# NTSB NYC05FA094: McDonnell Douglas MD-11F, N250UP, Louisville, KY, June 7, 2005 - Type: NTSB accident investigation - Classification: Accident · No injuries · Field investigation · Final report - Date: June 7, 2005, 01:25 local (05:25 UTC) - Place: Louisville, KY - Coordinates: 38.174167, -85.735832 - Nearby events: https://openairdocs.org/map.md?lat=38.1742&lon=-85.7358&mi=10 - Phase of flight: [Landing](https://openairdocs.org/ntsb-phases/550) (OpenAirDocs' grouping) - Highest injury: No injuries - Injuries: 4 uninjured - Status: Completed, report February 28, 2008 - Report: Approved by Office Director - Parties: FAA FSDO - NTSB case key (mKey): 61654 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=NYC05FA094 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/61654/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=61654 - Page: https://openairdocs.org/ntsb/NYC05FA094 ## 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 In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf). - Hard landing, landing - supervision - inadequate, pilot in command (contributing factor) - aircraft handling - improper, other crewmember (cause) - 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](https://openairdocs.org/aircraft/N250UP), registered now, S/N 48745, built 1995 (OpenAirDocs) - Reported make and model: McDonnell Douglas MD-11F - Registry model: [Mcdonnell Douglas MD-11F](https://openairdocs.org/model/mcdonnell-douglas-md-11f) (registry code 3023600) (OpenAirDocs) - Registry engine: [GE CF6-80 series](https://openairdocs.org/engine/ge-cf6-80-series) (registry code 30025, turbo-fan) (OpenAirDocs) - Category: Airplane - Serial number: 48795 - Airframe hours: 28231 - Engines: General Electric CF-6 60800 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 ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 57; injuries: none; 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 - Co-pilot; age 53; injuries: none; 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 ## FAA reports on this event (1) The FAA's own accident and incident reports, matched to the aircraft by N-number and date (OpenAirDocs). - [Accident 20050607009629A](https://openairdocs.org/incident/20050607009629A), Jun 7, 2005: Doug MD11F, Louisville, KY, Substantial damage. (-23) The left nose tire was replaced in canton, china on June 5, 2005 due to being worn. During the next leg, the aircraft experienced a hard landing upon… ## Docket (25 files) The files NTSB released with the investigation on April 1, 2006, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=61654. 8.6 MB in all. - Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1 (item 1, .PDF, 355 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40257826&FileExtension=.PDF&FileName=Pilot%2FOperator%20Aircraft%20Accident%20Report,%20NTSB%20Form%206120.1-Redacted.PDF - Captain Debrief (item 2, .PDF, 466 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40257832&FileExtension=.PDF&FileName=Captain%20Debrief-Redacted.PDF - Captain FAA Record of Memorandum (item 3, .PDF, 142 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40257834&FileExtension=.PDF&FileName=Captain%20FAA%20Record%20of%20Memorandum-Redacted.PDF - First Officer Debrief (item 4, .PDF, 434 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40257831&FileExtension=.PDF&FileName=First%20Officer%20Debrief-Redacted.PDF - FAA Record of Memorandum (item 5, .PDF, 33 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40257841&FileExtension=.PDF&FileName=FAA%20Record%20of%20Memorandum-Redacted.PDF - Mechanic FAA Record of Memorandum (item 6, .PDF, 150 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40257839&FileExtension=.PDF&FileName=Mechanic%20FAA%20Record%20of%20Memorandum-Redacted.PDF - Materials Laboratory 15 - Factual Report 05-095 (item 7, .PDF, 16 photos, 3.1 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40237161&FileExtension=.PDF&FileName=Materials%20Laboratory%2015%20-%20Factual%20Report%2005-095-Master.PDF - Flight Data Recorder 10 - Specialist's Factual Report of Investigation (item 8, .PDF, 1.9 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40255371&FileExtension=.PDF&FileName=Flight%20Data%20Recorder%2010%20-%20Specialist%27s%20Factual%20Report%20of%20Investigation-Master.PDF - Flight Data Recorder 10 - Attachment 1: Event Tabular Data (item 9, .CSV, 247 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40255372&FileExtension=.csv&FileName=Flight%20Data%20Recorder%2010%20-%20Attachment%201%3A%20Event%20Tabular%20Data-Master.csv - Flight Data Recorder 10 - Attachment 2: Anchorage Tabular Data (item 10, .CSV, 101 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40255373&FileExtension=.csv&FileName=Flight%20Data%20Recorder%2010%20-%20Attachment%202%3A%20Anchorage%20Tabular%20Data-Master.csv - Flight Data Recorder 10 - Attachment 3: Previous Landing #2 Tabular Data (item 11, .CSV, 101 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40255374&FileExtension=.csv&FileName=Flight%20Data%20Recorder%2010%20-%20Attachment%203%3A%20Previous%20Landing%20%232%20Tabular%20Data-Master.csv - Flight Data Recorder 10 - Attachment 4: Previous Landing #3 Tabular Data (item 12, .CSV, 101 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40255375&FileExtension=.csv&FileName=Flight%20Data%20Recorder%2010%20-%20Attachment%204%3A%20Previous%20Landing%20%233%20Tabular%20Data-Master.csv - Maps or Charts of Accident Area, Wreckage Diagrams (item 13, .PDF, 247 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40257836&FileExtension=.PDF&FileName=Maps%20or%20Charts%20of%20Accident%20Area,%20Wreckage%20Diagrams-Redacted.PDF - Louisville Weather (item 14, .PDF, 9 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40257828&FileExtension=.PDF&FileName=Louisville%20Weather-Master.PDF - Flight Assist Report (item 15, .PDF, 50 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40257837&FileExtension=.PDF&FileName=Flight%20Assist%20Report-Redacted.PDF - Wheel Replacement Report (item 16, .PDF, 57 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40257835&FileExtension=.PDF&FileName=Wheel%20Replacement%20Report-Redacted.PDF - UPS MD-11 Minimum Equipment List (item 17, .PDF, 32 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40257838&FileExtension=.PDF&FileName=UPS%20MD-11%20Minimum%20Equipment%20List-Master.PDF - UPS Aircraft Logbooks (item 18, .PDF, 206 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40257840&FileExtension=.PDF&FileName=UPS%20Aircraft%20Logbooks-Redacted.PDF - Cockpit Voice Recorder 12 - Factual Report of Group Chairman (item 19, .PDF, 145 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40258751&FileExtension=.PDF&FileName=Cockpit%20Voice%20Recorder%2012%20-%20Factual%20Report%20of%20Group%20Chairman-Master.PDF - Aircraft Performance 13 - Performance Study (item 20, .PDF, 191 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40259585&FileExtension=.PDF&FileName=Aircraft%20Performance%2013%20-%20Performance%20Study-Master.PDF - UPS MD-11 Pilot Training Guide (excerpt) (item 21, .PDF, 194 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40285645&FileExtension=.PDF&FileName=UPS%20MD-11%20Pilot%20Training%20Guide%20(excerpt)-Master.PDF - UPS Stabilized Approach Procedures (item 22, .PDF, 115 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40285646&FileExtension=.PDF&FileName=UPS%20Stabilized%20Approach%20Procedures-Master.PDF - Statement from AAR pertaining to nose gear disassembly (item 23, .PDF, 42 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40285644&FileExtension=.PDF&FileName=Statement%20from%20AAR%20pertaining%20to%20nose%20gear%20disassembly-Redacted.PDF - Statement of Party Representatives to NTSB Investigation (item 24, .PDF, 190 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40285643&FileExtension=.PDF&FileName=Statement%20of%20Party%20Representatives%20to%20NTSB%20Investigation-Redacted.PDF - Boeing - Accident Submission to the NTSB (item 25, .PDF, 67 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40287867&FileExtension=.PDF&FileName=Boeing%20-%20Accident%20Submission%20to%20the%20NTSB-Master.PDF From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.