SECTION 2
Pilot Guide to Takeoff Safety
Table of Contents
Section
Page
2.0 Introduction.................................................................................................................... 2.1
2 .1 Objectives....................................................................................................................... 2.1
2.2 Successful Versus Unsuccessful Go/No Go Decisions............................................... 2.1
2.2.1
An In-service Perspective On Go/No Go Decisions.................................................. 2.2
2.2.2
Successful Go/No Go Decisions............................................................................ 2.3
2.2.3
RTO Overrun Accidents and Incidents...................................................................... 2.4
2.2.4
Statistics..................................................................................................................... 2.5
2.2.5
Lessons Learned........................................................................................................ 2.6
2.3 Decisions and Procedures What Every Pilot Should Know........................................ 2.7
2.3.1
The Takeoff Rules The Source of the Data............................................................ 2.8
2.3.1.1
The FAR Takeoff Field Length......................................................................... 2.8
2.3.1.2 V1 Speed Defined..................................................................................................... 2.10
2.3.1.3
Balanced Field Defined...................................................................................... 2.11
2.3.1.4
(Not Used).......................................................................................................... 2.12
2.3.2
Transition to the Stopping Configuration................................................................ 2.12
2.3.2.1
Flight Test Transitions........................................................................................ 2.12
2.3.2.2
Airplane Flight Manual Transition Times.......................................................... 2.12
2.3.3
Comparing the Stop and Go Margins............................................................... 2.14
2.3.3.1
The Stop Margins........................................................................................... 2.15
2.3.3.2
The Go Option................................................................................................ 2.16
2.3.4
Operational Takeoff Calculations............................................................................ 2.18
2.3.4.1
The Field Length Limit Weight.......................................................................... 2.18
2.3.4.2
Actual Weight Less Than Limit Weight............................................................. 2.19
2.3.5
Factors that Affect Takeoff and RTO Performance................................................. 2.19
2.3.5.1
Runway Surface Condition................................................................................ 2.20
2.3.5.1.1
Hydroplaning................................................................................................ 2.21
2.3.5.1.2
The Final Stop............................................................................................... 2.22
2.3.5.2
Atmospheric Conditions..................................................................................... 2.22
2.3.5.3
Airplane Configuration....................................................................................... 2.23
2.3.5.3.1
Flaps.............................................................................................................. 2.23
2.3.5.3.2
Engine Bleed Air........................................................................................... 2.23
2.3.5.3.3
Missing or Inoperative Equipment ............................................................... 2.23
2.i
SECTION 2
Section
Page
2.3.5.3.4
Wheels, Tires, and Brakes............................................................................. 2.25
2.3.5.3.5
Worn Brakes.................................................................................................. 2.27
2.3.5.3.6
Residual Brake Energy.................................................................................. 2.28
2.3.5.3.7
Speedbrake Effect on Wheel Braking............................................................ 2.28
2.3.5.3.8
Carbon and Steel Brake Differences............................................................. 2.30
2.3.5.3.9
High Brake Energy RTOs.............................................................................. 2.31
2.3.5.4
Reverse Thrust Effects....................................................................................... 2.32
2.3.5.5
Runway Parameters............................................................................................ 2.33
2.3.5.6
(Not Used).......................................................................................................... 2.34
2.3.5.7
Takeoffs Using Reduced Thrust......................................................................... 2.34
2.3.5.8
The Takeoff Data the Pilot Sees......................................................................... 2.34
2.3.6
Increasing the RTO Safety Margins......................................................................... 2.35
2.3.6.1
Runway Surface Condition................................................................................ 2.35
2.3.6.2
Flap Selection..................................................................................................... 2.35
2.3.6.3
Runway Lineup.................................................................................................. 2.36
2.3.6.4
Setting Takeoff Thrust........................................................................................ 2.36
2.3.6.5
Manual Braking Techniques............................................................................... 2.37
2.3.6.6
Antiskid Inoperative Braking Techniques.......................................................... 2.38
2.3.6.7
RTO Autobrakes................................................................................................. 2.38
2.3.6.8
(Not Used).......................................................................................................... 2.39
2.3.6.9
The V1 Call......................................................................................................... 2.39
2.3.6.10
Crew Preparedness............................................................................................. 2.40
2.4 Crew Resource Management....................................................................................... 2.40
2.ii
2.4.1
CRM and the RTO.................................................................................................. 2.40
2.4.2
The Takeoff Briefing................................................................................................ 2.40
2.4.3
Callouts.................................................................................................................... 2.41
2.4.4
The Use of All Crew Members................................................................................ 2.41
2.4.5
Summary.................................................................................................................. 2.42
SECTION 2
Pilot Guide to Takeoff Safety
2.0 Introduction
2 .1 Objectives
The Pilot Guide to Takeoff Safety is one
part of the Takeoff Safety Training Aid. The other
parts include the Takeoff Safety Overview for
Management (Section 1), Example Takeoff
Safety Training Program (Section 3), Takeoff
Safety Background Data (Section 4), and an
optional video. The subsection numbering used
in Sections 2 and 4 are identical to facilitate
cross referencing. Those sub sections not used
in Section 2 are noted not used.
The objective of the Pilot Guide to Takeoff
Safety is to summarize and communicate key
RTO related information relevant to flight
crews. It is intended to be provided to pilots
during academic training and to be retained
for future use.
The goal of the training aid is to reduce the
number of RTO related accidents by improving
the pilots decision making and associated
procedural accomplishment through increased
knowledge and awareness of the factors
affecting the successful outcome of the Go/No
Go decision.
Any Go/No Go decision can be considered
successful if it does not result in injury or
airplane damage. However, just because it was
successful by this definition, it does not mean
the action was the best that could have been
taken. The purpose of this section is to point
out some of the lessons that have been learned
through the RTO experiences of other airline
crews since the 1950s, and to recommend ways
of avoiding similar experiences by the pilots of
todays airline fleet.
T h e e d u c a t io n a l m a t e r i a l a n d t h e
recommendations provided in the Takeoff
Safety Training Aid were developed through an
extensive review process to achieve consensus
of the air transport industry.
2.2 Successful Versus Unsuccessful Go/
No Go Decisions
Takeoffs, RTOs, and Overruns
Takeoffs
RTOs (est.)
Through 2003
Typical Recent Year
430,000,000
18,000,000
143,000
6,000
97
4*
RTO Overrun
Accidents/Incidents
Figure 1
Takeoffs, RTOs,
and Overrun
Statistics
1 RTO per 3,000 takeoffs
1 RTO overrun accident/incident per 4,500,000 takeoffs
*Accidents/incidents that would occur if historical rates continue.
2.1
SECTION 2
2.2.1 An In-service Perspective On Go/No Go
Decisions
Modern jet transport services began in the
early 1950s and significantly increased later
that decade after introduction of the Boeing
707 and the Douglas DC-8. As shown in
Figure 1, the western built jet transport fleet
has accumulated approximately 430 million
takeoffs by the end of 2003. Recently there have
been nearly 18 million takeoffs in a typical year.
Thats approximately 34 takeoffs every minute,
every day!
Since no comprehensive fleet-wide records
are available, it is difficult to identify the total
number of RTOs that have occurred throughout
the jet era. However, based on those events
which have been documented, our best estimate
is that one in 3,000 takeoff attempts ends with
an RTO. At this rate, there will be nearly 6000
RTOs during a typical year. That means that
every day, 16 flight crews will perform an RTO.
Statistically, at the rate of one RTO per 3000
takeoffs, a pilot who flies short haul routes and
makes 80 departures per month, will experience
one RTO every three years. At the opposite
extreme, the long haul pilot making only eight
departures per month will be faced with only
one RTO every 30 years.
Figure 2
Distribution of
RTO Initiation
Speeds
The probability that a pilot will ever be required
to perform an RTO from high speed is even
less, as is shown in Figure 2.
Available data indicates that over 75% of all
RTOs are initiated at speeds of 80 knots or less.
These RTOs almost never result in an accident.
Inherently, low speed RTOs are safer and less
demanding than high speed RTOs. At the other
extreme, about 2% of the RTOs are initiated
at speeds above 120 knots. Overrun accidents
and incidents that occur principally stem from
these high speed events.
What should all these statistics tell a pilot?
First, RTOs are not a very common event. This
speaks well of equipment reliability and the
preparation that goes into operating jet transport
airplanes. Both are, no doubt, due in large part
to the certification and operational standards
developed by the aviation community over many
years of operation. Second, and more important,
the infrequency of RTO events may lead to
complacency about maintaining sharp decision
making skills and procedural effectiveness. In
spite of the equipment reliability, every pilot
must be prepared to make the correct Go/No
Go decision on every takeoff-just in case.
0ERCENT
OF TOTAL
24/ OVERRUN
ACCIDENTS
PRINCIPALLY COME
FROM THE OF THE
24/S THAT ARE
HIGH SPEED
2.2
KNOTS
OR LESS
TO
KNOTS
TO
KNOTS
!BOVE
KNOTS
SECTION 2
2.2.2 Successful Go/No Go Decisions
As was mentioned at the beginning of Section
2.2, there is more to a good Go/No Go decision
than the fact that it may not have resulted in
any apparent injury or aircraft damage. The
following examples illustrate a variety of
situations that have been encountered in the
past, some of which would fit the description
of a good decision, and some which are, at
least, questionable.
Listed at the beginning of each of the following
examples is the primary cause or cue which
prompted the crew to reject the takeoff:
1. Takeoff Warning Horn: The takeoff
warning horn sounded as the takeoff roll
commenced. The takeoff was rejected
at 5 knots. The aircraft was taxied off
the active runway where the captain
discovered the stabilizer trim was set
at the aft end of the green band. The
stabilizer was reset and a second takeoff
was completed without further difficulty.
2. Takeoff Warning Horn: The takeoff was
rejected at 90 knots when the takeoff
warning horn sounded. The crew found
the speed brake lever slightly out of
the detent. A normal takeoff was made
following a delay for brake cooling.
3. Engine Power Setting: The throttles were
advanced and N1 increased to slightly
over 95%. N1 eventually stabilized
at 94.8% N1. The target N1 from the
FMC Takeoff Page was 96.8% N1. The
throttles were then moved to the firewall
but the N1 stayed at 94.8%. The takeoff
was rejected due to low N1 at 80 knots.
4. Compressor Stall: The takeoff was
rejected from 155 knots due to a bird
strike and subsequent compressor stall
on the number three engine. Most of the
tires subsequently deflated due to melted
fuse plugs.
5. Nose Gear Shimmy: The crew rejected
the takeoff after experiencing a nose
landing gear shimmy. Airspeed at the
time was approximately Vl-10 knots. All
four main gear tires subsequently blew
during the stop, and fires at the number 3
and 4 tires were extinguished by the fire
department.
6. Blown Tire: The takeoff was rejected at
140 knots due to a blown number 3 main
gear tire. Number 4 tire blew turning
onto the taxiway causing the loss of both
A and B hydraulic systems as well as
major damage to flaps, spar, and spoilers.
These examples demonstrate the diversity of
rejected takeoff causes. All of these RTOs were
successful, but some situations came very
close to ending differently. By contrast, the
large number of takeoffs that are successfully
continued with indications of airplane system
problems such as caution lights that illuminate
at high speed or tires that fail near V1, are
rarely ever reported outside the airlines
own information system. They may result
in diversions and delays but the landings are
normally uneventful, and can be completed
using standard procedures.
This should not be construed as a blanket
recommendation to Go, no matter what. The
goal of this training aid is to eliminate RTO
accidents by reducing the number of improper
decisions that are made, and to ensure that the
correct procedures are accomplished when
an RTO is necessary. It is recognized that the
kind of situations that occur in line operations
are not always the simple problem that the
pilot was exposed to in training. Inevitably,
the resolution of some situations will only
be possible through the good judgment and
discretion of the pilot, as is exemplified in the
following takeoff event:
After selecting EPR mode to set takeoff
thrust, the right thrust lever stuck at 1.21
EPR, while the left thrust lever moved to
2.3
SECTION 2
the target EPR of 1.34. The captain tried to
reject the takeoff but the right thrust lever
could not be moved to idle. Because the
light weight aircraft was accelerating very
rapidly, the Captain advanced the thrust on
the left engine and continued the takeoff.
The right engine was subsequently shut
down during the approach, and the flight
was concluded with an uneventful single
engine landing.
The failure that this crew experienced was not
a standard training scenario. Nor is it included
here to encourage pilots to change their mind
in the middle of an RTO procedure. It is simply
an acknowledgment of the kind of real world
decision making situations that pilots face. It is
perhaps more typical of the good judgements
that airline crews regularly make, but the world
rarely hears about.
40 serious incidents have been identified which
likely would have been accidents if the runway
overrun areas had been less forgiving. The
following are brief accounts of four actual
accidents. They are real events. Hopefully, they
will not be repeated.
ACCIDENT: At 154 knots, four knots after
V1, the copilots side window opened, and the
takeoff was rejected. The aircraft overran,
hitting a blast fence, tearing open the left wing
and catching fire.
ACCIDENT: The takeoff was rejected by the
captain when the first officer had difficulty
maintaining runway tracking along the 7,000
foot wet runway. Initial reports indicate that the
airplane had slowly accelerated at the start of
the takeoff roll due to a delay in setting takeoff
thrust. The cockpit voice recorder (CVR)
readout indicates there were no speed callouts
2.2.3 RTO Overrun Accidents and Incidents
made during the takeoff attempt. The reject
speed was 5 knots above V1. The transition to
The one-in-one-thousand RTOs that became stopping was slower than expected. This was
accidents or serious incidents are the ones
to have been the last flight in a long day for the
that we must strive to prevent. As shown in
crew. Both pilots were relatively inexperienced
Figure 3, at the end of 2003, records show 57 inservice RTO overrun accidents for the western in their respective positions. The captain had
built jet transport fleet. These 57 accidents about 140 hours as a captain in this airplane
caused more than 400 fatalities. An additional type and the first officer was conducting
10
Figure 3
97 RTO overrun
accidents/incidents
1959-2003
Number
of events
per year
0
1960 1965 1970 1975 1980 1985 1990 1995 2000
Year
2.4
SECTION 2
his first non-supervised line takeoff in this
airplane type. The airplane was destroyed when
it overran the end of the runway and broke
apart against piers which extend off the end
of the runway into the river. There were two
fatalities. Subsequent investigation revealed
that the rudder was trimmed full left prior to
the takeoff attempt.
ACCIDENT: A f lock of sea gulls was
encountered very near V1. The airplane
reportedly had begun to rotate. The number
one engine surged and flamed out, and the
takeoff was rejected. The airplane overran
the end of the wet 6,000 foot runway despite a
good RTO effort.
ACCIDENT: At 120 knots, the flight crew noted
the onset of a vibration. When the vibration
increased, the captain elected to reject and
assumed control. Four to eight seconds elapsed
between the point where the vibration was first
noted and when the RTO was initiated (just
after V1). Subsequent investigation showed two
tires had failed. The maximum speed reached
was 158 knots. The airplane overran the end of
the runway at a speed of 35 knots and finally
stopped with the nose in a swamp. The airplane
was destroyed.
These four cases are typical of the 97 reported
accidents and incidents.
2.2.4 Statistics
Studies of the previously mentioned 97
accidents/incidents have revealed some
interesting statistics, as shown in Figure 4:
Fifty-five percent were initiated at speeds
in excess of V1.
Approximately one third were reported as
having occurred on runways that were wet
or contaminated with snow or ice.
Both of these issues will be thoroughly
discussed in subsequent sections.
An additional, vitally interesting statistic
that was obser ved when the accident
records involving Go/No Go decisions were
reviewed, was that virtually no revenue
flight was found where a Go decision
was made and the airplane was incapable
of continuing the takeoff. Regardless of the
ability to safely continue the takeoff, as will be
seen in Section 2.3, virtually any takeoff can be
successfully rejected, if the reject is initiated
early enough and is conducted properly. There
is more to the Go/No Go decision than Stop
before V1 and Go after V1. The statistics of
the past three decades show that a number of
jet transports have experienced circumstances
near V1 that rendered the airplane incapable of
being stopped on the runway remaining. It also
24/ )NITIATION 3PEED
Figure 4
Major factors
in previous RTO
incidents and
accidents
'REATER THAN 6
.OT
REPORTED
2UNWAY #ONDITION
,ESS THAN
EQUAL TO 6
7ET
$RY
)CESNOW
.OT REPORTED
2.5
SECTION 2
must be recognized that catastrophic situations
could occur which render the airplane incapable
of flight.
2.2.5 Lessons Learned
Several lessons can be learned from these
RTO accidents. First, the crew must always
Reasons why the 97 unsuccessful RTOs be prepared to make the Go/No Go decision
were initiated are also of interest. As shown prior to the airplane reaching V1 speed. As
in Figure 5, approximately one-fifth were will be shown in subsequent sections, there
initiated because of engine failures or engine may not be enough runway left to successfully
indication warnings. The remaining seventy- stop the airplane if the reject is initiated after
nine percent were initiated for a variety of V1. Second, in order to eliminate unnecessary
reasons which included tire failures, procedural RTOs, the crew must differentiate between
error, malfunction indication or lights, noises situations that are detrimental to a safe takeoff,
and vibrations, directional control difficulties and those that are not. Third, the crew must be
and unbalanced loading situations where the prepared to act as a well coordinated team. A
airplane failed to rotate. Some of the events good summarizing statement of these lessons
contained multiple factors such as an RTO on is, as speed approaches V1, the successful
a contaminated runway following an engine completion of an RTO becomes increasingly
failure at a speed in excess of V1. The fact that more difficult.
the majority of the accidents and incidents
occurred on airplanes that had full thrust A fourth and final lesson learned from past
available should figure heavily in future Go/No RTO history is illustrated in Figure 6. Analysis
of the available data suggests that of the 97
Go training.
Figure 5
Reasons for
initiating the RTO
(97 accidents/
incident events)
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