southwest 345 ntsb report

pic.twitter.com/vSqIMBNosc, This map shows the airport of departure and the intended destination of the flight. /BaseFont /ArialMT /MediaBox [0.0 0.0 612.0 792.0] Boeing says it's working on fix. Published on July 28, 2013. Southwest Airlines Flight 345 Captain Interview. (202) 314-6100, NTSB Issues 7 Safety Recommendations Based on Findings from Southwest Airlines Flight 1380 Investigation, WASHINGTON (Nov. 19, 2019) The National Transportation Safety Board determined during a public board meeting held Tuesday that a fractured fan blade, Left Engine Failure and Subsequent Depressurization, Southwest Airlines Flight 1380, Boeing 737-7H4, N772SW, National Transportation Safety Board 490 L'Enfant Plaza, SW Washington, DC 20594. Ive harangued before on the fallacy of using pilot error as a probable cause in accidents but that doesnt mean sometimes the pilots arent a contributing factor. 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. Language links are at the top of the page across from the title. It won't be flying again", "NTSB Issues Investigative Update into Southwest Flight 345 Accident at LaGuardia Airport in New York", "Accident description (Type: Boeing 737-7H4 (WL), Operator: Southwest Airlines, Registration: N753SW)", "Accident: Southwest B737 at New York on Jul 22nd 2013, nose gear collapse on landing", "Landing gear punched into Southwest 737 jet on landing, NTSB says", "Flight's nose gear collapses as it lands at New York's LaGuardia", "Southwest jet's landing gear collapses on landing, injuring 10", "N753SW Southwest Airlines Boeing 737-700", "Pilots Didn't Want to Fly With Capt. Author of The New York Times bestseller, The Crash Detectives, I am also a journalist, public speaker and broadcaster specializing in aviation and travel. How about a union issue? Most reports focus on a single accident, though the NTSB also produces reports addressing issues common to a set of similar accidents. 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. Pino's North American F-51D, N551JP, sustained. stream The aircraft came to rest 19 seconds after touchdown. Sunday. Southwest Airlines Co. All Rights Reserved. /StructParents 1 >> And trust me, they know %PDF-1.5 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. endobj >> In fact, I think it was labor, not management, that bargained for the bid avoidance provision that dispensed with the need to give an explanation for an expressed preference. [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. Privacy Policy. The late transfer of control resulted in neither pilot being able to effectively monitor the airplane's altitude and attitude. The fan blade fractured due to a low-cycle fatigue crack that initiated in the dovetail (part of the blade root), which remained within a slot of the fan disk. Keith Holloway The Southwest FOM also states that the captain can take control of the airplane for safety reasons; however, the captain's decision to take control of the airplane at 27 ft above the ground did not allow her adequate time to correct the airplane's deteriorating energy state and prevent the nose landing gear from striking the runway. endobj National Transportation Safety Board 490 L'Enfant Plaza, SW Washington, DC 20594, Congressional and Regulatory Correspondence. NTSB investigating accident involving nose-gear collapse of SWA 737 at LGA. . 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. of similar accidents. [11][12] The NTSB discovered that Flight 345's captain had been the subject of multiple complaints by first officers who had flown with her. She did not think the line pilots were against having the culture changed. /Subtype /TrueType The left engine failure occurred when one of the fan blades fractured at its root (referred to as a fan-blade-out [FBO] event). This deformation traveled both around and forward/aft of the fan case. 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. if the FO was going to turn her in to her chief pilot. This is exactly what I also tried to explain in my book "WaitingTo Happen!". [5][6][7] The aircraft slid 2,175 feet (663m) on its nose along the runway, arresting off to the right of the runway pavement. The line between the airports does. We are having a problem the Investigation Reports Page. Concerned that the airplane was too high, the captain exclaimed repeatedly "get down" to the first officer about 9 seconds from touchdown. The left side of the fuselage near the location of the missing cabin window (row 14) had impact damage and witness marks that were consistent with the size and shape of the inboard fan cowl aft latch keeper and surrounding structure. National Transportation Safety Board 490 L'Enfant Plaza, SW Washington, DC 20594. 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. 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. ", 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. 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). 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). "[12], On October 2, 2013, Southwest Airlines announced that it had fired Flight 345's captain. 5 0 obj Flight 345 from Nashville, Tenn., skidded off the runway Monday and came to rest on its nose after the front landing gear crumpled. The captain of Southwest Flight 345, whose nose gear was broken while landing at LaGuardia Airport in New York last month, took control of the aircraft from his co-pilot when the plane was. The flight had departed from LaGuardia Airport, Queens, New York, about 30 minutes earlier. << The airport cleared and inspected the affected runway, and removed the aircraft in time for the earliest next day departures. The National Transportation Safety Board is still investigating what happened on Flight 345 to make the plane go crashing nose wheel landing gear-first, onto runway 4 on a grey day in July 2013. /Length 2579 Indeed, Southwest Airlines suffered a strikingly similar fan blade failure in 2016 - Southwest Airlines Flight 3472. 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. /LastChar 255 management is being purposefully ignored or simply misunderstood. Full narrative descriptions may not be available /LastChar 255 Congressional and Regulatory Correspondence. Refer [3], The aircraft landed on runway 4 with its nose landing gear touching down prior to the main landing gear. The aircraft, a Boeing 737-700, was last inspected July 18 . Follow-up / safety actions. Of the 144 passengers and 5 crewmembers on board, 8 sustained minor injuries, and the airplane was substantially damaged. Every airline has the kind of pilot, best described in Skygods, Robert Gandts book on the collapse of aviation giant, Pan Am. /Filter /FlateDecode ** - Do not use these fields as selection parameters if your date range includes pre-1982 dates, as they did not exist prior to 1982 and their use may falsely limit the data returned. This page was last edited on 5 March 2023, at 06:45. << Southwest Airlines Flight 345 was a scheduled flight from Nashville International Airport, Tennessee, to New York City 's LaGuardia Airport. [12], The NTSB ultimately concluded that the crash was due to pilot error. It is a symptom of a disease called "Poor Organizational Management". All human performance happens inside the framework of an organizations Policies and Procedures. 08:01AM EDT Baltimore/Washington Intl - BWI. 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 . In a case such as this at LaGuardia with a hull loss, does the plane get stripped at the site and carted off on trucks? (NTSB) revealed that the captain had changed the flap setting from 30 degrees to 40 degrees 56 seconds before landing. 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. /Type /Font Contributing to the accident was the captain's failure to comply with standard operating procedures. Operator: Southwest Airlines, Flight 345 Registration: N753SW NTSB Number: DCA13FA131 2. On July 22, . 2023 Christine Negroni. Even more reason then that when an airline has information about difficult captains it should use it to provide said captains with more training, counseling or if necessary, to show them the door, before a difficult situation becomes a catastrophe. 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. Safety is the business of the Accountable Manager and the Accountable manager needed to speak, think and act BEFORE the accident, not now, when it has already occured. It will be examining why the crew did not initiate a go-around after the captain noticed the airspeed was for flaps 40 even though the flaps were set at 30, below 1000 feet on final approach. hb```f``2b`a`` BL@QAAo;l7ud^; zj*fF a\((88@`,MBZ,xu ]@l1=` 2 You should question them on their own pilots behavior and policies, not ALPA. B738. 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 As a result of the engine failure, the flight crew conducted an emergency descent and diverted to Philadelphia International Airport (PHL), Philadelphia, Pennsylvania. The National Transportation Safety Board says Boeing needs to make the engine covers on its 737 NGs . [14][15] Neither pilot was publicly identified by the airline. These loads caused cracks to form in the fan cowl skin and frames near the radial restraint fitting. endobj 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. who these people are!, These avoidance bid things, they are a clear indication of /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] 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. One who filed two bids to avoid other captains over the years described something close to a dysfunctional atmosphere when flying with them. NTSB Media Relations /CS0 2 0 R 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". That threat would be in her mind until she. 77 0 obj <> endobj << << The flight landed safely without incident at Pensacola International Airport at 9:40 a.m. central time . [1][2] The aircraft, which was worth an estimated $15.5 million at the time, was written off and scrapped as a result of the accident. >> Safety is not Everyones business. Of the 144 passengers and 5 crewmembers aboard the airplane, 1 passenger received fatal injuries, and 8 passengers received minor injuries. The NTSB provided an update on what investigators know about the hard landing of Southwest Flight 345. The airplane was substantially damaged. /CropBox [0.0 0.0 612.0 792.0] Were the airline managers sleeping before the accident? 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. It is not intended to make up for known deficiencies. .'JNKfc_/*wFnM@1w6A,:yGqSr 5rx&P23G!&t8`4 Sb EUx_`HC7[A. The NTSB also discovered that the flight's captain had been the . The Air Canada crew was cleared to land on 28R, to the right of 28L. the accident and its probable cause. The opt-out practice at Southwest is part of the pilot labor agreement. According to a preliminary NTSB report, the pilots thought the lighted runway was 28L not theirs and they aimed their. Trajectory of the inboard aft latch keeper during the accident sequence., We determinedthat the probable cause of this accident was a low-cycle fatigue crack in the dovetail of fan blade No. /FontDescriptor 9 0 R [16][17] The accident represents the third hull loss of a Boeing 737-700. A spokeswoman for Southwest told the Associated Press the landing was not "in accordance" with operating procedures for the airline. The Crash Landing of Southwest 345. :Q*P+Z.CiiC~BP%3YlD7q'9"D}og76{grJ4WJlg0NvXTL`|1sb#-`i%]g5&b"e'`n4h{7. Get started here. Southwest Airlines Flight 1380 was a Boeing 737-700 that experienced a contained engine failure in the left CFM56-7B engine after departing from New York-LaGuardia Airport en route to Dallas Love Field on April 17, 2018. Want to receive some free swag from Christine? 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. For the full report, use the link listed below. The format and type of data contained in the earlier briefs may differ from later reports. On July 22, 2013, A Boeing 737, Operated As Southwest Airlines Flight 345, Landed Hard, Nose-First, On Runway 4 At LGA The NTSB found the captain's attempt to recover from an unstabilized. to query help for limitations of location information. Will Jeff Epsteins Popular Global Girl Face Sex Crime Charges Too? Southwest is working with both the NTSB and Boeing in a preliminary . There were 150 people on board including Customers and Crew. Learn more. SWAPA is the southwest pilots own union. for dates before 1993, cases under revision, or where NTSB did not have primary investigative responsibility. endobj Join FlightAware View more flight history Purchase entire flight history for SWA3345. but there was no leadership to support the change. treasure trove of information about whether crew resource Generally, Chairman: Christopher Babcock Aerospace Engineer National Transportation Safety Board Member: Captain Jeff Hamlett Director of Flight Safety Southwest Airlines Member: Dave Keenan Because poor organizational management will sooner than later defeat the human and precipitate an error. Contributing to the accident was the captain's failure to comply with standard operating procedures. 104 0 obj <>stream A management issue? If they are dead, blame them!". The forward-traveling fan blade fragments and the deformation compromised the structural integrity of the inlet, causing portions of the inlet to depart the airplane. /FirstChar 0 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 The aircraft entered service in October 1999. 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. Two hours later, the airport's other runway reopened for traffic. Most reports focus on a single accident, though the NTSB also produces reports addressing issues common to a set

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