Los Angeles Airport
Aircraft Accident/Incident Report

Los Angeles, California 90045
Monday, January 3, 2011 10:17 PST

NTSB Narrative Summary Released at Completion of Accident

The crew reported that preflight preparation was normal, with the departure runway and takeoff data automatically uploaded to the airplane Flight Management Computer (FMC) via ACARS (Airborne Crew Addressing and Reporting System). Shortly before leaving the gate, Air Traffic Control (ATC) informed the crew that the departure runway was changed to runway 7L. According to American Airlines, on the B737-800, only the first four runways listed on the Takeoff Performance System (TPS) can be auto-loaded if a runway change occurs after the initial upload. Runway 7L was not one of the first four runways listed on the TPS, so the First Officer (FO) manually input the data, including the prescribed V-speeds using information on the preflight paperwork. Flight planning data indicated that the conditions at the time of the accident called for a flaps 1 takeoff with V1 (takeoff decision speed) of 153 knots, a Vr (rotation speed) also of 153 knots, and V2 (scheduled takeoff speed) of 158 knots. The recorded data indicates the manually entered V speeds in the FMC were V1 of 123 knots, Vr of 153 knots and V2 of 158 knots. FMC data was not recovered, but the most likely reason for the inappropriate V1 value was determined to be a keystroke entry error by the FO when manually entering data. During the takeoff roll, the Captain reported hearing the automatic, aircraft-generated V1 callout occur, and he began to rotate the airplane. Recorded data is consistent with rotation beginning as the airplane was passing through 123 knots, approximately 30 knots below the proper rotation speed. The airplane pitched up to about 11 degrees just prior to liftoff at 148 knots. The airplane operating manual specifies that tail contact will occur at 11 degrees of pitch if still on or near the ground. The manual also states that “Early, rapid or over-rotation may result in a tailstrike.” Although there was no mention of a "Vr" callout, V1 and Vr are typically close in value for a 737, so the Captain may have reacted to the erroneous V1 callout, expecting that the airplane was also at Vr. Had the Captain waited for a “Vr” callout by the FO, the erroneous V1 entry would have had no effect. Post event examination revealed that the airplane experienced substantial damage to the lower rear fuselage.

NTSB Probable Cause Narrative

the early rotation of the airplane to an angle at which the fuselage contacted the runway. Contributing to early rotation was the Captain’s reaction to the erroneous V1 automated callout, likely assuming that the airplane was at or close to the correct Vr at the same time. The erroneous automated callout was likely due to a keystroke entry error by the FO when manually entering takeoff data for a newly assigned departure runway.

Event Information

Type of Event Accident
Event Date 1/3/2011
Event Day of the Week Monday
Time of Event 1017
Event Time Zone Pacific Standard Time
Event City Los Angeles
Event State CALIFORNIA
Event Country --
Zipcode of the event site 90045
Event Date Year 2011
Event Date Month 1
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 335633N
Event Location Longitude 1182429W
Event Location Airport Los Angeles
Event Location Nearest Airport ID LAX
Indicates whether the acc/inc occurred off or on an airport On Airport
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation --
Weather Briefing Completeness --
Investigator's weather source Unknown
Time of the weather observation 1753 Coordinated Universal Time? Same as GMT
Direction of event from weather observation facility (degrees) --
Weather Observation Facility ID LAX
Elevation of weather observation facility --
Distance of event from weather observation facility (units?) --
Time Zone of the weather observation UTC
Lighting Conditions Day
Lowest Ceiling Height 5500
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions Partial Obscuration
Sky Condition for Lowest Ceiling Broken
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 10
Dew Point at event time (in degress fahrenheit) 7
Wind Direction (degrees magnetic) 20
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) 30.08
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 165
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 30890
NTSB Notification Source American Airlines
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record May 9 2012 10:27AM
User who most recently changed record engb
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N831NN
NTSB Number DCA11FA050
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 737-823
Aircraft Series Identifier --
Aircraft Serial Number 33211
Certified Max Gross Weight --
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 162
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection --
Date of Last Inspection --
Airframe hours since last inspection --
Airframe Hours --
ELT Installed Unknown
ELT Activated Unknown
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name AMERICAN AIRLINES INC
Aircraft Owner Street Address 4333 AMON CARTER BLVD # MD5569
Aircraft Owner City FORT WORTH
Aircraft Owner State TX
Aircraft Owner Country USA
Aircraft Owner Zipcode 76155-2605
Operator is an individual? No
Operator Name American Airlines
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address 4333 Amon Carter Blvd.
Operator City Fort Worth
Operator State TX
Operator Country USA
Operator Zip code 76155
Operator Code AALA
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 AALA025A
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 Yes
Departure Airport Code LAX
Departure City Los Angeles
Departure State CA
Departure Country USA
Departure Time 1017
Departure Time Zone PST
Destination Same as Local Flt --
Destination Airport Code YYZ
Destination City Toronto
Destination State --
Destination Country CA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Apr 3 2012 12:54PM
User who most recently changed record engb
Since inspection or accident --
Event Location Runway Number and Location 07L
Runway Length 12000
Runway Width 150
Sight Seeing flight No
Air Medical Flight No
Medical Flight --