NYC05FA094

NTSB accident investigation · McDonnell Douglas MD-11F · Louisville, KY · June 7, 2005

Accident · No injuriesField investigationFinal report
Date
June 7, 2005, 01:25 local (05:25 UTC)
Place
Louisville, KY
Injuries
4 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N250UPMcDonnell Douglas MD-11F
Weather
Visual (VMC) · Night
Status
Completed · report February 28, 2008
Report
Approved by Office Director
Parties
FAA FSDO
FAA report
20050607009629A
Case key
61654

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

The flying pilot's improper aircraft handling after main landing gear touchdown, which resulted in the collapse of the nose landing gear assembly. Conributing to the accident was the pilot-in-command's inadequate supervision during the landing.

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.

Hard landingLanding
Supervision - inadequatePilot in commandFactor
Aircraft handling - improperOther crewmemberCause
Landing gear,nose gear assembly - collapsed

Analysis

The McDonnell Douglas MD-11F was being flown by a captain seated in the left seat (PF), who was receiving initial operating experience (IOE). A captain seated in the right seat, was the pilot-in-command (PIC) of the flight. The airplane was landing on an 8,579-foot-long, concrete runway, during night visual meteorological conditions. After main gear touchdown, the nose gear touched down, and subsequently collapsed. The airplane sustained damage to and around the pressure bulkhead, at station 625. Data obtained from the flight data recorder revealed that after main gear touchdown, the control column was moved sharply forward resulting in a change in pitch angle from approximately 5 degrees nose up, to about 1 degree nose down, which was accompanied by a reduction in load factor to approximately 0.3 g's. The vertical load factor then spiked to approximately 2.5 g's on nose wheel contact, over twice that of a typical landing, with a load factor increment of 0.75 g's, also excessive. Metallurgical examination of the remnants of the nose landing gear assembly were consistent with overstress, and no evidence of any preexisting fractures were observed.

Factual narrative

History of flight

On June 7, 2005, at 0125 eastern daylight time, a McDonnell Douglas MD-11F, N250UP, operated by United Parcel Service Company (UPS) as flight 6971, was substantially damaged during landing at the Louisville International Airport-Standiford Field (SDF), Louisville, Kentucky. There were no injuries to the two flight crewmembers or two passengers. Night visual meteorological conditions prevailed and an instrument flight rules flight plan had been filed for the flight that originated from the Ted Stevens Anchorage International Airport, Anchorage, Alaska. The non-scheduled cargo flight was conducted under 14 Code of Federal Regulations Part 121.

According to the operator, the airplane experienced a hard landing with a different flight crew during the previous landing in Anchorage. Postflight inspection of the airplane and landing gear by maintenance personnel did not reveal any abnormalities, and the airplane was released for flight. In addition, the accident flight crew was aware of the hard landing and stated that they specifically examined the nose gear with the knowledge of the previous hard landing, and did not observe any discrepancies.

The pilot flying (PF) was a captain seated in the left seat, who was receiving initial operating experience (IOE) in the MD-11F. The pilot monitoring (PM) was a captain seated in the right seat, was also the pilot-in-command (PIC) of the flight.

Both pilots reported that the takeoff, en route, and approach portions of the flight were normal and uneventful. The airplane was cleared to land at SDF, on runway 17L, an 8,579-foot-long, concrete runway. The PIC reported that the landing approach speed was 163 knots. The airplane's main landing gear touched down normally, and was followed by a normal de-rotation rate; however, he heard a loud "explosion" when the nose landing gear contacted the runway. The nose gear lifted up momentarily, before contacting the ground again. During the landing rollout, after the thrust reversers were deployed, the PF observed sparks fly up past the cockpit window, and described feeling "tremendous" vibrations.

The airplane remained predominately on the runway centerline during the rollout, before coming to a stop on the runway. All occupants evacuated via the left main door emergency slide. Airport rescue and fire fighting (ARFF) personnel extinguished a fire that ensued, and surrounded the nose landing gear.

Examination of the runway indicated that the nose gear touched down about 150 prior to the 6,000 feet remaining sign, and 6 feet left of the runway centerline. A gouge was observed on the runway about 100 feet further along the runway, and portions of the nose landing gear assembly were strewn about 5,000 feet along, and around the runway. The remnants of the nose landing gear assembly were subsequently forwarded to the Safety Board's Metallurgical Laboratory, Washington, D.C., for further examination. The remnants included, the inboard and outboard wheel halves for both wheels; the inboard and outboard bearings for both wheels; axle sleeves, spacers, and end nuts from the left and right wheels; bearing seals and retaining rings for both wheels; wheel bolts, nuts, and washers for connecting the wheel halves; the left and right tires; the hubcap for the left wheel; and a support tube.

In addition to the damage to the nose gear assembly, the airplane sustained damage to and around the pressure bulkhead at station 625.

The airplane was equipped with an L-3 Communications Fairchild cockpit voice recorder and flight data recorder, which were forwarded to the Safety Board's Vehicle Recorders Laboratory, Washington, D.C., for readout.

The accident occurred during the hours of night at approximately 38 degrees, 10.46 minutes north latitude, and 85 degrees, 44.16 minutes west longitude.

Personnel information

The PIC captain was hired by UPS on July 18, 1988. He held airline transport pilot certificates for multiengine land airplanes, and rotorcraft, and commercial pilot certificates for single engine land airplanes, and gliders. He also held several type ratings, including Boeing 727, 757, 767, and McDonnell Douglas DC-3, DC-9, and MD-11 series airplanes.

The PIC reported 10,000 hours of total flight experience, which included about 425 hours in the MD-11F, of which, 160 and 26 hours were accumulated in the 90 and 30 days preceding the accident, respectively. His most recent company flight proficiency check was completed on May 26, 2004.

The PIC's most recent Federal Aviation Administration (FAA) first class medical certificate was issued on February 8, 2005.

The PF captain was hired by UPS on January 16, 1995. He held an airline transport pilot certificate for multiengine land airplanes, and a commercial pilot certificate for single engine land airplanes. He also held type ratings for Boeing 757, 767, Lockheed L-382, and McDonnell Douglas MD-11 series airplanes.

The PF reported 5,000 hours of total flight experience, which included 39 hours in the MD-11F, all of which was accumulated during the 90 days preceding the accident. The PF's most recent company flight proficiency check was completed on April 26, 2005.

The PF's most recent FAA first class medical certificate was issued on January 5, 2005.

Aircraft information

The McDonnell Douglas MD-11F, serial number 48745, was maintained under a continuous airworthiness inspection program, and had accumulated about 28,231 total hours of operation.

On June 5, 2005, a UPS maintenance crew performed a periodic check on the airplane while it was in Guangzhou, Peoples Republic of China. During the inspection, it was noted that the left hand nose wheel tire was beyond acceptable inspection limits, and the complete wheel assembly was subsequently replaced. During the wheel assembly replacement, it was noted that the wheel bearings and the axle were absent of any abnormalities.

Review of the airplane's maintenance records revealed that on June 6, 2005, the airplane experienced a hard landing in Anchorage, Alaska. A "hard landing A-check" inspection was subsequently accomplished by UPS maintenance personnel, in accordance with the appropriate maintenance manual. There were no abnormalities noted during the inspection, and the airplane was released.

The airplane's auto-spoilers were deferred per the operator's minimum equipment list procedures for the accident flight; however, the spoilers could be deployed manually by the flight crew. The PIC reported that manual deployment of the spoilers during landing would be performed after the nose gear was on the ground.

The airplane was equipped with a longitudinal stability augmentation system (LSAS), and flight control computer (FCC)-908 software update. According to Boeing, the software update included, but was not limited to, enhancing the handling of the airplane during landings compared to MD-11's equipped with previous versions of the FCC, by decreasing the pitch sensitivity through action of the pitch rate damper.

Meteorological information

Weather observations taken at SDF, reported:

At 0056, winds from 200 degrees at 9 knots; visibility 10 statue miles, few clouds at 15,000 feet, ceiling broken at 25,000 feet, temperature 23 degrees Celsius (C); dew point 18 degrees C; altimeter 29.99 inches of mercury.

At 0156, winds from 230 degrees at 5 knots; visibility 10 statue miles, few clouds at 15,000 feet, ceiling broken at 25,000 feet, temperature 23 degrees C; dew point 18 degrees C; altimeter 29.97 inches of mercury.

Airport information

Louisville International Airport-Standiford Field was positioned at 38 degrees, 10 minutes, 27.8 seconds, north latitude; 85 degrees, 44 minutes, 9.6 seconds, west longitude, at an elevation of 501 feet above sea level.

Runway 17L-35R, was 8,579-feet-long, 150-feet-wide, and constructed of grooved concrete. It was equipped with an inst

Aircraft

Registration
N250UP
Reported as
McDonnell Douglas MD-11F
Category
Airplane
Serial number
48795
Airframe hours
28,231
Engine
General Electric CF-6, 60,800 lbs thrust, turbo fan
Damage
Substantial damage
Fire
On-Ground
Flight
Part 121
Registered owner
United Parcel Service Co
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · May 1, 2004 · 313 hours before
Departed
ANC · Anchorage, AK
Destination
SDF · Louisville, KY
Flight plan
IFR
Airport
SDF · Standiford Field, runway 17L, 8,579 × 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
57
Injuries
None
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
May 1, 2004
Seat
Right
Flight hours
10,000 total · 425 in this make and model
Role
Co-pilot
Age
53
Injuries
None
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
April 1, 2005
Seat
Left
Flight hours
5,000 total · 39 in this make and model

Weather

Conditions
Visual (VMC) · Night
Wind
200° at 9 knots
Visibility
10 statute miles
Lowest ceiling
25,000 ft broken
Temperature
73 °F, dew point 64 °F
Altimeter
29.98 inHg
Observed at
SDF

Docket · 25

The files NTSB released with the investigation on April 1, 2006, on NTSB’s docket system: statements, records, photos and specialists’ reports. 8.6 MB in all.

Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1Item 1 · .PDF · 355 KBCaptain DebriefItem 2 · .PDF · 466 KBCaptain FAA Record of MemorandumItem 3 · .PDF · 142 KBFirst Officer DebriefItem 4 · .PDF · 434 KBFAA Record of MemorandumItem 5 · .PDF · 33 KBMechanic FAA Record of MemorandumItem 6 · .PDF · 150 KBMaterials Laboratory 15 - Factual Report 05-095Item 7 · .PDF · 16 photos · 3.1 MBFlight Data Recorder 10 - Specialist's Factual Report of InvestigationItem 8 · .PDF · 1.9 MBFlight Data Recorder 10 - Attachment 1: Event Tabular DataItem 9 · .CSV · 247 KBFlight Data Recorder 10 - Attachment 2: Anchorage Tabular DataItem 10 · .CSV · 101 KBFlight Data Recorder 10 - Attachment 3: Previous Landing #2 Tabular DataItem 11 · .CSV · 101 KBFlight Data Recorder 10 - Attachment 4: Previous Landing #3 Tabular DataItem 12 · .CSV · 101 KBMaps or Charts of Accident Area, Wreckage DiagramsItem 13 · .PDF · 247 KBLouisville WeatherItem 14 · .PDF · 9 KBFlight Assist ReportItem 15 · .PDF · 50 KBWheel Replacement ReportItem 16 · .PDF · 57 KBUPS MD-11 Minimum Equipment ListItem 17 · .PDF · 32 KBUPS Aircraft LogbooksItem 18 · .PDF · 206 KBCockpit Voice Recorder 12 - Factual Report of Group ChairmanItem 19 · .PDF · 145 KBAircraft Performance 13 - Performance StudyItem 20 · .PDF · 191 KBUPS MD-11 Pilot Training Guide (excerpt)Item 21 · .PDF · 194 KBUPS Stabilized Approach ProceduresItem 22 · .PDF · 115 KBStatement from AAR pertaining to nose gear disassemblyItem 23 · .PDF · 42 KBStatement of Party Representatives to NTSB InvestigationItem 24 · .PDF · 190 KBBoeing - Accident Submission to the NTSBItem 25 · .PDF · 67 KB

FAA reports on this event · 1

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