Accident Boeing 747-409F B-18723,
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ASN Wikibase Occurrence # 321340
 
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Date:Wednesday 3 March 2010
Time:13:38
Type:Silhouette image of generic B744 model; specific model in this crash may look slightly different    
Boeing 747-409F
Owner/operator:China Airlines
Registration: B-18723
MSN: 34266/1379
Year of manufacture:2006
Total airframe hrs:15052 hours
Cycles:2508 flights
Engine model:General Electric CF6-80C2B1F
Fatalities:Fatalities: 0 / Occupants: 3
Aircraft damage: Substantial, repaired
Category:Accident
Location:Anchorage-Ted Stevens International Airport, AK (ANC) -   United States of America
Phase: Take off
Nature:Cargo
Departure airport:Anchorage-Ted Stevens International Airport, AK (ANC/PANC)
Destination airport:Taipei-Taiwan Taoyuan International Airport (TPE/RCTP)
Investigating agency: ASC
Confidence Rating: Accident investigation report completed and information captured
Narrative:
China Airlines flight 5233, a Boeing 747-400, registration B-18723 and operating as a cargo flight, experienced a tail strike during takeoff from Anchorage-Ted Stevens Anchorage International Airport, Alaska, USA. The airplane continued to its intended destination of Taipei-Taoyuan International Airport (TPE/RCTP), Taiwan. There were no injuries to the crew, and the airplane received substantial damage.
When entering the required data into Runway Analysis System, the pilot took the Max Landing Weight as Max Take-Off Weight obtained from Computerized Flight Plan; which led the calculation to provide erroneous take-off thrust, take-off reference speed and take-off model. The aircraft did not obtain enough lift required for take-off, the angles of ground and attack were too large; which caused that the tail had ground contact. During the take-off roll, the pilot had stick shaker warning, then released stick and set the manual thrust to MAX to continue the take-off. In the air the pilot inspected the instruments of cabin pressure and engines which were normal. After landing at 16:48, maintenance personnel checked and found the rear section of aircraft belly had substantial damage

Findings Related to Probable Causes:
1. When entering the required data into Runway Analysis System, CM 1 used the data from Computerized Flight Plan but took the max landing weight mistakenly as max take-off weight. Then CM 2 did not cross check to confirm the accuracy of the input data, and did not review all the data after retrieving take off performance figures from Runway Analysis System; so it was not discovered that the max take-off weight that was entered by mistake caused the mal-calculation of take-off thrust, -reference speed and -model.
2. CM 2 entered the erroneous take-off thrust provided by Runway Analysis System into Flight Management System which failed to calculate take-off reference speed; so the columns of V1, VR ,V2 on the page of the take-off speed showed ’- - - ’ and the pilot did not understand the meaning of ’- - - ’, at the end he decided to use the take-off reference speed calculated by Runway Analysis System to enter into Flight Management System.
3. CM 3 has checked Runway Analysis Manual during taxiing to verify the accuracy of the calculation done by Runway Analysis System. However the source of ‘max take-off weight’ was from the system and not from Weight and Balance Sheet nor Computerized Flight Plan. Therefore it was discovered that the take-off reference speed calculated by Runway Analysis System was much lower than the actual figure that the aircraft should have used.
4. When taking off the aircraft speed reached the VR value calculated by Runway Analysis System, 2 seconds later the aircraft started to roll. Because the actual roll speed of 149 knots/hour was lower than the correct value of 166 knots/hour, the aircraft did not have enough lift required for take-off and angles of ground and attack way too large; which caused the aircraft tail to touch ground.

Accident investigation:
cover
  
Investigating agency: ASC
Report number: ASC-AOR-11-05-001
Status: Investigation completed
Duration: 1 year and 2 months
Download report: Final report

Sources:


Revision history:

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