Accident · 2005-12-08

NTSB case DCA06MA009 · Boeing 737-700 · Part 121

What the record says

Event date
2005-12-08
Event type
Accident
Highest injury level
Fatal injury
Aircraft
Boeing 737-700 (N471WN)
Operating rule
Part 121
Operator
operator not named in the NTSB record

Probable cause

The pilots' failure to use available reverse thrust in a timely manner to safely slow or stop the airplane after landing, which resulted in a runway overrun. This failure occurred because the pilots' first experience and lack of familiarity with the airplane's autobrake system distracted them from thrust reverser usage during the challenging landing. Contributing to the accident were Southwest Airline's 1) failure to provide its pilots with clear and consistent guidance and training regarding company policies and procedures related to arrival landing distance calculations; 2) programming and design of its onboard performance computer, which did not present inherent assumptions in the program critical to pilot decision making; 3) plan to implement new autobrake procedures without a familiarization period; and 4) failure to include a margin of safety in the arrival assessment to account for operational uncertainties. Also contributing to the accident was the pilots' failure to divert to another airport given reports that included poor braking action and a tailwind component greater than 5 knots. Contributing to the severity of the accident was the absence of an engineering materials arresting system, which was needed because of the limited runway safety area beyond the departure end of runway 31C.

Source: NTSB case DCA06MA009

Flight crew

Flight-crew details for this event aren't in the NTSB database extract we hold (its coverage starts with 2008 events) — a gap in our data, not an absence of crew.

Facts as the NTSB records them — GroundCheck adds no judgement. Preliminary records may be revised as the investigation proceeds.

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