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Crash of a Boeing 747-228F in Brussels
Date & Time:
Oct 27, 2008 at 1600 LT
Registration:
OO-CBA
Survivors:
Yes
Schedule:
Brussels – Dakar – Campinas
MSN:
24158/714
YOM:
1988
Flight number:
BB3101
Crew on board:
5
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total hours on type:
260.00
Copilot / Total hours on type:
570
Aircraft flight hours:
82357
Aircraft flight cycles:
15773
Circumstances:
The aircraft took off from Brussels airport at 15:00 UTC. Upon rotation, the crew heard an abnormal noise, and had difficulties to get the aircraft in the air. After adjusting the engine power, the aircraft took off. Observers on the ground saw two white clouds appearing successively under the tail of the aircraft upon rotation, followed by flames. The inspection of the runway revealed that parts separated from the aircraft, amongst which the APU access door. The aircraft dumped the excess of fuel and landed back in Brussels at 16.20 UTC. Inspection on the ground revealed that large portions of the underside skin of the tail section were missing.
Probable cause:
The accident was caused by an inadequate take-off performance calculation, due to wrong gross weight data input error in the software used for the computation of the takeoff performance parameters and the failure to comply with the operator’s SOP for checking the validity of the data.
Contributing factor(s):
- Inadequate pairing of crew members with low experience.
- Lack of distraction management.
Contributing factor(s):
- Inadequate pairing of crew members with low experience.
- Lack of distraction management.
Final Report:
Crash of a Boeing 747-209F in Brussels
Date & Time:
May 25, 2008 at 1331 LT
Registration:
N704CK
Survivors:
Yes
Schedule:
New York – Brussels – Bahrain
MSN:
22299/462
YOM:
1980
Flight number:
CKS207
Crew on board:
5
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total hours on type:
3000.00
Copilot / Total hours on type:
200
Aircraft flight hours:
108560
Aircraft flight cycles:
20599
Circumstances:
The flight crew arrived at Brussels the day before the accident, with a flight from Bahrain. The crew rested until the Sunday morning. The aircraft arrived at Brussels on Sunday with another crew; the two crews exchanged some information regarding the airplane. There were no mechanical problems reported. Runway 20 was in service for take-offs, while Runway 25L was mostly used for landings. The pilot performed the pre-flight inspection; he found only minor discrepancies (left inner tire check and E&E door latch down). The pre-flight briefing covered the standard departure call-outs, the runway incursion information, a discussion on the Runway 20 length, etc.. The crew also briefed about the engine failure procedures for an engine failure prior to V1, and they also briefed about an abort takeoff after V1 if there was a dangerous situation that would not allow the airplane to fly. After completing the flight documents, the crew requested an early departure, which they received. For the computation of the take-off parameters, the crew used the Kalitta Air On-board Performance System (OPS computer). The crew determined they needed the full length of the runway for take-off. The airplane taxied towards the B1 intersection for the Runway 20. After a few minutes, waiting for another airplane to land on Runway 25, they lined up on Runway 20, making a tight turn, in order to gain a few meters with respect to the usual departure position. The airplane was cleared for take-off at 11:29. The pilot pushed the throttles forward and checked the engines were stable. The Flight Engineers then set the engine power for take-off (setting “normal”, also known as “reduced thrust”). The aircraft started to accelerate. The standard call-out were made when the speed reached the determined value.
- “airspeed”
- 80 knots
- V1
A few seconds after reaching V1, the engine N°3 ingested a bird. Approximately 5 seconds after V1, the engine N°3 stalled and caused a loud “bang”, and a vibration felt in the cockpit. The pilot stated he had the feeling that the aircraft was no longer accelerating, and decided to abort the take-off. Two seconds after having heard the detonation, the thrust levers were brought back to idle, and braking action was initiated. The thrust reversers were not deployed. The FO called the tower, and notified the aircraft was going to the overrun. The pilot turned the aircraft a few degrees to the right, in order to avoid the approach lights at the end of the runway. The aircraft left the runway at a speed of approximately 72 Knots. The aircraft reached a first embankment, dropping from a height of 4 m, and broke in three parts. The aircraft came to a stop just above the top of the railroad embankment. The crew exited the airplane through the service door since the L1 door normally used was blocked due to deformation of the structure.
- “airspeed”
- 80 knots
- V1
A few seconds after reaching V1, the engine N°3 ingested a bird. Approximately 5 seconds after V1, the engine N°3 stalled and caused a loud “bang”, and a vibration felt in the cockpit. The pilot stated he had the feeling that the aircraft was no longer accelerating, and decided to abort the take-off. Two seconds after having heard the detonation, the thrust levers were brought back to idle, and braking action was initiated. The thrust reversers were not deployed. The FO called the tower, and notified the aircraft was going to the overrun. The pilot turned the aircraft a few degrees to the right, in order to avoid the approach lights at the end of the runway. The aircraft left the runway at a speed of approximately 72 Knots. The aircraft reached a first embankment, dropping from a height of 4 m, and broke in three parts. The aircraft came to a stop just above the top of the railroad embankment. The crew exited the airplane through the service door since the L1 door normally used was blocked due to deformation of the structure.
Probable cause:
The accident was caused by the decision to reject the takeoff 12 knots after passing V1 speed. The following factors contributed to the accident:
- Engine Nr 3 experienced a bird strike, causing it to stall. This phenomenon was accompanied by a loud bang, noticed by the crew.
- The aircraft line up at the B1 intersection although the take-off parameters were computed with the full length of the runway.
- The situational awareness of the crew,
- Less than maximum use of deceleration devices.
- Although the RESA conforms to the minimum ICAO requirement, it does not conform to the ICAO recommendation for length.
- Engine Nr 3 experienced a bird strike, causing it to stall. This phenomenon was accompanied by a loud bang, noticed by the crew.
- The aircraft line up at the B1 intersection although the take-off parameters were computed with the full length of the runway.
- The situational awareness of the crew,
- Less than maximum use of deceleration devices.
- Although the RESA conforms to the minimum ICAO requirement, it does not conform to the ICAO recommendation for length.
Final Report: