LAX06FA063

NTSB accident investigation · Boeing 747-400 · Los Angeles, CA · December 20, 2005

Accident · No injuriesField investigationFinal report
Date
December 19, 2005, 20:30 local (Dec 20, 2005, 04:30 UTC)
Place
Los Angeles, CA
Injuries
273 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
VT-AIMBoeing 747-400
Weather
Visual (VMC) · Night
Status
Completed · report March 26, 2007
Report
Approved by Office Director
Parties
Federal Aviation Administration, Goodyear Tire and Rubber Company, The Boeing Company, Bridgestone Aircraft Tire, Inc., Goodrich Corporation
Case key
62979

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 incorrect installation of the inflation valve cores in the number 11 and number 12 wheel assemblies that allowed the tires to be operated in an over deflected condition that resulted in their failure.

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.

Airframe/component/system failure/malfunctionTakeoff - roll/run
Maintenance,installation - inadequateCompany maintenance personnelCause
Landing gear,tire valve stem - undertorquedCause
Landing gear,tire - burstCause

Analysis

The four right main body landing gear tires burst during the takeoff ground roll, and the crew performed a precautionary landing. Pieces of the tires and wheel assemblies penetrated the fuselage structure and the airplane incurred substantial damage. Post accident examination revealed that the valve cores on three of the four inflation valves, including the two aft valves, were not torqued to the manufacturer's specifications and leaked steadily. Examination of the right aft main body landing gear tires (number 11 and 12) showed that they were operated in an over deflected condition at some point prior to the event, which resulted in internal damage to the tires. The aft tires failed first as a result of the internal damage and initiated the accident sequence. Damage to the forward tires was consistent with the tires bursting due to their impact by debris from the aft tires.

Factual narrative

1.1 History of Flight

On December 19, 2005, at 2030 Pacific standard time, the four right body landing gear (RBLG) tires on a Boeing 747-400, Indian registry VT-AIM, operating as Air India 136, burst during takeoff from Los Angeles International Airport, Los Angeles, California. Air India was operating the airplane under the provisions of 14 CFR Part 129. The captain, first officer, a relief captain, 14 flight attendants, and 256 passengers were not injured; the airplane sustained substantial damage. The scheduled international passenger flight was originating at the time and was destined for Frankfurt International Airport, Frankfurt, Germany. Visual meteorological conditions prevailed and an instrument flight plan was in effect.

Following the airplane's liftoff from runway 25R, a member of the Los Angeles airport operations was notified that there appeared to be foreign object debris (FOD) on the runway. The airport operations specialist was positioned near the end of runway 25R, on the taxiway, and had heard two loud, succinct booms as the airplane rotated from the runway. The specialist proceeded down runway 25R and noted a substantial amount of debris on the runway and adjoining taxiways.

The majority of the debris was located about 2,500 feet to 10,000 feet from the east end of the 12,091-foot runway. The first identified debris field contained two sections of rubber and was located about 2,500 feet from the east end of the runway. About 4,000 feet from the east end of the runway were metal pieces identified as landing gear wheel fragments. The majority of the debris continued down the runway to about the 10,000-foot point, and contained large sections of the wheels and rubber portions of the tires.

After the event, the airplane circled off shore to jettison fuel in order to land. The specialist that reported and identified the initial debris on runway 25R reported that after the airplane landed there was some debris on runway 25L. As the airplane approached the east end of runway 25L to land, the specialist noted that none of the main body landing gear tires on the right side were evident. The airplane touched down at 2155.

Examination of the runway 25R surface revealed no marks along the right side of the runway centerline prior to the 2,500-foot point. Rubber tire marks were noted in a feather-like, brush pattern approximately 3,000 feet from the east end of the runway, and again approximately 10,000 feet from the east end of the runway. Groove marks along the runway centerline and to the right of the centerline were present intermittently on the surface about mid-runway length.

Following the landing, emergency crews responded and sprayed water on the airplane's brake system to keep them cool. The passengers were deplaned using the stairs while the airplane was on the runway. Airport operations personnel closed both runway 25L and 25R overnight to facilitate the clean up of the runways.

The captain, the flying pilot for this leg of the flight, reported that the time leading up to the takeoff was uneventful. They taxied the airplane for 15 to 20 minutes. As he rotated the airplane for takeoff, he felt a slight vibration. He continued the takeoff, which he identified as normal, but felt a shudder. At 400 feet above ground level (agl), the engine indication and crew alerting system (EICAS) displayed warning messages to the flight crew. Shortly thereafter, a tower controller informed the crew that there was debris on the runway. After receiving a series of messages from EICAS, the captain climbed the airplane to 15,000 feet and attempted to retract the flaps. The flaps remained extended 10 to 20 degrees. As the airplane was climbing, an air traffic controller advised the captain that there were metal hinges and brake parts on the runway. The captain jettisoned the fuel and returned to land. While on an extended final for runway 25L, he extended the flaps to 25 degrees, however, the landing gear warning horn went off and the flaps automatically retracted to 20 degrees. During the touchdown, the thrust reversers came to the interlock position; however, engines 2 and 3 did not go past interlock. The airplane was brought to a stop using manual braking. The rescue crews confirmed that there was no fire and the passengers were deplaned.

Prior to the flight, the first officer (FO) performed a walk-around of the airplane. No mechanical problems or abnormalities were identified by the FO or reported to the captain. A maintenance engineer also examined the airplane prior to its departure with no problems noted.

Information regarding the takeoff portion of the flight was obtained from the flight data recorder (FDR). Approximately 39 seconds after the airplane began its takeoff roll, the lateral acceleration increased from approximately 0 g to 0.153 g down to -0.161 g and the airplane traveled approximately 3,000 feet. About 18 seconds later, the vertical acceleration peaked at 1.96 g, the lateral acceleration peaked at -1.083 g, and the airplane traveled approximately 7,290 feet. Less than 1 second later, the air-to-ground discrete transitioned from "Ground" to "Air". Twelve seconds later, the gear disagree discrete transitioned from "Normal" to "Disagree."

1.2 Damage to Aircraft

The airplane was examined on the United Airlines maintenance ramp at Los Angeles International Airport on December 21, 2005. National Transportation Safety Board investigators, personnel from the Federal Aviation Administration (FAA), and Air India were present.

The forward end of the RBLG wheel well is the station (STA) 1350 bulkhead, and the aft end of the wheel well is the STA 1480 bulkhead. The third vertical stiffener from the inboard end of the wheel well on the STA 1350 bulkhead exhibited impact damage and a cracked upper cap. A hydraulic return line located between the brake control valve and the anti skid valve was pierced by the cracked vertical stiffener. There was deformation to a flight control hydraulic pressure line that ran along the STA 1350 bulkhead and a clamp had torn away where it attached to a stiffener. The electrical control unit on top of the flap control valve exhibited impact damage. There was a small puncture (1 inch by 1/2 inch) in the upper pressure deck, and a light assembly attached to the pressure deck had a piece of rubber embedded in it. There were several areas of black rubber transfer on the wheel well structure, and numerous small pieces of rubber debris were found in the wheel well. No evidence of any metal rim debris was found in the wheel well. Towards the aft end of the wheel well was a damaged hydraulic pressure line situated between the brake control valve and RBLG, and a damaged pressure line that runs from the brake accumulator through the STA 1480 bulkhead. There was no damage evident to any of the flight control cables or flap torque tubes that run through the wheel well.

There was puncture damage and many areas of black rubber transfer to the exterior of the forward body landing gear door that normally stays closed unless the landing gear is in transit. There was puncture damage through both the interior and exterior surfaces of the main body landing gear door that is slaved to the RBLG, and the link that attaches the door to the gear was broken at each end where the tie rods attach. The downlock bungee failed at its attach point to the downlock link. The exterior of the main wing landing gear door exhibited black rubber transfer and puncture damage.

The wing-to-body fairing exhibited several areas of puncture damage between STA 1480 and the end of the fairing at STA 1680. There were pieces of the wheel assemblies and brake fragments found within the fairing. The wing-to-body fairing frames at STA 1540, 1580, and 1620 exhibited impact damage. The 1540 frame had a small puncture in the web and cracked upper cap. The 1580 frame was missi

Aircraft

Registration
VT-AIM
Reported as
Boeing 747-400
Category
Airplane
Serial number
25074
Airframe hours
54,356
Engine
Pratt & Whitney PW4056-3, 58,000 lbs thrust, turbo fan
Damage
Substantial damage
Flight
Part 129
Operator
Air India
Registered owner
Wells Fargo Bank Northwest, National Association
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · December 1, 2005 · 54,055 hours before
Departed
LAX · Los Angeles, CA
Destination
FRA · Frankfurt
Flight plan
IFR
Airport
KLAX · Los Angeles Intl, runway 25R, 12,091 × 150 ft, asphalt

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
54
Injuries
None
Certificates
Foreign, Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Seat
Left
Flight hours
12,400 total · 2,420 in this make and model · 206 in the last 90 days
Role
Co-pilot
Age
36
Injuries
None
Certificates
Foreign, Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Seat
Right
Flight hours
4,430 total · 775 in this make and model · 216 in the last 90 days

Weather

Conditions
Visual (VMC) · Night
Wind
260° at 4 knots
Visibility
9 statute miles
Lowest ceiling
None
Temperature
63 °F, dew point 61 °F
Altimeter
30.25 inHg
Observed at
LAX