San Francisco International Airport, San Francisco, CA
Airport Location:
The San Francisco International Airport is located 8 miles south east of San
Francisco, California.
Airport History:
The airport was first opened on May 7, 1927 on 150 acres of cow pasture.
The land was leased from prominent local landowner Ogden L. Mills, and was
named Mills Field Municipal Airport. It remained Mills Field until 1931,
when it was renamed San Francisco Municipal Airport. "Municipal" was
replaced by "International" in 1955.
United Airlines, Pan American World Airways used Mills Field throughout
the 1930s and Domestic commercial traffic increased dramatically with the
advent of World War II when Oakland International Airport was taken over by
the military and its passenger flight diverted to San Francisco.
The airport was expanded in the 1950s to accommodate United Airlines
maintenance facility for the new Douglas DC-8s.
The San Francisco International Airport has continued to expand including
a new international terminal which opened in 2000 and in 2003 the Bay Area
Rapid Transit system to the airport opened.
San Francisco
Airport Today: Obstructions reported; Buildings; Power lines; Birds in
the area; Airline services; Helicopter and military operations; Frequent
weather delays;
Airport
Services and Amenities: Signature Flight Support; Fuel; Chevron Texaco
Jet, 100LL; Restaurants on the field; Andale Mexican; Burger Joint; Deli Up
Cafe; Firewood Cafe; Harry Denton's; Public transportation; Courtesy car;
Taxis; Rental cars available; Lodging within 3 miles; US Customs;
Special
Events and Attractions: Cable Cars; California Marine Mammal Center;
Golden Gate Bridge; The Exploratorium; Hiller Aircraft Museum;
Airport
Area Accident History:Incident occurred Saturday, March 27, 2010 in San
Francisco, CA
Aircraft: BOEING 777-222, registration: N216UA
Injuries: Unavailable
This is preliminary information, subject to change, and may contain errors.
Any errors in this report will be corrected when the final report has been
completed.
On March 27, 2010, at approximately 1115 Pacific daylight savings time (1815
UTC) United Airlines flight 889, B777-222, received a traffic collision
avoidance system (TCAS) alert as the flight departed the San Francisco
International Airport (SFO), San Francisco, California. SFO tower controller
cleared the flight for takeoff from runway 28L on the MOLEN 3 departure with
clearance to climb to 3,000 mean sea level (msl). The flying First Officer
reported after the landing gear was retracted at approximately the runway
end, and at 1,100 msl, he heard the tower controller report traffic at 1
o'clock. This was followed immediately by the TCAS “TRAFFIC TRAFFIC”
warning. According to the TCAS, the target was at 1,400 msl. The pilots
visually acquired a light high wing airplane in a hard left turn at their 1
o'clock position. Both crew members reported seeing only the underside of
the airplane. Distance to the airplane described as slant range was 200-300
feet. The First Officer's response was to push forward on the yoke to level
the airplane. The other airplane disappeared from view through the 3 o'clock
position. The First Officer then looked back into the cockpit at which time
TCAS annunciated “ADJUST VERTICAL SPEED”, followed by a “DESCEND, DESCEND”
command. The First Officer stated he complied with a push over to comply.
The climb on MOLEN 3 was then continued. The crew filed a near mid-air
collision report.
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Accident occurred Saturday, August 16, 2008 in
San Francisco, CA
Aircraft: Boeing 777-300, registration: B-16710
Injuries: 1 Serious, 312 Uninjured. This is
preliminary information, subject to change, and may contain errors. Any
errors in this report will be corrected when the final report has been
completed. On August 16, 2008, at 0202 Pacific daylight time, Eva Air 17,
Taiwanese registry B16710, a Boeing 777-300, was being pushed back from the
gate when a mechanic was pinned under the left nose gear at San Francisco
International Airport, San Francisco, California. The flight and cabin
crews, and 294 passengers were not injured; the mechanic sustained serious
injuries. There was no damage to the airplane. Eva Air was operating the
airplane under the provisions of Title 14 Code of Federal Regulations Part
129. The scheduled international passenger flight was destined for Taoyuan
International Airport, Taipei, Taiwan. Visual meteorological conditions
prevailed and an instrument flight plan was filed. According to airport
operations personnel, an Eva Air mechanic and a Swissport ramp employee were
pushing the flight back from the gate. The tow bar was then removed, the
airplane came forward, and the mechanic was pinned under the left nose gear.
===
Accident occurred Saturday, June 28, 2008 in San
Francisco, CA
Aircraft: Boeing 767, registration: N799AX
Injuries: 2 Uninjured. This is preliminary
information, subject to change, and may contain errors. Any errors in this
report will be corrected when the final report has been completed. On June
28, 2008 at approximately 10:15 pm pacific daylight time, Airborne Express
flight 1611, a Boeing 767 aircraft, registration N799AX, caught fire just
aft of the cockpit area while the flightcrew were preparing to start the
engines. The airplane was parked at plot 11 at the San Francisco
International Airport with all cargo loaded at the time the fire erupted.
Both flightcrew members exited the aircraft safely via the cockpit windows.
The airport rescue and fire fighting unit (ARFF) extinguished the fire. The
fire burned a hole through the crown of the aircraft in the forward galley
area. No injuries were reported and the aircraft was substantially damaged.
===
Accident occurred Sunday, January 13, 2008 in
San Francisco, CA
Probable Cause Approval Date: 8/28/2008
Aircraft: Bombardier, Inc. CL-600-2C10,
registration: N705SK
Injuries: 60 Uninjured.
A Boeing 757-222 airplane and a Bombardier Inc.
CL-600-2C10 were substantially damaged when the tails of both airplanes
collided during the pushback process from two adjacent terminal gates during
night visual meteorological conditions. The flight crew of the CL-600-2C10
reported that during the final stages of pushback from gate 79, they were in
a stopped position with both engines running while their ground crew was in
the process of disconnecting the tug when the collision occurred. Company
maintenance personnel stated they were pushing the 757-222 back from gate 80
without the use of wing-walkers or tail walkers to relocate the airplane to
another location on the airport and did not see the CL-600-2C10. Review of
Air Traffic Control (ATC) communication recordings between ground control
and both airplanes revealed that the 757-222 was initially cleared for
pushback onto taxiway alpha from gate 80. About 41 seconds later, the ground
controller cleared the CL-600-2C10 to push back onto taxiway alpha from gate
79. The recordings revealed that the ground controller did not advise either
aircraft of near simultaneous adjacent pushback operations. The controller
stated that he believed there was room for both aircraft to push back and
did not foresee a traffic conflict. The National Transportation Safety Board
determines the probable cause(s) of this accident as follows: The company
tug operator of the other airplane's failure to maintain clearance with this
aircraft during the pushback process. Also causal was the ground
controller's failure to alert the pilot of this aircraft and tug operator of
the other airplane of the simultaneous pushback occurring from adjacent
gates. Contributing to the accident was the company's pushback operation
without the use of wing/tail walkers. ===
Accident occurred Sunday, January 13, 2008 in
San Francisco, CA
Probable Cause Approval Date: 8/28/2008
Aircraft: Boeing 757-222, registration: N508UA
Injuries: 60 Uninjured.
A Boeing 757-222 airplane and a Bombardier Inc.
CL-600-2C10 were substantially damaged when the tails of both airplanes
collided during the pushback process from two adjacent terminal gates during
night visual meteorological conditions. The flight crew of the CL-600-2C10
reported that during the final stages of pushback from gate 79, they were in
a stopped position with both engines running while their ground crew was in
the process of disconnecting the tug when the collision occurred. Company
maintenance personnel stated they were pushing the 757-222 back from gate 80
without the use of wing-walkers or tail walkers to relocate the airplane to
another location on the airport and did not see the CL-600-2C10. Review of
Air Traffic Control (ATC) communication recordings between ground control
and both airplanes revealed that the 757-222 was initially cleared for
pushback onto taxiway alpha from gate 80. About 41 seconds later, the ground
controller cleared the CL-600-2C10 to push back onto taxiway alpha from gate
79. The recordings revealed that the ground controller did not advise either
aircraft of near simultaneous adjacent pushback operations. The controller
stated that he believed there was room for both aircraft to push back and
did not foresee a traffic conflict. The National Transportation Safety Board
determines the probable cause(s) of this accident as follows: The company
tug operator's failure to maintain clearance with another aircraft during
the pushback process. Also causal was the ground controller's failure to
alert the pilot of the other aircraft and tug operator of this airplane of
the simultaneous pushback occurring from adjacent gates. Contributing to the
accident was the company's pushback operation without the use of wing/tail
walkers. ===
Incident occurred Saturday, May 26, 2007 in San
Francisco, CA
Probable Cause Approval Date: 11/30/2007
Aircraft: Embraer 120, registration: N232SW
Injuries: 92 Uninjured.
On May 26, 2007, at 1336 Pacific daylight time,
Republic Airlines flight 4912 (RPA4912), an Embraer 170 regional jet, and
Skywest Airlines flight 5741 (SKW5741), an Embraer Brasilia turboprop,
nearly collided in the intersection of runway1L and runway 28R at San
Francisco International Airport, San Francisco, California. Both aircraft
were operating as scheduled passenger flights under 14 CFR part 121 and were
operating on instrument flight plans. There were no reported injuries to
occupants and no reported damage to either aircraft. SKW5741 was arriving at
SFO after a flight from Modesto, California. The aircraft was cleared for a
visual approach by Northern California Terminal Radar Approach Control (NCT)
and transferred to SFO tower. The crew contacted the SFO local controller at
1332:29, reporting that they were six miles out on the BRIJJ visual
approach. The local controller acknowledged, issued a wake turbulence
advisory for a Boeing 757 landing on runway 28L, and cleared SKW5741 to land
on runway 28R. According to NCT radar data, the aircraft crossed the runway
threshold at 1335:13. RPA4912 (radio callsign "Brickyard 4912"), taxied to
runway 1L and was instructed to taxi onto the runway to hold at 1333:36.
RPA4912 was cleared for takeoff at 1335:12. The crew acknowledged. At
1335:40, during a transmission to an uninvolved aircraft by the local
controller, an aural AMASS warning is audible in the background. At 1335:44,
the local controller begins attempting to instruct SKW5741 to stop,
transmitting, "uh, Skywest HOLD HOLD HOLD". According to controllers'
written statements, SKW5741 came to a stop in the intersection of runways 1L
and 28R. RPA4912 lifted off and overflew SKW5741. The initial FAA tower
report estimated the aircraft missed colliding by 300 feet. However, the
Skywest crew estimated the distance as 30 to 50 feet and the crew of RPA4912
estimated 150 feet. They characterized their estimate as a "guess," noting
that they could not actually see the Brasilia as they passed over the top of
the aircraft. SFO ATCT is equipped with an Airport Movement Area Safety
System (AMASS) that uses radar to track aircraft on and near the airport
surface, providing conflict detection and aircraft location information to
controllers. The system is able to detect conflicts between aircraft using
the same runway, and, following a software modification that was installed
on February 17, 2007, the system is also able to detect conflicts between
aircraft using intersecting runways. SKW5741's approach was tracked by NCT's
ASR-9 terminal radar system located at Oakland International Airport,
approximately 8 miles north of SFO. The Oakland radar system does not
provide surface coverage at SFO, but it did detect RPA4912 climbing off the
airport immediately after the incident. Comparison of the NCT radar time
with the AMASS radar time indicated that the AMASS clock was about 15 to 16
seconds fast in relation to the NCT clock. The NCT clock is set and checked
every shift, but the AMASS clock time is derived from the internal clock of
the computer running AMASS and is more subject to error. Therefore, this
report will consider the ARTS clock as authoritative and AMASS times will be
corrected accordingly. The AMASS system recorded data for both RPA4912 and
SKW5741, detecting the conflict and alerting controllers at 1335:40. The
AMASS targets for the two aircraft merged in the runway intersection at
1335:55. RPA1912 first appears on the OAK ASR-9 just south of taxiway V at
1335:59, climbing through 200 feet.
PERSONNEL INFORMATION The crew of RPA4912
consisted of a captain, first officer, and 1 flight attendant. The crew of
SKW5741 included an upgrade captain receiving initial operating experience
training, a check airman acting as first officer, and 1 flight attendant.
Certification and flight experience information for the crews was not
requested. The local controller involved entered on duty with the FAA in
1988, and has been fully certified as a tower controller at SFO since 1999.
Following the incident, the controller was decertified, required to complete
additional training, and recertified by SFO management. AIRCRAFT INFORMATION
RPA4912 was an Embraer 170 regional jet, registration N757AT. SKW5741 was an
Embraer 120 turboprop, registration N232SW. METEOROLOGICAL INFORMATION At
1956 UTC, the SFO weather observation was wind 320 at 13 knots, visibility
10 miles, few clouds at 1,100 feet, temperature 18, dew point 10, altimeter
29.95 inches. WRECKAGE AND IMPACT INFORMATION No damage was reported to
either aircraft. ADDITIONAL INFORMATION Air Traffic Control Information SFO
Air Traffic Control Tower (ATCT) is an ATC-10 level facility responsible for
aircraft operations on the airport surface and in the class B airspace in
the immediate vicinity of the airport. Arrivals and departures are handled
by Northern California Terminal Radar Approach Control (NCT), located in
Rancho Cordova, GA. The tower is equipped with an Airport Movement Area
Safety System (AMASS) ground radar, which is used by controllers to track
and identify aircraft operating on the airport surface. AMASS provides a
limited conflict detection capability that permits it to alert controllers
about certain types of ground conflicts between aircraft as well as
inadvertent use of closed or inactive runways. According to AMASS technical
support personnel, in a scenario such as this conflict, AMASS is designed to
provide an alert 15 seconds before the aircraft reach the conflict point,
and the system performed as designed. The National Transportation Safety
Board determines the probable cause(s) of this incident as follows: Failure
of SFO tower local controller to provide adequate separation between two
aircraft departing intersecting runways. ===
Incident occurred Saturday, May 26, 2007 in San
Francisco, CA
Probable Cause Approval Date: 11/30/2007
Aircraft: Embraer 170, registration: N872RW
Injuries: 92 Uninjured.
On May 26, 2007, at 1336 Pacific daylight time,
Republic Airlines flight 4912 (RPA4912), an Embraer 170 regional jet, and
Skywest Airlines flight 5741 (SKW5741), an Embraer Brasilia turboprop,
nearly collided in the intersection of runway 1L and runway 28R at San
Francisco International Airport, San Francisco, California. Both aircraft
were operating as scheduled passenger flights under 14 CFR part 121 and were
operating on instrument flight plans. There were no reported injuries to
occupants and no reported damage to either aircraft. SKW5741 was arriving at
SFO after a flight from Modesto, California. The aircraft was cleared for a
visual approach by Northern California Terminal Radar Approach Control (NCT)
and transferred to SFO tower. The crew contacted the SFO local controller at
1332:29, reporting that they were six miles out on the BRIJJ visual
approach. The local controller acknowledged, issued a wake turbulence
advisory for a Boeing 757 landing on runway 28L, and cleared SKW5741 to land
on runway 28R. According to NCT radar data, the aircraft crossed the runway
threshold at 1335:13. RPA4912 (radio callsign "Brickyard 4912"), taxied to
runway 1L and was instructed to taxi onto the runway to hold at 1333:36.
RPA4912 was cleared for takeoff at 1335:12. The crew acknowledged. At
1335:40, during a transmission to an uninvolved aircraft by the local
controller, an aural AMASS warning is audible in the background. At 1335:44,
the local controller begins attempting to instruct SKW5741 to stop,
transmitting, "uh, Skywest HOLD HOLD HOLD". According to controllers'
written statements, SKW5741 came to a stop in the intersection of runways 1L
and 28R. RPA4912 lifted off and overflew SKW5741. The initial FAA tower
report estimated the aircraft missed colliding by 300 feet. However, the
Skywest crew estimated the distance as 30 to 50 feet and the crew of RPA4912
estimated 150 feet. They characterized their estimate as a "guess," noting
that they could not actually see the Brasilia as they passed over the top of
the aircraft. SFO ATCT is equipped with an Airport Movement Area Safety
System (AMASS) that uses radar to track aircraft on and near the airport
surface, providing conflict detection and aircraft location information to
controllers. The system is able to detect conflicts between aircraft using
the same runway, and, following a software modification that was installed
on February 17, 2007, the system is also able to detect conflicts between
aircraft using intersecting runways. SKW5741's approach was tracked by NCT's
ASR-9 terminal radar system located at Oakland International Airport,
approximately 8 miles north of SFO. The Oakland radar system does not
provide surface coverage at SFO, but it did detect RPA4912 climbing off the
airport immediately after the incident. Comparison of the NCT radar time
with the AMASS radar time indicated that the AMASS clock was about 15 to 16
seconds fast in relation to the NCT clock. The NCT clock is set and checked
every shift, but the AMASS clock time is derived from the internal clock of
the computer running AMASS and is more subject to error. Therefore, this
report will consider the ARTS clock as authoritative and AMASS times will be
corrected accordingly. The AMASS system recorded data for both RPA4912 and
SKW5741, detecting the conflict and alerting controllers at 1335:40. The
AMASS targets for the two aircraft merged in the runway intersection at
1335:55. RPA1912 first appears on the OAK ASR-9 just south of taxiway V at
1335:59, climbing through 200 feet.
The National Transportation Safety Board
determines the probable cause(s) of this incident as follows: Failure of SFO
tower local controller to provide adequate separation between two aircraft
departing intersecting runways. ===
Accident occurred Saturday, September 11, 2004
in San Francisco, CA
Probable Cause Approval Date: 4/25/2006
Aircraft: British Aerospace BAE 125-1000A,
registration: N520QS
Injuries: 2 Uninjured.
The business jet experienced a fire in the aft
equipment bay while holding short for takeoff. The two-person aircrew were
performing a positioning flight. While the airplane was holding short for
takeoff, the crew noticed a Master Caution and a Pack & Aux Overheat warning
light illuminated on the cockpit annunciator panel, followed by a Rear
Baggage Smoke Detector warning light. The crew shut down the APU. The
captain declared an emergency and the crew evacuated the airplane. Fire
crews arrived shortly thereafter, and determined that the fire had
extinguished itself. Examination of the aft pressure bulkhead by the
manufacturer revealed metal discoloration and soot residue, and it was
determined that there was structural damage to the aft pressure bulkhead due
to a heat induced loss of material temper. After the incident the operator
inspected the aft equipment bay and identified a hydraulic line with a
pinhole leak. The stainless steel hydraulic line had a small crater like
deformation with evidence of recast metal and a 0.005-inch hole at the base
of the crater, which is consistent with damage caused by an electrical arc.
There was no evidence of chafing on the hydraulic line. Copper, cadmium, and
nickel material were acid rinsed from the crater; none of which are listed
as alloying element in stainless steel. Copper wire is commonly used as an
electrical circuit conductor. A pinhole leak could be expected to atomize
the hydraulic fluid that was at 3,000 psi. The hydraulic system working
fluid used was Aeroshell Fluid 41, which has a reported flash point between
221F and 230F. The electrical looms/cables that were in the aft equipment
bay were disposed of prior to the Safety Board initiating the accident
investigation; therefore, determination or identification of the electrical
arc source was not possible.
The National Transportation Safety Board
determines the probable cause(s) of this accident as follows: An electrical
arc from an undetermined source initiated a hydraulic line rupture, which
resulted in an equipment bay fire. ===
Accident occurred Friday, November 14, 2003 in
San Francisco, CA
Probable Cause Approval Date: 4/25/2007
Aircraft: Boeing 747-422, registration: N178UA
Injuries: 356 Uninjured.
The airplane experienced a tail strike on
rotation. The first officer was the flying pilot for the takeoff on runway
10L. The winds were from 180 degrees at 16, gusting to 22 knots. The takeoff
roll was normal, and the flying pilot utilized control wheel input to
correct for the crosswind. A few seconds after rotation, the crew noted the
stick shaker annunciate, and flying pilot responded by gently easing back
pressure off the control yoke. The crew returned to land at the departure
airport after controllers in the tower reported that the airplane may have
struck the tail. Flight Data Recorder (FDR) information indicated that the
takeoff occurred during directionally variable wind conditions. The wind
shifted during the takeoff roll, resulting in a decreasing headwind, an
increasing crosswind, and finally to an average 8-knot tailwind during
rotation. The maximum pitch rate during rotation was slightly higher than
average, but within the normal expected variation. Analysis of the data
showed this was a minor contributor to the tail strike. The flying pilot
used significant wheel input (35 degrees right wheel) to counter the
increasing crosswind, which resulted in the right spoiler raising 12 degrees
and a corresponding loss of lift due to the use of spoilers. Rotating at a
lower airspeed requires a higher angle of attack, and therefore, a higher
pitch attitude to achieve liftoff. The combination of the tailwind gust and
spoiler movement resulted in the airplane's pitch attitude exceeding 12.6
degrees while the gear was still on the ground. This resulted in the aft
body contact with the runway. During a typical takeoff in gusty or strong
crosswind conditions, the manufacturer recommended maximum takeoff thrust
and to avoid rotation during a gust. Slightly delaying rotation would allow
the airplane additional time to accelerate through the gust, and the greater
airspeed would improve the tail clearance margin. The FDR-recorded
longitudinal control system parameters suggested a properly functioning
system. The airplane motion was consistent with the control inputs and power
settings. The National Transportation Safety Board determines the probable
cause(s) of this accident as follows: a tail strike due to a combination of
the wind shifting from a headwind to a tailwind during rotation, and the
pilot's control inputs for the crosswind condition. ===
Accident occurred Tuesday, October 07, 2003 in
San Francisco, CA
Probable Cause Approval Date: 12/20/2005
Aircraft: Boeing 777-22B, registration: N222UA
Injuries: 450 Uninjured.
An All Nippon Airways (ANA) Boeing 777-281 and a
United Airlines (UAL) Boeing 777-22B both sustained substantial damage
during an on-ground collision between both airplanes' right wing tips. The
collision occurred in a nonmovement area ramp surrounding the G terminal.
This ramp area is under the control of a local ground control tower operated
by United Airlines. Both aircraft were under the control of the ramp control
tower at the time of the collision. The transfer of ground control
responsibility from the ramp control tower to the Federal Aviation
Administration Air Traffic Control Tower for an aircraft arriving or
departing the G terminal is Spot 10. Spot 10 is where the G-ramp intersects
taxiway A. Gate G-102 is the closest terminal gate to Spot 10 and is along
the southern boundary of taxiway A. The ANA 777 had been cleared to taxi to
Spot 10 by the ramp control tower was taxing outbound past gate G-102. The
UAL 777 had been cleared by the ramp control tower to push back from gate
G-102. Review of the recorded radio communications revealed that the ramp
controller did not issue a cautionary advisory to either crew regarding the
movements of the respective airplanes. The UAL 777 push back tractor driver
saw the ANA 777 approach and stopped the push back just moments before the
collision. The ANA flight crew saw the UAL 777 and maneuvered slightly to
the left, away from the airplane, in an attempt to ensure wing tip clearance
just prior to contact. None of the pilots on the ANA 777 could visually see
their airplane's wingtips from the cockpit. The UAL 777's wing walker was on
the left side of the airplane blocking traffic and noticed the ANA 777's
approach and collision just moments after the UAL 777's push back was
halted. The National Transportation Safety Board determines the probable
cause(s) of this accident as follows: the failure of the taxiing Boeing
777's flight crew to maintain clearance from a Boeing 777 that was being
pushed back from the gate. Contributing to the accident was the failure of
the local ramp controller to caution either aircrew of a possible movement
conflict. ===
Accident occurred Tuesday, October 07, 2003 in
San Francisco, CA
Probable Cause Approval Date: 12/20/2005
Aircraft: Boeing 777-281, registration: JA709A
Injuries: 450 Uninjured.
An All Nippon Airways (ANA) Boeing 777-281 and
an United Airlines (UAL) Boeing 777-22B both sustained substantial damage
during an on-ground collision between both airplanes' right wing tips. The
collision occurred in a nonmovement area ramp surrounding the G terminal.
This ramp area is under the control of a local ground control tower operated
by United Airlines. Both aircraft were under the control of the ramp control
tower at the time of the collision. The transfer of ground control
responsibility from the ramp control tower to the Federal Aviation
Administration Air Traffic Control Tower for an aircraft arriving or
departing the G terminal is Spot 10. Spot 10 is where the G-ramp intersects
taxiway A. Gate G-102 is the closest terminal gate to Spot 10 and is along
the southern boundary of taxiway A. The ANA 777 had been cleared to taxi to
Spot 10 by the ramp control tower was taxing outbound past gate G-102. The
UAL 777 had been cleared by the ramp control tower to push back from gate
G-102. Review of the recorded radio communications revealed that the ramp
controller did not issue a cautionary advisory to either crew regarding the
movements of the respective airplanes. The UAL 777 push back tractor driver
saw the ANA 777 approach and stopped the push back just moments before the
collision. The ANA flight crew saw the UAL 777 and maneuvered slightly to
the left, away from the airplane, in an attempt to ensure wing tip clearance
just prior to contact. None of the pilots on the ANA 777 could visually see
their airplane's wingtips from the cockpit. The UAL 777's wing walker was on
the left side of the airplane blocking traffic and noticed the ANA 777's
approach and collision just moments after the UAL 777's push back was
halted.
The National Transportation Safety Board
determines the probable cause(s) of this accident as follows: the failure of
the taxiing Boeing 777's flight crew to maintain clearance from a Boeing 777
that was being pushed back from the gate. Contributing to the accident was
the failure of the local ramp controller to caution either aircrew of a
possible movement conflict. ===
Accident occurred Sunday, February 16, 2003 in
San Francisco, CA
Probable Cause Approval Date: 10/28/2004
Aircraft: Cessna 421C, registration: N321FL
Injuries: 5 Uninjured.
A maintenance truck driver failed to observe an
airplane that had just landed and was taxing to the ramp on a course
perpendicular to the driver's direction of travel. The westbound truck, that
was proceeding on a vehicle access road, collided with the leading edge of
the northbound airplane's right wing. During a dark night, the pilot had
landed on runway 28R. Thereafter, he received a clearance to taxi to the
ramp via a specified route. Approaching the designated parking area, the
pilot negotiated a right 90-degree turn and again proceeded in a northerly
direction toward a fixed base operator's parking area; the airplane's ground
track crossed an airport service road. The truck driver failed to comply
with published airport procedures by not yielding to the approaching
airplane.
The National Transportation Safety Board
determines the probable cause(s) of this accident as follows: The vehicle
driver's inadequate visual lookout and failure to follow established
procedures. A contributing factor was the dark nighttime condition. ===
Accident occurred Thursday, July 12, 2001 in San
Francisco, CA
Probable Cause Approval Date: 6/25/2003
Aircraft: Bell 206B, registration: N474SF
Injuries: 4 Uninjured.
The helicopter made a hard landing and severed
the tail boom after an in-flight engine failure and autorotation. The pilot
reported seeing an engine chip light and hearing a whining sound in the
engine about 700 feet agl. An engine out light followed by a complete engine
failure occurred about 1 minute later. The pilot had been descending to land
in an open field by that time. The collective was lowered to enter an
autorotation and aft cyclic applied to slow the forward airspeed. As he
neared the bottom of the maneuver, he pulled collective pitch to cushion the
landing; however, the helicopter abruptly spun 90 degrees to the left. The
main rotor blades struck the tail boom and the ground. The tail boom was
separated from the helicopter. After an inspection and teardown of the
engine, the 2 1/2 bearing was found to have failed in fatigue. Records
revealed that a chip light had been reported in the same helicopter on a
flight (4) days prior. Before being returned to service, a magnetic plug
inspection/cleaning and an engine ground test run were performed. According
to the Allision 250 Series Operation and Maintenance Manual, when either a
chip light is encountered after a gearbox flush and a second ground test run
has been performed or when a total of (4) chip lights have been encountered
within 50 hours of engine operation, the engine must be removed from service
and sent to the manufacturer's authorized maintenance center. The National
Transportation Safety Board determines the probable cause(s) of this
accident as follows: The failure of the accessory gearbox 2 1/2 bearing in
fatigue resulting in the complete loss of engine power and a subsequent
forced landing. The pilot's failure to maintain directional control during
the autorotational flare maneuver is also causal. The operator's failure to
comply with the recommendations in the engine service manual regarding
removal of the engine from service for detailed inspection is a factor. ===
Accident occurred Wednesday, July 11, 2001 in
San Francisco, CA
Probable Cause Approval Date: 6/2/2004
Aircraft: Boeing 757-232, registration: N644DL
Injuries: 1 Serious, 1 Minor, 98 Uninjured.
The air carrier transport airplane experienced
an abrupt maneuver during its initial descent. The first officer reported
that the flight crew had been cleared to descend from FL 390 to FL 330. The
captain initiated the descent and the first officer began programming the
flight management system. The first officer looked up as the airplane was
flying past FL330 and queried the captain. The captain then immediately
pulled the aircraft out of the descent and leveled off at FL330. Shortly
thereafter, the flight crew was notified of a passenger injury resulting
from the event. The captain reported to the passengers that they encountered
turbulence. All of the flight attendants reported a smooth flight prior to
the event. The captain had illuminated the fasten seat belt sign, but no one
could remember an announcement accompanying the sign illumination. All of
the flight attendants and an injured passenger, who was in the lavatory at
the time of the event, described being pushed downward during the
occurrence. There were no flight data recorders, cockpit voice recorders, or
air traffic control recordings to review, because the Safety Board was not
notified of the accident until almost 1 year after the event. The National
Transportation Safety Board determines the probable cause(s) of this
accident as follows: the captain's excessive use of the flight controls to
level off from a descent, which resulted in a passenger injury. ===
Incident occurred Monday, March 13, 2000 in SAN
FRANCISCO, CA
Probable Cause Approval Date: 10/31/2006
Aircraft: Boeing 727-232, registration: N516DA
Injuries: 77 Uninjured.
The airplane landed with the right main landing
gear partially extended. This was the second leg of the day in the airplane
for this crew; the second officer (SO) completed walk around inspections
prior to both flights and noted no discrepancies. The captain was hand
flying the airplane in the initial takeoff climb, and selected landing gear
up passing through 300 to 500 feet above ground level (agl). The red "doors"
light illuminated on the front panel and the amber right main gear door
light illuminated on the second officer's panel. All attempts to lower the
right main gear were unsuccessful, so the captain elected to return to the
airport and land with the right main gear extended about 15 degrees.
Inspection of the right main landing gear revealed that the safety bar bent
down about 20 degrees at the leading edge and 15 degrees at its midpoint.
The safety bar's inboard flanges buckled just below the reinforced area. The
inner gear door drive rod bent aft about 15 degrees at the upper attachment
fitting, and the tube buckled and separated below the four attachment nuts.
The outboard section of the clamshell gear door sustained mechanical damage.
Examination of the airplane revealed that the door rods were not loose, and
all were in good condition. A general inspection of the wheel well revealed
no other damage. There was no abnormal wear or movement marks on the up-lock
hook, and the hook was properly adjusted. The actuator adjustor plate was
properly installed. Delta maintenance technicians installed new clamshell
door halves and a new drive rod. They serviced the strut, isolated the right
main clamshell gear door, and cycled the gear. Then they cycled the right
main wheel with the door. Finally, they cycled all of the landing gear
together. All wheels and doors cycled in proper sequence. Metallurgical
examination discovered no cracks in the safety plate. There were no fatigue
crack arrest marks or corrosion in the fracture faces on the drive rod; it
fractured as a result of overstress. A black coating that felt greasy
covered the interior side of the outer clamshell door. There was a
rectangular scuffmark in the center of the black area, which had its long
axis parallel to the longitudinal axis of the airplane. The black coating
appeared pushed into a slight ridge along the outer edge of the scuffmark. A
small piece of rubber was under a rivet in the middle of the scuffmark.
After placing the tire and gear door together to match their positions when
the airplane came to rest, the tire did not touch the scuffmark. Fourier
Transform Infrared Spectroscopy (FTIR) examination of the small piece of
rubber and samples from the tire and a chock determined that they were all
hydrocarbon compounds, but could not distinguish between the samples.
Whether the scuffmark and rubber piece came from runway debris or another
rubber object could not be determined. The National Transportation Safety
Board determines the probable cause(s) of this incident as follows: failure
of the right main landing gear to fully extend for undetermined reasons.
Airport Approach / Landing: