>> Three Customers and five Crew Members were transported to local hospitalsall have been treated and released. DCA18MA142.aspx - NTSB ($1&r/helkpfxi}HV5~aatiWl|6K;T;yn` *d@p~Y i[EWU7X](vwvO/Tl'Bde>(?>dDt -{A\ R!Ude~.O9WcGr b=Jd! :iU=dfb$aN((Z3d([^9uBf75]F~;L}G$@. /Widths [750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 278 333 474 556 556 889 722 238 333 333 389 584 278 333 278 278 556 556 556 556 556 556 556 556 556 556 333 333 584 584 584 611 975 722 722 722 722 667 611 778 722 278 556 722 611 833 722 778 667 778 722 667 611 722 667 944 667 667 611 333 278 333 584 556 333 556 611 556 611 556 333 611 611 278 278 556 278 889 611 611 611 611 389 556 333 611 556 778 556 556 500 389 280 389 584 350 556 350 278 556 500 1000 556 556 333 1000 667 333 1000 350 611 350 350 278 278 500 500 350 556 1000 333 1000 556 333 944 350 500 667 278 333 556 556 556 556 280 556 333 737 370 556 584 333 737 552 400 549 333 333 333 576 556 333 333 333 365 556 834 834 834 611 722 722 722 722 722 722 1000 722 667 667 667 667 278 278 278 278 722 722 778 778 778 778 778 584 778 722 722 722 722 667 667 611 556 556 556 556 556 556 889 556 556 556 556 556 278 278 278 278 611 611 611 611 611 611 611 549 611 611 611 611 611 556 611 556] The Southwest Airlines captain who flew a Boeing 737 into the runway nose first at LaGuardia Airport last summer had been on the receiving end of multiple complaints by first officers at the airline who did not want to fly with her, according to an employee at the airline who asked not to be identified. /Parent 11 0 R Edit: additional info, they stated that there was a flap adjustment from 30 to 40 degrees 56 seconds out. Southwest Airlines Co. All Rights Reserved. /Type /Page Southwest Airlines says giving first officers the ability to decline to fly with captains does not require them to declare the reason, which is a shame since Southwest and every other airline doing this could be sitting on a Most reports focus on a single accident, though the NTSB also produces reports addressing issues common to a set of similar accidents. [12] At an altitude of only 27ft (8.2m) and 3 seconds from touching down, the captain took control of the aircraft from the first officer. Southwest Airlines Flight 345 Captain Interview. A summary of her three-hour interview with the NTSB investigators says, the captain considered doing a go-around and that by the book, it would have been. In some instances, the air traffic control (ATC) transcript indicates times that are different from those in the CVR transcript. All human performance happens inside the framework of an organizations Policies and Procedures. Southwest Airlines records indicate that the accident 1Unless otherwise indicated, all times in this report are PST, based on a 24-hour clock, and are taken from the cockpit voice recorder (CVR) transcript. Additionally, line operations safety audit data presented at the International Air Safety Summit in 2011 suggested that 97% of unstabilized approaches were continued to landing even though doing so was in violation of airlines' standard operating procedures. %PDF-1.5 We are having a problem the Investigation Reports Page. NTSB Aviation Accident Database & Synopses Flight 345 on the runway NTSB photo The Southwest Airlines captain who flew a Boeing 737 into the runway nose first at LaGuardia Airport last summer had been on the receiving end of multiple complaints by first officers at the airline who did not want to fly with her, according to an employee at the airline who asked not to be identified. Agree wholeheartedly with Jim B. CRM requires a buy-in by all crewmembers. Sign up for the mailing list! Also, the inlet damage caused by the forward-traveling fan blade fragments was greater than that observed during the engine FBO containment certification tests and accounted for in Boeings 737-700 certification analyses (which used the state-of-the-art analytical modeling tools that were available at the time). According to FDR data, after the captain took control, the control column was relaxed to a neutral position and the throttles were not advanced until about 1 second before touchdown. About 3 seconds from touchdown when the airplane was about 27 ft altitude, the captain announced "I got it," indicating that she was taking control of the airplane, and the first officer replied, "ok, you got it." CRM failures, my friend at Southwest told me of Flight 345, which cost the pilot her job, destroyed the 13-year old airplane, injured nine, but took no lives. Overnight, the aircraft was removed from the runway. Sunday. [14][15] Neither pilot was publicly identified by the airline. hmo0?n_8T!-]C Z'!>dH!AIu~>;Z^}w~|_n[Kr -IW6t2"gJDHYDjk:,v*F!aJFCzVeX.QLT}9Nu$F1U:yV.Lajo3+LH `T5? f;XEitD}a&2NpSV9Rk6N| om=jRY0/$^=EPQzY lULtnC2~'.rj r"^;9mqq:JnO('/aN,V4xYBH5K#tM!9m[!@jjC[K]yxS')pdp40iQGC*d7\4(x COGnBcBxjvZ"}C tci-z). Concerned that the airplane was too high, the captain exclaimed repeatedly "get down" to the first officer about 9 seconds from touchdown. such preference. She told me, the program is not intended to address safety concerns.. Three passengers and five crew members were injured during Southwest Airlines Flight 345's landing when the plane's front landing gear appeared to collapse, sending its nose into the runway. The NTSB's initial findings confirmed earlier reports that it was the FedEx pilot, not air traffic controllers, who detected the problem and told the Southwest plane to abort its takeoff. These loads caused cracks to form in the fan cowl skin and frames near the radial restraint fitting. This is exactly what I also tried to explain in my book "WaitingTo Happen!". As the airplane was on final approach, the captain, who was the pilot monitoring, realized that the flaps were not configured as had been briefed, with a setting of 40 degrees for the landing. /Resources Southwest Airlines Flight 1380: What Went Wrong and Was It Preventable? Following the Southwest Airlines (SWA) flight 2294 event, on September 3, 2009, Boeing issued Service . Follow-up / safety actions. Southwest Airlines Newsroom Southwest is working with both the NTSB and Boeing in a preliminary . The aircraft, a Boeing 737-3T5, registration N668SW, [2] came to rest on a city street adjacent to a gas station. The NTSB determined the probable cause of this accident was the flight crewmembers' . The NTSB found the captain's attempt to recover from an unstabilized approach by transferring airplane control at low altitude instead of performing a go-around was the primary cause of this accident. Full narrative descriptions may not be available completed, the preliminary report is replaced with a final description of yI:'wRAA_JUiVXI_T1S_Jv|S;*fmJrMl@xkdBL8j&"\-{NtZb]S`J97BWaqdAFM1.%?JVbm9io~YL|_Z|qFRt9( [6] The plane came to a stop halfway down the runway[8] after skidding on its nose in a sea of sparks. 2023 Christine Negroni. PDF National Transportation Safety Board Why Aircraft Land On Their Rear Wheels First [12], The first officer, who was 44 years old, had 20 years of prior experience in the United States Air Force and had been hired by Southwest Airlines a year and a half before the accident.[12]. You should question them on their own pilots behavior and policies, not ALPA. Welcome to the Community! [3] The aircraft was ultimately removed from LaGuardia Airport via barge to the Port of Albany (New York) in November 2013, where the airframe was broken up by a salvage dealer at the Port of Albany in March 2014, with some parts trucked to Owego for final destruction. Join FlightAware View more flight history Purchase entire flight history for SWA3345. /Count 5 There were 150 people on board including Customers and Crew. The National Transportation Safety Board says Boeing needs to make the engine covers on its 737 NGs . Use of the Southwest websites and our Company Today, the Captain of Flight #3472 from New Orleans to Orlando made the decision to divert to Pensacola due to a mechanical issue with the number one engine. Some of the fan blade fragments traveled forward of the engine and into the inlet.2 In addition, the fan blades impact with the fan case caused the fan case to deform locally over a short period of time. The NTSB aviation accident database contains information from 1962 and later about /Annots 7 0 R management is being purposefully ignored or simply misunderstood. On Oct. 2, 2001, minor cases which do not fall under the definition of "accident" or "incident" were removed from the database; these entries were previously identified with "SA" in the accident number. Investigation Report - NTSB This deformation traveled both around and forward/aft of the fan case. The aircraft entered service in October 1999. << Photo after evacuation. NTSB: Southwest jet landed nose first at LaGuardia - YouTube PROBABLE CAUSE: "The captain's attempt to recover from an unstabilized approach by transferring airplane control at low altitude instead of performing a go-around. PDF Aviation Accident Final Report National Transportation Safety Board [13] The NTSB's investigation became focused on the behavior of the flight crew during Flight 345's approach into LaGuardia Airport. An ECI has a higher sensitivity than an FPI and can detect cracks at or near the surface (unlike an FPI, which can only detect surface cracks). Placing crewmembers on the flight deck with known weaknesses in leadership and command is no different that placing substandard parts on the aircraft. ]kGkDjr7 wT^$ J/|V+1=uAo|r{o;dSa)7i{sqpl Q who these people are!, These avoidance bid things, they are a clear indication of NTSB Issues Final Report On Southwest 1380 Accident - AVweb This information is not presented as the Flight Safety Foundation or the Aviation Safety Networks opinion as to the cause of the accident. 104 0 obj <>stream >> r/aviation on Reddit: Onboard video landing of Southwest 345 For the full report, use the link listed below. Learn more. She hesitated in the cockpit and she wondered. I'm in no position to know for sure but I'd bet dollars to doughnuts that it was the pilots' union that made it impossible for Southwest to get rid of this problem captain until she actually trashed a valuable asset. The aircraft, a Boeing 737-700, was last inspected July 18 . The airport cleared and inspected the affected runway, and removed the aircraft in time for the earliest next day departures. NTSB Media Relations WN3345 (SWA3345) Southwest Flight Tracking and History - FlightAware WestJet Denies Close Call Caught on Camera at St. Maarten. Pilots Didn't Want to Fly With Capt. Who Crash-Landed SW Flight 345 Statement on Flight #345 - The Southwest Airlines Community Corporate Citizenship . 06:06AM EDT Tampa Intl - TPA. Specifically, the NTSB faulted the captain for failing to take control of the aircraft or abort the landing earlier, noting that the captain had warnings at 500ft (150m) (due to the flaps misconfiguration) and at 100200ft (3061m) (when the captain observed the plane was above the glide slope) and could have aborted the landing at that time. And will happen. 77 0 obj <> endobj NTSB: FedEx plane was only 150 feet off ground when disaster was /StructParents 1 The impact of the separated fan blade with the fan case also imparted significant loads into the fan cowl (also part of the nacelle) through the radial restraint fitting, which was located at the bottom of the inboard fan cowl. >> There were 150 people on board including Customers and Crew. The Air Canada crew was cleared to land on 28R, to the right of 28L. Get started here. Of the 144 passengers and 5 crewmembers aboard the airplane, 1 passenger received fatal injuries, and 8 passengers received minor injuries. 16-Apr-2023. [8][9] Nine occupants were treated for minor injuries,[5] all sustained during evacuation,[6] six of whom were taken to local hospitals. Your email address will not be published. Contributing to the accident was the captain's failure to comply with standard operating procedures. We made recommendations to the Federal Aviation Administration, Southwest Airlines and the European Aviation Safety Agency. Southwest Airlines flight 345, a Boeing 737-700, suffered a nose gear collapse during a hard landing on runway 4 at New York-LaGuardia Airport (LGA), USA. Foreshadowing things to come, the shrapnel from that engine explosion hit the fuselage at high speed leaving a large gouge and came dangerously close to hitting the cabin windows. Indeed, Southwest Airlines suffered a strikingly similar fan blade failure in 2016 - Southwest Airlines Flight 3472. Information constitutes acceptance of our Terms and Conditions. ECIs at the time of overhaul or ultrasonic inspections at the time of fan blade relubrication identified 15 blade cracks on separate engines (as of August 2019)., Congressional and Regulatory Correspondence. 13, which resulted in the fan blade separating in flight and impacting the engine fan case at a location that was critical to the structural integrity and performance of the fan cowl structure. On Sept. 18, 2002, data from 1962-1982 were added to the aviation accident information. endobj This accident along with so many other approach and landing accidents is much more a function of leadership, command and judgement than it is airmanship. At the time of the accident, the airplane had 48,748 total hours with 39,786 total cycles. According to a preliminary NTSB report, the pilots thought the lighted runway was 28L not theirs and they aimed their. % NTSB Releases Probable Cause Finding On Southwest Airlines Flight 345 NTSB: Southwest 345 Hit Ground Nose First GROUP A group was convened on July 26, 2013. /FirstChar 0 The NTSB has released its preliminary report from that accident, which occurred on February 5, 2016, at about 1157 mountain standard time. Update on Flight 3472 and working with the NTSB - The Southwest Southwest Airlines flight 345 landed at New Yorks LaGuardia at 5:40 PM Eastern Monday evening from Nashville. On July 26, 2013, the National Transportation Safety Board (NTSB) issued a press release disclosing its initial findings, which included: No mechanical malfunctions were found, but the nose landing gear collapsed due to stress overload. /Length 2579 Southwest Airlines Flight 345 Captain Interview - Hangar Chat - The /TT1 3 0 R endobj A prime example of what can go wrong when a plane's nose gear touches down first is Southwest Airlines Flight 345. /LastChar 255 /Subtype /TrueType 5 0 obj Southwest flight landed nose first at LaGuardia, NTSB says Chairman: Christopher Babcock Aerospace Engineer National Transportation Safety Board Member: Captain Jeff Hamlett Director of Flight Safety Southwest Airlines Member: Dave Keenan /Type /Font Static files are no longer available. /ColorSpace Southwest Boeing 737 Involved In Nose Gear Incident at LGA /Rotate 0 << have always thought that this was a fundamental threat to safe operations when endstream endobj startxref This impact led to the in-flight separation of fan cowl components, including the inboard fan cowl aft latch keeper, which struck the fuselage near a cabin window and caused the window to depart from the airplane, the cabin to rapidly depressurize, and the passenger fatality.. Delta Air Lines, United and others also give their pilots a way to opt out of sharing the cockpit with captains they find difficult to work with. Keith Holloway Southwest Airlines flight 345 landed at New York's LaGuardia at 5:40 PM Eastern Monday evening from Nashville. Southwest Plane's Nose Gear Landed, NTSB Says - ABC News Reports provide details about the accident, ", Nashville International Airport, TN (BNA/KBNA), New York-La Guardia Airport, NY (LGA/KLGA), Jet bound for scrap (Times Union, 29-1-2014), Accident investigation report completed and information captured. The NTSB also discovered that the flight's captain had been the . endstream endobj 78 0 obj <> endobj 79 0 obj <> endobj 80 0 obj <>stream 16 7 WUj "Kgh_@7HB@YA6qNDwFGrel*,w`*@[18RUy.h+`3_5r9A.*@bDzP_'$4/(\`JW 2*\zs=k 1I~8ZU|D^j,']Z`39T2Z{ym#0xb^ /FirstChar 0 [11] At the time of the accident, she had a total of 12,000 hours of flight time, including 2,600 flight hours as captain of a Boeing 737. NTSB Releases Preliminary Report In From Fatal P-51D Accident | Aero Should Epsteins Pilots Have Foiled His Child Sex Trafficking Ring. >> ", The basic issue is, why is this being talked about AFTER an accident? The . >@Ujq7'0#MH-z]Ce~a document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Investigating the Worlds Most Mysterious Air Disasters, Why the Experts Failed to Prevent the TWA Flight 800 Disaster and How It Could Happen Again, I am a journalist, a published author, speaker and broadcaster specializing in aviation and travel. Privacy Policy. Otherwise, register and sign in. hbbd``b`:$ H @'Hp{ $@J20Kg Southwest One Report ; Responsibility. pic.twitter.com/vSqIMBNosc, This map shows the airport of departure and the intended destination of the flight. National Transportation Safety Board 490 L'Enfant Plaza, SW Washington, DC 20594. States, its territories and possessions, and in international waters. It is not hard to imagine this accident being tagged with the dreaded pilot error, but the way this particular captain presumably made other subordinate pilots feel on the flight deck, should not be discounted as unique. The aircraft entered service in October 1999. stream The left engine failure occurred when one of the fan blades fractured at its root (referred to as a fan-blade-out [FBO] event). In addition, FBO-generated loads were transmitted to the fan cowl through the radial restraint fitting, which was not accounted for in the fan cowls design, and the stresses in the fan cowl were greater than those calculated in the certification analyses. After reaching the airplane structure (the inlet attach ring, which was secured to the engine fan case A1 flange), the deformation generated large loads that resulted in local damage to the inlet. if the FO was going to turn her in to her chief pilot. One captain, actively degraded you personally throughout the entire flight, second guessing every decision you did. In the second instance, the senior pilot was intentionally non compliant. The airplane was substantially damaged. >> Accident Reports are one of the main products of an NTSB investigation. There is lots of stuff here that no one wants to talk about, an airline captain recently told me. One fan cowl fragment impacted the left-side fuselage near a cabin window, and the window departed the airplane, which resulted in a rapid depressurization. Enter for a Chance to Win the Breathtaking Beats Sweepstakes, Three Days Only: Southwest Launches Limited-Time Promotional Companion Pass Offer, What to Watch on Your Southwest Flight in April, Say Aloha to Imua One, an Aircraft Dedicated to Our Employees and the People of Hawaii. Indicates external site which may or may not meet accessibility guidelines. Human error is a symptom, not a disease. The process, called a bid avoidance, is not unique to Southwest. ntsb The nose landing gear of Southwest Flight 345, which had a very rough landing at NYC's LaGuardia Airport Monday afternoon, hit the ground before the plane's main gear did, the National . We express our utmost gratitude to emergency responders and Southwest Employees who assisted us last night. This damage then propagated forward and aft, severing the three latch assemblies that joined the inboard and outboard halves of the fan cowl, which caused large portions of both fan cowl halves to separate and depart the airplane. Contributing to the accident was the captain's failure to comply with standard operating procedures. NTSB : Status: Investigation completed: Duration: 1 year and 1 months: Accident number: DCA09FA065: Download report: Summary report: Classification: Forced landing on runway. Flight 345 from Nashville, Tenn., skidded off the runway Monday and came to rest on its nose after the front landing gear crumpled. The line between the airports does. Southwest Airlines Flight 345 was a scheduled flight from Nashville International Airport, Tennessee, to New York City's LaGuardia Airport. Unless we correct those, there is no way to stop these events from occuring. Its not clear to me that all pilots understand that distinction. Published on July 28, 2013. Who Crash-Landed SW Flight 345", "NTSB: Southwest nose landing at LaGuardia was captain's fault", "NTSB captain took over Southwest Airlines flight just before landing at New York LaGuardia", "Southwest fires pilot whose nosedive landing at LaGuardia Airport injured 16", "Southwest Airlines fires captain involved in rough NYC landing", "Albany scrap yard prepares Southwest jet for shredding". When the airplane was between 100 to 200 ft altitude, it was above the glideslope. A review of NTSB-investigated accidents by human factors researchers found that about 75% of accidents were the result of plan continuation errors in which the crew continued an approach despite cues that suggested it should not be continued. Every airline has the kind of pilot, best described in Skygods, Robert Gandts book on the collapse of aviation giant, Pan Am. With the NTSB involved, does the plane need to stay at the airport for a certain time for investigation? Investigation Details What Happened On April 17, 2018, about 1103 eastern daylight time, Southwest Airlines (SWA) flight 1380, a Boeing 737-7H4, N772SW, experienced a left engine failure while climbing through flight level 320 en route to the flight's assigned cruise altitude. Page 1 of 5 National Transportation Safety Board Aviation Accident Final Report Location: SAN LUIS OBISPO, CA Accident Number: DCA88MA008 Date & Time: 12/07/1987, 1616 PST Registration: N350PS Aircraft: BRITISH AEROSPACE BAE-146-200 Aircraft Damage: Destroyed Defining Event: Injuries: 43 Fatal Flight Conducted Under: Part 121: Air Carrier - Scheduled Analysis to query help for limitations of location information. investigative responsibility. Three Customers and five Crew Members were transported to local hospitalsall have been treated and released. but there was no leadership to support the change. Southwest Airlines flight 345 landed at New York's LaGuardia at 5:40 PM Eastern Monday evening from Nashville. Southwest Airlines Flight 1455 was a scheduled passenger flight from McCarran International Airport, Las Vegas, Nevada, to Burbank-Glendale-Pasadena Airport, Burbank, California, that overran the runway during landing on March 5, 2000. << More from CNN at http://www.cnn.com/video/ Two hours later, the airport's other runway reopened for traffic. >> C'S?Cn$i8[Ma=[D7X:_Y0q lJCF5U:!Rg'-q;JQ|k]1Ps w j>sxf_-&m8.1(C|jk2a)%(duIqaS# The aircraft, a Boeing 737-700, was last inspected July 18, 2013. Airborne 04.28.23: Taylor Award!, Sonex Dual-Stick, NetJets Sued, Airborne-Flight Training 04.27.23: DSU Expands, School Planes Destroyed, Allegiant, Airborne 04.26.23: Aldrin Promoted, PS Engineering, Gustnado v Flt School, 2007 - 2023 Web Development & Design by Pauli Systems, LC, NTSB Releases Probable Cause Finding On Southwest Airlines Flight 345, ANN's Daily Aero-Term (04.28.23): Circle-To-Land Maneuver, ANN's Daily Aero-Term (04.29.23): Lost Communications. The crack on the fan blade involved in the PHL accident was also not detected during the on-wing fan blade visual inspections (subsequent to the overhaul) that were conducted as part of fan blade relubrications, which CFM recommended to maintain the fan blade loads within the predicted range and prevent wear on the fan disk and the fan blade dovetail coating. Factual information is added when available, and when the investigation is 90 0 obj <>/Filter/FlateDecode/ID[<43CB3E40847BE8341A94951CCEEEE12C><416ED205FCF4324CA9AE5415A5136669>]/Index[77 28]/Info 76 0 R/Length 76/Prev 533817/Root 78 0 R/Size 105/Type/XRef/W[1 2 1]>>stream 1 0 obj After an August 2016 FBO event involving another SWA 737-700 airplane equipped with CFM56-7B engines, which landed safely at Pensacola International Airport, Pensacola, Florida, CFM developed an eddy current inspection (ECI) procedure to be performed at overhaul (in addition to the FPI that was already required). The first officer reported that, after the captain took control of the airplane, he scanned the altimeter and airspeed to gain situational awareness but that he became distracted by the runway "rushing" up to them and "there was no time to say anything.". The Crash Landing of Southwest 345 - Nick Bradbury /FontDescriptor 10 0 R If this crash was indeed caused or exacerbated by a Captain who was known by the company to have deficiencies in command skills, that is NOT a CRM issue, it's a MANAGEMENT issue. How about a union issue? Southwest has resumed full operations at LaGuardia. The airplane touched down at a descent rate of 960 ft per minute and a nose-down pitch attitude of -3.1 degrees, resulting in the nose gear contacting the runway first and a hard landing.