National Transportation Safety Board
Washington, DC 20594
January 12, 2011
NTSB ISSUES SECOND UPDATE ON JACKSON HOLE B-757 RUNWAY
OVERRUN INCIDENT
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In its continuing investigation of the runway overrun of a
jetliner in Jackson Hole, Wyoming, the National
Transportation Safety Board has developed the following
factual information:
At about 11:38 am MT on Wednesday, December 29, American
Airlines flight 2253, a B-757-200 (N668AA) inbound from
Chicago O'Hare International Airport, ran off the end of
runway 19 in snowy conditions while landing at Jackson Hole
Airport. No injuries were reported among the 181 passengers
and crew on board.
Instrument Flight Rules (IFR) weather conditions prevailed
around the time of the incident with a ceiling of 400 feet,
light snow and visibility of 1 mile. Winds were 10 knots
from 240 degrees. Runway friction measurement data obtained
before and after the event have been provided by the Jackson
Hole Airport Authority for further evaluation by the NTSB.
In the continuing investigation, work groups have been
formed to examine the subject areas of air traffic control,
airports, meteorology, flight crew operations,
airworthiness, maintenance records, cockpit voice recorder
(CVR), flight data recorder (FDR), and airplane performance.
The NTSB systems investigator conducted testing on the
incident airplane from December 31, 2010, through January 6,
2011. Operational testing and examination was accomplished
on the spoiler/auto speed brake, air/ground, autobrake, and
thrust reverser systems. No discrepancies were found in the
air/ground, autobrake, and thrust reverser systems.
Examination of the auto speed brake mechanism in the cockpit
pedestal found that the linear actuator aft attachment was
improperly installed and was missing a bushing. This loose
connection allowed the cam to be rotated slightly relative
to the switch, which could cause the switch roller and the
notch in the cam to not always align. System operation with
this condition present is being investigated.
The maintenance group convened at the American Airlines
facility in Tulsa, Oklahoma, to review airplane logbooks.
The group focused primarily on the spoiler/speed brake,
air/ground, and thrust reverser systems. No significant
issues with any of these systems were recorded prior to the
incident, and there were no open minimum equipment list
(MEL) items at the time of the incident. The airplane was
manufactured in June 1992 and, at the time of the incident,
had accumulated 58,879 hours and 20,518 cycles. No
discrepancies were noted during the last periodic service
maintenance check conducted on December 26, 2010. The last
heavy maintenance was accomplished in October 2005. The auto
speed brake actuator was replaced in January 2008.
The CVR group convened on January 4, 2011, at the NTSB
recorder laboratory. The group completed a transcript of the
last 30 minutes of the recording and a summary of the
previous 90 minutes. The transcript will be released when
the public docket is opened.
The FDR group has begun the process of determining which of
the documented parameters are installed and should be
functional, and is checking the recorded data for validity.
The group has verified the following factual information:
* The FDR download contains the last 43.9 hours of data,
more than the required 25 hours, and includes all of
the incident flight.
* The recorded speed brake handle position indicates
that the speed brakes were manually extended by the
flight crew during the approach after which the handle
was left in the armed position until landing. The FDR
records only the speed brake handle position and not
the individual speed brake (spoiler) panel positions.
* The FDR data indicate that the aircraft touched down
at approximately 132 knots.
* At touchdown, the air/ground parameter changes to
"ground" for approximately one second and then
switches to "air" for approximately ½ second before
changing back to "ground" for the remainder of the
recording.
* During the time period when the air/ground parameter
switched back to "air," the speed brake handle
position momentarily moved toward the down position
and then returned to the armed position where it
stayed for the remainder of the recording.
* Thrust Reverser (T/R) discrete parameters indicate
that the T/Rs moved into the in-transit position
during the ½ second that the air/ground logic
parameter indicated "air."
* The T/Rs remained in the in-transit position for
approximately 10 seconds before transitioning to the
stowed position for one second. The T/Rs then moved
back to the in-transit position for an additional 6
seconds before becoming deployed.
* The T/R discrete parameters indicate that
approximately 18 seconds elapsed from the time the
T/Rs began moving until they were fully deployed.
Additionally, the team has examined security camera videos
provided by the airport as well as a video of the landing
taken by one of the passengers.
The accident docket, which will contain additional factual
information, is expected to be opened in 60-90 days. It will
be available on the NTSB website at
http://go.usa.gov/rjR
RELATED INFORMATION
First investigative update (12/31/10):
http://go.usa.gov/rwm