Center landing gear failure on landing, McDonnell Douglas MD-11, October 5, 1999 Micro-summary: This McDonnell Douglas MD-11's center landing gear failed on landing. Event Date: 1999-10-05 at 0540 EDT Investigative Body: National Transportation Safety Board (NTSB), USA Investigative Body's Web Site: http://www.ntsb.gov/ Cautions: 1. Accident reports can be and sometimes are revised. Be sure to consult the investigative agency for the latest version before basing anything significant on content (e.g., thesis, research, etc). 2. Readers are advised that each report is a glimpse of events at specific points in time. While broad themes permeate the causal events leading up to crashes, and we can learn from those, the specific regulatory and technological environments can and do change. Your company's flight operations manual is the final authority as to the safe operation of your aircraft! 3. Reports may or may not represent reality. 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Aircraft Accident Reports on DVD, Copyright © 2006 by Flight Simulation Systems, LLC All rights reserved. www.fss.aero This space for binding National Transportation Safety Board FACTUAL REPORT AVIATION NTSB ID: NYC00LA005 Aircraft Registration Number: N606FE Occurrence Date: 10/05/1999 Most Critical Injury: None Occurrence Type: Accident Investigated By: NTSB Location/Time Nearest City/Place NEWARK Airport Proximity: On Airport State NJ Zip Code Local Time Time Zone 07114 0540 EDT Distance From Landing Facility: Direction From Airport: Aircraft Information Summary Aircraft Manufacturer Model/Series Type of Aircraft McDonnell Douglas MD-11F Airplane Sightseeing Flight: No Air Medical Transport Flight: No Narrative Brief narrative statement of facts, conditions and circumstances pertinent to the accident/incident: On October 5, 1999, at 0540 Eastern Daylight Time, a McDonnell Douglas MD-11F, N606FE, operated by Federal Express (FedEx) as flight 1700, was substantially damaged while landing at Newark International Airport (EWR), Newark, New Jersey. There were no injuries to the two certificated pilots. Visual meteorological conditions prevailed for the cargo flight, which had originated from Indianapolis, Indiana. Flight 1700 was operated on an instrument flight rules flight plan under 14 CFR Part 121. In interviews, the flight crew reported that the en route phase of flight, and the approach to Runway 04R occurred without incident. For landing, the airplane was configured with the wing flaps at 50 degrees, and the auto-brakes were selected to the maximum setting. The captain described the touch down as "firm" but not hard. He said he wanted to touch down in the first 1,500 feet of the runway. As the nose wheel was lowered to the runway, the pilots felt a vibration. They reported that it felt similar to a deflated tire. One of the pilots thought he felt the vibration along the longitudinal axis of the airplane. During the landing rollout, the center landing gear unsafe light illuminated. As the airplane was clearing the runway, the central aural warning system (CAWS) generated a voice warning about unsafe landing gear. After the airplane exited the runway, it crossed Runway 04L, and was stopped on a parallel taxiway. The master caution light was illuminated, and the reservoir for hydraulic system # 3 was empty. After referencing with the checklist, the captain elected to taxi the airplane straight ahead at a slow speed, toward the FedEx ramp area. The airplane was stopped after it entered the ramp area, and the airplane was towed to the gate. Examination of the airplane revealed that the center landing gear, which normally was angled 15 degrees forward of vertical, was angled about 45 degrees aft of vertical. The upper lugs of the lower drag brace were fractured, and the cap on the center landing gear retraction cylinder had been pulled out. Tire marks were found on the aft fuselage above the tires of the center landing gear. The aft side of the landing gear strut was pushed against the aft bulkhead of the center landing gear well. The metal was deformed and torn in the area that had contact with the center landing gear strut. To ferry the airplane for repairs, the center landing gear strut was depressurized and compressed to rotate the strut into the center landing gear wheel well. The center landing gear strut servicing was not recorded prior to depressurization and compression of the strut. A check with Boeing Commercial Airplanes (BCA) - Long Beach Division (formerly the McDonnell-Douglas Aircraft Corp.), revealed five previous events where the center landing gear had entered a divergent oscillation along the longitudinal axis of the airplane, the lower drag brace FACTUAL REPORT - AVIATION Page 1 This space for binding National Transportation Safety Board FACTUAL REPORT AVIATION Narrative NTSB ID: NYC00LA005 Occurrence Date: 10/05/1999 Occurrence Type: Accident (Continued) had failed at the subsequent loss of last two occurred upon the findings landing gear wheel the anti-skid cycle the center landing the suggested fixes. upper attach lugs, and the retraction cylinder had been pulled apart with the the number 3 hydraulic system. The first three were in-service events. The in instrumented airplanes that were exploring the first three events. Based from these events, the anti-skid control box was modified to prevent center brake application until the nose landing gear was on the ground. In addition, rate was modified to avoid the cyclic range related to the natural frequency of gear. McDonnell-Douglas issued all operators letters describing the events and The accident airplane was delivered to FedEx in 1993. The airplane and center landing gear had accumulated 22,055:59 hours, and 5,120 cycles. In addition, the airplane carried the modified anti-skid control box. The failed lower drag brace, P/N AYG 7229-1, S/N AP 181, was forwarded to the Safety Board Materials Laboratory for examination. According to the metallurgists factual report, "...all portions of the fracture surface, including the portions on the reverse slat planes, consisted of elongated ductile dimples, typical of overstress separation...." The hardness of material was checked and found to average HRC 53.9. should be between HRC 53 and HRC 55. According to BCA, the hardness The Digital Flight Data Recorder (DFDR) was examined by the Safety Board Vehicle Recorder Division. According to the specialist's factual report, the initial touchdown produced a g-load of +1.39g's, which then reduced to +0.6g's, and then increased again to +1.59g's. The two peaks were separated by about 1.6 seconds. The DFDR also revealed that spoiler extension was initiated, and brake pressure to the left and right main landing gears had increased prior to nose wheel touchdown. No information was available about the application of brake pressure to the center landing gear brakes, as that information was not recorded. Further, the DFDR report revealed that main landing gear brake pressure started to increase about 2.5 seconds after main landing gear touchdown. At 3.5 seconds after main landing gear touchdown, the nose wheel strut was compressed. At 5.75 seconds after main landing gear touchdown, a vertical oscillation of four cycles, with a duration of 1.25 seconds was recorded. During the last cycle, the vertical acceleration momentarily decreased to 0.48gs, and then returned to 1.03g's. The longitudinal acceleration, which had decreased to a -0.3 to -0.4g's momentarily further decreased to -0.874g's at the same time as the vertical acceleration peak of 0.48g's, and then returned to -0.4g's. After the peaks on the vertical and longitudinal accelerations, the g-readings returned to their previous readings as the airplane continued to decelerate. The wheel speed sensors and hydraulic brake manifolds were removed from the two wheels of the center landing gear for further examination. The testing was conducted under the supervision of the Federal Aviation Administration (FAA). According to the report of the testing: "...All units passed the functional test. The Wheel Speed Sensors and Valve Modules functioned as intended on the Aircraft. Although the fluid showed significant signs of contamination it did not appear to have impacted the performance of the units....." The electronic anti-skid control unit was also examined and passed a functional test. Following the October 5, 1999, event, FedEx initiated a test program. The test program included the installation of a high-speed recorder onboard the airplane. In addition, the lower drag brace on the center landing gear was instrumented to record strain, both compression and tension, during landing. The test loads were measured on an airplane with a high time center landing gear, which was approaching its scheduled gear removal period. Then the tests were repeated on an airplane with a freshly overhauled center landing gear. FACTUAL REPORT - AVIATION Page 1a This space for binding National Transportation Safety Board FACTUAL REPORT AVIATION Narrative NTSB ID: NYC00LA005 Occurrence Date: 10/05/1999 Occurrence Type: Accident (Continued) According to a memo from the person at FedEx who supervised the testing: "...The maximum load measured on the CLG [center landing gear] was well below the strength of the Lower Drag Brace. Even though the data was not as reliable after the gear change, there does not appear to be any differences in the loads measured on a new gear and the loads on a high-time gear...There were a few recorded landings where the CLG exhibited an oscillation after touchdown that appears to be unrelated to the brake application. Due to inoperative data parameters, the cause of this oscillation is unknown...The data did not exhibit any high loads that approached the limit load of the drag brace....." According to a representative from Boeing who reviewed the FedEx report: "The brake control system performed as expected. In response to brake applications, and tire skids, the center landing gear showed normal periods of fore-aft motion at its natural frequency, with no tendency to diverge as a result of anti-skid brake control inputs." Further, the report from FedEx stated that in October and November 1999, during the overhaul of two other MD-11 center landing gears, the vendor reported that the lower drag brace from both landing gears had elongated lug holes. However, there was no supporting data to confirm how the lugs became elongated. According to a representative of Boeing, elongation of the lugs on the lower drag brace could occur for reasons other than the divergent longitudinal cyclic oscillation. Due to the forward slope of the center landing gear, any ground event that applied a fore or aft force to the center landing gear would apply either compression or tension loads respectively to the lower drag brace. FACTUAL REPORT - AVIATION Page 1b This space for binding NTSB ID: NYC00LA005 National Transportation Safety Board FACTUAL REPORT AVIATION Occurrence Date: 10/05/1999 Occurrence Type: Accident Landing Facility/Approach Information Airport Name Airport ID: NEWARK INTERNATIONAL EWR Runway Used Airport Elevation 11 Ft. MSL 4R Runway Length Runway Width 9980 150 Runway Surface Type: Asphalt Runway Surface Condition: Dry Type Instrument Approach: ILS-complete VFR Approach/Landing: None Aircraft Information Aircraft Manufacturer Model/Series McDonnell Douglas MD-11F Serial Number 48602 Airworthiness Certificate(s): Transport Landing Gear Type: Retractable - Tricycle Homebuilt Aircraft? No Number of Seats: 5 Engine Type: Certified Max Gross Wt. 633000 LBS Engine Manufacturer: Turbo Fan GE Number of Engines: 3 Model/Series: Rated Power: CF6-80C2 60240 LBS - Aircraft Inspection Information Date of Last Inspection Type of Last Inspection Continuous Airworthiness Time Since Last Inspection Airframe Total Time 34 Hours 09/1999 22055 Hours - Emergency Locator Transmitter (ELT) Information ELT Installed? Yes ELT Operated? No ELT Aided in Locating Accident Site? Owner/Operator Information Street Address Registered Aircraft Owner 1100 N MARKET ST. WILMINGTON TRUST COMPANY State City WILMINGTON DE Zip Code 19890 Street Address Operator of Aircraft 3131 DEMOCRAT ROAD State City FEDEX MEMPHIS TN Zip Code 38118 Operator Designator Code: FDEA Operator Does Business As: - Type of U.S. Certificate(s) Held: Air Carrier Operating Certificate(s): Supplemental Operating Certificate: Operator Certificate: Regulation Flight Conducted Under: Part 121: Air Carrier Type of Flight Operation Conducted: Non-scheduled; Domestic; Cargo FACTUAL REPORT - AVIATION Page 2 This space for binding NTSB ID: National Transportation Safety Board FACTUAL REPORT AVIATION Occurrence Date: 10/05/1999 Occurrence Type: Accident First Pilot Information Name On File Sex: M City State On File On File Principal Profession: Civilian Pilot Seat Occupied: Left Certificate(s): Airline Transport; Commercial; Flight Engineer Airplane Rating(s): Multi-engine Land; Single-engine Land Date of Birth Age 53 Certificate Number: Rotorcraft/Glider/LTA: None Instrument Rating(s): Airplane None Instructor Rating(s): Type Rating/Endorsement for Accident/Incident Aircraft? Yes Medical Cert. Status: Medical Cert.: Class 1 This Make and Model All A/C - Flight Time Matrix Current Biennial Flight Review? 12000 Total Time Date of Last Medical Exam: 09/1999 Airplane Airplane Single Engine Mult-Engine Instrument Night Actual Rotorcraft Lighter Glider Than Air Simulated 4621 2315 Pilot In Command(PIC) Instructor 84 23 Last 90 Days Last 30 Days 3 Last 24 Hours Seatbelt Used? Yes Shoulder Harness Used? Yes Toxicology Performed? No Second Pilot? Yes Flight Plan/Itinerary Type of Flight Plan Filed: IFR Departure Point State Airport Identifier Departure Time Time Zone INDIANAPOLIS IN IND 0424 EDT Destination State Airport Identifier EWR Same as Accident/Incident Location Type of Clearance: IFR Type of Airspace: Class B Weather Information Source of Briefing: Company Method of Briefing: FACTUAL REPORT - AVIATION Page 3 This space for binding NTSB ID: NYC00LA005 National Transportation Safety Board FACTUAL REPORT AVIATION Occurrence Date: 10/05/1999 Occurrence Type: Accident Weather Information WOF ID Observation Time Time Zone EWR 0550 EDT WOF Elevation WOF Distance From Accident Site 0 NM 11 Ft. MSL Sky/Lowest Cloud Condition: Unknown 0 Ft. AGL Lowest Ceiling: Overcast 1500 Ft. AGL 9 °C Temperature: Wind Speed: 12 Visibility (RVR): 7 °C Dew Point: Ft. 10 Visibility: 0 Deg. Mag. Condition of Light: Night/Dark SM Wind Direction: 10 Altimeter: Density Altitude: 30.00 "Hg 0 Ft. Weather Condtions at Accident Site: Visual Conditions Gusts: 0 Direction From Accident Site 0 Visibility (RVV) SM Intensity of Precipitation: Unknown Restrictions to Visibility: None Type of Precipitation: None Accident Information Aircraft Damage: Substantial Aircraft Fire: None Aircraft Explosion None Classification: U.S. Registered/U.S. Soil - Injury Summary Matrix Fatal Serious None Minor TOTAL First Pilot 1 1 Second Pilot 1 1 2 2 Student Pilot Flight Instructor Check Pilot Flight Engineer Cabin Attendants Other Crew Passengers - TOTAL ABOARD Other Ground - GRAND TOTAL - 0 0 0 0 0 0 0 2 FACTUAL REPORT - AVIATION 2 Page 4 This space for binding National Transportation Safety Board FACTUAL REPORT AVIATION NTSB ID: NYC00LA005 Occurrence Date: 10/05/1999 Occurrence Type: Accident Administrative Information Investigator-In-Charge (IIC) ROBERT L. HANCOCK Additional Persons Participating in This Accident/Incident Investigation: NATE GLINBIZZI FAA FSDO TETERBORO, NJ ALAN W RAY FEDEX MEMPHIS, TN FACTUAL REPORT - AVIATION Page 5
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