NYC92LA076

NTSB accident investigation · Mcdonnell Douglas DC-9-32 · Dayton, OH · April 9, 1992

Accident · FatalLimited investigationFinal report
Date
April 8, 1992, 21:06 local (Apr 9, 1992, 01:06 UTC)
Place
Dayton, OH
Injuries
1 fatal, 28 uninjured; on the ground: 1 fatal
Damage
Minor damage
Phase of flight
Standing
Aircraft
N926LMcdonnell Douglas DC-9-32
Weather
Visual (VMC) · Night/bright
Status
Completed · report June 11, 1993
Report
Approved by Office Director
FAA report
19920408010539A
Case key
37140

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

A failed wheel rim following an inadvertent over inflation by the mechanic. Additional causes were the failure of the mechanic to be aware of the pressure being used and his failure to follow procedures. A factor related to the accident was the failure of the company to make available low pressure regulators for their mechanics during normal work hours.

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/malfunctionStanding
Maintenance,replacement - improperOther maintenance personnelCause
Aircraft/equipment inadequateCompany/operator managementFactor
Procedures/directives - not followedOther maintenance personnelCause
Landing gear,tire - pressure excessiveCause
Landing gear,wheel - failure,totalCause

Analysis

The left side nose wheel tire was damaged during pushback, when the tow bar failed. The tire was replaced and while being serviced on the airplane, the tire rim failed, fatally injuring the mechanic. Examination of the bottle used to service the tire showed two pressure scales, bars on the outside and PSI on the inside. One bar equals 14.7 PSI. The high end of the scale was 10,000 PSI and the bottle was pressurized to 4000 PSI. The tire was to be serviced to 150 PSI. A check of the regulator after the accident disclosed it was properly calibrated. According to the FAA, the tire rim was stressed to 580 PSI. Examination of the fracture surface found, 'no...manufacturing or material defects...fracture surface is consistent with a tensile overload type of failure.' According to the company, no low pressure regulators were available. They are kept under lock when not in use and the responsible person had already gone home for the day.

Aircraft

Registration
N926L
Reported as
Mcdonnell Douglas DC-9-32
Category
Airplane
Serial number
47172
Engine
P&W JT8D-9A, 14,500 lbs thrust, turbo jet
Damage
Minor damage
Flight
Part 121
Operator
Trans World Airlines
Registered owner
Polaris Aircraft Leasing Corp
Airworthiness certificate
Standard, Transport
Last inspection
Unknown · January 2, 2000
Destination
STL · St. Louis, MO
Flight plan
IFR
Airport
DAY · Dayton Intl

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
50
Certificates
Commercial, Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Flight hours
15,933 total · 1,046 in this make and model · 1,500 as pilot in command · 121 in the last 90 days · 63 in the last 30 days · 5 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night/bright
Wind
260° at 6 knots
Visibility
7 statute miles
Lowest ceiling
9,500 ft broken
Temperature
61 °F, dew point 54 °F
Altimeter
29.00 inHg
Observed at
DAY, 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.