CHI98IA007

NTSB incident investigation · Boeing 737-200 · Chicago, IL · October 4, 1997

Incident · No injuriesIncident investigationFinal report
Date
October 4, 1997, 08:10 local (13:10 UTC)
Place
Chicago, IL
Injuries
50 uninjured
Damage
Minor damage
Phase of flight
Landing
Aircraft
N129SWBoeing 737-200
Weather
Visual (VMC) · Day
Status
Completed · report October 30, 1998
Report
Approved by Office Director
FAA report
19971004034669I
Case key
10746

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

an improper repair to a crack in a brake flange hole on the left main landing gear outboard axle, and subsequent fatigue failure of the axle.

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/malfunctionLanding - roll
Landing gear,axle - fatigueCause
Maintenance - improperOther maintenance personnelCause
Landing gear,wheel - separation

Analysis

The left main landing gear outboard wheel/brake assembly separated from the airplane during a landing roll. The Captain did not report any difficulties in controlling the airplane. Inspection of the failed axle revealed a crack which originated at the surface of one of the brake flange holes. This crack had previously been repaired. Detailed metallurgical examination of the crack revealed properties consistent with the surface having been heated to an excessive temperature during the repair process.

Factual narrative

On October 4, 1997, at 0810 central daylight time, a Boeing 737- 200, N129SW, operated by the Southwest Airlines Company, as Southwest Airlines flight 418 experienced a failure of the left main landing gear outboard axle after landing on runway 31C at Midway Airport, Chicago, Illinois. The scheduled passenger flight was operating under 14 CFR Part 121. Visual meteorological conditions prevailed and an IFR flight plan was filed. There were no injuries reported by the Captain, First Officer, 3 Flight Attendants, or 45 passengers. The airplane received minor damage which was confined to the failed axle and the number one engine cowling. The flight originated at Kansas City, Missouri, at 0710 cdt.

The Captain reported they touched down smoothly on the "numbers" with 40 degrees of flaps in a "very slight" crab. He reported the airplane was on the centerline as they applied reverse thrust and "moderate" braking. The Captain reported that due to his perception that another airplane was close behind him on final approach he began braking sooner then normal, but in any case "max braking" was not used. He reported that at 80 knots, as they were coming out of reverse thrust, the airplane "...lurched as it would with the anti-skid cycling and began to track right." He reported that since they were turning off the runway to the right, he let the airplane continue and he used nose steering to aim toward the turnoff. He reported they cleared the runway and proceeded to the gate.

According to the Captain, once they were parked at the gate the "C" flight attendant told the flight crew that a passenger reported seeing a wheel rolling away form the airplane before they turned off the runway. A mechanic told the flight crew that the number one tire, wheel, and brake assembly was missing. The Captain reported that after he visually inspected the wheel, he returned to the airplane and called ground control. He was informed that they already had found the wheel assembly near the point where the airplane turned off the runway.

Inspection of the left main landing gear revealed the outboard axle fractured just inboard of the brake assembly mounting flange The tire, wheel, and brake assembly separated as one unit from the main landing gear inner cylinder. The tire pressure was checked and found to be normal. No evidence of hydroplaning was found on the tire. The brake assembly was free and with the exception of the hydraulic line, emergency air line, and anti- skid wiring, no damage was noted. A slight dent was found in the inboard side cowl panel ahead of the reverser actuator fairing on the number one engine.

The failed cylinder/axle assembly was sent to the National Transportation Safety Board Materials Laboratory in Washington, D.C., for inspection. Inspection of the assembly revealed three fatigue cracks were present in the inboard portion of the brake flange. One of the cracks originated at the surface of one of the brake flange holes. Examination of this crack revealed that the "...region immediately adjacent to the crack possessed a different surface texture from the rest of the hole. Energy- dispersive spectrometry (EDS) of this region showed high levels of both nickel and chromium, along with low levels of the elements present in the underlying base material." Further inspection of the crack revealed two additional layers between the plating and the base material. The second layer was "...consistent with untempered martensite." The third layer "...has the appearance of overtempered martensite." The report concluded that "This combination of layers in a repaired area is consistent with the surface having been heated to a temperature above the austenitic transformation temperature of the material (approximately 1600 degrees F)." See attached Materials laboratory Factual Report for further details.

According to Southwest Airlines N129SW was purchased from America West Airlines in May, 1993. Southwest Airlines reported that they had not done any maintenance/repair work to the landing gear inner cylinder/axle assembly, p/n 65-46116-20. According to maintenance records, the landing gear was last overhauled by Hawker Pacifica, Inc., on July 29, 1988, and it was installed on the airplane on January 28, 1989. The cylinder/axle assembly had 25,619:39 hours since overhaul at the time of this incident. The next overhaul was scheduled for December 24, 1997.

Aircraft

Registration
N129SW
Reported as
Boeing 737-200
Category
Airplane
Serial number
22340
Airframe hours
49,400
Engine
P&W JT8D-9, 14,500 lbs thrust, turbo fan
Damage
Minor damage
Flight
Part 121
Operator
Southwest Airlines, doing business as Southwest Airlines
Registered owner
First Security Bank
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · August 20, 1997 · 386 hours before
Departed
MCI · Kansas City, MO
Destination
MDW
Flight plan
IFR
Airport
MDW · Midway, runway 31C, 6,522 × 150 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
55
Certificates
Flight instructor, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
16,100 total · 5,600 in this make and model · 7,250 as pilot in command · 226 in the last 90 days · 85 in the last 30 days · 7 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
240° at 10 knots
Visibility
6 statute miles
Lowest ceiling
8,500 ft overcast
Temperature
70 °F, dew point 64 °F
Altimeter
29.00 inHg
Observed at
MDW

FAA reports on this event · 1

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