CHI91MA260

NTSB accident investigation · British Aerospace 3201 · St Louis, MO · August 12, 1991

Accident · No injuriesMajor investigationFinal report
Date
August 12, 1991, 11:09 local (16:09 UTC)
Place
St Louis, MO
Injuries
7 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N339TEBritish Aerospace 3201
Weather
Visual (VMC) · Day
Status
Completed · report March 2, 1993
Report
Approved by Office Director
FAA report
19910812033899A
Case key
15197

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

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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.

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/malfunctionCruise - normal
Hydraulic system,line - fatigueFactor
Acft/equip,inadequate designManufacturerFactor
Fluid,hydraulic - leakFactor
Landing gear,normal retraction/extension assembly - inoperative
Gear not extendedLanding - flare/touchdown
Emergency procedure - not followedPilot in commandCause

Analysis

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.

Aircraft

Registration
N339TE
Reported as
British Aerospace 3201
Category
Airplane
Serial number
935
Engine
Garrett TPE 331-12UA, 1,200 horsepower, turbo prop
Damage
Substantial damage
Flight
Part 135
Operator
Trans States Airlines, doing business as Trans World Express
Registered owner
British Aerospace, Inc.
Departed
FSM · Ft Smith, AR
Flight plan
IFR
Airport
STL · Lambert-St Louis Intl, runway 3L, 11,918 × 200 ft, concrete

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
28
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Valid Medical--no waivers/lim.
Flight hours
4,200 total · 750 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
70° at 6 knots
Visibility
10 statute miles
Lowest ceiling
25,000 ft broken
Temperature
-0 °F, dew point -0 °F
Observed at
STL, 1 nm away

FAA reports on this event · 1

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