ANC98IA026

NTSB incident investigation · Boeing 737-205 · Anchorage, AK · March 11, 1998

Incident · No injuriesIncident investigationFinal report
Date
March 11, 1998, 11:45 local (15:45 UTC)
Place
Anchorage, AK
Injuries
81 uninjured
Damage
No damage
Phase of flight
Standing
Aircraft
N733ARBoeing 737-205
Weather
Day
Status
Completed · report February 16, 2001
Report
Approved by Office Director
NTSB office
Alaska Regional Office
FAA report
19980311006709I
Case key
3099

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the incident.

On this page

Probable cause

The NTSB’s determination of the probable cause, and any contributing factors.

The dynamic imbalance in the yaw rate gyro, which provided input to the yaw damper and rudder. A factor was the deteriorated grease in the gyro bearings.

Analysis

During parking at the gate, the airplane's rudder began a rapid rudder oscillation which shook the entire airplane. Postincident testing determined that the rudder was oscillating approximately 1.5 degrees either side of centerline, solely within the authority of the yaw damper. No corresponding cockpit rudder pedal movement occurred. Further testing revealed a loss of grease to the yaw rate gyro spin bearings, and corresponding damage to the spin and gimbal bearings. The yaw damp coupler and gyro had accumulated 24,850 hours in service.

Factual narrative

The factual narrative520 words

On March 11, 1998, about 1145 Alaska standard time, a Boeing 737-205 airplane, N733AR, had rapid, uncommanded, rudder movement while parking at the gate at Anchorage International Airport, Anchorage Alaska. The airplane was operated by Arco Alaska, Inc., under 14 CFR Part 91, between Prudhoe Bay, Alaska, and Anchorage. There were no injuries to the two pilots, three flight attendants, or the 76 passengers on board.

During a telephone conversation with the NTSB investigator on March 11, the Captain indicated that while on the ground in Prudhoe Bay, the crew felt a momentary airframe vibration. The airplane then departed Prudhoe Bay for Anchorage. On arrival in Anchorage, while completing the shut down check list, the crew again felt a moderate vibration. Ground personnel outside the airplane noted a rapid movement of the rudder which vibrated the entire airframe.

During maintenance troubleshooting, while on ground power, application of rudder resulted in a severe airframe vibration. Ground personnel reported the rudder was moving at a very high rate of speed.

Ground tests conducted on March 14, 1998, involving the NTSB, FAA, Boeing, Honeywell, and Arco Alaska personnel, determined that the yaw damper coupler (YDC), part number 403952-906, was producing oscillatory inputs to the rudder actuator. Rudder excursions were observed to be +/- 1.5 degrees either side of centerline, at an estimated frequency of 4 to 6 cycles per second. The yaw damper mechanical authority limit is +/- 3 degrees either side of centerline.

The YDC was removed and tested at Honeywell's northwest service center, Renton, Washington, on April 22, 1998. All parties were in attendance. Acceptance tests were completed as per MM-15-1141-18, Revision 1. A mechanical grinding noise was audible when the unit was operated. Tests were conducted at room temperature, after oven heating, and after cold soaking. All tests were passed with near nominal values, except for yaw rate gyro output.

The yaw rate gyro, part number 2589124-902, was tested, and then disassembled for inspection at Honeywell's Phoenix, Arizona, facility on June 12, 1998, under the supervision of an NTSB investigator. The gyro failed the output oscillation tests. Disassembly revealed lack of lubrication and spalling to the spin bearings, and heavy false brinnelling to the gimbal bearings.

A review of maintenance records revealed that during the previous three months, several transient, vibratory, discrepancies had been noted by flight crews, both on the ground and in-flight. No airplane control difficulties were experienced. Maintenance troubleshooting of each occurrence yielded a correctable discrepancy, unrelated to the yaw damp coupler.

The YDC and the mechanical yaw rate gyro assembly had both accumulated 24,850 hours in operation. Airworthiness Directive (AD) 98-02-01 of February 17, 1998, requires the replacement of the yaw rate gyro within 3,000 hours of the effective date of this AD if the unit has accumulated more than 12,000 hours, and thereafter each 9,000 hours. Prior to AD 98-02-01, there was no life limit imposed on the yaw rate gyros installed in B-737 series airplanes. At the time of the incident, the YDC had accumulated about 150 hours since the AD became effective. Replacement of this YDC was not required for another 2,850 hours.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Airframe/component/system failure/malfunctionStanding
Flight control,rudder - fluctuating
Flt control syst,yaw damper - erratic
Lubricant,grease - deterioratedFactor
Flt control syst,yaw damper - dynamic imbalanceCause

Aircraft

Registration
N733AR
Reported as
Boeing 737-205
Category
Airplane
Serial number
1256
Airframe hours
24,850
Engine
P&W JT-8D, 16,000 lbs thrust, turbo fan
Damage
No damage
Flight
Business · Part 91
Operator
Arco Alaska, Inc.
Registered owner
First Security Bank Ut Trustee
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · March 10, 1998 · 3 hours before
Departed
PUO · Prudhoe Bay, AK
Destination
ANC · AK
Flight plan
IFR
Airport
ANC · Anchorage Int'L Airport

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
50
Certificates
Commercial, Airline transport, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left

Weather

Conditions
Day

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.