CHI90IA006

NTSB incident investigation · Boeing 757-251 · San Francisco, CA · October 9, 1989

Incident · No injuriesIncident investigationFinal report
Date
October 9, 1989, 11:45 local (18:45 UTC)
Place
San Francisco, CA
Injuries
147 uninjured
Damage
Minor damage
Phase of flight
Enroute
Aircraft
N512USBoeing 757-251
Weather
Visual (VMC) · Day
Status
Completed · report August 26, 1992
Report
Approved by Office Director
Case key
14560

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

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Probable cause

The extreme wear and eventual failure of a torque tube in the inboard trailing edge flap system. Inspection and lubrication intervals were a factor, as was the physical location of the torque tube with reference to external factors.

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/malfunctionDescent - normal
Flt control syst,wing flap control cable/rod - wornFactor
Maintenance,lubrication - inadequateFactor
Insufficient standards/requirements,manufacturerManufacturerFactor
Flt control syst,wing flap control cable/rod - failure,totalCause
Flight control,flap - inoperativeCause

Analysis

The flight crew reported that they received a 'flap disagree' message during the descent and approach to their destination airport. When checklist procedures were not successful in correcting the situation, an uneventful 'abnormal flap' landing was performed. Post-incident inspection revealed a failed inboard trailing edge flap drive torque tube coupling. Further investigation revealed one similar failure, and examination of the operating 757 fleet revealed numerous occurrences of excessive wear on the aft coupling of the torque tube assembly. Lab analysis of the wear, and a metallurgical examination resulted in the manufacturer reducing the recommended maintenance interval and recommending more frequent visual inspections of the component.

Aircraft

Registration
N512US
Reported as
Boeing 757-251
Category
Airplane
Serial number
23201
Airframe hours
11,582
Engine
P&W 2037, 38,200 lbs thrust, turbo fan
Damage
Minor damage
Flight
Part 121
Operator
Northwest Airlines
Registered owner
First Nat'L Bank Of Boston Tst
Airworthiness certificate
Standard, Transport
Departed
DTW · Detroit, MI
Flight plan
IFR

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
49
Certificates
Airline transport, Commercial
Airplane ratings
Multi-engine land, Single-engine sea, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
11,700 total · 150 in the last 90 days · 50 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
290° at 6 knots
Visibility
15 statute miles
Lowest ceiling
None
Temperature
70 °F