LAX95IA229

NTSB incident investigation · Boeing 737-200 · Elko, NV · June 29, 1995

Incident · No injuriesIncident investigationFinal report
Date
June 29, 1995, 09:25 local (16:25 UTC)
Place
Elko, NV
Injuries
84 uninjured
Damage
Minor damage
Phase of flight
Enroute
Aircraft
N457TMBoeing 737-200
Weather
Visual (VMC) · Day
Status
Completed · report November 25, 1996
Report
Approved by Office Director
FAA report
19950629023579I
Case key
28954

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

in-flight separation of the aileron as a result of inadequate bonding.

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/malfunctionDescent - normal
Flight control,aileron surface - debondedCause
Maintenance,major repair - improperOther maintenance personnelCause

Analysis

The crew experienced an unusual vibration while descending through FL250. They reduced speed and the vibration decreased. A flight attendant reported that part of the right wing was missing. The aircraft landed without further incident. Examination of the aircraft indicated that 1.5 feet of the right aileron had separated in flight. This aileron underwent a major repair in 1990 involving skin and core replacement. It was installed on the aircraft in 1992 without further work done on it. Examination of the aileron revealed very little flow of the adhesive between the skin and the core, possibly due to use of an adhesive beyond its shelf life.

Factual narrative

On June 29, 1995, at 0925 hours Pacific daylight time, the crew of Casino Express, a Boeing 737-200, N457TM, from Portland, Oregon, experienced an unusual vibration during a descent through flight level 250 into Elko, Nevada. A flight attendant reported to the pilots that part of the right wing was missing. The first officer confirmed that a section of the right aileron had separated from the aircraft. The captain declared an emergency and the aircraft subsequently landed without further incident. There were no injuries to the 78 passengers or 6 crewmembers onboard. Visual meteorological conditions existed at the time with no in-flight turbulence reported.

After experiencing the vibration, the captain slowed the aircraft from .76 Mach to 250 knots indicated airspeed and the vibration decreased. He determined that the aircraft was controllable and advised the cabin crew to prepare for a precautionary emergency landing.

Examination of the aircraft afterwards revealed that 1.5 feet of the right outboard aileron had separated at the hinge point to the front spar. The aileron trim tab remained attached. Boeing has reported no previous occurrences similar to this to their knowledge. Casino Air reported that the aileron was last inspected on the daily walk-around, which is performed each day before flight, and no defects were noted at that time.

The investigation revealed that the aileron underwent a major repair late in 1990 involving skin and core replacement. The aileron was installed on the aircraft in September, 1992. According to the operator, the aileron has not been repaired since the installation. Boeing examined the part and they indicated that there was very little "filleting" or flow of the adhesive between the skin and core. They believe one possible cause of the insufficient "filleting" could be the use of adhesive beyond it's shelf life. No other examinations were conducted.

Aircraft

Registration
N457TM
Reported as
Boeing 737-200
Category
Airplane
Serial number
20156
Airframe hours
48,512
Engine
P&W JT8D-9, 14,400 lbs thrust, turbo jet
Damage
Minor damage
Flight
Part 121
Registered owner
Tem Enterprises
Airworthiness certificate
Standard, Transport; Standard, Normal
Departed
PDX · Portland, OR
Destination
EKO
Flight plan
IFR

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
54
Certificate
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
11,000 total · 2,500 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
360° at 3 knots
Visibility
50 statute miles
Lowest ceiling
None
Temperature
63 °F
Altimeter
30.00 inHg
Observed at
EKO

FAA reports on this event · 1

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