Accident Prevention: Crew Fails To Compute Crosswind Component, Boeing 757 Nosewheel Collapses On Landing
Accident Prevention: Crew Fails To Compute Crosswind Component, Boeing 757 Nosewheel Collapses On Landing
Accident Prevention: Crew Fails To Compute Crosswind Component, Boeing 757 Nosewheel Collapses On Landing
Accident Prevention
Vol. 57 No. 3 For Everyone Concerned with the Safety of Flight March 2000
At 2348 local time on Dec. 24, 1997, a Transavia • “Disconnect of the autopilot in the ‘align’ mode
Airlines Boeing 757-236 (B-757) was landed in under the existing wind conditions resulted in an
strong and gusty wind conditions on Runway 19R out-of-trim condition of the aircraft;
at Schiphol Airport, Amsterdam, Netherlands. The
fuselage was not aligned with the runway when the • “The low altitude of the autopilot disconnect in
aircraft touched down hard, and the nose gear relation to the existing wind conditions allowed
collapsed. The aircraft slid approximately 3,000 the pilot insufficient time to gain complete control
meters (9,843 feet) on the runway and came to a of the aircraft, which resulted in a hard, traversing
stop off the side of the runway. Three of the 213 landing; [and,]
occupants received minor injuries while evacuating
the aircraft, and one passenger complained of heart • “The hard nosewheel touchdown, exceeding the
problems. certified design limits, resulted in a failure of the
nose-gear construction.”
The Dutch Transport Safety Board, in its final report on the
accident, said that the causal factors were the following: The aircraft was operated as a charter flight to Amsterdam
from Las Palmas, Canary Islands, Spain. The aircraft,
• “[The] runway-allocation system at Schiphol Airport manufactured in 1994, had 13,630 service hours and 4,645
resulted in strong crosswind conditions for the landing cycles.
runway in use;
The flight departed from Las Palmas at 2003.
• “By the omission to state clear and definite crosswind
limitations in the Transavia Operations Manual, a “Prior to departure, the crew had discussed the weather at
defense barrier against unsafe operations was lost; Schiphol,” the report said. “The forecast for Schiphol [for the
estimated time of arrival included] a wind of 230 degrees [at]
• “Non-calculation and/or discussion of [the] crosswind 26 knots, gusts [to] 40 knots, a visibility of more than 10
component resulted in continuing the approach in kilometers [6.2 statute miles], no significant weather, clouds
adverse weather conditions; scattered at 1,000 feet and broken [at] 2,500 feet.”
The captain was the pilot flying. The captain, 53, had an airline
transport pilot (ATP) license and 23,197 flight hours, including
2,208 flight hours in type.
The first officer, 34, had an ATP license and 3,744 flight hours,
including 1,074 flight hours in type.
The two-pilot cockpit of the B-757 has a computerized, fully The report said that Schiphol Airport had a “noise preferential
integrated flight management system (FMS) that can provide runway allocation system” to enhance aircraft-noise abatement.
automatic guidance and control of the aircraft from immediately
Table 1 (page 3) shows the system’s order of preference of
after takeoff to final approach and landing. The FMS controls
navigation, guidance and engine thrust to ensure that the aircraft runway pairs for takeoff and landing. [The airport has five
flies the most efficient route and flight profile. runways: Runway 01L-19R; Runway 01R-19L; Runway
04-22; Runway 06-24; and Runway 09-27. The report provided
Source: Jane’s All the World’s Aircraft no information on approach aids for runways other than the
approach aids for Runway 19R.]
• Notam A0622/97 said, “Due to noise-abatement The Schiphol Tower controller acknowledged the first officer’s
procedures, use of a nonpreferential runway for takeoff report and said, “The wind is two four zero, maximum four
or landing [is] not permitted; no restrictions for three knots, cleared to land on one nine right.”
emergency operations”;
The report said, “The crew discussed the wind and apparently
• Notam A0764/97 said, “Turbulence forecasted on final had understood the gusts as ‘forty’ instead of ‘four three.’ The
approach area at wind direction [between] 180 [degrees] FAS was determined to be 140 knots.”
and 250 [degrees] and wind speed more than 20 knots”;
and, The report said that the captain used a 15-knot wind-correction
factor to calculate the FAS because he expected wind shear at
• Notam A0810/97 said, “Until Dec. 31 [at] 2359, due to lower altitude. The crew did not discuss the crosswind.
noise-abatement procedures, landing [on] Runway 22 and
Runway 24 with approach over the city is not permitted.” “The CVR [cockpit voice recorder] transcript did not show
any discussion about the crosswind,” the report said. “The
When the accident occurred, Runway 24 was being used for crosswind component was not calculated.”
takeoffs and Runway 19R was being used for landings. Runway
19R is 3,300 meters (10,827 feet) long and 45 meters (148 The Transavia Operations Manual said that the maximum
feet) wide. The runway had a high-intensity approach-light demonstrated crosswind component for the B-757 is 30 knots.
system, runway-centerline lights and runway-edge lights. The The manual did not, however, specify 30 knots as a limit for
asphalt runway surface was damp at the time. crosswind landings, said the report.
“The landing checklist was completed,” the report said. “The The report said that two flight-simulator studies showed that
indicated airspeed varied considerably due to the gusty control problems were encountered in “adverse weather
wind.” conditions” during the transition from automatic flight to
manual flight.
At 600 feet, the captain told Schiphol Tower that the aircraft’s
flight management system (FMS) showed winds from 240 “From both experiments, it could … be concluded that, at
degrees at 50 knots. The report said that this high crosswind speeds, it is essential to
might not have been accurate. disconnect the autopilot at an altitude which
allows for ample time to adapt to the
“FMS wind calculation uses strong filtering, The captain said that, demanding control tasks,” said the report.
resulting in lagged data for the crew,” the before touchdown,
report said. “In addition, the calculation The captain inadvertently failed to
assumes zero sideslip. Therefore, the shown the aircraft encountered disconnect the autothrottle system when he
FMS wind may not be as accurate as is disconnected the autopilot. The report said
generally believed.” a “head-on” gust that that flight-simulator tests showed that the
caused an increase autothrottle system produced no significant
Nevertheless, the report said that the FMS adverse effects, because the system could
wind calculation and the wind report by in indicated airspeed be overridden manually when necessary.
Schiphol Tower should have prompted the
flight crew to calculate the crosswind and an increase When the captain disconnected the
component and to consider a go-around. in pitch attitude. autopilot, the aircraft yawed five degrees
to the right and began to drift to the left.
“As it [was], the crosswind was not discussed,
and the crosswind component was not calculated by the “The [captain] reacted with control inputs to bring the aircraft
cockpit crew,” said the report. back on the required flight path,” said the report.
At 500 feet, the autopilot began to transition the aircraft from At the time, weather conditions at Schiphol Airport included
a crab attitude to a forward slip. This resulted from the autopilot surface winds from 230 degrees at 33 knots, gusting to 46 knots,
going into “align” mode. moderate-to-severe turbulence, few stratocumulus clouds with
bases at 2,200 feet and scattered stratocumulus clouds with
“In the Boeing 757, the selection of an automatic approach bases at 2,800 feet.
will also include arming of the autoland function,” the report
said. “This results in aircraft alignment starting at “Wind shears were not reported,” the report said. “However,
approximately 500 feet. The corresponding aileron [control the existing wind conditions may have included small-scale
forces] and rudder control forces are not trimmed. Therefore, up[drafts] and downdrafts, and local vortices close to the
an autopilot disconnect below 500 feet may initiate ground.”
destabilization [of the approach].”
The captain said that, before touchdown, the aircraft
The Transavia Operations Manual said that the maximum encountered a “head-on” gust that caused an increase in
crosswind component for autoland operations was 15 knots. indicated airspeed and an increase in pitch attitude.
The manual said that the autopilot and the autothrottle system
should be disconnected “not later than 100 feet RA [radio- “The [captain] pushed the nose down, and the DFDR [digital
altimeter altitude].” flight data recorder] showed an engine-power reduction, after
• “Examination of the fracture surfaces indicated overload The report said, “In retrospect, it could be argued that the smoke
as the cause of the collapse.” in the cockpit was not a condition preventing the copilot to
immediately leave the aircraft via the side window. Also, the
The aircraft veered right and struck several runway-edge lights. captain, after he assumed the evacuation was completed, could
The captain brought the aircraft toward the runway centerline. at least have checked if the conditions restricted him to visually
At the captain’s command, the first officer declared “mayday” check the cabin for persons left behind.”
to Schiphol Tower.
The captain said that, after he evacuated the aircraft, he was
The aircraft slid approximately 3,000 meters and veered off told by ARFF personnel that all of the passengers had evacuated
the right side of the runway. The aircraft then traveled the aircraft.
approximately 100 meters (328 feet) over soft terrain.
The purser and the cabin attendants had not heard the captain’s
“When off the runway, the main-gear [assemblies] sank into shouted evacuation order.
the soft terrain and collided with the top covers of the runway-
light transformer units,” the report said. “Both main-landing “A number of passengers, alarmed by the sparks and flames
gears incurred serious damage. Both engines were damaged during the rollout, expected a speedy evacuation, and a large
by ingested concrete debris.” number of them got up from their seats and started to move
towards the exits,” the report said. “Since no evacuation order
The aircraft came to a stop 50 meters (164 feet) beyond the had been received, the cabin attendants shouted the order to
runway edge. Overheated brakes on the left-main landing gear remain seated.”
We Encourage Reprints
Articles in this publication, in the interest of aviation safety, may be reprinted, in whole or in part, in all media, but may not be offered for sale or used
commercially without the express written permission of Flight Safety Foundation’s director of publications. All reprints must credit Flight Safety
Foundation, Accident Prevention, the specific article(s) and the author(s). Please send two copies of the reprinted material to the director of publications.
These reprint restrictions apply to all Flight Safety Foundation publications.
What’s Your Input?
In keeping with FSF’s independent and nonpartisan mission to disseminate objective safety information, Foundation publications solicit credible
contributions that foster thought-provoking discussion of aviation safety issues. If you have an article proposal, a completed manuscript or a technical
paper that may be appropriate for Accident Prevention, please contact the director of publications. Reasonable care will be taken in handling a
manuscript, but Flight Safety Foundation assumes no responsibility for material submitted. The publications staff reserves the right to edit all published
submissions. The Foundation buys all rights to manuscripts and payment is made to authors upon publication. Contact the Publications Department for
more information.
Accident Prevention
Copyright © 2000 Flight Safety Foundation Inc. ISSN 1057-5561
Suggestions and opinions expressed in FSF publications belong to the author(s) and are not necessarily endorsed by
Flight Safety Foundation. Content is not intended to take the place of information in company policy handbooks
and equipment manuals, or to supersede government regulations.
Staff: Roger Rozelle, director of publications; Mark Lacagnina, senior editor; Wayne Rosenkrans, senior editor; Linda Werfelman, senior editor;
Karen K. Ehrlich, production coordinator; Ann L. Mullikin, production designer; Susan D. Reed, production specialist; and
David A. Grzelecki, librarian, Jerry Lederer Aviation Safety Library.
Subscriptions: One year subscription for twelve issues includes postage and handling: US$240. Include old and new addresses when requesting
address change. • Attention: Ahlam Wahdan, assistant to director of marketing and business development, Flight Safety Foundation, Suite 300,
601 Madison Street, Alexandria, VA 22314 U.S. • Telephone: +1(703) 739-6700 • Fax: +1(703) 739-6708