Los Angeles International Airport
Aircraft Accident/Incident Report

Los Angeles, California 90045
Friday, March 17, 1995 10:50 PST

NTSB Narrative Summary Released at Completion of Accident

WHILE ON FINAL APPROACH, THE AIRPLANE EXPERIENCED A RAPID, UNCOMMANDED ROLL TO THE LEFT WHEN THE 35-DEGREE FLAP SETTING WAS SELECTED. THE PILOT WAS ABLE TO COUNTER THE ROLL BY APPLYING FULL OPPOSITE AILERON AND LANDED WITHOUT FURTHER INCIDENT. AN EXAMINATION REVEALED THAT THE WING FLAPS HAD BEEN FULLY EXTENDED IN THE AFT DIRECTION, BUT THAT THE INBOARD TRAILING EDGE OF THE LEFT OUTBOARD FLAP HAD BEEN FORCED UPWARD ABOUT 3 INCHES. THE INBOARD AFT FLAP TRACK ROLLER BEARING ASSEMBLY, INCLUDING THE ATTACHING BOLT AND WASHER, HAD PULLED THROUGH THE SKIN OF THE FLAP TRACK HINGE BRACKET. AN ANALYSIS OF THE FAILED PARTS BY BEECH REVEALED THAT THE OUTER ROLLER WAS LOOSE ON THE BEARING AND COULD BE SHIFTED AXIALLY. A CIRCULAR WEAR PATTERN MATCHING THE DIAMETER OF THE OUTER ROLLER FLANGE WAS FOUND ON THE PORTION OF FLAP TRACK HINGE BRACKET WHICH HAD PULLED OUT. BEECH CONCLUDED THAT THE BEARING OUTER ROLLER HAD SHIFTED ON THE ROLLER ELEMENT BEARING AND ALLOWED THE OUTER ROLLER FLANGE TO WEAR AGAINST THE SIDE OF THE FLAP HINGE BRACKET UNTIL THE BEARING ASSEMBLY WAS PULLED OUT. THE FAILED FLAP TRACK HINGE BRACKET AND BEARING ASSEMBLY IS CONTAINED WITHIN THE INTERIOR OF THE FLAP STRUCTURE.

NTSB Probable Cause Narrative

AN AXIAL SHIFT OF THE OUTER BEARING ROLLER FOR AN UNDETERMINED REASON, RESULTING IN EROSION AND FAILURE OF THE FLAP TRACK HINGE BRACKET/BEARING ASSEMBLY. FACTORS RELATING TO THE INCIDENT WERE: THE ROLLER BEARING AND ASSOCIATED BRACKET ASSEMBLY WITHIN THE INTERIOR OF THE FLAP STRUCTURE COULD NOT BE ADEQUATELY INSPECTED WITHOUT DISASSEMBLY; AND LACK OF INSPECTION CRITERIA IN THE MANUFACTURER'S MAINTENANCE MANUAL CONCERNING FLAP ROLLER/HINGE BRACKET ASSEMBLIES.

Event Information

Type of Event Incident
Event Date 3/17/1995
Event Day of the Week Friday
Time of Event 1050
Event Time Zone Pacific Standard Time
Event City LOS ANGELES
Event State CALIFORNIA
Event Country --
Zipcode of the event site 90045
Event Date Year 1995
Event Date Month 3
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude
Event Location Longitude
Event Location Airport LOS ANGELES INTERNATIONAL
Event Location Nearest Airport ID LAX
Indicates whether the acc/inc occurred off or on an airport On Airport
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation 126
Weather Briefing Completeness Unknown
Investigator's weather source Pilot
Time of the weather observation 0
Direction of event from weather observation facility (degrees) 0
Weather Observation Facility ID
Elevation of weather observation facility 0
Distance of event from weather observation facility (units?) 0
Time Zone of the weather observation
Lighting Conditions Day
Lowest Ceiling Height 0
Lowest Non-Ceiling Height 0
Sky/Lowest/Cloud Conditions Clear
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) --
Dew Point at event time (in degress fahrenheit) --
Wind Direction (degrees magnetic) 260
Variable Wind Indicator Unknown
Wind Speed (knots) 10
Wind Velocity Indicator Unknown
Wind Gust Indicator Not Gusting
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) --
Density Altitude (feet) --
Intensity of Precipitation Unknown
METAR weather report --
Event Highest Injury None
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 0
On Ground, Serious Injuries 0
Injury Total Fatal --
Injury Total Minor --
Injury Total None 19
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 5011
NTSB Notification Source --
NTSB Notification Date Mar 17 1995 12:00AM
NTSB Notification Time 1330
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Dec 7 2000 4:09PM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N1568W
NTSB Number LAX95IA142
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 135: Air Taxi & Commuter
Type of Flight Plan filed IFR
Flight plan Was Activated? --
Damage Minor
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name BEECH
Aircraft Model 1900C
Aircraft Series Identifier 1900C
Aircraft Serial Number UC-64
Certified Max Gross Weight 14000
Aircraft Category Airplane
Aircraft Registration Class U.S. Registered/U.S. Soil
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 19
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Mar 15 1995 12:00AM
Airframe hours since last inspection 48
Airframe Hours 11711
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name ABI, INC.
Aircraft Owner Street Address 12060 ROSE MARIE LANE
Aircraft Owner City LOS ANGELES
Aircraft Owner State CA
Aircraft Owner Country
Aircraft Owner Zipcode 90049
Operator is an individual? --
Operator Name ALPHA AVIATION
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 9841 AIRPORT BLVD., SUITE 512
Operator City LOS ANGELES
Operator State CA
Operator Country
Operator Zip code 90045
Operator Code VALA
Owner has at least one certificate Yes - certificate holder
Other Operator of large aircraft? No
Certified for Part 133 or 137 Operation Unknown
Operator Certificate Number --
Indicates whether an air carrier operation was scheduled or not Scheduled
Indicates Domestic or International Flight Domestic
Operator carrying Pax/Cargo/Mail Passenger Only
Type of Flying (Per_Bus / Primary) Unknown
Second Pilot on Board Yes
Departure Point Same as Event No
Departure Airport Code MMH
Departure City MAMMOTH LAKES
Departure State CA
Departure Country
Departure Time 948
Departure Time Zone PST
Destination Same as Local Flt crash at destination city
Destination Airport Code LAX
Destination City
Destination State
Destination Country
Specific Phase of Flight Approach
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jan 2 2001 10:30AM
User who most recently changed record dbo
Since inspection or accident --
Event Location Runway Number and Location 24R
Runway Length 8925
Runway Width 150
Sight Seeing flight No
Air Medical Flight No
Medical Flight --