MIA99LA220

NTSB accident investigation · McDonnell Douglas DC-10-10F · Memphis, TN · August 7, 1999

Accident · No injuriesLimited investigationFinal report
Date
August 7, 1999, 13:45 local (18:45 UTC)
Place
Memphis, TN
Injuries
5 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N68058McDonnell Douglas DC-10-10F
Weather
Visual (VMC) · Day
Status
Completed · report May 17, 2001
Report
Approved by Office Director
FAA report
19990807043899A
Case key
47035

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

The inadequate design by the airplane manufacturer for using bolts to secure the inboard trailing edge flap that are susceptible to stress corrosion cracking. Also, the stress corrosion cracking failure of the four H-11 bolts that secure the left inboard trailing edge flap to the outboard hinge which allowed the separation of the flap and vane while on final approach.

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/malfunctionApproach - vfr pattern - final approach
Flight control,flap attachment - stress corrosionCause
Acft/equip,inadequate designManufacturerCause
Flight control,flap attachment - failure,totalCause
Flight control,flap - separation

Analysis

While on final approach with full flaps selected and indicated, the left inboard trailing edge flap and vane separated. The autopilot was disconnected and approximately 1/2 right aileron input was needed to counter the left banking tendency. The landing was reported to be firm but with less 'controllability'. Structural damage occurred to the left side of the fuselage due to flap and/or vane contact. The four H-11 type bolts of the forward attach point of the outboard hinge of the left inboard trailing edge flap failed due to stress corrosion cracking. Chromium was detected in the fracture origin of bolts Nos. 1-3; no determination was made as to why chromium was present. The two H-11 type bolts of the aft attach point of the outboard hinge of the left inboard trailing edge flap failed due to ductile overload. No material or processing discrepancies were found. H-11 bolts are susceptible to stress corrosion cracking. The FDR readout indicated that the maximum left roll was 8.09 degrees and flap extension speed was exceeded on landing No. 1 for approximately 13 seconds when the flaps were extending from 16 to 20 degrees. No flap overspeed protection is afforded in that range.

Factual narrative

On August 7, 1999, about 1345 central daylight time, a McDonnell Douglas DC-10-10F, N68058, registered to Wilmington Trust Company, operated by Federal Express Corporation as flight 3206, experienced separation of the left inboard trailing edge flap and flap vane while on final approach to land at the Memphis International Airport, Memphis, Tennessee. Visual meteorological conditions (VMC) prevailed at the time and an IFR flight plan was filed for the 14 CFR Part 119 domestic cargo flight. The airplane was substantially damaged and there were no reported injuries to the captain, first officer, second officer, or to the two jumpseat occupants. The flight originated about 0845 pacific daylight time from the Los Angeles International Airport, Los Angeles, California.

The first officer was flying the airplane, and while executing a Category 111B approach to runway 18L in VMC with the flaps fully extended, a loud "jolt" was heard. The autopilot was disconnected and the first officer reported having to use 1/2 to 3/4 right aileron input to counter the left banking tendency. The first officer later reported that while on a stabilized approach about 1,000 to 1,500 feet, about 3 miles from the airport, with the flaps extended to 50 degrees and both autopilots activated for a practice Category IIIB approach, he heard a loud sound from the rear of the airplane and the autopilot "struggled to keep the aircraft straight and level." He disconnected the autopilot system and reported that the airplane "wanted to roll left. I countered with right wing down control inputs. About 3/4 of max kept the aircraft straight and level." He continued the approach and landed. After clearing the runway he noted that the flap disagree on the control surfaces instrument, and all engines were secured. The captain later reported that after hearing the jolt, the Category IIIB approach was aborted. The landing was firm with less "controllability", but the rollout was normal.

According to a transcription of communications with Memphis Air Traffic Control Tower (ATCT), the first report by the flight crew to ATCT personnel occurred after the airplane had landed. A copy of the transcriptions of communications is an attachment to this report.

Examination of the airplane by FAA personnel revealed that the left inboard trailing edge flap and vane separated from the airplane. The separated left inboard trailing edge flap and vane were found in a residential area approximately 4 miles north of the airport. The vane was noted to be missing an approximate 2-foot segment, which was found several days after the accident about 1 block from where the flap and vane were found. Further examination of the airplane revealed that the four bolts (1 each P/N BM 3306-7-44 and 3 each P/N BM3306-8-44) of the forward attach point of the outboard hinge of the left inboard trailing edge flap, were failed. Six segments of these failed four bolts were recovered and marked "1-4", and also marked whether it was from the flap or hinge side. The two bolts (1 each P/N BM 3306-7-56 and 1 each P/N BM3306-7-54) of the aft attach point of the outboard hinge of the left inboard trailing edge flap, were fractured. Four segments of these fractured two bolts were recovered and marked "5-6", and also whether it was from the flap or hinge side. The left inboard actuator of the left inboard trailing edge flap was extended 3 inches; the right inboard actuator of the right inboard trailing edge flap was extended 15 inches. Damage to seven frames on the left side of the fuselage starting at fuselage station 1561 and ending at fuselage station 1681 was noted; also six longerons were damaged. The NTSB retained the recovered 10 segments of the six failed or fractured bolts, the flight data recorder, and the inboard flap actuator for the left inboard trailing edge flap. The cockpit voice recorder was not retained for readout.

Metallurgical examination of the failed and fractured bolts was performed by the NTSB Materials Laboratory in Washington, D.C. The results of analysis of the fractured segments of bolts that were marked Nos. 5 and 6 which were from the aft attach point of the outboard hinge of the left inboard trailing edge flap revealed they exhibited fracture features associated with "overstress bending/tensile separations." The results of analysis of the failed segments of bolts that were marked as Nos. 1 through 4, which were from the forward attach point of the outboard hinge of the left inboard trailing edge flap showed minimal deformation. Intergranular stress corrosion cracking that initiated from corrosion pits was detected on three of the four bolts; stress corrosion cracking was detected on all of the four bolts marked 1-4. Additionally, X-ray energy dispersive spectroscopy (EDS) of the fracture origin area of bolt Nos. 1, 2, and 3 indicated the presence of chromium (Cr). No determination was made as to the reason the chromium was present in the fracture origin areas. No nickel was detected in the fracture origin area of bolt No. 1. The NTSB Materials Laboratory did not prepare a metallographic cross section of any of the bolts. A copy of the Materials Laboratory Factual Report is an attachment to this report.

Metallurgical examination of the failed and fractured bolts was also performed by Materials and Process Engineering division of Boeing-Long Beach. The results of analysis of examination of the six segments of bolts marked 1-4 indicate the failure was due to stress corrosion cracking. The results of analysis of examination of the four segments of bolts marked 5-6 indicated failure was due to ductile overload. The report also indicates no evidence of material or processing discrepancies were found. SEM analysis of a metallographic specimen mount in plastic was performed on the bolt marked No. 1. The examination determined there were two distinct layers. The inner layer was comprised of a high concentration of Nickel (Ni), and the outer layer was comprised of a high concentration of Cadmium (Cd). No evidence of a layer of chromium plating was found. The report confirms the NTSB's report of the finding of Chromium (Cr) in the fracture origin of bolt No. 1. According to Boeing personnel, they do not allow or approve reworking of the accident type bolts. A copy of the report is an attachment to this report.

On October 16, 1990, McDonnell Douglas issued an All Operator Letter (AOL) 10-2008B to operators of DC-10 and KC-10 type airplanes stating that H-11 steel tension bolts have been susceptible to stress corrosion failures and McDonnell Douglas had conducted a design review; the AOL provided locations where H-11 steel tension head bolts are installed. The AOL indicated that, "Based on this evaluation, certain structural joint locations were identified where a change in bolt material to one made from a corrosion resistant steel was recommended." The AOL also indicated that, "In H-11 steel bolt/nut applications in which a single failure could affect aircraft safety or where in-service history indicates a need for replacement, Service Bulletins and AOL's have been issued to inform operators of each specific problem and to provide recommendations." The AOL listed the location of the failed and fractured H-11 bolts. At the time of the accident, there was no Service Bulletin in effect issued by either McDonnell Douglas or Boeing requiring the replacement of the H-11 bolts with Inconel type bolts in the failed or fractured flap bolt locations.

According to personnel from Federal Express, review of their FAA approved maintenance schedule pertaining to the inspection of the failed or fractured bolt locations revealed no inspection of the four forward hinge bolts of the outboard hinge of the inboard flap. Inspection of the lower two hinge bolts of the outboard hinge of the inboard flap occurs at the 2C interval.

The flight data recorder which was

Aircraft

Registration
N68058
Reported as
McDonnell Douglas DC-10-10F
Category
Airplane
Serial number
46705
Airframe hours
40,552
Engine
GE CF6-6, 41,500 lbs thrust, turbo fan
Damage
Substantial damage
Flight
Part 121
Operator
Federal Express Corporation, doing business as Federal Express
Registered owner
Wilmington Trust Company
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · August 6, 1999 · 10 hours before
Departed
LAX · Los Angeles, CA
Destination
MEM
Flight plan
IFR
Airport
MEM · Memphis International

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
47
Certificates
Private, 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
5,598 total · 2,215 in this make and model · 2,150 as pilot in command · 63 in the last 90 days · 36 in the last 30 days · 9 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
220° at 7 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
97 °F, dew point 64 °F
Altimeter
29.00 inHg
Observed at
MEM, 4 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.