Baltimore Airport
Aircraft Accident/Incident Report

Baltimore, Maryland
Wednesday, May 6, 2009 13:02 EDT

NTSB Narrative Summary Released at Completion of Accident

The flight was conducting a straight-in approach during visual meteorological conditions. The approach was backed up by an ILS and was stable at 500 feet above touchdown. The initial touchdown was firm and main landing gear rebounded, possibly bouncing slightly off the runway. Control column input and possibly momentum from the touchdown resulted in a rapid pitch down and hard nose gear impact with the runway. Wing spoilers likely did not deploy due to the main gear bounce and/or throttle position. Following the nose gear impact, the airplane pitched up as expected and the column was held in a slightly forward position. Airspeed rapidly decayed, and engine power began to increase as the airplane pitch reversed to a downward motion for a second time. One of the crew, likely the FO, called “flare flare” and the column recorded a rapid nose up input, followed by a rapid nose down input, and the nose gear again struck the runway very hard, likely causing the majority of the damage at that point. Following the second nose gear impact, column inputs stabilized at a slightly nose up command, power was set on all three engines, and the go-around was successfully executed. A slight lag in the power increase on engine number 3 may have contributed to the nose down motion leading to the second nose gear impact, although the large forward (airplane nose down) column movement appears to be a much more significant contributor. It is unclear why the engine was slower to increase. Throttle lever angle was not recorded, but the engine operated as expected for all other phases of the flight, including after the impact, therefore it is possible the pilot did not advance the number 3 throttle concurrently with the others. The captain’s flight and duty schedule complied with Federal Aviation regulations, but he experienced a demanding 10-day trip schedule prior to the incident involving multiple time zone crossings and several long duty periods, and reported difficulties sleeping prior to the accident leg. The captain was likely further affected by a digestive system upset during the accident flight. It is likely that the captain’s performance was degraded by fatigue and some degree of physical discomfort brought on by a short-term illness. The captain had recently completed upgrade training to DC-10, having previously been flying as an MD-11 first officer. The training program was fragmented over approximately ten months, and while in accordance with FAA regulations, may have adversely affected his consolidation of skills and experience.

NTSB Probable Cause Narrative

the captain’s inappropriate control inputs following a firm landing, resulting in two hard nose-gear impacts before executing a go-around. Contributing to the inappropriate control inputs was the captain’s fatigue and physical discomfort; and a possible lack of practical consolidation of skills and experience due to a protracted and fragmented training period.

Event Information

Type of Event Accident
Event Date 5/6/2009
Event Day of the Week Wednesday
Time of Event 1302
Event Time Zone Eastern Daylight Time
Event City Baltimore
Event State MARYLAND
Event Country --
Zipcode of the event site --
Event Date Year 2009
Event Date Month 5
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude --
Event Location Longitude --
Event Location Airport Baltimore
Event Location Nearest Airport ID KBWI
Indicates whether the acc/inc occurred off or on an airport On Airport
Distance from airport in statute miles 0
Degrees magnetic from airport --
Airport Elevation 130
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1254 Eastern Daylight Time
Direction of event from weather observation facility (degrees) 0
Weather Observation Facility ID KBWI
Elevation of weather observation facility 130
Distance of event from weather observation facility (units?) 0
Time Zone of the weather observation EDT
Lighting Conditions Day
Lowest Ceiling Height --
Lowest Non-Ceiling Height 2100
Sky/Lowest/Cloud Conditions Few
Sky Condition for Lowest Ceiling --
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 17
Dew Point at event time (in degress fahrenheit) 12
Wind Direction (degrees magnetic) --
Variable Wind Indicator Variable
Wind Speed (knots) --
Wind Velocity Indicator Light and Variable
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.06
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Serious
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor 11
Injury Total None 168
Injury Total Serious 1
Injury Total All 12
Investigating Agency NTSB
NTSB Docket Number (internal use) --
NTSB Notification Source FAA
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Sep 24 2010 9:58PM
User who most recently changed record schd
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N139WA
NTSB Number DCA09FA048
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 121: Air Carrier
Type of Flight Plan filed IFR
Flight plan Was Activated? Yes
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name BOEING
Aircraft Model DC-10
Aircraft Series Identifier 30
Aircraft Serial Number 46583
Certified Max Gross Weight 580000
Aircraft Category Airplane
Aircraft Registration Class --
Aircraft is a homebuilt? No
Flight Crew Seats 3
Cabin Crew Seats 10
Passenger Seats 314
Total number of seats on the aircraft 328
Number of Engines 3
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Mar 29 2009 12:00AM
Airframe hours since last inspection --
Airframe Hours 107814
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name World Airways
Aircraft Owner Street Address --
Aircraft Owner City Atlanta
Aircraft Owner State GA
Aircraft Owner Country USA
Aircraft Owner Zipcode --
Operator is an individual? No
Operator Name World Airways
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address --
Operator City --
Operator State --
Operator Country USA
Operator Zip code --
Operator Code WRLA
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 WRLA601A
Indicates whether an air carrier operation was scheduled or not Non-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 --
Departure City Leipzig
Departure State --
Departure Country GE
Departure Time 700
Departure Time Zone UTC
Destination Same as Local Flt crash at destination city
Destination Airport Code KBWI
Destination City Baltimore
Destination State MD
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Aug 30 2010 3:42PM
User who most recently changed record engb
Since inspection or accident Last Inspection
Event Location Runway Number and Location 10
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --