MIA92IA081

NTSB incident investigation · Boeing 727-214A · San Juan, PR · February 9, 1992

Incident · No injuriesIncident investigationFinal report
Date
February 9, 1992, 17:10 local (21:10 UTC)
Place
San Juan, PR
Injuries
157 uninjured
Damage
Minor damage
Phase of flight
Initial climb
Aircraft
N752USBoeing 727-214A
Weather
Visual (VMC) · Day
Status
Completed · report June 30, 1993
Report
Approved by Office Director
FAA report
19920209002279I
Case key
33007

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 flight engineer's lack of training in emergency procedures and his failure to follow published emergency procedures, resulting in his not being able to manually extend the right main landing gear, following the loss of the 'a' hydraulic system. Contributing to the incident was the captains failure to exhaust all available resources and time in attempts to extend the right main landing gear prior to landing with the gear retracted.

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
Hydraulic system,line - chafed
Maintenance,inspection - improperCompany maintenance personnel
Hydraulic system,line - ruptured
Hydraulic system - loss,total
Gear not extendedLanding - flare/touchdown
Emergency procedure - not followedFlight engineerCause
Improper training(emergency procedure(s))Flight engineerCause
Insufficient standards/requirements,airmanCompany/operator mgmtCause
In-flight planning/decision - poorPilot in commandCause
Proper assistance - not usedPilot in commandCause

Analysis

Flt lost 'a' hydraulic system when left main gear door up line ruptured during gear retraction at point it had chaffed on APU. Capt called for 30,000 pounds of fuel to be dumped followed by manual extension of the landing gear. Flt eng could not get rt main gear to extend manually. Capt told flt eng to view position of main landing gear through view ports in cabin. Flt eng could not locate the view ports and returned to cockpit. Capt then ordered fuel dumped to minimum level after which a landing with rt main gear retracted was made. After landing when aircraft was raised the rt main landing gear was found to be stowed on the uplock normally. The gear was then extended following normal manual extension procedures. No evidence of malfunction of the rt main gear was found. The rt main gear extends by cranking opposite direction from the left and nose gear. The flt eng became qualified as flt eng on 11/03/91 and had accumulated 200 hours as flt eng.

Aircraft

Registration
N752US
Reported as
Boeing 727-214A
Category
Airplane
Serial number
21691
Airframe hours
35,403
Engine
P&W JT8D-15A, 15,500 lbs thrust, turbo fan
Damage
Minor damage
Flight
Part 121
Operator
Usair, Inc.
Registered owner
Usair
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · October 21, 1991 · 764 hours before
Destination
PHL · Philadelphia, PA
Flight plan
IFR
Airport
SJU · Luis Munoz Marin Int'L, runway 8, 10,002 × 200 ft, asphalt

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
54
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
23,154 total · 7,398 in this make and model · 173 in the last 90 days · 51 in the last 30 days · 5 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
70° at 12 knots
Visibility
15 statute miles
Lowest ceiling
7,000 ft broken
Temperature
81 °F, dew point 72 °F
Altimeter
30.00 inHg
Observed at
SJU, 1 nm away

FAA reports on this event · 1

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