Incident Overview

Date: Friday 30 July 1971
Aircraft Type: Boeing 747-121
Owner/operator: Pan American World Airways (Pan Am)
Registration Number: N747PA
Location: San Francisco International Airport, CA (SFO) – ÿ United States of America
Phase of Flight: Initial climb
Status: Substantial, repaired
Casualties: Fatalities: 0 / Occupants: 218
Component Affected: Approach Light System Structure (ALS)Approach Light System Structure (ALS)
Investigating Agency: NTSBNTSB
Category: Accident
A Boeing 747 aircraft struck the Approach Light Structure (ALS) at the departure end of runway 01R in San Francisco International Airport. Two passengers were seriously injured due to structural damage from the ALS. The flightcrew continued takeoff and flew for one hour and forty-two minutes, assessing damage and dumping fuel before landing on runway 28L. After landing, the aircraft veered off the runway and came to a stop in an unpaved area, approximately 5,300 feet from the approach end.A Boeing 747 aircraft struck the Approach Light Structure (ALS) at the departure end of runway 01R in San Francisco International Airport. Two passengers were seriously injured due to structural damage from the ALS. The flightcrew continued takeoff and flew for one hour and forty-two minutes, assessing damage and dumping fuel before landing on runway 28L. After landing, the aircraft veered off the runway and came to a stop in an unpaved area, approximately 5,300 feet from the approach end.

Description

The Pan American Boeing 747 struck the Approach Light Structure (ALS) at the departure end of runway 01R while taking off from the San Francisco International Airport. Two passengers, in seats 47G and 48G, were seriously injured by parts of the Approach Light System structure which penetrated the passenger compartment. The flightcrew continued the takeoff and then flew the aircraft for 1 hour and 42 minutes while assessing the structural damage and dumping fuel before landing on runway 28L. After landing, the aircraft veered off the right side of runway 28L and came to a stop in the unpaved area approximately 5,300 feet from the approach end of the runway. The passengers and crew evacuated the aircraft using the emergency evacuation slides. Upon activation of the slides for evacuation, four of the 10 passenger slides failed to function properly and were not useable. During the evacuation the aircraft tilted slowly back onto the rear section of the fuselage. The aircraft had been dispatched for a departure from a closed runway and, upon changing to an open runway, the crew did not recompute the proper reference speeds for takeoff under the existing conditions. PROBABLE CAUSE: “The National Transportation Safety Board determines that the probable cause of this accident was the pilot’s use of incorrect takeoff reference speeds. This resulted from a series of irregularities involving: (1) the collection and dissemination of airport information; (2) aircraft dispatching; and (3) crew management and discipline; which collectively rendered ineffective the air carrier’s operational control system.”

Primary Cause

Pilot’s use of incorrect takeoff reference speeds, resulting from irregularities in airport information, aircraft dispatching, and crew management and discipline.Pilot’s use of incorrect takeoff reference speeds, resulting from irregularities in airport information, aircraft dispatching, and crew management and discipline.

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