LEVEL 3 Final report

Based on the investigation authority's final report.

Date
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JTSB AA2013-4-2: FedEx 80 at Narita2.1 History of the flight | Printed page 3 | PDF page 15Find this passage in evidence search
Occurrence
Landing accident
Location
Runway 34L, Narita International Airport, Japan
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JTSB AA2013-4-2: FedEx 80 at Narita1.1 Summary of the accident | Printed page 1 | PDF page 13Find this passage in evidence search
Operator
Federal Express Corporation
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JTSB AA2013-4-2: FedEx 80 at Narita1.1 Summary of the accident | Printed page 1 | PDF page 13Find this passage in evidence search
Aircraft
McDonnell Douglas MD-11F
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Registration
N526FE
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JTSB AA2013-4-2: FedEx 80 at Narita1.1 Summary of the accident | Printed page 1 | PDF page 13Find this passage in evidence search
Route
Guangzhou Baiyun to Narita International Airport
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JTSB AA2013-4-2: FedEx 80 at Narita2.1 History of the flight | Printed page 3 | PDF page 15Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita2.1 History of the flight | Printed page 3 | PDF page 15Find this passage in evidence search
People aboard
2 crew
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JTSB AA2013-4-2: FedEx 80 at Narita1.1 Summary of the accident | Printed page 1 | PDF page 13Find this passage in evidence search
Fatalities
2
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JTSB AA2013-4-2: FedEx 80 at Narita1.1 Summary of the accident | Printed page 1 | PDF page 13Find this passage in evidence search
Survivors
0
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JTSB AA2013-4-2: FedEx 80 at Narita1.1 Summary of the accident | Printed page 1 | PDF page 13Find this passage in evidence search
Topics
Unstable approach, Bounced landing and porpoising, Landing gear and wing overload, Fuel fire after wing fracture, Monitoring and intervention

This photograph is cropped for the banner. See the full photograph, credit, licence and what it shows.

Photographs and geographic context

Burned inverted fuselage of FedEx 80 with landing gear above the wreckage at Narita.

The inverted wreckage of FedEx 80 beside Runway 34L at Narita.

Photo: JTSB, CC BY 4.0

Image info

N526FE after the accident on 23 March 2009.

Image source

Original photograph unchanged. Responsive WebP copies resized without cropping.

Geographic context

Geographical orientation for FedEx 80Guangzhou Baiyun International Airport; Narita International Airport, Runway 34L area (approximate). The cargo flight departed Guangzhou Baiyun for Narita. The inverted fuselage stopped about 60 metres west of Runway 34L's centreline, about 1,430 metres from its landing threshold.12NORTH UP / SCHEMATIC / NOT A RECORDED FLIGHT TRACK
  1. Guangzhou Baiyun International Airport
  2. Narita International Airport, Runway 34L area (approximate)
The cargo flight departed Guangzhou Baiyun for Narita. The inverted fuselage stopped about 60 metres west of Runway 34L's centreline, about 1,430 metres from its landing threshold. Basemap: Natural Earth, public domain.
Read supporting evidence
JTSB AA2013-4-2: FedEx 80 at Narita2.1 History of the flight | Printed page 3 | PDF page 15Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita2.1 History of the flight | Printed page 3 | PDF page 15Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita2.10.1 Distribution of wreckage and traces | Printed page 21 | PDF page 33Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita1.1 Summary of the accident | Printed page 1 | PDF page 13Find this passage in evidence search

What happened

FedEx 80 approached Runway 34L with fluctuating speed and attitude. A late flare was followed by large nose down control inputs, nose gear first impacts and a growing bounce sequence. On the third touchdown, an overload from the left main gear fractured the wing. Fuel spilled and ignited as the aircraft rolled left and stopped inverted beside the runway.

Read the full incident Follow what happened, from the flight to the investigation findings.

What investigators concluded

The JTSB found that large elevator inputs and inadequate thrust control produced porpoising. Gusty winds, a high sink rate, a late flare, difficulty judging height and attitude, and inadequate captain intervention contributed. The third touchdown exceeded the left wing structure's ultimate load. The report also identified limits in the landing gear design for predominantly vertical overloads.

Evidence behind this explanation
JTSB AA2013-4-2: FedEx 80 at Narita4.2 Probable causes | Printed page 92 | PDF page 104Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita4.2 Probable causes | Printed page 92 | PDF page 104Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita1.1 Summary of the accident | Printed page 1 | PDF page 13Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita2.17.1 Landing gear design and certification | Printed page 68 | PDF page 80Find this passage in evidence search

FedEx 80 at Narita

1,719 words / about 8 minutes to read. Based on the investigation records cited below.

A cargo arrival in gusty winds

FedEx Flight 80 approached Narita International Airport on the morning of 23 March 2009 after flying from Guangzhou Baiyun International Airport in China. The aircraft was a McDonnell Douglas MD-11F registered N526FE, operated by Federal Express Corporation on a scheduled cargo service. Only the captain and first officer were aboard. The first officer flew from the right seat, while the captain monitored from the left seat. The aircraft had been manufactured in November 1993 as a passenger airplane and converted to a freighter in July 2006.

Northwesterly winds were gusting across the airport. At 06:41:35 the crew contacted Narita Tower, reporting that they were 13 nautical miles from Runway 34L. The controller advised that they were second in the landing sequence and passed wind information showing 28 knots, with a maximum of 40 and minimum of 20. The crew selected an approach speed of 164 knots, ten knots above the reference landing speed. They armed the automatic ground spoilers, confirmed medium autobraking and lowered the landing gear.

The tower repeatedly passed updated winds and reports from preceding aircraft. One crew described fairly strong turbulence and wind fluctuations of plus or minus 15 knots below 1,000 feet. FedEx 80 received landing clearance at 06:46:29. The JTSB found that the approach took place in rough air requiring careful control of attitude, speed and flight path. The wind change remained below the threshold for an onboard windshear warning. Investigators considered it highly probable that localized microburst windshear was absent.

Sources for this section
JTSB AA2013-4-2: FedEx 80 at Narita1.1 Summary of the accident | Printed page 1 | PDF page 13Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita2.1 History of the flight | Printed page 3 | PDF page 15Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita2.1 History of the flight | Printed page 3 | PDF page 15Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita2.1.1 Approach communications | Printed page 4 | PDF page 16Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita2.1.1 Approach communications | Printed page 4 | PDF page 16Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita2.1.1 Approach communications | Printed page 4 | PDF page 16Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita3.3 Meteorological phenomena | Printed page 76 | PDF page 88Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita3.3 Meteorological phenomena | Printed page 76 | PDF page 88Find this passage in evidence search

The descent steepened close to the runway

With the autopilot and autothrottle engaged, calibrated airspeed fluctuated between 152 and 180 knots during the descent from 1,000 feet. Pitch and roll also varied. At the 500 foot callout, airspeed was 179 knots. Two seconds later the captain called the approach stabilized. The JTSB found that the speed excursions exceeded the company's stabilized approach criteria and that the crew continued despite deviations greater than ten knots above the selected approach speed.

At 06:48:03 the autopilot disconnected at a radio altitude of 198 feet. The autothrottle remained engaged. As the first officer took manual control, airspeed fell from 178.5 knots to about 154 knots by 92 feet. The aircraft moved below the instrument landing system glide slope. Investigators linked the speed reduction to the decreasing headwind and insufficient thrust response, including the first officer's failure to override the autothrottle actively. The cockpit recorder contained no calls or advice from the captain during this part of the approach.

By 48 feet, the pitch angle had fallen to about 1.1 degrees and the estimated sink rate was 13 feet per second. The company procedure called for a smooth flare starting at 30 feet. The first officer instead began the flare around 20 feet, pulling the control column sharply. Below 50 feet the autothrottle had entered its programmed retard mode, which reduced thrust toward idle. The first officer did not delay that reduction to control the high sink rate. The JTSB found that these conditions made the flare difficult and left substantial downward speed at touchdown.

Sources for this section
JTSB AA2013-4-2: FedEx 80 at Narita2.1.1 Final approach | Printed page 5 | PDF page 17Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita2.1.1 Final approach | Printed page 5 | PDF page 17Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita3.4.2 Approach through rough air | Printed page 76 | PDF page 88Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita2.1.1 Final approach | Printed page 5 | PDF page 17Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita3.4.3.1 Manual control after autopilot disconnection | Printed page 77 | PDF page 89Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita3.4.3.1 The monitoring pilot response | Printed page 77 | PDF page 89Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita2.14.2 Comparison with previous landings | Printed page 43 | PDF page 55Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita2.13.1 Landing procedures | Printed page 39 | PDF page 51Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita2.1.1 First touchdown | Printed page 6 | PDF page 18Find this passage in evidence search

The first touchdown and a nose wheel impact

The right main landing gear touched the runway at about 06:48:20, followed by the other main gears. Airspeed was 166 knots, and vertical acceleration recorded near the aircraft's centre of gravity reached 1.63 G. The aircraft then bounced. The JTSB considered it highly probable that the structure had sustained no damage at this first impact. The late flare had failed to reduce the sink rate sufficiently, while the rapid increase in pitch generated lift that helped the aircraft rebound.

Just before the first touchdown, the first officer had pushed the control column forward strongly. Forward input continued after touchdown, lowering the nose rapidly while the main wheels were airborne. Pitch fell from a nose up attitude to minus 1.8 degrees. At about 06:48:22 the aircraft struck the runway nose wheel first, followed by the main landing gears. Recorded vertical acceleration reached 2.21 G. Grease, a wheel cap and other nose gear components along the runway supported the finding that the nose gear was probably damaged at this stage.

The changing cockpit height complicated recognition of the bounce. A simulation showed the main wheels and centre of gravity rising about four feet after the first touchdown, while the cockpit sank about nine feet as the nose lowered. The cockpit was 31 metres ahead of the centre of gravity. The JTSB found that the first officer may have failed to recognise that the aircraft had bounced. Company procedures specified pitch and thrust changes for recovery from a low bounce and a low level go-around for a high bounce.

Sources for this section
JTSB AA2013-4-2: FedEx 80 at Narita2.1.1 First touchdown | Printed page 6 | PDF page 18Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita3.5.2 First touchdown loads | Printed page 84 | PDF page 96Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita2.1.1 First bounce and second touchdown | Printed page 7 | PDF page 19Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita2.1.1 First bounce and second touchdown | Printed page 7 | PDF page 19Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita3.5.3 Second touchdown loads | Printed page 84 | PDF page 96Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita2.14.6 Cockpit and landing gear height | Printed page 49 | PDF page 61Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita2.14.6 Cockpit and landing gear height | Printed page 49 | PDF page 61Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita2.13.1 Landing and bounce recovery procedures | Printed page 39 | PDF page 51Find this passage in evidence search

A larger bounce overloaded the left wing

The nose landing gear's reaction against the runway rapidly raised the nose after the second touchdown. Pitch increased to about 6.7 degrees, lift increased and the second bounce became larger. The first officer continued large forward control inputs as the nose began falling again. The main wheels reached a height of about 16 feet. The aircraft developed porpoising, with repeated bounces and increasing oscillations in pitch. The automatic ground spoilers retracted during this sequence.

A subsequent backward control input slowed the nose down movement but came too late to restore a positive pitch attitude before the next impact. The nose gear touched down again at about 06:48:27, followed by the left, centre and right main landing gears. The aircraft was rolling left and descending at an estimated 21.5 feet per second. The recorded vertical acceleration reached 3.06 G. The JTSB estimated the vertical mechanical energy at this touchdown at about 6.8 times the certification requirement used in its comparison.

The left main gear transferred an overwhelming upward load into its wing support structure. Analysis of residual deformation in a gear component produced an estimated force of 887,000 pounds, broadly matching the manufacturer's structural analysis. The load exceeded the wing structure's ultimate strength. The left wing fractured near the landing gear attachment and the remaining right wing's lift rolled the aircraft left. The JTSB identified the third touchdown overload as the cause of the wing fracture.

Simulations examined earlier opportunities to interrupt the sequence. Starting the flare appropriately at 30 feet reduced the simulated touchdown sink rate to about two feet per second. A go-around started during the second bounce could have prevented the third touchdown. The JTSB found that the captain's advice, intervention and takeover had been inadequate. Its analysis identified the second bounce as the last opportunity for the monitoring captain to take control and carry out a recovery or go-around.

Sources for this section
JTSB AA2013-4-2: FedEx 80 at Narita3.4.3.5 Second touchdown and bounce | Printed page 81 | PDF page 93Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita2.1.1 Second bounce and third touchdown | Printed page 8 | PDF page 20Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita3.4.3.5 Porpoising | Printed page 82 | PDF page 94Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita2.1.1 Second bounce and third touchdown | Printed page 8 | PDF page 20Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita2.1.1 Second bounce and third touchdown | Printed page 8 | PDF page 20Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita3.5.4 Third touchdown loads | Printed page 85 | PDF page 97Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita2.16.2 JAXA load evaluation | Printed page 67 | PDF page 79Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita4.2 Probable causes | Printed page 92 | PDF page 104Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita2.14.10.1 Flare simulation | Printed page 56 | PDF page 68Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita2.14.10.4 Go-around simulation | Printed page 61 | PDF page 73Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita4.2 Probable causes | Printed page 92 | PDF page 104Find this passage in evidence search

Fire and rescue

Fuel escaped from the fractured left wing. At about 06:48:29 a camera recorded fire near the rear of the left engine. Flames engulfed the aircraft as it rolled over, left the runway and slid into the grass. The fuselage stopped inverted about 60 metres west of the runway centreline and 1,430 metres from the Runway 34L threshold. The estimated fuel remaining at landing was about 28,000 litres. Strong winds intensified the fire, which consumed much of the fuselage.

The first fire engine reached the site at 06:49:28, and the first recorded water discharge began at 06:50:25. Other engines arrived and joined the firefighting. Heat and smoke prevented rescuers from entering the cockpit at 07:03. Teams cut into the rear of the cockpit from both sides of the fuselage, then entered and removed the pilots. The captain was removed at 08:00 and the first officer at 08:16. Both died. The response involved 47 vehicles and 137 personnel.

The JTSB considered it highly probable that the first officer was alive immediately after the accident, based on burns to his respiratory tract. Flames had reached the rear of the cockpit by the time water discharge began. Investigators found that early penetration of heat and smoke made rapid rescue difficult. The separating net and rubber curtain between the cargo area and flight crew compartment had largely burned away. These findings led to recommendations for measures protecting the crew compartment from heat, smoke and toxic gases.

Sources for this section
JTSB AA2013-4-2: FedEx 80 at Narita2.1.1 Wing failure and fire | Printed page 9 | PDF page 21Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita2.10.1 Distribution of wreckage and traces | Printed page 21 | PDF page 33Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita2.6.5 Remaining fuel | Printed page 16 | PDF page 28Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita2.12 Firefighting and rescue | Printed page 38 | PDF page 50Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita2.12 Firefighting and rescue | Printed page 38 | PDF page 50Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita2.12 Firefighting and rescue | Printed page 37 | PDF page 49Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita3.8 Firefighting and rescue | Printed page 88 | PDF page 100Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita2.12 Firefighting and rescue | Printed page 38 | PDF page 50Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita2.10.2 Fuselage damage | Printed page 23 | PDF page 35Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita6.1 Recommendations to the FAA | Printed page 96 | PDF page 108Find this passage in evidence search

Control inputs and landing gear design

The JTSB's probable cause finding linked the porpoising to the large nose down elevator inputs at the first touchdown and attempts to control the second bounce through elevator movement with insufficient thrust. Gusty winds, the high sink rate, the late flare and difficulty judging height and attitude contributed to the sequence. The final report was adopted on 5 April 2013 and released on 26 April. Investigators found that the aircraft had been maintained and inspected as required and had no pre-existing functional or structural degradation before the accident.

The investigation also examined the main landing gear fuse pins, designed to separate the gear under certain overload conditions and protect the fuel tanks. The MD-11 design addressed an overload dominated by rearward drag. It had not been designed for separation under a purely vertical overload. The JTSB considered it somewhat likely that gear separation under the accident's predominantly vertical load could have reduced fuel tank damage and rapid fire development. It recommended mandatory consideration of such loads in the airworthiness regulation.

The longitudinal stability augmentation system acted to curb the pitch variations, according to the JTSB's simulations. The pilot's large nose down inputs exceeded its opposing commands. The investigation could not determine why the first officer initially pushed the control column forward so strongly, why the ground spoilers retracted, the exact origin of the wing fracture or the ignition source. It also could not conclusively determine the extent to which fatigue affected the pilots' handling or judgment.

Sources for this section
JTSB AA2013-4-2: FedEx 80 at Narita4.2 Probable causes | Printed page 92 | PDF page 104Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita4.2 Probable causes | Printed page 92 | PDF page 104Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at NaritaReport adoption | Printed page Adoption page | PDF page 3Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita2.17.1 Landing gear design and certification | Printed page 68 | PDF page 80Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita6.1 Recommendations to the FAA | Printed page 96 | PDF page 108Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita2.14.5.2 Influence of LSAS | Printed page 46 | PDF page 58Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita3.4.3.3 Flare and control inputs | Printed page 79 | PDF page 91Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita3.4.3.5 Ground spoiler retraction | Printed page 82 | PDF page 94Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita3.5.4 Third touchdown loads | Printed page 85 | PDF page 97Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita3.1.2 Physical condition and training | Printed page 75 | PDF page 87Find this passage in evidence search

Changes to landing practice and recommended protections

FedEx revised its manuals after the accident. It removed references allowing nose down elevator input during landing, moved the flare guidance to between 40 and 30 feet, and required a go-around after a bounced landing. Revised training emphasized the relationship between power, pitch and descent rate, particularly close to the ground. Landing training was strengthened in simulator sessions and line operations. The airline also supplied crews with landing acceleration and pitch data for debriefing and reinforced go-arounds in training, checking and pilot communications.

Boeing revised the MD-11 flight crew operating manual in February 2011, emphasizing awareness of excessive descent rates during approach. The JTSB recommended that the FAA require Boeing to study landing gear support changes and improvements to handling through stability augmentation and faster ground spoiler deployment. It also called for studies of a visual display and an aural warning showing gear touchdown status. A further recommendation sought effective protection of the crew compartment against the early arrival of fire, smoke and toxic gases.

Sources for this section
JTSB AA2013-4-2: FedEx 80 at Narita5.1.2 Actions taken by FedEx | Printed page 93 | PDF page 105Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita5.1.2 Actions taken by FedEx | Printed page 93 | PDF page 105Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita5.1.2 Actions taken by FedEx | Printed page 93 | PDF page 105Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita5.1.1 Manufacturer safety actions | Printed page 93 | PDF page 105Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita6.2 Recommendations concerning Boeing | Printed page 97 | PDF page 109Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita6.2 Recommendations concerning Boeing | Printed page 97 | PDF page 109Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita6.1 Recommendations to the FAA | Printed page 96 | PDF page 108Find this passage in evidence search

Return to the short summary / Source status and limitations

How the sequence developed

Follow the main stages, then open the evidence beneath each step.

  1. Rough approach and late flare

    Gusts changed airspeed and attitude. The flare began around 20 feet while thrust was reducing toward idle and the sink rate remained high.

    Read supporting evidence
    JTSB AA2013-4-2: FedEx 80 at Narita3.4.2 Approach through rough air | Printed page 76 | PDF page 88Find this passage in evidence search
    JTSB AA2013-4-2: FedEx 80 at Narita2.1.1 First touchdown | Printed page 6 | PDF page 18Find this passage in evidence search
    JTSB AA2013-4-2: FedEx 80 at Narita2.13.1 Landing procedures | Printed page 39 | PDF page 51Find this passage in evidence search
  2. Nose down input during the first bounce

    Large forward control input lowered the nose while the main wheels were airborne. The next touchdown was nose gear first.

    Read supporting evidence
    JTSB AA2013-4-2: FedEx 80 at Narita2.1.1 First bounce and second touchdown | Printed page 7 | PDF page 19Find this passage in evidence search
    JTSB AA2013-4-2: FedEx 80 at Narita2.14.6 Cockpit and landing gear height | Printed page 49 | PDF page 61Find this passage in evidence search
  3. A growing second bounce

    Nose gear ground reaction increased pitch and lift. Continued elevator inputs and inadequate thrust control produced porpoising.

    Read supporting evidence
    JTSB AA2013-4-2: FedEx 80 at Narita3.4.3.5 Second touchdown and bounce | Printed page 81 | PDF page 93Find this passage in evidence search
    JTSB AA2013-4-2: FedEx 80 at Narita3.4.3.5 Porpoising | Printed page 82 | PDF page 94Find this passage in evidence search
  4. Vertical overload and wing fracture

    The third touchdown overloaded the left wing support structure through the left main landing gear.

    Read supporting evidence
    JTSB AA2013-4-2: FedEx 80 at Narita4.2 Probable causes | Printed page 92 | PDF page 104Find this passage in evidence search
    JTSB AA2013-4-2: FedEx 80 at Narita3.5.4 Third touchdown loads | Printed page 85 | PDF page 97Find this passage in evidence search
  5. Fuel spillage and fire

    Fuel escaping from the fractured wing ignited. The aircraft rolled left and came to rest inverted in the grass.

    Read supporting evidence
    JTSB AA2013-4-2: FedEx 80 at Narita2.1.1 Wing failure and fire | Printed page 9 | PDF page 21Find this passage in evidence search
    JTSB AA2013-4-2: FedEx 80 at Narita2.10.1 Distribution of wreckage and traces | Printed page 21 | PDF page 33Find this passage in evidence search

A simplified reading of the investigation findings. The sequence does not replace the full report or imply that every contributing factor is shown.

Sequence of events

Times are Japan Standard Time, UTC plus 9 hours. The report summary places the accident at about 06:49. The recorder and camera reconstruction times the three touchdowns at about 06:48:20, 06:48:22 and 06:48:27. Expand an event to see its evidence.

  1. 06:41:35Contact with Narita Tower

    The crew reported 13 nautical miles to Runway 34L and received the landing sequence and gust information.

    JTSB AA2013-4-2: FedEx 80 at Narita2.1.1 Approach communications | Printed page 3 | PDF page 15Find this passage in evidence search
  2. 06:46:29Landing clearance

    The tower cleared FedEx 80 to land on Runway 34L after passing turbulence information from the preceding aircraft.

    JTSB AA2013-4-2: FedEx 80 at Narita2.1.1 Approach communications | Printed page 4 | PDF page 16Find this passage in evidence search
    JTSB AA2013-4-2: FedEx 80 at Narita2.1.1 Approach communications | Printed page 4 | PDF page 16Find this passage in evidence search
  3. 06:47:42Approach called stabilized

    The captain called the approach stabilized during large speed fluctuations.

    JTSB AA2013-4-2: FedEx 80 at Narita2.1.1 Final approach | Printed page 5 | PDF page 17Find this passage in evidence search
    JTSB AA2013-4-2: FedEx 80 at Narita3.4.2 Approach through rough air | Printed page 76 | PDF page 88Find this passage in evidence search
  4. 06:48:03Autopilot disconnected

    The first officer continued manually at a radio altitude of 198 feet while the autothrottle remained engaged.

    JTSB AA2013-4-2: FedEx 80 at Narita2.1.1 Final approach | Printed page 5 | PDF page 17Find this passage in evidence search
    JTSB AA2013-4-2: FedEx 80 at Narita3.4.3.1 Manual control after autopilot disconnection | Printed page 77 | PDF page 89Find this passage in evidence search
  5. About 06:48:20First touchdown

    The right main gear touched down first. The aircraft bounced after a late flare and high sink rate.

    JTSB AA2013-4-2: FedEx 80 at Narita2.1.1 First touchdown | Printed page 6 | PDF page 18Find this passage in evidence search
    JTSB AA2013-4-2: FedEx 80 at Narita3.5.2 First touchdown loads | Printed page 84 | PDF page 96Find this passage in evidence search
  6. About 06:48:22Second touchdown

    The nose gear struck first in a nose low attitude, producing a larger bounce.

    JTSB AA2013-4-2: FedEx 80 at Narita2.1.1 First bounce and second touchdown | Printed page 7 | PDF page 19Find this passage in evidence search
    JTSB AA2013-4-2: FedEx 80 at Narita3.4.3.5 Second touchdown and bounce | Printed page 81 | PDF page 93Find this passage in evidence search
  7. About 06:48:27Third touchdown and wing failure

    The aircraft hit nose gear first, then the left main gear transferred an overload that fractured the left wing.

    JTSB AA2013-4-2: FedEx 80 at Narita2.1.1 Second bounce and third touchdown | Printed page 8 | PDF page 20Find this passage in evidence search
    JTSB AA2013-4-2: FedEx 80 at Narita4.2 Probable causes | Printed page 92 | PDF page 104Find this passage in evidence search
  8. About 06:48:29Fuel fire

    Fire appeared near the left engine as the aircraft rolled left and became inverted.

    JTSB AA2013-4-2: FedEx 80 at Narita2.1.1 Wing failure and fire | Printed page 9 | PDF page 21Find this passage in evidence search
  9. 06:49:28First fire engine arrived

    The first fire engine reached the wreckage. The first recorded water discharge followed at 06:50:25.

    JTSB AA2013-4-2: FedEx 80 at Narita2.12 Firefighting and rescue | Printed page 38 | PDF page 50Find this passage in evidence search
    JTSB AA2013-4-2: FedEx 80 at Narita2.12 Firefighting and rescue | Printed page 38 | PDF page 50Find this passage in evidence search
  10. 08:00 and 08:16Pilots removed

    Rescuers removed the captain and first officer after cutting access to the cockpit. Both suffered fatal injuries.

    JTSB AA2013-4-2: FedEx 80 at Narita3.8 Firefighting and rescue | Printed page 88 | PDF page 100Find this passage in evidence search
    JTSB AA2013-4-2: FedEx 80 at Narita1.1 Summary of the accident | Printed page 1 | PDF page 13Find this passage in evidence search

Search the report evidence

Search extracted report prose, with original page references. Short results link to the full document.

Questions readers ask

Why did the second bounce grow larger?

The nose landing gear hit first and rebounded, rapidly raising pitch and lift. The aircraft then bounced higher.

JTSB AA2013-4-2: FedEx 80 at Narita3.4.3.5 Second touchdown and bounce | Printed page 81 | PDF page 93Find this passage in evidence search
Why was the first bounce difficult to recognise?

The main wheels rose about four feet while the cockpit sank about nine feet as the nose lowered. The JTSB found that the first officer may not have recognised the bounce.

JTSB AA2013-4-2: FedEx 80 at Narita2.14.6 Cockpit and landing gear height | Printed page 49 | PDF page 61Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita2.14.6 Cockpit and landing gear height | Printed page 49 | PDF page 61Find this passage in evidence search
How did FedEx change its bounced landing procedure?

FedEx revised its manual to require a go-around after a bounced landing and reinforced that rule in training and checking.

JTSB AA2013-4-2: FedEx 80 at Narita5.1.2 Actions taken by FedEx | Printed page 93 | PDF page 105Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita5.1.2 Actions taken by FedEx | Printed page 93 | PDF page 105Find this passage in evidence search

What the evidence can and cannot establish

Safety follow-up

Actions and recommendations are described at the dates of the cited records. A recommendation is not proof of implementation.

FedEx landing procedures and training

The final report records a revised flare height of 40 to 30 feet, a required go-around for a bounced landing, and stronger training on power, pitch and descent rate.

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JTSB AA2013-4-2: FedEx 80 at Narita5.1.2 Actions taken by FedEx | Printed page 93 | PDF page 105Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita5.1.2 Actions taken by FedEx | Printed page 93 | PDF page 105Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita5.1.2 Actions taken by FedEx | Printed page 93 | PDF page 105Find this passage in evidence search

Flight controls and touchdown cues

The JTSB recommended studies of landing gear support changes, stability augmentation improvements, reduced spoiler delay, and visual and aural gear touchdown indications.

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JTSB AA2013-4-2: FedEx 80 at Narita6.2 Recommendations concerning Boeing | Printed page 97 | PDF page 109Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita6.2 Recommendations concerning Boeing | Printed page 97 | PDF page 109Find this passage in evidence search

Classifications, with reasons

These labels organise the evidence. They are not a ranking of causes. A shared label means a shared research topic, not an identical mechanism.

Flight operationsUnstable approach

Airspeed excursions exceeded the company approach criteria as gusts changed the flight path and attitude.

JTSB AA2013-4-2: FedEx 80 at Narita3.4.2 Approach through rough air | Printed page 76 | PDF page 88Find this passage in evidence search
Aircraft controlBounced landing and porpoising

Nose down elevator inputs and inadequate thrust control led to repeated bounces with growing pitch oscillations.

JTSB AA2013-4-2: FedEx 80 at Narita3.4.3.5 Porpoising | Printed page 82 | PDF page 94Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita4.2 Probable causes | Printed page 92 | PDF page 104Find this passage in evidence search
StructureLanding gear and wing overload

The third touchdown transferred a vertical overload through the left main gear, fracturing its wing support structure.

JTSB AA2013-4-2: FedEx 80 at Narita4.2 Probable causes | Printed page 92 | PDF page 104Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita3.5.4 Third touchdown loads | Printed page 85 | PDF page 97Find this passage in evidence search
FireFuel fire after wing fracture

Fuel spilled from the fractured wing and caught fire, reaching the forward fuselage early.

JTSB AA2013-4-2: FedEx 80 at Narita2.1.1 Wing failure and fire | Printed page 9 | PDF page 21Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita6.1 Recommendations to the FAA | Printed page 96 | PDF page 108Find this passage in evidence search
Crew coordinationMonitoring and intervention

The captain provided inadequate advice, intervention and takeover as the approach and bounce sequence deteriorated.

JTSB AA2013-4-2: FedEx 80 at Narita4.2 Probable causes | Printed page 92 | PDF page 104Find this passage in evidence search

Read alongside

These comparisons connect specific research topics. Shared circumstances do not establish identical causes. Evidence from both investigations is provided below.

Asiana Airlines Flight 214

The FedEx 80 investigation identified inadequate intervention by the monitoring captain and an opportunity for a go-around during the second bounce. The Asiana 214 investigation found inadequate airspeed monitoring and delayed execution of a go-around after the crew recognised an unacceptable approach. At Narita, the accident developed through porpoising and a wing overload; at San Francisco, the crew mismanaged descent and unintentionally deactivated automatic airspeed control.

Read supporting evidence
JTSB AA2013-4-2: FedEx 80 at Narita4.2 Probable causes | Printed page 92 | PDF page 104Find this passage in evidence search
JTSB AA2013-4-2: FedEx 80 at Narita2.14.10.4 Go-around simulation | Printed page 61 | PDF page 73Find this passage in evidence search
NTSB AAR-14/01: Asiana Airlines 2143.2 Probable cause | Printed page 129 | PDF page 147Find this passage in evidence search

Further investigation records

Explore the records below for additional context. They open on the publisher's site and are not all included in our report search. Source reuse terms apply.

Sources and transparency

The JTSB adopted its final report on 5 April 2013 and released the official English translation on 26 April 2013.

Source limitations

The Japanese original takes precedence in interpreting the official English translation.

JTSB AA2013-4-2: FedEx 80 at Narita

Japan Transport Safety Board
Final report AA2013-4-2, adopted 5 April 2013, released 26 April 2013. Official English translation.

Official report PDF, hosted by jtsb.mlit.go.jp

Open source document

133 PDF pages.

Short attributed extracts accompany original summaries. Government of Japan reuse terms apply. Source terms.

NTSB AAR-14/01: Asiana Airlines 214

NTSB
Final report adopted 24 June 2014, including board statements and Korean ARAIB comments

Official report PDF, hosted by ntsb.gov

Open source document

207 PDF pages.

Private evidence cache. Only short attributed quotations in original commentary; full report and third-party illustrations are not redistributed. Source terms.

Read the extraction, classification and review methodology.

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Editorial record

Kevin Murphy writes the incident accounts on AirlineIncidents.com, out of a long interest in aviation safety and the lessons each investigation leaves behind.

Prepared by
AirlineIncidents editorial desk
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Revision history

: JTSB final report AA2013-4-2, adopted 5 April 2013 and released 26 April 2013.

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