Serious incident Boeing 757-222 N575UA,
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ASN Wikibase Occurrence # 352393
 
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Date:Thursday 28 October 1999
Time:21:32 LT
Type:Silhouette image of generic B752 model; specific model in this crash may look slightly different    
Boeing 757-222
Owner/operator:United Airlines
Registration: N575UA
MSN: 26689/515
Year of manufacture:1993
Total airframe hrs:23631 hours
Engine model:P&W PW2037
Fatalities:Fatalities: 0 / Occupants: 68
Aircraft damage: None
Category:Serious incident
Location:Chicago, IL -   United States of America
Phase: En route
Nature:Passenger - Scheduled
Departure airport:Washington-Dulles International Airport, DC (IAD/KIAD)
Destination airport:San Francisco International Airport, CA (SFO/KSFO)
Investigating agency: NTSB
Confidence Rating: Accident investigation report completed and information captured
Narrative:
The pilot reported, "We encountered substantial vertical control flutter FL310-350 .78-.80 Mach with left, center, right autopilot and no autopilot. Flutter stopped when IAS was decreased. Descended to FL310, 250 kts., .75 Mach and had no more flutter. The flight diverted to O'Hare Airport and made an uneventful landing. Maintenance inspections revealed excessive free play in the elevator flight controls. The allowable limit is 0.340 inch and 0.50 inch was measured. The free play was corrected in accordance with the current maintenance manual. The bushings, the left center power control actuator (PCA), two reaction links, and four ilder links were replaced. During a subsequent test flight, vertical oscillations were still present. Further maintenance action included replacing all elevator hinge bearings and four PCA's. The third flight test was successful and the airplane was returned to service. Inspection of two reaction link rod ends revealed axial and radial wear which exceeded allowable limits. Inspection of the 16 hinge bearings revealed 3 bearings had axial and radial wear which exceeded limits and had moderate to severe corrosion. On October 11, 2001, the FAA issued Airworthiness Directive (AD) 2001-20-11 that was applicable to all B-757 series airplanes to "prevent unacceptable airframe vibration during flight, which could lead to excessive wear of elevator bearings and result in reduced controllability of the airplane…" The AD required, "Before further flight after the free-play checks, lubricate the bearings in the elevator PCA load loop and hinge line." Lubrication of the hinge bearings had not been required in a previous AD. The new AD required recurrent inspections every 18 months instead of the previous requirement of 4,000 hours, or 3,000 hours for some models. On January 28, 2001, Boeing issued a maintenance manual revision that corrected improper instructions for elevator free-play checks. The improper procedures in the maintenance manual had been in effect from September 20, 1997, to January 28, 2001.

Probable Cause: the in-flight vibration of the airplane's elevator due to excessive freeplay in the elevator control system. Factors included the corrosion of the elevator PCA reaction link bearings and the elevator hinge bearings, excessive axial and radial wear of the elevator PCA reaction link bearings, the inadequate procedures for lubricating the elevator hinge bearings, and the incorrect procedures for measuring elevator free play.

Accident investigation:
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Investigating agency: NTSB
Report number: CHI00IA018
Status: Investigation completed
Duration: 2 years and 7 months
Download report: Final report

Sources:

NTSB CHI00IA018

Revision history:

Date/timeContributorUpdates
07-Mar-2024 13:32 ASN Update Bot Added
07-Mar-2024 13:34 ASN Updated [Operator, Nature, Departure airport, Destination airport, Narrative]

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