Denver International Airport
Aircraft Accident/Incident Report

Denver, Colorado 80249
Sunday, November 21, 2004 10:38 MST

NTSB Narrative Summary Released at Completion of Accident

The first officer was hand-flying the airplane. During the descent for the approach, the crew received a special observation that the weather was ceilings 300 and 1,000 feet broken and 1/2 mile visibility and fog. The crew briefed the ILS approach for runway 35L. When approach control (TRACON) cleared the airplane for the ILS approach, the airplane was at 9,000 feet. The captain reported that as they continued, the glide slope indicator "came up and actually went below us," and that the airplane had not yet intercepted the localizer. The captain asked TRACON for a lower altitude. TRACON "apologized" and cleared the airplane to 7,000 feet, and then asked the crew if they would still be okay for the approach. The crew said they would be okay. The captain said the airplane was configured and was approaching the glide slope from above, as it was intercepting the localizer. He said the first officer was on the localizer and glide slope. At 100 feet, the captain called approach lights in sight, and the first officer acknowledged. When the captain called reaching the decision altitude, the first officer called landing. The captain said he started to see the threshold lights and then heard the "glide slope" GPWS (Ground Proximity Warning System) warning. The captain called "pull up" to the first officer. The captain said as they touched down he thought he could see some approach light bars below the nose, but did not feel or hear anything unusual. The landing roll out was normal. After parking, the crew discovered damage to the left main brake line and loss of hydraulic fluid from the right system. The airplane showed additional damage to the left main tires, bottom left aft portion of the fuselage, and to the left engine and left engine cowling. An examination of the runway showed one approach light, 19 feet from the beginning of the paved overrun, broken forward at its base. Approximately 49 feet from the start of the paved overrun surface, the beginning of two pairs of parallel-running tire marks were observed. The left pair of tire marks ran through three sets of center approach lights in the overrun, two runway threshold lights, a distance of 354 feet, and continued down runway 35L for approximately 700 feet. Light stanchions, broken lens pieces, and bulb debris was observed extending down the runway along the tire marks. An examination of the airplane's avionics equipment and the airport's ILS approach showed no anomalies. The flight data recorder (FDR) showed that the airplane captured the ILS glide slope 38 seconds prior to touchdown at a radio altitude of 734 feet. The FDR pitch, recorded 4 seconds later, indicated the airplane was tracking the glide slope and at a radio altitude of 617 feet. At 5 seconds prior to touchdown, the glide slope showed a 2 dots fly up deviation. The airplane was at a radio altitude of 114 feet. The glide slope warning was on. The glide slope continued to increase reaching 4.3 dots fly up at touchdown. The airplane's airspeed at touchdown was 133.5 knots. Vertical acceleration was 1.7 g's followed by 0.7 g's approximately 1/2 second later. Lateral acceleration was -0.15 g's. The right outboard spoiler began to deploy at touchdown plus 2.5 seconds. The hydraulic pressure low lights (left and right) remained in an "off" state throughout the incident sequence. Flight crews are administered a simulator check every 9 months, either by the company or the FAA. Crews do not fly practice approaches in the airplane. The first officer's last simulator checkride was 14 months prior to the incident. The first officer stated he could not recall when the last time was that he flew an instrument approach in the airplane in actual weather conditions.

NTSB Probable Cause Narrative

the first officer's failure to maintain proper glide slope during the landing approach, and the captain's failure to adequately monitor the approach and landing, and his failure to challenge and/or intervene when the first officer continued to descend below the glide slope. Factors contributing to the incident were the first officer's lack of recent experience in flying a complete ILS approach in actual instrument conditions, the low ceilings and fog.

Event Information

Type of Event Incident
Event Date 11/21/2004
Event Day of the Week Sunday
Time of Event 1038
Event Time Zone Mountain Standard Time
Event City Denver
Event State COLORADO
Event Country --
Zipcode of the event site 80249
Event Date Year 2004
Event Date Month 11
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 394939N
Event Location Longitude 1043938W
Event Location Airport Denver International Airport
Event Location Nearest Airport ID DEN
Indicates whether the acc/inc occurred off or on an airport On Airport
Distance from airport in statute miles 1
Degrees magnetic from airport 160
Airport Elevation 5431
Weather Briefing Completeness Full
Investigator's weather source Weather Observation Facility
Time of the weather observation 1046 Mountain Standard Time
Direction of event from weather observation facility (degrees) 340
Weather Observation Facility ID DEN
Elevation of weather observation facility 5431
Distance of event from weather observation facility (units?) 1
Time Zone of the weather observation MST
Lighting Conditions Day
Lowest Ceiling Height 100
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions --
Sky Condition for Lowest Ceiling Broken
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 0.25
Air Temperature at event time (in degrees celsius) -3
Dew Point at event time (in degress fahrenheit) -4
Wind Direction (degrees magnetic) 320
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 8
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.13
Density Altitude (feet) 4503
Intensity of Precipitation Moderate
METAR weather report --
Event Highest Injury None
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor --
Injury Total None 106
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 17923
NTSB Notification Source FAA Comm Ctr
NTSB Notification Date Nov 21 2004 12:00AM
NTSB Notification Time 1140
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Jul 7 2005 10:33AM
User who most recently changed record NTSB\JOHB
Basic weather conditions Instrument Meteorological Cond
FAA District Office Denver, Colorado FSDO

Aircraft Involved

Aircraft #1

Aircraft Registration Number N234AA
NTSB Number DEN05IA027
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 121: Air Carrier
Type of Flight Plan filed IFR
Flight plan Was Activated? No
Damage Minor
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name McDonnell Douglas
Aircraft Model DC-9-82
Aircraft Series Identifier --
Aircraft Serial Number 49181
Certified Max Gross Weight 150000
Aircraft Category Airplane
Aircraft Registration Class U.S. Registered/U.S. Soil
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 108
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Nov 20 2004 12:00AM
Airframe hours since last inspection 2.9
Airframe Hours 64213.4
ELT Installed No
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name CIT Leasing Corp.
Aircraft Owner Street Address 1211 Avenue of the Americas
Aircraft Owner City New York
Aircraft Owner State NY
Aircraft Owner Country USA
Aircraft Owner Zipcode 10036
Operator is an individual? No
Operator Name American Airlines, Incorporated
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 4333 Amon Carter Blvd.
Operator City Ft. Worth
Operator State TX
Operator Country USA
Operator Zip code 75067
Operator Code AALA
Owner has at least one certificate --
Other Operator of large aircraft? --
Certified for Part 133 or 137 Operation --
Operator Certificate Number --
Indicates whether an air carrier operation was scheduled or not Scheduled
Indicates Domestic or International Flight Domestic
Operator carrying Pax/Cargo/Mail Passenger Only
Type of Flying (Per_Bus / Primary) --
Second Pilot on Board Yes
Departure Point Same as Event No
Departure Airport Code DFW
Departure City Fort Worth
Departure State TX
Departure Country USA
Departure Time 1004
Departure Time Zone CST
Destination Same as Local Flt crash at destination city
Destination Airport Code DEN
Destination City Denver
Destination State CO
Destination Country USA
Specific Phase of Flight Landing - flare/touchdown
Report sent to ICAO? No
Evacuation occurred No
Date of most recent change to record Apr 26 2005 11:46AM
User who most recently changed record MCBM
Since inspection or accident Time of Accident
Event Location Runway Number and Location 35L
Runway Length 12000
Runway Width 150
Sight Seeing flight No
Air Medical Flight No
Medical Flight --