".

SWA15

The captain of SWA15 was a 52-year-old airline transport pilot with 16,250 total flight hours, including 10,900 hours as PIC, and 10,980 hours on the B737. He was type rated in the B737 and three other airplane types. He had flown 7 hours in the last 24 hours and 86 hours in the last 30 days. He held a first class airman medical certificate dated January 17, 2008.

The first officer of SWA15 was a 48-year-old airline transport pilot with 6,800 total flight hours, including 2,150 hours as PIC, and 4,200 hours on the B737. He was type rated in the B737. He had flown 2 hours in the last 24 hours and 75 hours in the last 30 days. He held a first class airman medical certificate dated September 17, 2007.

Aircraft information

SWA411, N741SA, is a Boeing 737-7H4 S/N 29277 manufactured in 1998. The wingspan is 117 feet 5 inches and the top of the winglet is 21 feet 4 inches high. The horizontal stabilizer is 47 feet 2 inches wide.

SWA15, N652SW, is a Boeing 737-3H4 S/N 27722 manufactured in 1997. The wingspan is 102 feet 5 inches and the top of the winglet is 17 feet 9 inches high. The horizontal stabilizer is 41 feet 8 inches wide and 17 feet high.

Meteorological information

At 0953 hours central standard time, the weather observation facility at DAL reported, wind from 140 degrees at 6 knots, visibility 3 statute miles in haze, overcast clouds at 500 feet, temperature 59 degrees Fahrenheit, dew point 57 degrees Fahrenheit, and a barometric pressure of 30.27 inches of Mercury.

Communications and dispatch information

A review of the recorded air traffic control ground position indicated that SWA411 had been cleared to taxi to gate 2, SWA15 had called for pushback from gate 11 and was cleared to taxi to runway 13 left with an instruction to "use caution for company behind you".

Flight recorders

Cockpit Voice Recorders

Both SWA411 and SWA15 were equipped with a cockpit voice recorders (CVR). The CVRs were secured and sent to the National Transportation Safety Board's Audio Laboratory for readout. The recordings consisted of excellent quality audio information. A CVR group was not formed and a transcript was not prepared.

Flight Data Recorders

SWA411 was equipped with a digital flight data recorder (DFDR). The operator provided a readout of the DFDR data which showed the right engine had been shut down 150 seconds after touchdown and the maximum groundspeed during taxi was 25 knots. At the time of impact the recorded groundspeed was 7 knots and the airplane was on a magnetic heading of 180 degrees. The magnetic heading did not change significantly at the time of the event. There was a perturbation in all three accelerometer values: vertical acceleration of 1.05G, Longitudinal acceleration of -0.42G (with braking), and lateral acceleration of +/- 0.05G, as well as application of significant braking at a recorded time of 10:13:42.

SWA15 was equipped with a digital flight data recorder (DFDR). The operator provided a readout of the DFDR data which showed the engines were at idle power (N1 ~ 22%), the parking brake was set, and the aircraft was on a magnetic heading of 60 degrees at time of the incident. There was a perturbation in all three accelerometer values: vertical acceleration of 1.04G, Longitudinal acceleration of -0.05G, and lateral acceleration of -0.18G at a recorded time of 10:12:33.

Wreckage and impact information

SWA411, N741SA, had minor damage to left winglet when a portion of the winglet separated after striking the horizontal stabilizer of SWA15.

SWA15, N652SW, had minor damage to the leading edge of the left horizontal stabilizer where part of the separated left winglet from SWA411 remained imbedded in the leading edge of the horizontal stabilizer. The left horizontal stabilizer of SWA15 had a smear on the underside skin beginning at the location of the separated winglet embedded in the leading edge and continuing to the rear of the left elevator. That smear measured at an angle of 56 degrees from the leading edge of the horizontal stabilizer. The horizontal stabilizer on SWA15 has a leading edge sweep of approximately 25 degrees.

Additional information

Southwest Airlines Flight Operations Manual Bulletin 24-05, dated November 10, 2005

provided additional dimensional and lateral clearance information and guidance for the 737 -700/-300/-500, and instructed pilots that "When the aircraft is not on a taxi line, a lateral clearance of 10 feet is considered minimum acceptable separation... Caution:

Lateral clearance, particularly to the

Aircraft · 2

Registration
N741SA
Reported as
Boeing 737-7H4
Category
Airplane
Serial number
29277
Airframe hours
34,448
Engines
CFM Intl CFM-56-7, 24,000 lbs thrust, turbo fanCFM Intl CFM-56-7, 24,000 lbs thrust, turbo fan
Damage
Minor damage
Flight
Part 121
Operator
Southwest Airlines Co
Registered owner
Southwest Airlines Co
Last inspection
Continuous airworthiness · February 29, 2008
Departed
BHM · Birmingham, AL
Destination
DAL · Dallas, TX
Flight plan
IFR
Airport
DAL · Dallas Love Field

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.

Registration
N652SW
Reported as
Boeing 737-3H4
Category
Airplane
Serial number
27722
Airframe hours
35,837
Engines
CFM Intl CFM-56-3, 20,000 lbs thrust, turbo fanCFM Intl CFM-56-3, 20,000 lbs thrust, turbo fan
Damage
Minor damage
Flight
Part 121
Operator
Southwest Airlines Co
Registered owner
Southwest Airlines Co
Last inspection
Continuous airworthiness · February 25, 2008
Departed
DAL · Dallas, TX
Destination
HOU · Houston, TX
Flight plan
IFR
Airport
DAL · Dallas Love Field

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 · 4

As NTSB recorded them. NTSB leaves out names.

Role
Pilot, aircraft N741SA
Age
46
Injuries
None
Certificates
Flight engineer, Flight instructor, Airline transport
Airplane ratings
Single-engine sea, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
November 2, 2007
Seat
Left
Flight hours
23,000 total · 14,500 in this make and model · 18,000 as pilot in command · 221 in the last 90 days · 28 in the last 30 days · 3 in the last 24 hours
Role
Co-pilot, aircraft N741SA
Age
50
Injuries
None
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
September 16, 2007
Seat
Right
Flight hours
8,090 total · 4,920 in this make and model · 2,610 as pilot in command · 238 in the last 90 days · 78 in the last 30 days · 3 in the last 24 hours
Role
Pilot, aircraft N652SW
Age
52
Injuries
None
Certificates
Flight engineer, Airline transport, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
November 26, 2007
Seat
Left
Flight hours
16,250 total · 10,980 in this make and model · 10,900 as pilot in command · 249 in the last 90 days · 86 in the last 30 days · 7 in the last 24 hours
Role
Co-pilot, aircraft N652SW
Age
38
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
December 31, 2007
Seat
Right
Flight hours
6,800 total · 4,200 in this make and model

Weather

Conditions
Instrument (IMC) · Day
Wind
140° at 6 knots
Visibility
3 statute miles
Lowest ceiling
500 ft overcast
Temperature
59 °F, dew point 54 °F
Altimeter
30.27 inHg
Observed at
KDAL

FAA reports on this event · 2

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