SEA99IA045

NTSB incident investigation · Fokker F.28 MK 4000 · Spokane, WA · April 1, 1999

Incident · No injuriesIncident investigationFinal report
Date
March 31, 1999, 19:43 local (Apr 1, 1999, 03:43 UTC)
Place
Spokane, WA
Injuries
44 uninjured
Damage
No damage
Phase of flight
Enroute
Aircraft
N477AUFokker F.28 MK 4000
Weather
Visual (VMC) · Night/dark
Status
Completed · report June 21, 2000
Report
Approved by Office Director
Case key
45998

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

The NTSB’s determination of the probable cause, and any contributing factors.

A chafed hydraulic line.

Analysis

The flight crew reported that, while in cruise flight, the number 1 hydraulic (utility) fluid quantity dropped below the low red mark on the gauge. The flight crew switched to the secondary hydraulic system and diverted to a nearby airport, where a landing was made without incident. Maintenance personnel inspected the aircraft and found a hydraulic line to the flap drive motor was chafed through and leaking. The flight crew reported that this was the second time that day that the number 1 hydraulic system fluid level had dropped. Prior to the last departure, maintenance personnel had serviced the system with hydraulic fluid. On that occasion, the flight crew ran the engines and cycled the flight controls while maintenance personnel looked for leaks. No leaks were found and the aircraft departed on the next leg of the scheduled flight.

Factual narrative

On March 31, 1999, about 1943 Pacific standard time, a Fokker F.28 MK 4000, N477AU, registered to Atlantic Credit Corporation, and operated by Horizon Air as a 14 CFR Part 121 scheduled passenger flight was en route to Seattle, Washington, when the primary hydraulic system lost pressure. The flight diverted to Spokane, Washington, where a landing was made without further incident. Visual meteorological conditions prevailed at the time and an instrument flight rules flight plan was filed. The aircraft was not damaged. The two airline transport pilots, two cabin crew and 40 passengers were not injured. The flight had departed from Billings, Montana, as Horizon Flight 2419, about one hour and 15 minutes prior to the incident.

The flight crew reported that, while in cruise flight, the number 1 hydraulic (utility) fluid quantity dropped below the low red mark on the gauge. The flight crew notified maintenance control, and a decision was made to divert to Spokane. The secondary hydraulic system was utilized for the remainder of the flight to Spokane.

The flight crew reported that this was the second time that day that the number 1 hydraulic system fluid level had dropped. While in Billings, after the previous occurrence, maintenance personnel serviced the system with hydraulic fluid. The flight crew then ran the engines and cycled the flight controls while maintenance personnel looked for leaks. No leaks were found and flight 2419 departed for Seattle.

The aircraft was inspected by Horizon Air maintenance personnel in Spokane, who reported that a line for the flap drive motor was found chafed through and leaking in the left side wheel well. Maintenance personnel removed the chafed line and installed a flex line in accordance with the F28 maintenance manual instructions.

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/malfunctionCruise
Hydraulic system,line - chafedCause

Aircraft

Registration
N477AU
Reported as
Fokker F.28 MK 4000 (F.28 MK 40)
Category
Airplane
Serial number
11226
Engine
unknown
Damage
No damage
Flight
Part 121
Operator
Horizon Air
Registered owner
Atlantic Credit Corp.
Airworthiness certificate
Standard, Transport
Departed
BIL · Billings, MT
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
42
Certificates
Commercial, Airline transport, Flight instructor
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 · 1,100 in this make and model

Weather

Conditions
Visual (VMC) · Night/dark
Wind
340° at 7 knots
Visibility
10 statute miles
Lowest ceiling
18,000 ft broken
Temperature
37 °F, dew point 21 °F
Altimeter
29.00 inHg
Observed at
GEG, 40 nm away