LAX92IA209

NTSB incident investigation · Boeing 767-222 · Los Angeles, CA · May 13, 1992

Incident · Minor injuriesIncident investigationFinal report
Date
May 13, 1992, 15:52 local (22:52 UTC)
Place
Los Angeles, CA
Injuries
3 minor, 81 uninjured
Damage
Minor damage
Phase of flight
Takeoff
Aircraft
N604UABoeing 767-222
Weather
Visual (VMC) · Day
Status
Completed · report September 14, 1993
Report
Approved by Office Director
FAA report
19920513014769I
Case key
27458

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

A rupture in the airplane's air condition/heat/pressurization/apu duct, along its welded seam. Contributing to the incident was the manufacturers' failure to issue a service bulletin applicalbe to all APU ducts in the systems.

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
Air cond/heating/pressurization - rupturedCause
Maintenance,service bulletin/letter - not issuedManufacturerFactor
Occurrence

Analysis

The pneumatic distribution supply duct ruptured as the airplane began its takeoff roll with the first officer at the controls. The captain felt a slight change in cabin pressure and observed an advisory message on the electronic information crew alarm system (eicas) that cautioned of a leak in the pneumatic duct system. The first flight attendant advised the flight crew that there was smoke, dust and high temperatures in the cabin. The captain assumed control of the airplane, aborted the takeoff and turned off the runway at a midfield taxiway. After the airplane exited the runway the captain dispatched the first officer to the cabin to survey the situation. The first officer confirmed the flight attendant's report and advised that the passengers were coughing continuously. The captain elected to evacuate all personnel via the emergency egress slides. The examination disclosed the APU supply duct ruptured along the welded seam at fuselage station (fs) 1219.

Aircraft

Registration
N604UA
Reported as
Boeing 767-222
Category
Airplane
Serial number
21865
Airframe hours
30,969
Engine
P&W 2037, 38,200 lbs thrust, turbo fan
Damage
Minor damage
Flight
Part 121
Operator
United Airlines
Registered owner
United Airlines
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · August 28, 1991 · 2,608 hours before
Departed
LAX
Destination
EWR · Newark, NJ
Flight plan
IFR
Airport
LAX · Los Angeles Int'L Arpt, runway 25, 1,209 × 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
52
Certificates
Flight engineer, Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
15,401 total · 902 in this make and model · 201 in the last 90 days · 74 in the last 30 days · 7 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Visibility
10 statute miles
Lowest ceiling
None

FAA reports on this event · 1

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