LAX90FA061

NTSB accident investigation · Boeing 737-204 · Tucson, AZ · December 31, 1989

Accident · Minor injuriesField investigationFinal report
Date
December 30, 1989, 19:01 local (Dec 31, 1989, 02:01 UTC)
Place
Tucson, AZ
Injuries
10 minor, 123 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N198AWBoeing 737-204
Weather
Visual (VMC) · Night/dark
Status
Completed · report October 7, 1992
Report
Approved by Office Director
FAA report
19891230054269A
Case key
26604

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 operator's maintenance personnel to detect an electrical wire which had chafed against a hydraulic line and which eventually arced causing a leak in the hydraulic line and subsequent fire and hydraulic system failure. In addition, previous wear of check valves in the backup hydraulic systems prevented the airplane from stopping on the runway. A contributing factor was the airplane manufacturer's inadequate guidance for maintaining the hydraulic components.

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.

FireDescent - normal
Electrical system,electric wiring - chafedCause
Maintenance,inspection - inadequateCompany maintenance personnelCause
Electrical system,electric wiring - arcingCause
Hydraulic system,line - leakCause
Hydraulic system - fire
Airframe/component/system failure/malfunctionApproach - vfr pattern - downwind
Fluid,hydraulic - exhaustionCause
Hydraulic system - failure,total
OverrunLanding - roll
Thrust reverser,accumulator - wornCause
Landing gear,normal brake system - wornCause
Aircraft/equipment inadequateManufacturerFactor
On ground/water collision with objectLanding - roll
Object - other

Analysis

During approach, a fire erupted in the wheel well of the 22-YR old airplane. The fire burned thru the hydraulic lines rendering the a, b, & standby hyd systems inop. The crew landed the airplane using the emergency manual reversion flight control system. However, the airplane was unable to stop on the runway because of the previous failures of the check valves in the backup hyd accumulator pressure systems for the #2 thrust reverser and the inboard pair of wheel brakes. During the 2 min rollout, the airplane traversed 14,000 ft, overran the rwy end, and collided with a concrete structure which collapsed the nose gear. The airplane had recently undergone a 'c' check during which the operator's mechanics failed to observe & repair an electric wire which had been chafing against a hyd line. On the accident flt the energized wire arced, punctured the line, & ignited the escaping hyd fluid. The hyd check valves had failed earlier due to mechanical wear.

Aircraft

Registration
N198AW
Reported as
Boeing 737-204
Category
Airplane
Serial number
19710
Airframe hours
62,466
Engine
P&W JT8D-9A, 14,500 lbs thrust, turbo fan
Damage
Substantial damage
Fire
Both
Flight
Part 121
Operator
America West Airlines, Inc.
Registered owner
Aviation Sales Company, Inc.
Airworthiness certificate
Standard, Transport
Departed
PHX · Phoenix, AZ
Destination
TUS · Tucson, AZ
Flight plan
IFR
Airport
TUS · Tucson Int'L, runway 29R, 10,994 × 150 ft, asphalt

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
33
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
10,600 total · 3,970 in this make and model · 8,290 as pilot in command · 217 in the last 90 days · 58 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night/dark
Wind
260° at 9 knots
Visibility
30 statute miles
Lowest ceiling
None
Temperature
50 °F, dew point 39 °F
Altimeter
29.00 inHg
Observed at
TUS

FAA reports on this event · 1

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