FATL · Boeing 737-700 · 2005-12-09 · Chicago, IL, USA
Event
NTSB number
DCA06MA009
Event ID
20051213X01964
Type
Accident
Date
2005-12-09
Location
Chicago, IL, USA
Coordinates
41.780338, -87.770271
Injuries
Highest injury
FATL
Fatal
0
Serious
0
Minor
18
Uninjured
85
Total aboard
108
Aircraft
Make
Boeing
Model
737-700
Registration
N471WN
FAR Part
121
Engines
2
Damage
SUBS
Conditions
Light
NITE
Weather
IMC
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.