Serious incident Douglas DC-9-51 N415EA,
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ASN Wikibase Occurrence # 366751
 
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Date:Thursday 21 June 1990
Time:20:00 LT
Type:Silhouette image of generic DC95 model; specific model in this crash may look slightly different    
Douglas DC-9-51
Owner/operator:Eastern Air Lines
Registration: N415EA
MSN: 47749/865
Engine model:P&W JT8D-17
Fatalities:Fatalities: 0 / Occupants: 111
Aircraft damage: Minor
Category:Serious incident
Location:Atlanta, GA -   United States of America
Phase: Take off
Nature:Unknown
Departure airport:(KATL)
Destination airport:Kansas City, MO (KMCI)
Investigating agency: NTSB
Confidence Rating: Accident investigation report completed and information captured
Narrative:
DURING THE TAKE OFF ROLL A BLOW OUT OCCURRED TO THE NO. 4 TIRE. THE AIRPLANE WAS RETURNED TO THE DEPARTURE AIRPORT & LANDED UNEVENTFULLY. EXAMINATION OF THE TIRE REVEALED DAMAGE TO THE INNER LINER CONSISTENT WITH UNDER INFLATION. THE MAINT PROGRAM FOR THE OPERATOR REQUIRES TIRE PRESSURES TO BE CHECKED WITH A GAUGE DURING LAY OVER SERVICE INSPECTIONS. MAINTENANCE RECORDS INDICATED THE INSPECTION WAS DONE THE PREVIOUS DAY. RECAP RECORDS FOR THE TIRE ALSO REVEALED THAT IT WAS RECAPPED & DELIVERED TO THE OPERATOR WITH A PIN HOLE IN THE LINER WHICH ALLOWED A SLOW LEAK. THE PIN HOLE WAS NOT REPAIRED PRIOR TO DELIVERY TO THE OPERATOR.

Probable Cause: INADEQUATE MAINTENANCE INSPECTION OF THE AIRPLANE WHICH RESULTED IN OPERATION OF THE TIRE WHILE UNDER INFLATED AND ITS SUBSEQUENT FAILURE. A FACTOR IN THE INCIDENT WAS THE INADEQUATE QUALITY CONTROL BY THE TIRE RECAPPING FACILITY WHICH FAILED TO REPAIR A PREVIOUSLY IDENTIFIED TIRE DEFECT.

Accident investigation:
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Investigating agency: NTSB
Report number: ATL90IA136
Status: Investigation completed
Duration: 2 years and 6 months
Download report: Final report

Sources:

NTSB ATL90IA136

Revision history:

Date/timeContributorUpdates
21-Mar-2024 11:47 ASN Update Bot Added

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