NYC05FA054

NTSB accident investigation · Boeing 777-200 · Newark, NJ · March 2, 2005

Accident · No injuriesField investigationFinal report
Date
March 2, 2005, 15:50 local (20:50 UTC)
Place
Newark, NJ
Injuries
214 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N78008Boeing 777-200
Weather
Visual (VMC) · Day
Status
Completed · report February 28, 2008
Report
Approved by Office Director
Parties
Air Line Pilot's Association, The Boeing Company, Continental Airlines, FAA/FSDO
FAA report
20050302019029A
Case key
61107

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 captain's failure to follow company procedures, which resulted in a tail strike. Contributing were the gusty crosswind and tailwind conditions, and the manufacturer's failure to provide adequate performance planning data to account for gusty crosswinds during takeoff.

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
Rotation - excessivePilot in command
Weather condition - crosswindFactor
Procedures/directives - not followedPilot in commandCause
Weather condition - tailwindFactor
Performance data - inadequateManufacturerFactor

Analysis

During a near maximum gross weight takeoff from runway 4L, in gusty winds, the captain recalled that the airplane's rotation was normal, but it did not "fly away" as he expected. As the captain continued to rotate the airplane, the tail section struck the ground, and the "tail strike" EICAS (Engine Indication and Crew Alerting System) message illuminated. The flight crew then completed the takeoff sequence, completed all checklists, jettisoned fuel, and returned to the airport where an uneventful landing was made. The winds recorded at the airport, about 1 minute after the accident, were from 280 degrees, at 21 knots, gusting to 28 knots. Review of the DFDR data revealed that at the time the takeoff roll began, the captain's control wheel was turned 25.5 degrees to the left, resulting in the upward deflection of the left wing outboard aileron, flaperon, and 6 of 7 spoilers, which was consistent with a correction for crosswind conditions. As the takeoff roll continued, the control wheel input varied between 19.6 degrees and 37.5 degrees to the left, and at the approximate point of rotation, the control wheel was turned to the left 38.4 degrees. The control column position also began to move aft at the point of rotation, with a force of 22.7 pounds, and the pitch of the airplane rose to 3 degrees nose up. As the pilot continued the rotation, he held the pitch control at a value consistent with previous recorded flights, before pulling the control column further aft, increasing the pitch angle to the tail strike attitude of approximately 13 degrees nose up. One second later, as both left and right main gear indicated no weight on wheels, the control column position reached its maximum value during the event, 9.2 degrees aft, and the pitch reached 17.8 degrees nose up. A Safety Board vehicle performance study compared the airspeed and groundspeed recorded during the accident, and determined that a wind gust caused an approximate 7 knot loss in airspeed, the lateral control wheel input during the rotation ranged from 24 to 37 degrees, and the maximum pitch rate during the rotation was approximately 6.0 degrees/second. Using these data in a Boeing estimation method, it was determined that three factors contributed to the reduced tail clearance during the takeoff. These factors were the loss of airspeed that resulted from a tailwind gust during the rotation, the loss of lift that resulted from the deflection of the lateral control surfaces, and a pitch rate in excess of that recommended. These factors combined for a total reduction in tail clearance of approximately 150-170 percent. It was concluded in the performance study that reducing the pitch rate to the Boeing recommended 2.5 degrees/second would have brought the tail clearance reduction to the 80 percent to 100 percent of nominal level, and from that point, a 1-knot increase in rotation speed would have provided about a 7 percent increase to the tail clearance margin. According to Boeing, the typical liftoff attitude was 8.5 degrees, the minimum tail clearance was 37 inches, and the tail strike pitch attitude was 12.1 degrees up. The operator's flight manual warned pilots to "Avoid any tendency to rapidly rotate to a 10 degree pitch attitude and hold it until lift-off. This technique invites a tail strike." In addition, neither Boeing, nor the operator, had procedures or policies for adding an increase in rotation speed to compensate for crosswind or tailwind conditions.

Factual narrative

History of flight

On March 2, 2005, at 1550 eastern standard time, a Boeing 777-200, N78008, operated by Continental Airlines as flight 99, experienced a tail strike departing from the Newark Liberty International Airport (EWR), Newark, New Jersey. There were no injuries to the 2 certificated airline transport flight crewmembers, 2 relief flight crewmembers, 12 flight attendants, or 198 passengers. Visual meteorological conditions prevailed, and an instrument flight rules (IFR) flight plan had been filed for the flight destined for Hong Kong, China. The flight was a scheduled international passenger flight, conducted under 14 CFR Part 121.

According to a representative of the operator, the airplane was departing from runway 4L, an 11,000 foot-long by 150 foot-wide, asphalt runway. As the airplane rotated, during the takeoff, it lifted off the runway, momentarily settled back to the ground, and lifted off a second time. Suspecting that the tail of the airplane struck the ground, the pilot elected to return to the airport, where it landed uneventfully approximately 1-hour later.

According to the captain, who was flying at the time of the accident, the fuel load was approximately 251,000 pounds, which resulted in a gross weight takeoff of approximately 623,500 pounds. The takeoff was planned and briefed with the air conditioning packs "OFF" and with a "full power" thrust setting. The reported winds for takeoff were "very gusty" and variable. The ACCULOAD data for takeoff was planned with a 7-knot tailwind and a "low altimeter setting penalty" (ACCULOAD was a computer based weight and balance system, which was an integral part of the flight operations management system, and was used to generate the pilot weight manifest. Takeoff data was based on the most recent observed metrological and runway conditions).

During the takeoff roll, the indicated airspeed "lagged" slightly before V1 and Vr, but stabilized and accelerated normally after rotation. The rotation was normal at, or after Vr, but the airplane did not "fly away" as he expected. The airplane cleared the ground, but a wind gust forced it back down, and the tail of the airplane struck the ground with a "substantial impact." The "tail strike" EICAS (Engine Indication and Crew Alerting System) message then illuminated. The flight crew completed the takeoff sequence, completed all applicable checklists, jettisoned fuel, and returned to Newark for landing.

In a subsequent statement, the captain recalled that the flight received takeoff clearance from the tower, with the winds reported as 280 degrees at 17 knots.

According to the first officer, he was the "pilot monitoring" for the accident flight. Before takeoff, all normal checklists and briefings were completed in accordance with company flight operations procedures. Before taxiing onto the runway, he noted that the tower controller stated that wind gusts of plus or minus 10 knots were reported by another airplane. The takeoff was briefed with air conditioning packs "OFF," as planned per the ACCULOAD.

Engine spool up was normal and stabilized about 99 percent rpm. As expected, the indicated airspeed was erratic during acceleration due to the gusty wind conditions. Prior to the V1 speed callout, the indicated airspeed stagnated momentarily, and then "jumped" quickly up to the V1 speed. The jump in indicated airspeed was so quick, that the "automated voice" called V1 before the first officer did (synthetic voices annunciate certain normal but time critical operational information, such as the V1 callout). The first officer then announced, "V1, rotate," and recalled that the speed difference between V1 and Vr was one knot. The captain initiated the rotation, while the first officer turned his attention to the airspeed indicator to advise of any further airspeed anomalies. He then observed that the airspeed stopped increasing for a few seconds.

As the airplane "seemed" to pitch up normally, the first officer noticed that the airspeed stagnated, again, just above "V1/Vr." Therefore, his attention was fixated on the airspeed indicators. After several seconds, the airspeed began its normal acceleration toward V2. Once the first officer observed this acceleration, he looked up and noticed a high pitch angle. He then rationalized that with this high pitch angle, the airplane must be airborne. He looked back inside the cockpit to confirm a positive rate of climb and then felt a firm ground impact.

The airplane seemed to fly up and away from the ground as expected; however, shortly thereafter, the "tail strike" EICAS indication illuminated. The flight crew continued the climb out and subsequently returned to Newark, where the airplane landed uneventfully.

In a subsequent statement, the first officer recalled that the flight received takeoff clearance from the tower, which included winds from 280 degrees at 17 knots. The tower provided no further information, and the flightcrew elected to not add a gust factor to the takeoff data.

Personnel information

The captain held an airline transport pilot certificate with a rating for airplane multiengine land, and held a flight engineer certificate. The captain held type ratings in Boeing 727, 737, 747, 757, 767, 777, Airbus A-300, and McDonnell Douglas DC-9 and DC-10 airplanes. The operator reported that the captain had accumulated about 17,000 hours of total flight experience, which included 4,100 hours in the Boeing 777.

The captain's most recent Federal Aviation Administration (FAA) first class medical certificate was issued on October 16, 2004.

The first officer held an airline transport pilot certificate with a rating for airplane multiengine land. The first officer was also type rated in the Boeing 777. The operator reported that the first officer had accumulated about 15,000 hours of total flight experience, which included 3,438 hours in the Boeing 777.

The first officer's most recent FAA first class medical certificate was issued on March 15, 2004.

Aircraft information

The airplane was maintained under a continuous airworthiness inspection program, and had accumulated about 27,782 total hours of operation, at the time of the accident.

Meteorological information

The 1451 EWR METAR reported winds from 280 degrees, at 17 knots, gusting to 23 knots. Peak winds from 280 degrees at 26 knots were recorded at 1430.

The 1551 EWR METAR reported winds from 280 degrees, at 21 knots, gusting to 28 knots. Peak winds from 280 degrees at 30 knots were recorded at 1528.

Air traffic control

According to the FAA Air Traffic Control Handbook, 7110.65L, Section 5. Runway Selection,

"3-5-1 Selection

a. Except where a 'runway use' program is in effect, use the runway most nearly aligned with the wind when the wind is 5 Knots or more or the "calm wind" runway when the wind is less than 5 Knots (set tetrahedrons accordingly), unless use of another runway:

1. Will be operationally advantageous, or,

2. Is requested by the pilot.

b. When conducting aircraft operations on other than the advertised active runway, state the runway in use.

Note -

1 - If a pilot prefers to use a runway different from that specified, he/she is expected to advise ATC.

2 - At airports where a 'runway use' program is established, ATC will assign runways deemed to have the least noise impact. If in the interest of safety a runway different from that specified is preferred, the pilot is expected to advise ATC accordingly. ATC will honor such requests and advise pilots when the requested runway is noise sensitive."

At the time of the accident, Newark Airport was utilizing an "Informal Runway Use Program."

According to the Newark Airport Informal Runway Use Program:

A. The procedures described in Attachments 1 and 2 shall be used for runway selection except when one or more of the conditions listed below exist. At those times, the runway

Aircraft

Registration
N78008
Reported as
Boeing 777-200
Category
Airplane
Serial number
29478
Airframe hours
27,782
Engines
General Electric 90-90B, 90,000 lbs thrust, turbo fanGeneral Electric 90-90B, 90,000 lbs thrust, turbo fan
Damage
Substantial damage
Flight
Part 121
Operator
Continental Airlines Inc
Registered owner
Wells Fargo Bank Northwest NA Trustee
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · March 1, 2005 · 8 hours before
Departed
EWR
Destination
VHHH · Hong Kong
Flight plan
IFR
Airport
EWR · Newark International Airport, runway 040, 11,000 × 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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
59
Injuries
None
Certificates
Flight instructor, Airline transport, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
June 1, 2004
Seat
Left
Flight hours
17,000 total · 4,100 in this make and model · 12,000 as pilot in command · 217 in the last 90 days · 80 in the last 30 days · 2 in the last 24 hours
Role
Co-pilot
Age
45
Injuries
None
Certificates
Commercial, Airline transport, Flight instructor, Flight engineer
Airplane ratings
Single-engine land, Multi-engine land, Single-engine sea, Multi-engine sea
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
May 1, 2004
Seat
Right
Flight hours
15,000 total · 3,438 in this make and model · 8,000 as pilot in command · 269 in the last 90 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
320° at 23 knots, gusting 28
Visibility
10 statute miles
Lowest ceiling
None
Temperature
32 °F, dew point 9 °F
Altimeter
29.79 inHg
Observed at
EWR

FAA reports on this event · 1

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