Serious incident McDonnell Douglas MD-90-30 B-17919, Thursday 24 August 2000
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Date:Thursday 24 August 2000
Time:c. 13:48 LT
Type:Silhouette image of generic MD90 model; specific model in this crash may look slightly different    
McDonnell Douglas MD-90-30
Owner/operator:UNI Air
Registration: B-17919
MSN: 53569/2173
Fatalities:Fatalities: 0 / Occupants: 69
Other fatalities:0
Aircraft damage: None
Category:Serious incident
Location:Kaohsiung International Airport (KHH/RCKH) -   Taiwan
Phase: Landing
Nature:Passenger - Scheduled
Departure airport:Taipei-Songshan Airport (TSA/RCSS)
Destination airport:Kaohsiung International Airport (KHH/RCKH)
Investigating agency: ASC
Confidence Rating: Accident investigation report completed and information captured
Narrative:
UNI Air flight 815, a McDonnell Douglas MD-90, B-17919, suffered a runway excursion in rainy conditions. The incident was attributed to the flight crew’s lack of knowledge of the “Autobrake” system and a late touchdown.

On August 24, 2000, UNI Air flight 815, bearing registration no. B-17919, aircraft type MD-90, departed from Songshan Airport for Kaohsiung International Airport at 1308 local time (Taipei) and
landed at 1348:41. After passing the end of Runway 09L and the clearway, the aircraft overran the runway for around 31.4 meters on the grass. No injuries were reported, and the aircraft suffered no damages.

Findings
1. The flight crews were properly qualified and licensed.

2. The aircraft was released for duty according to MEL and complied with airworthiness directives.

3. Weight and Balance of the aircraft was within the regulated limits.

4. The meteorological condition during the accident was conformed to the operating limitations of MD-90 aircrafts of UNI Air.

5. In the Flight Operations Manual, the crew callouts were merely listed till the moment before landing.

6. The check procedures and operations of the pilots were not conformed to the requirements of “MD-90 Flight Crew Operation Manual”.

7. The pilots made excessive conversations in the cockpit leading to the reduction of situation awareness and affected flight operations.

8. The inexistence of the Auto brakes System was not confirmed by the before landing checklist.

9. Landing flaps for wet runway was 28.

10. The landing speed was 12.5 knots faster than normal value.

11. The touchdown point of the aircraft was 3,270 feet from the threshold of Runway 09L, too late to touch down.

12. The timing of the brakes used on the runway was late, the captain was not able to realize in time, and the first officer was not able to realize or remind in time as well.

13. After the aircraft passed the end of runway 09L and the clearway, it overran the runway for around 31.4 meters on the grass, no injuries were reported and the aircraft suffered no damages.

14. The teamwork, coordination and interaction were insufficient among crew members.

15. After the accident, the hydraulic pressure, brake system and wheels of the aircraft were all checked to be normal.

Probable Causes
Before the aircraft landed, the inexistence of the Autobrakes System was not confirmed, landing speed was faster than normal speed and the touchdown was overshoot; After touchdown, the focus of the flight crew was not completely on maneuvering the aircraft, insufficient teamwork and too late to decelerate leading to the incapability of stopping the aircraft on the runway.

Safety Recommendations

To Civil Aeronautics Administration (CAA)
1. Review the examining system and the executing status of the “Flight Operations Manual” of UNI Air, and the training and supervision of the company. (ASC-ASR-00-12-001)

2. Supervise and test UNI Air pilots of the comprehensive levels of all relevant manuals and regulations, the operating procedures and the practice of crew callouts. (ASC-ASR-00-12-002)

To UNI Air
1. Review the requirements and trainings of crew resource management, and implement according to “Nationality Airways Crew Resource Management”. (ASC-ASR-00-12-003)

2. Review the differences between Flight Operations Manual and the Flight Crew Operation Manual, and make explicit regulations. (ASC-ASR-00-12-004)

3. Review the responsibilities of Captain/First Officer or Pilot Flying/Pilot Not-Flying during each phase of flight, and make explicit definitions for abnormal situations. (ASC-ASR-00-12-005)

4. For aircrafts without auto brakes systems in the MD-90 fleet, establish related operating regulations, check procedures and notes according to the differences aircrafts equipped with Autobrake systems. (ASC-ASR-00-12-006)

5. Establish principles of the timing for explanations and conversations inside the cockpit according to the flight operations, teamwork, coordination and interaction situations .(ASC-ASR-00-12-007)

6. Carry out flight operations and check procedures according to “MD-90 Flight Crew Operation Manual”. (ASC-ASR-00-12-008)

7. Make sure the choice of landing configuration is made and based on the advice of “MD-90 Flight Crew Operation Manual”, combined with the aircraft and the environmental circumstances. (ASC-ASR-00-12-009)

8. Review the operations and crew cooperation regulations in the after landing phase. (ASC-ASR-00-12-010)

Accident investigation:
cover
  
Investigating agency: ASC
Report number: 
Status: Investigation completed
Duration:
Download report: Final report

Sources:

https://www.ttsb.gov.tw/media/3382/asc-air-00-12-001.pdf

https://www.airliners.net/photo/UNI-Air/McDonnell-Douglas-MD-90-30/104500?qsp=eJwljEEKwkAMRe/y111YBJHZqQfQhRcImdAWqhmSLCyld3em3f33PrwVrN%2BQX7yXIkhwIeMRHQoZfRxpRRk19EEhg9qC1HdwtbjXiVztjVlKSMbhn5bF2iXOe2Zo2f50bSD2Ovh8qZgnLzPtHQmaZmzbH7OcLyQ%3D
https://www.airfleets.net/ficheapp/plane-md80-53569.htm

Location

Revision history:

Date/timeContributorUpdates
31-Aug-2024 14:44 Justanormalperson Added
31-Aug-2024 14:45 ASN Updated [Departure airport, Narrative, ]
03-Sep-2025 19:50 Justanormalperson Updated [Time, Total occupants, Departure airport, Source, Narrative, ]
03-Sep-2025 19:51 Justanormalperson Updated

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