SEA99LA014

NTSB accident investigation · McDonnell Douglas MD-11 · Portland, OR · November 11, 1998

Accident · No injuriesLimited investigationFinal report
Date
November 11, 1998, 11:20 local (19:20 UTC)
Place
Portland, OR
Injuries
124 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N801DEMcDonnell Douglas MD-11
Weather
Visual (VMC) · Day
Status
Completed · report September 28, 2000
Report
Approved by Office Director
Case key
48387

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 NTSB’s determination of the probable cause, and any contributing factors.

The flight crew's entry of an incorrect weight figure in the Flight Management System (FMS) computer, resulting in the approach being flown at an improper (low) Vref speed and an excessively nose-high attitude through the landing flare.

Analysis

The flight crew inadvertently entered an incorrect weight figure into the Flight Management System (FMS) computer. This resulted in the approach being flown at 136 knots instead of the correct airspeed of 151 knots. At this airspeed, the aircraft proceeded along the flight path at a pitch attitude of about eight (8) degrees instead of the three or four degrees that would have occurred at the correct airspeed. At this reduced airspeed and excessive attitude, the tail clearance during the flare was reduced to the point where the airframe contacted the runway surface.

Factual narrative

The factual narrative417 words

On November 11, 1998, at 1120 Pacific standard time, a McDonnell Douglas MD-11, N801DE, operated by Delta Air Lines as a 14 CFR Part 121 scheduled passenger flight, experienced a tail strike while landing at Portland International Airport, Portland, Oregon. The flight was landing on runway 10R after arriving from Cincinnati, Ohio. Visual meteorological conditions prevailed, and an instrument flight plan had been filed. There were no injuries to the 11 crew members or 113 passengers, but the aircraft sustained substantial damage to the belly skin and stringers.

The flight crew stated that they were unaware the aircraft had experienced a tail strike until maintenance personnel at the arrival gate advised them that there was damage to the number 3 VHF antenna and the skin aft of the antenna mount. After the passengers were deplaned normally through the jetway, the damage was further evaluated, and it was determined that the aircraft would need to be ferried to Atlanta for permanent repair.

During the investigation, it was determined that the weight existing in the Flight Management System (FMS) during the approach and landing sequence was in error approximately 100,000 pounds. As confirmed by a review of the Flight Data Recorder (FDR) readout, the FMS weight was about 292,000 pounds, when in fact the actual aircraft landing weight was approximately 392,000 pounds. This error generated a final approach speed of 136 knots for an approach that should have been flown at 151 knots. This reduced speed resulted in the approach being flown at an eight (8) degree pitch attitude instead of the three to four degrees that would occur during an approach flown at the correct airspeed. The FDR data also showed that approximately 7 seconds before nose gear strut compression, the pitch attitude reached 10.9 degrees. According to the operator, while landing at this speed and attitude "... tail clearance tolerances are minimal."

Although the exact FMS entry error was not determined, the most likely would be the crew missing the hundred thousand entry by one when inputting the takeoff gross weight, entering the empty weight into the zero fuel weight prompt, or entering the zero fuel weight in the aircraft takeoff gross weight prompt.

According to the operator, as a result of the lessons learned from this accident, Delta Air Lines is putting additional emphasis on the MD-11 FMS loading procedures during flight training and line checks. In addition, Delta is implementing a program that stresses awareness of proper pitch attitude while in the final approach mode.

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/skidLanding - flare/touchdown
Aircraft weight and balance - inaccurateFlightcrewCause
Airspeed(vref) - improperFlightcrewCause
Rotation - excessiveCopilot/second pilotCause

Aircraft

Registration
N801DE
Reported as
McDonnell Douglas MD-11
Category
Airplane
Serial number
48565
Airframe hours
24,332
Engine
P&W PW 4460, 60,000 lbs thrust, turbo fan
Damage
Substantial damage
Flight
Part 121
Registered owner
Delta Air Lines, Inc.
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · November 10, 1999 · 5 hours before
Departed
CVG · Cincinnati, OH
Destination
PDX
Flight plan
IFR
Airport
PDX · Portland International, runway 10R, 11,000 × 150 ft, concrete

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
56
Certificates
Airline transport, Flight engineer, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
10,000 total · 4,082 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
140° at 4 knots
Visibility
10 statute miles
Lowest ceiling
6,500 ft broken
Temperature
46 °F, dew point 43 °F
Altimeter
30.00 inHg
Observed at
KPD, 1 nm away

Docket · 6

The files NTSB released with the investigation on January 26, 2000, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.6 MB in all.