Miami International Airport
Aircraft Accident/Incident Report

Miami, Florida 33159
Tuesady, December 26, 2006 18:14 EST

NTSB Narrative Summary Released at Completion of Accident

After a normal landing on runway 30, a runway the flightcrew had not previously landed on at night, the flightcrew taxied the airplane to the end of the runway, intending to depart the runway at the last taxiway. The flightcrew passed the taxiway exit, overran the departure threshold of runway 30, and struck two lights associated with the approach lighting system for runway 12, breaking the lights off at their bases. The airplane was not damaged, and, after being towed from the overrun area, taxied to the gate under its own power. The flightcrew stated to investigators that they observed the runway centerline lights initially alternated red and white and then became all red as they taxied the airplane toward the runway threshold. They stated that they were looking for a right turn to vacate the runway but did not see any green lead-off lights leading to the taxiway. They further stated that they observed a line of red lights about 50 meters (about 160 feet) in front of the airplane, which they thought were part of the stop bar indicating the runway threshold. The first officer started to turn off the runway using the blue taxiway edge lights as a guide, but immediately stopped the airplane when both he and the captain realized the light pattern was not as expected. The investigation revealed that the red lights that the flightcrew observed were obstruction lights mounted on top of an Instrument Landing System localizer antenna, approximately 500 feet beyond the runway threshold. The actual runway threshold was marked with eight red lights, consisting of four lights extending out from each side of the runway edge. The lighting, signage, and airfield markings of runway 30 were operational and in accordance with Federal Aviation Administration (FAA) specifications; however, the flightcrew did not correctly utilize or interpret these cues to determine their exact location during taxi. The runway 30 centerline lights changed from all white to alternating red and white lights beginning 3,000 feet from the runway threshold and became all red lights beginning 1,000 feet from the runway threshold. The runway edge lights changed from white to amber 2,000 feet from the runway threshold and remained amber until the end of the runway. On the left side of the runway, "distance remaining" signs were installed at 4,000 feet, 2,000 feet, and 1,000 feet before the runway threshold. Approximately 500 feet before the runway threshold, on the right side of the runway, a taxiway sign was installed, indicating "Q" with an arrow pointing to the right. Approximately 75 feet before the runway threshold, the centerline lights of Taxiway Q began at the runway edge and extended perpendicular to and away from the runway. Additionally, twelve parallel white bars were painted along the width of the runway surface to mark the threshold and yellow chevrons were painted on the blast pad beyond the runway threshold to indicate unusable pavement. FAA advisory material for new runway threshold lighting installations and for reconstruction of existing installations recommends that threshold lights extend from the runway edge inboard toward the center of the runway, and not outboard like those on the incident runway; however, existing installations, such as those on the incident runway, were permitted by the FAA. The taxiway at the end of the runway did not have taxiway lead off lights extending to the center of the runway, but the taxiway did have centerline lights beginning at the runway edge, per FAA requirements. Although the flightcrew said they were confused by the location of the runway threshold lights, they had numerous other indications available to identify their position on the runway, all of which were in compliance with FAA guidance. Each of these indications would have been visible from the cockpit and are intended to help the flightcrew navigate without incident. However, the flightcrew did not heed the numerous lighting, signage, and airfield markings for runway 30, and instead focused on lights that were located well beyond the runway threshold to the exclusion of all other indications.

NTSB Probable Cause Narrative

The flightcrew's misinterpretation of available lighting, signage, and airfield marking cues during taxi.

Event Information

Type of Event Incident
Event Date 12/26/2006
Event Day of the Week Tuesday
Time of Event 1814
Event Time Zone Eastern Standard Time
Event City Miami
Event State FLORIDA
Event Country --
Zipcode of the event site 33159
Event Date Year 2006
Event Date Month 12
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 254736N
Event Location Longitude 0801726W
Event Location Airport Miami International
Event Location Nearest Airport ID KMIA
Indicates whether the acc/inc occurred off or on an airport On Airport
Distance from airport in statute miles 1
Degrees magnetic from airport --
Airport Elevation 8
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1753 Eastern Standard Time
Direction of event from weather observation facility (degrees) 90
Weather Observation Facility ID KMIA
Elevation of weather observation facility 8
Distance of event from weather observation facility (units?) 1
Time Zone of the weather observation EST
Lighting Conditions Night
Lowest Ceiling Height 5500
Lowest Non-Ceiling Height 2100
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling Overcast
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 18
Dew Point at event time (in degress fahrenheit) 15
Wind Direction (degrees magnetic) 340
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 8
Wind Velocity Indicator --
Wind Gust Indicator Gusting
Wind Gust (knots) 14
Altimeter Setting at event time (in. Hg) 30
Density Altitude (feet) --
Intensity of Precipitation --
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 368
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 24270
NTSB Notification Source News Media
NTSB Notification Date Dec 27 2006 12:00AM
NTSB Notification Time --
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Feb 27 2009 12:47PM
User who most recently changed record lema
Basic weather conditions Visual Meteorological Cond
FAA District Office South Florida FSDO

Aircraft Involved

Aircraft #1

Aircraft Registration Number G-BNLM
NTSB Number MIA07IA031
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 129: Foreign
Type of Flight Plan filed IFR
Flight plan Was Activated? Yes
Damage None
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Boeing
Aircraft Model 747-436
Aircraft Series Identifier --
Aircraft Serial Number 24055
Certified Max Gross Weight 875000
Aircraft Category Airplane
Aircraft Registration Class --
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 375
Number of Engines 4
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection --
Date of Last Inspection --
Airframe hours since last inspection --
Airframe Hours --
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name British Airways
Aircraft Owner Street Address Speedbird House, P.O. Box 10
Aircraft Owner City Hounslow
Aircraft Owner State --
Aircraft Owner Country UK
Aircraft Owner Zipcode --
Operator is an individual? No
Operator Name --
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address --
Operator City --
Operator State --
Operator Country USA
Operator Zip code --
Operator Code BRAF
Owner has at least one certificate Yes - certificate holder
Other Operator of large aircraft? No
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 International
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 EGLL
Departure City London
Departure State --
Departure Country UK
Departure Time 1344
Departure Time Zone UTC
Destination Same as Local Flt crash at destination city
Destination Airport Code KMIA
Destination City Miami
Destination State FL
Destination Country USA
Specific Phase of Flight Landing - roll
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Feb 27 2009 12:44PM
User who most recently changed record lema
Since inspection or accident --
Event Location Runway Number and Location 30
Runway Length 9354
Runway Width 150
Sight Seeing flight No
Air Medical Flight No
Medical Flight --