CHI93IA152

NTSB incident investigation · Boeing 767-233 · Kansas City, MO · April 10, 1993

Incident · No injuriesIncident investigationFinal report
Date
April 10, 1993, 11:12 local (16:12 UTC)
Place
Kansas City, MO
Injuries
101 uninjured
Damage
No damage
Phase of flight
Enroute
Aircraft
CGAUPBoeing 767-233
Weather
Visual (VMC) · Day
Status
Completed · report May 10, 1994
Report
Approved by Office Director
Case key
15597

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

A frozen aileron control bearing after it had become worn, corroded and exposed to water, and the manufacturer's inadequate maintenance/inspection requirment of the bearing(s).

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
Flt control syst,aileron control bearing - wornCause
Flt control syst,aileron control bearing - corrodedCause
Flt control syst,aileron control bearing - frozenCause
Maintenance,inspection - inadequateCause
Procedure inadequateManufacturerCause

Analysis

The flight crew noted a loss of aileron control (felt frozen), while cruising at FL 370. They were able to make heading changes by using the rudder & elected to divert to Kansas City (mci). The airplane had been exposed to rain & standing water before the flight. The crew felt the loss of aileron control may have been due to frozen water in the control system. During descent to mci, above freezing air temperatures were encountered, & control of the ailerons gradually returned until full control was regained. An uneventful landing was made at mci. Investigation revealed worn aileron control bearings in the lateral control actuator system. The worn bearings were tested by soaking in water & freezing. Water penetrated a bearing housing & froze inside the bearing race, disabling the bearing. Subsequent disassembly of the bearing disclosed corroded & worn ball bearings. Boeing service letter (767-S-27-094) & sevice bulletin 767-27-0128 were issued to address inspection/replacement criteria of the bearings.

Aircraft

Registration
CGAUP
Reported as
Boeing 767-233
Category
Airplane
Serial number
22521
Airframe hours
32,301
Engine
P&W JT9D-7R4D, 48,000 lbs thrust, turbo fan
Damage
No damage
Flight
Part 129
Operator
Air Canada
Registered owner
Air Canada
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · January 2, 2000
Departed
SFO · San Francisco, CA
Destination
YYZ · Toronto
Flight plan
IFR

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Unknown, Unknown
Seat
Left

Weather

Conditions
Visual (VMC) · Day
Visibility
50 statute miles
Lowest ceiling
None
Temperature
-69 °F
Altimeter
29.00 inHg