CHI98IA169

NTSB incident investigation · Douglas DC-9-34 · St. Louis, MO · April 30, 1998

Incident · No injuriesIncident investigationFinal report
Date
April 30, 1998, 10:40 local (15:40 UTC)
Place
St. Louis, MO
Injuries
44 uninjured
Damage
No damage
Phase of flight
Initial climb
Aircraft
N928LDouglas DC-9-34
Weather
Visual (VMC) · Not reported
Status
Completed · report November 29, 2000
Report
Approved by Office Director
Case key
10752

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 yaw rate gyro of the Stab Aug Computer had been installed in a reverse position that was 180 degrees opposite from the correct position.

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/malfunctionTakeoff - initial climb
Flight/nav instruments,rate gyro - failureCause
Maintenance,installation - improperOther maintenance personnelCause

Analysis

The flight experienced a flight control malfunction after takeoff. The flight declared an emergency and returned to the airport safely with no damage to the aircraft or injuries to the crew or passengers. The Captain stated: 'After takeoff the aircraft began to yaw and roll in a cyclic fashion left and right. I switched the yaw damper off and on to ensure that the yaw damper was on. Yaw and roll continued and appeared to increase in its yaw amplitude as the airspeed increased... I declared an 'Emergency' and requested an immediate return for a landing with the emergency equipment standing by... The landing was made in a normal fashion without damage to the aircraft or injury to anyone on board. Total air time was 6 minutes.' The Stability Augmentation Computer, Part 2587826-3, S/N 0270890 was inspected at the TWA Maintenance Facility. The inspection determined that the yaw rate gyro of the Stab Aug Computer had been installed in a reverse position that was 180 degrees opposite from the correct position.

Factual narrative

On April 30, 1998, at 1040 cdt, N928L, a McDonnell Douglas DC9-34, being operated as Trans World Airlines flight number 732, from Saint Louis, Missouri to Toronto, Canada, experienced a flight control malfunction after takeoff. The flight declared an emergency and returned to Saint Louis. There was no damage to the aircraft and there were no injuries to the crew of 5 or 39 passengers. The flight was on an IFR flight plan and visual meteorological conditions prevailed.

The Captain's report states: "After takeoff the aircraft began to yaw and roll in a cyclic fashion left and right. I switched the yaw damper off and on to ensure that the yaw damper was on. Yaw and roll continued and appeared to increase in its yaw amplitude as the airspeed increased... I declared an 'Emergency' and requested an immediate return for a landing with the emergency equipment standing by... The landing was made in a normal fashion without damage to the aircraft or injury to anyone on board. Total air time was 6 minutes." The Captain's full statement is an attachment to this factual report.

The aircraft was a DC-9-34, S/N 48124. The Stability Augmentation Computer, Part 2587826-3, S/N 0270890 was inspected at the TWA Maintenance Facility in Kansas City, Kansas on May 27, 1998. Present at the inspection were personnel from TWA, FAA, NTSB, and Honeywell. See attached "Inspection Sign in Sheet".

The inspection determined that the yaw rate gyro of the Stab Aug Computer had been installed in a reverse position that was 180 degrees opposite from the correct position. It was further determined that there is a correct "red alignment mark" and the gyro was not aligned with the red mark. There is a keyway; however, in this circumstance the pin was flush allowing the gyro to be installed in an incorrect manner.

Aircraft

Registration
N928L
Reported as
Douglas DC-9-34
Category
Airplane
Serial number
48124
Engine
unknown
Damage
No damage
Fire
Unknown
Flight
Part 121
Operator
Trans World Airlines, doing business as Twa
Departed
STL
Destination
YYZ · Toronto
Flight plan
IFR

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Medical
Unknown, Unknown

Weather

Conditions
Visual (VMC) · Not reported