FTW95IA348

NTSB incident investigation · Boeing 737-3H4 · Lubbock, TX · August 18, 1995

Incident · No injuriesIncident investigationFinal report
Date
August 18, 1995, 11:55 local (16:55 UTC)
Place
Lubbock, TX
Injuries
114 uninjured
Damage
Minor damage
Phase of flight
Takeoff
Aircraft
N309SWBoeing 737-3H4
Weather
Visual (VMC) · Day
Status
Completed · report March 21, 1996
Report
Approved by Office Director
Case key
19273

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

installation of an incorrect bearing in the number three main wheel by the wheel assembly supplier, which led to subsequent failure of the wheel bearing and separation of the wheel during takeoff.

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 - roll/run
Landing gear,wheel - incorrectCause
Maintenance,rebuild/remanufacture - improperOther maintenance personnelCause
Landing gear,wheel - failureCause
Landing gear,wheel - separation

Analysis

During takeoff at Lubbock, Texas, the number three wheel assembly separated from the axle. The aircrew continued the flight and landed uneventfully at Albuquerque, New Mexico. Company maintenance records indicated the wheel assembly was last replaced on August 16, 1995. Examination of the aircraft revealed that the axle nut was intact on the axle along with the tang washer. The axle nut locking ring was also in place. The outer bearing was found deteriorated with only its inner race remaining, and the inner bearing remained intact on the axle. Examination of the components revealed that, an incorrect inner bearing had been installed inadvertently by the wheel assembly supplier on the number three wheel assembly. A Timkin part number 594 bearing was installed in lieu of the correct Timkin part number 596 bearing.

Factual narrative

On August 18, 1995, at 1155 central daylight time, a Boeing 737- 3H4, N309SW, sustained minor damage as the number three main wheel separated from the axle on gear retraction during takeoff from Lubbock International Airport (LBB), Lubbock, Texas. The crew of five and 109 passengers were not injured. Visual meteorological conditions prevailed for the Southwest Airlines Flight 866, scheduled Title 14 CFR Part 121 flight to Albuquerque, New Mexico.

Personnel in the Lubbock Air Traffic Control (ATC) Tower observed the number three right main wheel depart the aircraft. During the aircraft's climb, the tower informed the crew of the event. The crew reported to ATC that they would continue the flight to the destination. Upon arrival at Albuquerque (ABQ), New Mexico, the crew landed the aircraft and taxied to the ramp without further incident.

Examination of the aircraft at Albuquerque by company maintenance personnel and a Federal Aviation Administration (FAA) inspector revealed the axle nut was intact on the axle along with the tang washer. The axle nut locking ring was also in place. The outer bearing was found deteriorated with only its inner race remaining. The inner bearing was still intact on the axle. Company maintenance records indicated the wheel assembly was last replaced on August 16, 1995.

Examination of the wheel components by company maintenance personnel, a FAA inspector, and the investigator-in-charge, revealed that an incorrect inner bearing had been installed on the number three wheel assembly. A Timkin part number 594 bearing was installed in lieu of the correct Timkin part number 596 bearing.

The supplier of the wheel assembly, reported to Southwest Airlines, that in their opinion the 594 bearing was inadvertently packed with Mobil 28 grease (red) instead of Aeroshell 5 grease (yellow), and placed into customer stock without an identification tag. Since the 594 and 596 bearings are very similar in appearance once packed with grease, the 594 bearing was misidentified by a small parts area mechanic as a 596 bearing. The bearing was also retrieved from customer stock without the assistance of a certified material control inspector.

While bearing part numbers are listed on the process card that travels with the wheel halves, they were not listed on the portion of the card that travels with the small parts. In three instances, the small parts mechanic, the finished mechanic, and final inspector did not verify the number on the bearing. (See enclosed letter.)

Aircraft

Registration
N309SW
Reported as
Boeing 737-3H4
Category
Airplane
Serial number
22948
Engine
GE CFM-56, 20,000 lbs thrust, turbo fan
Damage
Minor damage
Flight
Part 121
Registered owner
Southwest Airlines
Airworthiness certificate
Standard, Transport
Departed
LBB
Destination
ABQ · Albuquerque, NM
Flight plan
IFR
Airport
LBB · Lubbock International, runway 26, 8,001 × 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
48
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Helicopter, Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
20,000 total · 15,000 in this make and model

Weather

Conditions
Visual (VMC) · Day
Visibility
10 statute miles