LAX04LA050

NTSB accident investigation · Boeing 747-422 · San Francisco, CA · November 14, 2003

Accident · No injuriesLimited investigationFinal report
Date
November 14, 2003, 12:50 local (20:50 UTC)
Place
San Francisco, CA
Injuries
356 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N178UABoeing 747-422
Weather
Visual (VMC) · Day
Status
Completed · report April 25, 2007
Report
Approved by Office Director
Parties
Federal Aviation Administration CMO, Boeing, United Airlines
FAA report
20031114035379A
Case key
58372

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

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Probable cause

a tail strike due to a combination of the wind shifting from a headwind to a tailwind during rotation, and the pilot's control inputs for the crosswind condition.

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.

Dragged wing,rotor,pod,float or tail/skidTakeoff
Terrain condition - runway
Flight controls - improper use ofCopilot/second pilotCause
Weather condition - sudden windshiftCause
Rotation - prematureCopilot/second pilotCause

Analysis

The airplane experienced a tail strike on rotation. The first officer was the flying pilot for the takeoff on runway 10L. The winds were from 180 degrees at 16, gusting to 22 knots. The takeoff roll was normal, and the flying pilot utilized control wheel input to correct for the crosswind. A few seconds after rotation, the crew noted the stick shaker annunciate, and flying pilot responded by gently easing back pressure off the control yoke. The crew returned to land at the departure airport after controllers in the tower reported that the airplane may have struck the tail. Flight Data Recorder (FDR) information indicated that the takeoff occurred during directionally variable wind conditions. The wind shifted during the takeoff roll, resulting in a decreasing headwind, an increasing crosswind, and finally to an average 8-knot tailwind during rotation. The maximum pitch rate during rotation was slightly higher than average, but within the normal expected variation. Analysis of the data showed this was a minor contributor to the tail strike. The flying pilot used significant wheel input (35 degrees right wheel) to counter the increasing crosswind, which resulted in the right spoiler raising 12 degrees and a corresponding loss of lift due to the use of spoilers. Rotating at a lower airspeed requires a higher angle of attack, and therefore, a higher pitch attitude to achieve liftoff. The combination of the tailwind gust and spoiler movement resulted in the airplane's pitch attitude exceeding 12.6 degrees while the gear was still on the ground. This resulted in the aft body contact with the runway. During a typical takeoff in gusty or strong crosswind conditions, the manufacturer recommended maximum takeoff thrust and to avoid rotation during a gust. Slightly delaying rotation would allow the airplane additional time to accelerate through the gust, and the greater airspeed would improve the tail clearance margin. The FDR-recorded longitudinal control system parameters suggested a properly functioning system. The airplane motion was consistent with the control inputs and power settings.

Factual narrative

On November 14, 2003, about 1250 Pacific standard time, United Airlines Flight 805, a Boeing 747-422, N178UA, experienced a tail strike on rotation at San Francisco, California. United Airlines, Inc., was operating the airplane as a scheduled international passenger flight under the provisions of 14 CFR Part 121. The airline transport pilot licensed captain, 3 aircrew members, 17 flight attendants, and 335 passengers were not injured. The airplane sustained substantial damage. The flight was en route as a non-stop to Hong Kong, China. Visual meteorological conditions prevailed, and an instrument flight rules (IFR) flight plan had been filed.

The operator submitted a written report. The first officer was the Pilot Flying (PF), and the airplane departed on runway 10L. The winds were 180 at 16, gusting to 22 knots. The takeoff roll was normal, and the PF utilized control wheel input to correct for the crosswind. A few seconds after rotation, the PF noted the stick shaker annunciate, and responded by gently easing back pressure off the control yoke. The captain and a relief pilot felt a nose wheel vibration following the takeoff.

The air traffic control tower contacted the flight crew alerting them of a possible tail strike after observing smoke from the airplane at rotation. The crew returned to land at San Francisco. Evaluation of the damage resulted in structural repair to two structural members.

A National Transportation Safety Board specialist examined the solid state flight data recorder (FDR) and prepared a factual report. It included graphical plots of pertinent data. Boeing also evaluated the FDR data.

The data indicated that the takeoff occurred during variable wind conditions. The wind shifted resulting in a decreasing headwind, and an increasing crosswind, to an average 8-knot tailwind during rotation. During the takeoff roll, the data showed right control wheel inputs and left rudder pedal, suggesting that the winds had a crosswind component from the right. The maximum pitch rate was slightly higher than average, but within the normal expected variation. Boeing felt that this was a minor contributor to the tail strike. The PF used significant wheel input (35 degrees right wheel); this resulted in the right spoiler raising 12 degrees. Boeing pointed out that there was a loss of lift due to the use of spoilers. They also pointed out that rotating at a lower airspeed requires a higher angle of attack, and therefore, a higher pitch attitude to achieve liftoff. The combination of the tailwind gust and spoiler movement resulted in the airplane's pitch attitude exceeding 12.6 degrees, while the gear was still on the ground. This resulted in the aft body contact with the runway.

Boeing discussed a typical takeoff in gusty or strong crosswind conditions. They recommended maximum takeoff thrust, and to avoid rotation during a gust. Slightly delaying rotation would allow the airplane additional time to accelerate through the gust, and the greater airspeed would improve the tail clearance margin.

The FDR-recorded longitudinal control system parameters suggested a properly functioning system. The airplane motion was consistent with the control inputs and power settings.

Aircraft

Registration
N178UA
Reported as
Boeing 747-422
Category
Airplane
Serial number
24385
Airframe hours
57,337
Engines
Pratt & Whitney PW4056, 56,000 lbs thrust, turbo fanPratt & Whitney PW4056, 56,000 lbs thrust, turbo fanPratt & Whitney PW4056, 56,000 lbs thrust, turbo fanPratt & Whitney PW4056, 56,000 lbs thrust, turbo fan
Damage
Substantial damage
Flight
Part 121
Operator
United Air Lines Inc
Registered owner
Wilmington Trust Co
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · July 1, 2003
Departed
SFO · San Francisco, CA
Destination
HKG · Hong Kong
Flight plan
IFR
Airport
SFO · San Francisco International, runway 10L, 11,870 × 200 ft, asphalt

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
56
Injuries
None
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1
Seat
Left
Flight hours
11,999 total · 243 in the last 90 days · 51 in the last 30 days
Role
Co-pilot
Age
42
Injuries
None
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1
Seat
Right
Flight hours
9,702 total · 215 in the last 90 days · 76 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
180° at 16 knots, gusting 22
Visibility
10 statute miles
Lowest ceiling
4,600 ft overcast
Temperature
63 °F, dew point 52 °F
Altimeter
30.09 inHg
Observed at
SFO

FAA reports on this event · 1

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