ASN Wikibase Occurrence # 364717
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Date: | Monday 12 August 1991 |
Time: | 11:09 LT |
Type: | British Aerospace 3201 Jetstream 31 |
Owner/operator: | Trans States Airlines |
Registration: | N339TE |
MSN: | 935 |
Engine model: | GARRETT TPE 331-12UA |
Fatalities: | Fatalities: 0 / Occupants: 7 |
Aircraft damage: | Substantial |
Category: | Accident |
Location: | St Louis, MO -
United States of America
|
Phase: | En route |
Nature: | Unknown |
Departure airport: | Ft Smith, AR (KFSM) |
Destination airport: | |
Investigating agency: | NTSB |
Confidence Rating: | Accident investigation report completed and information captured |
Narrative:DRG FLT, A HYDR LINE (PN 137311D1443) IN THE MAIN HYDR SYS FAILED. THE CAPT & 1ST OFFICER MADE NUMEROUS ATMTS TO EXTD THE LNDG GEAR BY USING THE EMERG CHECKLIST & ACFT FLT MANUAL. TWO OF 3 LNDG GEAR LEGS WERE EXTDD, BUT THE PLTS WERE UNABLE TO EXTD THE LEFT MAIN LNDG GEAR. SUBSEQENTLY, THE ACFT WAS DMGD DRG LNDG. THE HYDR LINE WAS CURVED & MEASURED ABT 15' FM END TO END. IT HAD FAILED AT THE BASE OF A FLARED FITTING. THIS ALLOWED HYDR FLUID IN THE MAIN SYS RESERVOIR TO BE PUMPED OVERBOARD. THE EMERG HYDR SYS HAD A 3 PSN SLCTR: NORMAL, FLAPS DOWN, GEAR DOWN. TESTS OF THE GEAR EXTN SYS REVEALED IT WORKED PROPERLY PER INSTRNS FM THE EMERG CHECKLIST, BUT WITH THE SLCTR IN THE NORMAL PSN, THE LINE FAILURE ALLOWED FLUID TO BE PUMPED FM THE EMERG RESERVOIR TO THE MAIN SYS. A METALLURGICAL EXAM REVEALED THE HYDR LINE HAD FAILED FM MULTIPLE FATIGUE ORIGINS ON THE OUTSIDE DIAMETER OF THE TUBE & ON DIAMETRICALLY OPPOSITE SIDES. LATER, BRITISH AEROSPACE ISSUED A SVC BULLETIN (23-JM-8170) TO REINFORCE THE HYDR LINE.
Probable Cause: FAILURE OF THE PILOT(S) TO FOLLOW THE CORRECT EMERGENCY PROCEDURE. FACTORS RELATED TO THIS ACCIDENT WERE: INADEQUATE SYSTEM DESIGN BY THE MANUFACTURER, WHICH ALLOWED HYDRAULIC LINE VIBRATION, FATIGUE FAILURE OF THE LINE, AND LOSS OF FLUID FROM THE NORMAL HYDRAULIC SYSTEM.
Accident investigation:
|
| |
Investigating agency: | NTSB |
Report number: | CHI91MA260 |
Status: | Investigation completed |
Duration: | 1 year and 6 months |
Download report: | Final report |
|
Sources:
NTSB CHI91MA260
Revision history:
Date/time | Contributor | Updates |
19-Mar-2024 18:04 |
ASN Update Bot |
Added |
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