Accident Details
Probable Cause and Findings
The captain's failure to attain a proper touchdown on runway, and his subsequent failure to perform a go-around, both of which resulted in a runway overrun. Factors were the company's inadequate dispatch procedures with their failure to provide all NOTAMS for the airport to the flight crew, and the snow covered runway.
Aircraft Information
Registered Owner (Historical)
Analysis
HISTORY OF FLIGHT
On January 6, 2003, at 1248 eastern standard time, an Embraer ERJ-145LR, N16571, operated by ExpressJet Airlines, Inc., dba Continental Express as flight 2051, was substantially damaged when it overran the departure end of the runway while landing at Cleveland-Hopkins International Airport (CLE), Cleveland, Ohio. There were no injuries to the certificated airline transport pilot, and commercial rated pilot, flight attendant, and 47 passengers. Instrument meteorological conditions prevailed for the scheduled, domestic flight that last departed from Bradley International Airport (BDL), Windsor Locks, Connecticut. Flight 2051 was conducted on an instrument flight rules (IFR) flight plan under 14 CFR Part 121.
The flight sequence for the crew started at Cleveland. They flew the airplane to Windsor Locks, and then initiated the return trip to Cleveland. This was the first time the pilot and first officer had flown together. While on the ground at Windsor Locks, the captain received and signed the flight release. The flight release contained a computerized flight plan for the flight, and appropriate notices to airmen (NOTAMS), and weather. The designated alternate airport was Detroit Metropolitan Wayne County Airport (DTW), Detroit, Michigan.
The flight release showed a fuel load of 7,802 pounds, and the captain increased the fuel load to 8,100 pounds. According to the flight release, the computed fuel for the trip was 3,872 pounds with the remainder to be allocated to flight to alternate airport, reserve and contingency fuel.
Flight 2051 departed the gate at 1025, and was airborne at 1049. According to the flight crew, there were no problems with the en route or approach phases of the flight.
While being radar vectored for the approach, the runway visual range was given as 4,500 feet, and then 4,000 feet.
A review of the CVR revealed that the flight crew did not discuss runway conditions or the amount of runway required to land during the approach briefing, nor was it a requirement. The final runway visual range (RVR) given to the flight crew was 4,000 feet.
At 1241:30, the approach controller advised flight 2051 that their position was 9 miles from SASCO, cleared them for the approach to runway 6 L, and stated the RVR for the runway was 4,000 feet.
At 1242:40, approach control reported to the flight 2051, that they were at SASCO, and were instructed to switch frequencies to the control tower.
At 1244:40, the first officer reported the flight inbound from SASCO, and the control tower told the flight to continue with the approach.
At 1244:48, the first officer asked the captain if he wanted to be vectored back to the same runway in the event that they had to abandon the approach, or would he want to go to Detroit. The captain replied that they would proceed to Detroit.
At 1245:04, the tower controller cleared the flight to land, and stated that the winds were from 340 degrees at 22 knots, gusting to 35 knots. The flightcrew acknowledged the transmission.
At 1245:12, the captain stated that he was going to land the airplane with the 22-degree flap setting, and would add 5 knots to the reference speed. The first officer subsequently updated the captain with a new reference speed of 138 knots. There was no discussion of runway conditions, or runway required to stop the airplane, nor was it required by the Continental Express Operating Manual.
At 1247:15, the CAWS alerted the flightcrew, "approaching minimums."
At 1247:21, the CAWS alerted the flightcrew, "minimums, minimums," followed by the captain asking the first officer, "see anything?" The first officer replied that she observed the approach lights in sight, and instructed the captain to "continue."
At 1247:26, the CAWS alerted the flightcrew that they were 200 feet above the ground.
At 1247:30, the captain stated that he had the runway environment in sight. The first officer replied, "no you're left."
At 1247:36, the CAWS alerted the flightcrew that they were 100 feet above the ground.
At 1247:44, the first officer stated, "dude, you might need to, need to get it down." The captain replied, "I know."
At 1247:54, the cockpit voice recorder recorded a sound similar to an airplane touching down on the runway.
At 1247:58, the cockpit voice recorder recorded a sound level increase, similar to engine reverse thrust being operated.
At 1248:01, the captain stated, "max reverse...it won't stop."
At 1248:05, the first officer said, "I got full brake."
At 1248:15, the cockpit voice recorder recorded the sound of an impact, followed 1 second later with the sound of the airplane coming to a stop.
At 1248:18, the first officer reported to the control tower, that flight 2051 had run off the departure end of the runway, and then the captain called for the rejected takeoff quick reference handbook (QRH), and evacuation checklist. The engines were shut down, and the airplane was secured. The passengers exited the airplane through the main cabin door, and were taken to the terminal via vehicles.
When interviewed, the captain reported that he had landed in similar conditions before. He picked up the flight release in operations and reviewed the material. He brought the departing fuel load up to 8,100 pounds. The minimum fuel to transit to the alternate airport was 3,100 pounds. He made the decision to conduct the landing with the flaps set at 22 degrees due to the winds. He did not seek any braking action report from the control tower. His contingency plan was to proceed direct to Detroit, if he could not land. He said the actual visibility was between 4,000 feet and 5,000 feet when he became visual. He could define the runway by the edge lights that were visible. However, the visibility was obstructed by snow blowing across the runway. Further, he reported that he did not experience any whiteout conditions, and that he maintained visual reference with the runway at all times during the landing. The touchdown speed was close to Vref. Upon touchdown, the speed brakes deployed, and he applied reverse thrust. There were no problems with directional control on the runway. The braking action was poor initially, and progressed to NIL during the rollout. He thought the airspeed was less than 60 knots as the airplane departed the runway. He reported that he considered a missed approach prior to hearing the aural warning for minimums and had visual reference with the runway. He added that he would have executed a rejected landing if the airplane floated a lot.
When asked about landing distance, he said a rule of thumb for landing with the wing flaps set at 22 degrees, and a wet runway was 5,000 feet of runway required. He said he did not ask the first officer to compute the landing distance because he did not have the time to ask her to compute it.
The first officer reported that she reviewed the flight release, and computed the weight and balance. Initially there were no concerns about fuel, but as the trip progressed, fuel did become a concern. She remembered that they did not receive any braking action reports from the controllers. The captain raised the Vref speed by 5 knots due to the lesser flap setting, but not for the wind. She said that she did not compute a landing distance. There was no forward visibility on the approach; however, she could see the ground from about 1,000 feet. She described the runway condition as patches of snow in the beginning, and around taxiway Romeo, it changed to hard packed snow. The conditions then changed to snow and ice for the remainder of the runway. Overall, the runway conditions deteriorated as they moved down the runway.
The accident occurred during the hours of daylight at 41 degrees, 26.75 minutes north latitude, and 81 degrees, 50.55 minutes west longitude.
OTHER DAMAGE
The airplane struck the localizer antenna, and disabled it.
PERSONNEL INFORMATION
The captain held an airline transport pilot certificate with ratings for multi-engine land airplanes, and a type rating for the EMB-145. In addition, he held a commercial pilot certificate, with ratings for single engine land airplanes. He also held a flight instructor certificate with ratings for airplane single and multi-engine and instrument airplane. He was last issued a first class FAA airman medical certificate, with no limitations, on July 18, 2002. His last flight check occurred on August 20, 2002. The captain reported his total flight experience as 3,765 hours, with 661 hours in make and model, including 136 hours in the preceding 90 days.
The first officer held a commercial pilot certificate with ratings for single engine and multi-engine airplanes, and instrument airplane. She also held a flight instructor certificate with ratings for airplane single and multi-engine, and instrument airplane. She was last issued a first class FAA airman medical certificate, with no limitations on June 11, 2002. The first officer reported her total flight experience as 2,550 hours with 804 hours in make and model, including 194 hours in the preceding 90 days.
AIRCRAFT INFORMATION
The maximum demonstrated crosswind for the airplane was 30 knots.
METEOROLOGICAL INFORMATION
According to the METARS for Cleveland, snow started falling with the 2221 weather observation on January 5, 2003, and the winds were less than 10 knots. The snow was light and continued until the 1242 weather observation on January 6, 2003, when it increased to moderate snow. The winds continued at 10 knots or less, until the 1028 weather observation on January 6, 2003, when they increased above 10 knots and gusts were recorded.
The weather package for flight 2051, contained terminal forecasts. The terminal forecast for Cleveland was last amended at 0846 and the forecast for 1200 included winds from 340 at 12 knots, with gusts to 20 knots, overcast clouds at 2,500 feet, visibility 1 1/2 miles with light snow and mist.
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Data Source
Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# NYC03FA035