N978Z

Substantial
None

MCDONNELL DOUGLAS DC-9-31 S/N: 47250

Accident Details

Date
Friday, March 12, 1993
NTSB Number
CHI93FA109
Location
SAINT LOUIS, MO
Event ID
20001211X11935
Coordinates
38.760559, -90.419937
Aircraft Damage
Substantial
Highest Injury
None
Fatalities
0
Serious Injuries
0
Minor Injuries
0
Uninjured
2
Total Aboard
2

Probable Cause and Findings

THE CAPTAIN'S IMPROPER USE OF THRUST REVERSERS AND EXCESSIVE USE OF ENGINE POWER. FACTORS WHICH CONTRIBUTED TO THE ACCIDENT WERE: THE CROSSWIND AND THE FIRST OFFICER'S FAILURE TO RAISE THE FLAPS.

Aircraft Information

Registration
N978Z
Make
MCDONNELL DOUGLAS
Serial Number
47250
Year Built
1968
Model / ICAO
DC-9-31

Registered Owner (Historical)

Name
SALE REPORTED
Address
7286 NW 70TH ST
Status
Deregistered
City
MIAMI
State / Zip Code
FL 33166-2902
Country
United States

Analysis

HISTORY OF FLIGHT

On March 11, 1993, at 2340 central standard time a McDonnell Douglas DC-9-31, N978Z, operating as Trans World Airlines Flight 5591, experienced a loss of directional control during an attempted touch and go landing on runway 30R (9,003' X 200' dry/concrete) at Lambert Field, Saint Louis, Missouri. The airplane exited the runway to the left and sustained substantial damage when the left wing impacted the runway and the nose gear collapsed. The airplane was being operated on a CFR 14, Part 91 training flight at the time of the accident. Neither pilot reported any injuries. The flight was operating on a company VFR flight plan and visual meteorological conditions prevailed. The flight originated from Saint Louis at 2225.

During a face to face interview the Captain stated that the purpose of the training flight was to allow the First Officer his first actual experience in the airplane. The First Officer had completed the airplane flight simulator training program. The Captain performed the initial takeoff followed by a touch and go landing, followed by a full stop landing. During the taxi back for another takeoff the Captain allowed the First Officer to practice brake application and thrust reverser operation. The First Officer then performed a takeoff followed by a touch and go landing.

The Captain then made the following written statement regarding the accident landing, "The flight proceeded normally until what turned out to be our last touch and go. (The First Officer) was making better than average progress to this point with the exception of his usage of reverse thrust and brakes. I demonstrated the landing after which I immediately went into reverse thrust to show (him) a more efficient reversing technique than the one he had been using. I then stowed the reverse thrust levers and advanced the throttles for takeoff. Soon thereafter we experienced unexplained severe directional control problems. I was applying enough rudder pressure to cause nose tire scrubbing. We were heading toward the left side of the runway at such an angle that I determined I had insufficient room to stop and therefore elected to attempt to takeoff. Either slightly prior to or shortly after rotation I applied additional thrust and glanced toward the EPR gauges to determine by how much I was over boosting the engines. At this time I noticed the left blue reverse light was illuminated. I exclaimed out loud something to the effect that we were experiencing reverse thrust on the left engine. Due to our deteriorating altitude and airspeed situation I decided to close the throttles and land. I do not recall using reverse during rollout and believe we came to a stop using brakes only."

The First Officer made the following written statement, "After several touch and goes in the pattern for Runway Thirty Right, (the Captain), took the controls on down wind to give me a rest. At about 500 feet (he) started to give the controls to me. I stated he should do the landing and I would do the next touch and go. (He) executed a normal landing demonstrating effective use of reverse thrust. Upon completion of the landing demonstration (he) called for flaps fifteen, trim throttles. At that point yaw to the left was very pronounced. (He) then rotated to prevent us from leaving the runway. Once airborne yaw to the left was still very pronounced and (he) noted that the left engine was still in reverse. (The Captain) then returned the aircraft to the ground. The aircraft landed south of Runway 30 Right and then stopped at a center field taxiway."

During a face to face interview with the First Officer, he stated that the yaw to the left occurred about the same time that the Captain called for "flaps fifteen." He said that his attention to the yaw was directed by his observation of the runway lights unusual position as seen through his windscreen. He stated that once his attention was directed outside, he never looked inside again until the airplane came to a stop. He believes that he did retract the flaps from 50 degrees to 15 degrees. Additionally, the First Officer stated that during the attempt to lift off, he is of the impression that the airplane attained an altitude of about 50 feet, prior to the Captain aborting the takeoff and again landing the airplane.

PERSONNEL INFORMATION

The Captain, born December 26, 1953, was the holder of an airman's certificate number 2067243, with privileges for an airline transport rating. He was type rated in the McDonnell Douglas DC-9 series airplanes, and held a first class medical issued on March 3, 1993, with no limitations. His total pilot experience was 12,255 hours with 7,470 hours time in this type of airplane, at the time of the accident.

The First Officer, born August 3, 1957, was the holder of an airman's certificate number 340542241, with privileges for an airline transport rating. He was in his initial training on the McDonnell Douglas DC-9 type airplane at the time of the accident. He held a first class medical issued January 11, 1993, with no limitations. His total pilot experience was 7,672 hours with one hour in this type of airplane, at the time of the accident.

AIRCRAFT INFORMATION

The airplane was a McDonnell Douglas DC-9-31, N978Z, serial number 47250. The airplane was maintained on a continuous airworthiness program. The most recent inspection was conducted on July 19, 1992. The airplane had a total airframe time of 59,985 hours at the time of the accident.

METEOROLOGICAL INFORMATION

A weather observation taken at the accident airport 10 minutes after the accident reported winds as 340 degrees at 7 knots, with visual meteorological conditions.

COMMUNICATIONS

A transcript of conversations between the pilot's of N978Z and the Federal Aviation Administration, Saint Louis, Missouri, Air Traffic Control Tower, is included as an addendum to this report.

FLIGHT RECORDERS

The Cockpit Voice Recorder (CVR) was transported to the Engineering Services Division of the NTSB and examined on March 17, 1993. A copy of the full factual report is attached as an addendum to this report. No useful data was obtained from the CVR tape and no transcript was prepared. The recording contained thirty one minutes of a repetitive pulsating signal similar to a tape that has been bulk erased. There was no useful data on any of the four channels.

The Digital Flight Data Recorder (DFDR) was transported to the Engineering Services Division of the NTSB and examined on March 18, 1993. A copy of the full factual report is attached as an addendum to this report. The accident occurred on runway 30R, which has a magnetic heading of 300.7 degrees. The DFDR data indicated that the accident airplane: Took off at a magnetic heading of approximately 301 degrees; performed three touch and go's over the next 24 minutes, lined up on a magnetic heading of approximately 300 to 305 degrees each time during descent and making continuous right turns after each go-around until lining up again; lined up (for the landing during which the accident occurred) on a magnetic heading of approximately 300 to 304 degrees and touched down at approximately 114 knots indicated airspeed (KIAS) and 299.7 degrees magnetic heading (experiencing 1.32 G's vertical acceleration at touchdown); decelerated to approximately 103 KIAS in the next five seconds while maintaining approximately 300 degrees magnetic heading; decelerated to approximately 89 KIAS and turned left to approximately 282 degrees magnetic heading in the next eight seconds; began experiencing vertical acceleration fluctuations ranging from 0.16 to 2.40 G's one second later (altitude and airspeed values became anomalous at this point); turned left to approximately 235 degrees magnetic heading in the next seven seconds, and then started to turn right; and came to a stop approximately eleven seconds later at a magnetic heading of approximately 246 degrees.

WRECKAGE AND IMPACT INFORMATION

Just short of the 4,000 foot marker on runway 30R, skid marks corresponding to the left main landing gear started in a turn to the left leaving the paved portion of the runway. The marks made by this set of wheels continued to the final point of rest at 5,160 feet from the 30R threshold, and 1,100 feet south of the runway centerline. At a point coincident with the left main wheels leaving the paved portion of the runway, scrape marks parallel to the tire marks, corresponding to the location of the left wing tip commenced. This mark continued for approximately 300 feet, during which time the leading edge of the left wing impacted a frangible runway distance marker alongside runway 30. Remnants of the sign remained imbedded in the leading edge of the left wing. At about the same time scrape marks consistent with an open lower reverser bucket extend through the dirt. About 100 feet prior to crossing taxiway "November", marks consistent with the right main landing gear contacted the ground, with mud thrown out of the ruts to the outside of the turn (to the right). Just prior to crossing taxiway "November", marks consistent with the nose gear began outside and to the left of the left main gear. Both the marks identified as the left and right main gear tracks continued across "November", however tracks identified as being from the nose gear were not present at that time. The airplane again departed the paved surface with marks from both main gear displacing mud to the outside of the turn or to the right. Just prior to crossing taxiway "Papa", marks identified as those of the nose gear again began and made an impression in the dirt outside and to the left of the left main gear. As the skid marks crossed taxiway "Papa", the marks from the nose gear crossed the skid marks of the left main gear, from left to right, toward the centerline of the airplane. The airplane again crossed the taxiway and departed the paved area with marks of all three ...

Data Source

Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# CHI93FA109