Aircraft Accident/Incident Report

Charlotte, North Carolina 28208
Saturday, August 5, 1995 10:00 EDT

NTSB Narrative Summary Released at Completion of Accident

THE CAPTAIN REPORTED THAT DURING DESCENT THROUGH 12,000 FEET WITH THE 'A' SYSTEM AUTOPILOT ENGAGED AND WITH AN AIRSPEED OF 250 KNOTS, THERE WAS AN UNCOMMANDED ROLL TO THE LEFT. HE DISENGAGED THE AUTOPILOT AND ROLLED THE THE AIRPLANE TO WINGS LEVEL FLIGHT, THEN CONTINUED THE FLIGHT WITH THE AUTOPILOT OFF. POSTINCIDENT EXAMINATION OF THE AIRCRAFT REVEALED AN INTERMITTENT ELECTRICAL CONNECTION IN AN 'A' AUTOPILOT CIRCUIT, DUE TO PIN CONNECTOR(S) BEING PUSHED OUT OF PLACE ON THE FLIGHT CONTROL COMPUTER SHELF CONNECTOR. ONE OF THE PINS WAS IN THE AILERON POSITION SENSOR EXCITATION CIRCUIT. THE 'A' FLIGHT CONTROL COMPUTER HAD BEEN REMOVED AND REINSTALLED THE DAY BEFORE THE INCIDENT TO INSPECT THE RACK FOR FLUID CONTAMINATION.

NTSB Probable Cause Narrative

IMPROPER INSTALLATION OF THE 'A' SYSTEM FLIGHT CONTROL COMPUTER BY COMPANY MAINTENANCE PERSONNEL, WHICH RESULTED IN PIN CONNECTOR(S) BEING PUSHED LOOSE AND SUBSEQUENT MALFUNCTION OF THE AUTOPILOT.

Event Information

Type of Event Incident
Event Date 8/5/1995
Event Day of the Week Saturday
Time of Event 1000
Event Time Zone Eastern Daylight Time
Event City CHARLOTTE
Event State NORTH CAROLINA
Event Country --
Zipcode of the event site 28208
Event Date Year 1995
Event Date Month 8
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude
Event Location Longitude
Event Location Airport
Event Location Nearest Airport ID
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation --
Weather Briefing Completeness Full
Investigator's weather source Weather Observation Facility
Time of the weather observation 1015 Eastern Daylight Time
Direction of event from weather observation facility (degrees) 39
Weather Observation Facility ID CLT
Elevation of weather observation facility 749
Distance of event from weather observation facility (units?) 40
Time Zone of the weather observation EDT
Lighting Conditions Day
Lowest Ceiling Height 2700
Lowest Non-Ceiling Height 1000
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling Overcast
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 7
Air Temperature at event time (in degrees celsius) 24
Dew Point at event time (in degress fahrenheit) 22
Wind Direction (degrees magnetic) 230
Variable Wind Indicator Unknown
Wind Speed (knots) 6
Wind Velocity Indicator Unknown
Wind Gust Indicator Not Gusting
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 30
Density Altitude (feet) 1000
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 83
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 5024
NTSB Notification Source --
NTSB Notification Date Aug 5 1995 12:00AM
NTSB Notification Time 1100
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Dec 7 2000 4:31PM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N396US
NTSB Number MIA95IA194
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 121: Air Carrier
Type of Flight Plan filed IFR
Flight plan Was Activated? --
Damage None
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Boeing
Aircraft Model 737-3B7
Aircraft Series Identifier 737-3B7
Aircraft Serial Number 23318
Certified Max Gross Weight 135500
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 149
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection AAIP
Date of Last Inspection Aug 5 1995 12:00AM
Airframe hours since last inspection 11
Airframe Hours 27857
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name SOCIETY NATIONAL BANK
Aircraft Owner Street Address 900 EUCLID AVENUE
Aircraft Owner City CLEVELAND
Aircraft Owner State OH
Aircraft Owner Country
Aircraft Owner Zipcode 44101
Operator is an individual? --
Operator Name USAIR
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 2345 CRYSTAL DRIVE
Operator City ARLINGTON
Operator State VA
Operator Country
Operator Zip code 22227
Operator Code USAA
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 ALB
Departure City ALBANY
Departure State NY
Departure Country
Departure Time 833
Departure Time Zone EDT
Destination Same as Local Flt crash at destination city
Destination Airport Code CLT
Destination City
Destination State
Destination Country
Specific Phase of Flight Descent
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 0
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --