B744, Gardermoen Norway, 2004

Summary: 

On 21 September 2004, a Korean Air Boeing 747-400F experienced handling difficulties on take off due to the Centre of Gravity (CofG) being aft of the limit as a result of misloading.

Event Details
When: 
02/09/2004
Event Type: 
Day/Night: 
Day
Flight Conditions: 
On Ground - Normal Visibility

18732

Flight Details
Operator: 
Type of Flight: 
Public Transport (Cargo)
Flight Origin: 
Intended Destination: 
Take-off Commenced: 
Yes
Flight Airborne: 
Yes
Flight Completed: 
Yes
Phase of Flight: 
Take Off
Location
Location - Airport
Airport: 
GND
Tag(s): 
Cargo Loading, Hold Loading
LOC
Tag(s): 
Aircraft Loading, Temporary Control Loss, Extreme Pitch
EPR
Tag(s): 
RFFS Procedures
Outcome
Damage or injury: 
Yes
Aircraft damage: 
None
Non-aircraft damage: 
Yes
Non-occupant Casualties: 
No
Occupant Injuries: 
None
Occupant Fatalities: 
None
Off Airport Landing: 
Yes
Ditching: 
Yes
Causal Factor Group(s)
Group(s): 
Aircraft Operation
Safety Recommendation(s)
Group(s): 
Aircraft Operation, Airport Management
Investigation Type
Type: 
Independent

Description

On 21 September 2004, a Korean Air Boeing 747-400F experienced handling difficulties on take off due to the Centre of Gravity (CofG) being aft of the limit as a result of misloading.

Synopsis

This is an extract of the summary from the Accident Investigation Board Norway (AIBN) serious incident report:

"On 21 September 2004, at time 1302, a B747-400F operated by Korean Air was taking off from Oslo Airport Gardermoen for a flight to Incheon International Airport, Seoul, Republic of Korea. During take-off run, the aircraft started to autorotate at approximately 120 Knots Calibrated Air Speed (KCAS) due to the actual Centre of Gravity (CG) being aft of the aft CG limit. The stabilizer remained steady as the aircraft continued to accelerate and became airborne at 165 KCAS and 11.5 degrees pitch attitude. After lift-off the nose attitude was increased to 12 degrees and then to 19 degrees. The Commander realised that the aircraft balance was wrong due to the far forward trim setting. The crew suspected a wrong CG location and contacted the company office through SATCOM. The crew was informed that the CG was out of limits for landing. A new CG location was received and the flight crew relocated some load pallets during flight. However, the CG was still aft of the aft limit.

During the approach briefing, the landing configuration and performance parameters were discussed to reduce the possibility of a tail strike during touchdown and landing rollout. Emergency equipment was requested to stand by. During the landing rollout at RKSI, the aircraft nose lifted at 60 kts and nose wheel steering was lost. The Commander stopped the aircraft on the runway and shut down all engines.

The aircraft was subsequently towed to the parking stand. The wrong CG location was caused by a mistake during loading. During load planning the Load Master mistook the Standard Operating Mass (SOM) Centre of Gravity (CG) Mean Aerodynamic Chord (MAC) percent number for the Index Unit (IU) number. Hence the aircraft was misloaded to a CG of 37.8% MAC, which was 4.8 % aft of the aft limit of 33 % MAC. The mistake was not discovered by the Load Master, SAS Cargo or Korean Air Supervisor. Nor was the mistake discovered by the Commander who accepted and signed the cargo loading manifest before take-off.

The aircraft took off from Oslo International Airport with the CG 4.8 % aft of the aft limit and landed at Incheon International Airport with the CG 7.2% aft of the certified aft limit. The landing incident was investigated by the Korean Accident Investigation Board (KAIB) after the aircraft landed at RKSI."

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