- Date
- March 31, 1996, 06:30 local (14:30 UTC)
- Place
- Eugene, OR
- Injuries
- 27 uninjured
- Damage
- Minor damage
- Phase of flight
- Enroute
- Aircraft
- N334PHDornier DO 328-100
- Weather
- Visual (VMC) · Day
- Status
- Completed · report February 28, 1997
- Report
- Approved by Office Director
- FAA report
- 19960331044229I
- Case key
- 42293
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
delamination of the wing de-icing boot, due to the boot reaching its life limit.
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.
Analysis
The flight crew reported that as the airplane was climbing between 14,000 feet and 16,000 feet in light icing conditions, they felt a moderate shudder. The autopilot disconnected, and the airplane immediately rolled 15 degrees to the left. An emergency was declared, and the flight was diverted with no further incident. After landing, examination revealed that a section of the left wing de-icing boot had delaminated. When pressure was applied to the system, a bubble was created. When pressure was off, the delaminated plies were stretched beyond their elastic limits and would not return to the normal shape, thus creating wrinkles. Examination of the plies revealed that there was no evidence of contamination. The separation occurred between the adhesion coat and the knit fabric. The manufacturer of the boot reported that this mode of failure was consistent with an elastromeric construction that had reached the end of its useful life. The outer delaminated plies were found to be unusually durable, which resulted in a large bubble instead of the normally expected 'burst' of the outer plies.
Factual narrative
On March 31, 1996, at 0630 Pacific standard time, a Dornier Luftfahrt GMBH DO 328-100, N334PH, flight number 2620, registered to First Security Bank of Utah, operated by Horizon Air as a 14 CFR Part 121 passenger flight, diverted to Portland, Oregon, after the flight crew felt a shudder and an immediate roll to the left. The flight crew declared an emergency and landed at Portland without further incident. Visual meteorological conditions prevailed at the time and an instrument flight rules flight plan was filed. The airplane received minor damage and there were no injuries to the 24 passengers, one flight attendant, and the two airline transport pilots. The flight originated from Eugene, Oregon, about 30 minutes before the incident.
The flight crew reported that as the airplane was climbing between 14,000 feet and 16,000 feet, at 200 KIAS in light icing conditions, they felt a moderate shudder. The auto pilot disconnected and the airplane immediately rolled 15 degrees to the left. An emergency was declared and the flight was diverted to Portland. After landing, it was found that a portion of the left wing leading edge de-icing boot was loose. When air pressure was applied to the boot, a 12 inch diameter "bubble" formed six inches in from the outboard section of the middle boot. When air pressure was removed, that portion of the boot remained loose.
The boot was removed from the wing and transported to Daimler-Benz Aerospace, Germany. The boot was installed on a test airplane and wind tunnel tested. The test revealed that the airplane was controllable even with the delamination in front of the aileron.
The boot was removed and transported to BFGoodrich Ice Protection Systems, Uniontown, Ohio to determine the reason for the delamination. Preliminary inspection determined that the delaminated plies had stretched beyond their elastic limits and would not return to the normal shape upon deflation. The result was permanent wrinkles in the affected area. Samples of the affected area were taken and examined under optical microscopy and scanning electron microscopy. The result of the examination revealed no evidence of contamination. Peel adhesion samples were then constructed and found that the separation occurred between the adhesion coat and the knit fabric. BFGoodrich reports that this mode of failure is consistent with an elastromeric construction de-icer that has reached the end of its useful life. The outer delaminated plies were found to be unusually durable which resulted in a large bubble instead of the normally expected "burst" of the outer plies.
Aircraft
- Registration
- N334PH
- Reported as
- Dornier DO 328-100
- Category
- Airplane
- Serial number
- 3012
- Airframe hours
- 4,331
- Engine
- P&W 119B, 2,180 horsepower, turbo prop
- Damage
- Minor damage
- Flight
- Part 121
- Operator
- Horizon Air
- Registered owner
- First Security Bank Of Utah
- Airworthiness certificate
- Standard, Transport
- Last inspection
- Continuous airworthiness · March 28, 1996
- Departed
- EUG · OR
- Destination
- SEA · Seattle, WA
- 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
- 32
- Certificates
- Flight instructor, Airline transport, Commercial
- Airplane ratings
- Multi-engine land, Single-engine sea, Single-engine land
- Instrument ratings
- Airplane
- Medical
- Class 1, Valid Medical--no waivers/lim.
- Seat
- Left
- Flight hours
- 5,266 total · 1,897 as pilot in command · 178 in the last 90 days · 59 in the last 30 days · 7 in the last 24 hours
Weather
- Conditions
- Visual (VMC) · Day
FAA reports on this event · 1
The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.